China's rural NCMS policy has always been one of the important safeguards to provide basic medical security for farmers. Every year, farmers are required to pay a certain amount of premiums to the NCMS to ensure that they can enjoy basic medical security when they need medical services. Recently, however, there has been a "reversal" of the situation, in which villagers used to compete to pay the NCMS fees have now become unpopular, and even if the village cadres urge them to do so, it has no effect. What the hell is going on?To understand this problem, we first need to understand the basic situation of the NCMS policy. The NCMS policy was implemented in 2003 to solve the problem of difficult and expensive medical treatment for farmers. According to the policy, farmers need to pay a certain amount of premiums to the administrative village or rural cooperative medical agency every year in order to enjoy the basic medical security provided by the government. In the early days of the policy, due to the publicity of the NCMS policy and the urgent need for medical security, farmers were enthusiastic about the NCMS policy, paid premiums one after another, and actively used the NCMS medical services.
As time passed, farmers' enthusiasm for the NCMS policy gradually cooled. First, some farmers have doubts about the quality of medical services provided by the NCMS. Due to some management problems in the implementation of the NCMS policy, farmers have encountered some inconveniences and dissatisfaction when using the medical services of NCMS, such as long waiting times and poor medical environment. The existence of these problems has led some farmers to doubt the practical benefits of the NCMS policy. Some villagers have doubts about how premiums are paid under the NCMS. In the past, the premium payment of NCMS was collected directly from farmers by village cadres, but there were some opaque situations in this process. Some village cadres will ask farmers to pay additional fees, and some will even keep these fees for themselves. In this case, the peasants have become a burden to pay the premiums, and they cannot confirm the whereabouts of the premiums they have paid, so they have become resistant to paying the premiums.
Some farmers have questions about the scope of NCMS' medical coverage. The scope of medical insurance under the NCMS policy is relatively narrow, and many serious illnesses and high medical expenses are not covered. Some farmers believe that they will not be able to get adequate health protection even if they pay premiums, so they are no longer willing to pay premiums. This mentality has undoubtedly had a negative impact on the promotion and promotion of the NCMS policy. Solving this problem is not easy and requires a multi-layered approach. First of all, it is necessary to increase the publicity of the NCMS policy, so that farmers can understand the relevant information of the policy, including the transparency of premium payment, the quality and coverage of medical services, etc. By increasing the transparency and credibility of the policy, farmers can have a sense of trust in the NCMS policy and are willing to take the initiative to participate in it.
It is necessary to further improve the quality of medical services in NCMS and improve farmers' satisfaction with the policies. Strengthen the management and supervision of NCMS service institutions to ensure the convenience and timeliness of medical services. The level of service can be improved by increasing the number of medical personnel and improving medical facilities, and the professionalism of medical personnel can also be improved through training, so as to improve the service awareness of farmers. Finally, it is necessary to improve the scope of the NCMS policy and expand the medical security that farmers can enjoy. We can consider increasing the investment in NCMS and improving the level of policy protection. In addition, new models of medical insurance can also be explored, such as the establishment of a hybrid model of policy and commercial insurance, to increase the coverage of medical insurance.
In short, we need to analyze the phenomenon of "reversal" of NCMS payment and start from improving all aspects of the NCMS policy to solve farmers' dissatisfaction and resistance to the policy. Only through continuous efforts can the NCMS policy really play a role and provide farmers with reliable medical security.