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我国医疗保险存在明显的城乡二元化格局,由此给社会带来诸多消极影响。本文认为应当在《社会保险法》中坚持统一城乡医保的法律条款,并尽量做出具有可操作性的明确规定,努力减少医疗保险中的“碎片化”现象。但城乡医保统一并不意味着缴费数额的绝对一致,可以在同一制度框架下设置不同的标准。
China’s medical insurance has obvious dual urban-rural pattern, which has brought many negative impacts to society. This paper argues that we should adhere to the legal provisions for the unification of urban and rural health insurance in the Social Insurance Law and make every effort to make it clear and feasible to reduce “fragmentation” in medical insurance. However, the unification of urban and rural medical insurance does not mean that the amount of contributions is absolutely consistent, and different standards can be set within the same institutional framework.