The reason behind the new rural cooperative cooperative system is facing a wave of cut-off payments
China's new rural cooperative medical insurance system, once considered a great policy to improve health care for rural residents, has faced a wave of discontinuation in recent years. In order to gain a better understanding of this phenomenon, let's first explore the main reasons for the discontinuation of NCMS.
There are many restrictions on reimbursement, and only ordinary drugs can be reimbursed, and other expenses are difficult to reimburse The reimbursement scope of NCMS is strictly restricted, and farmers can only reimburse ordinary drug expenses, but it is difficult to reimburse the costs of some special drugs and treatments. This leaves many patients financially struggling with high medical bills.
The reimbursement threshold is high, and patients must be hospitalized to be reimbursed NCMS requires patients to be hospitalized in order to enjoy reimbursement treatment, which is obviously not flexible enough for some patients with minor illnesses or outpatient treatment. This policy restricts patients' options for medical treatment and increases the burden of hospitalization in hospitals.
The zero-off system at the end of the year, and the re-handing over of the new agricultural cooperative system in the second year The policy of zero-clearing at the end of the year has made many farmers feel dissatisfied. They believe that this policy deprives them of the accumulated health care and needs to pay the premiums every year, which is worrying.
There are multiple reasons why people are reluctant to go to the hospital
The discontinuation of NCMS not only reflects the problems of the medical insurance system, but also exposes the profound contradictions of China's medical system. Here are multiple reasons why people are reluctant to go to the hospital:
The cost of medical care in China has long been considered high, especially in large cities. For many farmers, the cost of medical care is not only a financial burden, but can also lead to poverty due to excessive medical expenditures.
Doctor-patient contradictions, sky-high fees do not cure diseases Doctor-patient contradictions have always been a serious problem in China's medical field, and some irresponsible doctors or hospitals not only prescribe high-priced treatment programs, but also have sky-high fees, which makes patients lose confidence in the medical system.
Some hospitals in China operate profit-oriented, over-drug-using Some hospitals in China operate profit-oriented, which leads to the overuse of drugs and tests to increase hospital revenue. This not only increases the burden on patients, but also leads to a waste of medical resources.
Weak Regulation, Corruption Persists Regulatory problems in the medical field have persisted, leading to repeated prohibitions of corruption. Collusion and corruption between doctors, pharmaceutical companies, and government officials have made the health care system even more opaque and unfair.
Incentives lead to over-treatment Doctors' compensation systems and performance evaluation systems often lead to over-treatment, with doctors preferring to prescribe and perform tests in order to get more rewards. This not only increases medical costs, but can also have a negative impact on the patient's health.
Lack of professional ethics among medical staff The lack of professional ethics of some medical staff is also one of the reasons why people are reluctant to go to hospitals. Mispractices in the medical field and lack of respect for patients make patients feel uneasy and distrustful.
Unreasonable cost of high-priced equipment Some hospitals have purchased expensive medical equipment, which has caused medical costs to skyrocket. However, the frequency with which these devices are used is not necessarily reasonable, thus wasting medical resources.
Insufficient pension benefits for the elderly, and dissatisfaction with subsidies for foreign students Some elderly people are worried about the lack of pension benefits, and they are worried that future medical expenses will not be covered. At the same time, the situation of foreign students receiving medical subsidies has caused dissatisfaction among domestic students, who believe that it is unfair.
Medical privileges should be eliminated and medical equality should be achieved Some privileged classes enjoy better medical treatment, which has sparked social discontent. There are calls to abolish medical privileges and achieve medical equality, so that everyone can enjoy fair medical treatment.
Calling for hospitals and schools to return to the nature of public welfare, medical reform is imperative China's hospitals and schools were once public welfare institutions, but in recent years, some hospitals have pursued profits, and some schools have also ventured into the commercial field. This has led to calls for hospitals and schools to return to the public good, and the need for health care reform to achieve a more equitable and efficient health care system.
The urgency of health care reform and possible solutions
The disruption of NCMS payments and the reluctance of people to go to hospitals point to deep problems in China's healthcare system. In order to solve these problems, a series of reform measures are needed.
Expand the scope of reimbursement and reduce the burden on patients Expand the reimbursement scope of NCMS to include special drugs and outpatient treatment expenses to reduce the burden on patients and enable more people to enjoy medical insurance.
Lowering the reimbursement threshold and improving the flexibility of medical treatment The reimbursement threshold of NCMS has been reconsidered, allowing patients to enjoy outpatient reimbursement treatment, improving the flexibility of medical treatment, and reducing the burden of hospital hospitalization.
Reform the medical price system and reasonably control costs The medical price system needs to be completely reformed to ensure that medical expenses are reasonable and to prevent the occurrence of sky-high charges. At the same time, it is necessary to strengthen supervision and control and crack down on corruption.
Promote the rational allocation of medical resources Hospitals should rationally allocate medical resources to reduce excessive medical treatment and medical waste. Incentives also need to be redesigned to avoid the problem of overtreatment by doctors.
Enhance the professional ethics of medical personnel Strengthen professional ethics training and supervision of medical personnel to ensure that they respect patients and provide high-quality medical services.
Fair distribution of pension benefits to solve the problem of foreign students Ensure that the pension benefits of the elderly are sufficient, provide reasonable medical treatment for foreign students, and solve dissatisfaction.
Abolition of medical privileges, the pursuit of medical equality The abolition of medical privileges will enable everyone to enjoy medical treatment equally, regardless of class.
Encourage hospitals and schools to return to the nature of public welfare Encourage hospitals and schools to return to the nature of public welfare and use social resources in areas that are more beneficial to the public, rather than simply pursuing profits.
conclusion
The discontinuation of NCMS payments and people's reluctance to go to hospitals reflect the deep contradictions in China's healthcare system. Medical reform is imperative and requires a series of comprehensive measures, including expanding the scope of reimbursement, lowering the reimbursement threshold, reforming the price system, rationally allocating medical resources, improving the professional ethics of medical staff, fairly distributing pension benefits, abolishing medical privileges, and encouraging hospitals and schools to return to the nature of public welfare. Only through these reforms will China be able to build a fairer and more efficient healthcare system that meets the legitimate needs of the people for medical security.