From next year, Nanjing, Jiangsu Province will cancel publicly funded medical care, and medical insurance for more than 200,000 institutions and institutions will be combined with medical insurance for urban employees. Under the background that some government institutions and staff have become the last beneficiaries of publicly funded medical care, the Nanjing initiative has triggered the Chinese people’s concern for the equal rights of medical insurance.

The reporter learned from the press conference held by Nanjing Municipal Party Committee and Government that the Nanjing Public Health System Reform held a press conference. Since January 2013, the entire city of Nanjing has cancelled the publicly funded medical care system. Institutions and public institutions have all participated in the medical insurance of employees, and the city’s staff and workers have been basically realized. Medical insurance unified system policy, unified insurance payment, unified payment ratio, unified treatment standard, unified management process, and unified medical service.

Inadequate period of participation, how to do after retirement?

The length of service and the number of years of service can be considered as the same as the payment period. According to the introduction, the basic medical insurance premiums paid by the insured personnel are all transferred to my personal account. The pooled funds shall be transferred to individual accounts of the insured personnel on a monthly basis according to the basis of their respective paid contributions, or a certain percentage of the retirees' personal monthly retirement fees or pensions. The ratio of working staff accounted for 35 years old and below 1%; 35 years old to 45 years old 1.4%; 45 years old to 1.7% before retirement. Retired staff accounted for 5.4% of the rate.

Persons who have retired after participating in the insurance and who have paid the basic medical insurance premiums for their employees for less than 25 years and women less than 20 years during their employment, shall make up for the basic medical insurance premiums for the year in which they are paid in a one-time manner in order to enjoy the retiree’s medical treatment. Insurance treatment. The length of service or the number of years of service that the insured personnel meet the national regulations before participating in the insurance can be regarded as the year of medical insurance payment. The supplementary part does not cover the individual account.

Yan Jian, deputy director of the Nanjing Municipal Party Committee Office, said that this is a "self-revolution" that clarifies the relationship between the government and the market and the transformation of government functions. In fact, as early as in Nanjing, the remaining 12 provincial cities in Jiangsu Province have all canceled public medical care. Nationwide, with the exception of Jiangsu, Jiangxi, Shandong, Guangdong, Guizhou, Shaanxi, Hubei, and other seven provinces, the rest of the provinces have canceled publicly funded medical care and all participated in medical insurance.

It is understood that the seven provinces that have not fully participated in medical insurance are currently accelerating the elimination of publicly funded medical care. In addition, information released by the Beijing Municipal Humanities and Social Affairs Bureau shows that 330,000 central government employees are expected to be included in urban workers' medical insurance in 2013. "Public health care" refers to a social security system that provides free medical care and preventive services to the state staff through the medical and health departments. The funds are mainly derived from financial departments at all levels.

Liu Guoen, a member of the State Council Medical Reform Experts Advisory Committee and professor of economics at Guanghua School of Management at Peking University, said that during the planned economy period, China’s urban medical system consists of publicly funded medical care and labor insurance medical care, and the targets for protection are national staff and employees. In December 1998, China established the goal of all employers (including institutions and institutions) and their employees to participate in the basic medical insurance for urban workers.

“The medical insurance for employees of enterprises has been rapidly advancing with the trend of reform of state-owned enterprises, and the reform of public-funded medical services for staff of institutions and institutions has been sluggish, but the process of promotion has been firm. Up to now, the provinces that have completely cancelled public-funded medical care have reached 80%, and have closed. Can be expected." Liu Guoen said. In the past, medical expenses were paid by the state, and individuals were completely free or paid only a small part, resulting in excessive medical consumption such as "one person got sick, the whole family took medicines," and "diseases looked like something."

"After incorporating the staff of institutions and institutions into the medical insurance system for urban employees, this part of the population will be subject to institutional constraints. In the future, both civil servants and the general public can only use the same drugs after they become ill, unless they are personally paying for them." Professor Niu Yulin, director of the Department of Social Security at the University of Labor and Human Resources said.

In addition, Qiu Yulin also believes that the long-term system of public health funds after the cycle is included in the medical insurance, its higher level of funding is more conducive to enrich the urban employee health insurance fund pooling accounts, strengthen their risk tolerance and fund payment capacity. The director of the China Social Security Research Center, Ruan Fuling, believes that the complete elimination of publicly funded medical services is a major advancement in the equalization of public services at the institutional level.

The medical insurance system has merged with the medical insurance equity. However, when the provinces incorporated the employees of institutions and institutions into the employees' medical insurance, there were different supplemental medical subsidies for different purposes, making the medical insurance of this group of employees still superior to the general public. The "supplementary medical insurance" documents in public health care reforms in Tianjin, Chongqing, Beijing, and other provinces and cities all show that the personnel of institutions and public institutions can "secondary reimbursement" for the expenses that need to be paid out of urban employees' medical insurance. Not equal but at least 70% or more.

Yan Fuling emphasized that public health care reform points to welfare fairness. As far as the quality of medical benefits is concerned, the abolition of publicly funded medical services does not blindly reduce the medical treatment of public officials, but restores them to appropriate positions. In this sense, another aspect of promoting the fairness of medical welfare is how to universally improve the medical treatment of the people.