| In China community, the topic-medical insurance has increasingly raised greatconcern and has become the main job of our government. In order to improve people’shealth, promote implementation and realize its basic fairness of urban and rural medicalinsurance, the18th party congress report has proposed related objectives andrequirements.The goal, protecting the right to health for urban and rural residents and realizingurban and rural development, is also the concrete manifestation of China Dream. Withthe deepening of reform and opening, we have established three basic medical insurancesystems including urban residents basic medical insurance, basic medical insurance andnew rural cooperative medical insurance which basically provide insurance forresidents’ health and reduce the burden of medical treatment. But the medical insurancesystems in urban and rural areas are not the same due to features of long-establishedurban and rural economy. The current medical insurance systems can not adapt to newproblems such as funding and medical system indemnity standards and relevant unitssetting due to steady economic and social development, more frequent populationmovements and the changing role of urban and rural residents. To let everyone enjoyequal and fair medical resources these new issues are needed to be solved as soon aspossible.Based on welfare economics, social equity and market failure theory, this paper,taking Shanxi Province as study area, analyzed generation and development of its basicmedical insurance systems in urban and rural areas the influence of its dual features onsocial development, and described its dual features. And the unfairness of basic medicalinsurance system is also included in this article. To carry out reform and improve thebasic medical insurance system, some comments and suggestions are proposed aftercomparatively successful experience and practice abroad, and the actual situation inShanxi Province are taken into consideration. |
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