동유럽 국가의 의료보장 변화를 통해서 본 남북한 통일 후 의료보장제도의 과제 = A Study on the Tasks of Medical Security for the Coming Unified Korea: Lessons From the Changes of Medical Security in Eastern Europe in Transition

다국어 초록 (Multilingual Abstract)

The main purpose of this study is to indicate tasks of a medical security scheme for a unified Korea. To estimate the problems of medical security that could occur after unification I analyze the processof unifying medical security systems in unified Germany which had experienced many difficulties in the drastic process of unification and the change of systems of Eastern Europe in transition. As the result of the study, the tasks of medical security scheme include the factors which are the comprehensive provision of all necessary services, equitable contribution, and the macro-budget system as a payment and reimbursement system which is effective in stabilizingpublic finance and controling supply of medical services. Also it emphasizes central role of national and local government in paying for medical costs especially for poor, unemployed, and migrated people who can not afford to contribute for health care insurance.

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