政府责任视域下的农民工医疗保障问题探析

发布时间：2019-02-15 06:56

【摘要】：在农民工医疗保障领域,政府责任观强调政府在医疗保障中的权力与责任、义务的匹配性。它与政府权力的合法性来源、公信力、公平正义价值取向及人权保障密相关联,并以之为存在的基础性因素。虽然我国已实现"全民医保",但每年有超过2亿的农民工在频繁流动,医疗保险制度的软肋愈益显现出来。其制度实施背后,有地方政府对农民工医疗保障制度实施缺少积极性、针对农民工的医保制度缺乏有效衔接、政府财政协调和监督职能缺位的影子。农民工医疗保障中的政府责任重构,呼唤着政府应在加快实现基本医疗保险城乡统筹、设立流动人口医保统筹基金调剂机构、促进医保制度间的协商与整合等方面作出制度改进。
[Abstract]:In the field of medical security for migrant workers, the concept of government responsibility emphasizes the matching of the power, responsibility and obligation of the government in the medical security. It is closely related to the source of legitimacy, credibility, the value orientation of fairness and justice and the protection of human rights. Although China has realized "universal health insurance", more than 200 million migrant workers are moving frequently every year, and the weakness of medical insurance system is becoming more and more obvious. Behind the implementation of the system, there is a lack of enthusiasm for the implementation of the medical security system for migrant workers by local governments, a lack of effective convergence of the medical insurance system for migrant workers, and the absence of government financial coordination and supervision functions. The reconstruction of government responsibility in the medical security of migrant workers calls for the government to speed up the realization of urban and rural coordination of basic medical insurance and to set up a medical insurance fund for the floating population. To promote consultation and integration between the health care system and other aspects of institutional improvement.
【作者单位】：吉林大学行政学院;黑龙江省社会科学院政治学研究所;
【基金】：国家社科基金项目“全民医保条件下流动人口医疗保障问题的社会学研究”(10BSH054) 黑龙江省哲学社会科学研究年度规划项目“风险社会视野下的农民工群体性事件研究”(11C008);黑龙江省哲学社会科学研究年度规划项目“我国农民工群体性事件预防化解机制研究”(12D036)的阶段性成果
【分类号】：F842.6

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