| Three of China's social insurance in the insurance (old-age insurance, unemployment insurance and medical insurance), medical insurance is the most extensive coverage, the most complex operating system and content most of the insurance. Because the various risks faced by humans, the disease is most common and most damaging, the most extensive direct threat to human survival risk. Therefore, the existence of medical insurance related to the survival of each person, the maintenance of the basic rights of citizens, social equity has an important role. Founded, China gradually began to build and reform of health insurance, and have achieved certain results. After reform and opening up, China's planned economy began to reform health insurance, after 30 years of development, China's medical insurance went from the planned economy period public health, labor health care to social health insurance system changes. Up to now China has basically built a basic medical insurance system for urban employees, the new rural cooperative medical system and basic medical insurance system for urban residents, formed a "low level, wide coverage " of the social health insurance system. In the course of the development of health insurance, the Government, as the different roles: the traditional publicly funded system, the Government assumes unlimited liability for medical insurance, medical insurance at the time that is entirely or almost entirely by the government or state-owned enterprises Foot the bill, which creates an excessive burden on the government, waste of medical resources and so on; Introduced a market economy in China, the government once the model will be introduced to the market economy, medical insurance, introduced cost sharing in part of the health care system, which in itself is conducive to the development of health insurance. However, when our government does not properly handle the relationship between the government and the market, resulting in lack of government responsibility, rectitude, "a doctor is difficult and expensive"phenomenon as the characteristics of medical insurance.Other developed countries from the world of medical insurance system development, the Government and the community in health insurance were held in different roles, in which neither side alone can not solve many problems faced by health insurance, only to have two active with The harvest. July 2007, the State Council issued "Regulations on the basic medical insurance for urban residents to carry out pilot guidance ", indicating the direction of the reform of medical insurance. In the same year in October, the State Council issued the "basic medical insurance for urban residents in the views of health service management"(hereinafter referred to as "views "), as supporting the former regime to be enacted. From the "opinions ", you can see that the Government is mainly responsible for the medical insurance of medical resources, medical institutions and medical costs and other aspects of management, we can see that the government's role in health insurance is not infinite, but only assumed Limited, to determine the responsibility of government involvement in social security for future work in the direction specified.First, the introduction part of this article on the research background and research significance are discussed. Pointed out that the exact location of the role of government in strengthening the management of medical insurance, improve the medical insurance system has an important role. Then, with some Western developed countries abroad, health insurance models of research and development of national health insurance reform, noting the need for government intervention in health insurance for this article lay the foundation for the next paper. Also, in this chapter also domestic and foreign scholars in this field study was carried out comb.Secondly, in the second chapter, focusing on research related to this article combing some of the basic theory and concepts, such as the theory of government functions, government failure theory, the concept of health insurance, the concept of public goods and so on.Again, in this third chapter, focusing on the development of medical insurance with the course of different stages of the Government's role to find the government should bear responsibility. At the same time by different medical insurance for foreign study and compare models to find health insurance with a reference model for the development of medical insurance to provide reference. Finally, chapters IV and V of this paper is a core part of this article. Discussed with the previous article, this chapter analyzes the current government in the health insurance of the responsibility and role, from three points out the lack of government responsibility. The fifth chapter is our government in the social health insurance can only resume a bold ideas and proposals. |
