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官媒谈医保提高个人缴费比例:美国都做不到免费医疗

2016-01-12 07:44:56   

社评:医保,因“政治正确性”很难碰的话题

有媒体近日报道称,一些专家提出中国医保的个人缴费比例过低,与财政补贴之间的比例扩大为1:4,有“泛福利化”趋势,难以为继。他们主张逐渐提高个人缴费比例,将上述数字调整为1:3。该报道再引舆论的轩然大波,互联网上骂声一片。

医保的资金缺口越来越大,解决问题不能走单靠政府埋单的路子,这种讨论在互联网舆论场政治上就不正确,因此几乎不能谈。不久前一位政府官员犯了这个忌,说到要“研究实行职工医保退休人员缴费政策”,遭到网民及部分学者的猛烈攻击。

医保涉及千家万户的利益,这也是中国社会公平至今的洼地。各种情绪的流动非常活跃,对政府的不满一点就着,这些都是要面对的实情。

中国民间有很多人认为,政府应当把医保彻底担起来,实行全民免费医疗是政府义不容辞的责任。而且很多人相信,世界上“大多数国家都是这样做的”,而中国之所以没做到这一点,是政府用钱不当、且管理不善的结果。

很少有网上舆论领袖愿意就这个问题说公众不爱听的话,很多人更愿意在公众激动时予以附和,做“顺水人情”。久而久之,上述认识成了“事实”,也成为中国社会讨论医保的“基础”。

其实全球医保现状参差不齐。比如美国就不是“全民免费医疗”的国家,奥巴马从上任开始就推医保,要求所有人都付费参加,但截至目前参保人数仍未达预期。美国做不到,可想而知全球号称“免费医疗”的国家有多少是以讹传讹,或者是冒牌货。

必须指出,如果中国政府能够有财力补上医保的巨大缺口,再好不过了,相信任何一届政府也很愿意留下这样的美名。舆论施加一些压力,让政府尽量多承担一些份额,也有一定合理性。让那些专家们轻易不敢为政府“没钱”做辩护,虽然有那么点“民粹”,但它有情理上的逻辑。毕竟民众想享受免费医疗,这种愿望放到时代进程中去看不仅正当,而且它应当是中国社会前方的灯塔。

贸然与舆论顶嘴应准备付出代价。但问题是,中国财政给医保无限制输血有可能真的撑不住。这个事实很不招人喜欢,没脸见人,经常自己就知道找个地缝钻进去,但它最终藏不住。一些人担心,它有一天会轰然砸到我们头上,让所有人不知所措。

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