Research On Sustainability About The Financing Of The Cooperative Medical System In The Poverty-stricken Areas

The Rural Cooperative Medical System (CMS) is one of the focal points of China' s rural hygiene work, its purpose is to provide the basic medical treatment service for peasants, lighten peasant's disease financial burden, prevent the problem of poverty caused by illness, promote development of rural economy and social stability. Peasants approve CMS and pay the fees, is the first step in the functioning of the system, and the whole system that set up and operated foundation and prerequisite too. Therefore, it is the precondition that CMS operates to raise funds, and is also the most important key point which it realizes moves continually. However, the financing question has been puzzling the development of CMS all the time, and the financing system unreasonable has been the essential reason which the tradition CMS declines, disintegrates;Meanwhile, the system remains imperfect plaguing the new rural cooperative medical care, and hinder it from ensuring the development of the system to the Health Care Security System seriously.This paper tried to use the elementary theory of the new institutional economics to explain and analyze the financing mechanisms changes, as well as through the system vicissitude, the institutional innovations theory takes the main analysis frame, and systematically studies the medical fund raising environment, the rural cooperatives medical service nature, the fund raising institutional arrangements. Because CMS is a social system engineering, and germinates and develops under the particular environment. Studying its sustainability, has to analyze to the system environment which depends on. In this paper, the author obtains the development trend of CMS is t the Health Care Security System initially by analyzing the system environment in the poverty-stricken areas, thus had determined a main key for, its financing not only achieve long-term sustainable operation, but also impel NCMS to transit smoothly to the Health Care Security System. Under the guidance of this goal, this paper presents a new type of the financing mechanisms and principles, then proposes the corresponding countermeasure to improve the financing mechanisms from the visual angle of two fund-raising subjects of government and peasant.