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KMID : 0904520120310010025
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Health and Medical Sociology
2012 Volume.31 No. 1 p.25 ~ p.54
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The Re-Compositions of Family Members in the NHI
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Lee Yong-Gab
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Abstract
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Because of the social conflicts about the financial deficit in the National Health Insurance in the year of 2011, the government has tightened regulations on the ‘dependents’ in the NHI. The main contents were the compulsory change of the position, who has some income or wealth above a certain standard from the dependents of the insured-industrial workers to the insured-self-employees in rural/urban area. This policy for the refinement of the contribution levy system in the NHI is only a measure for increasing of contribution revenue or/and pacifying the social conflicts about the position of the dependents in the NHI. What is needed, is the redesign of the contribution levy system in the NHI, which leads to loosen or solve that social conflicts.
This Study has explored the social conflicts about the position of the dependents in the NHI with the concept of the ‘family insurance’ and ‘individual insurance’.
After a review of the last 9 analyses for the redesign or refinement of the contribution levy system and practical policies to loosen or solve that social conflicts, this study proposes the introduction of the basic contribution. With the basic contribution, the composition principle of the family members in the NHI would be unified in ‘individual insurance’ on external. But the NHI becomes ‘family insurance’ in reality, because diverse countermeasures would be made for the vulnerables at the same times. In the middle term, the basic contribution would provide positive possibilities for the unification of the separated position of the insured and the redesign of the contribution levy system in the NHI.
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KEYWORD
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Dependents, Family insurance, Individual insurance, Redesign orrefinement of the contribution levy system, the Basic contribution
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