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医改是世界性难题,中国试图通过医改恢复公益与市场“两条腿走路”的扎实模式。市场路径医改被认为彻底失败。这并不是市场化的失败,而是行政的失败,反映的是在垄断集聚、利益丛生、没有市场定价基础条件的领域,贸然推行市场化的恶果,反而赋予了利益集团更大的盘剥空间。政府主导的医改主要集中在公立医疗领域。目前政府公益医改基础条件趋于成熟。中国基本医保已经建立,覆盖了大部分群体。根据保监会披露的数据,全国目前已经有一半地区可以实现参保人员待遇支付。截至2014年年底,大病医保已在27个省开展了
Medical reform is a worldwide problem. China is trying to restore a solid mode of public welfare and market “walking on two legs ” through medical reform. Market reform is considered a complete failure of medical reform. This is not a failure of marketization but a failure of administration. It reflects that the detriment of marketization in the areas of monopolization and accumulation of profits and the lack of conditions for market pricing has given the interest groups more room to exploit. Government-led health care reform is mainly concentrated in the field of public health care. At present, the basic conditions for government medical reform tend to mature. China’s basic medical insurance has been established, covering most of the groups. According to the data disclosed by the CIRC, half of the country now has the ability to pay for the treatment of insured persons. As of the end of 2014, Medicare has been implemented in 27 provinces