Since China s medical and health system reform, the vast number of urban and rural residents have still faced the status of"seeing doctor is difficulty, medical fee is expensive".

An ideal medical and health system should be co-coordinated development of all stakeholders and developing along the healthy track.

System of medical and health system and mechanism ethics are important contents in medical logic sysem,which are the guarantee of medical and health system and rational mechanism ethics.

Starting from the considerations about the countermeasures, this paper points out that in the present stage we should stand on the real conditions of our country, give full play to the guiding functions of the government, develop well the reform of the medical and health system, use the domestic and foreign experiences for reference, and create the rural medical security syste.

Scientific medical system must obey the especial economy regularity;

To realize fairness of medical system reform links heath of people and harmonious development socially and economically as well as direction of the reform.

Due to system designing’s faultiness and being restricted by outside medical system, the reform not only didn’t achieve its anticipative effect, but also got itself into a corner.

Suggestions on urban-rural health system reform;

The discussion of health insurance institution and health system reform;

The article analyzes and discusses health system reform in China and points out that equity first,government dominance and need orientation should be the basic principles in the reform.