Back of wooden medical reform of the spirit

Back of wooden medical reform of the spirit
Back of wooden medical reform of the spirit
The intersection of government and leading the intersection of spirit and wooden the whole people's free medical care, among them expose the question happening, have offered the lessons drawn from others' mistakes for national medical reform of future; And one the intersection of resource and exhausted regional high welfare that government offer, aim at, play doses of the intersection of preventive inoculation and reporter / Zhou ZhengHua (release from the supernatural wood in Shaanxi) for potential social crisis too The enormous wealth that the coal brings, is impelling the wooden county government of the god of Shaanxi Province to become generous. If not 25 years ago, an exploration crew coming from Xi'an found the largest coal field of China here, the supernatural wood will be tormented by poverty. Nowadays, more than 400,000 residents of the county town in this north of Shanxi Province live, is enjoying the high welfare that national people are envying - -Free education and the whole people's free medical care of 12 years. Some people even think, here is " city closest to communism of China " . However, local government is " still imbued with the people and share the achievement of reform and opening-up " in the plan Before this, but never expected " good thing " Nearly the quilt " Mess up " . The question lies in the whole people's free medical care after being free. The government has obviously underestimated for many years " It is poor to cause due to illness" Crowd's large quantity. On March 1 this year, the wooden county of the spirit queues in the registration of fixed hospital of 7 of cooperative medical service in the county after starting the whole people's free medical care formally, have erected the temporary sick bed in the corridor of the in-patient dept. too, overstaffed at one time. Yao YuZhen is one of the numerous persons who wait for. Suffer from peasant Yao YuZhen of liver cirrhosis, in whole March, county people's hospital more than 10 times has run, the berth that the result infects the department is at full strength all the time. Yao YuZhen have to rent a house owed by a citizen in the county town, is specially waiting to be in hospital. Until mid-April, she lie sick bed to pay hospital. Before this, this sick bed was occupied last two weeks by three small open patients of hepatitis B not critical of a condition. In April, the supernatural wood needs the patient in hospital to exceed 30,000, though the government invested more than 100 million yuan to build north of Shanxi Province the first class the People's Hospital of Xin County last year, but the sick beds of all hospitals of this county, add up and is less than 2000. Committee of work of rehabilitation of wooden county of the spirit (hereafter referred to as the county and recover in the committee) Claim clinic of hospital quantity compared with last year more half the in the county March. The recovery committee established last year, was under the jurisdiction of the county hospital, administered the free medical care work of the whole people of nearly 400,000 people in the whole county. There are 3 staff members, 2 offices and a computer in all in this organization at present. Free medical care was directed against " The whole people " ,It is in fact an approximate number. According to " free medical care implementing regulations of the whole people of wooden county of spirit " (hereafter referred to as the implementing regulation) which the wooden county hospital of the spirit release in January of this year Regulation,"the whole people " Excluding participating in urban worker's medical insurance or residents of the rural cooperative medical insurance. Recover data that committee offer show, above-mentioned two group the rate of joining insurance has been less than 5% and 1%. At present, nearly 95% of the residents of wooden county of spirit are included in the whole people's free medical care. The great amount of medical fee exceeds the prediction of the government too. Some scripts exist in the civil servant " Excessive medical treatment " The phenomenon, begin to involve the whole people too now. The intersection of spirit and wooden the intersection of county and rough the intersection of house and the intersection of tower and 8 Zhang Yu, boy of year old, of town, because amygdaline inflammation make, excise skill, live 14 day in the intersection of spirit and wooden the intersection of county and two hospital April, spend medical fee of 4639 yuan. In the past, similar disease generally only needs to be in hospital for about one week, the expenses did not exceed 2000 yuan. The chronic disease patient that some scripts do not need hospital treatment, chase the long-term patient too now. The rough the Wang 's of peasant woman 56 year old of town of the intersection of house and Tamerlan, suffers from hypertension, is as long as 31 days in the wooden hospital of county two of the spirit hospital stays, create this courtyard of the longest record of the patient's hospital stays of Aprils; Spirit wooden the intersection of town and the intersection of fire hose and Liu, villager of village, bank up fish with earth, because of diabetes, move in county 2 hospital on will it be the end March, last 2 weeks in hospital stays, the medical fee exceeds 7000 yuan. The county recovers the newest statistics of the committee reveal, amount is having the tendency to rise month by month to implement the free hospitalization cost of the whole people and submit an expense account, to it wipes out total value to be 9,600,000 March, by April, this figure rises to 12,700,000 suddenly. " excessive medical treatment " ,Come from submitting an expense account and paying the system in hospital. The whole people's free medical care, not real and totally free, one pair of line systems that but submit an expense account in hospital. Getting up is paid by individual under one pair of lines, the part gone beyond is buried fully by the government singly. According to the intersection of implementing regulation and regulation, get up pairs of line standard, township hospital, at county level hospital and hospital outside the border of the county, it is 200 yuan, 400 yuan, 3000 yuan each time for each person respectively. So, general patient's psychology, since for the human nature the favourable instinct, usually incline to raise and treat the expenses. For the moment, the wooden county government of the spirit is come from the internal financial pressure, face the criticism of the public opinion at the same time. The medias have mostly affirmed free general orientations of the whole people, that condemn is mainly aforesaid technical matters. Most sharp criticism call supernatural wooden the intersection of the whole people and free medical care as even " Utopia is tested " ,Think only the hospital is the only winner. Deputy Director of committee office Liu XiaoJun reveals to " Chinese Newsweek " according to recovering, free medical care schemes of the whole people of the wooden county of the spirit, are mainly made by the county government, has not absorbed the expert outside the county to participate in decision. Liu XiaoJun says the expert outside the county and does not find out about the situation of god's wooden county. Because orient government's leading national medical reform scheme at present, has not put into effect yet, so local medical reform mode of any innovate as the public's high concern. All the intersection of government and leading the intersection of spirit and wooden the whole people's free medical care, among them expose the question happening, also offered the lessons drawn from others' mistakes for national medical reform of future. The scheme revises the government and denies having financial pressures all the time. The supernatural wood is one of the most rich and most populous counties of Shaanxi. The data that the official side announces show, in 2008, the GDP of per person of this county is close to 10,000 dollars, close with Beijing, Shanghai, Shenzhen. But developed government of city these at most can only give resident wipe out half the medical fee, the welfare level is inferior to the supernatural wood far. On May 22, wooden Lei JiangSheng, propaganda minister of county of the spirit, expresses in the government held the news briefing of the whole people's free medical care, all question in in accordance with expectation, claim " benefit the masses of new the intersection of medical insurance and way of urban and rural residents, go down this item unswervingly " . But he says, this policy will be complete progressively, imply that may adjust to some extent in the future at the same time. Deputy Director of committee office Liu XiaoJun reveals when being interviewed by " Chinese Newsweek " that the county recovers, the government estimates while surveying and studying last year, the total value of submitting an expense account of free medical care of the whole people of this year will be among between 150 million yuan and 180 million yuan, still in the finance can bear the range. In 2008, the local fiscal revenues of wooden county of the spirit are close to 1,800 million yuan. He still shows, will begin to carry out the new adjustment scheme in June, the most crucial one is, how to prevent the hospital from making the great prescription. This is the most troublesome locality of the government at present too. At present, the reality of every large medical insurance fixed hospital treats the expenses, exceed " hospital each person at county level stipulating in the implementing regulation in the county The daily all-inclusive cost can't exceed 400 yuan " Standard. The county recovers the data that the committee offers reveal, the more manily the hospital where the medical condition is the better exceeds standard, the hospital hospitalization cost with bad condition is controlled better instead. The best hospital of wooden county of the spirit - -The county people's hospital has the most outstanding question, its every index, go beyond every regulation of the implementing regulation, among them the all-inclusive cost is close to 600 yuan in hospital per person per day, than nearly 200 yuan higher of high-new hospital with the city. County directors of people Ma BaoYu expresses when being interviewed by " Chinese Newsweek ", because the whole people's free medical care is at trying stage, the existing problem is unavoidable, will still need to further improve in the future. Rough to protect the jade and still serve as god's CPPCC's Vice President in the wooden county at the same time. Liu XiaoJun says, will strengthen the control on the intersection of every day and the hospitalization cost, number in hospital per person to the fixed hospital in the future, implement the regulation of the implementing regulation. The concrete control method is, every day's all-inclusive cost of average each person of the patient, limit to 400 yuan, always in hospital days generally can't exceed 10 days; The patient can't exceed 10% paying the rate for itself; In order to prevent the doctor from making the great prescription, especially stipulate medicines can't exceed half of the total value of the medical fee. Such as exceeding the above-mentioned standard, the hospital will be punished. Liu XiaoJun reveals, county hospital and county two hospital will become the hospital punished in the first batch. It is reported since June of 2009, hospital committee wipe out medicine to be time-consuming to recover every month, regard it as the money of risk to there are 10% to detain and recover in the committee, by the time year-end, is checked and calculated in unison, have not exceeded standard and returned, has exceeded standard and has been regarded as the fine. One of the private hospitals of the supernatural wood, precise coal Vice President of worker's hospital Li JinBiao think, increase the fixed hospital, it is to stop the medical fee using the high method to introduce the competition fundamentally. At present, there are more than 20 all kinds of hospitals in god's wooden county, it is the whole people's free medical care fixed hospital that there are 7. The worker's hospital of precise coal was once god's rural cooperative medical service fixed hospital in the wooden county. In 2008, the precise coal is purchased by the businessman in Zhejiang, become the private hospital in worker's hospital. But in the fixed qualification of the health bureau is examined this year, below standard because of the medical apparatus project, its fixed qualification is cancelled. In March of 2009, after the free medical care of the whole people of wooden county of the spirit will be launched, the patient of the worker's hospital of precise coal who goes to a doctor reduces sharply. Physician of worker's hospital rectifies the benevolence of brilliance of the rising sun and says, he saw 10 patients at least each day in the past with precise coal, three or four are good if there now. Its Vice President Li JinBiao reveals to " Chinese Newsweek ", the hospital is still suffering the loss at present, even so, the hospital still plans to purchase apparatuses such as the X-ray machine,etc., try to resume the fixed qualification next year, " otherwise the business is unable to do " . The whole people's free medical care, as to the blow spreading over small clinic of the whole city it is fatal. Wang Ping practising medicine for more than 30 years, plan to turn off the small one's own clinic recently. Wang Ping's clinic lay in a lane of the south of the city, it was an old house owed by a citizen less than 20 square meters of look of cave dwelling that was rented, put, support patient type two bed that have a rest drip, in the clinic, duckweed Wang cross legs, hold in the higher authority with spouse of her have patient. Command pharmacy with Wang Ping, another piece make up a prescription and collect money function in the integrative desk-and-bookcase, and a medicine cupboard. In more than two months recently, Wang Ping ran off a lot of old patients. Cost, have an intravenous drip cold that can be cured by 300 more than in the intersection of duckweed and this Wang in the past, even if costs 1000 yuan now, old patients would like to go to the fixed hospital too. "It is expensive to go to the hospital, but can submit an expense account. " Wang Ping has expressed her helplessness when being interviewed by " Chinese Newsweek " reporter. Wang Ping's son and daughter-in-law have been already laid off 5 years before, incomes in the whole family must all count on this clinic now. In supernatural wood, similar duckweed Wang give play to the intersection of community and the intersection of clinic and private clinic of function like this, mostly on the verge of bankrupt for the moment. This indicates, the team of the registration of fixed hospital will be longer later, the ones that offer and recover the committee on the hospital submit an expense account the amount of money will make people stare dumb-founded further. Why is the supernatural wood? In the national one hundred prosperous counties will rank in 2008, the spirit wood which will monopolize the head of Shaanxi Province Ao ranks the 8th counted backwards. This county and municipal governments that mean there are rich financial resources like supernatural wood are not small number. But, why is only supernatural wood, this western county town built on desert and loess, have offered free medical care and free education of 12 years to the whole people? One of the answers may be, the high welfare that the government offers, aim at making a preventive inoculation to the potential social crisis. At present, the lump coal price of kilocalorie 6500 that the supernatural wood has exceeds 600 yuan. However, supernatural compensation standards of collapsing of the earth's surface of paying 0.2 yuan of place / ton of coal mining enterprise such as the east,etc. do not change for 20 years. By 2008, because of over 50 sq. km. of area of subside area that the mining forms, involve near Wan, people of people. Because the compensation standard is too low, the masses of subside area, to the appealing for help and has been already up to more than 100 batches of east company of the spirit, more than 4000 persons. 2006, Yongxing the intersection of grass and pieces of the intersection of ditch and village exploit, cause 4 the intersection of 300 group and more than people go to the capital with the intersection of spirit and east the intersection of company and the intersection of elm and the intersection of house and the intersection of roof beam and ore, go to the province to appeal for help. And a few officers' corruption has further sharpened the social contradiction. In August of 2005, god's wooden county government ran and convened all cadres and workers to build the meeting of the room, determine government run all on-the-job cadres and workers raise funds together, take over for use, lie in the intersection of county town and the intersection of spirit and wooden the intersection of town and the south of the south imprison, allocate the land and build the family dependents' building by 2 villages. But in 2007, the government built out 107 houses with 78 civil servants' collected fund, cause dispute more than 29 houses where the regulation appear more. Afterwards, god wooden county government run the intersection of Deputy Director and Yong Dong claim finally by " the the intersection of Shaanxi and inferior electric group, coal of China, " house property that produce more only Deal with to others, but fail to provide the invoicing proves. Later wooden public security officer asked for from the coal boss the spirit openly " The support " ,Sensational domestic public opinion. Last November, at the internal coordination committee of once of the coal tar association of wooden county of the spirit, when the large willow tower Deputy Bureau Director of branch office Wei XiaoMin of public security bureau of wooden county of the spirit made a speech, let every member the public security of the area under one's jurisdiction " Do some contribution " . Subsequently, over 60 coal bosses participating in the meeting donate 2,190,000 yuan. Subsequently, 41 reserve a post with wooden thread of spirit the cadre get the pay matter free at homely, April of this year is exposed by Xinhua News Agency. Xinhua News Agency reports, after some cadres reserve a post, some are free at home, enjoy and go to work personnel's the same treatment, unit because the intersection of personnel and in short supply work launch difficult; And specific personnel even borrow the dual identity, hold a part-time job to give facility to for individual, there are activities against law and discipline. The corruption has even already spread to on some county main leading cadres. Will it be March 31 this year, spirit wooden the intersection of county Party committee and member of the standing committee, Vice County Magistrate bright higher primary school have, because violate disciplines and is placed on file and investigates by the elm forest municipal discipline inspection committee, this is so far been too to be supernatural and wooden for county officers top " One pair of rules " . It is one of personnel concerning the case for spirit county Bureau of Finance chiefs wooden too together " One pair of rules " . At present, higher primary school bright to tell, accept bribes 2 million more than money and goods voluntarily already, one of these accept bribes, involve the intersection of god and wooden the intersection of locality and one call Mr. of Yang. It is reported, Yang is in the large willow tower town of wooden county of the spirit a side village of Jia, in order to build " project of river embankment " for the locality Name,without restraint exploit colliery. Yang has played the key effect with the dense king of Bureau of Finance of wooden county of spirit of bright personal friendship of higher primary school in benevolence in the course of going through relevant procedure of managing the river embankment. Close to the policy of god's wooden county? �� Na towering to cut down tired the intersection of �� and the intersection of Dun and the intersection of soft-shelled turtle and proper ammonia �� of Mou, take off and call out properly and thinly? What is similiar to is adopted excessively, has already jeopardized to the foundation of wooden economic development of the spirit in the future in the colliery unboundedly with the above-mentioned situation - -Coal resources are safe. Some chronic illness of the resource type city has already begun to show an inkling in the supernatural wood. An investigation in 2006 of committee of wooden county of CPPCC's spirit reports, the consciousness of protection of resources was indifferent in the course of development and utilization of resources of coal of this county, it is serious to waste, environmental improvement lags behind, a series of problem such as being seriously polluted is prominent day by day. This report claims, plan according to the eighties of last century, the colliery of the supernatural wood could exploit for more than 200 years. But the present situation is, quite a few of enterprises are driven by the interests, ultra designed capacity is exploited for a long time, have shortened the length of service of mine and mining area greatly. According to related departments of the province's investigation, the annual planned capacity of production of the large willow tower colliery of east company of the spirit is 6 million tons, annual actual production capacity reach 22 million already at present, make originally designing, exploiting service life already for 37 years 108 year. The ambitious wooden county government of spirit, the plan that the city revitalized for because coal of this one makes is, by 2020, regional economic scale reaches 1,000 billion yuan. However, the wooden citizens of the spirit Hao Ruies say, see the Northwest other places and will understand that " if there are not coals, except loess and desert, we are nearly penniless " .


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