Monday, August 20, 2012

Does medicine of township look after elderly properly to wish when to get?

Does medicine of township look after elderly properly to wish when to get?
Staff reporter Li Yang and coming out from Wang RuiGan's family, that hove in sight is rolling Yi Mengshan. Have recalled and crossed over mountain after mountain to have an preventive injection over the past 36 years by oneself, has stepped on the passionate era paying a home visit all over the ridge stopped by neither wind nor rain once the patient seeks help, the passion glimmers in king's auspicious Gan's eyes. Tow he of the invalid body now, can only immerse in memory, has overlooked the distant mountain which left his footprint looking woeful. While suffering from both poverty and sickness, he does not even have to buy 1 yuan of the steamed bun RuiGan Wang the intersection of Shandong and the intersection of Zibo and the intersection of city and the intersection of Yi and the intersection of source and the intersection of county and the intersection of Nanma and one the intersection of fellow-villager and the intersection of village and doctor of town, have already exceeded sixty years old every year. From being a barefoot doctor to the present, he has already practised medicine for 36 years. He in old age, can only show villagers the disease in a simple and crude room that is rented now, prescribe some medicines. Though the old body has been declined already, and serious disease has not been healed, Wang RuiGan does not dare to come down idly, otherwise he and meals of meal know in where under the spouse. Wang RuiGan's consulting room is his family too, are fewer than one-storey house of 50 square meters being seperated into 3 cabins. Large one is regarded as sitting room and concurrently consulting room, a small round table without upper paint, several small wooden stools made by oneself, add an old sofa of shabby platoon, it is the furniture in all sitting rooms. Other two cabins less than 10 square kilometers, one is the bedroom, another one is regarded as consulting room and dispensary by him, box,etc. is put the stethoscope, had an injection on a shabby desk, some bottled ones or Western medicine that the box holds, Chinese medicine,etc. are put on two rows of medicines shelf by the wall. A cabin where plastic cloth for external use sets up on the door is his kitchen of the house, his spouse cooks putting up with inside. There is a chill in the air in early spring, Wang RuiGan's family is but without lighting the fire, the trick is ice-cold that will sit. So simple and crude a cellule, he must spend the rental of nearly 2,000 yuan every year. There is one actually Wang RuiGan to belong to his own clinic. That was in 2006, he reconstructed the requirement according to the clinic of standardized village, spent 28,000 yuan building village clinic of more than 100 square meters by oneself, however, have not waited for and complete yet, has run into the highway in front of the door will be widened and reconstructed, " there is not a property ownership certificate in the village clinic, solicits 4500 yuan of my of last symbolic ground supply of department moved. " What made him resentful even more is, " the village clinic has been pushed over, I have rented a house and preserved medicines, because house sombrely moist, meet, rain, shelter from tightly again just, medicines deposited go mouldy, medicines at 10,000 yuan have all scrapped. " The eyes were accumulated having a look hard " The property " Die out in the twinkling of an eye, king auspicious Gan connect with angry to bring worried, have brain block up, cure the disease, spend medical fee of 10,000 yuan. Having two years, he can't practise medicine, it is tired out that life falls into completely. "When being the poorest, one noon, can not even draw out to buy 1 yuan of the steamed bun on me. " Talk about this, the king auspicious Gan feels sad endlessly. Some once followed the same one of Wang RuiGan " The battle line " Fellow-villager village doctor sympathize with him of very much situation,it is support the family on him not to last money. He says, cures the disease, builds the debt carried in the clinic, medicine fund and adds up more than 30,000 yuan. For over 30 years, people owe him the medical fee of more than 30,000 yuan, have debt of more than 10,000 yuan that should not come back so far in the village. "I look for going to the doorstep, some people go back on one's word at all. " Thinking of these, the king auspicious Gan is very gloomy. After having the brain and blocking up, treated and resume, half a body of his is not still very flexible, the brain is not so convenient to use as before too, some difficulties that have an injection for patients. Though his medical skill medical ethics wins universal praise in the locality, it is rare to come to look for the patient that he saw the doctor day by day. On February 24, the reporter sees in his home, from 9 o'clock a.m. to 3 o'clock in the afternoon, only 3 patients came into his clinic. Will come down in one day, Wang RuiGan's income is only several yuan, this is enough for he and spouse living cost of one day reluctantly. He says, no patient is an ordinary affair too in one day. "The sow all have insurance to subsidize, who comes to manage medicine of our village? " When RuiGan Wang had brilliant too, neat pile put one copies of honorary certificate that put the best identification on red box in the house. He has shown these honorary certificates out like treasure: In 1990, were chosen as immune advanced worker of the plan by the department of public health of the province; In 1994, were chosen as outstanding rural doctor by the county hospital; In 1997, were chosen as outstanding rural doctor in the province by the department of public health of the province Spread out to trigger king's auspicious Gan's memory to the past event in either old or new honorary certificate of front. "I was recommended working as a barefoot doctor by leader and the masses after graduation from agricultural school in the sixties of the 20th century. I am still that one defend protecting a doctor. At the beginning of the seventies, took on more than 1500 people's preventing and curing diseases, immunization campaign and birth control management in the village with another colleague " . Fall scattered among hills and mountains in Yi Mengshan in 9 small mountain villages where the king auspicious Gan is in charge of, he often wants to go on more than ten li and see the doctor, give medicine for villagers, or inoculate children against. It was the experience of going out in the evening that freshed in Wang RuiGan's memory, " collective economy times, the members in the village all work in the field in the daytime, I spend the time of the evening sending and preventing malaria medicine, give lepers a physical examination, sift and check snail fever, meet rainy day sometimes, the mountain path is slippery, it is unavoidable to throw the mud all over and go home " . "1989, the intersection of birth control and no one in charge of in the village, leader let me bear the pressure. My birth control director for getting up, held the woman director concurrently and became the only man woman director in the whole county from then on " . Countryside prevent from protect, say, make prevention and health care work basic remuneration very much low in basic unit at that time by RuiGan Wang of doctor as 20 more than year, must even pad the money one's own. "During planning to operate in immunity and cold chain, should charge the epidemic prevention fee of two mao to members according to the regulation, but the intersection of hill and village that have because of poor to hand in money, I has to give the cushion. Have pieces of more thanth 98 the intersection of epidemic prevention and fee of people, it is I that give cushion. In 17 years, have not given to me yet " . Though defended protecting the task strenuously at that time, the condition of work was arduous, the income was meagre, but the king auspicious Gan thought that did comfortably. The masses' respect favorable comment, moral encouragement of government, have given him greatest comfort. Wang RuiGan is firmlying get local masses' trust according to one's own medical technology and good medical ethics, the villagers have the used to letting him see the doctoring of a slight illness. Live better than that of general peasants in his life. But go to now, there is a kind of strong sense of loss in king's auspicious Gan's heart. Several years ago, locality have pieces of statement, income a high one people and rural doctor butchered to be on the village, however, in recent years, medicine of village has already no longer been an admirable job. There are clinics of 2- 3 villages in each village now, it is all right for those young villages with flexible ability to move around, with good technology to cure incomes. But medicine of old village like Wang RuiGan, physical power and expression in one's eyes are not good, their advantage has already failed, the income just falls sharply, in addition, will pay more than 1,000 yuan every year Various expenses,there are sad more and more on date. "The intersection of I and the intersection of person who does not have and all right kind, make small business either, by what live if practising medicine? " The country cancelled the agricultural tax these two years, peasants plant the grain to replenish, ones that went out to work as a temporary labourer or develop agricultural sideline production at home got rich. Wang RuiGan experiencing the change of this of countryside profoundly wonders to one's own going from bad to worse: "We make contributions to ensuring peasants' health, can not enjoy the sunshine of the government by but oneself in the end. Is this fair? " Wang RuiGan's dreary evening scene lets other rural doctors who has always gone gradually weighed down with anxieties too. Medicine of old village that several and Wang RuiGan come and go frequently is afraid oneself is tough while doing, the livelihood becomes difficult. Say feeling aggrieved to RuiGan and some of a rural doctors of the town Wang: "There is an iron-smeltery near us, work as a temporary labourer there the peasants of iron-smelting give and buy insurance. Peasants raise a sow the insurance of 60 yuan is replenished at giving now, individual pays 12 yuan, the country still mends 48 yuan, once the sow goes wrong, 1000 yuan for supply peasant. Why no one does our rural doctor take notice of? " " this day when I does not know and can wait until supporting parents by oneself and ensure " In recent years, demand to solve the voice that the rural doctor supports parents and ensures and rise one after another. Areas with developed economy such as Beijing, Shanghai, Jiangsu,etc. have already begun to take the paces, but there aren't the most province and city of the whole country " The noise " ,Because rely on the government at the basic level to solve this problem, the difficulty is still very great. The reporter knows, there are 1140 rural doctors altogether in this county when county hospital interview Yi's source, there are 355 rural doctors over 50, take the amount of 1/3. Have already reached the retirement age or rural doctor close to retirement age as to these, the person in charge of county hospital says, the question that the rural doctor supports parents that they pay close attention to the fact very much too, propose in the research of development of hygiene industry in urban and rural areas of pool which they functioned as last year too, should define position and property of the village clinic as soon as possible, establish the working identity of medicine of township, cash their social insurance and wait to meet, remove the worry of medicine of township. He says frankly the finance at county level has no ability to handle the social insurance for the rural doctor at all at present. "In 2008, will invest and amount to 29 million yuan in financial hygiene of our county, among them put newly and agriculturally into more than 12,400,000 jointly, the commune hospital puts into 7 million, the ones that set aside to the village in the clinic are except that each hardware apparatus at 10,000 yuan of clinic of standardized village is allocated, do not basically have other input " . The person in charge say in that the intersection of county and financial difficulty, " if the intersection of township and medicine support parents problem can solve at the intersection of country and aspect, the thing is easy to handle " . The proposal No. 6559 of the first Session of the 11th National People's Congress was proposed last year: Rural doctor's problem of supporting parents over 60 years old, woman 55 that solve men. According to the investigation, there are more than 80,000 man and the rural doctors of women over 55 in the whole country 60, accounts for 9.26% of the rural doctor's total number. Should solve this part of rural doctors' problem of supporting parents as soon as possible. About the reply to this motion of the ministries and commissions, ones that have already subsidized the necessary finance are calculated. The next step, will continue communicating with human resources social security department, the Ministry of Finance, give representatives' opinion, the support of trying to strengthen government's public finance and collective economy to support parents and ensure to rural hygiene personnel. "I went out last year to hold a meeting of commemorating reform and opening-up over the past 30 years, felt leaders were to the speech of development of rural hygiene industry really well, listen to I warm, come back, see the intersection of oneself and the house, it will be cool at once in the heart. This day when I does not know and can wait until supporting parents by oneself and ensure. " Wang Rui Gan says. Relevant report: The Central Committee of peasants' and workers' democratic party proposes: Should not support parents while solving medicine of village staff reporter Chi Yan � Central Committee of Chinese Peasants' and Workers' Democratic Party submitted to the 11 Session of the second meeting of Chinese People's Political Consultative Conference(CPPCC) <>. Propose establishing the village that links up with peasant's the pension system and curing the basic old-age pension system, remove the worry for medicine of village. The rural doctor is marginalized this motion to mention, medicine of village has born a large amount of basic public health and basic medical care for a long time, but nowadays survive the pressure is strengthened day by day, the team is becoming more unstable, this has already become to influence and restrict " bottleneck " of job scientific development of the rural hygiene Question. Moreover, the treatment of medicine of village was not given from state policy and legal aspect clearly. Rural under doctor and particular historical condition in this pair of China of teacher working at a school run by the local people " Twins " ,But there are two kinds of completely different identities and destiny. The teacher working at a school run by the local people had already transferred to state-runly later stage of the eighties of the 20th century, had generally enjoyed wage standard and insurance treatment of the public institution, but the rural doctor is in the state that is marginalized for a long time. The central and local finance should share this motion to propose, solve a million rural doctor's basic treatment and problem of supporting parents properly together, not merely concern fairness and quality of enjoying basic health care service of 800 million peasants, concern the overall situation that our country realizes the goal of social development of the well-to-do level in an all-round way even more. For this reason, hope governments at all levels, various circles of society should pay great attention, work as one man, connive the good plan, accelerate establishing rural doctor's social basic old-age pension system. The motion is proposed, led by human resources and social security department, departments such as the Ministry of Finance, Ministry of Public Health,etc. study together, do a good job of rural doctor's basic old-age pension system pilot project, and popularize progressively. It is that a rural doctor sets up the method of the endowment insurance to draw lessons from Beijing, Shanghai, Jiangsu and other places, make the standard of paying the fees of rural doctor's endowment insurance which meets the local economics and society development level. The expenses are born rationally by government, employing unit, individual, the part that the finance should be born is shared in proportion by state revenue and local finance, set up " rural doctor's endowment insurance personal account " . Year old, the intersection of woman and 55 year old enjoy age for the endowment insurance money according to rural doctor man 60, according to its service life of obtaining employment, the government at one time supports parents the subsidy. Have not reached the rural doctor on the job who has enjoyed age of the pension, is paid arrears in proportion by government, employing unit, individual and pays the endowment insurance money continuously according to the regulation.

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