translation from Chinese into English 笔者注意到，无论“美国模式” 还是“非美国模式”，其实它们有一点是完全一致的：政府负责为穷人埋单。这是医疗改革的底线要求，在此之上讨论市场主导还是政府主导才是有意义的。 I have noticed that American model and non-American model share one features that the government needs to pay for the poor. This is the minimum requirement in medical reform. Only based on this can the discussion on choosing market or government as the leading factor makes sense.