In 2003, China initiated the New Rural Cooperative Medical Scheme (NRCMS) in order to provide basic health care coverage for the rural population. However, the NRCMS has had a marked impact on rural-urban labor mig...In 2003, China initiated the New Rural Cooperative Medical Scheme (NRCMS) in order to provide basic health care coverage for the rural population. However, the NRCMS has had a marked impact on rural-urban labor migration as its current regulations present a barrier for cross-region participation in the NRCMS, and its reimbursement system is biased when the enrollees seek medical services outside their location of hukou, a household registration system in China. This paper performs a variety of empirical tests on a panel data set from the China Health and Nutrition Survey (CHNS) to study how the NRCMS affects rural residents' work location choices. We observed a "locking effect" on potential rural migrant workers and a "pulling effect" on existing ones. According to the results, the NRCMS has discouraged rural residents from working outside their location of hukou, lowering the probability of relocation by 3.52 percent. Meanwhile, the NRCMS system actually encourages existing migrant workers to return home. This paper concludes that the NRCMS has to some extent restrained the free flow of the labor force and exacerbated the migrant worker shortage.展开更多
基金This paper is sponsored by the MOE Young Scholars Fund Project of Humanities and Social Sciences, New Rural Cooperative Medical Scheme and its Implication for Work Location Choices of Migrant Workers: A Comparison Study between the New Rural Cooperative Medical Scheme (NRCMS) and the Urban Resident Basic Medical Insurance (grant 20Y.1C790206), and Distinguished Young Scholars Fund Project of the National Natural Science Foundation of China,Intergenerational Transfer Mechanism of Human Capital and its Impact on Social Mobility in China: A Theoretical and Empirical Study" (grant 71103009).
文摘In 2003, China initiated the New Rural Cooperative Medical Scheme (NRCMS) in order to provide basic health care coverage for the rural population. However, the NRCMS has had a marked impact on rural-urban labor migration as its current regulations present a barrier for cross-region participation in the NRCMS, and its reimbursement system is biased when the enrollees seek medical services outside their location of hukou, a household registration system in China. This paper performs a variety of empirical tests on a panel data set from the China Health and Nutrition Survey (CHNS) to study how the NRCMS affects rural residents' work location choices. We observed a "locking effect" on potential rural migrant workers and a "pulling effect" on existing ones. According to the results, the NRCMS has discouraged rural residents from working outside their location of hukou, lowering the probability of relocation by 3.52 percent. Meanwhile, the NRCMS system actually encourages existing migrant workers to return home. This paper concludes that the NRCMS has to some extent restrained the free flow of the labor force and exacerbated the migrant worker shortage.