With the acceleration of population aging and the progressive aging of the older population,the contradiction that the construction of care system for disabled elderly in rural areas in China lags behind the aging process is increasingly prominent. Taking Village A in Ning County,Gansu Province as a field site,and combining the framework of welfare pluralism with the framework of social welfare policy,this study found that under the conditions of population outflow and lack of care service supply,care needs of the disabled elderly in rural areas in Northwest China are difficult to be satisfied,thus leading into the care dilemma of “selfsustaining”. Based on the theoretical reflection of welfare pluralism and the application of local welfare practice,and taking the care dilemma as an entry point,the fundamental approach to dissolve the dilemma is to construct a community care system in rural areas led by government and involving multiple actors such as families,rural communities,market and social forces.