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Abstract-Due to the open nature of a sensor network, it is relatively easy for an adversary to eavesdrop and trace packet movement in the network in order to capture the receiver physically. After studying the adversary's behavior patterns, we present countermeasures to this problem. We propose a locationprivacy routing protocol (LPR) that is easy to implement and provides path diversity. Combining with fake packet injection, LPR is able to minimize the traffic direction information that an adversary can retrieve from eavesdropping. By making the directions of both incoming and outgoing traffic at a sensor node uniformly distributed, the new defense system makes it very hard for an adversary to perform analysis on locally gathered information and infer the direction to which the receiver locates. We evaluate our defense system based on three criteria: delivery time, privacy protection strength, and energy cost. The simulation results show that LPR with fake packet injection is capable of providing strong protection for the receiver's location privacy. Under similar energy cost, the safe time of the receiver provided by LPR is much longer than other methods, including Phantom routing [1] and DEFP [2]. The performance of our system can be tuned through a couple of parameters that determine the tradeoff between energy cost and the strength of location-privacy protection.

BackgroundChina’s universal medical insurance system (UMIS) is designed to promote social fairness through improving access to medical services and reducing out-of-pocket (OOP) costs for all Chinese. However, it is still not known whether UMIS has a significant impact on the accessibility of medical service supply and the affordability, as well as the seeking-care choice, of patients in China.MethodsSegmented time-series regression analysis, as a powerful statistical method of interrupted time series design, was used to estimate the changes in the quantity and quality of medical service supply before and after the implementation of UMIS. The rates of catastrophic payments and seeking-care choices for UMIS beneficiaries were selected to measure the affordability and medical service flow of patients after the implementation of UMIS.ResultsChina’s UMIS was established in 2008. After that, the trending increase of the expenditure of the UMIS was higher than that of increase in revenue compared to previous years. Up to 2014, the UMIS had covered 97.5% of the entire population in China. After introduction of the UMIS, there were significant increases in licensed physicians, nurses, and hospital beds per 1000 individuals. In addition, hospital outpatient visits and inpatient visits per year increased compared to the pre-UMIS period. The average fatality rate of inpatients in the overall hospital and general hospital and the average fatality rate due to acute myocardial infarction (AMI) in general hospitals was significantly decreased. In contrast, no significant and prospective changes were observed in rural physicians per 1000 individuals, inpatient visits and inpatient fatality rate in the community centers and township hospitals compared to the pre-UMIS period. After 2008, the rates of catastrophic payments for UMIS inpatients at different income levels were declining at three levels of hospitals. Whichever income level, the rate of catastrophic payments for inpatients of Urban Employee’s Basic Medical Insurance was the lowest. For the low-income patients, a single hospitalization at a tertiary hospital can lead to catastrophic payments. It is needless to say what the economic burden could be if patients required multiple hospitalizations within a year. UMIS beneficiaries showed the intention of growth to seek hospitalization services in tertiary hospitals.ConclusionsIntroduction of the UMIS contributed to an increase in available medical services and the use thereof, and a decrease in fatality rate. The affordability of UMIS beneficiaries for medical expenses was successfully ameliorated. The differences in patients’ affordability are mainly manifested in different medical insurance schemes and different seeking-care choices. The ability of the poor patients covered by UMIS to resist catastrophic medical payments is still relatively weak. Therefore, the current UMIS should reform the insurance payment model to promote the integration of medical services and the formation of a tiered treatment system. UMIS also shoul...

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