권위주의적 발전국가의 사회정책형성과정 분석*-제2차 의료보험법 개정과정을 중심으로-

The aim of this article is to examine the dynamics of the social policy formation process under the authoritarian developmental state of the 1970s Korea, by analyzing the 1976 second revision of the Medical Insurance Act for the compulsory application of health insurance scheme. Through the analysis, this article tries to answer the following question - in what ways does the authoritarian developmental state impact on the process of social policy formation? With regard to the analytical framework, the characteristics of the authoritarian developmental state are categorized into three facets - political, economic and social, whilst the process of social policy formation includes the three aspects of policy agenda-setting, policy networks and policy-making, and policy outputs. Additionally, the part of policy networks and policy-making is debated through the examination of four sub variables - number of participants, leading actors, key actors' interests, and the interactions between key actors. The result of this article could prove a huge impact of the authoritarian developmental state, particularly its political and social characteristics, on shaping the general features of the social policy formation process. In general, the policy formation process of the second revision of the Medical Insurance Act showed the following attributes: Cobb and Elder's agenda-setting model of mobilization or inside access, exclusive network structure, and the institutionalized and moderate interactions between policy actors. Policy outputs well preserved the government's original intentions, only partly reflecting the preferences of small numbers of acknowledged interest groups.