Effect Of New Rural Cooperative Medical System On Poverty Reduction Based On The Prospective Of Vulnerability To Poverty

The anti-poverty work in rural China has made tremendous progress in the past 30 years.By 2017,there were 28 poverty-stricken counties in the country,and 12.89 million people were out of poverty.At present,most of the research on poverty has adopted static indicators and stayed at the level of ex ante estimation.Due to the impact of various uncertainties,those who have already left poverty according to current standards may fall into poverty again in the future.When studying the poverty reduction effects of policies,we should not only focus on short-term poverty reduction,but should focus on long-term poverty reduction.In reality,the indicator of poverty vulnerability precisely solves the above problems.It represents the pre-estimation of poverty,that is,the possibility of a person or a family facing a risk of poverty in a certain period of time in the future..That is to say,the possibility of loss of family or personal welfare under various negative shocks.Among the various policies introduced by the government to solve the poverty problem,the new rural cooperative medical care system is a medical insurance system for the phenomenon of "poorness due to illness" and "returning to poverty due to illness".Since 2003,in the principle of multi-party fundraising and voluntary participation of farmers,the pilot area of new rural cooperative medical care has been increasing.According to the website of the Health Planning Commission,as of the end of June 2013,the national population of 820 million people,the participation rate reached 99%.Since the implementation of NCMS,many scholars have studied the poverty alleviation effect of the new rural cooperative medical policy.This paper studies the long-term poverty reduction effect of the new rural cooperative medical policy from the perspective of poverty vulnerability.The data used in this article is from the China Health and Nutrition Survey(CHNS)data set.The questionnaire covers geography,economic development,public resources and health indicators.In addition,detailed community data was collected in food markets,health facilities,family planning,officials,and other social services and community leadership surveys.This part of the community data was submitted to the University of North Carolina at Chapel Hill for approval.The survey covered 9 provinces(Liaoning,Heilongjiang,Shandong,Jiangsu,Henan,Hubei,Hunan,Guangxi,Guizhou).Since the NCMS began piloting in 2003 and has been popularized in 2009,this paper selects 2000 and 2004.Data for 2006 and 2009.Since the implementation of NCMS is rural households,we have retained data from rural observation points and excluded households with missing important variables such as income and insurance,and only retained families who participated in the survey for four years,forming a family of 846 families.,a parallel panel dataset of 3384 observations.This paper first introduces the concept and measurement methods of household poverty vulnerability,and calculates standards of 2300 yuan/day and 2 dollars/day.According to this paper,the panel data bidirectional fixed effect model and the panel data Probit model empirically analyze the impact of the implementation of the new rural cooperative medical policy on the vulnerability of participating households.In addition,the paper also carries out endogenous and robust testing,mainly using tools.The variable method and the double difference method,the two methods testify the conclusion of the two-way fixed effect model and the panel data Probit model.In conclusion,this paper concludes that the participation of NCMS can significantly reduce the vulnerability of sample poverty through two-way fixed-effect model empirical and panel data Probit model,indicating that the new rural cooperative system is helping rural residents to resist "poor disease due to illness" and "disease due to illness".The risk of returning to poverty has played a positive role.The reliability of the above model was proved in the instrumental variable method and the double difference method,and it was confirmed that the poverty vulnerability of the group participating in the new rural cooperative group was significantly lower than that of the unjoined group.In view of the above research conclusions,this paper starts from the two aspects of poverty vulnerability and new rural cooperative medical policy.Based on the precise thinking of General Secretary Xi Jinping on poverty alleviation,the paper puts forward relevant policy recommendations from the perspectives of precise poverty,precise assistance and precise management.