(1) In January 2009, Shenmu County launched the “Free Medical Care for All” program. From March 1 of that year, employees of party and government agencies, enterprises and institutions, and urban and rural residents with Shenmu household registration, and Shenmu people who participate in the cooperative medical insurance for urban and rural residents and the basic medical insurance for employees, receive medical treatment in designated medical institutions, each person will be entitled to an annual A 100 yuan outpatient subsidy is available.
If hospitalized, the minimum reimbursement threshold for hospitalization in township hospitals is 200 yuan per person, county-level hospitals are 400 yuan per person, and hospitals outside the county are 3,000 yuan per person. Inpatient medical expenses below the deductible (including the deductible) are paid by the patient themselves. Expenses above the deductible are paid by the county finance in accordance with regulations. The annual reimbursement limit for each person is 300,000 yuan.
In addition, special examination fees, treatment fees and material fees for the installation of artificial organs and organ transplantation, as well as nutritional solutions and blood products for the treatment of special diseases, are also included in the scope of reimbursement.
(2) The Shenmu Medical Reform, which has attracted much attention, finally received an authoritative conclusion from the official senior leaders on September 8, 2010. Chen Zhu, the Minister of Health of the People’s Republic of China, who visited Yulin for investigation and research, after listening to the special report on medical reform by the leaders of Shenmu County, said, “Shenmu actively explores and promotes the medical reform of global problems, which fully embodies the core values ????and the people-oriented governance concept, and is an important factor in the construction of people’s livelihood. A major initiative." He also said that "through the Shenmu medical reform, we have seen the hope of leapfrog development in the central and western regions."
On August 28 and 29, 2010, Chen Zhu, Minister of the Ministry of Health, and his delegation inspected the local medical reform project in Shenmu County. Minister Chen and his delegation first went to Shenmu County Hospital to visit some patients, and then listened to the local government’s comprehensive report on the medical reform work. At the briefing meeting, Chen Zhu said: The best answer to whether Shenmu Medical Reform is going well or not is the smiles on the faces of the people in the hospital. Minister Chen also admitted that he was informed about Shenmu's implementation of the universal free medical system relatively early. Comrade Mao Zedong once said that without investigation, there is no right to speak. For this reason, he specially sent a postdoctoral fellow to secretly conduct research on Shenmu's medical reform. investigation.
As soon as Shenmu Medical Reform was launched, it received widespread attention from the media. There were constant doubts about the medical reform along the way, but of course the mainstream public opinion was positive and affirmative. During this inspection, Chen Zhu admitted frankly that among government officials, he was the first to show affection and admiration in public to this person who fully embodies core values ??and governance concepts and is more in line with the development level of today's society. A major initiative, recognized
(3) In September 2010, Shenmu County, Shaanxi Province held the third "Universal Free Medical Work Scheduling Meeting" since the implementation of the county's universal free medical policy. The county’s universal free medical reimbursement status from March to September this year was reported.
"Statistical data shows that the progress of universal free medical care in our county is generally stable and orderly, but there are also cases where the expenses of some designated hospitals exceed the standard. At the meeting, we punished these hospitals in accordance with regulations. This This is the first time we have implemented penalties," Guo Yongtian, deputy director of the Shenmu County Health Bureau, told reporters.
According to statistics, since the implementation of universal free medical care on March 1, as of the end of September, Shenmu County has reimbursed a total of 19,622 inpatients (including 18,295 rural residents and 1,327 cadres) and a total of 7,880 medical expenses. 10,000 yuan, an average of 11.257 million yuan per month. Among them, the per capita hospitalization expense in county-level hospitals is 4,319.89 yuan, and the average daily hospitalization expense is 365.59 yuan; the per capita reimbursement is 3,632.19 yuan, the reimbursement compensation rate is 84.08, and the proportion of medicines is 50.98. The per capita hospitalization expense in township health centers is 975.86 yuan, and the average daily hospitalization expense is 117.45 yuan; the per capita reimbursement is 760.7 yuan, the reimbursement compensation rate is 77.95, and the proportion of medicines is 81.38.
(4) At the beginning of the implementation of the "Shenmu Medical Reform", many people in Shenmu had various doubts and worries about this new policy, which caused more than 1,200 beds in the county's 7 public and private designated hospitals to be full of patients.
With the government's in-depth interpretation of the "Measures", the main provisions of the medical reform have become known to every household, and the insurance participation rate of farmers in the county has reached 99%. Two months later, the medical order gradually became stable and orderly. Every hospital bed had vacancies, and the amount of medical expense reimbursement was less than what was estimated during the government survey.
The "Shenmu Medical Reform" and the set of detailed rules, notices and regulations issued together with it have ensured the balance between cost control, medical safety and medical quality to the greatest extent, and blocked the relationship between patients, doctors and hospitals. There may be loopholes between the parties for seeking personal gain. Through three lines of defense: hospital self-examination, dispatching inspectors and setting up specialized agencies for random inspections, the government has increased supervision. "It is necessary to control medical expenses while ensuring the quality of treatment, in order to provide patients with the most cost-effective medical services."
Over the past year, excluding the 30 million yuan from central and provincial and municipal supporting medical insurance funds, the county finance has paid a total of 120 million yuan for medical reform, which has not exceeded the original budget of 150 million yuan. On average, free medical expenses per person are only 330 yuan. The Shenmu Medical Reform has broken the dual structure of urban and rural areas and narrowed the gap between urban and rural areas. Whether it is government officials, corporate employees or rural farmers, for the first time, everyone has been treated equally when it comes to disease treatment.
(5) "Yulin Daily" announced on September 13, 2010 that the Yulin Municipal Party Committee recently studied and approved by the Shaanxi Provincial Party Committee and the Organization Department of the Provincial Party Committee: Guo Baocheng was removed from the position of Secretary of the Shenmu County Party Committee. In fact, he no longer served as secretary of the Shenmu County Party Committee three months ago.
Guo Baocheng has been in power for five years and has pushed hard to reform people's livelihood policies. One is to implement 12 years of free education from primary school to high school; the other is to implement "free medical care" for all residents. These two "free policies" implemented before the developed areas in the east made the remote sacred trees the focus of public opinion for a while.
Many people are worried that after Guo Baocheng "retreats to the second line", the "Shenmu Model" will become "people-oriented".
On September 10, Guo Baocheng, the 2009 China Reform Figure of the Year, was invited by the Shanghai World Expo to attend the "Economic Transformation and Urban-Rural Interaction - Villages, Towns and Small Cities in a Global Perspective" forum held in Shaoxing.
At the World Expo Forum, Guo Baocheng insisted that no matter how the role changes, Shenmu's free medical model is correct and hopes that its successors can continue to implement it.