这两天，廖丹一直忐忑不安地等待着北京市东城区人民法院最后的判决。为了让患尿毒症的妻子能完成每周两次的透析，廖丹私刻医院公章，伪造收费单，4年间逃过了17.2万多元的治疗费用。2011年，廖丹夫妇的行为被所就诊的北京医院发现并举报。

The two days，LiaoDan has been felt uneasy and waiting for the Beijing dongcheng district people's court the verdict。In order to let suffer from uremia can complete the wife of two times a week dialysis，LiaoDan SiKe hospital official seal，Counterfeit bill，4 years escaped the 172000 multivariate of the cost of treatment。2011 years，LiaoDan couple's behavior is the clinic of Beijing hospital found that and to report。

　　7月11日，北京市东城区人民法院开庭审理了廖丹私刻公章一案，北京市东城区人民检察院认为，应当以诈骗罪追究廖丹的刑事责任。

July 11,，Beijing dongcheng district people's court hearing in the case of the LiaoDan SiKe official seal，A people's procuratorate considers that the dongcheng district in Beijing，Should be in the crime of fraud of the LiaoDan shall be investigated for the criminal responsibility。

　　7月11日开庭后回来，廖丹常在房间角落里闷头抽烟。法院问是否能退赔医疗费用，现在廖丹正在琢磨着怎么能把现在住的这套50多平方米的小产权房卖掉。街坊邻里你一言我一语地议论着：他真是没招儿了，但凡有办法，都不会私刻公章。

July 11, come back after the hearing，LiaoDan often in the corner of the room it to smoke。The court asked whether can evaluate medical expenses，Now LiaoDan are wondering how could now live more than 50 square metre of the small property right to sell。Neighborhoods NiYiYan I talk to a language：He's not up，All have a way，Won't SiKe official seal。

　　廖丹一案在网络上引起热议，被讨论最多的一个问题是，难道患尿毒症的妻子没有医保吗，这样的困难群体，他们的看病难问题如何解决？

LiaoDan a case on the network cause of hot debate，Is one of the most discussed problem is，Don't suffer from uremia wife no coverage，So of the disadvantaged groups，They see the difficult question of how to solve？

　　突如其来的尿毒症 The sudden uremia

　　生病前，杜金领在北京一家美容院做美体师，每个月两三千元的工资是一家三口最主要的经济来源，认识杜金领的人都说她干起活来不要命。丈夫廖丹下岗后一直没有固定工作，主要在家里料理家务、照看孩子。

Ill before，DuJinLing in Beijing a beauty salon do beautiful body division，Each month 23000 yuan salary is the main source of economic a family of three，Know DuJinLing says she real demon for work。The husband laid off LiaoDan has not had a permanent job，The main housework at home、Looking after the children。

　　2007年上半年，杜金领发现脸部经常浮肿，吃东西常呕吐，还常有尿频的症状，再严重些时，会腿酸得迈不开步。杜金领一直以为是工作太累了，歇会儿就能好。直到一次在工作时晕厥过去才到医院就诊。最后被诊断为尿毒症，医生说必须换肾。

In the first half of 2007，DuJinLing found face often bloated，Eat often vomiting，Also often the frequency of symptoms，Then some serious when，Will not open to leg acid exceed step。DuJinLing thought is the job is too tired，Have a rest will be well。Until a at work in the past to hospital syncope。Final diagnosis of uremic，The doctor said that must change the kidney。

　　换肾要几十万元，还不一定有肾源，对这个家庭来说比登天还难，惟一的治疗方法就是透析。可透析很快花光了家里的积蓄。

Hundreds of thousands of dollars to change the kidney，Also doesn't have a kidney source，For the families than ascend day still difficult，The only treatment method is dialysis。But dialysis soon spent home savings。

　　2007年刚住院时，半个月的住院费、手术费和透析费一下就花费3万多元，而家里只有两万多元的积蓄。从那时开始，廖丹便东拼西凑找“救命钱”。

2007 just was in hospital，Half a month of hospitalization、Operation and the dialysis fee to spend 30000 yuan，And home only twenty thousand multivariate savings。Since then，LiaoDan will find in either direction“JiuMingQian”。

　　杜金领经常半夜发病，“喘不过气来，就像游泳呛了水一样”。救护车时常造访，街坊邻里逐渐知道了这对患难夫妻的经历。叫一次救护车要花费300元，廖丹经常把车叫来了，却没钱付费。急、恨、难受，刀绞般的感觉时常折磨着廖丹。

DuJinLing often come on at midnight，“Out of breath，Like swimming choked water”。The ambulance often visit，Neighborhoods to know this trouble gradually and experience。Call a ambulance will cost 300 yuan，LiaoDan often car called the，But not money paid。urgent、hate、uncomfortable，Knife ground the feeling like torture LiaoDan often。

　　有一次，杜金领半夜发病，廖丹敲开了邻居李大姐的门：眼泪瞬间滚下，没有过多交流，李大姐就知道发生了什么。廖丹平时少言寡语，因为好面子，很少开口求人，这位被廖丹称为“大姐”的李女士说，他开口，一定是自己遇到了扛不过去的事。

once，DuJinLing of midnight，LiaoDan open the neighbor LiDaJie door：Tears rolling down the moment，Not much interaction，LiDaJie will know that what happened。LiaoDan ShaoYanGuaYu at ordinary times，Because good face，Few openings ask，This is LiaoDan called“Elder sister”Of ms. Li said，He spoke，Must have been met carry not a thing of the past。

　　一周两三次透析，每次透析420元，一个月要近4000元的治疗费。当医生问起夫妇二人是否有医保时，廖丹和杜金领才发现，在他们之前的生活中，一直没有“医保”的概念。

Two or three times a week dialysis，Every time dialysis 420 yuan，A month to nearly 4000 yuan of treatment。When the doctor asked about whether the couple have medical insurance，LiaoDan and DuJinLing discovered，In their life before，Has not“Medical insurance”concept。

　　办医保的两难境地 Do health care dilemma

　　廖丹开始四处打听如何能为妻子办医保。今年41岁的廖丹是土生土长的北京人，39岁的杜金领的户口在河北农村。按照北京夫妻之间投靠入户的规定是：结婚满10年、申请人年满45周岁才能办理。也就是说，杜金领目前还办不了北京户口。没有北京户口也就办不了北京的医保。

LiaoDan began to ask how to do health insurance for his wife。41 years old this year LiaoDan is a Beijing native，39 the registered permanent residence of the DuJinLing in hebei rural。According to Beijing between husband and wife take refuge in the provisions of the door is：Married full 10 years、The applicant at least 45 one full year of life to deal with。That is，DuJinLing is still not do Beijing hukou。No Beijing registered permanent residence also will not do the Beijing medical insurance。

　　杜金领20多岁就来北京闯荡：卖过盒饭、在工厂做过工，后来又做到美容院做美体师，但这些单位的老板从未给杜金领上过医疗保险。没有北京市户口、没有固定单位，大病袭来，诸多不幸叠加压在杜金领身上。

DuJinLing more than 20 years to come to Beijing for travel：Sold lunch box、In the factory work done，Then do beauty parlor body division，But these units the boss never give DuJinLing on medical insurance。No Beijing hukou、No fixed units，By a serious illness，Many unfortunate in DuJinLing superposition pressure upon him。

　　北京市人力资源和社会保障局医疗保险处的工作人员介绍，没有北京户口，但在北京工作的人士可以申请办理北京城镇职工医保，同时也享受大病医保的政策，但杜金领这种非北京籍无工作的情况，应该回户口所在地办理医保。

Beijing human resources and social security bureau of medical BaoXianChu staff introduced，No Beijing registered permanent residence，But working in Beijing can apply for to deal with Beijing people town worker medical care，At the same time also enjoy a serious illness of medical insurance policy，But this kind of DuJinLing Beijing nationality without work，Seat of registered permanent residence should go back to deal with medical care。

　　办不了北京城镇居民的医保，杜金领也没有回户口所在地——河北易县办理新农合医保。县城医院能不能做肾透析还不好说，若做不了需要转院还要办理一堆手续，最重要的是儿子现在北京上学，这些阻碍，让廖丹不敢再去想带妻子回河北治疗的事。

Do not the Beijing urban residents' health care，DuJinLing no seat of registered permanent residence to deal with new farming YiXian, hebei province and medical care。The county hospital can do kidney dialytic still not say，If you can't do need to deal with a pile of formalities upon relocating，The most important is the son to school in Beijing now，These obstacles，Let LiaoDan dare not to want to bring his wife back to hebei treatment。

　　尽管在北京有家有口，有工作，但对杜金领来说，她的身份就是一名进城打工的农民工。不管是城镇职工医疗保险还是新农合，对她这样身份的人来说都不合适。

Although a home in Beijing with a mouth，Have working，But for DuJinLing speaking，Her identity is a migrant workers migrant workers。Whether town of insurance of worker medical treatment or new farming $，To her that way to the identity of the people are not appropriate。

　　因为忙碌和压力，廖丹也开始疾病缠身，糖尿病、胸积水和肺结核，却一直没正经吃过药。去年，廖丹才听说自己也可以办理北京医保。但申请快一年了，也没办下来。

For busy and pressure，LiaoDan also began with the disease，diabetes、Bosom seeper and tuberculosis，But hasn't been careful to eat any medicine。Last year，LiaoDan just heard that oneself also can deal with Beijing medical care。But an application for nearly a year，Also not done。

　　廖丹一家三口除享受每月1700多元的低保金以外，杜金领还享受一项针对于低保户和困难户的医疗救助，救助比例为60%，每一年报销封顶金额为3万元。朝阳区六里屯街道民政科一位姓张的工作人员介绍说，2011年年末，北京市下发了《关于进一步加强城乡特困人员重大疾病医疗救助有关问题的通知》，救助比例由60%提高到70%，全年累计救助总额由3万元提高到8万元。如果杜金领的肾病属于终末期，报销金额全年累计超过3万元，便可以申请更高一级的救助。

LiaoDan besides enjoying 1700 yuan a month to all three of the subsidies than gold，DuJinLing also enjoy a based on low income households and bentley medical treatment，Salvage rate of 60%，Every year to submit an expense account seal top amount of $30000。Chaoyang district in tuen MinZhengKe six streets a last name is zhang work personnel introduces said，By the end of 2011，Beijing has issued a《On further strengthen urban and rural strands personnel to major disease medical treatment of the relevant questions of the notice》，Salvage proportion by 60% increased from 70% to，The total amount of aid of annual accumulative total by 30000 increase to 80000 yuan。If DuJinLing end-stage renal belong to，Reimbursement amount of annual accumulative total more than 30000 yuan，He can apply for a higher level of aid。

　　但廖丹每月从街道民政科拿回各类补贴的账目明细时，却并不清楚现在妻子医疗救助比例是多少，只是听说今年比以前比例高了，“哪有空想这些，拿回钱来就得赶紧透析、救命。3月交到街道的报销单，到现在还没给报，就说等电话通知。”

But a month from the street LiaoDan MinZhengKe take back all kinds of subsidies when the accounts of the detail，But do not know now wife medical relief how much is scale，Just heard this year high percentage than before，“Which have the dream，Take back money to have to hurry dialysis、help。March of the street to submit an expense account list，To now have not given the report，He said, call。”

　　伪造收费单 逃费17万多 Counterfeit bill fled fee of more than 170000

　　一直挣扎在贫困和疾病中，身心俱疲的夫妻二人，都曾动过死的念头，但为了儿子，“咬牙坚持”成了夫妻俩之间不言的默契。 15年前的结婚照，被装裱后一直放在杜金领的床头，当时杜金领体重106斤，朋友还夸过她长了个福相。现在体重只有70多斤的杜金领，39岁的年纪看上去像50多岁的模样。“我能怎么办，还能干等着她死”，一谈到钱，廖丹会低下头。

Have struggled in poverty and disease，Tired of the couple，Have moved the thought of death，But to the sons，“With his teeth to”A couple of words between the tacit understanding。 The picture of the 15 years ago，Was kept in a DuJinLing after mounting of the head of a bed，At that time DuJinLing the weight be 106 catties，Friends also kua her long a FuXiang。Now more than 70 jins weight only the DuJinLing，39 years old looks like the appearance of more than 50 years old。“What can I do，Do wait for her death”，When it comes to money，LiaoDan will lower the head。

　　2009年年末，廖丹发现，每次给妻子交费时，医护人员并不太注意收费单上的印章。“遍地都是刻章的广告”，在街坊眼里“人特别踏实”的廖丹，决定赌一次。第一次把收费单递给医生时“心里特别紧张”，廖丹说若是第一次被发现也就不会有接续的事情了。但廖丹的第一次逃单顺利得逞，这一逃就是4年。其间，医院收费处换过章，从圆形到椭圆形，隔三差五地要观察印章的变化，医院换，廖丹也跟着换。杜金领纳闷哪来的治病钱，每次一多问，廖丹都会犯急脾气，说自有办法。

By the end of 2009，LiaoDan found，Every time give wife when fee，Health care workers are not too note the charge sheet seal。“All the land of advertising shake”，In the eyes of neighborhood“People special steadfast”LiaoDan of，Decided to bet on a。The first time the bill to doctors“Heart so nervous”，LiaoDan said if was first found that there won't be in of things。But LiaoDan first escaped single well to succeed，The escaped is 4 years。meanwhile，Cashier's hospital change chapter，From the round to oval，From time to time to observe the seal of change，Hospital in，LiaoDan also follow change。DuJinLing wonder which come of cure of money，Every time a ask more，LiaoDan will FanJi temper，Said their own way to。

　　今年年初，政府对特困人员救助报销费的比例提高了，廖丹决定停止逃费，开始正常交款。这一重新交费，反而露出了马脚，廖丹双手搓了搓脸：我想早点还上这些钱，要是我去坐牢，谁照顾母子俩。

Earlier this year，Government aid to submit an expense account to strands personnel cost ratio enhanced，LiaoDan decided to stop fled fee，Began to pay normal。This fee again，It revealed the bag，LiaoDan rub the rub hands face：I want to get on the money，If I go to jail，Who will take care of the mother。

　　今年2月21日，廖丹被刑事拘留。那时，杜金领才知道丈夫为给自己治病，私刻公章骗取医疗费用。 (王培莲)

February 21,，LiaoDan criminal detention。then，DuJinLing just know her husband heal for themselves，SiKe official seal diddle medical expenses。 (WangPeiLian)