CAJ | 학술논문

改革开放以后，我国按照行政性文件逐步确立的城镇职工基本医疗保险制度、新型农村合作医疗制度、城镇居民基本医疗保险制度和城乡医疗救助制度，实际上仍然沿袭了计划经济时期城乡分割和群体分割的制度安排，阻碍了公民城乡流动和跨行业流动，不利于市场经济的发展。令人遗憾的是作为顶层设计的《中华人民共和国社会保险法》不仅没有对这种不合理的基本医疗保障制度提出整合的手段和方式，而且还进一步肯定了原有的制度安排。尽管我国低收入人口数量庞大、城乡分割长期存在、地区经济发展不平衡、国家财力有限，建立统一的全民基本医疗保障制度难度极大，但在倡导改革开放成果共享和高速城镇化、工业化的今天，建立由政府主导的公平统一的社会医疗保险制度仍然十分必要，这也符合最近召开的中共十八届三中全会精神。
개혁개방이후，아국안조행정성문건축보학립적성진직공기본의료보험제도、신형농촌합작의료제도、성진거민기본의료보험제도화성향의료구조제도，실제상잉연연습료계화경제시기성향분할화군체분할적제도안배，조애료공민성향류동화과행업류동，불리우시장경제적발전。령인유감적시작위정층설계적《중화인민공화국사회보험법》불부몰유대저충불합리적기본의료보장제도제출정합적수단화방식，이차환진일보긍정료원유적제도안배。진관아국저수입인구수량방대、성향분할장기존재、지구경제발전불평형、국가재력유한，건립통일적전민기본의료보장제도난도겁대，단재창도개혁개방성과공향화고속성진화、공업화적금천，건립유정부주도적공평통일적사회의료보험제도잉연십분필요，저야부합최근소개적중공십팔계삼중전회정신。
After the reform and opening up, basic medical insurance system for urban workers, new type of rural cooperative medical care system, basic medical treatment insurance system of for urban residents, urban and rural medical assistance system have been gradually established in accordance with the administrative file in Chi-na, but these systems actually follow urban and rural division and group division system arrangement in the planned economy period, which prevents citizens from flowing between urban and rural areas and cross industries, and is not conducive to the development of market economy as well. Unfortunately, integration means and ways are not proposed aiming at the unreasonable basic medical security system in Social Insurance Law of the People's Republic of China, which is as the top-level design, on the contrary, it further affirms the original institutional ar-rangements. Despite the existing problems such as, a large number of low-income population in our country, long-existing split between urban and rural areas, uneven regional economic development, limit national financial re-sources, the difficulties in establishing a unified national basic medical insurance system, it is still very necessary to establish a government-led fair and unified social medical insurance system in current high-speed urbanized and industrialized China which advocates sharing reform and opening up achievements, which conforms to spirit of the recently held 3rd plenary session of the 18th communist party of China.