魁北克2025年的保健大修在医生的反弹、公众怀疑和领导层变化中崩溃。
Quebec’s 2025 healthcare overhaul collapsed amid physician backlash, public doubt, and leadership changes.
魁北克省2025年的保健大修旨在将150万无联系的病人指派给家庭医生和结束服务收费,但由于强烈的医生反对、公众怀疑和担心大批医生离去,几个月内就崩溃了。
Quebec’s 2025 healthcare overhaul, aiming to assign 1.5 million unattached patients to family doctors and end fee-for-service payments, collapsed within months due to fierce physician opposition, public skepticism, and fears of mass doctor departures.
政府缩减了目标,废除了处罚,保留了服务收费,而卫生部长Christian Dubé辞职,总理François Legault下台。
The government scaled back targets, scrapped penalties, and preserved fee-for-service payments, while Health Minister Christian Dubé resigned and Premier François Legault stepped down.
失败凸显了在没有广泛共识的情况下全面改革的风险,低估了医疗专业人员的影响,误判了公众的信任,凸显了在根深蒂固的利益和对政府信心低的情况下系统变革的难度。
The failure highlights the risks of sweeping reforms without broad consensus, underestimating medical professionals’ influence, and misjudging public trust, underscoring the difficulty of systemic change amid entrenched interests and low confidence in government.