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A Coaster sedan slowly drove to the door of Zhang Hairi's house, the door opened, and Zhang Haiyang stepped out of the car. Pen % fun % Pavilion www.biquge.info

"Third brother, are you all ready?" Zhang Haiyang looked at his brothers and asked.

Zhang Haiyang's eldest brother was stunned for a moment, and looked at the person behind Zhang Haiyang: "Why did you bring someone back?" ”

In his thoughts, this meal on New Year's Day was a family banquet, and it was a time for his family to gather, and his younger brother brought a guest, which was a little embarrassing.

The young man who followed Zhang Haiyang smiled slightly, waved his hand and said, "I'm just going around and not bothering you, right?" ”

What else did the boss of the Zhang family have to say, he saw Zhang Hairi's face change, walked quickly in front of the young man, stretched out his hands and said respectfully: "Mayor Lu, why are you here?" ”

Mayor?

This young offspring is the mayor?

The eldest and second eldest of the Zhang family were stunned for a moment, and looked at their younger brother in disbelief, and saw Zhang Haiyang nodding lightly, and introduced to a few people: "This is Mayor Lu, come and learn about the affairs in our county." ”

Zhang Hairi shook Lu Rui's hand suddenly, and his face changed slightly.

Lu Rui smiled and said to the brothers of the Zhang family: "Come and see, you don't have to worry about me." ”

Saying that, he smiled at Zhang Hairi and said, "You are the third brother of the ocean, right?" I heard that your township has a farmer who is fully reimbursed for medical treatment, can you give me a detailed introduction? ”

Lu Rui, who appeared here today, is indeed here for this matter, half a month ago, the mayor's mailbox received a report, saying that someone in Renqing City is using the New Rural Cooperative Medical System to mess up charges, Lu Rui attaches great importance to this, and instructed the municipal government inspection office to investigate, and at the same time he also let the secretary Zhang Haiyang understand, but found that the place mentioned in the report letter is exactly where Zhang Haiyang's hometown is located, so this is where today's scene is today.

The new type of rural cooperative medical care, referred to as "NCMS", refers to the system of mutual medical assistance and mutual aid for farmers that is organized, guided and supported by the government, voluntarily participated by farmers, and financed by individuals, collectives and the government. Funds are raised through individual contributions, collective support and government funding. Rural cooperative medical care is a medical security system created by farmers in China to help each other and help each other, which has played an important role in ensuring that farmers have access to basic health services and alleviating the poverty caused by illness and the return to poverty due to illness.

In October 2002, the "Decision of the Central Committee and the State Council on Further Strengthening Rural Health Work" clearly pointed out that it is necessary to "gradually establish a new type of rural cooperative medical system focusing on the overall planning of serious diseases", "by 2010, the new rural cooperative medical system should basically cover rural residents", and "from 2003 onwards, the central government will arrange cooperative medical subsidy funds of 10 yuan per capita per year for farmers participating in the new type of cooperative medical care in the central and western regions, except for urban areas. The subsidy provided by the local government to farmers who participate in the new type of cooperative medical care shall not be less than 10 yuan per capita per year", and "the fulfillment of farmers' payment obligations in order to participate in cooperative medical care and resist the risk of disease cannot be regarded as increasing the burden on farmers".

This is the first time in the history of the Chinese government that a large-scale investment has been made to solve the basic medical and health problems of the peasants. Since 2003, in line with the principle of multi-party financing and farmers' voluntary participation, the pilot areas of the new rural cooperative medical care are increasing, through the experience of the pilot areas, for the future of the new rural cooperative medical care in the country to create a solid theoretical and practical foundation, as of December 2004, a total of 310 counties in the country to participate in the new rural cooperative medical care, 19.45 million households, 68.99 million farmers to participate, the participation rate of 72.6%.

Lu Rui has a certain understanding of the new type of rural cooperative medical care, which has indeed alleviated the problem of difficulty for rural farmers to see a doctor to a certain extent, but he also knows that with the development of the rural economy and the change of farmers' lives, the problem of new rural cooperative medical care has also appeared, and the most basic and important point of social insurance is that it emphasizes not the equality of individual costs and benefits, but the social satisfaction of insurance money. As a kind of social insurance, the satisfaction of the farmers who benefit from the new type of rural cooperative medical care and the taxpayers who are the source of government subsidy funds plays a pivotal role in its success. However, the survey found that some farmers did not participate in the new rural cooperative medical care mainly because of the low level of protection of the new rural cooperative medical care, the farmers did not have a deep understanding, and they were afraid of policy changes, thinking that they were taking their own insurance money to compensate others. The dissatisfaction of farmers participating in the new rural cooperative medical care is mainly due to the low level of security and the cumbersome procedures for participating in and handling reimbursements. In addition, policy inequities have led to low social satisfaction with the new rural cooperative medical system.

Lu Rui has always known about this matter, so he rushed to Qufeng County in person after knowing about it.

The group was let into the house, for Lu Rui, the mayor, the Zhang family showed absolute respect, everyone knew that Zhang Haiyang could have today because he followed the right leader, and now that the leader is here, everyone naturally does not dare to slack off.

After greeting Zhang Haiyang's parents, Lu Rui and the brothers of the Zhang family sat at a table to eat, smiling slightly, Lu Rui said to Zhang Hairi: "Listen to Haiyang, are you the deputy head of the township?" ”

Nodding a little stiffly, Zhang Hairi said: "Yes, mayor, I have been the deputy head of the township for eight years, in charge of health and education. ”

Lu Rui bowed slightly, glanced at Zhang Haiyang, it seems that Zhang Haiyang is not doing things under his own banner outside, I heard that Zhang Hairi is the deputy township head, Lu Rui thought that someone wanted to use Zhang Hairi to curry favor with Zhang Haiyang, so he arranged this deputy township head, but I didn't expect Zhang Hairi to have been working for eight years, and he is also the deputy township head in charge of culture, education, and health, this is basically a cadre who has been marginalized, either there is no backstage, or he has offended someone.

Smiling, Lu Rui said, "What do you think of NCMS?" ”

Zhang Hairi was stunned, but he didn't dare to speak, and his younger brother Zhang Haiyang on the side hurriedly said: "Brother, Mayor Lu is here to understand the situation, just tell the truth." ”

Hearing his younger brother say this, Zhang Hairi pondered for a moment, nodded and said: "Since you want to listen to the truth, mayor, then I will tell the truth, the new rural cooperative medical system is a farmer's medical mutual aid and mutual aid system that focuses on the overall planning of major illnesses and the settlement of minor diseases. This definition shows that the new rural cooperative medical system is to help farmers with medical expenses for diseases, and outpatient clinics, bruises, etc. are not covered by the insurance, and this provision makes the actual benefits of farmers not as large as expected.

In addition, the existing propaganda mostly focuses on introducing the superficial benefits of the new rural cooperative medical care to farmers, but does not establish farmers' awareness of risks, does not reflect the key points, and does not conduct a survey of those farmers who do not participate, so that most of the propaganda stays in formality. Many farmers do not really understand the significance of the new rural cooperative medical system, and they only consider their own short-term gains and losses, because they are in good health and have a low probability of being sick and hospitalized, so there is no need to spend that unjust money. There are also some peasants who think that it is the same as the previous compulsory education deposit, and that they have been cheated out by the government, and think that they have used their insurance money to compensate others. The propaganda also did not send specific compensation standards to farmers, so that when they made claims, they saw that so many medical expenses could not be claimed, and some farmers felt deceived and deceived. ”

Listening to his words, Lu Rui nodded and said: "What you said is very reasonable, we should really pay more attention to these in our work, can you give a specific example?" ”

Zhang Hairi thought for a while and said: "First of all, the registration procedure for participating in the new rural cooperative medical care is cumbersome. Secondly, the reimbursement procedure for rural cooperative medical care is also cumbersome. The medical insurance of urban residents can be used to mortgage a part of the medical expenses, and the medical expenses can be paid directly on the card, and then settled afterwards. In some villages, the fare is far from the billing center and the credit union, and the round-trip fare is relatively expensive. Cumbersome registration and claim settlement procedures have increased many unnecessary troubles for farmers and reduced their satisfaction. ”

Lu Rui's expression gradually became solemn, and just as he was about to speak, Zhang Haiyang on the side interjected: "There is another question, which I learned recently. Taking Renqing City as an example, patients who receive medical treatment in the new rural cooperative medical care go to the government office in their jurisdiction to apply for reimbursement with the invoice issued by the hospital after paying for it completely. For example, the reimbursement ratio of the same cancer patient in Qufeng County can reach 55%, the proportion of Qingtan and Fuer districts is higher, and some places such as Nanhua can only enjoy 40% of the reimbursement ratio. However, these 40% are not reported for special diseases. For example, only a small part of the radiotherapy receipt is Western medicine, and the rest is photography and other expenses, so that for example, the radiotherapy cost of 100,000 yuan can be reimbursed less than 30,000 yuan in Nanhua, and it can reach 70,000 yuan in Fuer District. In addition, cancer patients have to eat Chinese herbal medicine all year round, and the cooperative medical Chinese herbal medicine in Fuer District does not report any radiotherapy and chemotherapy ingredients. And medical insurance card patients can also report if they take traditional Chinese medicine. ”

After Zhang Haiyang finished speaking, he looked at Lu Rui: "Mayor, this is what the Health Bureau has learned. ”

Lu Rui nodded lightly, the expression on his face was very serious, he naturally knew that what the two brothers Zhang Haiyang and Zhang Hairi said should be objective facts, it seems that there are indeed many things that need to be improved in the new rural cooperative medical work in Renqing City, although Lu Rui has been prepared for a long time, but after hearing the words of the real grassroots cadres, he has a clear understanding.

Zhang Hairi saw that Lu Rui was silent for a long time, for fear that the mayor would be unhappy, so he sighed and said: "Mayor Lu, in fact, the farmers below still welcome the new rural cooperative medical care, after all, it can bring real benefits to the people, but there are some places that need to be improved, and we have indeed encountered a lot of troubles and problems in our work." ”

Lu Rui nodded and said: "You are right, the new rural cooperative medical care is a good policy, as long as we carefully organize according to local conditions, work hard, and grasp this important matter for the benefit of the vast number of farmers, we will definitely be able to benefit the masses." ”

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