Can hospitals squander medical insurance money at will?

If "vested interests" protect themselves wisely, it will be impossible to curb the phenomenon of arbitrary charges in hospitals; If everyone lives a secular and vulgar life, it will be difficult for this society to get better.

5 1 year-old Wen Jianxiang got into Hunan Xiangtan Central Hospital. In June, 5438+last year 10, Wen Jianxiang's father suffered a sudden cerebral hemorrhage and was admitted to this 3A hospital. Later, I was treated in the intensive care unit for 10 months, but I still "left". Before and after the medical expenses of more than 600,000 yuan, he had doubts about many items on the list: "I received 84 packs of gauze a day, changed it 50 times in a small dressing change, and made 1 100 ice compresses in 80 days?" He began to report hospital charges. The regulatory authorities verified that Xiangtan Central Hospital did have problems such as overcharging nursing fees and medical consumables fees.

"More than 600,000 medical expenses, individuals only need to pay more than 20,000." To some extent, as the son of retired cadres, Wen Jianxiang can be called a "vested interest". But he is sharp and unsophisticated, with a selfless heart and a bright heart. In the field of public opinion, some people denounced him as "single-minded", while others praised him as a "warrior". Aside from these labels, what should be asked is, who "achieved" Wen Jianxiang?

"It costs more than 700 yuan to use 1 sanitary towel a day" and "84 packs of cotton swab gauze a day" ... Xiangtan Central Hospital has been confirmed by the regulatory authorities to charge fees. As the best 3A local hospital, from the common sense, the rules and regulations should be more perfect, the self-management ability should be stronger, and the checks and balances mechanism should be more adequate. Why dare you cheat? On the surface, the hospital collects fees at random, which is to wipe off the oil of retired cadres, but in fact it is to wipe off the oil of taxpayers with the generosity of the state.

Accordingly, Wen Jianxiang encountered many strange phenomena during the discussion. For example, Wen Jianxiang found that a cat was tired and reported it to the hospital department, but was ridiculed by the nurse: "Are you so stingy?" A few cents! "Reporting to the hospital's reporting center, no response; I went to the hospital nursing department and the medical administration department, but I still got a cold shoulder. It was not until I reported it to the veteran cadres of Xiangtan Medical Insurance Bureau that I got positive feedback. The medical insurance bureau found out the problem and punished the hospital, but the staff told Wen Jianxiang that they had no choice but to do so.

Is it fraud to collect fees indiscriminately or overcharge? The media reported that the owner of a drugstore in Gaoyou, Jiangsu Province was sentenced for defrauding the medical insurance pooling fund of more than 80,000 yuan. Illegal cashing and fraudulent insurance lead to the loss of medical insurance funds, which has clear legal basis and criminal responsibility. How can the relevant personnel of the hospital be fined if they openly collect fees in disorder? When it comes to insurance fraud, the local price department said that "even if hospitals collect fees and cheat medical insurance, they can only be managed by the Medical Insurance Bureau". If a crime is involved, not just a violation of discipline, the judiciary should intervene, not just the medical insurance bureau.

It's not easy for Wen Jianxiang to come all the way. From the avoidance of the hospital to the minimization of the supervision department, it is doubtful that the hospital will dare to collect fees arbitrarily if the relevant departments take timely measures and do not protect the calves.

In fact, Wen Jianxiang originally planned to take the legal route and sought a lawyer, but no one answered. If the regulatory authorities are in charge and social forces cannot check and balance, who will supervise such a hospital? Needless to say, some well-known hospitals are too close to power and have unique medical resources, so it is difficult to be strictly supervised.

Wen Jianxiang broke the window paper-after all, the relevant hidden rules have always existed; But it's not enough that he wants to pierce. He broke it as soon as he stabbed it. Did Wen Jianxiang really pierce the crux of hospital charges? If this matter ends here, Wen Jianxiang's good intentions will be weakened. From this perspective, there is no need to render Wen Jianxiang as a lonely hero, and more people need to stand up and disintegrate the hidden rules. If "vested interests" protect themselves wisely, it will be impossible to curb the phenomenon of arbitrary charges in hospitals; If everyone lives a secular and vulgar life, it will be difficult for this society to get better.

"Even the money for medical insurance is the money of the country. Can you squander the money of ordinary people?" The questioning is powerful and admirable, which makes people see Wen Jianxiang's righteousness. The reason why Wen Jianxiang took this matter seriously was also related to a small matter: "When my father was in hospital, I met a family. The old man still suffered from cerebral hemorrhage and didn't wake up. There is only one daughter in the family, and he can't afford it. Finally, he couldn't give up. In less than 24 hours, people left. If my father were not a retired cadre, we could not afford so many medical expenses. Therefore, I think I must go to the hospital for rectification. "

This is a very valuable feeling. To put an end to arbitrary charges in hospitals, a hero like Wen Jianxiang is indispensable, but we can't just count on such a just man. What if Wen Jianxiang doesn't talk? In the final analysis, we still need system encirclement and suppression, mechanism dredging, supervision moving and hardening.

These questions are all secrets in the hospital! I hope everyone can face up to this problem and let medical insurance really serve people!