昆山市正仪镇合作医疗“保两头放中间”模式的实践和讨论沈慰如，杨海人（江苏省昆山市卫生局２１５３００）农村合作医疗因受到投入机制──农民的经济收入和卫生意识的制约，基金的增长明显滞后于医药费用上涨的幅度，支付能力和补偿功能因而极其有限，常常陷入捉襟见肘... The practice and discussion of “maintaining two in the middle” model of cooperative medical care in Zhengyi Town, Kunshan City Shen Weiru and Yang Hairen (Health Department of Kunshan Municipality, Jiangsu Province, 215300) The rural cooperative medical care system was constrained by the input mechanism of farmers’ economic income and hygiene awareness. The growth has obviously lagged behind the rise in the cost of medicine. As a result, the ability to pay and compensation have been extremely limited, and they have often fallen into disarray...