The Central Committee Of The Communist Party Of The China &.the State Council, The Decision On Further Strengthening The Work Of Rural Health

As a developing country which owns large rural population, People Republic of China is in the process of great society transformation.The agriculture-countryside- peasantry problems have been the crucial restricted issues both in the economy continuous healthy development and the comprehensive well-off society construction. The core issues of three rural problems lies on peasantry problem. One origin of this problem is the deficiency of effective social insurance system, especially in the endowment and medical care. In the view of peasants who contribute 53.4% to total population, unable to undertake medical expense is the main issues they concern and also has been the secondary primary reason which affect rural social stability. In the past 30 years since the reform and opening up, and following with growth of living standard, the medical insurance lopsided development become the focus concern by state and all circles.In October 2002, the CPC Central Committee and State Council promulgated the'CPC Central Committee and State Council, the Decision on Further Strengthening the work of Rural Health'. The decision has first proposed a new concept of rural cooperative medical care system:'According to the general requirement for building a well-off society in an all-round way and the third strategic goal of socialist modernization drive, Chinese rural areas set up rural health service system and rural cooperative medical care system which can basically meet the needs requirements of socialist market economy system and the rural socio-economic development in 2010.'It requires that Chinese rural areas should establish a mutual supply of rural health system gradually that with the major task of comprehensive arrangement for the serious illnesses. It should be organized, lead and supported by the government. The funds is raising from the individual, collective and multi-sets of the government. Farmers are voluntary to join in this system. By proposing and implementing the new rural cooperative medical system, the phenomenon of peasants poverty caused by illness can be reduced. It is improving the medical condition for the rural residents that medical treatment is difficult and expensive. Therefore, the new rural cooperative medical system is largely contributed to the development of agricultural economy and rural social stability. However, many problems are exposing as the depth carry out of this system. In the first, this article introduces the new rural cooperative medical system in the theoretical principle and theoretical system. In the second, the comparison and analyzation of the cooperative medical care system between the new and traditional rural area was taken based on the historical evolution of the rural cooperative medical care since 1949. Thirdly, it discusses the inevitability and feasibility of the new-type rural cooperative medical system from the actual national conditions. The fourth part of the article introduces four different kind of medical care insurance systems which are widely used in the world. It takes the examples of the British free medical care insurance system, Japanese social medical care insurance system,American commercial medical care insurance system which is oriented by the market and Thailand communities medical care insurance system. The four kinds of medical care insurance system give the suggestion to Chinese new-type rural cooperative medical care. Finally, based on the issues above, there are several specific measures which were detailed to improve the cooperative medical system in the new rural area of our country: strengthen the supervision of legislation, to establish a stable and perfect funding mechanism, innovate the mechanism of compensate, enhance the accessibility and availability, establish a sound management system, etc.Comprehensive medical insurance system, which is a basic guarantee for rural economic development and the social progress, is still the important symbol of the advanced modern civilization. moreover, with promoting rural health care reforms, particularly for the enhancement of the rural cooperative medical care system and meeting the medical needs of rural residents, it is both theoretically and practically significant for rural area to reduce the medical risks of famers, improve the quality of famers' living, promote agricultural and rural economic prosperity and reinforce the reform and opening.