贫困地区合作医疗筹资的可行性,在很大程度上受到农民对合作医疗的支付能力和意愿支付水平的影响。但目前国内对农民支付能力的研究较少,本文利用扩展线性支出系统来研究农民的客观支付能力。研究结果表明:在农村贫困地区,一般人群的合作医疗筹资应以个人投入为主,而特困和贫困人群的合作医疗筹资应以政府和集体支持为主。 The feasibility of financing co-operative medical care in poverty-stricken areas is, to a large extent, affected by the farmers’ ability to pay for the cooperative medical care and the willingness to pay. However, at present, there is little research on farmers’ ability to pay. This paper uses the extended linear expenditure system to study the objective payment ability of farmers. The results of the study indicate that in rural poor areas, the general population’s financing for cooperative medical care should be based on individual input, while the financing of cooperative health care for extremely poor and poor people should be based on government and collective support.