Farmers will be punished if they do not pay the NCMS, why is it difficult to pay medical insurance?What is the explanation of the village cadres?
The deep-seated reasons for the decline in the payment intensity of NCMS.
In recent years, the phenomenon of "cold supplement" in China's new rural cooperative medical care has become increasingly prominent. The author believes that this phenomenon is not without cause, and it is related to a variety of factors. First of all, increasing insurance rates is already making it difficult for some farmers. The most recent pension is 380 yuan a year, 30 yuan a year, 60 yuan a year, and 100 yuan a year. This is not a small number for some backward places and rural areas. Some farmers believe that even if they participate in the new type of rural cooperative medical care, the cost will still be borne by the individual, so there are hesitations and concerns about the payment method.
Second, farmers began to question the effectiveness and practicability of NCMS. Some farmers feel that they have paid for rural cooperative medical care, but the money they pay is still very high. Moreover, NCMS reduces its personal accounts to zero once a year, which makes many farmers skeptical about the feasibility of their rural cooperative medical care. They may feel that even if they pay for medical insurance, the bulk of the medical insurance reimbursement will fall on their heads, and there is a certain personal burden.
At the same time, it should also be noted that the payment of rural cooperative medical care is a voluntary payment method. Although the state does not stipulate that participation in medical insurance is mandatory, local governments at all levels still hope to promote rural households to participate in medical insurance through active and targeted methods, so as to improve the medical insurance coverage rate of rural households. Therefore, some areas will urge farmers to pay the NCMS through various means**.
Reasonableness of the collection method of NCMS**.
In order to further promote the participation rate of rural cooperative medical care, some areas have listed the proportion of new rural cooperative medical care as an evaluation criterion for rural cooperative medical workers, and have rewarded and punished them. This move has a certain incentive effect on farmers' contributions, but it has also caused some controversy.
From the perspective of the voluntariness of NCMS, it is a big problem to use a combination of rewards and punishments to urge village-level financial personnel to pay fees. On the other hand, if village committee members are forced to pay a certain amount of taxes and fees to farmers, they will have a feeling of coercion, and then develop bad feelings. In addition, the implementation of the system of rewards and punishments for village cadres may also lead to the occurrence of certain illegal phenomena, such as the above-mentioned linking children's schooling with the payment of fees for the NCMS, which is a violation of the law and should be corrected and banned.
Based on this situation, the authors propose to strengthen the publicity and education of the new type of rural cooperative medical care**. It is necessary to make the vast number of rural households understand the pros and cons of the new type of rural cooperative medical care, and let them decide whether to participate in the new type of rural cooperative medical care, which will help enhance the farmers' understanding of the new rural cooperative medical care. On the other hand, it is necessary to strengthen the popularization of policies, ensure the awareness and understanding of rural households about NCMS, establish transparent and transparent payment procedures, and enhance the credibility of rural households.
Brief summary. In the current situation of low temperature in the payment of new rural cooperative medical services, I think we should adopt a multi-pronged approach, on the one hand, to understand the concerns of farmers about the increase in costs and affordability, and on the other hand, to rationally urge farmers to ensure their health.
First of all, the state should formulate a relevant rural medical insurance system to reduce the financial pressure on rural households and increase their willingness to participate in insurance. Second, the state should improve the new rural cooperative medical system to make it more operable and practical. For example, the compensation rate should be increased, the personal medical expenses of rural households should be reduced, and the "zero" time should be increased, so that rural households can enjoy the "zero" treatment cumulatively.
At the same time, it is necessary to strengthen the popularization and popularization of the new rural cooperative medical policy to enhance the understanding of the rural cooperative medical system. Through publicity activities and training seminars, farmers' trust in NCMS and their participation rate will be increased. In short, the phenomenon of "cold" in the new rural cooperative medical care is very tricky, and it requires the joint efforts of the new rural cooperative medical service to properly deal with it. In order to increase the participation rate of rural residents, it is necessary to adopt corresponding countermeasures and measures to ensure that the medical insurance for rural residents is effectively implemented.