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Social Exclusion and Social Inclusion in the Public Health Security System

Yong-Gab Lee 1

1연세대학교

Accredited

ABSTRACT

The public health security system in Korea has some institutional grantees for social integration that provides the low income-vulnerable health care services: first, the Medical Aid Program as one of the Public Assistance Programs; second, the reduction of contribution in the National Health Insurance; third, the deficits disposal of defaulted contribution in the National Health Insurance. But, these security instruments can not prevent or solve the problems of social exclusion in the public health security system. The low income-vulnerable in urban areas can not benefit from the reduction of the contribution, the Medical Aid Program disqualifies some low income-vulnerable from providing public health services, and deficits disposal of defaulted contribution has no regulation for the generalization. This Study has explored the situations and problems of social exclusion and social inclusion in the Korean public health security system with the concept of the 'social exclusion' that is discussed in the context of the groups of not-protected from social insurance systems. After a review of the discuss about the social exclusion in France, EU and England, this study has made an analysis of the Universal Medical Benefits Insurance(CMU) in France that is the social programs against the social exclusion in public health security system. For the more perfect social inclusion in the public health security system, this paper has proposed some social security arrangements: the reduction of National Health Insurance contribution for the low income-vulnerable in urban areas, the sustainable guarantee for the low income-vulnerable as the Medical Aid Program beneficiaries, the institutionalization of the deficits disposal of defaulted contribution in the National Health Insurance, and the integration of the Medical Aid Program into the National Health Insurance.

Citation status

* References for papers published after 2022 are currently being built.