城乡居民大病保险疑难问题之法理透析  

A Legal Perspective of Difficult Problems of the Major Disease Insurance Scheme for Rural and Non-Working Urban Residents

作　　者：曹克奇[1] 

机构地区：[1]山西大学法学院,太原030006

出　　处：《科学．经济．社会》2017年第1期90-98,共9页Science Economy Society

基　　金：国家社会科学基金重点项目"整合城乡基本医疗保险的法律制度研究"(13AFX027);山西省高等学校中青年拔尖创新人才项目"衔接多层次医疗保障的法律制度研究"(编号:2014052002)

摘　　要：城乡居民大病保险面临着补充医保还是基本医保的定位难题,公私合作还是公私不分的经办难题,以及公司型还是基金型的监管难题,通过对《社会保险法》第3条"保基本"原则的法理阐释,公私协力理论以及公益信托理论的学理分析,当下,我国城乡居民大病保险应定位于基本医疗保险,坚持医保基金的公益性,构建公平竞争的经办制度环境,按照信托理论重新梳理政府与经办机构的关系。The major disease insurance scheme for rural and non-working urban residents face positioning problem of sup-plementary health insurance or basic medical insurance, the agency problem of public private partnership or public privatemixture, and the regulation problem of company type or fund type. Based on legal interpretation of the third article basicprotection principle of social insurance law and theory analysis of public-private partnership as well as public trust, at pres-ent, the major disease insurance scheme for rural and non-working urban residents in china should be defined in the basicmedical insurance, adhere to the public of the medical insurance fund, build fair competition environment, make clear therelationship between government and agency according to trust theory.

关 键 词：城乡居民大病保险 商业健康保险 保基本 公私协力 公益信托 

分 类 号：F403[经济管理—产业经济]