Policy Analysis And Institution Arrangement Of Rural Cooperative Medical System

Health is the eternal pursuit of human beings whenever evolution happens. Befor reform, China's rural cooperative medical system was well-known for its low cost and high availability. With the deepening of rural reform, this medical system gradually came to the end. Since 1990s, China has launched the movement of rebuilding rural medical system, but the result is not satisfying. Now, in the rural area, people have almost no security except family security. Many rural people fall into or go back to poor conditions because of illness.Experience has proved that health care does not automatically develop with the economy. China's social security system has been puzzled by the problem of unfairness. China's rural security is now facing the serious problem of fund-raising and institition arrangement. The degrading of health care and the low productivity of sanitary sectors will eventually spoil the economic increase and sustainable development. Therefore, good sanitary policies and strong leadership are necessary for the synchronous development of health and economy and they are also the requirement of economic sustainable development.Beginning with the analysis of externalities and the characteristic of semi public product, the author made the policy analysis of cooperative medical system. Using the modern insurance and economics for reference, the author studied the internal characteristics of sanitary service and analysed the running mechanism of cooperative medical system. On this basis, the author tried to make some suggestionsfor the institution and organization arrangements of cooperative medical system.The essay is composed of 5 parts:The foreward beginned with the absence of rural health security and the difference of sanitary service in urban and rural areas. The author pointed out the necessity of establishing health security system and put foreward the studying methods and angles of this essay;The first chapter systematically introduced the history of rural cooperative medical system and the available study results in this area;The second chapter gave the factors which influence the running of rural cooperative medical system first, then studied the internal characteristics of rural cooperative medical system. It focused on the analysis of externalities and the characteristic of semi public product as well as the moral hazzard and adverse selection;The third chapter first analysed the factors which influence the running of rural cooperative medical system with the method of policy making. Then the author made the suggestions for solving moral hazzard and adverse selection;The fourth chapter made further analysis for the key point of rural cooperative medical system, that is fund-raising problem, and offered the choices for institution improvement.