浅议医疗卫生保障中政府的主导作用

Discussing the Governmental Leading Role in Medical Insurance System

医疗卫生保障制度是国家干预收入分配和协调经济社会发展的重要手段,对维护社会安定、保证经济发展具有十分重要的作用。改革开放后,我国在摆脱了"政治决定一切"的思维定势后,又陷入了"市场万能论"的泥潭。商业化、市场化走向的医疗卫生体制改革,导致医疗服务的公平性明显下降和卫生投入的宏观效率低下,原因在于对医疗卫生保障的特殊性缺乏认识、医疗卫生保障的理念缺失和医疗卫生保障制度设计注重短期效应。由于医疗卫生市场不具备完全竞争的市场条件,存在着诸多市场失灵现象,因此政府在为社会成员提供的医疗卫生保障中必须承担起主要责任。

Medical and health security system is very important for the government to adjust the income distribution and economic and social development, which plays a vital role in maintaining social stability and economic development. With the reform and opening up, China corrected the fixed thinking of ＂politics decides all＂ but fell into a ＂market universal theory＂. The market - oriented reform of medical system, which lacking the concept of particularity of medical security and focusing on short - term effects, resulted in significantly decrease of fairness in medical services and inefficient macro health input. As the medical and health market didn＇t have sufficient competitive market conditions, there existed many failures. So the government should be responsible for providing medical and health security for the society.