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A suggestion of health insurance for children

Korean Journal of Pediatrics 2008;51(4):339-342.
Published online April 15, 2008.
A suggestion of health insurance for children
Baik-Lin Eun
Department of Pediatrics, Korea University, School of Medicine, Seoul, Korea
소아 영역의 건강보험제도 개선안
고려대학교 의과대학 소아과학교실, 대한소아과학회 보험이사
Baik-Lin Eun, Email: bleun@korea.ac.kr, bleun@chollian.net
The Korean Health Insurance (KHI) has been introduced since 1977 and it took only 12 years that KHI had accomplished the total coverage of Korean population. The remarkable success of KHI can be compared with other OECD countries which had taken some 30 years to over 100 years to establish the total coverage of the population. Life expectancy at birth and the infant mortality rate in Korea in 2005 both surpassed the average figures of the OECD countries, The main reason for the success of KHI can be delineated with the three characteristics in KHI development; low premiums, low benefits, and low fee-schedule charges. However, these three characteristics of KHI, which had been the key for the rapid development of the system, have become terrible disadvantages for the stable development of KHI. The dissatisfaction and discontent of health care providers are ever increasing. The population is reluctant to pay more premiums though it seems essential for the better care coverage. The health care system has been heavily distorted toward high technology-oriented expensive care. There should be several factors seriously tackled for the secure development of KHI in the future. This paper will review a brief history of KHI development, and I would like to make a suggestion of health insurance for children.
Key Words: Health insurance, Child, Korea

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