Health Times reporter Qiu Yue Zhao Mengmeng
2021 is the beginning of the "14th Five-Year Plan" and the 2035 vision goals, this year, medical insurance negotiations have allowed more patients to successfully use "life-saving drugs", and the national collection has once again significantly reduced the price of drugs and high-value medical consumables... The country's policy dividends have been truly enjoyed by the people, and they have gained the hope of "rebirth".
"Sky-high drugs" into medical insurance: the disease has not been able to crush our little family after all
At about 9:00 a.m. on January 1, 2022, 5 ml of Nocinasin sodium injection was slowly injected into the sheath of Xiaoxi (pseudonym).
Courtesy of Beijing Children's Hospital.
This day is of great significance to 5-year-old Xiaoxi , the first child with SMA (spinal muscular atrophy) to receive intrathecal injection of "sky-high drug" Nosinasone sodium at Beijing Children's Hospital in 2022 and receive medical insurance reimbursement.
Recalling his experience of practicing medicine for more than 30 years, Lu Junlan, chief physician of the Department of Neurology of Beijing Children's Hospital, told the Health Times reporter, "When Nocinasin sodium was not on the market two years ago, I could only say to all parents of children diagnosed with SMA, 'There is no rule of law for this disease'. At that time, all the people who heard people crying outside the clinic came out of my room, and as a doctor, I could only watch my patients slowly wither, and that feeling was very weak. ”
On April 28, 2019, Northinacine sodium injection was launched in China. In October 2019, Nosinasson sodium injection officially landed in Beijing Children's Hospital. "From that day on, I was finally able to answer the parents of the children: 'Now that there is medicine, the question of money will be tried little by little, at least now we see the dawn'." Lu Junlan said.
Xi Yun's mother, Faye Wong (pseudonym), told the Health Times reporter that since her diagnosis in April 2018, Xiao Xi first underwent a year of rehabilitation training, and only officially began to inject Nocinasone sodium injection in July 2020.
"We spent 1.4 million yuan to buy two injections, plus the company's gift of medicine, a total of 7 injections so far. The amount of reimbursement for the commercial insurance we purchased, the part of our own expense this year and a half is about 260,000 yuan. This is like a mountain for our ordinary working families, weighing us down, and the father of the child has hardly come home for more than a year, and has been outside trying to find a way to earn medical expenses. Faye Wong said.
On December 3, 2021, the National Medical Insurance Bureau released the news that Nocinasin sodium injection was officially included in medical insurance and officially implemented from January 1, 2022.
Lu Junlan introduced that after the Sodium Injection entered the medical insurance, the patient's out-of-pocket expenses in the first year were about 40,000, and from the second year onwards, it was possible to pay about 20,000 per year.
"From the day I learned that this drug was put into medical insurance, my mood can only be described in one word, that is, excitement, our little family finally survived, and the disease failed to crush us after all." Faye Wong said emotionally, "Thank you for the good policies of the state, for not giving up on our small group, for the doctors, nurses and all the people who have been helping us silently. ”
Artificial joints into the collection: in the new year he hopes to get back on his feet
Zhang Xiaodong from Fuyuan City, Jiamusi City, Heilongjiang Province, was paralyzed by ankylosing spondylitis for 13 years, and his father was paralyzed in bed for seven or eight years.
"When I was 24 years old, I was helping people deliver goods in the home appliance city, and suddenly one day, the hips began to hurt, and a few days later it was so serious that I couldn't do it, and then I went to the doctor to diagnose forced spondylitis, and within 3 months I was paralyzed in bed." Zhang Xiaodong told the Health Times reporter, "From the neck to the hip joint, the hip bone, and then to the knee joint, the whole person is straight like a wooden board." ”
Courtesy of respondents.
Zhang Xiaodong said, "I have previously gone to the local hospital to check, I need to change a total of 4 artificial joints, 2 knee joints and bilateral hip joints, plus hospitalization costs, the total cost is about 250,000 to 300,000 yuan, for families like me who rely on low insurance to survive, changing artificial joints is a distant dream." ”
On September 14, 2021, the National Medical Security Bureau organized the centralized procurement of artificial joints on the 14th to produce the results of the proposed selection in Tianjin. The average price of hip joints in this collection will drop from 35,000 yuan to about 7,000 yuan, and the average price of knee joints will drop from 32,000 yuan to about 5,000 yuan, with an average price reduction of 82%. The scope of products purchased this time is artificial hip joint and artificial knee joint, and the intended purchase volume in the first year is 540,000 sets, accounting for 90% of the total demand of medical institutions in the country.
According to the news of the National Joint Procurement Office, the selected products can cover the specifications and dosage of the vast majority of clinical use, and maximize the protection of clinical needs.
"After seeing this news, I was very excited and full of hope, and artificial joints are no longer a distant dream for me." Zhang Xiaodong said, "Using the word 'rebirth' to describe the impact and changes that this policy has brought to himself, the 2022 New Year's wish is to hope to get back up, and also hope that my father's health can be better." ”
Supplementary examination for the final exam of the regular training: the students of the cold window will finally realize the dream of a doctor
In December 2021, Yang Tian (pseudonym) checked the results of his residency standardized training completion assessment online for the second time. "Through, simple and simple two words, although it has long been in the chest, but after seeing these two words, the big stone in my heart really fell to the ground steadily."
Looking back a few months ago, Yang Tian said that he was simply "like a world away." He told the Health Times reporter that on July 2, 2021, when he first learned that the final examination of the training was not passed, he did not pay much attention to it, "because in previous years, it was twice a year, and only in 2020, because of the epidemic, an exam was cancelled." I think that this year's epidemic prevention and control has been normalized, and there will definitely be another opportunity. ”
However, Yang Tian and others are indeed "no longer hold the final examination of regular training this year". "At that moment, I was really confused, at that time I had reached an employment intention with the top three hospitals where I was trained, and the hospital also gave me the indicators of Beijing hukou, if I didn't get this certificate this year, all this would be in vain, and my eight-year medical career may therefore press the pause button."
Yang Tian didn't believe that fate was so joking with him. He counted the results of the 2021 residency training assessment released by the health commissions of 15 provinces across the country and found that at least more than 5,200 candidates across the country failed to pass the exam.
On September 6, the Talent Exchange Service Center of the National Health and Health Commission issued the "Notice on the Adjustment of the Completion Assessment of the Standardized Training of Resident Physicians in 2021", which will provide a standardized completion theory assessment service for resident physicians on October 30, 2021.
"Maybe the kung fu pays off, maybe the country sees the difficulties of our medical students, in short, the dream shines into reality, and the life that originally thought it was going to a dead end suddenly became bright and suddenly bright." Yang Tian sighed, "For me this year, it is four words 'bitter and willing'. I cherish this opportunity, and I will be more conscientious in the future, responsible for patients and myself. ”