面向共同富裕的社会保障制度建设取向——基于医保政策的大数据分析

    Building a Social Security System Towards Common Prosperity: ——A Big-data Analysis of China′s Universal Health Insurance System

    • 摘要: 对中国医保政策文本大数据分析,指出中国全民医保体系建设呈现出促进经济发展、增进公平再分配与保障公民权益三者相融合的政策取向:(1)医保政策重视筹资适当性,以确保财务可持续性并有利于经济发展;(2)着力建构国家再分配能力,降低不同地区、城乡人群间医疗负担的不平等对共同富裕的消极影响;(3)积极推进基本医疗服务均等化,保障全体民众基本社会权利,促进社会公正。这三种政策取向的融合让中国医保体系成为福利发展主义的典范,为推动共同富裕建立了坚实的社会基础。

       

      Abstract: Applying the big-data analytics to analyze the policy text on health insurance system, it is found that the policy orientations of China′s health insurance system are mixed by three theoretical logics: facilitate economic development, promote fair redistribution, and safeguard citizens′ social rights. Firstly, the health insurance system pays much attention to the appropriateness of financing to ensure the safety of the finance and benefit the economy. Secondly, it focuses on the state′s capacity for redistribution and removing the unequal medical burdens between different regions and urban-rural populations which may harm the goal of common prosperity. Thirdly, the system aims to promote equitable access to basic medical services basic medical services, safeguard the social rights of all citizens and improve social equity. The integration of these three policy orientations has made China′s universal health insurance system into a model of welfare developmentalism and built a solid social infrastructure of common prosperity.

       

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