谁缺席了民生政策形成过程:基于重庆医改事件的分析

Who Is Absent from the Formation of People's Livelihood Policies:Based on the Analysis of Medical Reform in Chongqing

民生政策是治理民生问题的基本方式和手段,既有一般公共政策的权威性和公共性,又有自身的特殊性,因而决定了其形成过程更应注重科学性与民主性。民生政策的科学性与民主性离不开公众尤其利益相关者的参与。在众多民生政策中,医改政策具有人多、面广、难度大的特点,因此,具有分析的典型性,文章以重庆医改事件为例,着重从各方主体对医改新政的反应、医改政策形成中的"管理主义模式"等方面对民生政策形成中的公众参与进行分析,并进一步提出以参与民主促进社会民生的多元主体"参与共治的决策模式"。

The authority, publicness and particularity of people＇ s livelihood policies require more attention to be payed to science and democracy in its formation, as it is a basic mode and means to govern people＇s livelihood problems. However, the science and democracy of people＇ s livelihood policies rely on the participation of the public, especially relevant stakeholders. As medical reform policies are with a wide range of people, aspects, and difficulty, they are often viewed as typical samples to analyze people＇s livelihood policies. This article takes medical reform in Chongqing as example, from the reaction of relevant stakeholders and the managerialism mode in medical reform policy- making process, analyzes the participation of public, and puts forward the way of improving the ＂participation governance＂through participating democracy further.