医保在医改中的基础性作用体现在三个方面：一、医保的性质决定医改的性质，医保的保险属性决定了医改必须引入市场机制；二、医保是医疗服务价格机制形成的基础，医改中必须坚持充分发挥医保的谈判功能；三、医保为医改提供物质基础，必须保持医保基金的可持续性。医保为医改奠定物质基础，首先强调的是物质基础的合理性，要坚决反对对医保物质基础的不合理要求，其次强调的是医保的物质基础性作用要可持续，不能片面地提出增强医保的物质基础。值得注意的是，医保的基础性作用不等于兜底责任。%The basic function of medical insurance in medical reform can be reflected in the following three aspects. 1. The nature of medical insurance determines the nature of medical reform, and thus its property determines that the market mechanism must be introduced into medical reform. 2. Medical insurance is the foundation for the formation of medical service price mechanism, so that the negotiation function of medical insurance must be fully exerted in medical reform. 3. Medical insurance provides fund base for medical reform, so the sustainability of medical insurance fund must be intensified. Medical insurance is the material foundation for the health care reform. First, we should emphasize the rationality of material basis, resolutely opposing unreasonable demands on medical insurance's material basis. Secondly, we should emphasize the basic role of physical health insurance to sustainable development, put forward that we shouldn't one-sided emphasis enhancing the material base of medical insurance. It is worth noting that the basic function of medical insurance does not equal to a catch-all function.
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