完善医疗纠纷处理机制的几点思考

在医疗纠纷逐年增加、医患矛盾已经成为不可忽视的一类社会矛盾的今天,我国目前不但存在着处理医疗纠纷的法律制度不健全,同时,现存法律制度还存在着不统一现象。为了保障医患双方的合法权益以及促进医学科学和人类健康事业的发展,我国应在明确医疗纠纷的处理原则的前提下,完善医疗纠纷的处理机制。     

论股东对公司财产之保险利益

股东对公司财产是否有保险利益?这是一个在各国保险法学界一直存在较大争议的问题.我国《保险法》对这一问题未作规定.在当今我国社会条件下,承认股东对公司财产具有保险利益,不仅具有现实必要性,也符合可保利益原则的立法精神.从理论上讲,股东对公司财产存在实质上的利害关系,而这种利害关系是在法律上能够主张或被法律承认的、可以确定的经济利益关系.承认股东对公司财产具有保险利益不会引发赌博和道德风险的发生.在实践中,承认股东对公司财产具有保险利益,可以通过定值保险、不定值保险、概括保险等方式进行实务操作.     

美国《病人保护和可负担医疗法》的主要内容及启示

美国《病人保护和可负担医疗法》围绕扩大保险覆盖面、强化公共项目、提升医疗质量和效率、提高项目透明和廉正度、加强医疗服务人力资源建设和合理化资金投入等对美国医疗体系进行了全面而深入的变革。美国＂低成本、全覆盖＂的医疗改革可以为中国提供有益借鉴。     

劳资共决机制在社会保障制度中的作用——法、德两国经验及其对中国的启示

法、德两国的社会保障体系具有显著的劳资共决机制,分别形成了精细化管理下的劳资共决机制模式与政府统筹下的劳资共决机制模式,避免了行政干预过大导致的官僚化、高开支和低效率.对于步入“十二五”时期的中国社会保障制度建设而言,法、德两国的经验具有重要的启示和借鉴意义.增强社会保障参与者主体意识、责任意识和权利意识,建立专门的社...     

诈骗犯罪中“冒用他人名义”行为的民法效力依据

南京李某“冒用他人名义”购买飞机延误险案的争论本质,是诈骗犯罪中“虚构事实”客观构成要件的“冒用他人名义”行为的界定问题。根据民法规则,“冒用他人名义”所表现的名义主体与实际行为主体的形式不符,并非当然地具有民事违法性,其民事法律效力应根据实质的二阶层路径进行评价。基于统一法秩序要求,刑法中的“冒用他人名义”认定应在民法二阶层评价基础上展开。具体而言,在主体资格特定的法律关系中“冒用他人名义”行为在具有民事违法性的基础上可能构成诈骗犯罪中的“虚构事实”;在主体资格开放性的法律关系中,单纯的“冒用他人名义”行为因不属于民事欺诈,而不能被认定为诈骗犯罪中的“虚构事实”。     

Staatseingriffe im Markt fuer Versicherung gegen Naturkatastrophen

Wir fassen kurz die wichtigsten Ergebnisse unserer Länderstudien im Gebäudeversicherungsmarkt zusammen. Wir versuchen aus unseren Beobachtungen Schlüsse zu ziehen, wie die Versicherung gegen Naturkatastrophen institutionell organisiert werden sollte. Wir kommen zum Ergebnis, dass aus Gründen der Effizienz (niedrigere Verwaltungs‐ und Vertriebskosten) und um Probleme der Risikoselektion zu vermeiden, öffentlichen Monopolen auf diesem Markt eine wichtige Rolle zukommen sollte. Ein weiterer gewichtiger Vorteil der Monopollösung ist die Tatsache, dass diese Institutionen starke Anreize haben, sich für eine effiziente Prävention einzusetzen.     

Insurance strategic considerations in coalition-oriented systems: A consideration set model approach

During a vote-decision process, citizens elect between some of the parties – not all of them. In this paper, we explore a potential strategic reason to include an additional alternative in the consideration set. Drawing on research from the field of strategic voting, we study incentives to defect to a party at risk of falling below an electoral threshold in order to elect a winning coalition (”insurance”). Our argument is that these types of strategic considerations occur already in the campaign, but do not always translate into choice. Using the so-called consideration set model approach (CSM), which focuses on how voters select fewer alternatives among a larger number of parties, we model vote choice over an election campaign using panel data from the Swedish National Election Studies of 2014. In line with our argument, we demonstrate that the insurance strategy was prevalent earlier in the decision-making process, when forming the consideration set.     

Interactive governance and implementation effectiveness in India's National Health Insurance Program

Many public sector programs, such as those directed at public health, are often multiagency tasks where structural incongruity in the program design is liable to emerge over time from changing operational requirements. Yet, successful implementation remains possible because of the interactions and relationships between implementation parties that encourage cooperation and collaboration despite incongruence in the program design. We examine how the dynamics of these interparty relationships influence implementation success in a comparative study of India's National Health Insurance Scheme. We find that implementation parties exhibiting support and complementarity in their interactions created a virtuous cycle of continually encouraging better performance and vice versa. Thus, our findings exhibit a distinct functionary role of interparty interactions and relationships for eliciting effective implementation and governance. The analysis also showcases the need for policy makers and policy designers to be cognizant of the inadvertent introduction of structural inconsistencies and veto points into program designs and their potential influence on implementation outcomes.     

‘That wicked rule,that evil doctrine … ’: Reforming the Law on Disclosure in Insurance Contracts

The Consumer Insurance (Disclosure and Representations) Act 2012, which abolishes the consumer assured's duty to volunteer information, heralds the first successful outcome of the English and Scottish Law Commissions current insurance contract law reform project. This paper outlines the defects of the common law duty of disclosure which the Law Commissions sought to address. It goes on to consider why previous legislative attempts failed, the self‐regulatory measures introduced by the insurance industry as a means of resisting earlier pressure for statutory intervention, and how that resistance broke down. Finally, it examines the scope of the 2012 reforms and the current consultation being undertaken in respect of the duty of disclosure in relation to business insurance. It concludes by assessing the significance of the statute in providing a necessary impetus for future insurance law reforms.     

收入、健康与医疗保险对老年人幸福感的影响

本文使用中国9个省、2200名55岁以上老年人的微观调查数据,主要检验了收入水平、健康状况与医疗保险对主观幸福感的影响。Ordered Logit回归分析结果表明：收入增加能够显著提高城镇老年人的主观幸福感,收入差距的影响不显著;对农村老年人而言,收入的作用不明显,而收入差距则有显著的负向影响。心理健康和城乡老年人幸福感呈高度的正相关,记忆力、日常生活自理能力等身体健康因素也具有显著的正向影响。公费医疗显著提高农村老年人的幸福感,城镇职工医疗保险和合作医疗分别对城镇和农村老年人幸福感具有积极的作用。总体上,城镇老年人的主观幸福感高于农村,东部老年人幸福感高于中部,中部高于西部。因此,增加老年人的收入水平,完善老年人医疗保险制度,并逐步协调城乡和地区经济发展,有助于从整体上提高老年人的幸福感。