引言从党的十一届三中全会到党的十四大,改革已经历了14个春秋,传统的计划经济开始转向社会主义市场经济,这历史性的变化犹如一股不可阻挡的大潮,冲击着共和国的每个阶层,冲击着社会的各个角落,也在荡涤着人们灵魂的深处。然而,与经济发展应该相适应的公费医疗制度呢?据统计,以陕西省为例,医疗经费的实际支出年均增长幅度高达30％。1990年,全省增长率居全国第9位。同年,全省公费医疗和劳保医疗按规定预算提取26900万元,而实际支出高达94400万元,远远超出规定标准。尽管如此,仍然满足不了实际需求, Introduction From the Third Plenary Session of the 11th CPC Central Committee to the 14th CPC National Congress, the reforms have gone through 14 years and the traditional planned economy has begun to turn to the socialist market economy. This historic change is like an unstoppable tide. Every class of the Republic is impacting every corner of society and is also sweeping the depths of people’s souls. However, according to statistics, taking Shaanxi Province as an example, the average annual increase in the actual expenditure of medical expenses is as high as 30%. In 1990, the province’s growth rate ranked 9th in the country. In the same year, the province’s publicly funded medical and labor insurance medical services extracted 269 million yuan according to the prescribed budget, and actual expenditures reached 94.4 million yuan, far exceeding the prescribed standards. However, it still cannot meet actual needs.