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“三保合一”为何这么难

Why Is It Difficult to Integrate the Three Medical Insurances

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【作者】 刘元春

【Author】 LIU Yuan-chun;Dept. of Economy and Management,Jilin Institute of Chemical Technology;

【机构】 吉林化工学院经济管理学院

【摘要】 我国的基本医疗保障体系呈现城镇职工基本医疗保险、新型农村合作医疗和城镇居民基本医疗保险"三保分立"状态,这种制度框架既没有体现公平,也没有体现效率,更没有从根本上解决百姓"看病难、看病贵"问题,与人人都能公平地享有基本医疗保障的目标还有很大差距,必须对其进行整合,实现"三保合一"。然而,我国基本医疗保障制度的整合却步履维艰,进展十分缓慢,其根本原因在于部门利益的博弈和权属归争。

【Abstract】 China ’s basic medical insurance system consists of UEBMI( Urban Employee Basic Medical Insurance),NRCMI( New Rural Co-operative Medical Insurance) and URBMI( Urban Residents Basic Medical Insurance) which are separated from each other. The system has failed to show fairness and effectiveness; even failed to solve the fundamental problems of the civilian ’s poor access to getting medical service and of the high fee. There is still a long way to go in the current medical insurance system to achieve the goal of everybody ’ having basic medical insurance equitably. So,it ’s necessary to integrate the three insurances. However,it is a struggling and slow progress. The root cause is the profit game and distribution of ownership among the relevant departments.

  • 【文献出处】 吉林化工学院学报 ,Journal of Jilin Institute of Chemical Technology , 编辑部邮箱 ,2015年07期
  • 【分类号】D632.1;R197.1
  • 【被引频次】3
  • 【下载频次】202
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