Recently there are many people are more interested in how to understand the public health care, but in fact, most people do not know much about how to understand the public health care, Xiaobian for you to organize the relevant information, I hope to bring you help. First, the concept of publicly-funded health care refers to the state through the medical and health sector, to provide free medical and preventive services to state employees of the system, the funding mainly from all levels of finance. Second, the background and process of the reform of public medical care Publicly-funded medical care began in 1952, is the state through the health sector to provide free medical care and preventive services for state workers, a social security system, all the funds from the financial burden, individuals do not have to pay. With the establishment of the socialist market system and the deepening of the reform of state-owned enterprises, the shortcomings of this system have become more and more obvious. A set of public data shows that in 2009, the per capita medical and health care costs in Beijing were 4,179.87 yuan, with an average personal burden ratio of 26.2%, while in 2010 Beijing's actual expenditure on publicly-funded medical care amounted to 2.62 billion yuan, an increase of 6.27% compared with 2009, and calculated on the basis of the 220,000 people enjoying publicly-funded medical care in Beijing, with the average per capita medical cost exceeding 11,000 yuan. In the era of publicly-funded medical care, the more patients a hospital has to bear means the more serious the hospital's losses. For patients who enjoy public medical care, the hospitalization portion of the cost exceeds the lump sum fee, 20% of which is borne by the hospital and 80% by the finance. Pinggu District Hospital, for example, the hospital's medical insurance office billing clerk Ms. Xing began to take over the public medical care in 2005, when the hospital lost hundreds of thousands of dollars on public medical care, and in 2008, this figure rose to more than 2 million. As a result of the excessive financial burden, all regions have introduced a number of implementation rules and mechanisms for restraining wastefulness in publicly-funded medical care. For example, Beijing Municipality in 2000 issued ((on further deepening the reform of publicly-funded health care notice on relevant issues, put forward the number of people covered by the quota management approach to achieve the total amount of publicly-funded health care expenditure control, and formulated the public health care to enjoy the staff of the burden of medical costs standards: annual outpatient costs less than or equal to 3,000 yuan, the employee's personal responsibility for 20%, more than 3,000 yuan above the part of the individual responsibility for l0%; annual hospitalization fees are less than or equal to 3000 yuan, employees personally bear l0%; annual hospitalization medical expenditures less than or equal to 10,000 yuan, the employee's personal burden of 10%, more than 10,000 yuan above part of the personal burden of 6%; retirees personal burden ratio of 50% of the active employees. However, the binding force of these measures is not strong, and because of the existence of public medical care, the higher the cost, the lower the proportion of costs borne by the individual system design shortcomings, so that the phenomenon of "minor illnesses" and other phenomena are very common. Some medical units in the interests of the drive, a large number of distribution of expensive drugs, imported drugs, and even the sale of nutritional supplements, non-medical supplies; blindly imported and use of CT, nuclear magnetic *** vibration and other high-grade medical equipment. These institutional shortcomings have increased the government's financial burden and intensified the reform of publicly-funded medical care.In December 1998, the State Council issued the Decision on the Establishment of a Basic Medical Insurance System for Urban Workers (Guo Fa [19983] No. 44), which called for nationwide reform of the medical insurance system for urban workers, with all employers (including institutions) and their employees participating in the basic medical insurance system for urban workers. All employers (including organizations and institutions) and their employees were to participate in the urban workers' basic medical insurance system. Since then, in accordance with the spirit of the document, most regions of the country have successively abolished publicly-funded medical care for civil servants and introduced medical insurance for serving and retired civil servants (with the exception of those who have retired). To date, of the 31 provinces, autonomous regions and municipalities in the mainland, at least 24 have abolished publicly-funded medical care and all participate in medical insurance, while other provinces are in the process of gradually abolishing publicly-funded medical care. Third, the characteristics of publicly-funded medical care Publicly-funded medical care and labor insurance medical care are both characterized by medical expenses that do not have to be borne by oneself, and they have two advantages: one is conducive to the timely prevention and control of diseases and infectious diseases, so as to eliminate the hidden dangers of infectious disease epidemics, and the patients do not have the economic pressure, which is conducive to their physical and mental health, and family harmony, and social stability. The second is that it is more organized and "free of charge", which is conducive to the smooth implementation of preventive health care, health education and other health activities. However, due to the lack of an effective monitoring and control mechanism for those who enjoy publicly-funded medical care, labor insurance medical care, and the health-care sector, there is a serious waste of health resources, which, if prolonged, will overburden the State and its units. Therefore, the publicly-funded medical care system and the labor insurance medical care system also need to be improved. The above is a small amount of knowledge to organize the relevant aspects, however, the written knowledge is theoretical knowledge, in practice, for how to understand the public health care or to analyze the specific circumstances, if you still have questions about this, you can go to the relevant institutions and departments for further consultation and understanding. I hope my answer is helpful to you! If you still have any questions, welcome to the legal counseling, I wish you a happy life!
Legal Objective:The Chinese people*** and the State Social Insurance Law, Article 25 The State establishes and improves the basic medical insurance system for urban residents. Basic medical insurance for urban residents is a combination of individual contributions and government subsidies. The government shall subsidize the portion of individual contributions required by persons enjoying the minimum subsistence guarantee, persons with disabilities who have lost the ability to work, and elderly persons over the age of sixty and minors from low-income families. Article 28 of the Social Insurance Law of the People's Republic of China shall be paid out of the basic medical insurance fund in accordance with state regulations for medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, and standards for medical service facilities, as well as those for emergencies and resuscitations.