On Health Care Reform And The Reality Of The Socialist Market Economy Under The Conditions Of Thinking

The health undertakings reform is an important constituent part of reforming, opening-up and the cause of modernizing construction in China. It is the principal content of establishment both in socialistic culture and in socialistic spirit civilization, and broadly speaking, it is also one of the fundamental sections of Chinese characteristic socialistic practice. Reformation is a radical power of developing socialism. At the same time, it is also a main force of promoting healthy development of health undertakings. The health undertakings reform is being proceeded under the background of Chinese economic system reform and economic society development, so it is necessary that a new health system that may adapt to socialistic market economy system should be built up by the means of reformation. The Chinese health system was founded at the condition of planned economy lasted for several decades. The preliminary research in the health undertakings reform had been done since the early 1980抯. However it had not dealt with the deeper contradiction and problems yet, such as multiple management of medical institutions, isolation and separation of departments; unreasonable allocation of health resources, surplus of urban provincial and municipal medical units but severe shortage in grass-roots communities and rural areas; repeated establishment of medical organizations, inordinate competition, waste of medical resources; imperfection of medical insurance system, small coverage 4 in social guarantee system, unjust basic medical and healthy system; fast increase of medical expenses not to be afforded by the state finances and the individuals; imperfection of the laws and regulations of health and impotence of executing the law, disorder of medical status; absence in the right of acting on one抯 own for the law persons of public medical units, deficiency of vigor in the management and administration system; unclearness of property right, market monopoly of public medical institutions and lack of effective competition system; decline of health services quality as a whole, low efficiency of management and so on. All these problems, even present health administration system to some extent, not only severely obstructed the setting-up and perfection of social guarantee system, but also had a negative influence on the establishment of socialistic market economy system. As for the problems mentioned above, the present situation showed that socialistic market economy system called for the health undertakings reform so as to make the new health system harmonize with the market economy. The socialistic market economy system not only demanded the building-up and improvement of modern enterprises system, democracy and political system and laws system, but also required the establishment and perfection of social guarantee system. The health undertakings is an important constituent part of the social guarantee system, so it should be developed and perfected in accordance with the national economy and society development. Thus we could fully play an important role of health facilities in promoting the formation of market economy system and guaranteeing the economic development and social stability. For the reformation of health undertakings, on the one...