Behind the decline in the number of people insured by NCMS
The New Rural Cooperative Medical System, or the new rural cooperative medical system, is a social security system established in China to protect the basic medical rights and interests of farmers.
Since the pilot began in 2003, NCMS has covered nearly 900 million farmers across the country, providing them with basic medical care. However, in recent years, there have been some problems with NCMS, with the number of insured people declining, and even a "wave of severance of diplomatic relations" in some places, that is, a large number of farmers have voluntarily withdrawn from NCMS.
According to the "Report on the Development of Social Security in China (2023)" released by the Chinese Academy of Social Sciences, the number of people insured by NCMS in 2022 will be 8600 million people, down 1. from 2019100 million people, a decrease of 114%。
Why is there a "wave of severance of diplomatic relations" in NCMS?
Xie Zhangshu, deputy director of the Department of Regulation, Finance and Regulations of the National Health Insurance Administration, gave an explanation when he participated in the news program "Three Farmers and Three Farmers" in November 2023. He believes that the basic number of insured people remains stable, and there are two main reasons for the decline
One is".Changes in the structure of participationSome of the flexibly employed persons participate in the medical insurance for urban and rural residents to participate in the medical insurance for employees.
The second is "".The quality of insurance participation has been improvedIn the past, some residents may have participated in the New Rural Cooperative Medical System and urban residents' medical insurance at the same time, and some residents participated in the residents' medical insurance in multiple places. **Reasons behind the decline in the number of participants in NCMS.
In addition, there are other deeper reasons for the emergence of the "wave of severance of diplomatic relations" of NCMS:
NCMSCharges changeHigh,Some families can't afford it
Although NCMS is a social security system, its funds are mainly subsidies and individual contributions, and the proportion of subsidies is not high, and the burden of individual contributions is also heavier. According to statistics, in 2022, the total amount of NCMS financing in the country will be 286 billion yuan, of which 54 will be subsidized5% and 45 for individual contributions5%。
In 2024, the individual payment standard for NCMS is 380 yuan per person per year. This is an increase of 30 yuan from last year's 350 yuan. However, the economic affordability of ordinary families is limited, and some data show that the number of people with a monthly income of less than 1,000 yuan in China is as high as 600 million.
sectionFarmersto NCMSCognitionNot enough
Although NCMS has been implemented for nearly 20 years, many farmers still lack full understanding and awareness of it. They do not have a clear understanding of the policies, rights and interests protection, and participation methods of NCMS, and they believe that they are young, will not get sick, and there is no need to participate in the insurance. As a result, their participation and enthusiasm for NCMS are not high, and some farmers even believe that NCMS is a mandatory fee rather than a voluntary guarantee.
It can be seen,There are many reasons for the emergence of the "wave of severing diplomatic relations" in NCMS, and it is necessary to start from various aspects in order to effectively solve this problem and allow more farmers to enjoy the benefits and guarantees brought by NCMS. What do you think of the "wave of severance of diplomatic relations" in NCMS? You may wish to share your views under the One Mu Field app service.