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我国卫生总费用占GDP的5.6%,没有理由说我国卫生总费用超过了其社会平均支付能力。但为何看病贵问题成为当前我国全社会普遍关心的问题呢?笔者认为,在卫生总费用没有超过社会平均支付能力前提下,看病贵问题凸现的是不健全的医疗保障制度带来的费用风险机制的缺失。医疗保障制度改革中,处理好政府宏观调控和市场机制的关系,增加政府筹资职能从而确保筹资体系的稳定性和公平性,扩大医疗保障制度的覆盖面,提高现有保障制度的风险分担机制,完善保障制度的费用控制措施,应成为改革关键点。
China’s total health expenditure accounts for 5.6% of GDP, there is no reason to say that China’s total health expenditure exceeds its social average affordability. However, why the problem of expensive medical care has become a common concern of the whole society? In my opinion, under the premise of the total health expenditure not exceeding the average affordability of the society, the expensive medical treatment problem highlights the cost risk mechanism brought by the imperfect medical insurance system The lack of. In the reform of the medical security system, the relationship between the government macro-control and the market mechanism should be properly handled, the government funding should be enhanced to ensure the stability and fairness of the fund-raising system, the coverage of the medical insurance system should be expanded, the risk sharing mechanism of the existing guarantee system should be improved, The cost control measures of the safeguard system should become the key point of reform.