보훈의료제도의 합리적 지원 방안에 관한 연구

The purpose of the present study is to suggest a maintenance method of a reasonable Patriots & Veterans' medical system by investigating feasibility about an arbitrary joining system of national health insurance of the national Patriots & Veterans, while focusing on reduced treatment adequacy of the Veterans Hospital for bereaved families, etc. For this, the present study analyzed the present Patriots & Veterans' medical system, investigated overseas cases, etc. and analyzed connection situation, etc. between the Patriots & Veterans' medical system and the national health insurance system. At present, the national Patriots & Veterans' medical system includes all diseases as a treatment object of government expenses regardless of wounds, and medical service provides treatment mainly, but moving treatment or home nursing service and home-stay welfare service partially. Also, as some national Patriots & Veterans receiving medical benefits at government expense are regulated as an arbitrary member, there are people among them, who are not joined to the national health insurance. This means that they may fall into a dead zone because they cannot get the benefits when they get to need long-term medical care for elders. Also, complaints about use increase of the Veterans hospital of people having no direct physical sacrifice such as bereaved families, etc. as well as a reduction ratio of different bereaved families from each other have been claimed, and increase of financial burden, degradation of Patriots & Veterans' medical specialty and degradation of medical service quality have been caused due to increase of medical treatment objects at government expense with various diseases regardless of wounds. Accordingly, as expansion of Patriots & Veterans' medical objects can be connected to waste of unnecessary budget at the present time that is sufficiently equipped with a medical system for general people, the national health insurance system should be utilized for the portion that the national health insurance can be used, and it should transferred to the Patriots & Veterans' medical system putting physical sacrifice as a top priority. Especially, a method that can gradually transfer support for bereaved families to the national health insurance system should be investigated by considering relations with a victim(supporting relations), present living situation and duplication with other social security system, etc. For this, first, a criterion about a range of bereaved families should be newly prepared. Second, the support system is changed to the support for people below a fixed criterion by setting a property criterion of the bereaved families like overseas cases. Third, uniform execution of a self-paying system of the national Patriots & Veterans, such as a fixed amount system or a fixed rate system can be considered.