我国医疗卫生体制改革的核心问题是医疗保障体制改革,抓住了医疗卫生保障体制改革这个纲,医药卫生管理体制和运行机制、卫生投入机制、医药监管机制等问题就会迎刃而解。当前对医疗保障体制的改革路径众说纷纭,有人主张国家大包大揽, The core issue of China’s medical and health system reform is the medical security system reform, which has grasped the reform of the medical and health security system. The medical and health management system and operation mechanism, the health input mechanism and the medical regulatory mechanism will be solved. At present, there are many different opinions on the reform path of the medical security system. Some people advocate that the state should make a big package,