2024년 의료정책을 둘러싼 제문제에 관한 소고

Abstract

Collective action, such as strikes in the medical community, has been a social problem that has occurred countless times around the world in various causes and methods. Since human history is based on health, the medical community that has a great relevance to it is surrounded by complex and wide-ranging issues. In the case of the Korean medical community, a small collective action since the 1950s and a huge collective action called the four major doctor strikes since the 2000s have led to a serious health care disaster crisis called a medical chaos. This is the result of insufficient initial responses that overlooked the inadequacies of legal and appropriate solutions and the possibility of enormous social waves. The national crisis caused by the collective action against the promotion of medical policies currently facing must now be fundamentally resolved. Until now, the legitimacy of this collective action in the medical community has been controversial. Doctors may have different interpretations of their legal status depending on individual business owners, workers, and trainees, so their legality as an act of labor dispute may also change. However, if it is directly related to the people's health rights and causes serious violations of life and health, the legitimacy cannot be recognized even if it is any legal method. However, the profession of doctors is also part of the people whose basic rights should not be violated by excessive ethical obligations. Therefore, it is not acceptable to cause a medical gap, maintain an emotional confrontation with the government, lack of willingness to actively consult, or unfair behavior for internal unity, but the government also cannot avoid criticism that it is not mature, with many problems of content, procedures, processes and law in promoting policies, and emotional confrontation with the medical community. The confrontation between the government and the medical community is also a question of the legitimacy of actions based on rights and authority, but regardless, it must be responsible for recovering significant inconveniences to the public health environment due to defects in methods and procedures of realization, which must be fulfilled as an ethical obligation as well as legal and policy. Therefore, we need to make a compromise on the policy content, such as adjusting an increase in medical students and a medical fee for this situation, and introduce various systems to supplement this. ln the process of such compromise and coordination, procedural laws or consultation procedures should be prepared, and furthermore, it is emphasized that legalization of positions, procedures, and special cases that can clearly bear the responsibility for the results is necessary while clarifying legal status.