现在有一种观点认为,通过强化公费、劳保医疗制度的管理职能、完善利益机制、改变费用支付方式等即可达到有效控制卫生费用的目的,而医疗保险由于费用是第三方支付,缺少对医疗服务供、需双方行为的约束力,不仅不能有效抑制卫生费用,有时反而会引起卫生费用的更大浪费。例如,目前世界各国医疗保险制度引起卫生费用过度增长, Now there is a view that health care expenses can be effectively controlled by strengthening the management functions of the public health and labor insurance system, improving the interest mechanism, and changing the payment method of the expenses. However, the medical insurance is ineffective because the expenses are third-party payment and lack of medical service The binding of the acts of supply and demand by both parties not only can not effectively restrain the health expenses, but sometimes it will even cause more waste of health expenses. For example, the medical insurance system in various countries in the world has caused excessive growth of health expenditure.