“三保合一”为何这么难  

Why Is It Difficult to Integrate the Three Medical Insurances

作　　者：刘元春[1] 

机构地区：[1]吉林化工学院经济管理学院,吉林吉林132022

出　　处：《吉林化工学院学报》2015年第7期4-7,共4页Journal of Jilin Institute of Chemical Technology

摘　　要：我国的基本医疗保障体系呈现城镇职工基本医疗保险、新型农村合作医疗和城镇居民基本医疗保险"三保分立"状态,这种制度框架既没有体现公平,也没有体现效率,更没有从根本上解决百姓"看病难、看病贵"问题,与人人都能公平地享有基本医疗保障的目标还有很大差距,必须对其进行整合,实现"三保合一"。然而,我国基本医疗保障制度的整合却步履维艰,进展十分缓慢,其根本原因在于部门利益的博弈和权属归争。China ＇s basic medical insurance system consists of UEBMI（ Urban Employee Basic Medical Insurance）,NRCMI（ New Rural Co-operative Medical Insurance） and URBMI（ Urban Residents Basic Medical Insurance） which are separated from each other. The system has failed to show fairness and effectiveness; even failed to solve the fundamental problems of the civilian ＇s poor access to getting medical service and of the high fee. There is still a long way to go in the current medical insurance system to achieve the goal of everybody ＇ having basic medical insurance equitably. So,it ＇s necessary to integrate the three insurances. However,it is a struggling and slow progress. The root cause is the profit game and distribution of ownership among the relevant departments.

关 键 词：医疗保障体系 三保分立 三保合一 权属归争 

分 类 号：C913[经济管理]