记得费孝通先生在《乡土中国》一书中曾写道:“做工业的人可以择地而居,迁移无碍,而种地的人却搬不动地,以农为生的人,世代定居是常态,迁移是变态。”然而,时过境迁也。随着产业结构的调整,城镇化进程的加快,当今社会,人的迁徙流动已是常态,早先针对人群、区域、户籍不同而设计的城市和农村的医疗保险制度,因“制度分设、管理分割、经办分散”的原因,显现出重复参保、财政资金重复投入、社会设施重复建设等诸多问题。为此,《“十二五”期 I remember Mr. Fei Xiaotong wrote in his book “Local China,” that “people who do industrial work can live in an undisciplined manner and migrate without any obstacle. However, people who cultivate their land are immobile and people who depend on agriculture live , Generational settlement is the norm, and migration is perverted. ” With the adjustment of the industrial structure and the acceleration of the process of urbanization, in today’s society, the flow of people is the norm. The medical and insurance systems in urban and rural areas that were originally designed for different populations, regions and residences, Split, handle scattered “causes, showing repeated insurance, repeated investment of financial resources, social facilities and many other issues of duplication. To this end, ”“ second five ”period