A Vice Minister - expand medical insurance of urban and rural residents and pay the range progressively of people's protecting department

A Vice Minister - expand medical insurance of urban and rural residents and pay the range progressively of people's protecting department
At 9:00 a.m. of 24 days, the 18th meeting of the 11th Standing Committee of the National People's Congress holds the joint group meeting, inquire the special topic on the report on deepening the system reform working condition of the medical and health of the State Council. The following is that the faithful record of the news conference is selected: Song FaTang: The medical and health system reform report which comrade Zhang Ping made, has introduced all-sidely and cured the situation which improves the exhibition, achievement, present existing problem, and solve the suggestions of these problems. The report is good. Since the medical reform is started, under the State Council and joint efforts concerned, having made the apparent effect, especially basic medical treatment ensures the system reform to already enter the stage accelerating development at present, it is already up to more than 1,200 million to participate in urban worker's basic medical insurance, basic medical insurance and new agricultural number of people shut of urban residents, the figure that comrade Zhang Ping's report offers is 1,259 million, ensure competence in constant improvement too, the basic medical insurance system is welcomed by the masses very much. But now, the basic medical insurance is divided according to the crowd, ensure competence to be with a wide gap, the difference of the region in urban and rural areas is greater. And the medical insurance belongs to different administrative departments respectively to manage, it is dispersible to manage resources, influence the management and efficiency done, increase and manage the cost, also bring inconvenience to masses, still exist in some places and reply the disadvantage of effecting an insurance emphatically. Some places carry on beneficial exploration in managing, combining to handle resources in unison now, question done resources of medical insurance of integration put forward in comrade Zhang Ping's report too, what I want to ask is it will be now, the State Council, and relevant department strengthen basic medical treatment, ensure global design of system, make the intersection of management system and in order, have any concrete plan? What concrete policies and measures are there to further improving medical insurance level? Human resources and Hu XiaoYi, Vice Minister of social security department: Every vice chairman, every committee member, our country basic medical treatment ensure system work until the State Council by the intersection of human resources and social security portion, Ministry of Public Health, the intersection of Ministry of Civil Affairs and three the intersection of department and common a responsible one these. The division of labour of the leading group of the medical reform of the State Council is led by social security department of human resources responsible for the work advancing construction of basic medical security system, so, let me answer committee member Song FaTang's inquiry. Hu XiaoYi: Basic medical construction of security system of our country at one in urban and rural areas two objective foundation of structure, and set up progressively in the course that the socialist market economy system goes through transition. It is the basic medical insurance system that reformed the urban worker in 1998 at first. The central authorities made the decision to set up and shut newly and agriculturally in 2002, began the pilot project after 2003. Begin to set up urban residents' basic medical insurance system in 2007. Hu XiaoYi: Having set up the medical rescue systems of countryside and cities and towns in the new century, in this way the system framework ensured in our country's basic medical treatment is basically intact. However, because successively advanced different medical insurance systems, really some contradictions and problems existed, so far as as committee member Song FaTang put forward, we say ask " 4 " Question,it set up separately system, it disperse in urban and rural areas to cut apart, manage y separation, resource, some such problems and contradictions really exist, especially accelerate with our country's industrialization, urbanization, population's flow is larger and larger, these contradictions are more and more prominent. Hu XiaoYi: To this question, the Central Party Committee, the State Council pay close attention to, has proposed " combines the basic medical insurance and handles resources in the new medical reform file of last year effectivelying clearly, the ones that realize administration of basic medical insurance in urban and rural areas are unified progressively" Requirement. At the request of the Central Party Committee, the State Council, overall planning of practical attention, global design and system that arranged every medical insurance of coordination in advancing the course of the medical reform of relevant department of the State Council. Hu XiaoYi: We have taken relevant measures in five aspects mainly: First, on not joining, keeping, paying attention to, possible demarcation line to break urban and rural areas, to flexible rural worker of employment, have stipulated and can choose to participate in the system of the ground urban residents medical insurance or new agricultural system shut of the household register site voluntarily and obtained employment. Take rural worker as the focal point, has defined the trans-system, trans-regional transformation continues the method. Hu XiaoYi: Second, on the subsidy standard of the government, have stipulated the same policy to the medical insurance of urban and rural residents, especially on the standard that the central authorities subsidize, the state revenue subsidizes 60 yuan / person-year to the central and west regions without exception, this does not divide the urban and rural areas. Consider at the request of pool of urban and rural areas too when improving subsidy standard in the future. Hu XiaoYi: Third, pay attention to the overall arrangement of three system levels at the treatment level too. The treatment level that it is worker's medical insurance now is relatively a bit higher, for example serious disease and proportion of submitting an expense account in hospital, or is called the proportion paid, this year is up to about 75%. Shut newly and agriculturally and resident's proportion with original medical insurance is relatively lower, the proportion that submit an expense account newly and agriculturally and of only shutting 38% in 2008, resident medical insurance 50% wipe out proportion only, disparity is close by 2009, reached 50%-55%, medical insurance and what has been shut newly and agriculturally of urban residents submit an expense account the proportion can be up to 60% basically this year, one that is with worker's medical insurance submits an expense account proportion disparity is dwindling too. Hu XiaoYi: Fourth, in relevant management service, strengthen the connecting of the urban and rural areas, for example advance the pool of clinic, resident's medical insurance and new agricultural contract step are arranged. For example, it is overall arrangement that we advance the hospitalization cost to close this job in time again. Hu XiaoYi: The fifth, has set up the medical rescue system that the policy in urban and rural areas is unanimous tentatively. Hu XiaoYi: Contradiction and drawback set up separately to the system of urban and rural areas, all parts have launched the exploration that the medical treatment in urban and rural areas of the pool ensured the system at the request of central authorities, there are three provincial areas now, namely Tianjin, Chongqing and Ningxia autonomous region have already implemented the medical insurance system of urban and rural residents in an all-round way. There are more than 30 prefecture-level cities, has and carried on such exploration in more than 100 towns at county level. Explore it is mainly three kinds of forms: The first kind of form, implement unified medical insurance systems of urban and rural residents, stipulate different grade, chosen independently by urban and rural residents. The second kind of form, though still shut the system different from two pieces of medical insurance residents keeping new and agricultural, but administration is unified, help the overall arrangement and coordinate the promotion like this. The third kind of form, even if the system of administration can't be unified for the moment, unite handling systematically first, unite the information platform, help to raise the efficiency of management like this at least, also the one that help to solve committee member Song FaTang and put forward effects an insurance repeatedly, replenishes such asking repeatedly Question. Hu XiaoYi: As a whole, such exploration is positive, have strengthened the fairness of the system, also adapt to personnel? 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Second, here " Twelve five " Advance the systematic construction of informationization of the social medical insurance in a more cost-effective manner during this time, especially accelerate issuing the nationwide unified social security card, plan to be here tentatively " Twelve five " Increase circulation of the social security card to more than 800 million during this time. There are " all-purpose cards " Technological for foundation,can last management, connecting and the peoples favourables convenient for peoples in urban and rural areas system of helping to make on every medical insurance. Third, continue improving the treatment level ensured in basic medical treatment in urban and rural areas in overall arrangement, and narrow the disparity between the systems, between town and country progressively. While stabilizing worker's medical insurance and raising funds to do one's utmost, improve the subsidy level of the medical insurance to urban and rural residents of the government progressively, on this basis, expand the payment range of urban and rural residents medical insurance progressively too. While improving worker's medical insurance personal account policy, advance the clinic pool of urban and rural residents synchronously, bring those common diseases, frequently-occurring diseases into the payment range of the medical insurance too, expand the masses' benefited one. Raise resident's medical insurance with sharing the proportion of serious disease expenses of the institute and the conducting the limit of the pool fund newly and agriculturally greatly, and narrow and follow the disparity of levels of the urban worker's treatment progressively. Hu XiaoYi: In a word, we will be at the request of the Central Party Committee, the State Council, under support and supervision of the National People's Congress, further advance the basic medical guarantee system of the pool in urban and rural areas. Thank you for committee member's ensuring the care and support of the system to basic medical treatment.

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