Card social insurance of China abuse gnaw bite medical insurance save someone's life money Demand urgently to supervise effectively

Card, social insurance of China, abuse, gnaw, bite medical insurance save someone's life money Demand urgently to supervise effectively
Yesterday, Deng HaiHua, press spokesman of Ministry of Public Health, showed at the customary news conference of Ministry of Public Health clearly, in " twelve five " Reform the charge method of the hospital in an all-round way during this time, is pursuing medical treatment and ensuring " all-purpose card " Foundation at,last medical insurance expenses, settle settling, strange land in real time. Beijing shows clearly too, on the basis of submitting an expense account in real time in existing clinic from next year before this, expand and submit an expense account in real time in hospital, and then popularize service functions in many aspects such as traffic, supporting parents. However, while the country pursued the social insurance card step by step, reporter's investigation finds, the phenomenon of abusing the social insurance card is serious day by day, it is originally Huimin, social insurance card convenient for people, but regard as a tool which is deceived protecting, arbitrage some people. The expert points out, supervise the loophole to enable as " money of help " Medical insurance fund corroding, " raise by medicine by medicine " System be let too to leave illegal activities not to be happened some hospital, if does not supervise, may jeopardize this limited one in the future " The money of help " . Many people share gather, wipe out Sunday at the amount by one card, Ms Zhang come one the intersection of medical insurance and fixed the intersection of Chinese medicine and characteristic hospital of Dongcheng District carry on the acupuncture and moxibustion treatment as usual, but different from other patients, she has not registered in the front desk, but come to acupuncture and moxibustion department directly, accept the acupuncture and moxibustion, diathermy and pull out the pot treatment. "What I used is the cousin's card, the cousin helps me to register in the morning, come to an agreement with the doctor, I just treat directly. " The reporter sees, when Ms Zhang goes to a doctor, offer the cousin's name only to the doctor, can receive treatment. "The doctors here basically all know what I used is the family's social insurance card, if not it is one today to meet " The new hand " ,Would not ask the relation between this card host and me at all. " Ms Zhang tells reporters, her cousin is weak and sickly, is " sickly person " ,Though on-the-job worker too, in the will it be February this year, go to a doctor expenses reach yuan of on-the-job workers wipe out blow pairs of line already, subsequent treatment need, afford, make a diagnosis 20% of expense only each time. "I only spent more than 20 yuan having an acupuncture treatment once of moxibustion, had not pitched for five times until now this year, healthy at ordinary times, the expenses seeking medical advice normally can not reach the on-the-job worker in one pair of lines. " For this reason, even if have social insurance cards oneself, Ms Zhang still chooses to seek medical advice with the cousin's social insurance card. Ms Zhang has calculated an account for the reporter, if use one's own social insurance card, reach to wipe out get up pairs of line 1800, need in full to pay for the the making a diagnosis of more than 100 yuan by oneself each time, if use the cousin's social insurance card, only need to pay the expenses of more than 20 yuan, it is " very worthwhile " . According to relevant regulation of Beijing, to use the intersection of social insurance and on-the-job worker of card implement yuan of clinics wipe out blow pairs of line in real time Beijing at present, one pair of lines is 1300 yuan that retired personnel get up. And a lot of seldom sick crowds at ordinary times can not usually reach this in one pair of lines, having made and shared the idea of a social insurance card, children appear to use parents' social insurance card to go to a doctor and make up a prescription etc. frequently, or whole family share and pay the social insurance card supreme in proportion. The doctor handling Ms Zhang's disease says frankly, it is the same to pay and pay with individual in social insurance to hospital, because the supervision of this respect of supervision department has not been carried out strictly, most hospitals " turn a blind eye to " . Defraud of the intersection of medical insurance and medicines, resell at a profit will it be will it be 9 o'clock morning yesterday such as arbitrage, on the the intersection of Chaoyang District and the intersection of strength and loose the intersection of hospital and sidewalk of gate, squating and seating is a middle aged man. A black word of white bottom by him " Accept medicines " The brand is not showy, but this is probably an identification of card arbitrage of social insurance. 10 minutes later, a old woman holds two boxes and cures visiting a gentle one candy and charging and coming to middle aged man only of diabetes specially, " you had a look, just opened from the hospital out, it was not false medicine " . The middle aged man takes over two boxes of medicines fast, make a deal with 50 yuan. The whole trade course is less than 5 minutes. According to relevant regulation of Beijing, use the intersection of social insurance and card turn on, fetch chronic disease medicine one can turn on quantity of using medicine for 1 month at most. President Zhang of the loose hospital of the strength of Chaoyang District of Beijing tells reporters, because define the regulation in the social insurance centre, find hospital have out-of-range situation that write a prescription, refuse to pay hospital, pay first, make a diagnosis part of the fee for patient; Have, stipulate doctor give patient to be excess write a prescription, the intersection of social insurance and expense that in the center refuse to pay clearly too inside the a lot of hospital, write a prescription doctor bear by oneself, so doctor give emergency case turn on medicine quantity for 3 days only at present, medicine quantity for 7 days that chronic disease turn on only at most, special circumstances can be held more. "But system between the every hospital network, in other words, patient turn on two box visit candy to be flat in the intersection of we and hospital today, will go to coordinate and is open tomorrow, the hospital can not find out at all. " Because this loophole that president Zhang says frankly, many patients seize the chance to hold medicines to carry on the profiteering excessively without restraint. The reporter finds in the investigation, not only patient's profiteering, in the hospitals of some communities, if patient fully recover already and condition take a favorable turn, need, go to a doctor under the situation that take medicine, also can open medicines from the hospital smoothly, after some patients open medicines, sell to the illegal personnel waiting to accept medicine outside the hospital door directly. Meanwhile, because the first rate hospital of some third grade be able to open more chances than community's hospital of using medicines very much, the the intersection of hospital and gate become a lot of charge the intersection of medicine and place that people patronizes often too. One participation sell personage in the know of medicines to reporter, charge accounts once, flat as the example by visiting candies, it is probably 50 yuan that every box of medicine that patients prescribed out in the hospital marks a price, use the intersection of social insurance and card, on-the-job worker need oneself bear 5-10 only, start to sell and charge the medicine native from the hospital at 25 yuan, average every box can earn 15-20 yuan, after medicines are collected, charge medicine people and sell to some small clinics and small-scale private hospitals of the rurbania at the price varying of 35-40 yuan of every box, used for supplying those patients without social insurance card. Collude with dispensary and hold non- social insurance medicines " if you are familiar with the person in the hospital dispensary, can draw the non- social insurance that the other people of family need to pay medicines with the social insurance card. " Beijing some second internal in the know personage of hospital tell reporter whether a lot of hospital write a prescription management to be stricter arbitrarily at will doctor at present, very difficult as before, the patient has no disease obviously, but can open medicine curing a certain disease, but after patient to suffer from chronic disease go to a doctor, few doctor can check, appear chronic disease patient suffer from fully recover and what does it fully recover carefully, even fully recovered, if the patient does not say, can open medicines easily and so long as say hello with the person in the dispensary while getting it filled, can change into other medicines of the same price, what general Chinese herbal medicine is changed into other medicines is more. Deserve and know the facts of the case personages and claim, far short of what is expected because of the specification of Chinese herbal medicine, product looks, so the hospital supervises ten to the dispensary of Chinese herbal medicine It is unable to divide, this gave person in charge of dispensaries of some traditional Chinese medicine offered the opportunity in violation of rules and regulations. "For example treat hypertension? Support �� of warbling of the oriole of �'s cheek of splendid achnatherum why Xiang's dustpan? A Chinese herbal medicine at 00 yuan, but if know the person in the dispensary, can hold the prescription form, change the same other medicines of value out from the dispensary, outwardly the hospital does not lose, quantity is small and very difficult to be perceived, but the person in charge of the dispensary can collect the advantage from it. " The expert proposes, the hospital dispensary has been the place where the corruption is gone out of frequently in the medical field all the time, set up strict supervision mechanism, it is to solve the task of top priority of the corrupt problem of hospital dispensary at present. Expert's view is popularized " ordinary people have a persistent ailment in the heart now for the system of effecting an insurance taking family as unit, " A ginseng is protected, the whole family is benefited " ,It is eliminated that this is very difficult within a short time, it would be better to make the best use of the situation, try the system of effecting an insurance taking family as unit, so can prevent a lot of people from abusing the phenomenon of a social insurance card, can safeguard the patient's rights and interests on a large most scale too. " Participate in the intersection of medical reform and Professor of Peking University law school Sun DongDong that policy make tell reporters, in some areas in our country, have already launched " effected an insurance by family " Medical insurance form,and not already participate in namely in one of families except from retired cadre worker medical insurance personnels other s basics urban must include by resident medical insurance in all. Meanwhile, if have a person who has not effected an insurance in the whole family, the whole family can not enjoy the medical insurance policy. In addition try hard to recommend the intersection of social insurance and the intersection of card and the intersection of Beijing and member of the municipal CPPCC, eastern the intersection of friendship and food closed in real time to seek medical advice provide and deliver Tang JunJie, chief engineer of company, to tell reporters, find one patient if hospital turn on, fetch to visit candy to be flat certain time slot in Chaoyang while it surveys and studies, went to Peking Union Medical College Hospital to open and fetch again the next day, the latter submitted an expense account in real time the social insurance card was not born. "The social insurance system is not networked but should punish the hospital by the hospital, improper, since social insurance card possible to discern, go on, refuse, wipe out to a the last hospital writing a prescription automatically, then the hospital just has a technological foundation to network in an all-round way. " She propose should system network, through inquire patient write a prescription record avoid, write a prescription situation to change medicine excessively doctor all medicines and make a diagnosis of hospital. Control social insurance card messy like strengthen by each link supervision is obviously but also enough only. Professor of Peking University sociology department Xia XueLuan proposes, uses the social insurance card and imitate the sincerity set up between the banks and control the mechanism in the future, once the card user of the social insurance defrauds of behaviors such as protecting, arbitrage,etc., it is bad while recording to be be listed in sincerity automatically, but also form and network the informationization, some people has sincere stain to record, submit an expense account in the future the difficulty increase, the possible quilt " Prohibit protecting " . XueLuan Xia think, abuse the intersection of social insurance and the intersection of card and phenomenon reflect of our country medical insurance system improve and some crowd seek medical advice, bear big, the intersection of medicine and the intersection of person who separate and question too, though the construction of social security system of our country is strengthened day by day in recent years, it is the irrefutable fact that it is not high to ensure competence wholly yet. So, improve the social security system, let everybody think highly of the disease, there is a very long waying will walk in legislating and supervising. Plum monarch of Business reporter / document

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