中国是一个农业人口占多数的国家,农民的健康水平直接影响到国家的卫生发展水平。“2000年人人享有卫生保健”是世界卫生组织提出的全球性战略目标,我国政府已在1986年作出承诺,保证目标实现。要实现这一目标,重点在农村,难点也在农村。中国农村幅员辽阔,经济总体水平偏低且发展不平衡。选择适合农村现状的医疗保健制度,对于提高广大农民健康水平,实现全球性战略目标至关重要。 合作医疗制度和在改革中出现的各种医疗保险制度,都是我国医疗保健制度的重要组成部分,但合作医疗与医疗保 China is a country with a majority of agricultural population. The health level of farmers directly affects the level of national health development. “Health care for everyone in 2000” is a global strategic goal proposed by the World Health Organization. Our government has made a commitment in 1986 to ensure that the goal is achieved. To achieve this goal, the focus is on rural areas, and the difficulties are also in rural areas. China’s rural areas are vast, with a low overall level of economic development and unbalanced development. Choosing a health care system that suits the status quo in rural areas is crucial to improving the health of the majority of farmers and achieving global strategic goals. The cooperative medical system and various medical insurance systems that emerged during the reform are all important components of China’s healthcare system, but cooperative medical care and medical insurance