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제목 고령화 사회에 대비한 한국사회보험제도의 발전방향: 사회보험에 대한 교회의 역할
영문 제목 Desirable Improvements of Korean Social Security System, Providing for Ageing Society and the Role of Korean Christian Churches for the Social Protection
저자 김원식 (Kim, Won-Sik) (한국연금학회 편집위원)
이승무 (Lee, Seung-Moo) (순환경제연구소 소장)
다운로드 pdf 90700368.pdf (5.10 MB)
논문 구분 일반논문 | 사회과학
발행 기관 신앙과 학문 (ISSN 1226-9425)
발행 정보 제7권 2호 (통권 24호)
발행 년월 2002년 12월
국문 초록 이 논문에서는 고령화 사회에 대비한 사회보험의 발전방향을 국민연금 및 의료보험과 관련하여 제시하고 고령화 사회를 맞이하여 교회가 해야 할 일을 고찰해 본다. 사회보험의 운영은 다순히 재정적 의미의 보험의 성격에 머물지 않고 보험서비스의 공급자로서의 역할이 중요하다. 서비스의 공급이 원활하지 않으면 사회보험으로서의 역할을 상실하게 된다. 문제는 생활수준의 향상으로 서비스에 대한 욕구가 커감에 따라 이를 위한 사회적 비용지출이 점차 커진다는 것이다. 이로 인해 사회보험 서비스의 비용은 급증하게 되고 이에 따라 보험재정은 급속히 악화된다. 따라서 사회보험 서비스의 공급부분에서 사회의 자발적 참여가 필요하며, 교회의 조직은 사회보험 서비스의 공급을 원활히 할 수 있는 잠재성이 강하다. 사회보험은 서비스가 중심이 된다. 서비스의 질적 개선은 사랑에서 나온다. 따라서 사랑에 기초한 교회의 역할은 사회보험의 발전에 기여할 수 있다.
영문 초록 We propose the desirable improvements of social insurance system for the ageing society, especially in relation to the national pension and medical insurance as follows:
Problems incurred in the ageing society cannot be settled completely by social protection because of the diversity of individual conditions and needs. For this reason, complementary relation is essential between the social insurance and private insurance as a means of self-help for old age. Social insurance should focus upon the basic security while private insurance is to be encouraged as an option to have recourse to according to individual income levels and preferences.
Next, it is necessary to prepare for the healthcare in old age apart from the procurement of livelihood. That is, living expenses and expenditure for medicare need to be managed separately. A system needs to be established, with the graying of population, to forecast the cost of medicare and long-term nursing and manage it efficiently.
And private medical insurance (i.e. private medicare) needs to be introduced to make it possible to provide oneself for the medical service in old age and thus to complement the national health insurance.
Finally, policy direction for the home care and facilities nursing should be set as the ageing of population advances. Long-term care insurance is going to be introduced as a public insurance by the government but sufficient nursing facilities and human resources are preconditions for it. Voluntary involvement of private sector is to be urgently expected in this field.
The role of Christian churches in Korea could be sought as follows:
The operation of social insurance is not merely an insurance in the financial meaning, but also has an importance role of the provider of insurance services. The role of social insurance will be failed without satisfactory supply of services. The problem is that social expenditure increases as the need for quality of services grows up by virtue of the improvement of living standards. As a result, cost of social insurance services grows rapidly to aggravate the budget of insurance. Therefore, voluntary participation from private sector is necessary in the supply-side of services of social insurance, for which the organization of Christian churches has plenty of resources and potential to contribute. Service providing is the main function in social insurance system. Improvement of the quality of services is to come from love. To this effect, the role of Christian churches based on love is very important for the amelioration of social insurance.
키워드 연대성, 사회보험 서비스, 간병보험, 민간건강보험, solidarity, social insurance service, long-term care insurance, private medical insurance