Deputy to the National People's Congress and expert: The Ministry of Health is in charge of having original advantages agriculturally jointly newly

Deputy to the National People's Congress and expert: The Ministry of Health is in charge of having original advantages agriculturally jointly newly
Staff reporter Meng QingPu The draft of social law of insurance is being discussed in the Standing Committee of the National People's Congress warmly. This draft has made special chapter regulation to the basic medical insurance, define the basic medical insurance includes worker's basic medical insurance, basic medical insurance and new rural cooperative medical service of urban residents. Draft propose provincial government can according to actual conditions, the intersection of urban residents and with seek unity of standard jointly while being agricultural while being new medical insurance, amalgamate implementation. Wang Longde of standing committee of National People's Congress thinks, it is very necessary for the social insurance to legislate, but not fully considered the particularity of the medical insurance in content about medical insurance of the draft, and three items of medical insurance system fund-raising of our country, management mode different current situations. By force urban medical insurance with unify jointly while being agricultural while being new, may equal to the system, lead to the fact, bludgon to a vigorous one into while being agricultural while being new. The pool in urban and rural areas of the medical insurance is not equal to it is reported, compare the first instance draft, the draft manuscript of this second instance social law of insurance is changed on structure and content greatly in unison, rise to 91 from 63 original. Especially about basic medical insurance part and stipulates the change is very great for a clause. Wang Longde think, the draft is collected, managed and handled about the social insurance premium and the fund is managed,etc. a series of legal clause, have not fully considered the complexity of the basic medical insurance and current situation of development of medical security system of our country, especially inconsistent with shutting the present institutional improvement newly and agriculturally. Once through implementing, will cause assaulting in shutting the system newly and agriculturally. Wang Longde thinks, though the basic medical insurance is the important component of the social insurance, but medical insurance and other social insurance are deposited in the obvious difference. Besides the agent structure different from management mode, the principle that the two establish has a basic difference too. Medical Benefits Funds manages the principle of following the accounting on a cash basis, aims at ensuring current period to effect an insurance (join and shut) The marriage partner has benefited maximum, lighten the burden of the hospitalization cost. And other social insured fund belong to and accumulate making, mainly pay close attention to the value preserving and appreciation of the fund and balance between revenue and expenditure. In addition, in terms of our country, most medical insurance belong to the persons who effect an insurance to participate in voluntarily, but other social insurance belong to mandatorily participates in. The particularity of the medical insurance has been determined in the social insurance legislates, can't make unified regulation and requirement to medical insurance and other social insurance in raising funds, paying, supervising etc.. Wang Longde say of our country area, social economy develop extremely uneven among being in urban and rural areas, medical demand and medical level of consumption of urban and rural residents are widely different. In 2007, the per capita disposable income of urban residents is 13786 yuan, rural residents are 4140 yuan; The medical consumption expenditure of urban residents per persons is 621 yuan, rural residents are only 191 yuan. In other words, same disease,one piece cost of urban resident is for several times of peasant. Under such a background, the intersection of urban residents and with seek unity of standard jointly while being agricultural while being new medical insurance, amalgamate, implement, will bring " poor to help richly " Result,cause occupy urban residents peasant interests, it last great unfairness. The pool in urban and rural areas is not unified definitely, especially in medical treatment ensures the institutional improvement. Consider the particularity of the medical insurance and medical treatment of our country ensure the system to still need complete current situation, Wang Longde proposes, the social insurance should isolate the medical insurance from other social insurance while legislating, authorize and make the regulations by the single research of the State Council, after the system of medical insurance is improved progressively, and then rise to the legal aspect. Dispute about basic medical insurance that medical insurance and pool of medical care the social insurance of the trend of the times legislate, let more persons realize the importance of the management system of the medical insurance. The guilt of standing committee of National People's Congress, economist wins and hinders proposing while reviewing the draft, under constructing the reform background of medical insurance systems of the whole people, who is manage the basic medical insurance to worth thinking. It is reported, the medical insurance of urban worker and resident of our country is from human resources and social security department management at present, shut it by the management of Ministry of Public Health newly and agriculturally. The fund-raising, management of the two is handled and the fund management mode is different. As far back as the whole country of the beginning of this year " Two Conferences " During this time, the system of medical insurance " does things in his own way " Current situation arouse the attention from many deputies to the National People's Congress. Representatives such as Yao YuanZhen, Wang ZhiYing,etc. propose, three medical treatment ensure the system by the Ministry of Health separately, work to ensure the department to handle, the medical rescue system correlated to this is managed by the civil affairs department, several system functions are close, do things in his own way. Especially shut the medical insurance of system and urban residents to cross newly and agriculturally each other to peasant and the peasants of lost territory of the suburb county villages and towns of the area under the jurisdiction of the municipal government, individual its pay the fees standard, protect, repay range, wipe out proportion, medicines catalogue,etc. policy different, unfavorable to the development of pool in urban and rural areas, is unfavorable to limited medical treatment and ensure resources to combine and utilize effectively. They propose, shut newly and agriculturally the system of the ones that are managed by the Ministry of Health at present, urban worker's medical insurance, medical insurance system of urban residents of department's management of the social insurance are combined, set up the unified medical insurance system in urban and rural areas, set up the medical insurance bureau in Ministry of Public Health, set up the medical insurance bureau in the health authorities of province, autonomous region and municipality directly under the Central Government, municipal dividing into the intersection of medical insurance and department by county hospital ' Burst) ,Manage the urban and rural residents medical insurance as a whole. Ministry of Public Health shut a research that the research center finished newly and agriculturally a few days ago to offer the basis for above-mentioned suggestion. This centre national to in the world 127 ' Area) The research of social security system and management system shows, 112 countries (district)s that have set up legal medical treatment to ensure the system China, 69.6% ensure system and health care service to transfer medical treatment to a department and manage as a whole. Adopt the country of method ' Area) Proportion, in the medium-sized country (district) of the human development index , human development index relatively high country ' Area) , in OECD and Group of Seven is 67.4%, 72.7%, 86.7% and 100% respectively. This shows, most countries (district)s Ensure system and health care to serve and manage medical treatment as a whole, and economics and society development level the less high, social security system management a normal country ( Area) ,Incline to adopt this kind of management system. This research proposes, the social security system content is complicated, there are a great deal of differences between every system, should fully consider the characteristic of every system while designing management system, the interconnected system should be then interconnected system, should divide and divide, design the management system of different systems scientifically. Several national ' Area) Choose medical treatment to ensure being proved with the medical care management function by practice of the same department's comprehensive management, ensure medical treatment and medical care is managed as a whole, can achieve the purpose of coordinating of two systems each other, developing together, high-efficient management. Explore that " the new agricultural effect that makes jointly is obvious to all to keep and pay attention to the mode in medicine suitable for the national conditions. " Ministry of Public Health hygiene the intersection of institute for economic research and researcher should inferior to value highly, say. Compared with urban worker's medical insurance, share newly and agriculturally Lower fund-raising level has realized the relatively high benefited level. The two raise funds the intersection of level and 20 the amount of time apart, compensate benefited level differ by 1 time about only, prove the new agricultural fund service efficiency shut is relatively high. Study to reveal, it is 23.5 times that of urban worker's medical insurance administrative center to shut the number of people run each personal management of job of organization newly and agriculturally. Start cost and per capita operating cost to look from per person, the urban worker's medical insurance administrative center handles 3.8 times and 5 times of the organization newly and agriculturally jointly respectively. Should be inferior to value highly thinking, shut, the reason why can make the good performance newly and agriculturally, except that the governments at all levels pay close attention to, organize meticulously and move forward in a more cost-effective manner, it is a very key reason to manage and shut this kind of mode newly and agriculturally by health authorities. Should inferior precious analysis think health authority ensure, have the advantage of being original at the management in medical treatment. The Ministry of Health can fully master hygiene resource distribution current situation and the masses' medical care demand information, can conduct hygiene resource distribution and medical care to offer, meet the masses' medical care demand to the greatest extent on one hand; On the other hand through compensating conceptual design, pull open the compensation level among different rank medical organizations, lead the patient to flow into rationally, realize the sinking of basic medical care, raise the service efficiency of hygiene resources, save the medical expenses. The Ministry of Health is familiar with the particularity of medical care, can realize effective professional supervision. By combining newly and agriculturally into the example, the Ministry of Health can judge whether medical expense growth is reasonable effectively, combine the synthesis to the fixed medical organization to check and rate, impel supplier's behavioral standardization of medical care and reasonable growth of expenses. It is realizing and shutting the key links that the fund operates newly and agriculturally safely, effectively and medical expenses are controlled rationally. Should inferior to value highly, say Ministry of Health can combine total the intersection of management by objectives and medical guarantee that hygiene work. The Ministry of Health utilizes peasants' medical care and improves and regards as managing the direction healthily, adhere the principles of joining and is shut peasants with benefited maximum, on the premise of guaranteeing fund's security, coordinate and cooperate with the financial department, not only prevent the fund from overspending but also avoid too much surplus, have realized the using rationally of the fund effectively. More important, in shut in the management paying attention to performance management and the public's supervising very much while being agricultural while being new Ministry of Health. At present, the administrative department has already set up a set of performances to check and rate the index system. All parts shut the running situation newly and agriculturally through the fixed statistical information report form, let the administrative departments at all levels grasp the change of running, announce the performance of running to the public. The high transparence of this kind of operation information, demonstrate the Ministry of Health tries one's best management is shut newly and agriculturally, and would like to accept the management idea that each side supervises. Should be inferior to value highly thinking, with socio-economic development, how the system of medical insurance realizes the integration of urban and rural areas, managed all the time by some departments " The bank not getting around " . "Combining the current situation that different departments manage the medical insurance at present, we might as well regard helping to realize public interests are maximized as and judge the standard, more compare to different management modes, in order to be chosen the appropriate management mode. "

|