| Health is an inevitable requirement for the advancement of mankind and all-round social development.With the development of social economy and the reform of the med ical and health system,the multi-level med ical security system is always the guarantee of people’s health conditions.Since enter ing the “Thirteenth Five-Year Plan”,Guangxi’s medical and health undertakings have made considerable progress and the overall level of residents’ health has been improving.However,throughout the country,the level of medical insurance in Guangxi is still relatively low,and the proportion of personal expend iture on medical expenses for the poor is still relatively heavy.The high cost of medical treatment imposes a heavy burden on the lives of the poor while they suffer from serious illnesses.They will finally return to poverty as they can’t afford medical treatment of their major diseases,lead ing the destruction of their families.Based on the theoretical perspective of feasible capabilities,this paper mainly analyzes the current situation of medical insurance for the poor in Guangxi.Resolving health poverty not only needs to address the subjective status of patients,but also needs to focus on economic,welfare,and policy supporting for the poor,especially those with major illnesses.At the same time,improving the ability of poor people in medical security and realizing “non-right transfer” unilateral poverty alleviation in medical security are significant.Only in these ways can we truly improve the accessibility of med ical and health services,and effectively solve the problem of poor people who have medical insurance but no protection.The main body of this article is divided into six major parts:The first part,introduction.This section introduces the background,purpose and significance of the research.Based on this,the general research content of this paper has been conceived,and the research content,research methods,innovations and deficiencies are also included in this paper.The second part specifically outlines the theory of feasible competence and the definition and scope of poverty.At the same time,it makes a systematic definition of major diseases and provides basic theoretical support for this study.The third part analyzes the current status of medical security for the impoverished population in Guangxi.Firstly,it describes the characteristics of the poverty population in Guangxi,especially the partic ipation in basic medical insurance and medical assistance to the impoverished population in Guangxi.In the fourth part,based on the theory of viable capability theory,the main problems of access to medical security for poor people in Guangxi are introduced.From the perspectives of the impoverished population’s own rights,economic conditions,social opportunities,openness and fairness,and the current institutional mechanisms,the current bottleneck problems are analyzed.In the fifth part,the main reasons for the poverty-stricken people’s “health insurance but low security” predicament were analyzed in detail.The main problems were poor people’s health issues,poor economic foundation,premature development of social opportunities,lack of knowledge of information,and reimbursement mechanisms and other safeguards.In the s ixth part,based on the theory of feas ible competence,according to the above-mentioned status,main problems and reasons,the related countermeasures and suggestions for improving poverty alleviation and medical insurance poverty alleviation were proposed. |