Village cadres frequently urge the new rural cooperative systemA village cadre wondered why it was so urgent
The mystery of NCMS payment is difficult to solve.
At present, the number of people insured in China's rural areas is increasing, and there are three reasons for this. The first is the increase in the premium of NCMS, from the original 10 yuan to 380 yuan. A family of five has to pay 1,900 yuan a year for the NCMS, which makes many people feel a heavy burden. This is also a major factor in the reluctance of farmers to pay.
Extended Writing: The continuous growth of the new type of rural cooperative medical care** has brought a great burden to the majority of rural households. Especially for farmers, their standard of living is relatively low, and their economic income is small, and it is difficult for them to afford high health insurance. As a result, rural households are faced with the choice between paying fees and paying fees, and some people prefer not to participate in the new type of rural cooperative medical care, but to entrust the costs to some informal medical institutions, such as traditional Chinese medicine practitioners and rural doctors.
The payment limit of the NCMS medical insurance is worrying.
Second, farmers expressed concern about the scope of compensation for NCMS. Although the new rural cooperative medical care has increased the rate of medical insurance payment to 70%, there are still many limitations in the implementation process. The cost of medical care at the town health center is only 60%;The medical expenses of tertiary hospitals are at most 50%. This regulation has made many rural households feel that although they have been insured, their medical expenses are still very high, so they have adopted the method of "severing diplomatic relations".
Extended reading: The payment limit of rural medical insurance is another important factor in the "severance of diplomatic relations" of NCMS. Although the compensation rate of the new rural cooperative medical care is very different from the previous comparison, it is still very different from the urban medical insurance. However, after participating in the insurance, due to the reasons of the insured people, the insured people will continue to pay a certain amount of drug fees after participating in the insurance, which has brought great pressure to rural families.
The "zero input" of NCMS has caused dissatisfaction from all walks of life.
In addition, the "zero at the end of the year" NCMS is also one of the main factors that cause some farmers to be reluctant to pay. Unlike the medical insurance for urban residents, NCMS empties all the money at the end of the year, and if it is not spent during the year, there is nothing. The balance on the city's health insurance account can be reused in the following year. This system makes rural households feel that the new type of rural cooperative medical care is less cost-effective than that of urban workers, so they have a strong tendency to "sever diplomatic relations".
The implementation of the "zero input" of the NCMS has aroused strong opposition from many farmers. Farmers felt that they had paid for the new rural cooperative medical care, but they did not use it up in the year, and they lost all their input. However, the medical insurance account of urban residents will not be reset to zero and can continue to be used in the following year. As a result, farmers believe that the new type of rural cooperative medical care is unequal compared with urban workers, resulting in the psychology of "severing diplomatic relations".
Analysis on the causes of the phenomenon of arrears of village-level organizations in rural cooperative medical care.
Many people have expressed their puzzlement as to why the two village committees still urge the "New Rural Cooperative Medical System" so frequentlyAccording to a rural cadre, there are three major factors in this. First of all, each village has its own work goals, and if they do not achieve their goals, they will be punished and in serious cases will be dismissed. The members of the village-level team are facing great work pressure when completing various tasks. That's why they often come to their homes to do work, trying to get them to pay more.
In addition to the pressure of work, there is also a big factor why the rural cooperative medical care is urged by the village cadres, that is, they want to make their new rural cooperative medical insurance insurance, so as to get more benefits. During the survey, they learned that in some villages, sudden illnesses often put their families under great financial strain and in some cases even pushed them into poverty. In order to prevent tragedies such as "returning to poverty due to illness" and "abandoning medical care", village cadres have persuaded and mobilized one after another.
The difficulties and countermeasures of the director of the village committee who often collect debts.
Secondly, the payment period of NCMS is relatively short, which has a certain contradiction with the travel of farmers. Some farmers leave their homes early in the morning to work, others have to work in the fields. Therefore, even if the village leaders come a few times, they may not be able to meet them. In addition, for some special groups such as the five-guarantee households and the severely disabled, they can enjoy preferential medical insurance reimbursement, and at the same time, the two village committees should personally come to the door to publicize it, so that they can also participate in the NCMS. The two village committees had to go to the peasant households' homes frequently to do this, which was time-consuming and labor-intensive.
Expansion: Villagers often urge new rural cooperative medical care and encounter certain problems. In rural areas, due to the inconvenience of roads and the fact that the living habits and living habits of rural households are very different from those in urban areas, it is a very difficult job to go out to work. Although the work of the villagers' committees is very enthusiastic, because of their own characteristics and special characteristics, they often have to do a lot of propaganda work repeatedly, which is both time-consuming and labor-intensive.
A sense of responsibility to pay attention to the physical health of rural residents.
One villager pointed out that one of the important factors why he and other villagers continue to urge the new rural cooperative medical care is the lack of care and responsibility for the villagers. They are afraid that if they don't pay for the New Rural Cooperative Medical Care and get seriously ill and have to see a doctor in the hospital, then the family will be under a lot of pressure. Although the new agricultural combination cannot achieve full medical insurance payment, it can reduce some of the economic pressure on farmers and make them bear the cost to a certain extent. In order to prevent villagers from choosing not to see a doctor because they cannot afford medical expenses, the village cadres are constantly urging them to pay more fees so as to extend their average life expectancy.
Extended reading: The high frequency of NCMS distribution is mainly due to the villagers' concern for their own health and their desire to use NCMS to solve the problem of seeing a doctor. According to members of the two village committees, in some rural households, sudden illness often leads to serious financial difficulties, and in some cases, poverty. In order to prevent the recurrence of the tragedy of "returning to poverty due to illness" or even "abandoning medical care", the villagers have demanded that the "New Rural Cooperative Medical System" be paid as soon as possible, so as to improve the survival and physical quality of rural residents.
In general, factors such as high pressure on farmers' payment, limited reimbursement of medical insurance, and "zero point" at the end of the year have affected farmers' willingness to participate in insurance. The main reason why the township health centers have not paid for a long time is that the assessment pressure is high, the insurance time is short, and the degree of attention paid to rural cooperative medical work is insufficient. While the majority of farmers have doubts about NCMS, the members of the village-level organizations are still very confident that they will stay, which can not only ensure the medical needs of the farmers, but also improve their lives and physical conditions.