中国八成省份取消公费医疗 医保有望平权 China provinces eighty percent cancellation fee medical health care is expected to parity

　　从明年开始，江苏省南京市取消公费医疗，20多万机关事业单位工作人员的医疗保障与城镇职工医疗保险并轨。在部分机关事业单位工作人员成为公费医疗最后受惠者的背景下，南京的举措引发了中国民众对医保平权的关注。

Starting from next year,Cancel, nanjing city, jiangsu province medical treatment,More than twenty institutions staff medical security and speed of medical insurance for urban workers.In some institutions staff become medical treatment under the background of the beneficiary,Nanjing action caused the Chinese public health concern for equal rights.

　　南京市委办公厅副主任闫文献表示，这是厘清政府与市场关系、政府职能转变的一场“自我革命”。

Nanjing municipal party committee, deputy director of the general office of leap literature said,This is to clarify the relation between government and market/The change of the government function a"Self revolution".

　　其实，早在南京之前，江苏省其余12个省辖市已全部取消了公费医疗。在全国范围内，除江苏、江西、山东、广东、贵州、陕西、湖北等7省份外，其余省份均已取消公费医疗，全部参加医疗保险。

In fact,As early as before in nanjing,The rest of the 12 cities in jiangsu province has been cancelled all medical treatment.In the national scope,In addition to jiangsu/jiangxi/shandong/guangdong/guizhou/shaanxi/Hubei 7 provinces outside,The rest of the provinces have been cancelled to public health care,All to participate in medical insurance.

　　据了解，未全部参加医疗保险的7个省份目前正在加快推进取消公费医疗。此外，北京市人社局透露的消息显示，33万中央单位公务员有望于2013纳入城镇职工医保。

It is understood,Not all to participate in medical insurance seven provinces are accelerating cancel to public health care.In addition,Beijing people club bureau said news show,330000 the central unit is expected to be civil servants in 2013 into the medical insurance for urban workers.

　　“公费医疗”是指国家通过医疗卫生部门，向国家工作人员提供免费医疗及预防服务的一项社保制度，经费主要来源于各级财政。

"Medical treatment"Is to show the country through the medical and health departments,To state personnel to provide free medical care and preventive services of a social security system,Funds mainly come from departments at all levels for finance.

　　国务院医改专家咨询委委员、北大光华管理学院经济学教授刘国恩介绍说，计划经济时期，中国的城市医疗体制由公费医疗与劳保医疗组成，保障对象分别为国家工作人员与企业职工。1998年12月，中国确立了所有用人单位 ( 包括机关事业单位 ) 及其职工全部要参加城镇职工基本医疗保险的改革目标。

Cure of the state council expert consultation committee members/Peking University guanghua school of management economics professor LiuGuoEn said,Planned economy period,China's urban medical system from the medical treatment and labor insurance of medical treatment,Security object are state personnel and enterprise worker.In December of 1998,China has established all the employing units ( Including the authority institution ) And its worker all to participate in the urban employee basic medical insurance as the goal of reform.

　　“企业职工医保随着国企改制的大潮流迅速推进，而机关事业单位工作人员的公费医疗改革虽然步履迟缓，但推进的进程始终坚定。到现在，全面取消公费医疗的省份已达到80%，收尾可期。”刘国恩说。

"Company worker health care with the state-owned enterprise reform trend of rapidly advancing,Institutions and working staff of the public health care reform although walk slowly,But the process of promoting always firm.Till now,Elimination of socialized medicine provinces has reached 80%,Ending can period."LiuGuoEn said.

　　在过去的公费医疗下，医疗费用由国家包揽，个人完全免费或只需支付极小一部分，造成了“一人得病，全家吃药”“小病大看”等过度医疗消费现象。

In the past under medical treatment,Medical treatment charge it by the state,Personal free or to pay a small part,caused"A sick man,Family take medicine""Ailment big see"Excessive medical treatment such as consumption phenomenon.

　　“将机关事业单位工作人员纳入城镇职工医疗保险后，这部分人就会受到制度的约束。今后无论是公务员还是普通公众，生病后只能是使用同样的药品，除非是个人买单。”中国人民大学劳动人事学院社会保障系主任仇雨临教授说。

"The authority institution staff into after of medical insurance for urban workers,This part of the people will be influenced by institutional constraints.Whether in the future civil servants or the general public,Only after the illness is the use of the same drug,Unless a check."People's university of China institute of labor and personnel department of social security in the QiuYu professor said.

　　此外，仇雨临还认为，长期制度外循环的公费医疗资金被纳入医保之后，其较高的筹资水平更有利于充实城镇职工医保基金的统筹账户，加强其风险承受和基金支付能力。

In addition,QiuYu velocity also thought,Long-term system the cycle of medical treatment fund be included after the medical insurance,The higher the level of financing more conducive to enrich the town worker medical insurance fund account as a whole,Strengthening the risk of the fund and the ability to pay.

　　中国社会保障研究中心主任褚福灵认为，全面取消公费医疗是公共服务均等化在制度层面的一大进步。

China's social security research center director ChuFuLing think,Abolish all medical treatment is equal public services in the system level a big progress.

　　医保制度并轨离医保公平又近了一步，但各省将机关事业单位职工并入职工医保时，均存在着不同名目的“补充医疗补助”，使得这部分人员的医保待遇仍优于普通公众。

Medical insurance system and medical insurance fair and from a step closer,But the provinces will authority institution staff into medical worker when,There are different name purpose"Supplementary medical aid",Make this part of the staff of the medical insurance treatment still is better than the general public.

　　天津、重庆、北京等省市在公费医疗改革中的“补充医疗保险”的文件均显示，机关事业单位人员可以将城镇职工医疗保险中需自付的费用进行“二次报销”，其比例虽然不等，但至少达到70%以上。

tianjin/chongqing/In Beijing and other cities in the reform of the medical treatment"Supplementary medical insurance"The documents are showed,Authority institution personnel will be of medical insurance for urban workers from the cost of pay for"Secondary to submit an expense account",Although the scale range,But at least above 70%.

　　针对此次南京的公费医疗改革，南京市人社局副局长陈建宁透露，补充医疗保险的暂行办法还没有出台，但这方面是有国家相关文件作依据的。

According to the nanjing public health care reform,Nanjing people club deputy director of ChenJianNing revealed,Supplementary medical insurance interim measures are not yet available,But this is a national relevant documents as basis.

　　据了解，补充医疗保险是在参加基本医疗保险后，由用人单位和个人自愿参加，以提高保险保障水平的一种补充性保险。

It is understood,Supplementary medical insurance is in after attend insurance of primary medical treatment,The employing unit and individual voluntary participation,In order to improve the level of insurance is a kind of supplementary insurance.

　　“公务员补充医疗保险可以有效降低公费医疗改革的阻力，是推进公费医疗改革的成本之一。”仇临雨说。

"Civil servants supplementary medical insurance can effectively reduce the resistance of the public health care reform,It is to advance public health care reform one of the cost."QiuLin rain said.

　　“不仅是南京，全国各地都应公布机关事业单位人员补充医疗保险的具体方案，减小公众猜疑。相信，合理的改革代价，公众是可以接受的。”刘国恩说。

"Is not only the nanjing,All parts of the country should be announced authority institution personnel supplementary medical insurance of the specific scheme,Reduce public suspicion.believe,The reform of the reasonable price,The public is acceptable."LiuGuoEn said.

　　褚福灵强调，公费医疗改革指向的是福利公平。就医疗福利的质量来说，取消公费医疗并不是一味地拉低公职人员的医疗待遇，而是将其恢复到适当的位置。从这个意义上，促进医疗福利公平的另一个层面，是如何普遍提高国民的医疗待遇。(记者叶超 潘晔 张淼淼)

ChuFuLing emphasize,Public health care reform to the welfare is fair.Is the medical benefits for the quality,Cancel the medical treatment is not blindly down officer of medical treatment,But its back to the position.In this sense,Promote the medical benefit fair another level,How is generally improving national medical treatment.(Reporter YeChao PanYe ZhangMiaoMiao)