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Korean J Med Hist > Volume 30(3); 2021 > Article
Korean Journal of Medical History 2021;30(3): 499-545.
doi: https://doi.org/10.13081/kjmh.2021.30.499
해방직후 보건의료체제 논쟁과 통일국가 보건의료정책 구상
김진혁
연세대학교 의학사연구소 연구원. 한국근현대사 전공
The Health Care System Debate and the Health Care Policy of a Unified Nation Immediately after the Liberation
Jinhyouk KIM
Institute for History of Medicine, Yonsei University
Correspondence  Jinhyouk KIM ,Email: jinhyouk82475@yuhs.ac
Received: September 30, 2021;  Accepted: November 17, 2021.  Published online: December 31, 2021.
ABSTRACT
Immediately after the liberation, the health care system debate was studied focusing on the orientation of the American and Soviet medical systems, roughly divided into Lee Yong-seol and Choi Eung-seok. However, the existence of people who are not explained in the American and Soviet health care systems’ orientation led to the need to reconsider the existing premise. Therefore, this study identifies the characters that were not explained in the perspective of existing studies, and reevaluates the arguments of Lee Yong-seol and Choi Eung-seok.
This paper raises the following questions: First, what is the background of the policy orientation that Lee Yong-seol and Choi Eung-seok had? Second, if there are people who made different arguments from Lee Yong-seol and Choi Eung-seok, what direction did they set and argue? third, how the orientations of Lee Yong-seol and Choi Eung-seok and etc. converge into the answer to the Joint Soviet-American Commission?
In response to theses questions, this study confirms the following: first, Lee Yong-seol’s and Choi Eung-seok’s health care policies were established based on realism and empiricism. As a policyholder, Lee Yong-seol emphasized withholding medical state administration and raising the level of medical education and medical systems according to the condition at that time, although the American system was mobilized by Lee as the basis for his judgment and administrative assets. On the other hand, Choi Eung-seok aimed for a Soviet-style systems in health care but this was realistically put on hold. Choi insisted on the establishment of the Medical Service Associations and rural cooperative hospitals that appeared in Japan’s medical socialization movement. In summary, immediately after the liberation, Lee Yong-seol’s and Choi Eung-seok’s policy arguments were based on policies that could be implemented in Korea, and the American system and Soviet system served as criteria for the policy resources.
Second, Jeong Gu-chung and Kim Yeon-ju show that the topography of the health care debate immediately after the liberation was not represented only by Lee Yong-seol and Choi Eung-seok. Both Jeong and Kim were consequently led to medical socialization, which was the implementation of a health care system that encompasses social reform, but the context was different. Jeong drew the hierarchy of the health care system, which peaked in the United States, from the perspective of social evolution based on his eugenics, but the representation suitable for Korea was the Soviet model absorbed into his understanding. On the contrary, Kim argued that representations suitable for Korea should be found in Korea. As national medical care, Kim’s idea aimed at a medical state administration that provides equal opportunities for all Koreans.
Third, the aspect of convergence to the Joint Soviet-American Commission reply proposal was complicated. Among the policies of Lee Yong-seol, the promotion of missionary medical institutions and the gradual planning of medical institutions converged into the three organizations’ proposal, and Choi Eung-seok’s policy was almost the same as that of the Democracy National Front and the South Korean Labor Party. However, the medical system of Japan, the colonial home country, appears to have been based on Lee Gap-soo, chairman of the Korean Medical Association in the colonial period, and the plan was in line with the use of the union system of the left-wing organizations’ proposal in the south. It was in accordance with a common task to expand health care from colonial conditions to different status.
Key Words: Health Care System Debate, Medical Socialization, State Medicine, Medical Service Association, Cooperative Hospital, Health Insurance Law, Lee Yong-seol, Choi Eung-seok, Jeong Gu-chung, Kim Yeon-joo, Lee Gap-soo, U.S.-Soviet Joint Commission
주요어: 보건의료논쟁, 의료사회화, 의료국영, 의료이용조합, 협동조합병원, 건강보험법, 이용설, 최응석, 정구충, 김연주, 이갑수, 미소공동위원회
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