河北省迁安市是一个县级市,2003年3月,迁安市成为全国新型农村合作医疗制度首批试点之一。2004年,迁安市共有542625位农民参加新型农村合作医疗(部分外出打工的农民除外),占农业总人口的95.05%,农民自筹及各级财政配套资金共1898万元。迁安市新型农村合作医疗制度的建立坚持了“以市(县)为单位统筹”、“个人缴费和政府资助相结合”、“实行大病统筹”等三项原则。其收费和实 Qian’an City, Hebei Province is a county-level city. In March 2003, Qian’an City became one of the first pilots of the new rural cooperative medical system in China. In 2004, a total of 542,625 farmers participated in the New Rural Cooperative Medical Care (except for some peasants who had gone out to work) in Qian’an City, accounting for 95.05% of the total agricultural population. The farmers’ self-financing and financial support funds at all levels totaled RMB 18.98 million. The establishment of the new rural cooperative medical system in Qian’an City adheres to the three principles of “coordinating with the city (county) as a unit,” “combining personal payment with government funding,” and “implementing the overall plan for serious illnesses.” Its charges and real