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从医疗保障制度改革的实践来看,目前已经基本形成了“三加一”的医疗保障体系,即城镇职工基本医保、城镇居民基本医保、新农合和社会医疗救助,覆盖城乡的医疗保障制度框架初步建立。但是,这仅仅是搭好了全民医保的制度框架,理论上可以覆盖全体居民,实际上还很不完善。无论是不同制度之间,还是制度内部,都存在许多有悖公平原则的问题,有待于进一步完善。
From the perspective of the practice of the reform of the medical insurance system, the medical insurance system of “three plus one” has basically taken shape, that is, the basic medical insurance for urban workers, the basic medical insurance for urban residents, the NCMS and social medical assistance, the medical treatment covering urban and rural areas The system of safeguard system was initially established. However, this is merely a system framework for universal health coverage that can theoretically cover all residents and is actually imperfect. No matter between different systems or within the system, there are many problems that run counter to the principle of fairness and need to be further improved.