Farmers: pay 10 yuan a year for a maximum reimbursement of 30,000 yuan
"Without the New Rural Cooperative Medical Insurance, I can't live now." Du Haijiang, a farmer in Shirengou village, Xiying Township, Jiutai City, Jilin Province, told reporters that he is the village's "biggest beneficiary of the New Agricultural Cooperative Program". As one of the first four pilot provinces for the New Farmers' Cooperative, Jilin Province officially launched the pilot program in September 2003 in Jiutai City and six other counties (cities and districts). "There are more than 900 households and 3,500 people in our village, and 81% of them participated in the program that year. At the end of the year, I had a sudden attack of acute pancreatitis and spent more than 20,000 yuan on treatment. Unexpectedly, I was reimbursed 5,000 yuan." Du Haijiang said that the next year he spent more than 30,000 yuan on medical treatment and was reimbursed 7,000 yuan; the third year he spent nearly 30,000 yuan and was reimbursed 1.1 million yuan. All three hospitalizations were reimbursed according to that year's major disease cap line rate.
"My family of five people, the land annual income of a few thousand dollars, where can afford to see the big disease! I have to show up, this year the village participation rate of more than 92%." The 45-year-old Du Haijiang said.
Li Guichen, a farmer in the village of Hazel Straw Bubble in Xiying Township, Jiutai City, told reporters that he and his partner have been participating in the program for three years. This year, his partner spent more than 4,000 yuan on cataract surgery and was reimbursed six or seven hundred yuan. "Although the money is not much, touching people's hearts ah!"
Ma Guoqing, a farmer in Dachuanye Village, Baishan Township, Lishu County, Siping City, spent 100,000 yuan on his mother's heart bypass surgery, which turned his family from a "rich man" to a "negative man" in one fell swoop. According to the Jilin Province this year, the new rural cooperative big disease reimbursement ceiling line standard, Ma Guoqing got 30,000 yuan compensation, he said excitedly: "General Secretary Hu said that we should let the people have medical treatment, I see the words are not false."
Township health center: revitalization
Push open the door of the township health center, "Jiutai City, Xiying Township, a new rural cooperative medical contributions and expenditure list (2007)," in plain sight. Only see written on it - the town's total population of 21,979 people, the number of participants 19,132 people, the participation rate of 87%, the total amount of contributions 179,970 yuan.
In this form diagonally opposite the wall, hanging "2007 participating farmers reimbursement announcement (October)". Reporter excerpts are as follows: "Yushugang Village, five societies Wang Jimin brain tumor surgery, live in Changchun City, the second hospital, spend 12668.69 yuan, reported 3882.20 yuan ......" The hospital director Li Xiankui said they are participating in the town farmers reimbursement situation once a month publicity, the purpose is twofold: one is to increase the number of new farmers, and the other is to increase the number of new farmers, and the other is to increase the number of new farmers. The purpose is twofold: one is to increase the transparency of the use of the New Agricultural Cooperative Fund; the second is to publicize through the case so that farmers can really see the benefits of participation.
"Farmers are highly motivated to participate, to us on the verge of closure of the health center has brought life." Li Xiankui said that in September 2003, the hospital became a designated hospital for the New Rural Cooperative, after the hospital's 12 departments to see patients about 20 times a day, the total annual income of about 500,000 yuan, per capita monthly salary of only about 400 yuan; this year's projected total income of 1 million yuan, per capita monthly salary of 900 yuan. "In addition, the government has given us additional equipment such as X-ray machines, resuscitation beds and semi-automatic biochemical analyzers at no cost, making it possible to do diagnostic and therapeutic items that couldn't be done in the past, which is now convenient for the local people."
According to Li Xianfeng, director of the Jiutai Health Bureau, the city has identified 27 township health centers as designated hospitals for the new rural cooperative. Before the implementation of the New Rural Cooperative, most of the hospitals were paralyzed by insufficient financial investment, lack of professional and technical personnel, and poor health awareness among farmers. Today, the outpatient volume and bed utilization rate of these hospitals have increased by more than one-third.
Jilin farmers spend hundreds of millions of dollars less a year on medical treatment
Jilin province has a population of 27 million, of which farmers account for more than 14 million. In order to effectively curb the problem of farmers due to poverty, return to poverty due to illness, Jilin Province, the establishment of the new rural cooperative system as a major event in the construction of a new socialist countryside, building a harmonious society to grasp. So far, the province's new rural cooperative system coverage has reached 100 percent.
The latest figures from the Health Department of Jilin Province, January - September this year, the province **** 1162.46 million farmers to participate, accounting for 82.04% of the total agricultural population. Among them, 2.2086 million farmers benefited, accounting for 19% of the total number of participating farmers. The province **** paid compensation funds of 324.8951 million yuan, accounting for 55.79% of the total annual funding. That is to say, the first nine months of this year, the province has more than 2.2 million farmers to see a doctor to spend more than 3.2 billion dollars less money.
Jilin Province, the new rural cooperative medical management office director Ye Chenghua said, in order to facilitate the participation of farmers for medical treatment, Jilin Province, the introduction of a free registration fee, a 20% reduction in the examination fee and other preferential policies; the establishment of outpatient family account, farmers can obtain from the outpatient clinic a year worth 8 yuan of medicine; increase the proportion of compensation for hospitalized medical costs, the ceiling line increased to 30,000 yuan per person per year, at the end of the year when there is a balance, the implementation of secondary subsidies for patients with serious illnesses. Implement secondary subsidies for patients with major diseases; take the lead in exploring new service models such as "one-stop office" and "instant settlement and reimbursement", striving to achieve the goal of "reimbursement wherever hospitalized" and "same-day discharge, same-day reimbursement". The first in China to explore new service models such as "one-stop office" and "instant settlement and reimbursement" in an effort to achieve "hospitalization and reimbursement".
At the same time, the new rural cooperative medical care "designated medical institutions management approach (for trial implementation)," "drug catalog (for trial implementation)," "diagnostic and treatment items catalog (for trial implementation)," "medical institutions to deal with violations of the law (for trial implementation)," and other regulations, to strengthen the management of the New Rural Cooperative Medical Care, and improve the level of benefit for the majority of participating farmers.
New rural cooperative: there is still a long way to go
"Let the farmers see the disease, is to ask for convenient; affordable, is to ask for inexpensive; see a good disease, is to ask for health protection." Li Dianfu, director of the Jilin provincial health department, explained this way.
Li Dianfu said the 17th National Congress report clearly put forward the goal of establishing a basic medical and health services for all by 2020, and emphasized that this system should cover all residents in urban and rural areas. "As medical workers, we have the responsibility to make it our historical mission to safeguard the health of our farmer brothers."
Health is the basis for the overall development of human beings and is related to the happiness of thousands of families. Li Dianfu believes that health care is a key to solving the "three rural" problem and has an irreplaceable role in building a harmonious society. China will be in the primary stage of socialism for a long time, the implementation of the new rural cooperative is in line with China's national conditions, people-oriented, to solve the health problems of 900 million farmers the best choice.
"Of course, there is still a long way to go to implement and improve the new rural cooperative system." Li Dianfu pointed out that, first of all, we must adhere to the government-led and market economy combined mechanism to increase the new rural cooperative compensation standards, because relative to the rapidly growing cost of medicines, farmers per person per year of several dozen yuan of funding level is really a drop in the bucket. Secondly, increase financial investment, improve rural primary medical institutions to run medical conditions, accelerate the training of personnel, improve rural primary medical institutions diagnosis and treatment level, so that farmers really realize the "small illnesses do not go out of the village, the big disease does not go out of the county".
Aiming at the problem of farmers' low motivation to participate in individual places, Wang Yanhui, director of the Changchun New Rural Cooperative Medical Care Management Office, and others suggested that: through in-depth publicity, calling on farmers to enhance the awareness of **** with others; simplify the reimbursement procedures; and strengthen the management of fixed-point medical institutions to put an end to over-diagnosis and treatment, false claims and other irregularities.
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