Why do farmers, as the participants of NCMS, show a cold attitude towards payment?This is mainly related to the payment standard**, the reimbursement amount is not high, and the account is cleared. First of all, the payment standard of NCMS has been increasing year by year, which has brought a certain economic burden to farmers. The latest payment standard is 380 yuan per person per year, which is 30 yuan more than last year, 60 yuan more than the year before, and 100 yuan more than the year before last. For some farmers with lower incomes, the impact of such an increase in the amount on their lives is considerable.
Second, farmers are also worried about the effect of NCMS reimbursement. Although some medical expenses can be reimbursed through NCMS, farmers still have to bear a considerable part of the costs themselves. In the process of seeing a doctor, in addition to medical expenses, farmers also have to pay for medicine, examination fees and other additional expenses, which need to be paid at their own expense, so that farmers may think that even if they participate in the NCMS, they will end up spending a lot of money.
Finally, NCMS clears the amount in the account every year, unlike in the past, where a portion of the fees could be accumulated. Although farmers have participated in NCMS for many years, the funds in their accounts are cleared every year, making them feel that their inputs and returns are disproportionate. Farmers may question: why do they want to participate in the NCMS and not leave any money in their accounts?This zero-COVID operation is a psychological blow to farmers.
All these reasons have led to farmers' negative attitude towards NCMS payment, which has led to a significant decline in the progress of payment.
In order to encourage farmers to actively participate in the payment of NCMS, some localities have introduced some punitive measures. For example, Dayang Town, Qiaocheng District, Bozhou City, Anhui Province, has taken the village's NCMS payment rate as the assessment standard for village cadres, and has given corresponding rewards and punishments. According to the data, the town's NCMS payment rate is 5243%, 18 people who have reached more than 70% of the progress of individual collection will receive a financial reward of 200 yuan, while those who have not reached 70% of the progress of individual collection and rank in the bottom 20 will be fined 200 yuan per person. Although this punitive measure is aimed at village cadres, it is also directly reflected on the villagers.
However, the author believes that there are certain problems with this kind of punishment. First of all, NCMS payment is voluntary, emphasizing the rights and freedoms of individuals. By putting pressure on village cadres and imposing financial penalties on village cadres with low payment rates, it may lead village cadres to take some drastic measures against farmers to force them to pay fees. This situation is obviously unreasonable, and may even lead to damage to the rights and interests of farmers.
Second, punishing village cadres alone cannot effectively solve the negative attitude of farmers towards NCMS contributions. The low progress of payment is not only the responsibility of the village cadres, but also related to the farmers' own willingness, economic ability and awareness of NCMS. By fining village cadres, it may only increase the work pressure of village cadres, but does not play a real role in promoting farmers' willingness to pay.
As for the current issue of NCMS payment, the author believes that it is necessary to fundamentally solve the doubts and concerns of farmers, and do a good job in policy and publicity, so that farmers can understand the benefits and necessity of NCMS, so that they can voluntarily participate in the payment. ** The department should step up publicity efforts to let farmers know that NCMS can provide them with comprehensive and high-quality medical care. At the same time, the payment standards should be appropriately adjusted to reduce the economic burden of farmers and make up for the lack of reimbursement for NCMS. For the problem of clearing accounts, we can consider appropriately relaxing the conditions to allow the amount in farmers' accounts to be used cumulatively, so as to increase farmers' enthusiasm for participation.
All in all, the issue of NCMS payment requires the joint efforts of village cadres and farmers to create a positive atmosphere of participation through reasonable policy measures and publicity work, so as to achieve the goal of farmers voluntarily participating in the NCMS and being willing to pay fees. Only through proper means can we truly solve the problem of NCMS payment and protect the basic medical rights and interests of farmers.