The government collaboration and medical insurance to boost:"The Four medical linkage"under the protection of family doctor service / 中国卫生政策研究

The government coordinated governance is the necessary support and important direction of China's medical reform. During the development process of the family doctor system in Changning District of Shanghai, the coordinated governance of health, medical insurance, civil affairs, finance and other departments for the difficulties of the crowd, through"the four medical linkage"basic medical security health collaborative governance by the"basic medical insurance+basic medical services+government medical assistance+social or-ganization medical help"for the poor people, made the system realize the sustainable development of incentive compatibility. The ten years of reform and policy practice shows that to precisely determine the service population by the Health and Family planning Commission and Civil Affairs Bureau,the policy coordination to pay the fami-ly doctors contract service fee by health insurance and Finance Bureau, the medical resources integration support by community family doctor studio, Community health construction and sharing constitute the developing direc-tion of family doctor service model in China.

Metrópoles desgovernadas / Unruly metropolis

Apesar de sua importância econômica, política, social, demográfica, cultural, territorial e ambiental, há, nas metrópoles brasileiras, uma significativa falta de governo, evidenciada pelas incipientes iniciativas de cooperação administrativa intermunicipal e federativa. Este artigo aborda as mudanças estruturais - no processo de urbanização/ metropolização - devidas à reestruturação produtiva do capitalismo global, e, na escala nacional, trata da mudança no marco institucional - jurídico/político - que passou de concentrador e centralizador, durante o regime militar, para descentralizador e esvaziado, após a Constituição de 1988. O recuo verificado nas políticas sociais durante os anos 1980 e 1990, notadamente em transporte, habitação e saneamento, além do desmonte dos organismos metropolitanos, conduziu nossas metrópoles a um destino de banalização das tragédias urbanas. Em que pese sua urgência, a questão metropolitana não sensibiliza nenhuma força política ou instituição que lhe atribua lugar de destaque na agenda nacional.

Despite its economic, political, social, demographic, cultural, territorial and environmental importance, there is a significant lack of government in the brazilian metropolises, evidenced by the incipient initiatives of intermunicipal and federative administrative cooperation. This article analyses the structural changes - in the process of urbanization/metropolization - due to the productive restructuring of global capitalism, and, in a national scale, analyses the change in the institutional mark - legal/political - which passed from concentrator and centralizer, during the Military Regimen, to decentralized and emptied, after 1988 Constitution. The downturn verified in social policies during the years 1980 and 1990, notably in transport, housing and sanitation, besides the dismantling of the metropolitan agencies, has led our cities to the trivialization of urban tragedies. Despite its urgency, the metropolitan issue does not sensitize any political force or institution which assigns it a prominent place on the national agenda.