摘要
在新农合与城镇居民医保先行整合为城乡居民医保的背景下,我国基本医保制度逐渐进入了“由三进二”的新时代。要实现全民医保体系“成熟定型”的目标,城乡居民医保与职工医保依然面临着应否整合以及如何整合的问题。推动两者继续整合以形成真正的全民医保制度,应是我国医保制度未来的发展方向。鉴于这两项制度之间现存过巨大差异的现况,无法期待整合上的一蹴而就。唯有推动它们在参保方式、缴费年限以及待遇给付等重要的原则性问题上逐渐实现趋同,不断缩小两种制度间的差距,才有可能实现两者渐进性整合的目标。
Under the background that the new rural cooperative medical system and the medical insurance for non-working urban residents are first integrated into the medical insurance for urban and rural residents,the basic medical insurance system has gradually transferred from three to two kinds in China.However,if the universal health insurance system is expected to be further mature and finalized,the whole system will be challenged by whether to integrate and how to integrate.At present,it has become a common consensus in the academic community to promote the further integration of the two systems to form a real universal medical insurance system.In view of the great differences existing between the two systems,it is impossible to expect the integration to be accomplished overnight.Only by paralleling the two in insurance modes,span of payment and benefits,narrowing the gap between the two systems,can we achieve the goal of gradual integration.
作者
翟方明
ZHAI Fang-ming(School of Humanities and Management, Guangdong Medical University, Dongguan 523808, China)
出处
《医学与哲学》
北大核心
2021年第5期45-50,共6页
Medicine and Philosophy
基金
2017年教育部人文社会科学研究青年基金项目(17YJC820063)
2017年广东医科大学博士科研启动基金项目(B2017052)
2016年广东省哲学社会科学“十三五”规划学科共建项目(GD16XGL50)。
关键词
全民医保
制度整合
强制原则
终身缴费
待遇均等
universal medical insurance
system integration
compulsory principle
lifetime payment
equal treatment
