我国二元经济结构决定了医疗保障体系从诞生起就缺乏“公平”的营养素。在医疗保障制度的改革与发展中,农村医疗保障也未得到应有的发展。在农村,医疗保障覆盖率低,卫生资源匮乏,国家卫生投入少,医疗卫生服务能力落后及可及性和可得性差等问题的存在使农村医疗保障成为“三农”难中之难,重中之重。建设公平的农村医疗保障是增进经济建设效率的基础,也是建设和谐社会的应有之义。 The dual economic structure of China determines the lack of “fair” nutrients from the birth of the medical security system. In the reform and development of the medical security system, rural medical security has not been properly developed. In rural areas, medical insurance coverage is low, health resources are scarce, national health inputs are low, medical and health services are outdated and accessibility and availability are poor, and rural medical insurance has become difficult in rural areas. The most important thing. Constructing a fair rural medical insurance is the basis for enhancing the efficiency of economic construction, and it is also a proper meaning for building a harmonious society.