随着医疗卫生体制的市场化改革和农村合作医疗的解体 ,农民失去了最基本的医疗保健 ,农民健康问题日益突出。合作医疗并不具有普遍适用性 ,不可能再成为新时期农村医疗保障制度的主要形式。应因地制宜 ,根据当地的经济发展水平灵活选择医疗保障模式 ,不能拘泥于千篇一律的模式 ,徒劳地寻求一劳永逸的模式 ,应该建立多层次的农村医疗保障体系。应特别强调国家在解决农民医疗保障问题上的重大责任 ,国家需要在农民医疗保障的制度设计和财政投入方面 ,采取更加积极的态度和措施 With the market-based reform of the medical and health system and the dissolution of rural cooperative medical care, peasants have lost their most basic medical care and peasants’ health problems have become increasingly prominent. Cooperative medical care is not universally applicable and can no longer be the main form of rural medical security system in the new era. Should be based on local conditions, according to the local level of economic development flexibility in the choice of medical security model, can not rigidly adhere to the stereotyped pattern, in vain to find a once and for all mode of operation, should establish a multi-level rural medical security system. Special emphasis should be placed on the major responsibilities of the state in resolving the issue of peasants ’medical security. The state needs to take a more positive attitude and measures in the system design and financial input of peasants’ medical security