Despite a gradual increase in government investment at all levels, some basic contradictions and institutional weaknesses are still restricting the achievement of greater results in "poverty alleviation through health".
The most common problem for people in poor areas is that it is difficult and expensive for them to see a doctor, and they have to travel a long way to see a doctor. The ideal state is "small illnesses do not go to the townships, big illnesses do not go to the county, and difficult and complicated cases are referred to the hospital", although all localities through the hierarchical diagnosis and treatment and the New Rural Cooperative reimbursement differentials to guide the masses to the nearest clinic, but due to the lack of grass-roots medical technology and management level, resulting in the problem is difficult to effectively solve.
In Gansu Longdong Revolutionary old areas, some township health centers have not been a practicing doctor, often "once the certificate of practice, on the transfer, loss". Residents of Huachi County, Qingyang City, reflect that the township health centers now have the highest reimbursement rate, but there are very few doctors, and their medical skills are not good enough, so we have to travel far and wide to Qingyang City to see a doctor.
Additionally, the lack of an effective mechanism for linking the New Rural Cooperative, the major illness insurance system with the medical assistance and the major illness assistance system in terms of target, program, standards and information has also resulted in many poor households not being able to enjoy the relevant policies.
Originally, the civil affairs department has set up a special system of civil assistance and emergency relief for diseases for the needy, but according to the current standard, many of the poor households with documented records are not included. For example, at the end of 2014 in Jiangxi Province, 2.76 million poor people on file, can be included in the scope of assistance for only about one-third.
Grass-roots cadres also reflected that many of the current reimbursement rates sound very high at first glance, but because of the addition of "within the county" and "within the catalog" and many other qualifications, the masses often choose to go out to see a doctor after a serious illness, it is difficult to enjoy these policies. They called for the design and coordination of the system of major medical insurance at a higher level as soon as possible to solve the current problems.
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