Tuesday, July 10, 2012

12 city civil servants in Jiangsu enter the medical insurance It is a trend that the socialized medicine is replaced

12 city civil servants in Jiangsu enter the medical insurance It is a trend that the socialized medicine is replaced
12 city civil servants in Jiangsu enter the medical insurance It is a trend that the socialized medicine is replaced
It is Beijing Pinggu district of the trend of the times that the socialized medicine is replaced by civil servant's medical insurance to take the lead in trying to incorporate the basic medical insurance reform in socialized medicine a few days ago, more than 20,000 administrative organs, on-the-job worker of public institution and retired personnel will no longer enjoy public health services, all include in the basic medical insurance and submit an expense account. This news causes extensive concerns in all parts of the country. The reporter knew yesterday, in fact, as Jiangsu of the national medical reform experimental field, have begun to try health care reform at public expense of water for a long time. "At present, in 13 cities under the jurisdiction of the provincial government in our province, the civil servants of 12 cities have already entered the medical insurance. " Yesterday, province the intersection of related departments and person in charge tell reporter whether socialized medicine of now such as our province already with there was a very much loud change in the past, closing to towards the basic medical insurance, in the future, " the whole people's medical insurance " It is the trend of the times. 12 mayors, secretary of city in Jiangsu have medical insurance cards It is introduced, about the health care reform at public expense, the pilot city of our province, it is the national first batch of pilot cities too - -Zhenjiang, began to try water in 1994, in 1998, the city of the medical reform at public expense expanded to cities such as Suzhou, Wuxi, Nantong,etc.. "At present, in 13 cities under the jurisdiction of the provincial government in our province, the civil servants of 12 cities have been included in the medical insurance range already, the mayor, secretary of the city have medical insurance cards too. " The persons in charge of related departments of the province say, the medical insurance that the civil servant participates in is that basic medical insurance in addition, civil servant's medical treatment are subsidized, because the civil servant's average salary is relatively high, the standard is relatively high that it pays the fees, so the treatment enjoyed is relatively high. Then, must the medical insurance treatment that the civil servant enjoys be higher than the worker? One that is uncertain! The reporter knows, the medical insurance of the enterprise worker is the basic medical insurance in addition, supplement the medical insurance, so, if enterprise's economic benefits are very good, pay the fees the standard will be probably higher than the civil servant, in that case, the medical insurance treatment enjoyed is just better than the civil servant. The insider introduces, " the last position " of the socialized medicine of our province at present It is organs of provincial organ, Nanjing, county district. "' the whole people's medical insurance ' is the trend of the reform, this is undoubted. " This personage so expresses clearly. The existing socialized medicine has not already submitted an expense account and talked about the socialized medicine absolutely too, what ordinary people thought of at first is one kind " Privilege " ,Also the media is exposing more than 20,000 administrative organs, on-the-job worker of public institution and retired personnel in Beijing and no longer enjoying public health services, change, pay behind the news of the insurance premium together by unit and the intersection of worker and individual its, public opinions generally applaud. However, yesterday, the persons in charge of related departments of the province said to reporters, in our province, that kind of socialized medicine that can submit an expense account absolutely will not exist. "Nowadays, hold the socialized medicine to originally go to the hospital to see the doctor, each person can only choose 3 fixed hospitals, the hospital has the restriction too on number, go to the tertiary hospital if taking medicine, can only take between 50 yuan and 60 yuan at most each time, get second hospital each time can only take 30 yuan about. As for socialized medicine of Nanjing, pay first medical fee first, wipe out 80% - 90% according to invoice later. " This person in charge explains, the reason why will be so, because after the city civil servant in our province 12 is included in civil servant's medical insurance, the socialized medicine left is being closed to to the basic medical insurance too in fact, already been different from 100% of the socialized medicine of submitting an expense account of the past. For example, it is the same that the staff members of provincial organ join the medicines catalogue that sponsors carried out, project of making a diagnosis with worker's medical insurance; In addition, except socialized medicine catalogue, some project of making a diagnosis, it imports materials and medicines to be also should since pay the bill; Within the socialized medicine catalogue, some medicines need individuals to bear too, the lowest individual should bear 10%-40%, specific medicines, individual should bear 70%. Get the intersection of serious disease and medical insurance better than at public expense medical treatment, " get serious disease, individual of socialized medicine bear, take care of yourself than medicine instead. " Yesterday, the persons in charge of related departments of the province told reporters, because the socialized medicine did not implement the comprehensive arrangement for serious disease, not enjoying social medical rescue either, in serious disease is treated and cured, go beyond material, medicines, service item of the socialized medicine catalogue, be all born personally. Be regarded as, the serious disease patient's individual affords about 30% of the total medical fee. It is different to participate in the medical insurance. The statistics show, our province effect an insurance in the worker last year, dialyse to kidney, renal transplantation and resist arrange and malignant tumour and set the intersection of chemotherapy and fund of patient free, pay proportion, reach 88%, 81%, 74% of the total hospitalization cost separately; Effect an insurance resident in hospital patient in the medical all-inclusive cost, three fund of serious disease these pay the proportion and reach 74%, 70%, 50% respectively too. "Get serious disease, effect an insurance the intersection of worker and individual bear, take little a bit comparatively speaking. " This person in charge introduces to the reporter, according to relevant policies and regulations of worker's medical insurance, grow great after being ill, at first, 40,000 under hospitalization cost, medical insurance can wipe out 70% - 75%. The part of under more than to 150,000 or 200,000 yuan of 40,000 yuan, are submitted an expense account 60% - 80% by the fund of comprehensive arrangement for serious disease. Exceeds 150,000 or 200,000 ones that bind the line, supplemented the medical insurance, for example a part that the business insurance submits an expense account. In addition succour target as to difficult family society, civil affairs department also will pay social medical rescue. If stated the above has been finished wiping out, individual bears and still feels something heavier, still can get compensation two times, namely according to regional fund balance situation and the patient's actual conditions of effecting an insurance, go on, submit an expense account to surplus expenses, in this case, a total one wipe out proportion, can reach 90% of all-inclusive cost at most. Staff reporter Qi QingYan


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