题目

the general are relatively ineffective怎么理解?
Although usually there are in this situation four identifiable participants — the physician,the hospital,the patient,and the payer (generally an insurance carrier or government) — the physician makes the essential for all of them.The hospital becomes an extension of the physician; the payer generally meets mosts of the bills generated by the physician/hospital; and for the most part the patient plays a passive role.We estimate that about 75-80 percent of health-care expenditures are determined by physicians,not patients.For this reason,economy directed at patients or the general are relatively ineffective.
最后一句For this reason,economy directed at patients or the general are relatively ineffective.

提问时间：2020-10-16

答案

因为这个原因,对大众,或者说是病人实施的经济制度是无效的.