The wooden county of the god in Shaanxi starts the whole people's free medical care Cause hospitals to be packed

The wooden county of the god in Shaanxi starts the whole people's free medical care Cause hospitals to be packed
The wooden county of the god in Shaanxi starts the whole people's free medical care Cause hospitals to be packed
The free medical care office of the whole people of the institute, several relatives are going through the procedure of submitting an expense account relevantly. " China's Business " for pursuing to report for March 1 on May 18 in Beijing Times, after fermenting one year, <> as scheduled pursue. This is called by the media " Hold the domestic beginning " Medical treatment ensure not lasting more than month since,let all peoples woodens supernatural not " thought highly of by diseased " really . Meanwhile, but public moral hazard pushes the government to the awkward position. Wooden will it be March 1 this year such as free medical care such as common people such as spirit such as policy, spirit wooden the intersection of county and intra-area pursue " the whole people's free medical care " formally The system, all patients of urban and rural residents with registered permanent residence of the supernatural wood, carry on medical treatment in the fixed medical organization, will become the person who will receive benefits of this system. The system designer's thinking is very obvious: Advance the medical reform in way that most greatly approve, can be operated most, let everybody enjoy the fair, unified medical care of welfare properties. It is reported, here <>Before issuing, it imagined to be already set about fermenting for more than one year in the supernatural wood. " the whole people's free medical care " The system stresses the thinking of integration of urban and rural areas, according to " the implementing method ", (participate in urban and rural residents except the cooperative medical service and the intersection of worker and basic person of medical insurance) in supernatural urban and rural residents of registered permanent residence of wood ,Implement the medical card of the clinic and submit an expense account and make in hospital. Implement the medical card system in the fixed clinic, can enjoy clinic of 100 yuan to replenish 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 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 it pay for itself for patient hospitalization cost,if you can't get up, pay line above expenses check for county finance regulation. The serious disease patient is lived again the chance but wooden medical reform of the spirit is a bit more most light, install including artificial organs, organ transplant,etc., check fee, treat fee and fee of material, classify as, wipe out range too specially, the upper limit of submitting an expense account for each person every year is 300,000 yuan. Meanwhile, " implementing method " has the proportion of corresponding submitting an expense account to submit an expense account to specific disease, for instance cancer, liver cirrhosis, nephropathy and consuming disease seriously,etc. can't be eaten, 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%. An officer of hygiene system comments: "The proportion is all relatively high at home that these submit an expense account. " Analyze that relies on economic backing after implementing 12 free education project free, the wooden county of the spirit pursues free medical care in the whole county, it was leading that this reason came from land economy in the county. Will realize the per capita total output value of 68,700 yuan in 2008, will far exceed the standard of 3000 dollars of per capita total output value of well-off society in an all-round way; The general financial revenue reaches 7,100 million yuan, local fiscal revenues are 1,670 million yuan among them. Comprehensive strength occupies Shaanxi Province primary importance, the west ranks the 5th, ranks the 92nd in the whole country. The statistics show, " the whole people's free medical care " Mode run the first month, receive, in hospital a patient 2070 people totally, the fixed total cost of hospitalization of medical organization is 7,516,942 yuan in the county, cost of hospitalization submit an expense account 5,384,210, per person wipe out 2601 yuan. In addition, transfer county to the intersection of hospital and therapeutic patient have 260 people in all, according to estimate, have 3,500,000- 400 ten thousand submit an expense account yet, March for the expectation " The whole people's free medical care " The total value of submitting an expense account cost about 9,600,000 yuan. "Estimating in the range. " A person in charge of hospital says. Team it is reported since this Huimin policy is implemented on March 1 at patient, serious illness of current situation, arrange, the thing making the government troublesome: Sick beds of 7 fixed hospitals in this county are all full. "Must let acquaintances plead for mercy for in hospital if want now to be anxious. " Relative of a patient going to a doctor in the hospital of wooden county of spirit says on the 15th, " have persons in order to see the doctor, specially rent house near the hospital and line up to be in hospital. " "In the fixed hospital, the sick one can not live in, the ones that are cured do not leave hospital. " A lady who runs the private clinic says, " free medical care is kind policies to ordinary people, but the discontented with person to those must be the policy that one is bad. " Yao YuZhen is 50 years old this year, it is a liver cirrhosis patient. Over the past 3 years, the bill curing the disease has crushed his family circumstances. Can exactly such by take medicine, come, suppress patient that condition rebounded constantly one, since March 3 about one month, 10 of his comes to the hospital of god's wooden county many times, 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, the wife pedals the tricycle and sells fruits every day, he is specially waiting to be in hospital. In the afternoon of April 29, the doctor lets him go once, but Lao Yao made a trip in vain. "Some persons who are in hospital are hepatitis B ' three little male genital ', but live in the hospital and does not figure out. What I got is serious disease, the doctor is helpless, let me adopt other methods first, but what method do not I have money that can be thought out yet? Can live House of Lords, I don't free, it gives Is newspapers 80% to be advisable! " Avoid the unavoidable financial resources not good completely but have experts to the supernatural wood " Free medical care " The economic backing of the back proposes worrying, think this measure is radical. Yu Hui, researcher of Ins of industrial economy,Chi Acad of Social Sciences, points out while giving an interview, calculate tentatively, " free medical treatment systems of the whole people " After pursuing, the finance of wooden county of the spirit needs to replenish at least fund of 150 million yuan in one year, it is about 400 yuans that per person replenishes, per person replenishes the standard which reaches 120 yuan to well-above the new medical reform scheme by 2010. "Consequence continued that this measure may bring the financial respect not to think. " Meanwhile, there is worry from net friend too: The standard that medical public service ensures means medical treatment ensures the total hospitalization cost to account for 7%- 10% of GDP, individual pays below 30%, government and the society are higher than 70%. As to the wooden county of spirit with a population of nearly 400,000, according to the public service standard, the annual per capita hospitalization cost of supernatural wood is 68700* 7% =4809 yuan, the government bears 70% of the medical fee, about 3360 yuan, total medical funds of the whole county are 3360 point * 400,000 yuan =1,344 million yuan. Among them, the central, provincial government bears 100 yuan for each person personally, nearly 400,000 people in the whole county, total 40 million yuan. That is to say, god's wooden finance will have medical public service of nearly 1,300 million yuan to ensure gold, it is equivalent to more than 78% of the local fiscal revenues. Obviously, it is impossible for the supernatural wood to take so many fiscal revenues out to bear common people's free medical care. Investigate sick bed into the wooden county of the rare resource spirit to pursue " The whole people's free medical care " Since, it is at county level to successively classify 7 hospitals such as the hospital of wooden county of the spirit as Fixed hospital, it is provincial fixed hospitals that Xi'an Communications University encloses 5 hospitals such as the institute, in addition, 6 famous hospitals of Beijing are listed in the lists of the fixed hospital. Receive the enticement of free medical care, asking the doctor to pour into the fixed hospital at county level of a large number of, its quantity has exceeded the supreme quantity that can be estimated. In a few days, the reporter inspects seeing in Guangming Road hospital of wooden county of spirit of the midsection, 350 sick beds in this hospital are all full. In the second hospital of supernatural wood, the sick bed is likewise at full strength, in hospital the patient in order to meet managing, the hospital have to find a room for many sick beds in the corridor. The tide is in large scale to seek medical advice, the sick bed has become the rare product, because unable to give asks the doctor to offer and is in hospital the sick bed, a lot of patient that should also be in hospital look waits for, wanders up and down in the hospital low-spiritedly. A government official says helplessly: "The full phenomenon of the sick bed can be imagined. Receive the enticement of free medical care, some patients do not see after until March 1 after being ill; It is ill that some have scorned for for many years; Others are small disease will not be seen in hospital. " The patient has cured and does not leave hospital some patients can well leave hospital and recuperate after passing hospital treatment, can just live and does not want to leave hospital, because they have an account in the heart: They to go through short day such as Forth Five-Year Plan Period most too, long ten or twenty day most, really difficult to in hospital; Moreover, have gone through formalities of leaving hospital, according to the regulation, " free lunch " Will loud cry of a birds broken to support, oneself spend money, recuperate, it would be better, live two continue and treat free week again instead of go home. "Some patients can well leave hospital and recuperate after passing hospital treatment, but but did not live wanting to leave hospital, patient behind is waiting to be admitted to hospital again, the medical personnel has to communicate with the patient. " A hospital leader says. The person in charge of a not proper fixed hospital at county level of free medical care formulation says frankly the reporter, " free medical care " Formulation at getting more improper a little,in call it is apt make masses not misunderstandinged. Some masses hold 50 yuan to see the doctor, acting as sees the starting fare in hospital, a lot of peasants are illiterates, does not understand the policy, it does not stand to complain about the government and speak. Each department in the hospital, the doctors give patient administration to carry out " medical insurance catalogue ", belong to the one at one's own expense, should consult patients and use the opinion. A doctor of dept. of orthopedics of hospital of wooden county of spirit uses medicines of some not " medical insurance catalogues " while writing a prescription for the patient, did not find time to let the patient sign at that time. Patient can wipe out the expenses for medicine, patient find doctor this later on, doctor has to produce more than 400 yuan get for patient over. Worried the medical system is dog-tired " the implementation of the policy was not taken into account to public quality, the task of top priority is not a question of the fund at present, but how to set up strong restraint on the system, how to tackle citizen's moral hazard is a key. " A government official insisting on anonymity says. Visit god after the wooden several hospital of county town, in reporter's eyes the intersection of patient and relative whether light expression and happiness talk and laugh. " see the doctor and does not spend money " Sincere answer with reporter question escape one's lips. Indeed, " free " Encourage leaving, doctor and patient all have one kind to excessively take up the inclination of enjoying medical care of the government finance, its result may bring the reverse choice, the finance is unable to make ends meet, unable to maintain existing medical treatment to ensure competence, the government will fall into a dilemma finally. Facing the public moral hazard among the people, some people are anxious, free medical modes of the whole people have already caused the medical wasteful use of resources, also it is very low to cause the efficiency of medical care, because many the masses or move an operation in hospital, will often line up for a long time, will make some crowds of the bottom of society delay treating under this system. Meanwhile, the medical system of supernatural wood is dog-tired under free medical care, it is quite fragile to tackle and happen suddenly emergency ability of the public health event. Pursue the at the beginning of contradiction exposed, all sorts of queries to the various circles of society as to the policy, as to the interview of the media, the wooden county government of the spirit has been adopting and avoiding the principle all the time. The reporter goes to god's wooden county hospital and several hospitals for several times, mention that interviews the content, refused politely by the persons who receive. Officers say privately, want to interview " the whole people's free medical care " before this Media numerous,because while carrying out at policy, find by some question and loophole, need adjusting, does not accept the relevant interview generally. The analysis to here of the external world is, " free " The demand for the public products has no limits, it is known to risk and pressure that the high medical demand contains that perhaps the policymaker has been already careful, want to act in a low-key attitude. " XinHua daily dispatch " according to " China's Business "


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