摘要：As a matter of social contract, American society provides health care to the medically indigent. Two problems arise: First, the rate at which care is reimbursed is government determined minimal regard to the market place. Second, the liability of providing hospital care for the indigent is not shared equally by all hospitals. This leads to some socially undesirable consequences, such as the closure of hospitals in poor areas. This paper proposes tradable admissions permits as a method for restoring the 'missing market' for care for the poor. Unlike the prospective payments system, admissions permits can achieve both efficiency and equity
