On the Right of Policy Participation of National Health Insurance

• Main Authors: Bor-yin Lin, 林伯殷
• Other Authors: Shui-chuen Lee
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/25501104729083278775

博士 === 國立中央大學 === 哲學研究所 === 102 === The planning and implementation of National Health Insurance（NHI）policy of Taiwan is a gradual shift from elite to pluralistic participations. The process is closely related to the course of democratization in Taiwan. It means that government policy decision have to meet more feed backs from civilians in implementation. This thesis aims to discuss the right of policy participation of NHI from the perspectives of the right to receiving health care and social justice, in order to construct principles and procedures of popular policy participation, and to promote equitable distribution of health care resources. NHI policy, facing the difficulties of limited resources and unlimited demand, coupled with lack of policy participation, easily result in inequitable distribution of health care resources. This thesis analyses the insufficiency of civilian participation of Taiwan's NHI in policy decision-making, citizen participation and citizen autonomy according to the benchmark of public accountability formulated by Norman Daniels. The whole health care system needs to be reformed and, at the same time, it also need be reset upon the moral basis for policy participation from the right to health and health care, in order to strengthen the reasonableness of the right for popular participation in the health insurance policy. In view of policy participation’s procedure of NHI is a kind of imperfect procedural justice（John Rawls）, it is difficult to become a procedure to fully achieve the goal of complete justice. Therefore, the principles involved in procedures of policy participation should be more specific. In this thesis I propose, according to the principles of open procedure, citizen participation and citizen autonomy, a pattern of policy participation of NHI decision-making and the principles and courses of practice for the three aspects. This would develop into a more reasonable way for policy participation of NHI. In addition, for the sustainable operation of NHI, in needs concept of the value of citizen participation, which I present according to the traditional Confucian culture of person as person. Together with the individual’s right to health promotion, it could improve the social justice of NHI’s policy.