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本文从价值理性和工具理性的角度审视健康保障政策,针对我国需要厘清的健康保障政策的价值争议问题,国际上政策工具的效力和无力以及如何整合价值理性和工具理性等问题作出探讨。文章认为,理性的健康保障政策应该在现实的、可持续价值目标区间内整合工具理性,并通过机制设计实现决策程序的透明和公正。我国民生时代更加需要理性的、科学的、有效的民生投入。
This article examines the health insurance policy from the perspectives of value rationality and instrumental rationality, discusses the value controversy issues that need to be clarified in our country, the effectiveness and weakness of international policy instruments, and how to integrate value rationality and instrumental rationality. The article argues that a rational health insurance policy should integrate instrumental rationality within realistic and sustainable value target intervals and make the decision-making process transparent and fair through mechanism design. China’s people’s livelihood needs more rational, scientific and effective livelihood investment.