NCMS is an important medical security system implemented in rural areas in China, which has played an important role in solving the problem of difficult and expensive medical treatment for farmers. However, the recent news about the end of NCMS fees has aroused widespread concern, especially the phenomenon of farmers breaking their payments is becoming more and more seriousThe answer reflects four major questions.
The decision that the NCMS fee will end has affected farmers' initiative to a certain extent. In the past, farmers had to pay a certain amount of medical insurance to participate in NCMS, which was relatively low, but it also strengthened farmers' sense of urgency for medical security and made them cherish their medical rights more. Now, with the end of the NCMS fee, farmers' participation in medical security is no longer as strong as in the past, which has also led to the situation that some farmers have stopped paying. It can be seen that the implementation of the policy of ending the NCMS fee will lead to the lack of initiative of farmers. The funding gap of NCMS has become a major hidden danger for farmers to cut off their contributions. With the improvement of China's medical level at this stage, the financial pressure of NCMS is also increasing, and it is difficult to meet the medical needs of many insured people. In particular, the relative lack of medical resources and relatively high medical costs in rural areas have led to a significant increase in the medical expenditure of NCMS. However, the subsidy for NCMS has not increased accordingly, resulting in an increasing funding gap for NCMS. Therefore, to a certain extent, the phenomenon of farmers' payment is affected by the gap in the funding of the new agricultural cooperative system.
Poor management in some areas is also the fuse for the problem of farmers' payment cut-off. According to incomplete statistics, some first-class departments in various places have lax audit and poor management in the process of collecting NCMS fees, resulting in some unqualified people also participating in the NCMS merger and obtaining corresponding medical security, which has brought greater hidden dangers to the financial pressure of NCMS. At the same time, in other places, there is also indiscriminate spending and waste on the use of NCMS funds, which has greatly reduced farmers' confidence in NCMS. NCMS also has deficiencies in service and management. In practice, many NCMS participants reported that they encountered various difficulties when using medical insurance, such as the cumbersome medical insurance reimbursement process and the long reimbursement cycle. These problems have seriously affected the medical security experience of the insured, and also caused some people's recognition of NCMS to drop significantly.
To sum up, the end of NCMS fees has led to the increasingly serious problem of farmers' payment interruption, mainly due to four key problems: policy impact, funding gap, poor management and insufficient service. How to solve these problems, let NCMS really play its due role, and achieve the goal of a healthy China is an important issue in front of us. It is hoped that the relevant departments will make greater efforts in policy formulation, capital investment, management improvement and service in place, so as to effectively improve the operation of the new agricultural cooperative system and provide better medical security for farmers. The solution of these problems requires the attention and joint efforts of the whole society, let us join hands to build a healthier and better China.