| As one kind of state medical guarantee systems, social medical insurance system is indispensable part of social guarantee hierarchy system, reflects the level of social equity directly, is closely bound up the benefits of each social member, should be universally concerned. For one country, the establishment and the level of implement and guarantee of social medical insurance system is critical measurement of the level of economic and social developing. The significance and urgency is beyond other social guarantee systems.The social medical guarantee system of China experienced the evolution from traditional public health care and work protection system to modern social basic medical insurance system. Traditional medical guarantee system fitted the old planned economy, had positive and significant effectiveness for guaranteeing people health, improving the medical and health service, and maintaining social stabilization in certain historical stage. However, the traditional medical guarantee system did not reform and adjust following the change of objective reality, hardly resolved medical guarantee problems in the market economy environment after the social market economy was established. The weakness of traditional medical guarantee system got prominence progressively. Because of the essential defects, the traditional medical guarantee system gave the result with great cost rather poor efficiency after 40 years run.Following the deepen of Chinese reform and opening, the goal of establishing social market economy was gradually clear up. In the domain of social guarantee systems, social insurance systems were choose instead of traditional benefit guarantee systems. From the beginning of 1980s, stepwise reform to traditional medical guarantee system began in Chinese urban regions. It was definitive that main tasks of the reform of urban medical insurance system was establishing the basic medical insurance system for urban working... |
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