本文在回顾前人关于农村合作医疗筹资模式研究的基础上,提出了“一县两制”的筹资模式。这种创新的筹资模式从筹资与补偿两方面充分体现了其公平性。它的推行有助于解决目前农村合作医疗不能满足不同经济能力的农民需求的问题,有利于提高农村合作医疗的筹资水平和农民的受益水平。 Based on the previous research on the rural cooperative medical care funding model, this paper proposes the “one county, two systems” financing model. This innovative financing model fully reflects its fairness from both fundraising and compensation. Its implementation will help solve the current problem that rural cooperative medical care cannot meet the needs of farmers with different economic capabilities, and will help raise the level of rural cooperative medical care funding and farmers’ benefit level.