新型农村合作医疗制度分析

目前中国政府下大力气推动新型农村合作医疗制度的试点工作,政府成为农村初级医疗保障制度创新的外在推动力,但以法律为基础的制度建设滞后,建立新型农村合作医疗的制度保障没有确立;还缺乏推行合作医疗政策和合作医疗立法的原动力,即承担新型农村合作医疗制度主体角色的农民,多数缺乏参加合作医疗的能力、主观积极性;作为主体的农民更多的时候是被动地接受各种规定,缺乏农民参与决策、管理和监督的机会;新型农村合作医疗制度存在内在缺陷。

Analysis on New Rural Cooperative Medical System

Chinese is working vigorously to promote the pilot work of new rural cooperative medical system.The government has become the external driving force in the systematic innovations of the rural preliminary medial care security systems,but the institutional construction based on laws has lagged behind;the guarantee of the new rural cooperative medical system is missing;the policy and the impulsion for the legislation on cooperative medical systems are nowhere to be found.Most of the farmers,who are the major players in the new rural cooperative medical systems,lack the ability and the initiatives to participate in the cooperative medical,and most of the times,farers have to be pushed to accept various regulations and stipulations.Without farmers' participation in policymaking,management and supervision,the new rural cooperative medical system has an inherent flaw.