How to transform rural medical insurance into social security? At present, the rural areas are implementing the "new rural cooperative medical care", while the cities are "medical insurance for urban residents" and "medical insurance for urban workers". There is no connection between them and they cannot be transferred to each other. However, if farmers have jobs in cities, they can participate in urban medical insurance with their work units. Farmers' household registration is transferred to cities and towns, and those who have no jobs can participate in urban residents' medical insurance.

First, the basic medical insurance premiums paid by employers and individual employees, and the social insurance agencies shall establish individual accounts for basic medical insurance (hereinafter referred to as individual accounts) and social pooling funds respectively.

Second, social insurance is a kind of insurance required by the state. The state develops social insurance undertakings, establishes a social insurance system and sets up a social insurance fund, with the aim of enabling workers to get help and enjoy insurance benefits in old age, illness, work injury, unemployment and childbirth. China's "Labor Law" and "Social Insurance Law" clearly stipulate that it is the legal obligation of the employer to pay social insurance for workers, which is obviously compulsory by the state, and the employer shall not refuse to undertake this legal obligation under any excuse or reason.