The State Council publish the guideline “regard initial urban resident basic medical insurance” in the year of 2007 is remark the China come into the time of universal medical insurance. China universal medical insurance system construction is great enterprise in the human history，how to design the universal medical security system framework scientifically and rationally，how to deal with the multiple basic relationship in the process of universal medical security system construction，how to coordinate the social development in urban and rural area with the relationship of universal medical security system construction，how to full understanding the critical policy in the universal medical security system，how to use the international experience of universal medical security system construction，how to establish the china characteristic universal medical security system and social welfare system framework，construct the harmony society，creation the new and good and happy life，improve the quality of life，this is crucial issues in china public policy，social policy and health policy agenda and medical security system construction，and it has great social meaning.