摘要: When it was approved by the US Health Care Financing Administration (HCFA) in March of 1993, the Oregon Health Plan (OHP) and its use of a prioritized list of services represented something entirely new in United States Medicaid reform. In fact, over a decade later Oregon remains the only state to have enacted large-scale systematic rationing of health care services. Throughout the 1990s, the OHP faced mixed predictions, with some suggesting it to be the future of Medicaid and others expressing concern that it was a―dangerous and morally dubious experiment‖(Jacobs, et al. 1993). A decade later, none of these predictions have fully come to pass. The legacy of the OHP remains at best an example of a novel idea that was never fully implemented and at worst a shortsighted attempt to expand services without real consideration of Oregon’s financial realities. While the OHP itself may not represent a model for …