基于市场与政府“双失灵”理论探讨中美医改前途

Analysis on the American and Chinese Medical Insurance Reform from the View of both Market Failure and Government Failure Theory

政府提供作为准公共物品和服务的医疗保障,必须把握和平衡介入的深度和广度:既要为国民提供医疗保障,又要防止公共资源浪费和导致政府沉重的财政负担。分析中、美、加、英等多国医疗保障数据,未来中美两国医疗保障改革的方向就是使医疗保障制度在政府和市场调节"失灵"及政府和市场调节"有效"的不断"试错"和"纠错"过程中日臻完善。

Government should offer the medical insurance system as the Quasi-Public goods and service appropriately to avoidwasting public resource and resulting in government＇s financial burden. Through analyzing the allied health care data from theUnited States, Canada, Britain and other countries, the direction of future health care reform in China and the United Statesis the medical security system become better and approaching perfection day by day in the process of government and themarket adjusting ＂failure＂ and the ＂trial and error＂ and ＂correction＂ of government and the market adjusting ＂efficiency＂constantly.