The real problem behind the "live in a hospital that spends 1/3 of the annual income" is organized by the "Dialectical Viewing and Practicing Office Theory Hot Face to Face • 2012" to respond to questions about medical expenses. According to statistics, the per capita medical cost of inpatients in China last year reached 6,632 yuan, which is 1/3 of the per capita income. (July 23 People's Network)
In all fairness, for the general public, the average cost of living in a home is 6,632 yuan, which is indeed not a small sum. However, if the average cost of hospitalization and the ratio of hospitalization cost are used, then the conclusion that the medical fees are too high will be concluded. Also too rushed.
In fact, patients with hospital needs usually do not only have minor problems, but also have a greater proportion of serious illnesses. The treatment of serious illnesses of this type has a lot of natural costs and the average hospitalization costs are high. In fact, the nature of serious diseases that are hospitalized has been pushed up. Not only that, the average cost of hospitalization, I do not know whether it includes publicly funded medical care. The welfare of publicly funded medical services leads to high hospitalization costs. It has long been an open secret, and there are even cases where high-quality hospital wards are treated as public nursing homes. Such hospitalization expenses are also counted, and the average hospital cost is not high.
Of course, it is undeniable that the disorderly circulation of medicines leads to high prices for medicines; it is indeed an indisputable fact that public hospitals “make up for medicine†and cause excessive inspections and excessive medical treatment. As a result, the cost of medicines pushed up from this level should have been broken down from the medical system level. However, the average cost of hospitalization of 6,632 yuan cannot be judged simply by its absolute value or the ratio of average income. Since it is "repairing medicine," it shows that the value of the medical service itself has not been reflected in the charge. While medical needs should not be marketized, medical care, as a supply-demand relationship, has market principles that cannot be denied. Excessive hospitalization costs can make people “sickâ€, but hospitalization costs are too low, which can also lead to abuse of scarce medical resources.
In fact, if we do not deny the high risks of medical services and the inherent attributes of high knowledge and high skills, hospitalization costs need to be controlled, but it is by no means lower. On the contrary, the reason why the domestic people are "illnessless" lies in the lack of coverage of medical insurance. Although the coverage of domestic medical insurance is said to be 95%, the protection is obviously still lacking. In the United States, for example, the cost of hospitalization is equally high, but the proportion of self-paid people who enjoy medical insurance is quite low. If the domestic people's hospitalization costs can also be covered by the medical insurance, and reduce the proportion of self-paid, an average of 6632 yuan in hospital expenses, in fact, will not lead the people to feel deeply "ill."
In a nutshell, the special nature of medical treatment is destined to ensure that it cannot become a relationship between medical institutions and patients. It is entirely dependent on individual patients to bear the cost of medical hospitalization. No matter which country’s people will be overwhelmed, the medical system at this time The establishment and improvement of health insurance coverage of the people is also indispensable. The truth about this fact, and the responsibilities behind it, obviously cannot be obscured by the “one-third of the annual income of a houseâ€.
Related news: The "people's livelihood effect" of incurable diseases is inestimable Sohu Recently, the Standing Committee of the Political Bureau of the CPC Central Committee, the vice premier of the State Council, and the head of the State Council Leading Group for the Reform of the Medical and Health System Reform Li Keqiang presided over the eleventh plenary session of the leading group on medical reform. Li Keqiang emphasized that we must make a determined effort to integrate the medical insurance for diseases into the scope of universal medical insurance and expand and extend the functions of basic medical insurance. This is conducive to institutionalizing and weaving dense social safety nets, effectively solving the special difficulties of severely ill patients, and lifting their worries. Bringing hope and warmth to patients and their families.
Basic medical security is an important issue that cannot be ignored for any modern government. In the United States, medical protection is the focus of congressional bipartisan controversy, and it is also one of the biggest challenges facing the Obama administration. The current government actively promotes medical reform and basically achieves full coverage of basic medical insurance and new rural cooperative medical services in the cities and towns. Peasants' medical treatment can also be reimbursed. The dream of people suffering from medical treatment for thousands of years is gradually becoming a reality. This is an important good government for the government to improve people's livelihood and build a public service system. Its significance cannot be overstated.
After the relatively easy-to-promote implementation of the basic medical insurance system, some difficult problems also began to emerge. As Li Keqiang said, medical reform has entered the deep water area and the tough stage. One of the outstanding issues is that the maximum amount of payments for basic medical insurance is still not high. There is a minor illness or minor disaster. The general public generally “dare†to see a doctor, but once a serious illness is encountered, many families cannot afford it. The problem of poverty due to illness and return to poverty due to illness is still outstanding. For example, if a rural family's child is seriously ill, medical expenses may cost hundreds of thousands of yuan. Even if they participate in the new rural cooperative medical system, they will be reimbursed for a cap of 70,000 yuan. For an ordinary family, the own expenses are undoubtedly a heavy burden. At present, some conditions have begun to explore the inclusion of major illnesses in basic medical insurance, but there are not many such places, there are still issues such as the convergence of household registration, and the types of diseases covered by the protection are also very limited. This has caused many people with serious illnesses to fail to receive timely and effective treatment. The media appeared to be rescued by “inflated†injuries. The Beijing man Liao Dan, who “frauded his wifeâ€, is an example of this.
Some civil charities and individuals have already seen this problem. A few days ago, the famous public welfare person Deng Fei led the project of “Medical Care for Diseases†for rural children. The purpose is to jointly protect rural children in impoverished areas from serious illnesses through multiple forces such as joint families, government NRCMS, medical social insurance, and folk children’s rescue teams. . In the pilot area, each person only needs to pay a premium of 75 yuan per year to receive a maximum of 200,000 yuan in reimbursement when the child is seriously ill. The public welfare forces have keenly discovered the most pressing needs of the people, and they must provide support and encouragement when launching corresponding public welfare projects. However, the public welfare forces are limited, and they can only compensate for the shortage. The scope of the current benefits is still limited. The first pilot area is Hefeng County, Hubei Province, one of the national poverty-stricken counties.
In order to achieve real “major medical care,†we must also have a unified central arrangement to include medical care for diseases in the scope of universal medical insurance, expand and extend the functions of basic medical insurance, so that it becomes an institutional social security, free from restrictions on household registration, urban and rural residents Can enjoy. Because in the face of costly and unpredictable illnesses, not only rural families need help, but urban residents also need a guarantee.
Although the basic medical insurance is mainly the responsibility of the government, the role of public nonprofits to fill gaps and supervise and promote supervision is also indispensable. In addition, major illnesses can be included in basic medical insurance. They can also learn the operational experience of private public welfare projects, introduce commercial insurance agencies, give full play to their professional advantages, use less capital investment, amplify the effectiveness of basic medical insurance, and strengthen the function of social mutual assistance and mutual aid. Therefore, medical insurance for severe illnesses can learn from the experience of “free lunch†and achieve a positive interaction between public welfare and government behavior.
The biggest problem faced in setting up an illness-reduced medical insurance system is to increase financial investment, which means that other government investment projects or the government's own expenditures must be reduced. This will inevitably encounter certain resistance. However, it must be pointed out that public financial funds are more invested in the areas of people's livelihood such as medical care and social security, not only repaying historical “debtsâ€, improving people’s health, promoting social harmony, but also lifting the worries of many families, increasing consumer willingness and consumption. Capacity, which has an important role in stimulating household consumption, promoting the development of related industries, promoting structural adjustment, and changing the mode of development. Therefore, this amount of money is worthwhile. It will not only promote fairness and justice, but also bring great economic and social benefits.
In all fairness, for the general public, the average cost of living in a home is 6,632 yuan, which is indeed not a small sum. However, if the average cost of hospitalization and the ratio of hospitalization cost are used, then the conclusion that the medical fees are too high will be concluded. Also too rushed.
In fact, patients with hospital needs usually do not only have minor problems, but also have a greater proportion of serious illnesses. The treatment of serious illnesses of this type has a lot of natural costs and the average hospitalization costs are high. In fact, the nature of serious diseases that are hospitalized has been pushed up. Not only that, the average cost of hospitalization, I do not know whether it includes publicly funded medical care. The welfare of publicly funded medical services leads to high hospitalization costs. It has long been an open secret, and there are even cases where high-quality hospital wards are treated as public nursing homes. Such hospitalization expenses are also counted, and the average hospital cost is not high.
Of course, it is undeniable that the disorderly circulation of medicines leads to high prices for medicines; it is indeed an indisputable fact that public hospitals “make up for medicine†and cause excessive inspections and excessive medical treatment. As a result, the cost of medicines pushed up from this level should have been broken down from the medical system level. However, the average cost of hospitalization of 6,632 yuan cannot be judged simply by its absolute value or the ratio of average income. Since it is "repairing medicine," it shows that the value of the medical service itself has not been reflected in the charge. While medical needs should not be marketized, medical care, as a supply-demand relationship, has market principles that cannot be denied. Excessive hospitalization costs can make people “sickâ€, but hospitalization costs are too low, which can also lead to abuse of scarce medical resources.
In fact, if we do not deny the high risks of medical services and the inherent attributes of high knowledge and high skills, hospitalization costs need to be controlled, but it is by no means lower. On the contrary, the reason why the domestic people are "illnessless" lies in the lack of coverage of medical insurance. Although the coverage of domestic medical insurance is said to be 95%, the protection is obviously still lacking. In the United States, for example, the cost of hospitalization is equally high, but the proportion of self-paid people who enjoy medical insurance is quite low. If the domestic people's hospitalization costs can also be covered by the medical insurance, and reduce the proportion of self-paid, an average of 6632 yuan in hospital expenses, in fact, will not lead the people to feel deeply "ill."
In a nutshell, the special nature of medical treatment is destined to ensure that it cannot become a relationship between medical institutions and patients. It is entirely dependent on individual patients to bear the cost of medical hospitalization. No matter which country’s people will be overwhelmed, the medical system at this time The establishment and improvement of health insurance coverage of the people is also indispensable. The truth about this fact, and the responsibilities behind it, obviously cannot be obscured by the “one-third of the annual income of a houseâ€.
Related news: The "people's livelihood effect" of incurable diseases is inestimable Sohu Recently, the Standing Committee of the Political Bureau of the CPC Central Committee, the vice premier of the State Council, and the head of the State Council Leading Group for the Reform of the Medical and Health System Reform Li Keqiang presided over the eleventh plenary session of the leading group on medical reform. Li Keqiang emphasized that we must make a determined effort to integrate the medical insurance for diseases into the scope of universal medical insurance and expand and extend the functions of basic medical insurance. This is conducive to institutionalizing and weaving dense social safety nets, effectively solving the special difficulties of severely ill patients, and lifting their worries. Bringing hope and warmth to patients and their families.
Basic medical security is an important issue that cannot be ignored for any modern government. In the United States, medical protection is the focus of congressional bipartisan controversy, and it is also one of the biggest challenges facing the Obama administration. The current government actively promotes medical reform and basically achieves full coverage of basic medical insurance and new rural cooperative medical services in the cities and towns. Peasants' medical treatment can also be reimbursed. The dream of people suffering from medical treatment for thousands of years is gradually becoming a reality. This is an important good government for the government to improve people's livelihood and build a public service system. Its significance cannot be overstated.
After the relatively easy-to-promote implementation of the basic medical insurance system, some difficult problems also began to emerge. As Li Keqiang said, medical reform has entered the deep water area and the tough stage. One of the outstanding issues is that the maximum amount of payments for basic medical insurance is still not high. There is a minor illness or minor disaster. The general public generally “dare†to see a doctor, but once a serious illness is encountered, many families cannot afford it. The problem of poverty due to illness and return to poverty due to illness is still outstanding. For example, if a rural family's child is seriously ill, medical expenses may cost hundreds of thousands of yuan. Even if they participate in the new rural cooperative medical system, they will be reimbursed for a cap of 70,000 yuan. For an ordinary family, the own expenses are undoubtedly a heavy burden. At present, some conditions have begun to explore the inclusion of major illnesses in basic medical insurance, but there are not many such places, there are still issues such as the convergence of household registration, and the types of diseases covered by the protection are also very limited. This has caused many people with serious illnesses to fail to receive timely and effective treatment. The media appeared to be rescued by “inflated†injuries. The Beijing man Liao Dan, who “frauded his wifeâ€, is an example of this.
Some civil charities and individuals have already seen this problem. A few days ago, the famous public welfare person Deng Fei led the project of “Medical Care for Diseases†for rural children. The purpose is to jointly protect rural children in impoverished areas from serious illnesses through multiple forces such as joint families, government NRCMS, medical social insurance, and folk children’s rescue teams. . In the pilot area, each person only needs to pay a premium of 75 yuan per year to receive a maximum of 200,000 yuan in reimbursement when the child is seriously ill. The public welfare forces have keenly discovered the most pressing needs of the people, and they must provide support and encouragement when launching corresponding public welfare projects. However, the public welfare forces are limited, and they can only compensate for the shortage. The scope of the current benefits is still limited. The first pilot area is Hefeng County, Hubei Province, one of the national poverty-stricken counties.
In order to achieve real “major medical care,†we must also have a unified central arrangement to include medical care for diseases in the scope of universal medical insurance, expand and extend the functions of basic medical insurance, so that it becomes an institutional social security, free from restrictions on household registration, urban and rural residents Can enjoy. Because in the face of costly and unpredictable illnesses, not only rural families need help, but urban residents also need a guarantee.
Although the basic medical insurance is mainly the responsibility of the government, the role of public nonprofits to fill gaps and supervise and promote supervision is also indispensable. In addition, major illnesses can be included in basic medical insurance. They can also learn the operational experience of private public welfare projects, introduce commercial insurance agencies, give full play to their professional advantages, use less capital investment, amplify the effectiveness of basic medical insurance, and strengthen the function of social mutual assistance and mutual aid. Therefore, medical insurance for severe illnesses can learn from the experience of “free lunch†and achieve a positive interaction between public welfare and government behavior.
The biggest problem faced in setting up an illness-reduced medical insurance system is to increase financial investment, which means that other government investment projects or the government's own expenditures must be reduced. This will inevitably encounter certain resistance. However, it must be pointed out that public financial funds are more invested in the areas of people's livelihood such as medical care and social security, not only repaying historical “debtsâ€, improving people’s health, promoting social harmony, but also lifting the worries of many families, increasing consumer willingness and consumption. Capacity, which has an important role in stimulating household consumption, promoting the development of related industries, promoting structural adjustment, and changing the mode of development. Therefore, this amount of money is worthwhile. It will not only promote fairness and justice, but also bring great economic and social benefits.
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