看病还能赚钱？这看似天方夜谭的事情，在现实中确实存在，而且这样的例子不在少数。

The doctor also can make money?This may seem like Arabian nights things,In the reality does exist,And an example of this is not a few.

　　近日，(浙江)省审计厅公布2011年我省社会保障资金审计情况，结果发现，全省共有63.29万人重复参加城镇职工基本医疗保险、新农合、城镇居民医保以及城乡居民医保，造成财政多投入10822.68万元，有5238人重复享受待遇610.91万元。

recently,(zhejiang)ShenJiTing province announced in our province in 2011 social security funds auditing situation,The results showed that,The 632900 people repeat the urban employee basic medical insurance/New farmers joint/Medical insurance for urban residents and medical insurance for urban and rural residents,Cause more than financial investment of 108.2268 million yuan,There are 5238 people repeat enjoy treatment 6.1091 million yuan.

　　在少数人群尚未纳入社会保障，“因病致贫返贫”难题还没得到解决的背景下，重复参保已然成为阻碍医疗保障公平公正的一块绊脚石。

In a few people has not yet been incorporated into social security,"Become financially-difficult poverty"Problems have not been solved background,Repeat ginseng in medical security has become a fair and just a stumbling block.

多头报销骗取保险 Bull to submit an expense account swindle insurance

　　对于42岁的苍南女子戴明莉(化名)来说，同时参加职工基本医疗保险和新型农村合作医疗保险，并非一件奇怪的事。因为身边很多人在城市里找了一份工作后，都会参加这两种保险，她一开始对此也并不上心。但自从两年前罹患淋巴癌，每次看病都要花费好几万元医药费后，戴明莉发现自己可以好好“利用”一下重复保险。

For 42 DaiMingLi cangnan woman(alias)for,At the same time to participate in the basic medical insurance and the new rural cooperative medical insurance,Not a strange things.Because the side a lot of people in the city looking for a job,Take part in these two kinds of insurance,She began to are not here.But since two years ago deeloping non-hodgkin's lymphoma,Every time the doctor takes several ten thousand yuan after medical expenses,DaiMingLi found himself can take"use"About double insurance.

　　“当时，医院公共卫生间里贴着提供代开发票的联系电话，我抱着试试看的心态与对方联系……”在接受警方调查时，戴明莉交代，她当时按发票面额每1万元，付1000元手续费的方式，共购买了121万多元的治疗费总额。

"At that time,The hospital public toilet stick provide acting invoice contact number,I hold try mentality and the other contact..."In accepting the police investigation,DaiMingLi replacement,She was according to the invoice amount per 10000 yuan,Pay 1000 yuan fee way,A total of 1.21 million yuan to buy the total treatment.

　　之后，戴明莉用这些伪造的住院治疗发票和住院费用清单等，分8次向苍南县劳动和社会保障局报销职工基本医疗保险基金，获得报销金额44万多元。与此同时，她又购买伪造了上海瑞金医院治疗发票共计43万余元，两次到县合医办报销新农合基金，获得报销款12万多元。

after,DaiMingLi with these false hospitalization invoice in hospital and the charge list etc,Points and eight times in the course of cangnan county labor and social security bureau to submit an expense account worker fund of insurance of primary medical treatment,Reimbursement for the amount of 440000 yuan.meanwhile,She was buying counterfeit Shanghai ruijin hospital treatment invoice total of more than 430000 yuan,Two to the county medical reimbursement close to the new agriculture close fund,Paragraph to submit an expense account for 120000 yuan.

　　在今年开展的全省社会保障资金审计中，医保部门自查发现这一情况并将此移交当地公安机关。根据公安机关查实，几年来戴明莉一共向苍南县劳动和社会保障局、苍南县城乡居民医疗保险办公室骗取保险金合计56万余元。

In this year of the whole province to carry out social security funds in the audit,Health care providers self-examination found the situation and will be handed over to the local public security organs.According to the public security organ thorough check,In the past few years DaiMingLi to a total of cangnan county labor and social security bureau/Cangnan county urban and rural residents medical insurance office swindle insurance gold total of more than 560000 yuan.

　　“虽然戴明莉一案主要涉及的是涉嫌保险诈骗罪，但从另一角度也说明，重复保险让一部分人多头报销医疗费用，依靠‘看病赚钱’成为可能。”省审计厅社保处处长陈岩明告诉记者，这对于社保基金而言，无疑是一种巨大浪费。

"Although DaiMingLi case mainly involves is suspected of insurance fraud,But from another Angle also explain,Repeat insurance to let some people long to submit an expense account medical expenses,Rely on‘The doctor make money’possible."Province ShenJiTing social security marshal ChenYanMing told reporters,The social security fund in,It is undoubtedly a great waste.

重复参保偷吃皇粮 Repeat ginseng ChiHuangLiang steal

　　去年的审计结果，印证了陈岩明的话。

Last year's audit results,Confirm the ChenYanMing words.

　　据审计查明，全省还有6.39万人重复参加企业职工基本养老保险、城乡居民社会养老保险等，造成财政多投入201.49万元，有612人重复领取待遇228.21万元。审计还显示，台州市、湖州市、丽水市等6个地市还有192人重复领取城乡居民最低生活保障、失业保险金等103.78万元。

According to audit find out,The province and 63900 people repeat the basic old-age insurance for enterprise employees/Urban and rural residents social endowment insurance, etc,Cause more than financial investment of 2.0149 million yuan,There are 612 people repeat treatment to receive 2.2821 million yuan.Audit also showed,taizhou/huzhou/Six cities of lishui city and 192 people repeat the subsistence allowances for urban and rural residents/Unemployed insurance gold, etc. 1.0378 million yuan.

　　社保资金审计发现，重复参保已经成为一大顽疾。

Social security funds audit findings,Repeat ginseng protect has become a persistent ailment.

　　与此形成鲜明对比的是，去年全省还有8.11万符合条件的特殊人员未纳入社会保障。

By contrast,Last year the province and 81100 meet the conditions of the special personnel did not include the social security.

　　延伸调查838家企业发现，在15.11万名进城务工农村居民和劳务派遣人员中，更有7.74万人未参加企业职工五项基本社会保险，或者仅参加部分险种，占51%。

Extension survey 838 companies found,In 151100 rural residents and migrant workers labor dispatching personnel,More 77400 people did not attend company worker five basic social insurance,Or just take part in several categories,51%.

信息共享势在必行 Information sharing is imperative

　　究竟是什么原因导致重复参保的出现，并且历经数年依然难以消除呢？

What are the reason lead to repeat ginseng protects appear,And after several years is still difficult to eliminate it?

　　劳动力转移就业是造成这一情况的最初原因。据调查，2011年度全国农民工总量为2.52亿人，比上年增加1055万人。这部分群体往往在家乡已经参加新农合，而一些东南沿海经济发达城市，已经逐步取消基本医疗保险参保户籍限制，为农民工参加工作地居民医保或职工医保提供了便利。

Labor force shift employment is this is the result of the original cause.According to the survey,2011 annual national total migrant workers for 252 million people,A year-on-year increase of 10.55 million people.This part of the group often in my hometown has joined new farming together,And some southeast coastal economically developed city,Already gradually cancel the basic medical insurance ginseng protect census register restrictions,For migrant workers to participate in medical insurance or where residents medical worker provides convenience.

　　然而，劳动力的不断流动，并没有让信息系统互联互通，实现信息上的流动共享。据了解，我省社会保险涉及信息管理系统383个，其中人力资源社会保障部门管理的如企业职工基本养老保险等就有265个，卫生部门管理的新农合则有47个。

however,The continuous movement of Labour,And didn't want to let the information system interconnection and interflow,To realize the flow of information sharing.It is understood,Our province social insurance management information system in 383,The human resources department of social security management such as company worker is basic endowment insurance, there are 265,Department of health management of new agriculture $are 47.

　　“不仅社保信息系统数量繁多，而且同一种社会保险，信息系统和数据存储的层级也不同。”审计发现，比如企业职工基本养老保险，它的征收、计发数据存储在省、市、县级的分别有4个、21个和79个，涉及104个信息系统版本和10个系统开发商。

"Not only social security information system of quantity,And the same kind of social insurance,Information system and the hierarchy of data storage is different also."Audit found that,For example of basic old-age insurance for enterprise employees,Its collection/Plan hair data storage in the province/city/The four at or above the county level respectively/21 and 79,Involves 104 information system version and 10 system developers.

　　“繁杂的信息系统，各级各单位关联信息相互割裂，互通校验机制的缺乏，这些都已经成为社保信息系统开发建设的通病。”陈岩明表示，正是这些原因，使得重复参保难以发现、消除，最后导致有人因重复参保加重个人负担，也让国家财政连年重复投入，加重政府负担。

"Complex information system,All units at all levels information associated with separate each other,The lack of mutual check mechanism,These are social security has become the common fault of the construction of information system development."ChenYanMing said,It is these reasons,Make repeated ginseng protect hard to find/eliminate,The last cause someone because of repeated ginseng aggravate individual responsibility,Also let national finance in successive years repeat investment,Aggravate the burden of government.

　　专家建言，对此政府应尽快有所作为。从管理部门合一、转移接续畅通、信息共享等角度多管齐下，加大监管，实现不同险种、不同地域之间信息的共享，从而根除重复参保现象，维护社会公平正义。(记者 吕玥 通讯员 顾金国)

Experts advise,Therefore, the government should do something as soon as possible.And from the management departments/Transferring clear/Information sharing and other Angle under many guan qi,Increase supervision,Realize different categories/Between different areas of information sharing,So as to eradicate repeat ginseng protect phenomenon,Safeguard social fairness and justice.(Reporter correspondent LvYue GuJinGuo)