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在特朗普政府宣布多家医疗保险公司签署了一份六点承诺,旨在减少医生建议治疗的障碍一年后,部分保险公司表示将不推行所有承诺的举措。这项承诺最初在2025年6月发布,其核心目标是改进一项备受争议的“事先授权”流程。该流程通常要求患者或其医疗团队在接受治疗前,先获得保险公司的批准。一位患有慢性病的患者权益倡导者Sally Nix形容这项自愿性承诺“只是作秀”。美国医疗保险计划(AHIP)的穆尔菲(Murphy)在当时与卫生与公众服务部部长罗伯特·F·肯尼迪(Robert F. Kennedy)一同出席的新闻发布会上表示,去年的行业承诺是为回应公众的愤怒而组织的。医疗保险和医疗补助服务中心(CMS)的穆罕默德·奥兹(Mehmet Oz)医生在宣布这一承诺时也发表了相关言论。

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