社区治理模式转型下的农民参与“新农合”分析--以内蒙古姚村为例

New Rural Cooperative Medical Scheme Viewed against the Mode Transformation of Community Management:A Case Study of Yaocun in Inner Mongolia

以往对农民参与新型农村合作医疗(简称"新农合")的研究缺乏从农村社区治理视角的分析。以内蒙古姚村农民参与"新农合"为例,从社区治理模式转型这一视角分析农民在参与"新农合"制度中存在的不足,认为农村社区治理模式在由宗族型向由自治组织型的转变中,农民参与社区公共事务在参与决策制定、参与过程和参与结果的掌控方面存在缺乏组织依附、自我管理差的不足。加速自治组织的完善,克服农民的原子化倾向,提升农民社区参与程度,才能保证惠农支农政策的实施。

There has long been a blind spot in the study of peasants＇ participation in the new rural cooperative medical scheme （ NRMS in short） , especially from the angle of community governance. Taking Yaocun, a village in Inner Mongolia as an example and viewing the issue against the mode transformation of community governance in rural areas, the paper analyzes the drawbacks of peasants＇ participation in the NRMS： while the managing pattern in rural communities is changing from a patriarchal mode to a democratic self-governance, the lack of organization affiliation and inadequate self-governance prevent peasants from playing an effective role in making decisions and supervising the implementation of the decisions. Therefore, an effective implementation of the peasant supporting policy depends on speeding up the construction of qualified self-governance organizations in rural communities, helping the peasants rise above their atomized existence, and enhancing their involvement into community affairs.