Comment on: how to look forward to 100% for medical expenses reimbursement? 
 
 

The 2015-02-28 13:32:11 
 
 
Source: the wuhan evening news 
 
 
Zhang Xucai jian-bing hu 

    Since 2006, guizhou dafang farmers start new pilot work. With accounts balances rise, since June 2012, dafang achieved 100% to conform to the provisions of the medical expense reimbursement. As a poverty-stricken counties, 100% for how to implement? Since operating results? The People's Daily reporter to visit.
 
    A lot of experience is worth using for reference
 
    Common diseases, and other special cases, including leukemia in XianShu medical establishment that decide a dot in the hospital, to comply with relevant regulations of nuclear, medical treatment charge 100% patients admitted to hospital for 50 yuan to 200 yuan of the starting line. Such a "health care", don't say it's difficult in poor areas, is also see not seen in some affluent areas. However in the poverty-stricken counties dafang quietly implemented for four years, beyond people's expectation.
 
    Dafang county located in western guizhou province - a Xia County bijie city, the undeveloped part is less developed region, a less than 6000 yuan per capita net income of farmers. Why such conditions can do the medical expenses of charge? Basically has the following several methods: one is to improve health care per capita financing standard year by year, from $45, 2006 to 2014, 390 yuan; Second, increase the proportion of ginseng, the county resident population has all ginseng, rate is 100%; Three is to improve the starting line, implementing cost early warning mechanism, such as excessive regulation medical care. Such as: the first, second and tertiary medical establishment that decide a dot in the starting line from 50 yuan, 100 yuan and 100 yuan respectively increase to 200 yuan, 400 yuan, 200 yuan, which makes hospitalization rates decreased obviously; 4 it is through the hospital for medical treatment and medicine expense control to cut spending. Here a lot of practice is worth reference of other parts of the country.
 
    Some problems worth noting
 
    Light from the digital, dafang performance is very significant, or the People's Daily, also won't go to the interview. But there are a few problems also are worth noting.
 
    The first is the county health standards increase year by year, while some enterprises and institutions is ginseng protect personnel to get financial aid, but some private and collective enterprises and individual could become increasingly unable to afford, the final result, can make a lot of people had to drop out of the health care? Second, the use of starting line to control the number of hospitalized in hospital is not science. Imagine to the township hospital see a slight illness, must pay hundreds of yuan of money, this is a poor place for the peasants, is a not small number, will not cause some patients can drag drag, the ailment pulls a serious illness, thus breaches the original intention of health care? In addition, through the cost of the hospital for medical treatment and drug control to compress expenditure, also may be the cause of the hotel into the hospital, not the problem of the medicine can't use, so that patients can not get the timely and effective treatment.
 
    Positive for the palm of the people's livelihood
 
    In recent years, for 12 years and 15 years of free education, a lot is happening in the poverty-stricken counties, and even the national key poverty areas, such as, NingShan county, Shanxi Province, left dam county, shaanxi province pu county, linxia hui autonomous prefecture, gansu province, etc. Is the people's livelihood "free lunch" the fundamental problem is not "money", but the palm's sincerity and courage is to the people's livelihood. If there is sincerity and courage, is a financial strength is very strong, not necessarily can still run the affairs of the people's livelihood, if the lack of sincerity and courage, longitudinal calculate money will also be "no money".
 
    Shenmu county, the original of county Guo Baocheng said, the people's livelihood is a high return of investment, solved the problem of the people's livelihood, people can burst into infinite enthusiasm, this kind of enthusiasm, is a huge social cohesion, can promote the development and social progress. The current "expensive" is still an effective crack problem has not been, reimbursement ratio is low, we don't have to require all places like dafang do 100% reimbursed, believe that as long as did not have to bear the palm of the sense of responsibility and people's livelihood, dare to try to break the curse of, will to keep most people away from the days of "expensive".