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| 投稿时间： 2014-03-31 最后修改时间： 2014-11-30 摘要点击次数: 3613 全文下载次数: 12 |
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| 引用本文：文太林.美国医疗保险改革演进及对中国的启示[J].中国卫生政策研究,2014,7(12):1-8 |
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| 文太林 |
| 河北工业大学文法学院 天津 300401 |
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| | 摘要:美国在医疗保险方面独具特色,它以商业医疗保险为主体,以政府的医疗照顾和医疗救助为补充.美国曾因是唯一未能实现全民医疗保险的发达国家而饱受诟病.从1912年起,美国联邦政府就开始了全民医疗保险立法之路.但受到党派斗争、利益集团、价值理念等因素的影响,立法进程缓慢.直到2012年,在历经整整一个世纪之后才在奥巴马总统执政期间促成医保法案的最终通过,从而为美国迈向全民医保之路奠定了制度基础.考察美国医保演进之路对中国医保改革具有重要的启示,特别是其强调立法先行、民主参与和私营医疗保险的发展经验对当前中国医保覆盖面扩大后如何提升质量具有重要的借鉴意义. | |
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关键词:医疗保险|利益集团|党派之争|美国|启示
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| Health insurance reform in the U.S and implications for China |
| WEN Tai-lin |
| School of Art and Law, Hebei University of Technology, Tianjin 300401, China |
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| | Abstract:The United States has distinguishing qualities in terms of health insurance with commercial health insurance as the main body, Medicare and Medicaid for the supplement. It is also the only developed country that has failed to realize universal health care. In fact, since 1912, the federal government has promoted the universal health insurance legislation, but due to party division, interest groups, and other ideological factors, the legislative process has been slow. In 2012, the Obama administration led the final passage of the health care bill which laid the institutional foundation on the road toward universal health care. The Reform of American health insurance has important implications for China, especially with a focus on the rule of law and democratic participation, and its private health insurance management and cost control experiences in medicine serve as an important reference for improving the quality of health insurance with expanded coverage. | |
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