关注农民工基本卫生医疗保障体系建设

• 作 者: 李彦敏
• 机 构: 中国人民大学农业经济系
• 出 处: 调研世界
• 发表日期: 2004年01期
• 关键词: 医疗保障体系 城镇医疗保险 户籍所在地 政府能力 农村卫生 医疗保障问题 参保者 抵触心理 劳保医疗 养老险

当前北京市城镇医疗保险体制改革明确把农民工排除在外,农民工被纳入农村卫生医疗保障体系的范畴。然而,实践中的诸多困难使探索中的农村医疗保障体系也“遗忘”了这一群体,更不用说大量外来工了。本文通过对农民工医保现状的分析,发现政府能力和企业逐利的特点使其失信于农民工,加重农民工的抵触心理;指出在提高政府能力和诚信度,增强对企业约束力的前提下,把农民工纳入其就业地而非户籍所在地的基本卫生医疗保障体系更可行。

At present, the reform of urban medical insurance system in Beijing explicitly excludes migrant workers and migrant workers are included in the scope of rural health medical insurance system. However, many difficulties in practice have also “forgotten” the exploration of the rural medical security system for this group, let alone a large number of migrant workers. Based on the analysis of the status quo of migrant workers’ health insurance, this paper finds that the government ability and the profit-seeking of enterprises make them lose their trust in migrant workers and aggravate the contradiction of migrant workers. It is pointed out that on the premise of improving the government’s ability and integrity and enhancing the binding force of the enterprises It is more feasible to include migrant workers in their basic medical and health care systems where they are employed instead of where they are registered.