Media comments: The new policies of medical insurance of Guangzhou cause the second injury to people
According to " Yangcheng Evening News " of yesterday, it is implemented formally that " the ordinary clinic of the urban basic medical insurance of Guangzhou conducted the trial method " a few days ago, 2,600,000 joins sponsors and begins to enjoy the treatment of submitting an expense account of the ordinary clinic. For not suffering a loss or suffering a loss little, some hospitals in Guangzhou issue " local policy " one after another within these days ,Such as restrain every the intersection of person and prescription from, exceed 100, even in 30 yuan under, encourage doctor let, reach, in hospital the standard medical insurance patient is in hospital still.
Two first directors of one state outright, totally will only " lose very much " according to the new policies hospital .
Behavior this of hospital choose, let people stunned, obviously can't upbraid " utterly absurd " briefly naturally . As to this, a director in Guangzhou makes explanations: "Effect an insurance personnel can submit an expense account 300 at most for each person every month, add up to, at most can wipe out 3600 yuan the whole year, and medical insurance centre and hospital are according to joining the calculating by norm of 600 yuan every year of sponsor each time, this is unidentified to put letting the hospital pay out of one's pocket? "
The hospital can not certainly pay out of one's pocket, it can not afford to stick to, and have the enough capabilities to let oneself not want to be the major part of wrong too.
The crux of the question lies in: Why government " The regulation " Effect an insurance resident clinic can wipe out 3600 yuan at most for each person every year, but only pay " the fee of number of people " to the hospital 600 yuan for each person every year? Does not want to draw this money at all, just flicker people, or think innocently the hospital was a rich and glad philanthropist who develop demeanour of sacrificing one's own interests for the sake of others forever? Either does not have any prevision or underestimate the policy game ability of the hospital and injure people's intelligence again at all?
As everyone knows, " market-based reform " of medical treatment of 1990s In " state responsibility " Withdraw from the arena in produce a great deal of evil consequence: First, call the interests consciousness as hospital of the interests entity out, it is in becoming the absolute victor when plays chess with people. The relationship between doctors and patients worsens, " hospital nurse " Good name stain; Second, people bear the intersection of medical treatment and the mountain pinch, trust crisis and the society produce, hate to government in scorning miserable and bleak destiny of disease for.
Theorists point out early, " market-based reform " that year Can call it to the first injury of people's, the origin is shirking to one's own responsibility that should be born of government.
It is a kind of rigidity demand to see the doctor, unless want to wait for the condition to worsen or only wait for death alone, otherwise difficult to inhibit at all to this kind of demand. In playing chess with the hospital as a interests entity, the patient as individual is destined to lose.
Just because of this ' Certainly not merely because so) ,Medical treatment must become one public product or half public product, government must manage, get involved hospital with to play chess patient with finance, maintain a fair pattern, so as to prove the legitimacy managed. If the government shirks one's own responsibility, the hospital with strong game ability must shift the cost that oneself bore on patient's head in front of the patient - -No matter this cost comes from the country, or the market.
The lessons drawn from others' mistakes, the relevant department of Guangzhou has not drawn yet. In the big regulation of giving residents clinic to submit an expense account under command of the new medical reform on one hand - -Or say and promise accurately - -How much how much,earn by foot face, to earn is of enough foring people good opinion; On the other hand, give to close apropos " form a complete set " by norm hospital ,Make people to enjoy what favor or favor but advantage of the obligation is these no at all at all in actual operation. This method, can only cause the second injury to people.
Government's public trust can not stand tossing about. It is difficult to set up again in totally destroying that the society believes in. The question is not the money. The medical insurance new policies no that if really want to let " Miscarry " And make the effect, then take corresponding money out to subsidize the hospital and strengthen the supervision and management of the hospital troublesomely.With the enhancement of health consciousness, people pay more and more attention to with the life closely bound up health problem, such as the food security, medical treatment is ensured, medical information,etc., healthy life should be from understanding information begins!More excellent health information please enter:News channel
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