Abstract:As a part of social security system, medical security system is playing an important role in protecting the most fundamental guarantee of citizen’s health right. But because of the cause such as economy, politics, society history, the coverage range of our country rural area health and medical community guarantee system is narrow; the guarantee is horizontal; the peasants are difficult to see doctor; the phenomenon that cause poverty and return to poor is very common. The paper is increased from society justice and impartial, endogenous economy growth theory and anti-poor theory, carried out theoretical analysis of the necessity of the building of the medical system on rural area, analysed the feasibility from the current society policy and social practice, then proposed to establish a multi-level country medical service safeguard system which adapts with the development of economy.