Relman 等批评美国目前医疗卫生工作中的弊病,某些医院只着眼于经济,拒绝收治无力支付医疗费或未参加医疗保险的患者而造成的严重后果。Wrenn 是美国一乡村医院的医生,在1983、1984年先后收容的两例车祸伤员。一例必须立即转至设有神经外科的医院,但此医院首先提出伤员是否有医疗保险,因无家属陪伴,无以回答。再三请求后才收治,因延误抢救,不久即死亡。死后证 Relman and others criticized the shortcomings of the current medical and health work in the United States. Some hospitals only focus on the economy and refuse to deal with the serious consequences of inability to pay for medical expenses or patients who have not participated in medical insurance. Wrenn is a doctor at a rural hospital in the United States. He was admitted to two accidental injuries in 1983 and 1984. One case must be immediately transferred to a hospital that has neurosurgery. However, the hospital first proposed whether the wounded had medical insurance and was unable to answer because of the absence of family members. The request was made only after repeated requests. Due to delay in rescue, it will soon die. After death certificate