The Difficult Way That The United States To Implement Its National Medical Insurance

As one of the key parts of social security, medical insurance directly impact the immediate interests of every citizen. Different countries have difference in social systems, economic development and cultural traditions, these factors determine their policy taken on medical insurance will have their own characteristics. The United States of America as the world's most economically developed country, but also is the only developed western country which not create national medical insurance, there must be deeper reasons for all. This study take America's medical insurance system as its basis, starts from the deconstruction and historical perspective as well as horizontal and vertical perspective of America's medical insurance system to analyze the reasons why America can not carry out the national medical insurance. The study consists of five chapters:Chapter 1—Introduction, brings out the issue involved aiming at the sense of this study, summarizes the documents thereafter, followed by the research design.Chapter 2—describes the characteristics of the current America's medical insurance. This chapter detailed interprets the subjectivity character of America's commercial medical insurance, specific character of Medicare and complementary character of Medicaid.Chapter 3—describes the difficult process of U.S.A to carry out the national medical insurance. This chapter from the historical point of view, analyzes the process of put forward, efforts, frustrations and repeat of America's previous governments to carry out national medical insurance, the attitude and reform of successive governments taken to the medical insurance system can lead us to explore the establishments of America's national medical insurance.Chapter 4—explores the obstacles of America to establish national medical insurance. This chapter analyzes the obstacles which block the establishment of America's national medical insurance from three aspects: the protection provided by current medical security system, historical and cultural tradition, political and cultural system.Chapter 5—the conclusion and deficiencies of this study.