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韩国社会保险的扩大过程被形容为“超速压缩增长”。20世纪90年代中期以后出现的劳动市场两极化和出生率下降、人口结构老龄化等形成了大量的社会保险的死角地带,同时又加剧了社会保险财政的紧张状况。也就是说,韩国的社会保险正面临全新的挑战,这是在社会保险的扩张过程中从未遇到过的挑战。在大型流水线生产(福特式生产方式)和社会人口结构相对比较年轻的前提下,韩国的国民年金和健康保险制度被引向比较严格的社会保险的轨道,这一方式在消除因劳动市场两极化而出现的社会保障的死角地带时具有明显的局限性,因而有必要对采取了严格的俾斯麦方式的社会保险的基本框架进行重新探讨。为了应对人口老龄化,医疗保险的财政稳定战略采取了引进新的报酬支付体系(综合型支付制度)、扩充公共医疗等措施,如果这些对策能够顺利实施的话,将对医疗保险中长期的财政稳定产生一定的作用。
The expansion of social insurance in South Korea is described as “speeding growth”. After the mid-1990s, the labor market polarization and the birth rate declined, the aging population structure formed a lot of corners of social insurance, and at the same time exacerbated the tensions in the social insurance finance. In other words, social insurance in Korea is facing new challenges, which are challenges that have never been encountered in the expansion of social insurance. Under the condition of large-scale assembly line production (Fordian mode of production) and relatively young population structure, the national pension system and health insurance system in South Korea are led to the more stringent social insurance track, which will eliminate the problem of polarization due to labor market polarization The emergence of the cornerstone of social security has obvious limitations. Therefore, it is necessary to reconsider the basic framework of social insurance which adopts the strict Bismarck method. In order to cope with the aging of population, the financial stability strategy of medical insurance has adopted measures such as introducing a new payment system of remuneration (comprehensive payment system) and expanding public medical treatment. If these measures can be implemented smoothly, the long-term financial stability of medical insurance will be met Have a role.