When Nanjing announced on Dec. 8 that it was canceling the benefit, it didn't cause any ripples in the civil service system. Yan Literature, deputy director of the General Office of the Nanjing Municipal Party Committee, said at the meeting that this is to clarify the relationship between the government and the market, a "self-revolutionary" transformation of government functions.
Nanjing "brewing for a long time" of this reform, but also confirms a megatrend, the public health care system will gradually withdraw from history, replaced by universal health insurance.
Eighty percent of the country's provinces and cities to cancel the public health care
"Realistically speaking, the public health care system has played a role in history, but with the development of the market economy, its shortcomings are also more and more prominent." Chen Jianning, deputy director of the Nanjing Municipal Bureau of Human Resources and Social Security, admitted at a news conference on the same day.
Talking about the drawbacks of publicly-funded medical care, the director of the finance office of a university in Nanjing told reporters that, for historical reasons, the health insurance of a general-level cadre with notable war service was housed in the school, and the large amount of medical expenses consumed each year seriously crowded out the amount for the rest of the school's faculty and staff.
"We have had to invest huge sums of money in recent years to buy commercial insurance for faculty and staff to make up for it." The said finance director said.
In 1994, the state decided to carry out the employee health insurance system, preferred Jiangxi Jiujiang and Jiangsu Zhenjiang to start the pilot, commonly known as the "two rivers pilot", the next year expanded to 50 cities, Jiangsu Suzhou, Wuxi, Nantong, Yancheng, and other cities to enter again. "That year, responsible for this reform of the State Councilor Peng Peiyun had seven times to Zhenjiang research, it can be said that the country to establish the enterprise employee health insurance system is to invest a lot of energy." Chen Jianning said.
In 1998, the State Council decided to push through the reform nationwide. At the same time, the abolition of public medical care became a trend. However, taking into account the national deployment of institutions, military enterprises and other special characteristics different from other cities, Nanjing in 2001 only began to pilot, while the implementation of the "dual-track system", in order to stabilize the transition.
The reform was accelerated after Yang Weize took power in Nanjing as one of the key ways to reverse the gap between the city and the traditional southern Jiangsu economies of Suzhou, Wuxi and Changzhou.
"This is mainly due to the gradual improvement of the basic healthcare system over more than a decade in employee medical insurance, urban residents' medical insurance, new rural cooperative medical care and hardship assistance." Chen Jianning, deputy director of the Nanjing Human Resources and Social Security Bureau, said.
As of November 2012, Nanjing's basic medical insurance had covered 3.33 million people. However, Nanjing has a population of about 8 million. After the abolition of the public medical system, Nanjing, about 200,000 institutions (mainly concentrated in the municipal organs and the eight main urban areas) into the employee health insurance system, they will be the same as the existing employees, to achieve a unified system of policies, contributions, treatment standards, handling procedures, and in the future to see a doctor to enjoy the "same" medical The new system is a new one," he said.
In fact, the abolition of publicly-funded medical care is a trend. By the end of 2011, 24 provinces and cities across the country have canceled this benefit, civil servants into the employee health insurance system. Shandong Province is said to have laid out the reform in late November.
"Deputy hall" above not included
"The system framework gradually formed, the policy provisions continue to improve, the number of insured people increased, the fund income and expenditure slightly surplus, the level of protection increased, the management capacity to strengthen, is the current characteristics of China's health insurance system. " A person in charge of the Health Department of Jiangsu Province has introduced to this reporter. Chen Jianning, in response to reporters' questions, also emphasized that the measurement, this time the abolition of municipal public health care will not affect the interests of the existing employees' insurance population.
According to the reform program, the basic medical insurance premiums paid by the insured individuals are all allocated to their personal accounts, and the integrated fund is allocated to the personal accounts of the insured on a monthly basis according to a certain percentage of the contribution base of the active employees themselves (differentiated by their age) or of the retirees' own retirement premiums (pension) of the previous month, respectively.
However, for the deployment of agencies in Ningxia, provincial organs and institutions managed at the provincial level, due to the attribution of authority, this reform is not involved. The newspaper was informed that Jiangsu provincial public health care for the deputy hall level has been realized below the designated hospital and differential reimbursement of the "double premise", that is, completely eliminated 100% reimbursement of benefits.
As for the "deputy hall level" above, because of its cadres management authority at the provincial level, we learned that is still in the implementation of the public health care system, the place of treatment is generally in the senior wards of the larger hospitals, such as the Jiangsu Provincial People's Hospital, Gulou Hospital and so on.
Specifically, the level of deputy director level or above (including retirement), there is generally an identification card, with which you can go to the hospital directly for treatment, eliminating the need to queue up and other procedures and formalities, the treatment of space, medical equipment and health care personnel are relatively independent, and there are not many restrictions on the time.
Some people familiar with the matter told reporters that Jiangsu provincial organs at the level of the preparatory work into the employee health care system has been in progress, the current controversy lies in the participation of the retired "male less than 25 years, female less than 20 years" of the personnel of the "should be required to one-time make up for the difference in the years of the basic employee medical insurance premiums. The current controversy is about who should bear the burden of "should be required to make up for the difference in years of employees' basic medical insurance premiums in a lump sum.
The newspaper was informed that some provincial units have been on the possible reform of planning, "the current preliminary design of the program is, a small part of the financial subsidies, the unit out of a part of the individual self-funding a part of." The head of the office of a provincial research institution told reporters.
After entering the universal health insurance, "if there is a difference in the level of enjoyment of medical care in the future, it lies in the construction of supplementary health insurance for individual units and individuals, such as investment in commercial insurance." Chen Jianning said.