Health News unified urban and rural health care is not ripe

 Unified urban and rural health insurance mature now you?
12 23, the first group the sixth meeting of the NPC Standing Committee to consider the draft Social Insurance Law, the NPC Standing Committee, NPC vice chairman of the House Judiciary Committee, Democratic National Construction Association Central Committee Vice Chairman Economists Gu Shengzu pointed out that in consideration of: the scientific from the legislation, advanced and authority to consider, in view of the particularity and complexity of health insurance is recommended in the social insurance law in principle on the basic medical insurance or license provisions only, as being in China during the reform and development of new legislation left room for the medical security system.
health insurance has its own special
Gu Shengzu that compared with other social insurance, basic medical insurance has great specificity and complexity. in the main structure, the basic medical insurance is different from other social insurance programs. It includes not only the payment of social insurance fund side, enjoy the side benefits, including health care providers. in the management of content, not just the basic medical insurance involved in fund management, is more important to the implementation of integrated management of health care services, while the integrated management of health care services require a high level of professionalism. from the domestic and international experience, manage the supply side of service behavior, effective control of health care costs, is to ensure the sustainable development of the basic medical insurance, medical insurance system to achieve goals, maintain the health interests of citizens of the core. in the mode of financing and fund management and operation, and other social insurance funds focused on increasing the value of the fund and long-term equilibrium, and basic medical focus on current insurance protection insurance fund (Senate combined) object to maximize the benefits and reduce the burden of medical expenses.
Gu Shengzu that the existing basic medical insurance system in China's New Rural Cooperative Medical System (NCMS) has a more specific , and is the unique characteristics of the benefit of eight hundred million peasants in China's rural public service system. as a medical security for our farmers, reduce the financial burden of the institutional arrangements for medical treatment, the new rural cooperative medical insurance to take a different from the urban management system and institutional framework, the significance of unusual. It guarantees that the object is in the socio-economic status, social income distribution are in the vulnerable groups of farmers, farmers Senate combined the principle of free, now the urban and rural toll has reached 814 million, the system has been widely the people and social infrastructure, to improve their living standards, maintain social stability in rural areas play a positive role. to the implementation, the new rural cooperative medical system run time is shorter, is still very unstable, from system design to management to run, but also need to go through full practice tests and lessons learned, and gradually improve.
not too fast pace of urban and rural health care uniform
Gu Shengzu that social insurance legislation should maintain the stability of the new rural cooperative medical system in practice and the legislative process should not be too fast on the urban and rural health care to reunification. Currently, the new rural cooperative smooth operation, to perform well, regardless of their political effects, social effects, economic effects, or management effects are very significant. NCMS per capita of less than 100 yuan level of funding (and urban workers basic medical insurance difference of about 20 times, with urban residents difference of about 2 times), the actual county and township levels (hospital) level of compensation, urban residents have been hospitalized more than the actual level of compensation, the central and western regions has reached a number of urban workers the actual compensation for the basic level of health insurance. to the third quarter of 2008, the actual average (hospital) level of compensation has already reached 39%, which reached 42% in central and western regions, there are some out-patient compensation. NCMS reshape the government In the image of people in urban and rural residents in the fairness of the social security further embodiment of the rural population to improve health care services utilization by the support of the majority of farmers. However, just the new rural cooperative medical system covering the whole country, still fragile, the current priority is to consolidate, improve, and not big changes.
Gu Shengzu that the social insurance law in the legislative process, adhere to the urban and rural areas is not equal to unity, the new rural cooperative medical insurance can not be unified with the provisions of town, otherwise easily lead to concerns of farmers, affect stability in rural areas and lead to effective management of new rural cooperative chaos. Meanwhile, the legislation would be inappropriate and towns with new rural cooperative medical insurance uniform standards, combined operation. in our social and economic development between urban and rural areas is extremely uneven, the medical needs of urban and rural residents and medical consumption very different social context, emphasizing the unity of the standards of urban and rural health care will result in excessive utilization of urban residents occupied the interests of farmers, to bring . Therefore, in the current legislative process, appropriate to the new farmers to ensure the stable development of the system as a starting point, a comprehensive summary of existing experience, with the current system under the premise of effective connection mode, to further clarify the framework of the new rural cooperative medical system, enrich the content of the new rural cooperative medical system. Meanwhile, the proposed legislation leaves room for written authorization provisions, administrative rules and regulations formulated by the State Council by the way, to promote its sustained and healthy development, to ensure the health interests of the peasants.
Medicare convergence of the three worth considering how the system
Gu Shengzu that the particularity of basic medical insurance social insurance legislation, not on medical insurance and other social insurance in financing, payment, and supervision and make uniform regulations and requirements. from A typical practice of national legislation, most of them based on the characteristics of different social insurance coverage, breakdown by social insurance legislation, such as Britain, Germany, Japan, France, Russia, Canada, India, Thailand and Singapore. on all the social insurance system together with the typical development of social insurance law countries are Norway, Mexico. from China's actual situation, the framework of the basic medical insurance system was basically formed in 2007, it contains the basic medical insurance for urban employees, the new rural cooperative medical system, urban residents basic medical insurance system development gap between the larger. the basic medical insurance for urban workers from state-owned enterprise reform in 1998 as a package of measures to start building, long-term adherence to the center of state-owned enterprise reform, the coverage is too narrow. medical insurance for urban residents last year, has just launched the pilot , its management, management practices and even financing mechanisms is still in the exploratory stage. NCMS in 2008 just to achieve full coverage, although the institutional framework has been formed, but also have some more experience and practice in forming, but is still in the stage of reform and improvement . Three of China's basic medical insurance system is thought to rely on existing management need to consider.
Gu Shengzu believes that the current correction in the start of new round of medical and establish universal coverage of medical insurance system is an important part of health reform. In Construction of universal health care system reform in the context, how to improve and develop on the basis of the existing system, setting up different forms of urban and rural areas, different levels of medical insurance system, to achieve universal access to basic medical and health services goals, needs further reform exploration, in particular, the existing system to summarize and evaluate carefully. To reserve space on the basic medical insurance legislation will benefit the social health insurance and medical and health reform and to explore further.
Gu Shengzu emphasize social Insurance Legislation To explore the best management systems leave room for basic medical insurance. choose a management system should be based on whether it helps improve the efficiency of health insurance funds will help rural residents equal access to health care services, and promoting urban and rural residents as the standard level of health. At present, more and more emphasis on the world of health care insurance system role in promoting the gradual illness insurance health insurance from the development to take into account the minor illness, and then developed to protect the health, the management system has also changed accordingly , the social health insurance separate from social security, and health management functions be merged. For example, Brazil in 1988, the social health insurance system spun off from the social security system, and form the new Ministry of Health, Ministry of Health, a comprehensive responsible for health financing and service management; Japan, in 2001 the Ministry of Health and Labor into Labor and Welfare, unified management of health, social security and social welfare services; Germany, in 2002 the original of Labor and Social Policy, Social Security Branch and the former Ministry of Health merged to form into a new Department of Health and Social Security. At present, 70% of the world's countries (regions), medical services and basic medical insurance is a government department by the same management. particularly in developed countries (regions), which a higher proportion in the OECD and the Group of Seven, the proportion was 83% and 100%. Only 19% of the country (region) or the social security sector management by the workers basic medical insurance. in what the Chief of management system, better able to meet the basic medical insurance system of their own characteristics, to better promote the improvement of basic medical insurance system, more in line with China's actual situation, needs further discussion and exploration.