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运用罗尔斯的正义论、阿玛蒂亚.森的可行能力与实质性自由理论、人权、健康权以及社会保障权等理论,提出要重构农村健康保障制度建设的理念,进而提出“从社区健康融资走向全民健康保障制度”的理论设想,并初步测算了政府在“全民健康保障制度”中的财政责任。政府在全民健康保障制度中应该承担的成本与目前对新农合的支持力度差距都非常大。政府须从“经济建设型政府”向“公共服务发展型政府”转型,以有可能从财力和精力方面提供包括基本健康保障在内的基本公共品。
By using the theory of Justice of Rawls, the viability and substantive freedom theory of Amartya Sen, human rights, right to health and the right of social security, the author puts forward the idea of reconstructing the construction of rural health security system and puts forward “ From community health financing to universal health security system, ”the theoretical assumptions, and preliminary estimates of the government in the“ universal health security system, ”the financial responsibility. The gap between the cost to be borne by the government in the NHS system and the current level of support for NRCMS is very large. The government must make a transition from the “economic-oriented” government to the “government with a public service development” so as to make it possible to provide basic public goods, including basic health insurance, in terms of financial resources and energy.