Summer practice report about public medical insurance
Summer practice report about public medical insurance
Referring to the public health insurance in rural areas, the author immediately thought of the "SARS" that swept through the land of China in 2003 and still have a lingering fear. At that time, the village where the author was located and the villagers in the surrounding villages spontaneously organized a patrol team. The villagers were sent to the village and the flow of outsiders was strictly forbidden. The author left a deep impression. At that time, the author thought, when the rural public medical insurance can only be implemented to the interests of farmers, when the rural public medical insurance will truly serve the farmers.
In the author's village and surrounding villages, the reform of the rural public health system began three or four years ago. The reform merged the former barefoot doctor or village clinic into a large medical point. "In principle, one village and one room. Resolutely put an end to the phenomenon of multiple villages and villages. For a village where a township health center is located, a natural village is divided into two or more administrative villages, and one of the administrative villages has a health room, and a natural village is divided into two or more administrative villages, or There is no sanitation room in the village within 1 km from the township health center.” “Village clinics and village doctors who are temporarily reluctant to be integrated into the management must be included in the regional health plan, and the village clinic should meet the requirements of the clinic. The village doctor must have the corresponding qualifications and be subject to the management and supervision of the health administrative department and the township health center.” But the problem has followed, first of all, whether the establishment of the village clinic meets the local regional health plan becomes a big problem. After the reform, the new health centers are generally located in larger villages, which brings inconvenience to the village names in other villages, especially in the face of sudden The situation highlights the inconvenience of the new system. The post-reform work style of work has also made many rural doctors feel uncomfortable. This is one;
Second, "According to the "Regulations on the Administration of Medical Institutions" and the "Basic Standards for Medical Institutions" and other relevant regulations, the practice site may not be arbitrarily changed without approval. As a village doctor, medical services can only be carried out at approved practice sites, not in their own homes. Or infusion at the patient's home, the so-called 'Taro's practice', even if it is a free service, it must not violate the regulations." This is in the 60s and 70s, when the rural doctors became the core of rural medical care, the original medical system was very large. The impact of the original system, doctors and villagers have a natural relationship because of the relationship with the village. After the reform, this relationship was broken. Although the original system has many shortcomings, the farmers generally do not adapt to the reform. The difficulty of new medical reform;
Third, with the development of rural economy and traffic conditions, coupled with the serious phenomenon of empty drug prices and the sale of counterfeit drugs in individual villages, many farmers began to process daily necessities and check-in hospitals, thus bypassing rural public health. Link.
The interaction between these three points has led to the division and integration of village clinics, which has made the path of rural medical insurance reform even more tortuous.
Regarding the rural medical insurance business, some places have implemented the village-run medical charging system, that is, the people collectively run health centers, collective investment, independent accounting, and capital preservation operations. In my opinion, this is the way to achieve collectivization in rural medical insurance reform. The author does not disapprove of this path, but expresses personal worries. The author believes that it is more difficult to implement medical insurance like collective investment. Under the influence of rural economic ability and ideological concepts, taking medicine injections is a personal matter. Under the existing conditions, it is difficult to persuade farmers to implement such collectivized medical insurance methods. Of course, in economic conditions and fast-changing concepts. This possibility is greater in the region.
Rural and urban - rural cities and urbanized rural areas - the chain of engulfing and anti-swallowing
Regarding urbanization, I believe that no one can deny its infinite power. In rural areas, the traces of urbanization have become more and more obvious with the development of these years: in the case of Baipiao Village, the roads in the village have hardened. Street lamps have also been installed in the village. The surrounding rigs and power plants are all around. From the opposite side, almost all the trees in Baipiao Village have been cut down. Although this is not a road that must be taken on urban roads, It has already become a negative sign of urbanization.
What will happen to China's future countryside? This may be the most worrying issue, because the rural area is China's weakest link, and the development direction of the countryside in the next 50 years and 100 years directly restricts China's development. The author thinks that building a rural city is not a good shortcut. Although it is only a reverse and combination of word order in urbanized rural areas, it has a world-wide difference in the nature of urbanization. Academician Zhou Canjun of the two academies analyzed in a book that "the current peasants within the city area are generally divided into two situations: one is the urban village that has been included in the built-up area in urban construction; the other is the village within the city area. These two are the most closely related parts of urbanization. Among the more than 660 cities in the country, the urban villages account for about 10% of the urban population, and about 300 million farmers in the city. This part was originally in the city. People at the door, if they are not considered in the planning and development, will leave many problems. The peasants who come out to work are actually a kind of spontaneous urbanization of the peasants. The wage earners have one foot in the countryside and one foot into the city. Urbanization is a great contribution and a major innovation in China's urbanization." Zhou's analysis can be described as refined. In the Bai Piao Village where the author is located, the outflow of young people has become a major problem that plagues the village. After nine years of obligation Most of the young people who have not completed the nine-year compulsory education in education have gone to work in the city. They only return to the village during the annual leave and the eleventh. The small white floating village is now small and the number of households is getting less and less. The men and women of the age of marriage are almost always selected to stay in the city. The population in the village of Bai Piao is now a middle-aged population. The elderly population and children account for a large part of the population of the village. The “going away” and “returning” of rural children have begun to plague the rural areas that were previously unable to go out. Here I have to mention the marital status of rural youth: young men who work in the city are stable, usually buy buildings in the city, and others who build houses in the village are generally engaged in transportation, aquaculture, scale animal and plant breeding. There are very few simple farming at home, which has become synonymous with nowhere in the countryside. The house is a must-have for rural wives, so preparing the house has become the most important thing in rural pre-marital life for young men. Through this generation of wage earners, the countryside is basically moving toward small towns and cities. .
In the goal of peasants' well-off society, the author wants to put forward some small opinions. Our well-off standards consistently emphasize how much per capita GDP, etc., and mention less about the spiritual aspect. According to the author, in many rural areas, people This is not the case. Many people think that it is only a way to stop farming. In other words, farmers are yearning for an urbanized lifestyle, which is reflected in the peasants’ expectations for education. To a certain extent, the purpose of peasants for their children to go to school is very clear. Let the children go out of the countryside and stop working hard for thousands of years of hard work in the loess, but now education does not directly achieve this goal of the peasants, although education No one can ignore the role. Education, especially university education, is only a dream of a very small number of people in rural areas. According to an article by a professor at Tsinghua University cited by the Economic Observer, the number of children born in rural areas in the recent survey of college freshmen It is rising, but the overall proportion is declining. This has to attract the attention of the society. After all, going out of school and going out of the city to settle in the city is also a road to urbanization, but it is a road with high cost and many variable values.
Referring to the public health insurance in rural areas, the author immediately thought of the "SARS" that swept through the land of China in 2003 and still have a lingering fear. At that time, the village where the author was located and the villagers in the surrounding villages spontaneously organized a patrol team. The villagers were sent to the village and the flow of outsiders was strictly forbidden. The author left a deep impression. At that time, the author thought, when the rural public medical insurance can only be implemented to the interests of farmers, when the rural public medical insurance will truly serve the farmers.
In the author's village and surrounding villages, the reform of the rural public health system began three or four years ago. The reform merged the former barefoot doctor or village clinic into a large medical point. "In principle, one village and one room. Resolutely put an end to the phenomenon of multiple villages and villages. For a village where a township health center is located, a natural village is divided into two or more administrative villages, and one of the administrative villages has a health room, and a natural village is divided into two or more administrative villages, or There is no sanitation room in the village within 1 km from the township health center.” “Village clinics and village doctors who are temporarily reluctant to be integrated into the management must be included in the regional health plan, and the village clinic should meet the requirements of the clinic. The village doctor must have the corresponding qualifications and be subject to the management and supervision of the health administrative department and the township health center.” But the problem has followed, first of all, whether the establishment of the village clinic meets the local regional health plan becomes a big problem. After the reform, the new health centers are generally located in larger villages, which brings inconvenience to the village names in other villages, especially in the face of sudden The situation highlights the inconvenience of the new system. The post-reform work style of work has also made many rural doctors feel uncomfortable. This is one;
Second, "According to the "Regulations on the Administration of Medical Institutions" and the "Basic Standards for Medical Institutions" and other relevant regulations, the practice site may not be arbitrarily changed without approval. As a village doctor, medical services can only be carried out at approved practice sites, not in their own homes. Or infusion at the patient's home, the so-called 'Taro's practice', even if it is a free service, it must not violate the regulations." This is in the 60s and 70s, when the rural doctors became the core of rural medical care, the original medical system was very large. The impact of the original system, doctors and villagers have a natural relationship because of the relationship with the village. After the reform, this relationship was broken. Although the original system has many shortcomings, the farmers generally do not adapt to the reform. The difficulty of new medical reform;
Third, with the development of rural economy and traffic conditions, coupled with the serious phenomenon of empty drug prices and the sale of counterfeit drugs in individual villages, many farmers began to process daily necessities and check-in hospitals, thus bypassing rural public health. Link.
The interaction between these three points has led to the division and integration of village clinics, which has made the path of rural medical insurance reform even more tortuous.
Regarding the rural medical insurance business, some places have implemented the village-run medical charging system, that is, the people collectively run health centers, collective investment, independent accounting, and capital preservation operations. In my opinion, this is the way to achieve collectivization in rural medical insurance reform. The author does not disapprove of this path, but expresses personal worries. The author believes that it is more difficult to implement medical insurance like collective investment. Under the influence of rural economic ability and ideological concepts, taking medicine injections is a personal matter. Under the existing conditions, it is difficult to persuade farmers to implement such collectivized medical insurance methods. Of course, in economic conditions and fast-changing concepts. This possibility is greater in the region.
Rural and urban - rural cities and urbanized rural areas - the chain of engulfing and anti-swallowing
Regarding urbanization, I believe that no one can deny its infinite power. In rural areas, the traces of urbanization have become more and more obvious with the development of these years: in the case of Baipiao Village, the roads in the village have hardened. Street lamps have also been installed in the village. The surrounding rigs and power plants are all around. From the opposite side, almost all the trees in Baipiao Village have been cut down. Although this is not a road that must be taken on urban roads, It has already become a negative sign of urbanization.
What will happen to China's future countryside? This may be the most worrying issue, because the rural area is China's weakest link, and the development direction of the countryside in the next 50 years and 100 years directly restricts China's development. The author thinks that building a rural city is not a good shortcut. Although it is only a reverse and combination of word order in urbanized rural areas, it has a world-wide difference in the nature of urbanization. Academician Zhou Canjun of the two academies analyzed in a book that "the current peasants within the city area are generally divided into two situations: one is the urban village that has been included in the built-up area in urban construction; the other is the village within the city area. These two are the most closely related parts of urbanization. Among the more than 660 cities in the country, the urban villages account for about 10% of the urban population, and about 300 million farmers in the city. This part was originally in the city. People at the door, if they are not considered in the planning and development, will leave many problems. The peasants who come out to work are actually a kind of spontaneous urbanization of the peasants. The wage earners have one foot in the countryside and one foot into the city. Urbanization is a great contribution and a major innovation in China's urbanization." Zhou's analysis can be described as refined. In the Bai Piao Village where the author is located, the outflow of young people has become a major problem that plagues the village. After nine years of obligation Most of the young people who have not completed the nine-year compulsory education in education have gone to work in the city. They only return to the village during the annual leave and the eleventh. The small white floating village is now small and the number of households is getting less and less. The men and women of the age of marriage are almost always selected to stay in the city. The population in the village of Bai Piao is now a middle-aged population. The elderly population and children account for a large part of the population of the village. The “going away” and “returning” of rural children have begun to plague the rural areas that were previously unable to go out. Here I have to mention the marital status of rural youth: young men who work in the city are stable, usually buy buildings in the city, and others who build houses in the village are generally engaged in transportation, aquaculture, scale animal and plant breeding. There are very few simple farming at home, which has become synonymous with nowhere in the countryside. The house is a must-have for rural wives, so preparing the house has become the most important thing in rural pre-marital life for young men. Through this generation of wage earners, the countryside is basically moving toward small towns and cities. .
In the goal of peasants' well-off society, the author wants to put forward some small opinions. Our well-off standards consistently emphasize how much per capita GDP, etc., and mention less about the spiritual aspect. According to the author, in many rural areas, people This is not the case. Many people think that it is only a way to stop farming. In other words, farmers are yearning for an urbanized lifestyle, which is reflected in the peasants’ expectations for education. To a certain extent, the purpose of peasants for their children to go to school is very clear. Let the children go out of the countryside and stop working hard for thousands of years of hard work in the loess, but now education does not directly achieve this goal of the peasants, although education No one can ignore the role. Education, especially university education, is only a dream of a very small number of people in rural areas. According to an article by a professor at Tsinghua University cited by the Economic Observer, the number of children born in rural areas in the recent survey of college freshmen It is rising, but the overall proportion is declining. This has to attract the attention of the society. After all, going out of school and going out of the city to settle in the city is also a road to urbanization, but it is a road with high cost and many variable values.
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