从孕妇死亡事件切入,以中国城镇医疗卫生保健现状及改革为背景,本文试图“前置性”地分析此事件中折射出的医疗卫生公平性、个体遭遇与社会制度及其迁衍之关联、政府的社会责任担当问题;同时,通过事件表征出的个人苦难指陈其背后可能的某些制度缺陷或危机——医疗卫生服务供给上的国家弱化与过度市场化导致较大范围内卫生公平性丧失,卫生公平性的政府承诺在国家医改方案中若无具体制度的背书支撑仍旧难以兑现,而可信的政府承诺对于社会发展和公民福祉至关重要。 In the context of the death of pregnant women and the status quo of health care in urban areas in China and its reform, this article attempts to analyze the health equity, individual experience and social system and its transfer from the incident Related and government responsibility for social responsibility; at the same time, the personal suffering characterized by the incident refers to some possible system defects or crises behind it: State weakening and over-marketization in the supply of medical and health services lead to a wider range of health The government commitment of losing fairness and health fairness is still hard to be fulfilled in endorsed support in the national health care reform without a specific system, and credible government commitment is of crucial importance to social development and the well-being of citizens.