Towards National Health Insurance ： A Grand Transformation of China＇ s Health Security System

中国已经进入全民医保的时代，但医疗保障体系呈现碎片化的特征，其内部的若干制度安排之间出现了不协调。中国医疗保障体系亟待进一步转型，转型的重点和方向是将基本医疗保障体系从现行分散化、碎片化的社会医疗保险制度，改造为集中化、一体化的社会医疗保险制度，即全民健康保险。推进全民健保是“发展型社会政策”的体现，具有同时促进经济增长和社会发展的双重功效。从短期来看，这是一种简单易行而又可持续的减税计划，可以促进经济增长，有助于经济发展模式的转变；从长远来看，全民健保制度的建立标志着“社会性基础设施”的建设又迈上了一个新的台阶，这必将为中国福利国家的重建奠定基础。China has moved into an era of universal coverage of medical insurance, but the whole health security system is so fragmen- ted that there is lack of coordination among institutional arrangements within it. A further transition is needed. The focus of the transition is to transform the basic health security system from a decentralized, fragmented to a centralized, integrated so- cial insurance system, namely National Health Insurance. As a manifestation of developmental social policy, this transition would bolster economic growth and social development. In a short run, this is a simple plan of sustainable tax - cut, which is conducive to the change of China＇ s economic development model. In a long run, it signals a new step of constructing so cial infrastructure, which would lay the foundation for rebuilding a welfare state in China.中文核心期刊要目总览(PKU)中国社会科学引文索引(CSSCI)0864-6