The Effect Of The New-type Rural Cooperative Medical System Alleviating The Poverty Due To Illness And The System Optimization Advice

New-type Rural Cooperative Medical System (NRCMS) is established to serve the broad masses of peasants in China and to meet farmers’ demand for medical treatment. The development of this system in the country expanded very quickly. It has made encouraging achievements for our health care system.China is an agricultural country. Issues of farmers have always been valued. NRCMS is made to resolve the traditional issue of "poverty due to sickness". NRCMS is one of the safeguards with Chinese characteristics, which is different from other developed countries. Development of Chinese New-type Rural Cooperative Medical System can’t copy the advanced experience of other States. Suitable system for Chinese development must be established in conjunction with actual conditions and cooperative medical care system.Currently, studies of the NRCMS are focused on the evaluation and optimization, which did not form a unified system in Chinese scholar’s. They proposed in their own system and data for evaluation. Therefore, selected data became the main part of this kind of study, which is also the emphases and difficulties of this research.The original directions in this article was to test the degree of mitigation for "poverty due to sickness" by the NRCMS. Incomes of peasant families are relatively low, and physical health is closely linked to family income when coupled with the restrictions of knowledge level. We finally set up the NRCMS after a long blank period. The state treasury invested a lot of money and resources for NRCMS. At the same time, related documents in China can be found. While Chinese scholars for the NRCMS are mostly focused on the issues for poverty, poverty rates, or some single analysis etc.This paper is divided into five sections.Chapter one focus on the background of Chinese rural cooperative medical system, and leads to the main purpose of research content, ideas and methods of this research, and draw a conclusion of this research.Second chapter analyzes development of the New-type Rural Cooperative Medical System, and draw a brief conclusion of NRCMS.Chapter three is a key part of this article, which is also the most difficult part of this work. As the index of the assessment of NRCMS is not uniformed, we made it by establishing an effected index to analyze the problem. The data of China Health and Nutrition Survey (CHNS) showed that in the past11years we have made some achievements, but nine provinces have little effect on the problem of "poverty due to sickness". The effect was not obvious, or dose not reach its scheduled target. By improving the data of medical expenses reimbursement of NRCMS level, the relieve degree of increase is not very obvious. It showed that the NRCMS may have some aspects of system design and implementation issues, which lead to the implementation of NRCMS’s effect have not been expected, and does not solving peasants’ problems.Fourth chapter provides an analysis of the gaps and weaknesses. On the base of working, we propose a number of possible systems based on tuning recommendations. Although there had been some success, but the effect is not obviously. It needs to be reformed and make a better service for Chinese farmers.The fifth chapter is the recommended optimization for NRCMS and the summary section of this article.This paper adopts the method of literature analysis and empirical method in the process. Firstly, we summarized the basis of the analysis based on reading and analyzing lots of literatures and related provisions, obtaining our scholars in the study of NRCMS research on "poverty" problem among the various views and conclusions. The most important part of NRCMS is to ease the "poverty due to sickness". Therefore, establishing evaluation system has become the most important and also the most difficult part of this research. The relief ratio rate and poverty rate are the degree index of the new rural cooperative medical system for the "poverty" problem. This setting can change the traditional absolute value as the measuring index into the relative value, which could show the effect of NRCMS directly. And the relative value to measure is not affected by the number of sample selection, or sample data and group characteristics influence. The existing problems were analyzed after the data analysis which is based upon the results for the NRCMS. And using CHNS data for analysis based on the studies of other scholars put forward a new set of indicators.This paper argues that the analysis based on the data of NRCMS in the mitigation effect is not obvious. It leads to the analysis and system optimization.Through the analysis in this paper we know that the NRCMS only has a limited effect for the issue of poverty due to illness. There are a lot of factors of poverty caused by Chinese farmers. As the goal of the NRCMS to reduce farmers’ burden of medical expenses play a certain role in the implementation of relief. And there are some deficiencies in New-type Rural Cooperative Medical System for medical consumption. The reducing effect of the NRCMS for poverty alleviation is not obvious. At the same time, the study is limited by data. If we can establish a new database, research for the implementation effect of the New-type Rural Cooperative Medical System can be more objective in the future.