Research on the reform and development of Social medical Insurance in Urban China
Date Issued
2008
Date
2008
Author(s)
Yang, Chung-Yuan
Abstract
Abstracthis Distertation introduces the development of medical social insurance in urban China since 1950. Most people think the healthcare service is free provided by government. The employees of enterprises and civil service workers believe their “Units” should pay the fee for healthcare. When the ecomics reform era comes , the market mechanism is introduced. Because the government emphases that economical development is most important in all policy, people’s rights to keep health（to go to hospital for healthcare） is ignored. Healthcare treatment system has been destruct.fter the CCP leader Deng Xiao-Ping continues to push forward economy in 1992 ,the “market-orinted Socialism ” is established. Central government feels interested to resconstruct the Healthcare institution and health financial resource by the force of marketplace. Under the circumstances, the Two-Jiang Model is advanced in 1994. Next, this policy carries out to 57 cities. Finally , Central government declares new policy have to implement to all Chinese urban areas in 1998.In short time, the new (medical insurance )model combines “Social poling Fund” and “Madical savings account” is found. As Chinese scholars indicate , “Social Poling Fund imitates German social health insurance and “Madical savings account” learns the Central Public Fund from Singapore. The operation of new mixed social medical insurance is totally different from the Western “Welfare State” model. It insists that healthcare service should not be financed by government. Everybody has to be responsible for the fee of healthcare service. his policy is not supported by public opinions. Most people suppose healthcare expenditure should be paid by public finance but not personal pocket. Medical science is specialized subject which should’nt regard as common knowledge. There is asymmetric information between medical experts and ordinary persons. “Madical savings account” causes unequal access to the rich and the poor . Urban residents with lower income can’nt afford enough money to healthcare service more and more expensive. High-priced healthcare spending becomes a serious social problem which is always criticized by the public voice. The State’s Council admits that the reform policy of social medical insurance is nsuccessful in 2005. Many specialists propose to reconstruc the role of the state is more significant in healthcare expenditure. The state should be more active in public finance to social medical insurance. And it is crucial function of the state to design effective and reasonable distribution of healthcare resources. The governmental duty can’t be replace by the Marketplace in healthcare service.
Subjects
Social medical Insurance
medical Insurance
China
Urban China
Reform
Type
thesis
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