The card of medical insurance of Jinan brushes the phenomenon to investigate arbitrarily: The fund shape is the same as " The pocket money "

The card of medical insurance of Jinan brushes the phenomenon to investigate arbitrarily: The fund shape is the same as " The pocket money "
The card of medical insurance of Jinan brushes the phenomenon to investigate arbitrarily: The fund shape is the same as " The pocket money "
Some " urban worker's medical insurance retail the pharmacy by fixed position " Having become the department store, behind its flourishing one, but it is the serious violation of medical insurance card that brushes the behavior arbitrarily. Should standardize the fixed hospital, fixed pharmacy, the task of top priority is to examine and approve strictly, then " It is swollen to disappear fertily " . The most key one is, scrutinize the system design of the medical insurance card again from the actual effect and angle to ensure function, find a good method of changing the way of doing things and starting afresh. Recently, some readers reflect to the editorial department of this newspaper: Some of Jinan of provincial capital " The urban worker's medical insurance retails the pharmacy by fixed position " Become the department store, exceed the sea cucumber at a thousand yuan to the unit price from the shower cap of one of two or three yuan, the oatmeal even in bulk, red bean may be weighed and sold, has assumed the air of flourishing supermarkets. But behind its flourishing one, it is the serious violation of medical insurance card that brushes the behavior arbitrarily. After people have bought red bean or other life daily necessities with the money used to buy the medicine, we should blame the holder of the medical insurance card, or do punishment interests drive the pharmacy in violation of rules and regulations under? As to this, reporter go on on the spot investigating secretly, find medical insurance amount of money of Carlos " says more, is it few to say " ,It is more limited that medical treatment ensures function, perhaps has already reached the stage that must change the way of doing things and start afresh. Some fixed pharmacies " Hypocritical " In the morning of August 9, the reporter came to two pharmacies of the south of Jiefang Road road of Jinan, one is the large pharmacy of Spring City, one is civilian's large dispensary, the two belong to " the urban worker's medical insurance retail the pharmacy by fixed position " . Treat the question of paying by credit card of the medical insurance card, two pharmacies " want to meet and still refuse " the medical insurance card ,May be said " hypocritically " . In this large pharmacy of Spring City, reporters have selected " Safeguard " Toilet soap, " Pan Ting " Have the lotion had one's hair washed, has cost 39.6 yuan. The reporter asks the salesman nearby: "Buy these things and brush the medical insurance card? " She says: "No, it is all right to brush silver and unite the card. " The reporter has said to this " Discontented " ,She forces down the voice and says immediately: " you can not ask again, the such ways to put questions of yours, none of others dare to brush for you (the medical insurance card) ! " "Thing that you buy, in the intersection of medical insurance and range, so medical insurance Carlos can brush. Much investigate secretly now, you ask so loudly, the child can brush not to dare to brush for you either otherly. " This salesman continues to explain quietly: "If you don't ask, I brush for you. " When the reporter checked out, the cashier is much more delighted than the salesman, tell reporters clearly: " can brush the medical insurance card, the medical insurance card of the province is advisable " . In ordinary people's large dispensary, the reporter chooses " lucky majestic sharp point " Razor, " The shoe-shaped gold ingot " Oatmeal, " Favourable soldier " Waterproof shower cap. Have reached a cashier reporter to ask: "Brush the medical insurance card, OK? " The cashier has cast a look at reporter, say: "No way, can only unite the card or cash with silver. " . This pharmacy like supermarket, is the use for medical insurance card really so strict? The answer is denied. The reporter called a friend immediately, went to this pharmacy to choose some articles for daily use. While checking out, this friend takes out one's own medical insurance card directly, the result " reaches a standard smoothly " ,The cashier has not put forward the objection either. Similar situation, exist medical chain turn on yuans of shop (lie in the intersection of Jinan and the intersection of city and the intersection of ring and mountain path) on three nine-day periods after the winter solstice such as Jinan . In the morning of August 10, reporters bought a kind of beverage in this pharmacy with the medical insurance card. The card fund shape of the medical insurance is the same as " The pocket money " In the afternoon of August 9, the reporter dials human resources and the hot-line 12333 in the social security drawing room in Shandong, the job number expresses for the operator on the 2710th: "The money in the personal account of the medical insurance is your personal money, and equivalent to your cash, but can't buy and have the lotion or something like that had one's hair washed, these behaviors are not in accordance with regulation. " With her help, reporters found " notice on further strengthening the medical insurance and retailing the management of the pharmacy by fixed position " (stupid social insurance in the province and sent ( 2005) The 8th) ,The file is called: "The personal account is a component of basic Medical Benefits Funds, can only be used for paying the medical treatment retailing the pharmacy and taking place in the fixed medical organization and by fixed position to consume, can't be used in the food, health product and other daily necessities consumption expenditures, can't make the medical insurance card turn into and do shopping a card. " So-called " personal account " It is a medical insurance card. The insider of medical insurance of Jinan Mr. Wang says, basic Medical Benefits Funds is divided into two parts, personal account and pool account, the personal account is controlled by individual, the pool account is mastered by the medical insurance department, used in the clinic, the expenses submit an expense account in hospital,etc.. In basic Medical Benefits Funds, the proportion that the personal account accounts for is very small, number is not big. The reporter finds in investigation, the fund of the medical insurance card, the little one is only 37.86 yuan every month, the a lot of one is just 100 yuan, about 200 yuans. Sunshine 100 Residential Area resident Mr. Wang in Jinan says: "The medical insurance card at more than 100 yuan of every month, can only be regarded as a kind of stiver. Sick can't count on it either, so can only treat it as change is used up. " He think " whether the intersection of medical insurance and card turn body into, do shopping Carlos " even Have no doubt violated the relevant regulation, but bring the facility of life, buy the article for daily use while buying medicine, it is easier for a station to purchase neatly. Jump out " chicken ribs " Still need to improve the fund or " non- enough " of the medical insurance card of the system ,Or " needless " ,The position is really very awkward, even become a kind of " chicken ribs " . Mr. Xu more than 50 years old in Jinan suffers from prostatitis, the money in the medical insurance card is all used for buying medicines not very enough yet. The person of granddaughter that and Jinan just got married, can not buy medicines, the neither too much nor too little money in the medical insurance card of every month either once a month, can only use up conveniently. Sociology scholar He XueSong thinks, the function of the medical insurance card equates with the cash, the cash needn't devalue, so will pay by credit card and buy the article for daily use useful to customer; The pharmacy in violation of rules and regulations is through brushing the customer of the medical insurance card arbitrarily, has increased the turnover the shop. In this case, brushing the medical insurance card arbitrarily basically belongs to " has no victim " Unlawful practice. Meanwhile, because medical insurance it blocks proportion of fund in the intersection of medical insurance and fund to be very little, seldom will cause " sick to have money cure " Consequence. As to this, an insider insisting on anonymity says: "Basic function of medical insurance to protect basically, protect serious disease, as basic the intersection of medical insurance and the intersection of medical insurance and Carlos of component, should continue existing? " The guarantee function of serious disease correctly of the medical insurance card is more limited, our country has already cancelled medical insurance card, fund to include in the precedent of the pool account. He thinks, using medicine at ordinary times of ordinary disease, can include in the daily consumption category, needn't set up and replenish the system. Serious for disease, patients can if you can't reach by clinic, go to a doctor or solve by oneself in hospital, at this moment, the pool account can contribute. Meanwhile, he complains there are too many fixed pharmacies, fixed hospitals of Jinan very much Excessive, some small pharmacies, private hospitals have been examined and approved, become retailing the pharmacy, fixed medical organization by fixed position of basic medical insurance too. Some small-scale irregular medical enterprises, may just depend on " the medical insurance is by fixed position " Qualification, by operating violably to live. He XueSong thinks, as to the thing that customer, pharmacy trend towards the favourable behavior in violation of rules and regulations, the government department should avoid falling into " a cat catch a herd of mice " Play in,don't attend to one thing and lose sight of another, lose more than gain. The insider says, if really want to standardize the fixed hospital, fixed pharmacy, the task of top priority is to examine and approve strictly, then " it is swollen to disappear fertily " . The most key one is, scrutinize the system design of the medical insurance card again from the actual effect and angle to ensure function, find a good method of changing the way of doing things and starting afresh. Staff reporter Xue GuangQian


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