Put an end to health care "fragmentation", the unity of urban and rural areas is the first step

January 13, 2016

Source: Beijing news

Recently, the state council issued the about the opinions of the integration of urban and rural residents basic medical insurance system "(hereinafter referred to as" opinions "). "Opinions" requirement integration of the basic medical insurance for urban residents (hereinafter referred to as the urban residents health insurance) and the new rural cooperative medical care system (hereinafter referred to as the "new farming close) two system, establish a unified urban and rural residents basic medical insurance system of medical insurance) (hereinafter referred to as the urban and rural residents.

Under the state council, the "opinions" pointed "fragmentation" problems at present. At the beginning, in order to establish the covering the comprehensive basic medical and health care, adopted the differentiation method. The health care system is divided into "urban workers", "urban residents" and "new farming close". This kind of split type of management mode, the negative effect of urban-rural division began to emerge, there is a repeated problem such as ginseng, repeated investment, pay is not enough, disadvantages.

From the perspective of the ginseng protect people used drugs, when three people go to a doctor check, cost and expense level significantly different, "with the disease with hospital reimbursement is different" is very popular in reality. Especially the "new farming close", common outpatient low compensation, reimbursement range is small, big hospital reimbursement ratio is low. The reasons behind this phenomenon, is a country of new agricultural subsidy level is relatively low. Low financing conditions, nature is difficult to achieve a higher level of security.

Health care, on the other hand, under the "fragmentation", health, labor bureau, xinjiang and rule of two redundant construction management system, not only costly, more cause lack of integrity, the whole health care system as a whole and coordination. Design a set of independent coverage for each health care and reimbursement policy, cause the waste of human and financial resources, also let people often confused about what to do. Ginseng protect personnel reimbursement package is artificially divided into different grades, returned to the hospital to bring inconvenience, greatly increasing the difficulty of cross-regional medical and different JieFu.

The state council put forward integration of urban residents medical insurance and new farming, in fact, now many places has offered to complete this year "for urban residents" and "new farming close" joining together of two confirmed, due to the "urban" and "new farming close" funding levels are low, in an average of 400 yuan or so, so, the difficulty of the joining together of two insurance is not big. Real difficulties lies in miho unity, that is, to "urban workers", "urban residents" and "new farming close" into a unified system of health care. Because of "urban workers" funding level is controlled in 2800 yuan, with "urban" and "new farming close" huge difference, causes the reimbursement level is high also many, so, want to pull together the three security level, will be tricky.

So, put an end to health care "fragmentation", the joining together of two insurance is the first step, the future is miho. From around the world experience, no country exist many health care system in parallel, miho one, the key to implement medical insurance fund of the national plan as a whole, and promote a family as the unit of ginseng protect mode, at the same time of saving, optimizes the allocation of health funds, can also be higher health care to all citizens.

Also see, social security "fragmentation" is not only includes health insurance, including pension, academy of social sciences, according to a survey data in mainland urban and rural per capita pension level difference reached 24 times, pension gap between urban and rural areas, the extent may be far better than cure. Among the national basic pension, health care, welfare, social security benefits to equality is the core of social justice. All this need a plan, implement by stages, and the unity of the urban and rural health care is a good place to start.