Comments: hospital collective insurance fraud who is chasing the jail sentences? 
 
 
The 2014-11-27 16:30:39 
 
 
Source: guangzhou daily 

    The end of 2009 to 2012, peace hospital of hainan province from dean to nurse the collective participation in taking care of 24.14 million yuan. In addition, taking "red" and "kickbacks" wind intensified, commercial kickbacks into medical corruption "areas". 43 cadres successively hainan medical health system was investigated for corruption, the relevant case investigation and trial has largely ended. (on November 26, the official xinhua news agency)
 
    A hospital cash out more than 2000, 43 cadres to be checked, while it is enough, but in the medical field, which is far from what "unprecedented". Last year, zhangzhou in fujian province was found 73 hospitals all suspected of medical corruption, says it is "fall way corruption". At that time, many experts have pointed out that, in the field of health care is not a serious corruption, hainan came out of the case, now just support again.
 
    Whether taking care or commercial deals, in the form of corruption is not fresh, in order to prevent corruption, not do nothing, the government authority issued a series of measures for supervision. But was seemingly tight bidding system overhead, and health care regulation system is frequently lost. In the past, many people said that corruption happens because punishment is not severe, hospital insurance fraud small "" a great price. This makes sense, of course, in order to curb insurance fraud incidents occur repeatedly, in April this year, the standing committee of the National People's Congress to specifically insurance fraud as a public or private property "fraud", that is to pursue punishment.
 
    Under the "punishment" deterrent to curb corruption, such as insurance fraud? I am afraid, the answer is not optimistic. With peace hospital case, although in "before insurance fraud into the punishment", are not necessarily applicable new rules, but even penalties can be investigated, which shall be investigated for who? As the collective behavior of a hospital, the investigation of specific operations, medical personnel or dean, or even all penalties shall be pursued? Confusion is not just the result of law in this area is too general, is more critical in the field of medical "complexity".
 
    As is known to all, the hospital "to the medicine cure" mechanism reviled for longer, but has struggled to get fundamental reverse. So good hospitals by selling drugs, kickbacks to earn money, such as the xinhua news agency report, hainan hospitals than drugs accounted for 40%; Almost or specialized subject hospital, because the patient less, play the no how many tricks on medicines and medical devices, is likely to take advantage of the loopholes in the health care, peace hospital is a specialized subject hospital.
 
    Such as this, of course, not to say that the insurance fraud corruption has "rationality", but under the unreasonable mechanism, many risks, FaBuZeZhong fluky psychology can produce. On the one hand, the limited manpower, responsible for health care regulation to ensure timely find all insurance fraud behavior; On the other hand, even if really spread, to this kind of "collective corruption", to clearly define their respective responsibilities is often not easy. If insurance fraud has become the "for the collective welfare", they would not rule out "scapegoat" by individual medical personnel, hospital leadership only assume the responsibility of management does not reach the designated position, in that case, "punishment" deterrence will reduce greatly.
 
    To solve this problem, through perfect laws and regulations such as the judicial explanation, can only take temporary; Cure or continue to push forward reform, will be the end of "medicine for the medical" as soon as possible, formal ways to earn money, cut corners of risk, compared to will become greater. At least this kind of "collective insurance fraud" tacit understanding, is likely to be broken. JingYiShan (media commentators)