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资本主义国家医疗保障制度是伴随着资本主义社会内在矛盾的演化而逐步建立并发展起来的。20世纪后半叶至本世纪初,随着资本主义发展到一个新的历史阶段,其内在矛盾发生的深刻变化所导致的金融危机和民主失效极大地挑战着资本主义国家的治理能力,同时也逼迫资本主义国家对医疗等社会保障制度进行调整和改革。当代主要资本主义国家的医疗保障制度本身具有两重性,其中具有普遍性的国家治理经验可资借鉴,而资本主义生产方式与医疗保障制度之间的逻辑悖论则再次应证了马克思主义经典作家对资本主义社会内在矛盾的判断。
The medical security system of the capitalist countries was gradually established and developed along with the evolution of the inherent contradictions of capitalist society. From the second half of the 20th century to the beginning of this century, with the development of capitalism to a new historical stage, the financial crisis and democratic failure caused by the profound changes in its internal contradictions have greatly challenged the governance capabilities of capitalist countries. The capitalist countries are forced to adjust and reform social security systems such as medical care. The medical security system of the major capitalist countries in the contemporary world has its own duality, in which the universal experience of national governance can be used for reference, and the logical paradox between the capitalist mode of production and the medical security system should once again testify to the classic Marxist writer. The internal contradiction of capitalist society.