Tuesday, January 1, 2013

Health newspaper: The hospital charges the fee of first aid arbitrarily " While the disease is robbed "

Health newspaper: The hospital charges the fee of first aid arbitrarily " While the disease is robbed "
Ye ZhuYi ( Teacher) "Transfer from Ji'an to the treatment of Nanchang, distance of more than 400 kilometers that just come and go, 120 ambulances should collect our expenses of 4500 yuan unexpectedly. Have charged 3900 yuan after bargaining, and not opened evidence of any charge. " Recently, the citizens in Jiangxi Province Ji'an Jishui county exchange gentlemen to reflect, some hospital ambulance transports three patients to Nanchang from Ji'an, demanded to charge 4500 yuan unexpectedly, behavior of asking an exorbitant price so made him very difficult to accept. (" China News net " of June 10) The patient should transfer to the treatment of hospital of provincial capital, relatives' anxious mood can be well imagined. Now, anxious relatives are still collected a large sum of and given first aid the fare, this will let the patient family members feel a pain. Wait for and transfer from one hospital to another the fact of first aid in the face of the patient, isolate the helpless patient family members except that ambulance service that it is accepted that the hospital arranges, are there other choices? Should undertake to heal the wounded, rescue the dying in the hospital of the duty, unexpectedly " rob while being ill " ,Not only violate medical ethics, patient relatives can not be also getting wounded. Outwardly, the hospital offers ambulance service to belong to the category of negociation price of the market, but according to basic concept of market economy, market-based products should the cost is transparent, competitive. Fully played chess with the operator in the market frame by consumers, then form prices. However, the doctors of this institute tell the patient, if does not take the ambulance of the hospital, it is in hospital either to go to Nanchang. Does not this threaten a patient and accept the first aid service? It is not the ordinary goods by the monopolistic first aid service of the hospital, there is no market competition at all, the service cost opaqueness of first aid, are totally acted on one's own by the operator. There is a public beneficial first aid service of the market-based characteristic that is priced oneself by the operator, really feel embarrassed to mention the justice. Although I do not dare to suspect carelessly, the secret that can't see people is being hidden behind arbitrary charge of ambulance. But the hospital chases the favourable natural instinct completely exposedly. Even if first aid serves and belongs to the range of negociation price of the market, how much cost the ambulance is paid, how much work medical personnel does, it is not a thing had no idea. Article 10 of " Law on the Protection of Consumers' Rights and Interests " stipulates: "Consumers enjoy the right of fair play. " Consumers buy the goods or accept the service from operator, it is a kind of market behavior. Both sides should observe the marketing basic principle of the equal and voluntary, paid, fair and honest and trustworthy equivalence. But the hospital confirms the ambulance expenses standard unilaterally, patient relatives have no right to choose, obviously principle not in accordance with fair play. Though the hospital claims to charge according to the fixed standard of " medical service price manual of Jiangxi Province ", the behavior of asking an exorbitant price does not exist. But charge the introduction to the management office according to the development and reform committee of Jiangxi Province, the hospital exists and obviously reads to the expenses standard by mistake. " the the intersection of Jiangxi Province and medical the intersection of service price and manual " stipulate, give first aid fare (including mileage back and forth, do not include first aid) in front of the courtyard Collect 20 yuan within 3 kilometers, it adds 3 yuan / kilometer, exceeds 100 kilometers of the above to add 2.5 yuan / kilometer to exceed 1 kilometer each time beyond 3 kilometers. Or more than 3 kilometers, under 100 kilometers are 3 yuan / kilometer, the expenses of more than 100 kilometers of parts are collected according to 2.5 yuan / kilometer, and the People's Hospital of city center of Ji'an has charged 3 yuan / kilometer, charges 2.5 yuan / kilometer again, in practice repeat the charging act. And an ambulance transports 3 patients at the same time, the quantity of medical personnel participating in being guarded has not increased, and the guardianship expenses which the hospital collects go up by 3 times, unreasonable. Higher authorities stipulate, the ones that walked and charged repeatedly are real, this is not " robbing " that the hospital twists selectively (used at the end of a question)? The one that is worth questioning is, besides some arbitrary charge cases already exposed, a lot of ambulances are still here " While the disease is robbed " (used at the end of a special alternative, or rhetorical question)? Speaking from the essence, the public hospital ought to have color of public service, especially it has natural public service industries which monopolize attribute that the first aid trade belongs to, can't weigh the service price of the ambulance with the market eyes briefly. Since the media has already exposed, except the relevant department explains the rule clause, point out the violation of hospital, get involved in the investigation in time even more, check and calculate the operation cost of the ambulance conscientiously, supervise the hospital to return the expenses collected repeatedly, return a justice to the family members of the patient. Can't allow the alternative execution of the hospital to charge to stipulate, " rob the patient while being ill " . More important, the relevant department should draw inferences about other cases from one instance from it, improve the service supervisory system of first aid, raise the cost in violation of rules and regulations of arbitrary charge, prevent the ambulance from continuing " robbing while being ill " .

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