If the patient pursues high price medicine Must foot a bill one's own
What the whole people's medical insurance is emphasized is basic guarantee
According to the new medical reform file, the basic medical treatment of our country ensured the system to cover urban and rural residents in an all-round way to 2011, will generally set up sounder medical security system by 2020, everybody enjoys the basic health care service, namely " the whole people's medical insurance " . Deputy to the National People's Congress, visit large hospitals survey and study by the intersection of Yangzhou and municipal the intersection of public security bureau and wide the intersection of imperial tomb and the intersection of branch office and vice the intersection of political commissar and XianYan Chen, propose the suggestion: It is not enough yet for the whole people to participate in efforts of medical insurance, should pursue free the whole people's medical insurance, and legislate to ensure implementation.
See pieces of appendicitis, half a year no hard-earned money
"The annual GDP total amount of our country is up to 20,000 billion yuan, more than 10,000 yuan for per person, but the proportion that the population that the per capita disposable income is lower than 1000 yuan takes national total numbers of people is very large. " Chen XianYan says, takes acute appendicitis as examples, the charges of the hospitals in all parts of the country are from 1000 yuan to 5000 yuan. This is probably 1/3~1/2 of a rural ordinary income of that year of three member family. But on the other hand, account for the national staff members whose population is less than 10%, it is " a cut above other people " to enjoy Socialized medicine. Write a prescription, ask for long recuperation leave only minor illness, even enjoy in a person whole family at public expense arbitrarily. 10% of the people enjoy all socialized medicine fund, cause serious social unfairness. The masses without labour protection have fallen ill, will fall into economically and poverty-strickenly and even bankruptly while standing illness. XianYan Chen think, implement the intersection of the whole people and medical insurance, the intersection of ordinary people and " disease cure to some extent " only ,Will dispel this kind completely inequitably.
10 yuan medicine can be settled but written a prescription
While surveying and studying, the medical worker of the first line has also revealed the expensive " secret " of diagnosing the illness to the deputy to the National People's Congress . Such as one the intersection of belly and surgery, involve a plurality of position, operation fee charge gastric carcinoma radically treat skill, cut open belly, ascertain skill, the intersection of abdominal cavity and the intersection of person who develop and expenses altogether, every one certainly becomes very high to superpose; The radiotherapy of kidney cancer, a treatment not only charge fee of renal radiotherapy but also charges the expenses of radiotherapy of lymph node and renal gland radiotherapy, actually decompose, charge repeatedly.
It is expensive to see the doctor, is valued for medicines and medical equipment expenses mainly. For example, the medicine at 10 yuan is put in the pump obviously to ease pain, can reach very good analgesic effect, nearly all use high price medicine instead now, the patient eases pain the expenses of the pump cost 700~1400 yuan after the operation. "The price which the patient paid, often more than 10 times of the producer price is even higher. " While surveying and studying, Chen XianYan finds, the the more expensive medicine is favored, the the lower priced medicine nobody shows any interest in. Obviously, medicine has a bunch of very long interests chains behind one's back at the high price. The distributor raises the price, the hospital marches into the arena and takes, commission paid to the doctor, pharmacy dept. list print fee and medical representative deduct a percentage fee and expert give lessons, promote advisory fee and hospital raise the price and expert go out or go abroad, have a meeting traffic and hotel expense,etc., the money has been all shifted to on consumers finally.
Propose pursuing the whole people's medical insurance and legislative guarantee
Chen XianYan finds, though a lot of domestic cities have already implemented the system of medical insurance at present, but not accumulated a lot of successful experience, on the contrary, the medical insurance systems of some places are close to crash, there are states of paying etc.. The reason is numerous, for example supervise and do one's best, the medicine that shouldn't enter the medical insurance is " bored" Gap,etc..
"The city with good condition, the card range of the medical insurance is wider, however, the often economic condition of the person not enjoying the medical insurance is not good, need to provide timely help even more. " Chen XianYan proposes, only pursues the whole people's medical insurance and could solve these problems existing at present. Certainly, according to having national power now, it is impossible to make the country unbounded to all people and bury only, so, the whole people must interpret the basic medical insurance system as in medical insurance. Namely no matter which kind of disease to suffer from all citizens, will get the basically effective one in full to treat free. For example, cold patient, can get quick-acting cold relief capsule, if the patient pursues high price medicine, must foot a bill one's own.
XianYan Chen propose, must legislate for the intersection of the whole people and medical insurance, pay the fees system, include paying the medical insurance premium in the orbit of legal system by force still; Must legislate to protect to use the medical insurance medicine too for patients. Must have corresponding laws to punish to break the law as to the medical insurance department, medical worker. After the whole people's medical insurance is implemented, doctor's income may be surely affected, should raise the doctor's labour remuneration appropriately too, improve the working enthusiasm of the medical worker. Deputy to the National People's Congress, Vice President of Nantong Municipal CPPCC Liu �[have submitted one to propose too, he think direct present the intersection of medical insurance and state against, should norm stand up at legal system at once, the whole country and province National People's Congress should make the medical law of insurance immediately.
Relevant news
Huang JieFu, Vice Minister of Ministry of Public Health:
The goal of the medical reform is not the whole people's free medical care
Can the medical reform be accomplished finally the whole people's free medical care? Member of the CPPCC National Committee, yellow clean, Vice Minister of Ministry of Public Health, say frankly recently, the goal of China's medical reform is not the whole people's free medical care, but make great efforts to ensure people to think highly of the disease, see the good disease. He says, more than 1600 hundred million of all-inclusive cost of China's health care last year, 1200 yuan for per person, but in the countryside, the new agricultural fund-raising level shut is only 100 yuan. In this case, want to accomplish the whole people's free medical care, the economic level of our country can not be born. In addition, Huang JieFu says, the medical resources of our country are uneven seriously between town and country, if the whole people's free medical care, limited medical resources may cause the disposition inequality of social resources when the time comes.
Yellow clean thinks, the goal of the medical reform is to ensure the poor person to think highly of the disease, see the good disease; Let ordinary people take some money, the government or unit takes some money, bear the expenses seeing the doctor together; Let share of person that get better off earlier, oneself take some more money, enjoy high side, make a diagnosis, serve. In addition JieFu Huang say, in realistic cases, can allow public hospital keep, take, serve specially while being a proportion of.
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