VII. Health
1.
The Publicity of the Healthcare System Weaken (242-249)
71. The Government asserts that it will retain the current medical care system which is
cantered around the NHI system. However, the policy orientation toward increasing the
profitability thorough medical industrialization, without specific measures to reinforce
the public interests of the health care system would likely aggravate the existing gap in
the use of medical service and undermine utility of the NHI system.
72. In the healthcare system of Korea, the publicity and accessibility the medical care
service have been successfully secured by operating the universal NHI system and
allowing non-profit private organizations to provide medical service. Nevertheless,
because private hospitals account for 90% of all hospitals, the public expenditure for
medical care is low as indicated in the fact that the NHI fund covers a mere 64.6% of
the total medical expenses spent by the public, and even the medical benefit recipients
of classes 1 and 2 are required to pay 5-13% of the medical costs incurred, the people
with serious illness, as well as the marginalized and disadvantaged, are burdened with
high medical costs, which leads to inequality in the use of medical service. Accordingly,
in order to guarantee people's right to health, the Government should formulate and
implement policy measures to maintain the non-profit nature of medical service
providers and to increase the Government's accountability for the health care finance
system.
73. The Government is rather speeding up its activities to facilitate industrialization of
the medical service sector which was first initiated in 2008. Although the Government
insists that for-profit hospitals will be permitted only in Jeju Special Self-governing
Province and special economic zones, it is feared that the permission will be spread over
to other regional areas or, at least, their existence will have a substantial impact on the
medical care system of other areas. In particular, given that the Government is working
to introduce some institutional arrangements to promote profit-seeking activities by
non-profit hospitals and stimulate private health insurance business, it is not unlikely
that medical service will funnel into some wealthier patients, the general medical costs
will go up, the NHI system will be weakened and the disadvantaged groups including
persons with disabilities or a history of illness will be discriminated against.
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