The Study Of Institutional Innovation In Construction And Development Of Stratified Medical System In China

The issue of "Seeing a doctor is difficult, seeing a doctor is expensive" and the NewDeal of the health reform implementation in full swing, China's medical and health issuesbecome the focus of social development. The foreign medical model of diversity, whileChina's actual conditions, but calls for health development model with Chinesecharacteristics. The author creatively put forward a new model of hierarchical health caresystem, the Government should provide free health care protection of subsistence for themajority of rural and low-income urban groups. On the basis of the subsistence vigorouslydevelop the well-off medical services that ensure the basis of the right to life, emphasis onthe quality of medical services to improve the quality of life. Luxury type of medicalinsurance services mainly to provide a high level of medical services and medication forsocial high-income groups, government collection luxury consumption tax, luxuryconsumption tax to make up for government investment of the subsistence of the consumermarket, so that more funds to support the subsistence of medical services.The author believes that the implementation of the sub-level medical security systemin China, need the implementation of "poor medical care, the rich pay".The basic idea isthat, by the well-off luxury medical services received by the consumption tax and luxurytax to provide funding for the subsistence of medical services, in order to achieve apumping manure to fill skinny "poor medical, the rich pay". The specific means to achievethis regulation is the leverage of tax.In order to ensure the smooth implementation of the hierarchical health care systemmode, I also put forward the concept of" universal health care tax swap fund ". SecurityFund is established for the majority of low-income and poor populations, mainly to protectthis population's right to live, so that all food and clothing for health care spending shouldbe free. Well-off is the basis of food and clothing consumption, contains part of the subsistence medical protection project, in accordance with the strength of medicaltreatment, medical services need to provide better treatment, you can take some of the highlevel and quality of medicine, treatment programs, appropriate levy of consumption tax;luxury medical contains only basic medical fund subsidies, the majority of medicalexpenses by the patient pays the luxury tax and impose a higher health insurancerisk-sharing throughout the state and society within aims at treating an importantfunction, which is to achieve an important cornerstone of the basic free medical care, thisarticle attempts to demonstrate the most important point.