论卫生改革的改革

首先讨论我国卫生改革的评价问题,指出对改革的评价表面上似乎是个事实判断,但实际上是个价值判断,并列举数据说明改革引起的不公正后果。其次指出我国的卫生改革一开始就缺乏伦理基准,并详细论述了应该具有的伦理基准是什么。最后讨论了市场在医疗卫生事业的作用,以及对卫生改革的改革建议。

On the Reform of Health Reform

To first discuss the issue of how to evaluate the health reform in China, and point out that the issue of how to evaluate health reform apparently involve a fact judgement, but actually it is a value judgement, and list data to illustrate the unjust consequences the health reform caused. Secondly,to point out that from the beginning there is no ethical benchmarks for the health reform, and exlicate which ethical benchmarks should be used to evaluate health reform. Finally,to discuss the role which can be played by the market in health care, and suggest some recommendations for the reform of health reform.