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社会医疗保险是社会化大生产的必然产物,是市场经济体制的有机构成部分之一。作为卫生资源的配置器,社会医疗保险制度对卫生事业的发展起着至关重要的作用。根据制度经济学家的观点,制度变迁具有“路径依赖”性质,一经设定,便在既定方向上自我强化,以后再对其矫正将会遇到强大的阻力。目前,中国正处于社会医疗保障制度变迁的紧要关口,政府在制定社会医疗保险政策时必须对一些根本性问题予以充分关注:
Social medical insurance is an inevitable product of socialized mass production and an integral part of the market economic system. As a configurator of health resources, the social medical insurance system plays a crucial role in the development of health undertakings. According to institutional economists, institutional changes have a “path-dependent” nature. Once set, they will self-reinforce themselves in a given direction and will have strong resistance to correcting them in the future. At present, China is in the critical juncture of the social medical security system changes. When formulating social medical insurance policies, the government must give due attention to some fundamental issues: