美国医疗保险制度改革的历史考察与理论检省

医疗保险法制改革是困扰世界各国的难题,而美国从20世纪初叶开始起步、至奥巴马完成的医疗保险制度的改革,充分考虑到美国的社会需求,走公私结合,政府强力推行和改革内容适当妥协相辅,革命性和渐进性兼顾的医保改革的道路,并在政府干预与市场自由的适度制度构架、多元利益(权利)的平衡妥协、政治精英与民众及媒体的协商互动等方面,形成了独具特色的公共政策制定路线和合法性供给策略。奥巴马"医改"法案的成功实施,不仅实现了美国医疗保险制度的重大突破,也为中国的医疗保险制度改革提供了有益的借鉴。

The History Analysis of the United States Medical Insurance Reform: Health Insurance under the View of Sociology of Law

The reform of medical insurance system is the dilemma in the world.The United States has begun to reform the medical insurance system from the early twentieth century and has finished it by President Obama.The road of reform during this time has combined the public and the private by considering the demand of the American society.The U.S.government has enforced the medical insurance reform path revolutionary and progressively.The achievements and experience of American medical insurance reform not only has set a successful example,but has provided valuable experience for China.