Shaanxi Province urban and rural medical insurance co-ordination

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Money is not a problem "In fact, for Shenmu County, the realization of "universal free medical care" is not as magical as people think. "Shenmu County has been ranked first in Shaanxi's top economic counties for several years, and the distance from second place is very large." Guo Baocheng, secretary of the Shenmu County Party Committee, told China Economic Weekly that the county's total revenue is expected to exceed 10 billion yuan this year. Thanks to its rich coal resources, Shenmu County's comprehensive economic strength is currently ranked 92nd in the country, 5th in the west, and 1st in Shaanxi Province.In 2008, the county's total fiscal revenue was 7.227 billion yuan, of which 1.719 billion yuan was local revenue, while the per capita net income of peasants was 6,028 yuan, and the per capita disposable income of urban residents was 16,075 yuan. "Shenmu currently has 50 billion tons of proven coal reserves, which can last for 400 years based on the current annual output of 120 million tons." Lei Jiangsheng, standing committee member of Shenmu County's county party committee and propaganda minister, told China Economic Weekly, "Strong financial resources are the foundation on which the 'universal free healthcare system' can be implemented. At the same time, the county's population of only 400,000, coupled with its location in the west, the medical fees are not too high, which is why the finances can afford it." The cause of the implementation of "universal free medical care" in Shenmu County was not a "whim" of the leadership team. "As we all know, Shenmu's GDP is a small number of coal bosses to support up, but their wealth only represents a part of the people, and the county nearly 400,000 people in the majority of the people. If the common people can't enjoy the benefits brought to them by financial affluence, then Shenmu's wealth can only be flaunted on the surface." Guo Baocheng told reporters, to solve the majority of people do not have the money to see a doctor, due to the reality of the problem of poverty is the implementation of Shenmu "universal free medical care" system of the fundamental starting point. From March 1 this year, Shenmu's "universal free medical care" system began to be implemented. According to the "Shenmu County Free Medical Care for All Implementation Measures (Trial)", all county cadres and workers and urban and rural residents who have Shenmu household registration and have participated in the urban and rural residents' cooperative medical care and the employees' basic medical insurance, and who receive medical treatment at designated medical institutions (21 townships, 7 counties, 5 municipalities, 5 provincial-level, and 6 hospitals in Beijing, and 5 designated pharmacies at the county level) are entitled to the implementation of the outpatient medical card and inpatient hospitalization reimbursement system. The outpatient medical card and hospitalization reimbursement system is in place. Each person is entitled to an outpatient subsidy of 100 yuan per year, and the balance of the outpatient medical card can be carried over for use and inheritance. Hospitalization reimbursement for the whole year is subject to a starting line, which is 200 yuan per person per hospital visit in township hospitals, 400 yuan per person per hospital visit in county hospitals, and 3,000 yuan per person per hospital visit in hospitals outside of county borders. Hospitalization medical expenses below the starting line (including the starting line) are to be paid by the patient, and the portion above the starting line is to be fully reimbursed in the event that the cumulative reimbursement does not exceed 300,000 yuan per person per year. In addition, Shenmu also includes special examination fees, treatment fees and material fees for the installation of artificial organs and organ transplants in the scope of reimbursement, and stipulates corresponding reimbursement ratios for some special diseases, such as 80% reimbursement of the costs of using nutritional medicines for cancers, cirrhosis of the liver, renal diseases, and serious consumptive diseases, etc., where the patients are unable to eat and need to rely on nutrient solutions to maintain their lives, or where certain special diseases must be treated with biological preparations; 80% reimbursement of the costs of using nutrient medicines for blood system diseases, other diseases that cause severe anemia or hemorrhage during various surgeries, the cost of blood products that must be used is reimbursed 90%. Due to medical conditions, the need to do CT, ECT, nuclear magnetic **** vibration and other large-scale instruments and equipment, the cost of reimbursement of 90%; due to medical conditions need to do organ transplantation or catheters, stents and other interventional therapy, 90% of domestically produced materials reimbursement, reimbursement of 70% of the imported materials according to the reporter's understanding, earlier last year, in the "universal free medical care" at the preliminary demonstration stage. According to the reporter's understanding, earlier last year, in the "universal free medical care" in the preliminary demonstration stage, Shenmu County began to plan some of this year's project, budgeted 1.3 billion in spending, including "universal free medical care" in 2009, 150 million. "With 1/8 of the planned expenditure to reimburse medical expenses to the people, it will not affect the county's other work. In the same way, the county began to implement 12 years of free education several years ago." In the interview process, Guo Baocheng repeatedly emphasized that "money is not a problem".