The Government Role In Health Care Reform Study

In recent years, health care has been called the new national imperialism, the national medical insurance relates to the health and social stability, and the academic community has always been very concerned about this area. China's medical insurance reform from the beginning of the 1980s, follows the principle that we have the means to promote a market-based health care reform, too, the means to regulate the medical market in the allocation of resources. attain a reasonable allocation of medical resources. The theory is ever more market-oriented research on the reform of China's medical insurance, the voluminous papers and monographs. But now the reality of China's market-oriented reform of the medical system in this road are facing unprecedented challenges. Reform began in the 1980s. Originally the government ought to take measures to defuse the planned market-oriented system of government failures. Under the planned system, government failure is a typical phenomenon. The starting point is good, but ultimately the result of the reform, Let us now appeared in the field of medical insurance unexpected results ------- government and the market in health care is both failed. Government failure is much more serious harm to the market failure of a system malfunction. In fact the failure of the government, even if the goals are for his own pursuit of justice and excellence. it is often the consequence of pursuing the interests of the commercial activities more harm than social welfare. Explore this one, at this stage in China's medical insurance reform, The market-oriented health care system has been seriously damaged the immediate interests of the broad masses of people. a direct consequence of medical care, expensive urban and rural low-income and limited access to the most basic health care to protect vulnerable groups, Now the city even to the middle-income people in the heavy burden of health care costs Game and the role of the government and market positioning directly related to the medical people, The role of the government position clear not only to correct the success of the reform of the medical insurance system for protection China also housing, education and other fields have great instructions and lessons. The other hand, China's economic and social development of the higher demands on the government. need to transition to public service-oriented government, it involves the development of China's reform. Paradox itself in the role of the government, on the one hand, the government is promoting reform, and to reform the government; one that requires government intervention, on the other hand restrictions intervention. What the government should do and should not do, how to do a good job, there is no ready reference model. So, for the success of the reform of China's medical insurance system, we must pay a substantial amount of time and efforts, seriously study the government's role in the system and with suitable models.This paper is divided into five chapters, the first chapter introduction, mainly leads to the issues discussed in this paper. In this exposition foundation of practical and theoretical significance of this study. This paper also gives the overall concept and approach to the study. In Chapter II, recalling the main course of the development of China's medical insurance, medical insurance, the main problem areas. which focuses on the role of government in medical care that exist in the confusion. and the role and responsibility of the government from the standpoint of medical problems in the field of protection of the reason. Chapter III, public choice theory to analyze the attributes and the supply of public goods, Then my analysis of the classification of medical products and supplies, medical support to the government in this area have led to shoulder the responsibility and should play the correct role. Chapter IV, the author from economics, sociology, political science, management and other disciplines perspective, analysis of the need for government intervention in the field of health protection. from the perspective of efficiency and the failure of the government explained the limited nature of government intervention. V, focused on the experience of developed Western medical insurance through the analysis of the current social background, economic conditions and the unique conditions In an attempt to explain China's medical reform, the government should play the correct role.Along with the protection of our country's medical system reform and the background. The unique conditions of the transition period in China, the aging of the population, the income gap expansion, rapid urbanization, find the dual urban-rural health care system plagued fragile medical security system reform the health care system has reached a point where. And theoretical and practical experience proves that the market is in the direction of health care reform. However, the government's power and responsibility in the health care reform more clear. China's medical reform in the correct role of government is to create a public service ------ big government. Specifically the government should do is to overcome market failures and promote social justice. Overcome market failures, including the provision of basic medical care, the definition and protection of property rights, to provide law and order, provide public facilities such as public goods; external solution, the need for medical support in the business rules, regulate the conduct of the parties to reduce transaction costs. The government can also direct supply of public insurance schemes. Compared with the implementation of decentralized management by the government because the operators will be able to reduce the transaction costs of insurance protection : Anti-monopoly If the public utility regulations promulgated to regulate public utilities; overcoming asymmetric information, such as protecting the interests of consumers. Hospital and insurance agencies. Promote social justice and social security, including the provision of social assistance for poor work. General should not be engaged in economic activities not directly interfere in microeconomic should not get involved in the field will not cause public problems.In the area of regulating the use of power, not suitable for a market economy "with the people for profits." perform in the field of public service and it should not shirk its responsibility to "market" Both are dependent on the reform of the right to limit This requires us to accelerate the process of accountability, promote the two corresponding responsibilities. building a harmonious society demands of the modern political civilization of public power - the public service sector. This should be our government's role in health care reform in the correct position.