从罗斯福新政到奥巴马医改看美国社会保障制度

既能体现公平又能促进效率、既能提高社保水平又能不增加政府负担的社会保障制度对一个国家来说至关重要。20世纪30年代以来，美国社会保障制度逐步建立并不断发展变化，70年代后期由于人口老龄化和经济全球化的影响，欧美国家面临着福利的需求和供给的矛盾，传统的社会保障模式亟待改变。近年来，奥巴马以医改为突破口，力图完善美国社会保障制度。然而受金融危机后遗症的制约，面对社会保障水平提高与削减政府开支这对矛盾，美国社会保障制度发展前景不容乐观。

Enlightenment about American Social Welfare System from Roosevelt’s New Deal to Obamacare

It is essential for a country to have a social welfare system that can be fair as well as promote efficiency,and can improve the social security level as well as not to increase the government burden. Since 1930s, the United States social securi- ty system have established and continued to change. In the late 1970s,because of the aging population and economic globaliza- tion,the western countries had mode needs evolution. In recent the foreground is not good cons to face the co years, Obama idering the eff ntradiction of social welfare＇s demands and supplies. Traditional social security tried to consummate American social welfare system by Obamacare. However, ect of financial crisis and other factors