SHENMU County Committee Secretary: Universal free medical care will be implemented

This March, a local people called "Universal free medical treatment" of the health reform program, so that the Shaanxi Shenmu this northern Shaanxi County fame, although some of the SHENMU to implement free medical applauded, that this is a thorough solution to the masses of doctors difficult to see a problem, help promote social harmony,　　But it also drew a voice of doubt.　　For the various problems encountered in the implementation of free medical care, Shenmu County committee Secretary Guo Baocheng said the policy is still in the process of adjustment and revision, Guo Baocheng also told reporters that no matter in the implementation of the free medical treatment in the process of what difficulties, the tree will continue to carry on, will not be terminated because of the replacement of the person in charge. Recently, a remote small county in northern Shaanxi----Shenmu, attracted the attention of the whole country.　　The reason is that they are trying to set up a new health care system that can be described in one keyword: universal free. Remote counties to implement "universal free medical care" This March, a local people called "Universal free medical treatment" of the Health reform plan, Shaanxi Shenmu This only 420,000 of the population of northern Shaanxi County to fame overnight. According to the documents issued by the Shenmu County Government and Health Bureau, from March 1 onwards, the county cadre workers and urban and rural residents, as long as the owner of the Sacred tree account and participate in urban and rural residents of cooperative medical care and basic medical insurance, all enjoy 100 yuan per year of outpatient medical card treatment, if required hospitalization, the implementation of the payment line reimbursement system, Specific provisions for: starting to pay the following line (including the starting line) hospitalization costs from my own pay, up to pay line above expenses to be reimbursed. The standard of starting and paying line is: 200 yuan per person in Township hospital, 400 yuan per person in County hospital, 3000 yuan per person in county hospitals. In addition, the installation of artificial organs, organ transplant and other special inspection fees, treatment fees and material costs are also included in the reimbursement area, the annual reimbursement limit of 300,000 yuan per person.　　The health-care reform, akin to free healthcare, has sparked a huge nationwide backlash.　　Shenmu County After the formal implementation of universal free medical treatment, from late March to early April, the county inpatient hospital with the same period last year, a surge of 30%, including counties and hospitals, 7 Sentinel hospital overcrowding, and some hospitals even appeared patients in the queue for several days to hospital conditions. SHENMU County Committee propaganda minister Reijiang Voice: "From the reimbursement of medical expenses statistics analysis, March reimbursement of medical expenses 9.6 million yuan, April reimbursement of medical expenses 12.7 million yuan." "This way, although some people to Shenmu the implementation of free medical applauded, that this is a complete solution to the problem of the public to see a doctor, to help promote social harmony, but at the same time attracted a voice of doubt." The doubters believe that the free medical treatment causes the hospital to be full, the sickness does not go, cures the good not to come out; According to the calculation, the universal free medical system　　SHENMU County financial year needs to subsidize at least 150 million yuan of money, the county residents per capita subsidy of about 400 yuan, far higher than the new health reform in China to 2010 per capita subsidy to 120 yuan standard, so bold system arrangement may make the financial unsustainable. For the BoldHealth reform action, some people say that this is the Government's concern for the people's livelihood, others think that in other areas where the financial is not well-off, the practice of SHENMU does not have the value of promotion, but also the view that universal free medical care is only a utopian fantasy, and even suspected that the move is grandstanding.　　How does the government respond to these competing views? Shenmu County This May 22 9 o'clock in the morning, Shenmu County held a press conference, the first public response to outside doubt. press conference by Shenmu County in charge of health work, Deputy Magistrate bi-Ping presided over the Reijiang, Shenmu County party committee propaganda minister, Shenmu County Health Bureau Director Bai Jidang speak separately.　　Reijiang introduced that the implementation of universal free medical Service is based on the actual situation of SHENMU, in order to establish a basic medical security system for urban and rural integration, so that the reform and development results really benefit the people of the county, and in the early days to do a lot of preparation work, not overnight. Reijiang: "Back in early 2008, I County to organize the establishment of SHENMU County Rehabilitation Work Committee, and under the Office, responsible for the whole county free medical care related work, and actively carried out a year 03 months of research, argumentation, research work, and then come up with preliminary comments on the Internet, to the community to solicit opinions and suggestions , after repeated discussion and modification, finally through the implementation of the method.　　In addition, SHENMU County Health Secretary Bai Jidang responded to questions about the hospital beds being packed and the need to queue up for hospitalization. SHENMU County Health Bureau Secretary Bai Jidang: "Our county health technician is this there are 1236 people, Before the original technical staff is 3,100, beds are 1243, bed occupancy is 3.12 per thousand people, so we predict that our SHENMU County Medical service ability or better, to meet our universal free medical care after the implementation of demand. Reijiang also said that the implementation of the universal free medical policy was met with problems of health resources and financial investment, but these problems are gradually easing.　　Shenmu County will continue to carry out the new health care scheme. Reijiang sound: "At present, we intend to improve the universal free medical Information Network Management Center, focus on the management of the designated hospitals and audit work, encourage chronic diseases, small patients outpatient treatment, to ensure that the disease, serious patients hospitalized, the implementation of actively strengthen, guide, management and supervision, experience, and gradually improve. "Shenmu County launched the universal free medical reform to ease the difficulties of the medical treatment of many years, the problem facing the outside world, SHENMU County the relevant departments have made a positive response, health resources, financial investment is not a problem, and the future of this policy will continue to carry on, will not be discounted." Now the new deal on the reform of SHENMU has been implemented for nearly three months, the initial hospital overcrowding, medical expenses increased the situation has not been eased?　　How can the common people of SHENMU face the government's present gift? In the largest hospital in Shenmu-Shenmu County People's Hospital, the reporter saw that the hospital outpatient Hall in a conspicuous position hanging the universal free medical banner, many patients ' families areTo be admitted or discharged, and to be discharged, also in the process of reimbursement for hospitalization expenses. Reporter: "Who is this for the doctor's fee?" "The patient's family:" This is for my mother. Reporter: What's your mother's disease? "Patient's family:" Get that cervical vertebra disease, quite serious, the expense is quite big, then this gives reimbursement, reimbursement much. Reporter: "How much do you estimate this total cost?" "The patient's family:" The total cost is more than 5,000, more than 5,100. "Reporter:" then after closing the account how much do you expect to pay? "The patient's family:" is estimated to be more than 400.　　Another patient's family Liu Yajun told reporters, with the various certificates issued by the hospital, can go to the county Hospital and Shenmu County Cooperative Medical Office to set up the reimbursement window, take back their own advance in hospital expenses. "How much do you count the money?" It's supposed to be 2064. You count it? 2064. Reporter: How much did you say you spent? "The patient's family Liu Yajun:" The total cost 2480, is 400 in the early. "Reporter:" spent 400 in all? "Patient's family Liu Yajun:" Well.　　"Wang Whijie is Shenmu County he jia Chuan town under Wang Jia Ping Village villagers, 14 years ago got diabetes, and then constantly deteriorate, eventually developed into diabetic nephropathy is uremia, in order to cure, Wang Whijie almost Shenmu County around the hospital are all over." Reporter: "then where are these two lists respectively?" "Shenmu County He jia Chuan Zhen xia Wang Jia Ping cun villagers Wang Whijie:" This is Yulin, this is Ordos, this is the second courtyard, the two houses of Shenmu.　　"As a major disease, uremia treatment costs are extremely high, a few years down, Wang Whijie home spent on treatment of the cost is an astronomical figure." Wang Whijie: "More than 60,000 a year." Reporter: How much has been spent so far? Wang Whijie: It's almost 800,000 now. Reporter: Have you borrowed money from outside? "Wang Whijie:" That must be borrowed, now all look is borrowed most. Reporter: How much did you borrow? "Wang Whijie:" I still owe 300,000.　　"March 1 this year, SHENMU County implementation of the universal free medical policy, He Hanjun with her husband again to Shenmu County second People's Hospital in hospital treatment, and in the past every time when the mood is different, the whole family appears very relaxed." "In the end this hospitalization took 5200, reported 4400, we only spent 800来 dollars."　　"In Shenmu County second People's Hospital, Dean Wang Zongku told reporters that in the beginning of free medical care in 3 April, the hospital hospitalized patients suddenly increased by more than 20%, bed utilization rate from the original 70% rose to more than 90%, outpatient patients also have a significant increase." Shenmu County Second People's Hospital Dean Wang Zongku: "You like we recently lived an old lady, 80 years old, belly has a tumor thickness of 6 points, 3 points near four kilograms of a tumor, she has been in the stomach for more than 10 years, but she this on the economyThe condition is not good, she dare not come to the hospital, this is now, you see she spends hundreds of yuan of money after basically all can reimbursement, she has more than 10 years of sickness lifted.　　Wang Zongku said that after a large number of perennial chronic patients received effective treatment, from late April onwards, the hospital bed tension has been greatly alleviated. Wang Zongku: "Now from the late April to now the patient basically also return to the rational doctor, he also thought that this policy is likely to continue, especially after May, this hospitalization is basically normal, smooth operation." "After the release of the free medical reform, many people who have dragged down the sick for many years have finally dared to come to the hospital." The SHENMU County government has been prepared before the health care program is launched. They expect the March or April reimbursement will reach 26 million yuan, up to a maximum of 30 million yuan. But in fact, the county's two-month reimbursement of medical expenses only 23.3 million yuan, and did not exceed the government's expectations.　　However, in the health care reform package, only 7 of the designated hospitals are classified as a fixed hospital.　　In the distance from Shenmu County more than 20 kilometers of the railing Fort Township, the reporter saw that the hospital here has been strict implementation of the relevant provisions of the comprehensive free medical care, several patients are not very serious, no need to transfer to the county hospitals are here to receive treatment. Shenmu County, dean of the Fort Li Peng, a township hospital before March 1, is free medical treatment before the patient less, now mainly to solve the people travel inconvenience, travel inconvenient Foundation, can solve some people on the spot, in our township hospital this piece get further treatment, that is to say can more dahua solve this common people's some problems.　　Li also told reporters that at present, there are only 9 staff and 4 beds in the Fortress Township hospital, after the implementation of the free medical policy, in order to accommodate more patients from rural areas, improve the quality of medical service, with the help of County Health Bureau, the hospital is preparing to expand. Li Peng: "Our next step is to put this hospital bed on the basis of our outpatient service, cover four more movable houses, and build four more to solve the present situation of free medical care in four beds." "Shenmu County a total of 12 hospitals, the county People's hospital belongs to the public hospital, the rest are private." In the medical reform, 7 hospitals were classified as free medical fixed hospitals, enjoy the health funds from the county Health Care Fund, Cooperative Medical Fund, social fund-raising funds and counties finance. So what is the status of the 5 unsuccessful hospitals? For this reason, the reporter came to Shenmu County Clean Coal Hospital which was not included in the free medical Hospital.　　The dean told reporters that at the beginning of the implementation of free medical care, the non-Sentinel hospital did suffer a great impact. SHENMU County Clean Coal Hospital Dean Liu Yan: "That time is just implemented when it includes those who have health insurance, rural cooperative medical care, as well as the public health of the part, which is until the free medical care began from the Glass" Reporter: "When we treated the number of patients down how much? "Liu Love:" Down almost half. "But inTwo months later, because a large number of chronic patients need long-term out-patient treatment, but do not need to be hospitalized, and the fixed-point hospital only 100 yuan per year, the outpatient subsidy appears to be a drop in the bucket, so many patients will choose to go to the hospital for treatment. Liu Love: "because he that 100 yuan has a little limitation, many chronic diseases, chronic disease 100 dollars certainly is not enough, so that the outpatient patient has no effect on us." "Reporter:" after April, now our level is fully restored to the level before March? "Liu Love:" basically recovered.　　"Is the Shenmu County of universal free health reform capable of continuing to run?" Shaanxi Shenmu County launched the universal free health reform, it does alleviate the problems of many years of difficult to see a doctor, the problem of expensive. But the hospital and patients to achieve a win, behind the government has pulled out a large amount of financial funds in the bill. A small county located in the northwest, one night to open the national precedent, ran to the forefront of the national health reform, it has the ability to continue to run?　　This is also the worry of many people. Shenmu County is located in the northern Shaanxi province, rich in mineral resources, the county's coal proved reserves of 50 billion tons, belonging to the North Shaanxi Energy Chemical base of the core region. 2008, the county to achieve regional production value of 29 billion yuan, an increase of 47%, per capita GDP of up to 68,700 yuan; County-level economic comprehensive strength ranked 92nd in the country, Shaanxi province first.　　It is precisely because of the sustained development of the economy and the financial revenue of the well-off, Shenmu County committee Secretary Guo Baocheng budding in the county to promote the idea of free medical care. SHENMU County committee Secretary Guo Baocheng: "I think the sacred tree free medical care, he first is the inevitable outcome of rapid economic development, we enter the National hundred counties, our economic strength greatly enhanced, then the social undertakings have progressed, we must take this public financial sunshine to shine our county cadres, workers, residents, farmers, Let them share our reform and opening up or development of the results, this is the first; second, this time we improve the health of the people, narrowing the gap in income distribution, to solve the problem of urban and rural dual structure of the inevitable choice.　　"For the outside world about the total free medical treatment of SHENMU is neither universal nor completely free, Guo Baocheng that this formulation is not wrong." Guo Baocheng: "This we mention of the universal free ah, he should essentially say, is the basic coverage of the whole people, why?" We see from the current statistics, its coverage reached the sacred tree residence, cadres, workers, farmers, the people of the 99%, the remaining 1% have a long time out also have a special money, he did not want to participate in here, we still volunteer this I think if this coverage reached 99%, the mention of a whole people also can not be too.　　"As for the various problems encountered in the implementation of free medical care, Guo Baocheng said that the policy is still in the process of constant adjustment and revision." Guo Baocheng: "Then his introduction of any new system, no matter how you conceived in the research phase, heis impossible to achieve the final perfection, must undergo the test of this practice, then practice is the only criterion for testing truth, then, our enthusiastic media and netizens have not left us with the time to test.　　Guo Baocheng told reporters that regardless of the difficulties encountered in the implementation of the free medical treatment, the SHENMU will continue to carry on, will not be terminated because of the replacement of the person in charge. Guo Baocheng: "This thing, no matter how the outside world, say good or bad, or other aspects of the opinion, we will unswervingly implement, because he is a universal, huimin policy, the common people welcome, the people are satisfied, we are to represent the people in power, We must be steadfast in our commitment, and we have the confidence and the ability to do so. Half-hour observation: Let the sunshine of public finance shine on more people the direction of the new medical reform, in the "Central Committee of the CPC, the State Council on deepening the medical and health reform of the views" has clear provisions, to all people enjoy basic medical and health services as the fundamental starting point and foothold, from the reform The establishment of the health system to the service system should follow the principle of commonweal and provide the basic medical and health system as a public product to the whole nation.　　Since it is a public product, it should be provided by the Government, so that the whole society can enjoy it fairly. According to the system arrangement of SHENMU County reform, although it is not completely free medical care, at best only a limited amount of free, but it pursues the goal, and the new health reform, because it aims to solve the common people's medical worries, it took out the government's financial funds, and did not increase the burden of ordinary people, And its results have brought tangible benefits to all people. Of course, Shenmu County's first step is inseparable from the local economic advantages, to the national implementation of this type of welfare-free medical care, there is a long way to go. Moreover, Shenmu County's health care reform program in the strengthening of health system construction, prevention of abuse of medical resources, the establishment of medical systems there are many areas need to be clear and strengthen, but we do not deny its positive significance. Although the final benefit of medical reform will be put to the ordinary people, if we stand on a higher point, we should realize that it is actually a system of social risk protection, a collective action, and that is why it is the Government's obligation. Just now, in the program, Guo Baocheng, a secretary of the Shenmu County committee, described health reform as the sunshine of public finance, and we hope that the sun will shine as quickly as possible to more places.