所谓发展市场经济需要“小政府”的说法,其本意是要减少束缚而不是取消保障,是限制权力而不是推卸责任。 最近有关方面作出我国的医疗体制改革 “基本不成功”的结论。此语犹如一石入水, 顿起波澜。人们由医疗体制的问题想到令 人诟病多时的教育体制等公共品供给部门, 看到的也是问题多多。 目前多数的看法是。这是“过分市场 化”的错。的确,这些年来在“用经济手段 管卫生”、“教育产业化”、“不找市长找市 场”的口号下,各“部门权力”的公共服务 责任明显收缩,引起一系列严重问题。其 中,公共卫生危机在前年的“非典恐慌”中 一度发展成安全危机的情况下,“国家该不 该给非典病人提供全额免费治疗”居然还 The so-called development of a market economy requires the “small government” argument. Its intention is to reduce the bondage rather than cancel the safeguard. It is to restrict power rather than shirk responsibility. The relevant parties recently made the conclusion that China’s health care system reform is “essentially unsuccessful”. This language is like a stone into the water. People think of the public goods supply department, such as the education system that has been criticized for a long time, because of the problems of the medical system, and they see a lot of problems. At present, most of the views are. This is an “overmarketization” fault. Indeed, under the slogans of “using economic instruments to manage health”, “educating for industrialization”, and “not looking for mayors to find markets” over the years, the public service responsibilities of “departmental authority” have apparently contracted, causing a series of serious problems. Among them, the public health crisis once developed into a safe crisis in the “SARS panic” of the previous year. “The State should not provide SARS patients with full free treatment” actually