中国医疗保障制度正面临着重大的变革。改革开放后的国内政治、经济大环境发生了巨大的变化,作为第三产业的医疗卫生服务如何顺应市场经济的格局?构建何种新的模式来替代旧的医疗保障体制已经摆在我们面前,是理论界必须解决的课题。一、现行医疗保障制度存在的弊端沿用了40多年的公费、劳保医疗制度是模仿苏联建立的在计划经济的框架下社会保障的子系统。在肯定它 China’s medical security system is facing major changes. After the reform and opening up, the domestic political and economic environment has undergone tremendous changes. How is the medical and health service as the tertiary industry conform to the pattern of market economy? What kind of new model to replace the old medical security system has been placed before us, It is a subject that theorists must solve. First, the drawbacks of the current medical insurance system follow the official fees of more than 40 years. The medical insurance system is a system that mimics the social security system established by the Soviet Union under the framework of a planned economy. In affirming it