农村医疗保障:新型农村合作医疗该向何处去

认为新型农村合作医疗的设计具有内在的制度缺陷,在产生和发展路径上具有对传统合作医疗、城市社会医疗保险和商业医疗保险制度的严重依赖,但各制度面对的环境和基础却并不相同。农村医疗保障体系的建立,必须立足于我国农村现有的社会结构和传统文化环境,根据不同地区经济社会和人文发展的分异性与不同保障形式所要求的制度基础和条件,选择不同的农村医疗保障模式。同时,要注重发挥非正式保障制度的作用。

An Institutional Analysis of the New Rural Cooperative Medical System and Suggestions of Its Development Policies

This paper analyzes the institutional foundations and conditions which new rural cooperative medical insurance should be provided with.It points out the defects in new raral cooperatiue medical system,and thinks that the development paths of new rural cooperative medical system come of traditional cooperative medical system,the social security in cities and commerical insurance system.It is concluded that formal social security institution arrangement should be based on the economic,social and cultural characteristics of different areas and combined with informal social security systems,and that the 4 optional organizational patterns of rural social medical insurance are put forward.