Integrating the medical insurance of urban and rural residents to make the guarantee system more fair
New Beijing News
editorial
to achieve the integration of urban and rural residents medical insurance only one foot, this is gratifying, but also in line with the principle of fairness in the redistribution of citizens.
it is reported that the state health insurance bureau, jointly with the Ministry of finance, the Ministry of human society and the health health committee, issued a notice on the work of basic medical insurance for urban and rural residents in 2018 (short notice). It is clear that the unified medical insurance system of urban and rural residents in the whole country in 2019 will be fully implemented. In 2018, the focus of the work was on the integration of the system. Without the integration plan and the areas not yet in operation, the plan should be launched and implemented as soon as possible.
integrating the unified urban and rural residents' medical insurance system across the country is an unexpected task, and its integration difficulty will not be too high in theory. Because of the integrated new rural cooperative medical system (New Rural Cooperative Medical System) and the basic medical insurance system of urban residents (medical insurance for urban residents), this is a mold carved out, both in the system structure is extremely similar.
in the first 10 years of this century, the new NCMS pilot carried out by the Ministry of health at that time has made a breakthrough: from 2002 to 2008, the new NCMS participants developed from 80 million to more than 800 million, and the participation rate reached over 95%, and the total coverage was basically achieved.
but at this time, there are still some urban residents who do not participate in the medical insurance of urban workers without proper medical insurance. As a result, from 2007, referring to the basic framework of the NCMS, the state has carried out the medical insurance pilot of urban residents, and put forward that full coverage will be carried out in 3 years (i.e. to 2010).
after the full coverage of medical insurance in urban and rural areas, the integration of medical insurance and NCMS of urban residents and the establishment of a unified basic medical insurance system for urban and rural residents have been put on the agenda.
as early as 2016, the State Council promulgated the "opinions on integrating the basic medical insurance system for urban and rural residents". But there is one obstacle that makes it difficult to integrate the new political prisoners. That is, the new rural cooperative medical system is managed by the health planning commission at that time, and the medical insurance for urban residents is returned to the Ministry of social affairs. Which department does the integrated urban and rural residents' medical insurance belong to? For a time, this has caused great controversy.
in theory, the integration of medical insurance system should be the major direction of reform, so the State Council set up a new National Medical Security Bureau in 2018, which was adopted by the two sessions of the two meetings, to manage the national medical security, including urban workers and basic medical insurance for urban and rural residents. After the national health insurance agency launched its debut, integrating urban residents' health insurance and new rural cooperative medical system into new urban and rural residents' health insurance has become one of the major events to be done.
this time, at the national level, the very obstacle of this very national condition was finally lifted completely. It is gratifying to achieve the goal of integrating medical insurance for urban and rural residents, which is also in line with the principle of fairness in the redistribution of citizens.
in the notice, it also involves raising funds for medical insurance of urban and rural residents. The standard in 2018 is that the financial subsidies at all levels are not less than 490 yuan, and the personal payment is 220 yuan (the urban and rural poor families are paid by medical aid). The combination of the two should be 710 yuan. This is compared to the new agricultural insurance at the beginning of the standard.Amp; mdash.amp; mdash at all levels of government subsidies of 30 yuan, personal contributions of 10 yuan.Amp; mdash.amp; mdash is obviously not the same day. But we should see that the gap between the new standard and the medical insurance for urban workers is still very large. The reform of < br /> < br /> proceeds step by step and pays attention to one word. It can be expected that in 2019, after the integration of the system of urban and rural residents' medical insurance, the standard gap between the two medical insurance systems for urban and urban residents and the urban and rural residents may be the next agenda, which is worth looking forward to.