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我国农村新型合作医疗制度是一项旨在促进社会公平、协调发展的战略性政策,然而,这项惠及七亿六千万农村人口的政策仍存在一些制度设计上的缺陷和实践中面临着许多挑战。虽然决策层对其在维护医疗公平和保障有效方面有所考虑,但仍然存在城乡医疗公平失衡,以及政策定位或执行偏差导致新农合并没有发挥其应有保障效度等问题。要使新农合健康、可持续发展,这就要求在立法规制时探究政策价值取向。
The new cooperative medical system in rural areas in our country is a strategic policy aimed at promoting social fairness and coordinated development. However, there are still some institutional design flaws in its policy to benefit 760 million rural people and many face the practice challenge. Although decision-makers have considered them in the aspect of safeguarding medical fairness and guaranteeing effectiveness, there still exist such problems as the fair imbalance between urban and rural medical services, and the deviation of policy orientation or implementation, resulting in the fact that the new rural cooperatives have not performed their due validity. To ensure the healthy and sustainable development of NCMS, it is necessary to explore the orientation of policy values in the legislative regulation.