Research On Rural Medical Insurance Legislation

"Problems about Agriculture, Ruralareas and Peasantry" is relates the national development, a stable important subject, " The countryside medical service safeguard system is always important constituent in the social security system, stabilizes regarding the countryside and continues to develop especially has important in realistic and the long term significance: Establishes and consummates the countryside medical insurance system, not only may realize the equal rights which the farmer survives and goes see a doctor, more over may improve the national health condition, enhances the hygienic service efficiency, improves the village life quality, impels the rural economy and the human resources. However, the present medical insurance law is not flawless, a macroscopic perfect legal framework had not taken the strong backing, causes the correlation the management mechanism to appear helplessly in some realistic questions. Obviously, the countryside medical insurance legislation is urgent.This article is mainly divided into three parts:The first part, our country countryside medical insurance from two aspects the nature, on the one hand the countryside medical insurance simultaneously has the social medical service safeguard and the social security nature; On the other hand has the public product from the countryside medical insurance system the nature, manifests in five characteristics: Non- competitive, non- exclusive, external efficient, public consumption benefit as well as function inalienable. Next the artical introduced the countryside medical insurance characteristic. Mainly includes three big characteristics: As soon as has highlighted by the big sickness overall plan primarily; Two take the farmer voluntary participation as the principle; Three,it has established the countryside medical service rescue system. Finall the countryside medical insurance legislation the necessity, mainly carries on the elaboration from four aspects, as soon as is clear about the countryside medical insurance legal status the need; Two safeguards the countryside medical insurance relations all quarters right duty realization the need; Three standard countrysides medical insurance fund collection, management and use; Four standard governments behaviors, reasonably use the medical resources the need.The second part is our country countryside medical insurance system real diagnosis analysis. First carries on comprehensively, the careful introduction to our country countryside medical insurance system historical present situation, specifically divides into four times the development courses: Rural cooperatives medical service system appearance, rural cooperatives medical service system popularization, rural cooperatives medical service system decline, new time countryside medical insurance system establishment. Thus realized has the certain degree to our country countryside medical insurance the restoration and the development, but progresses slowly, but also has many arduous questions to need to solve. This part has nanalyzed our country countryside medical insurance system existence main question, the three aspects barrier: Knows in barrier, in fund barrier as well as legal barrier. Finally has pointed out the our country countryside medical insurance system flaw four big reasons: A rural economy level of development factor restriction; Two governments lack to the countryside medical insurance system implementation supervising and managing dynamics; Three governments countrysides health policy flaw; Four medical systems flaw.The third part, the legislation which carries on to our country countryside medical insurance pondered that, mainly includes three aspects. One, the legislation basic principle, specifically has five principles: Fair and welfare disposition union principle, right and voluntary equivalent principle, voluntary to compulsory transition principle, government leading or guiding principle, unified and nimble disposition union principle as well as science supervising and managing principle. Two, about the legislation level question, mainly divides into three levels: Based on hygienic guard and foundation safeguard nation basic medical insurance; Based on cooperative medical treatment new rural cooperatives medical insurance system, based on higher safeguard demand supplement medical insurance. Last the aspect mainly elaborated in our country countryside medical insurance legislation several concrete systems designs, specifically include six contents: One about the management structure responsibility question, mainly involves to the management structure establishment, the government macro economic regulation and control and the basic unit management way relations as well as the economic policy and the social policy relations. Two pair of senate guaranteeing right and the voluntary stipulation, manifests is being clear about the senate guaranteeing main body qualification sand the senate guaranteeing right and the duty specifically stipulates two aspects. Three pair of countrysides medical insurance fund collection, the use and the management, mainly have three kind of patterns: All levels of financial responsibility division of labor pattern, reverse finances the pattern, the conformity pattern. Four pairs compensate the mechanism the determination. Fourth, to compensates the mechanism the determination. Fifth, the medical system consummation, mainly includes the medical establishment function the limits, the optimized health resources configuration, the countryside drugs surveillance and the supply network construction standard, the countryside goes see a doctor in the market reasonable disposition as well as the medical service information male shows the system. Finally, the appropriate choice of each place countryside medical insurance form.