But the market reforms of the late 1970s eradicated the rural co-operative insurance system, making it impossible for most farmers to afford treatment and difficult for rural clinics to stay solvent.

• 但是1970年代开始的市场经济改革瓦解了农村合作医疗保险制度，这使得大多数农民无力负担治疗，并且也使得农村诊所难以为继。