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在形式上,新型农村合作医疗是对大病重病的风险分摊机制,但从政府推行的政策意图来看,实际上是要实现人人参与的基本医疗保障模式;事实上政府转移支付成为筹资的主要来源。由于公共财政的强力参与,尽管强调农民“自愿”参加有其现实的理由,但不符合制度范围内的全体居民均参加以体现公共财政公平性的理论要求。新型农村合作医疗通过增强“自愿”基础上的吸引力,将最终走向“强制”的社会医疗保险。
In terms of form, the new rural cooperative medical system is a risk-sharing mechanism for serious illness and serious illness. However, in terms of the policy intent pursued by the government, it is actually a basic medical guarantee mode for all to participate; in fact, government transfer payments become the main sources of funding source. Due to the strong participation of public finance, despite the factual reasons for emphasizing the participation of peasants, all residents who do not meet the requirements of the system are required to participate in the theory to reflect the fairness of public finance. New Rural Cooperative Medical System will eventually move toward “compulsory” social health insurance through the enhancement of “voluntary” basis.