A quasi-natural experimental study of the rural-urban medical insurance integration and the governance of relative poverty in rural areas
Promoting the equalization of basic public services and preventing the risk of relative poverty in rural areas are the inherent requirements for consolidating and expanding the achievements of poverty alleviation,and promoting the common prosperity in rural and urban areas.Based on the data of China Health and Retire-ment Longitudinal Study from 2013 and 2018,along with that of China Household Finance Survey from 2013 and 2019,this paper empirically tests the impact of the rural-urban medical insurance integration on the relative poverty vulnerability in rural areas according to the PSM-DID model.The results show that the rural-urban medical insurance integration significantly reduces the vulnerability of relative poverty in rural areas.This impact is more significant in the low-income and the groups affected by major diseases;however,the impact on patients with chronic diseases is not significant.Furthermore,the effects that the rural-urban medical insurance integration reduces and prevents poverty show a downward trend as the standards of vulnerability improve.A test of mechanism indicates that the medical expenditures,health,labor participation,and family asset accumulation are the important channels.Accordingly,this paper puts forward the policy suggestions to promote the long-term governance of relative poverty in rural areas in terms of the dynamic identify of the relatively poor population,the promotion of aid and guarantees for all those who qualify for help,the improvement of substantially medial aid levels in rural areas,and the practice of performance evaluation of poverty alleviation.
rural-urban medical insurance integrationrelative poverty in rural areaspoverty vulnerability
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