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KMID : 0904520090250010099
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Health and Medical Sociology
2009 Volume.25 No. 1 p.99 ~ p.128
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Dynamics in Korean Health System : tate Intervention and Power Relation among Social Forces in Health System
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Seo Nam-Kyu
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Abstract
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To Overcome the fiscal crisis, health system of the South Korea in the late 1990s tried to fill the vacuum of legitimacy by restructuring the health system. This study examines what was the supposed plan of health system restructuring, and, as its result, what changes the restructuring process has brought about to their health system.
The modern capitalist state should solve the paradoxical problem of fiscal crisis and legitimacy. And the health system cannot be free from such a dilemma of the modem state. In other words, to solve the problem of fiscal crisis and legitimacy, the state, as an autonomous actor in the meso level, attempts the restructuring of or stepwise intervention in health system by selecting one or combining more than one type of intervention among the marketization expansion, changes in administration or regulation mode, and expansion of the public. However, the state intervention cannot be carried out thoroughly as the state expects because the direction and contents of state intervention per se can cause the changes in interest and power relationship among social forces in health system. That is, the power relations among capital, professional, and labor and civil forces can influence and change the quality and level of state’s intervention attempt.
After the crisis, the Korea experienced the restructuring in health system(changes in administration mode), he paved the way to the market expansion. In addition, the Korea experienced the revitalization of capital (that is, the increase in private insurance and allowing private entities to run hospitals) after achieving the expansion of the publicity. This study claims that the power relationship among social forces determines the path of changes in health system.
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KEYWORD
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Health System, Fiscal Crisis, Power Relation among Social Forces, Legitimacy, National Health Insurance
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