The Fairness Research To The New Rural Cooperative Medical System

The new rural cooperative medical system is the important component of China social new rural medical security system in special background. Since long-term, China's rural at the blank area of medical insurance system. There are plenty of phenomenons that many farmers become poor or return poor due to sickness. It is an insurmountable gap between the socialist harmonious society and now. It was during this time the new rural cooperative medical care system into China's vast countryside. As the first counties, Dujiangyan, Chengdu, into the new rural cooperative medical care system, explore the development mode and the development idea actively, and combined with large-scale spread invent the Chengdu mode, to coordinate urban and rural medical insurance of allSince 2003, the pilot in Chengdu has opened many kinds of operation mode with remarkable achievement about design, financing management, benefit compensation management and fund management, but there were also some questions. One of all is the important content on the fairness.This article combine the principle and method, such as Los lenze global curve, Gini coefficient, concentration index, concentration curve and Kakwani index, using the statistical data from 2006 to 2010 of Chengdu's agriculture area, Sichuan province, analysis the fairness of the financing and benefit about new rural cooperative medical care system. The analysis results show that it is fair to every person in per capita income relatively is fair, and in vertical direction, it exist inequality on the personal fundraising aspects, but this unfair subsidies by the government fiscal relief. In compensation, outpatient service compensation is superior to the overall level of hospital compensation, and the tendency is still in fairness.The new rural cooperative medical system of Chengdu as the major aspects social security system's influence by such as local economic development, the economic factors per capita income obviously. These factors directly influence to the medical service to farmers trade-off such as line-start-pay, top-line and reimbursement ratio, related to condition of realizing compensation so closely benefit of farmers, in order to have medical maximization, the main foothold is still regional economic development and its system internal construction, through economy based on system design to financing and benefit good balance.