迈向有管理的市场化中国经济时报:政府和市场分别在新医改中扮演了什么角色?余晖:我觉得这次医改是政府主导的。以前政府欠账太多,过于压制市场力量,现在要完善和普及全民医疗保险,政府就需要首先承担起应有的责任。如果认为这次医改摒弃了市场化,全面回归公益性,是不准确的。新医改之前的“市场化”实际上是缺乏管理的市场化,是政府放权弃责的不良结果。我们不能把政府在实施以药补医政策的同时,依然实施低价医疗服务和歧视 Toward a Managerial Marketization China Economic Times: What are the roles of the government and the market in the new health care reform respectively? Hui Hui: I think the medical reform is government-led. In the past, the government owed too much money and over-controlled the market forces. Now, to perfect and popularize universal medical insurance, the government needs to assume its due responsibility first. If we think that this medical reform has abandoned market-oriented and fully returned to public welfare, it is inaccurate. Before the new medical reform, the “marketization” is actually a lack of market-oriented management. It is a bad result of the government’s abandonment of powers. We can not push the government to implement low-cost medical services and discrimination while implementing the policy of using medicines for medical treatment.