美国医疗保障制度的变迁及启示

The Change of American Medical Security System and It's Enlightenments

现代意义上的医疗保障是工业社会转型的产物,它是由政府为社会成员的疾病医疗、健康关怀提供必要的保障,使民众能够积极应对疾病风险,防止因病致贫和因病返贫,促进社会和谐发展。因此,它在国家社会保障体系中始终占据极其重要的地位。作为世界上经济最为发达的国家,美国实行了以医疗保险为核心、具有自身独特性的医疗保障制度,这种制度在50多年的变迁过程中也产生了许多问题引起了美国历届政府持续而艰难的改革。他们的改革理念及改革措施也许能够对当前中国城乡医疗保障制度的建立健全提供一些有益的借鉴。

Medical security is the product of industrialization and modernization. It serves complementary Medicare and Medicaid which can give health for all the people, so that they can take positive causes on preventing the casualty of illnesses, then our society wins a peaceful environment and develops harmoniously. In modem times, it becomes a key constitute of social security. As we know that American had established its unique medical insurance, and that made the government reforming it. Therefore, we should recognize that researching American medical security is fun of meaningfulness and an important key to reforming Chinese medical security.