论公务员医疗补助制度的完善-公共管理专业论文.docxVIP

摘 摘 要 城镇社会医疗保险制度改革后，公费医疗制度和劳保医疗制度同时废止，公 务员与企业职工一样，参加基本医疗保险。鉴于基本医疗保险的保障待遇与原公 费医疗和劳保医疗制度的保障待遇有较大的差距，国家鼓励用人单位为职工建立 补充医疗保险，力争“基本医疗保障水平降低但总体保障水平下降不多”。据此， 国家建立了公务员医疗补助制度，构成公务员医疗保障制度的重要一部分。经过 这几年的实践，这一制度的缺陷日渐显现：保障标准过高，使公务员与企业职工 和其他劳动者的医疗保障待遇差距过大，形成新的社会不公。同时，由于医疗费 用控制困难，公务员医疗补助制度使得医疗费用转嫁和浪费严重。本文运用社会 公平理论，揭示医疗保障待遇在社会群体间存在巨大差异的社会危害性，提出适 当降低公务员医疗补助标准的具体建议。文章还运用经济学理论分析医疗保险市 场，揭示道德风险及其在公务员医疗补助制度中的特殊性，并根据经济学和管理 学的相关理论，提出了加强监督的具体措施。 关键词： 公务员 医疗补助制度 完善 道德风险 监督 AbstractAfter Abstract After the reforming of social medi eal insurance system in town，the official expenses medical systern and the labor insurance medical system were abel ished at the seine time．As a result，both of the government employees and the enterprise workers attend the basic medical insurance system．Considering the large gap between the benefit extent of the basic medical insurance systemwith that of the original ones，the supplementary medical insurance system was warmlY encouraged by the government in order to“decrease the benefit level of the basic medical treatment and keep the overall benefit extent at the same level”．On these grounds，the nation establ ished the medical grant system for government employees， which plays a vitel role in the offi Cial medical security system．The system exposes obvious deficits after several years’practice：New society unfairness was come into being for the sake of the guarantee standard to the government employees was sti 1 1 h i gher than other workers． Meanwhi le，Sirice it iS really difficult to take control of the medical expense cost，the medical resources were wasted setiouSlY under the offieial medical expense system．This article takes advantages of the social fair theory，reveal ing the potent ial soci al unrest taken by the large medical treatment gap between the different social groups，then puts forward some concrete suggestions about how to bring down the standard of supplementary medical grant for government emplo