中央决定对中西部和一些经济困难地区参合农民合作医疗补助资金翻番后，地方政府也会加大这方面的投入。如何管好用好农民的这些救命钱，对各地和各级政府的管理能力和管理水平，提出了更高的要求。试点之初，国务院就明确提出了公开、公平、公正和以收定支、收支平衡的基金管理原则，要求专款专用，专户存储，不得挤占挪用。国务院有关领导也反复强调，要按照“钱账分离、封闭运行”的方式管理基金。事实上，在两年多的试点中已经发现，一些地方在新农合基金的管理和使用上仍存在问 After the central government has decided to double the subsidies for cooperative medical assistance for farmers in the central and western regions and some economically difficult regions, local governments will also increase input in this area. How to make good use of these life-saving money for peasants, put forward higher requirements for management capabilities and management levels of local governments and governments at all levels. At the beginning of the pilot project, the State Council clearly put forward the fund management principles of being open, fair, equitable and balanced with income, expenditure, expenditure, and balance. It requires special funds to be used for special accounts, and must not be misappropriated. The relevant leaders of the State Council have repeatedly stressed that funds should be managed in a way that separates and separates money accounts. In fact, in more than two years of trials, it has been found that some places still have questions about the management and use of the New Rural Cooperative Fund.