Supernatural wood " the whole people's free medical care " Will strengthen Do not move

Supernatural wood " the whole people's free medical care " Will strengthen Do not move
Supernatural wood " the whole people's free medical care " Will strengthen Do not move
Yang Yan " China's economic weekly magazine " reporter Wang Qun / report of Shaanxi, reporter of People's Daily "Set out from Xi'an, come the intersection of spirit and wood of the north, which direction take train for 14 hour can produce the province. " At the railway station of wooden county of the spirit of Shaanxi Province, several reporters coming to interview are discussing in a low voice. The intersection of spirit and wooden county, this piece consider as remote county town, one " the the intersection of the whole people and free medical care " in Shaanxi Province Report,become suddenly hundreds of millions of sights of people centre,many batches there are medias, persons who investigate. Envy, wonder the visitors are mostly cherishing and pursuing " Utopia " Like mood. They want to know, the remote county town of a piece of west, the place which more than one people do not know, how to realize unexpectedly in the whole country that dare not desire in a lot of developed areas " The whole people's free medical care " ? Is this a legend or lie on earth? " the money is not a question " In fact, as to the wooden county of the spirit, " the whole people's free medical care " Realization magical after imagining not having as people. "Spirit wooden county rank the intersection of Shaanxi and the intersection of county with developed economy and the first place for several years running already, and very much loud with the distance of the second place. " Wooden county secretary of county Party committee Guo BaoCheng of the spirit introduces to " China's economic weekly magazine " reporter, estimate this year the general financial revenue of the county will exceed 10 billion yuan. Benefit from abundant coal resources, the economic comprehensive strength of land of wooden county of the spirit ranks the 92nd of the whole country at present, the 5th of west, the first in Shaanxi Province. 2008, the general financial revenue of this county is 7,227 million yuan, local fiscal revenues are 1,719 million yuan among them, per capita net income of peasants is 6028 yuan, the per capita disposable income of urban residents is 16075 yuan. "Supernatural wood verify the intersection of coal and 50 billion of reserves already at present, until now produce, calculate by 120 million tons every year, it can last 400 years. " The standing committee of the county Party committee of wooden county of the spirit, propaganda minister say to " China's economic weekly magazine " in thunder river sound, "the rich financial resources are foundations that can be implemented of ' free medical treatment systems of the whole people '. Meanwhile, my population in the county is only 400,000, in addition, is located in the west, the medical expenses standard is very height, this is the reason why finance can afford too. " And god's wooden county implements " The whole people's free medical care " Cause but also leading group " Sudden caprice " . "As everyone knows, GDP of the supernatural wood was supported by a few coal bosses, but their richness only represents some people, and the great majority in nearly 400,000 people of the whole county are still the ordinary people. If ordinary people can not enjoy the rich material benefit that bring of the finance to them, it can only be shown off on surface that so supernatural wood is rich. " Guo BaoCheng tells reporters, it is that the supernatural wood implement " the whole people's free medical care " to solve the majority without having money that see the doctor, return to the poor realistic problem due to illness Basic starting point of the system. From March 1 of this year, " the whole people's free medical care " of the supernatural wood The system begins to implement. According to <>Regulation,all it have it is supernatural registered permanent residence of wood and be be lasted urban and rural residents cooperative medical service and worker the whole county cadres and workers and urban and rural residents of medical insurances basiced, in 21, 7, 5, provincial 5, Beijing 6 hospitals at city level at county level fixed medical organizations (villages and towns, 5 fixed pharmacies at county level) Ones that pay medical treatment, implement the medical card of the clinic and submit an expense account and make in hospital. Can enjoy clinic of 100 yuan to subsidize for each person every year, the medical card balance fund of the clinic can be carried down and used and inherited. Submit an expense account in hospital in the whole year and presume that gets up in one pair of lines, one pair of lines is 200 yuan for every person that the township hospital submits an expense account in hospital, the hospital at county level is 400 yuan for every person, the hospital is 3000 yuan for every person outside the border of the county. Get up under one pair of lines (pay the line including getting up) In hospital hospitalization cost is pay for itself patient,it is pay line parts above not to get up, submit an expense account fully on condition that submit an expense account totally without exceeding 300,000 yuan for each person every year. In addition supernatural wood check fee, treat fee and fee of material, list in, wipe out range too specially installing artificial organs, organ transplant,etc. also, proportioning is for instance cancer and liver cirrhosis, nephropathy, and personning who consume disease,etc. can't take food p seriously corresponding, need to maintain the life by nutrient liquid, or some special diseases must be treated with the biologic product, use nutritive the intersection of medicines and expenses wipe out 80%; Disease in the blood system, other diseases initiate serious anaemia or of different massive haemorrhage in the operation, must use expenses of blood product wipe out 90%. Because of the needs of condition, need to make large-scale instrument, apparatus such as CT, ECT, nuclear magnetic resonance to check, expenses its wipe out 90%; Because the condition needs to do organ transplant or conduit, support,etc. and get involved and treat, domestic material submit an expense account 90%, import material wipe out 70% As far as reporter know, in early time, in " the whole people's free medical care " that last year Carry on the preliminary demonstration stage, the wooden county of the spirit begins to plan some projects of Huimin of this year, the expenses of 13 hundred million of budget, among them include " the whole people's free medical care " In 1.5 hundred million of 2009. "Give civilian wipe out hospitalization cost with the intersection of plan and 1/8 of expenditure, this will not influence my other work of the county. Similiar to with it, the intersection of I and in right away begin to implement free education for 12 years several years ago county. " In the course of giving an interview, Guo BaoCheng emphasizes " the money is not a question " repeatedly . " go down unswervingly " The ones that act as supernatural wood " The whole people's free medical care " After the media reports, cause the social extensive concern soon, and pass different judgements on. The burst of one pays close attention to the fact that makes god's leading group of wooden county experience the unprecedented pressure. The data reveal, in the wooden county " the whole people's free medical care " of the spirit at the same time The system implemented the first two months, patient's quantity was increased sharply, the specific hospital berth was in short, and until impatient peak from will it be the last ten days March to will it be the first ten days April, compare, increase by 30% in the same term. " the whole people's free medical care " Sustainability query. In the afternoon of May 25, are held by the enlarged meeting of wooden standing committee of county Party committee of spirit which secretary of county Party committee Guo BaoCheng presides over in person, more than 30 leaders and relevant department heads at county level are convened together, there is one topic: Does free medical care still insist on? Everybody has highly unanimous opinion finally: Free medical care must go down unswervingly, meanwhile, should improve the system and control the system constantly too. "The wooden county of the spirit participates in the number of people of cooperative medical service and basic medical insurance at present, having already accounted for 99.07% of the total number of person of the whole county, the reason why we have a meeting and study, the reason why set up one pair of line standards, because of fund, because of external the intersection of query and, for prevent, have disease in hospital and light the intersection of disease and situation in hospital take place, so, though someone says it is free that we do not rigorously enforce meanings ' the whole people ', we do not plan to change its existing name and operation procedure. " Guo BaoCheng says. To the in hospitalling rate increased sharply, Guo BaoCheng thinks: "This is very normal, because the patient who there is no money to see the doctor before a lot of, only possible hospital treatment after the free medical treatment system is implemented, explain the necessity that we implement free medical care further. " "As to the worry that can bear to the finance of my county continuously, it is in fact totally unnecessary too. We prove from research starting 1 - year long zero 3 months at the beginning of 2008, calculate repeatedly on the fund expenses, pass to the verification of the medical expense state of the whole county from 2005 to 2007, calculate the general demand of medical expenses in the whole county of 2009 between 180 million yuan in 150 million yuan. Submit an expense account and look from the reality of the first three months on number, has not gone beyond and calculated the range. " Thunder the intersection of river and sound introduce the whole county wipe out medical the intersection of fee and 9,600,000 March, wipe out 12,700,000 yuan April, analyze from the daily sheet that sees dropping to some extent compared with April in May. It is " reality free for a long time" Supernatural wood " the whole people's free medical care " Fund operation way is that public opinion pay close attention to one of focus too. Reporter from <>China sees, the whole people of this county make up and is divided into 4 parts free medical care fund: The medical insurance of the county goes through basic Medical Benefits Funds taken over; The county treats and does the cooperative medical service fund taken over jointly; The society raises the fund that the finance of fund and county is appropriated. A county hospital counts materials to reveal, the rural cooperative medical service fund gross income of this county will be 24,980,000 yuan in 2008, the urban cooperative medical service fund gains 5,050,000 yuan. "Concrete appropriation for,it is agricultural standard of raising jointly 90 yuans for each person every year, among them pay individual by 10 yuans, central authorities, province and city amount to 68 yuan matching, county finance matches 12 yuan. City equal to 100, individual pay 20 among them, match the standard and equal to unanimity agriculturally while being other. " Spirit wooden the intersection of county hospital and Deputy Bureau Director, the intersection of the whole people and free medical care run director Guo YongTian, introduce to " China economic weekly magazine ". Raising the fund as to the society, Guo BaoCheng explains like this when being interviewed by other medias before this: The public donations are voluntary, irregular, so can be regarded as routine, fixed input, but this part of fund can be used for bridge formation the relevant public construction of facilities of repairing the roads etc., have in fact supported the whole people's free medical care indirectly. To" how to realize to supervise effectively, prevent patient and hospital from being driven by the interests to conspire, cause the medical wasteful use of resources " Question,say Guo YongTian god is wooden whether January this year issue county hospital <>,Having stipulated the supervisory method to a lot of questions that may appear, among them demand to control the medical expenses strictly clearly, carried out and in hospital the expense quota system on day the hospital treatment in the county, namely generally the average daily all-inclusive cost of the patient can't exceed 200 yuan in the fixed medical organizations of villages and towns in hospital, can't exceed 400 yuan in the fixed medical organization at county level, urgent, endanger, the heavy patient can't exceed 1600 yuan (except checking fee, operation fee in the hospital at county level specially) ; Printed and distributed " the whole service life volume of outpatient service of chronic disease submits an expense account " at the beginning of February Stipulate, 23 kinds of chronic disease such as diabetes, hypertension implement the whole service life volume and submit an expense account, 1800 yuan of since number is to 60000 yuan; Made in mid-March " In hospital single number pays and manages the temporary means by norm " ,To cut open the intersection of palace and produce, appendicitis 30 the intersection of form and number go on expenses undertake to do a job until it is completed standard regulation by norm in hospital. Implement to the fixed hospital " an example is checked reasonably, check the index synthetically " Supervisory system,to spot check case, check to it, treatment, administration are evaluated rationally. Have set up 3 major indicators on the overall target: The medicines expenses at one's own expense can't exceed 10% of the total medicines expenses; The medicines expenses can't exceed 50% in hospital the all-inclusive cost to in hospital; The large-scale monitoring device checks the positive rate and can not be lower than 75%. "We make to the fixed hospital and make dynamically the entry, a examination in one year, there are 14 hospitals in all in god's wooden county town, there are 7 fixed hospitals at present, if the hospital is not up to standard in checking and examining, will be eliminated. " Guo YongTian says. "Because we are ' the first person who eats the crab ', there is not a experience that can be drawn lessons from, the time that in addition, the policy implements is not long yet, it exposes questions that comes out to be only the intersection of image and aspect at present, so the mode it has to be really profound contradiction, have what question impassable, all these can only after getting in longer period on earth, as the constant test practising could be found, and solve progressively. " Lei JiangSheng says, " we wish eagerly the society can give us the time to fully try, but I believe, our planning is scientific, it is realistic to be ' free ' for a long time. "


|