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劳保医疗和公费医疗是公有制单位职工的骄傲,也是行政负责人的苦恼事。缺乏费用约束机制的医疗保险制度,导致了既无效率也无社会公平可言的严重后果。 从1990年开始,国家对医疗保险制度实行改革,将过去医疗费由国家和企业统包的办法改为职工个人少量负担,或医疗费随职工工资发给个人的包干办法,以期建立起医疗保险费用的约束机制。这种改革纠正了一些不正当的医疗消费行为。然而,由于医疗保险制度涉及医政、药政、财政等方面的配套改革,在相关体制没有理顺,缺乏统一协调的情况下,各种掣肘的分力
Labor insurance and public medical services are the pride of employees in public-owned units and the distress of chief executives. The lack of a cost-binding medical insurance system has led to serious consequences that are neither efficient nor socially fair. Since 1990, the state has implemented the reform of the medical insurance system, which changed the past medical expenses from the state and enterprise reorganization to a small amount of personal expenses for individual workers or the payment of personal medical expenses along with the wages of employees to establish a medical insurance system The cost of restraint mechanism. This reform corrected some improper medical spending. However, since the medical insurance system involves supporting reforms in medical administration, medicine administration and finance, and so on, the various components of constraints are not matched when the relevant system is not rationalized and there is a lack of unified coordination