Recently, many people are interested in how to understand public medical care, but in fact, most people don't know much about how to understand public medical care. Bian Xiao has compiled relevant information for everyone, hoping to bring help to everyone. First, the concept of free medical care Free medical care refers to the provision of free medical care and preventive services by the state to state staff through medical and health departments, and the funds mainly come from the financial system at all levels. Second, the background and process of free medical care reform. Free medical care began in 1952, which is a social security system that the state provides free medical care and preventive services to state staff through the health department. All funds are borne by the finance, and individuals do not have to pay fees. With the establishment of the socialist market system and the deepening of the reform of state-owned enterprises, the disadvantages of this system are becoming more and more obvious. A set of public data shows that in 2009, the per capita medical and health expenditure in Beijing was 4 179.87 yuan, and the average personal burden ratio was 26.2%. In 2065,438+00, the actual public medical expenditure in Beijing was 2.62 billion yuan, an increase of 6.27% over 2009. Based on the 220,000 people who enjoy free medical care in Beijing, the per capita medical expenditure exceeds 65,438. In the era of free medical care, the more patients a hospital accepts, the more serious the hospital losses. For patients who enjoy free medical care, after the hospitalization expenses exceed the lump sum expenses, the hospital will bear 20% and the financial burden will be 80%. Take Pinggu Chinese Medicine Hospital as an example. Miss Xing, cashier of the hospital medical insurance office, began to take over public medical care in 2005. At that time, the hospital lost hundreds of thousands of dollars in public health care. By 2008, this number has risen to more than 2 million. Due to the heavy financial burden, various localities have introduced some implementation rules and mechanisms to curb waste. For example, in 2000, Beijing issued the Notice on Further Deepening the Reform of Free Medical Care, proposing a method of quota management according to the number of guaranteed people to control the total amount of free medical care expenses, and formulated the standards for the burden of medical expenses for those who enjoy free medical care: the annual outpatient expenses are less than or equal to 3,000 yuan, the personal burden of employees is 20%, and the personal burden exceeding 3,000 yuan10%; The annual hospitalization medical expenses are less than or equal to 6,543,800 yuan, and the personal burden of employees is 654.38+00%. If it exceeds 6,543,800 yuan, the personal burden will be 6%. The personal burden of retirees is 50% of the on-the-job employees. However, these measures are not binding, and because of the disadvantages of system design, such as the high cost of public medical care and the low proportion of expenses borne by individuals, the phenomenon of "minor illness and major illness" is very common. Driven by interests, some medical units distribute a large number of expensive drugs, imported drugs, and even nutritional supplements and non-medical supplies; Blind import and use of high-end medical equipment such as CT and MRI. These shortcomings in the system have increased the financial burden of the government and intensified the reform of public medical care. 199865438+February, the State Council issued the "Decision on Establishing the Basic Medical Insurance System for Urban Employees" (Guo Fa [19983] No.44), demanding that the medical insurance system for urban employees be reformed nationwide, and all employers (including government agencies and institutions) and their employees should participate in the basic medical insurance system for urban employees. Since then, according to the spirit of the document, most parts of the country have gradually abolished public medical care for civil servants, and implemented medical insurance for on-the-job and retired civil servants (except retirees). Up to now, of the 3 1 provinces, autonomous regions and municipalities in the mainland, at least 24 have cancelled free medical care and all have participated in medical insurance. Other provinces are phasing out free medical care. Three. The characteristics of public medical care The characteristics of public medical care and labor insurance medical care are that medical expenses are not borne by themselves. They have two advantages: first, they are conducive to the timely prevention and control of diseases and infectious diseases, thus eliminating the hidden dangers of infectious diseases. Patients have no economic pressure and are conducive to their physical and mental health, family harmony and social stability. Secondly, it has a more standardized organization, and "free" is conducive to the smooth development of health activities such as preventive health care and health education. However, due to the lack of effective supervision and restriction mechanism for free medical care, labor insurance medical users and medical and health departments, health resources are seriously wasted. In the long run, countries and units will be overwhelmed. Therefore, the free medical care system and the labor insurance medical care system also need to be improved. The above is the relevant knowledge compiled by Bian Xiao. However, written knowledge is theoretical knowledge. In practice, it is necessary to analyze how to understand free medical care in detail. If you have any questions, you can go to the relevant institutions for further consultation. I hope my answer is helpful to you! In case of doubt, legal advice is welcome. Wish you a happy life!