Tuesday, August 14, 2012

The representative and committee member thinks that guarantees the finance is put into levying " The medical tax "

The representative and committee member thinks that guarantees the finance is put into levying " The medical tax "
" it is difficult to see the doctor, it is expensive to see the doctor " It has been the question that the broad masses have paid close attention to all the time. After new medical reform policies are issued in succession, " medical reform " Become the focus that national representative of the two conferences and committee members pay close attention to again. But how focus in the focus is concentrated on guarantees the hospital " The medical reform " Do not lack the money. The representative and committee member thinks, to guarantee financial input, one should levy " medical tax " Cancel the addition of medicines " The hole " Should be mended for April 6 of 2009 by the finance, " suggetion on deepening the system reform of the medical and health of the State Council of Central Committee of the Communist Party of China " will be issued formally. " the suggestion " propose through implement the intersection of buying and selling of medicines and difference raise the price, set up the intersection of medicine and the intersection of thing and the intersection of service charge,etc. and many way, reform or cancel the intersection of medicines and the intersection of addition and policy progressively. On February 25 this year, five ministries and commissions such as Ministry of Public Health,etc. jointly released " instruction about the public hospital reform pilot project ", clear again to cancel the addition of medicines in 16 pilot cities progressively. For cancelling the addition of medicines, deputy to the National People's Congress, the People's Hospital, Qingyuan Vice President Zhou HaiBo say this will be " hole " . Zhou HaiBo claims, the hospital probably has 50% medical care that loses money now, such as an operation, it may be dozens of yuan. And operation cost and profit of the hospital, very the majority is realized by that 15% of the medicines addition. "Though the national regulation can remedy a part by setting up the medicine thing service charge, but the collection way, rate of the medicine thing service charge are indeterminate at present, it is 7- 8% at most, who fills out then are there half the holesing? " Zhou HaiBo thinks, health care reform should cause the hospital to be poor-performed, even it is difficult to survive, should not cause the medical worker to cut a salary to reduce enthusiasm either. So, the state finance, government finance at all levels should strengthen the input power on hospital, to at the basic level input of hospital, fill out well cancelling the intersection of medicines and hole taken shape to add, arouse the enthusiasm of hospital, medical personnel, thus put into medical reform with greater enthusiasm. And present financial input is far from enough: "Present financial input generally only accounts for 7- 8% of hospital funds, very little! We hope the financial input proportion should have improvement by a relatively large margin, thus guarantee the hospital is public beneficial, offer better medical treatment service for patient! " Propose levying 5% of adding rate "medical tax" Hospital " medical reform " Lack the money, but the finance is and unable to offer so much input, what is to be done? The Standing Committee of the CPPCC National Committee, Vice President of CPPCC of Guangdong Province Yao ZhiBin propose levying " Public health and basic medical service guarantee tax " To include, pay value-added tax, consumption tax, unit and individual of business tax, impose the adding rate as 5% of the taxes in the taxpayer inside. Yao ZhiBin points out, at present, the government puts one's back into and takes the all-inclusive cost of the hygiene, our country is lower than 18%, U.S.A. is about 46%, equal to development level of our country Thailand 56% about, and " whether government put into too little to worsen, reach most people complain ' the difficulty and high cost of getting medical treatment ' to a certain extent " . And new " medical reform " Public health and basic medical treatment covered completely in construction that is required are ensured in the system, the fund question is a key in the key. "Calculate according to the expert, can set up the basic medical security system facing the whole people if investing at 1500- 2000 hundred million yuan every year. With ensuring the improvement of competence and arrival of senilization society, the fund input that needs will be greater and greater. " Yao ZhiBin says, considers the society of our country makes the transition big, the different fields need very great input, increase the feasibility of this kind of budget arrangement on a large scale for a long time " It is doubtful " ,So, propose levying public health and basic medical service guarantee tax and raising the fund, solve " medical reform " The institute of traditional Chinese medicine lacks the money question. Meanwhile, he thinks this suggestion is feasible too: "Two similar legislative cases can be consulted in our country, education surtax and city safeguard and build taxes, two Individual Income Tax ( Fee) Belong to surtax at the property ' Fee) . " Yao ZhiBin proposes, " public health and basic medical service guarantee tax " Also levy as a kind of surtax, the concrete system is designed to be: Taxpayer of this tax includes units and individuals which pays value-added tax, consumption tax, business tax. Generally regard the amount of tax to be paid which the taxpayer pays actually as and collect the basis, the adding rate is 5%, do not consider the duty-free and tax reduction factor. "Calculated by tax total amount of 3,259,600 million yuan three of 2009, can collect more than 160 billion yuan. This tax includes in financial budget management, is managed as a whole by public health authorities, used mainly in the basic medical treatment ensuring and public health, rural hygiene and urban community's hygiene of urban and rural residents. " Author: Old man favor beautiful Qin is small and gaudy in a spring of week

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