全民免费医疗：凝聚民心的医改目标

National Health Care System :object of Chinese health reform to condensate popular sentiment

本轮医改旨在建立"基本医疗卫生制度"。然而,这一组织者的改革目标,过于遥远、抽象。百姓无法明确该目标与自身期望的关系;服务于百姓的地方政府难以实现承诺于民,服务于民的现代政府宗旨。基于30余年的医改专题研究结晶,健康风险预警治理协同创新中心认为:我国医改亟需一个凝聚各阶层民心的社会目标!"病有所医"、"看病不会倾家荡产"是百姓心中最大的期望,至少85%的公众向往免费医疗。全民免费医疗制度的构建,我国现有筹资足以支撑,理论和技术都很成熟,关键要看决策者的决心。

The health care reform was to build the basic health care system in China. As a health care organizers’ goal,this target is too remote and abstract. People couldn’t understand the relation between it and their life and what it was going to bring about to them. For the governments at different levels in local areas,they couldn’t be aware of grasping what they should do with commitment and service to the people during the reform. Based on the research results over the past 30 years from Collaborative Innovation Center for Social Risks Governance in Health,the paper discovered that China needs the social target for the public during health care reform to get the people cohere and local government perform their function.“Basic health protection for all”and“defending high expense disease”is the dream for so many people. More than 85%of the people have been dreaming of the National Health Care System,which protects Chinese from high medical expenditure and somewhat basic risks. China has enough resources to develop this system under the scientific design. The key to develop the system is the government’s decision under the scientific and mature technology.