The department of people's society: Pay volume and include 6 times at most in medical insurance
Yesterday afternoon, Chen Zhu, minister of Ministry of Public Health, Wang Jun, Vice Minister of Ministry of Finance, human resources and Hu XiaoYi, Vice Minister of social security department, development and reform committee Deputy Director, the State Council medical reform director Sun Zhigang on " Deepen the system reform of the medical and health " Relevant problem answer the questions of correspondents at home and abroad. The document / special correspondent Chen Xiang, Wang Fei, Yang Jin, Zhao LinLin, willow build cloud, Zhang Hao Explore newly leukemia and heart disease of children of Chen Zhu, minister of Ministry of Public Health submit an expense account and exceed 90% about the medical insurance Reporter: The government will bring from 120 yuan up to 200 yuan the new agricultural subsidy shut in 2011, could you tell me it under lower fund-raising condition at present, how could accomplish higher guarantee level, how to guarantee the safe operation of the fund? Chen Zhu: Through a few years' efforts, at the fund-raising level of 120 yuan last year, this was the subsidy of a government, in addition, the part which peasants handed in, under the fund-raising level of 150 yuan altogether, have realized the submitting an expense account rate can be up to 60% within the range of policy in hospital, meanwhile, realized the pool of clinic in 60% of the areas. Last year, submitting an expense account and binding the line in policy range reaches 6 times of net income of peasant, only 30,000 yuan. There are 1,100 million benefited peasants in the whole country. We are exploring too that protects the diseases of some focal points while protecting basically. It is the children's serious disease at first, one is congenital heart disease, another one is leukemia, 6 kinds two kinds altogether. It is not free completely, actually submitted an expense account 70% newly and agriculturally jointly, then is offered 20% of the compensation according to the situation of the family by the relief fund of serious disease of Ministry of Civil Affairs, adding together can be up to 90% or higher of the compensation to the difficult family. By the end of last year, more than 4000 infants have been succoured already. Probably have more than 480 cases of leukemia, totally the relieving rate has exceeded 3/4. About 4000 congenital heart diseases, success rate of operation is very high, the cure rate has exceeded 95% under most situations. At the request of leading group of the medical reform of the State Council, the rate of submitting an expense account in policy range should be up to 70% this year, and submit an expense account upper limit should reach 50,000 yuan, the pool of clinic is being pushed away again at the same time, so this costs strength greatly. Ensure as to serious disease, change to the affair and require the children " the second disease " in medicine of this year The pilot project is pushed away to the whole country, will expand pilot number that serious disease will be ensured. To that cervical cancer, breast cancer, chronic renal function are not complete (uremia) Problem too study. Support the medical worker treatment at the basic level of Wang Jun, Vice Minister of Ministry of Finance to connect the public institution about the finance of medical insurance Reporter: In order to advance the medical reform, what measures will the central authorities take next to help some areas with comparatively difficult finance to solve the difficulty, relieve the pressure conscientiously? Wang Jun: We have strengthened the input power on medical health organ in the basic unit, strengthening the input power on medical health organ in the basic unit lightens the expenditure pressures of these difficult counties conversely. Include specifically: First, increase the input in hardware. Including the capital construction which the development and reform committee arranged, purchase and subsidize and reach more than 53 billion yuan altogether with including the apparatus which the state revenue arranges. Second, we strengthen the supporting of the software. Third, ensure the increasing that the respect is put with public health and medical treatment into, solvency has been strengthened. Solvency has been strengthened, the compensation which the medical health organ in the basic unit received through one's own good service, on more. Their pressure is small, the financial pressure of making up the difference at county level is small too. Fourth, we take measures to improve the treatment of the medical worker at the basic level. The treatment salary of the medical worker at the basic level of the national policies and regulations should link up with average income level of the local public institution, the state revenue still arranges for some money to subsidize etc. every year, we take a lot of measures too in construction aspect of software. This is to medical health organ and the personnel's work. The poorest county of justice pays and binds and is at least 50,000 the moustache dawn of Vice Minister of human resources and social security department about raising the medical insurance and subsidizing Reporter: Besides the level continuing improving the medical insurance and subsidizing in the future, what measures we have to really heighten the level which ensured, let the people get material benefit? Hu XiaoYi: It is added up that in urban and rural areas, three basic medical treatment at present ensure the system to already cover over 1,260 million people, striding forward towards the goal of the whole people's medical insurance. The governments at all levels are still continuing increasing input now: First, the proportion that the one that continue raising basic medical treatment and ensure in the policy range of the system submits an expense account, want, strive, reach serious disease register 70% about in hospital this year; Second, improved and bound the line, minister Chen said just now, the countryside is reached 6 times of per capita net income of peasant, the city will get 6 times of per capita disposable incomes of resident. One is at the same time" And is not lower than 50,000 yuan " ,The one that that is to say the poorest county paided bound the line and can't be lower than 50,000 yuan either. Third, generally launch the pool of clinic. Everybody knows if only keeping the institute, the benefited crowd is probably about 10%, reach 11% at most, but should pursue the pool of clinic in an all-round way, benefited one can be more than 50%. Fourth, do a good job of improving the medical treatment of great disease and ensuring competence with related departments, minister Chen introduced children's two kinds of diseases, the women's second cancer just now, all of us cooperate and do well, make the masses benefited. About Deputy Director of development and reform committee of medical organization, medical reform Sun Zhigang, director of office of the State Council at the basic level Mix complete doctor and reporter in two years: Which concrete measures does the country have in supporting the county in tertiary medical organization in the village in a more cost-effective manner next? Sun Zhigang: In the medical reform invest the first two years, the central authorities arranged for the fund to support nearly 2000 hospitals at county level, construction of nearly 20000 medical organizations at the basic level in urban and rural areas together. A very important job of ours is to strengthen the building of contingent at the basic level through the multiple channel this year, plan through two years all medical health organs of basic unit can mix the qualified complete doctor in the whole country. The intersection of medical and health and system reform should insist people interests loud all the time. Through advancing the comprehensive reform, abolish the mechanism of mending medicine with medicine completely, while avoid getting back to " mess " . Should make the medical health organ in the basic unit get public beneficially, but not profit-making enterprises; Make doctor come back, get cure the disease anti- disease role, businessman to promote medicines; Make medicines come back the function curing the disease rather than tool that made money.
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