CAJ | 학술논문

社会政策具有公共性,然而,任何社会政策在实际运作中使部分公众受益的同时,又不可避免造成部分公众受损,追求效率价值还是公平价值成为制定良好社会政策的难点。美国医疗保险改革通过一系列措施,实现了覆盖率提高和医保费降低的双重目标,取得公众实质获得和心理认同的效果,为良好社会政策的制定提供了某些启示：社会本位是良好社会政策之根本;受益面是良好社会政策之基础;得失感是良好社会政策之保障。
사회정책구유공공성,연이,임하사회정책재실제운작중사부분공음수익적동시,우불가피면조성부분공음수손,추구효솔개치환시공평개치성위제정량호사회정책적난점。미국의료보험개혁통과일계렬조시,실현료복개솔제고화의보비강저적쌍중목표,취득공음실질획득화심리인동적효과,위량호사회정책적제정제공료모사계시：사회본위시량호사회정책지근본;수익면시량호사회정책지기출;득실감시량호사회정책지보장。
Social policies bear the characteristic of public nature,but while the policies benefit some part of the public it may inevitably cause damage to the other part.Therefore,to get efficiency or to value fairness becomes a dilemma in developing a good social policy.The US system of health insurance has,after a series of reforms,not only attained its twin goals as having increased the coverage and decreased the Medicare fee,also achieved the effect of public＇s substantial benefit and psychological identity.And it provides some revelations for making a feasible social policy：social standard is the root;benefit coverage is the basis;public sense of the pros and cons is the safeguard.