The Policy Suggestions To The Sustainable Development Of Medical Aid For Poor Population In Shanghai

With the development of market economy and the adjustment of industrialStructure and the sharp transformation of social structure in china: the medicalaid for the poor population is becoming increasingly serious issue. The problemof poor population has been concerned specially by the society. Thesocio-economic in Shanghai developed rapidly, and the living standards of urbanand rural residents increased substantially in the past30years of reform andopening-up. However, the gap between rich and poor are becoming more andmore serious, meanwhile the impoverishment of peri-urban areas appears day byday. Poor people not only get low incomes and lack health insurance, but alsoenjoy under-utilization of health services and poor health standards. So far, it isstill in the early stage for medical aid to poor population in China. Shanghai isan important birthplace of medical succor in China. In1990, Shanghai took thelead to pay medical aid to the destitute population. Over the past two decades, despite the continuous development of medical aid work, such as: covering morepopulation, rising levels of aid. There are still a number of problemsencountered in practice, such as: the object is not easy to define, the narrowscope of succor, the low aid standards, lack of funds, time lag and so on. Allthese could lead the poor equity and low accessibility to the aid. Problems like"can not afford to see doctor","can not afford medicine,""can not fee" still exist.Therefore, it is of great significance for strengthening the medical insurancesystem and improving social assistance system to study the sustainabledevelopment of medical aid to the city’s destitute population, pursue the fairnessof the medical aid, enhance the possibility for destitute population to receivebasic medical services, improve their quality of life, and reduce theirvulnerability of social tolerance on the practical situation of Shanghai.This text is made up of five parts. The first section describes the purpose ofthis study, the meaning of the subject, research methodologies and the researchand views in current medical aid field, the characteristics and innovation of thepaper, and the structure of the text; the second part is based on theoretical studyand makes a retrospective review of the concepts of poverty, poor standards,social assistance, medical assistance, and the minimum standard of living; Thethird part discusses the development of medical aid system for destitutepopulation in Shanghai, reviews the operation of the existing system, doescertain data analysis, and summaries the existing problems; the fourth part is acomparative study on the medical aid system for the destitute population in the developed countries (U.S., Canada), moderately developed country(Singapore),and developing countries (Korea, Thailand), meanwhile I evaluatesand summaries their experiences to success in this part. In the fifth part, Iproposed the policy suggestions to the sustainable development of medical aidfor poor population in Shanghai on the present condition of economy, socialdevelopment.What’s new in this paper is that I carry out empirical analysis concerns thedevelopment history of Shanghai’s medical succor system, and discuss how tofurther consolidate and improve the medical succor system from the currentchange of scale and character of poor people and the development of society andeconomy in transition period of Shanghai. In pursuit of the fairness of medicalsuccor and the improvement the health of poor people, I put forward that wehave to determine the scope of Medicaid coverage, content, level ofcompensation scientifically; make integration between the basic medicalinsurance that almost cover the whole resources in the urban and rural area;actively explore the platform shared by both medical and health services system;and gradually build a fair, efficient, cooperating, and feasible developingstrategy for the medical succor system in Shanghai.