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本文认为中国仍处在并将长期处在社会主义初级阶段,广大农村在相当长一段时期的人均收入、医疗支付能力还处于低水平线。因此维护“低水平、广覆盖”的合作医疗成为保障农民初级医疗的合理机制,农村合作医疗保障制度仍有其存在的必要性,这就要求在集体经济环境缺失、合作医疗缺乏坚实的经济基础条件下,政府应该发挥主导作用为合作医疗提供财政,使我国的农村医疗保障制度真正体现社会公正。同时,现阶段我国的生产力水平决定新的农村医疗保障模式应是一个多元化的、充分考虑成本效益的制度。
This article believes that China is still in and will be in the primary stage of socialism for a long time. The per capita income and medical payment capacity of rural areas for a long period of time are still at a low level. Therefore, maintaining “low-level and extensive coverage” of cooperative medical care has become a reasonable mechanism for ensuring primary medical care for farmers. The rural cooperative medical care guarantee system still has its necessity. This requires the lack of a collective economic environment and the lack of solid medical cooperation. Under economic conditions, the government should play a leading role in providing finance for cooperative medical services, so that our rural medical security system truly reflects social justice. At the same time, the current level of productivity in our country determines that the new rural medical security model should be a diversified system that fully considers cost-effectiveness.