改革开放以后，我国按照行政性文件逐步确立的城镇职工基本医疗保险制度、新型农村合作医疗制度、城镇居民基本医疗保险制度和城乡医疗救助制度，实际上仍然沿袭了计划经济时期城乡分割和群体分割的制度安排，阻碍了公民城乡流动和跨行业流动，不利于市场经济的发展。令人遗憾的是作为顶层设计的《中华人民共和国社会保险法》不仅没有对这种不合理的基本医疗保障制度提出整合的手段和方式，而且还进一步肯定了原有的制度安排。尽管我国低收入人口数量庞大、城乡分割长期存在、地区经济发展不平衡、国家财力有限，建立统一的全民基本医疗保障制度难度极大，但在倡导改革开放成果共享和高速城镇化、工业化的今天，建立由政府主导的公平统一的社会医疗保险制度仍然十分必要，这也符合最近召开的中共十八届三中全会精神。%After the reform and opening up, basic medical insurance system for urban workers, new type of rural cooperative medical care system, basic medical treatment insurance system of for urban residents, urban and rural medical assistance system have been gradually established in accordance with the administrative file in Chi-na, but these systems actually follow urban and rural division and group division system arrangement in the planned economy period, which prevents citizens from flowing between urban and rural areas and cross industries, and is not conducive to the development of market economy as well. Unfortunately, integration means and ways are not proposed aiming at the unreasonable basic medical security system in Social Insurance Law of the People's Republic of China, which is as the top-level design, on the contrary, it further affirms the original institutional ar-rangements. Despite the existing problems such as, a large number of low-income population in our country, long-existing split between urban and rural areas, uneven regional economic development, limit national financial re-sources, the difficulties in establishing a unified national basic medical insurance system, it is still very necessary to establish a government-led fair and unified social medical insurance system in current high-speed urbanized and industrialized China which advocates sharing reform and opening up achievements, which conforms to spirit of the recently held 3rd plenary session of the 18th communist party of China.
展开▼
