Summary of work of the Discipline Inspection Office

Correcting the unhealthy trend that harms the interests of the people is an important part of the work of building a clean and honest government and anti-corruption work. How to solve the problem of harming the unhealthy interests of the people is an urgent task currently facing the party committees and governments at all levels. In recent years, the unhealthy trend of harming the interests of the people in Jinyun County is mainly reflected in the education of unreasonable charges, medical charges, and violations of the interests of farmers.

I. The Forms, Causes and Countermeasures of Unreasonable Charges in Education

1. Forms of expression and causes

At present, there are mainly manifestations of unreasonable fees for education: First, in the compulsory education stage, in the name of holding key classes, experimental classes, and special classes, students are charged and charged. Second, some key Chinese small-scale use of the school's advantages, high-priced recruitment of school students, and some use the school resources to set up branch schools, in order to collect more money. For example, in XX, in the first experimental country of our county, because of the “selection of school fees” for students’ violations, the provincial government’s Office of Corrections and the Provincial Department of Education investigated and dealt with them. The county education director, deputy director in charge and the principal of the school were respectively given administrative warnings and administrative Recorded the punishment. The third is to force the students to sell insurance, pay for lessons, and supplementary materials. Fourth, service charges and surcharges are not standardized. Discounts on teaching aids, learning tools, school uniforms, insurance, etc. are used to issue teacher benefits, and are not returned to students. Fifth, a small number of in-service teachers in the name of counseling, the practice of tutoring, charging students fees. Although the above problems have occurred only in a few schools and units, the social impact is very bad. It must be given high priority and resolutely managed.

The causes of unreasonable charging in education are multi-faceted. There are historical factors as well as realistic factors. There are economic factors as well as social factors, policy factors, and human factors. Generally speaking, it is mainly due to the following aspects: First, insufficient local financial investment. Education is a government act, and finance at all levels is obliged to provide necessary and sufficient financial support for education. In fact, insufficient financial input is a long-standing problem. Insufficient financial investment both plagues and restricts the development of education, and is one of the deep-rooted reasons for the unreasonable charging of education. The government’s investment in education is insufficient, and schools are trying to find ways to charge students and parents. Second, the idea of ​​running a school in a few schools is not correct. In order to expand the influence in the region, some schools go beyond the actual situation, exceed the school's financial resources, and exceed the local financial security capacity. "There is money to do things, there is no money to do things," so the eyes are fixed on the students, the way out is to ask students to pay. Third, the allocation of educational resources is unreasonable. In order to allow children to receive education in a better environment, many parents have to pay the so-called “sponsorship fee” or “job fee” to the school. Fourth, the supervision mechanism is not perfect. The reason why education charges are repeatedly prohibited is that there is a lack of effective supervision and control in the operation of power, leading to an anomie in the operation of the education department and school power.

2, governance countermeasures

The first is to strengthen publicity and education and improve the morality of teachers and teachers. By strengthening publicity and education, we will vigorously promote uprightness and improve the awareness of teachers and staff on strengthening the building of a clean government, correcting the importance of unhealthy trends in the industry, and promoting further improvement in education. The second is to implement government responsibilities and increase investment in education. In accordance with the actual needs of local education development, the government must realistically formulate investment funding standards and put them into place in a timely manner. Priority is given to ensuring the balanced development of compulsory education funds, ensuring that the Chinese small people are all publicly funded, and that all per capita public funds are included in the budget. It is necessary to proceed from reality and seriously study and solve the problem of insufficient investment in school public funds and education debt. It is necessary to intensify supervision and inspection to ensure that the government's investment in education is fully implemented. The third is to reform and innovate the system and deepen the governance of the source. To eradicate the unhealthy trend of unreasonable fees from the source, we must vigorously promote institutional innovation, not only to establish a sound system, but also to effectively strengthen the implementation of the system, and strive to form a system of management, work according to the system, and manage the system. Effective mechanism.

Second, the manifestations, causes and countermeasures of medical charges

1. Forms of expression and causes

The manifestation of medical charges: one is dismembered charges and repeated charges. Dismemberment charges and repeated charges are the most commonly used means of hospital charges. It should be that the five organs of liver, gallbladder, pancreas, spleen and kidney are charged at 90 yuan, but the hospital often removes them from the limbs for a total of 450 yuan. The second is to increase the fees and expand the scope without authorization. For example, the standard for neonatal care is 2 yuan per day, and some hospitals receive 6 yuan; according to the regulations, the charge for anesthesia machines is 9.6 yuan per hour, and some hospitals charge for 16.6 yuan to 30.6 yuan. The third is the self-supporting name. During the inspection, some medical institutions were found to have independent projects and self-standardized fees. For example, a hospital in our county has set a “time-based fee” for the birth of a newborn baby parent. The fee is 400 yuan. The fourth is the medical special one-time consumption of materials over the rate. For example, the disposable infusion set and the disposable 30ml syringe of Jinyun County People's Hospital exceed the price specified by the price department according to the actual purchase price plus the maximum rate of not more than 5%, but the price increase exceeds 10%. Fifth, medical charges are not disclosed. The main reason is that hospitals do have the problem of prescribing drugs, checking more, and charging more for their own interests. Most of the patients do not have the knowledge and judgment of medical treatment. After entering the hospital, they are equal to the doctors. After seeing the illness, the cost is unclear, and there is doubt, which leads to the contradiction between doctors and patients. Taking the hospitalization fee as an example, although the patient has a statement at the time of discharge, the contents include: “hospitalization fee, heating fee, western medicine fee, Chinese herbal medicine, proprietary Chinese medicine, surgery fee, laboratory fee, inspection fee, oxygen fee, medical examination fee, other "The lack of transparency, non-professionals are difficult to find problems from the statement.

The causes of medical charges are: First, the reform of the medical system is relatively lagging behind. After several reforms in medical institutions, the problem of medical separation has not been fundamentally solved. The charges of most medical institutions are linked to the wages and bonuses of employees, and the system has induced arbitrary charges. Second, the financial allocation is not in place. Medical care is a public welfare undertaking that requires the government's financial support and insufficient financial input. It is also one of the reasons for the indiscriminate charging. For example, Jinyun County People's Hospital has more than 400 cadres and workers, and the county finance has invested more than 600,000 yuan in the hospital every year. Third, some medical charges are not adjusted in time. At present, the economy is developing rapidly, and the price increase is high. Some medical fees are implemented for 10 years. The price and material rise factors are not considered. The adjustment of the fees is not timely. As a result, the charges for some medical items are low, and the hospitals have to pay for the fare increase. Fourth, consumer awareness of self-protection is not strong. Since most consumers do not know the specific standards, especially the medical charges, they are often mentally weak and lack self-protection awareness.

2, governance countermeasures

The first is to strengthen the construction of medical ethics. Establish medical staff medical ethics file, medical ethics evaluation system, and adhere to medical ethics evaluation. Carry out the concept of honesty, honesty, and integrity management, and integrate honest service into the daily management of medical and health institutions and industry style construction, so that integrity can be implemented in every aspect of service. The second is to increase the government's financial investment and solve the funding gap for health care. With the development of the society, the hospitals are full of competition and fierce competition. The patient's pursuit is far from the software of Bethune's spiritual service, but the hardware of high-precision "technical power, equipment, and housing facilities." In order to upgrade the grades, the hospital constantly improved the hospital conditions, engaged in basic construction, and purchased large medical equipment. As for the source of funds, the government should increase financial support and solve the funding gap for health care. The third is to actively promote the medical charge publicity system. The medical fee publicity is a sunshine project, and it is also a "people's heart project". Medical institutions must implement the "hospitalization fee list system" and set up a computer-based inquiry system to register the expenses incurred according to the detailed items one by one, increasing the transparency of fees and charges. The disorderly charging behavior is powerless. The fourth is to introduce market competition mechanism. Manage hospitals, operate hospitals, and develop hospitals according to market rules and requirements, actively guide and encourage the development of private hospitals, break the monopoly of public hospitals in the medical service market, and fully compete in hospitals of various natures. Only in this way will the hospital regard the patient as “God”, think about the reform and development of the hospital from the perspective of the patient, expand the medical service market, build a medical service brand, reduce or even eliminate the occurrence of medical charges, and patients will have You may enjoy quality service at a reasonable cost.

1. Forms of expression and causes

The main manifestations of infringement of the interests of farmers: First, the corruption of farmers at the grassroots level was damaged. The person in charge of the individual station and the village cadre use the power in their hands to take various measures to violate the law and violate the law directly or indirectly, infringe on the interests of the peasants, defeat the image of the party, and cause bad influence among the people. According to statistics, from XX to 2019, there were more than 240 cases of violations of discipline and discipline among rural party members in our county, accounting for about 80% of the total number of cases. Disciplinary violations mainly include occupational occupation, infringement of public and private property, corruption of public funds, dereliction of duty, and squandering. Waste, violation of family planning policies, etc. For example, in XX, the county industrial and commercial office had a problem of unreasonable charges to the farmers' cooperatives. The county rectification office promptly investigated and dealt with them, and the main responsible persons were punished with warnings within the party; in 2019, the urban and rural planning and design institute under the county construction bureau violated the regulations. The problem of farmers collecting construction design fees was also investigated and dealt with by the County Correctional Office. The second is the problem of fake and inferior agricultural resources and other farmers. In recent years, due to the lower barriers to entry in the market, the main body of agricultural production and management has increased sharply, while the regulatory power is weak and the means of law enforcement are limited. This has led to the frequent occurrence of pit farmer and agricultural problems such as the production and sale of fake and inferior agricultural materials. For example, in the early days of the county's Ocean, Huyuan and other places, fake seed pit farmers occurred. In addition, many farmers have reported that agricultural production costs have risen rapidly, which has made the hidden burden of farmers more and more serious, which has offset the benefits brought about by the policy of supporting agriculture to a certain extent. Third, the implementation of the “one case, one discussion” fundraising and labor-raising system is not standardized. Raising funds for “one case, one discussion” has become an important way to build rural public welfare undertakings, but it is difficult for farmers to figure out which projects should be undertaken by the government and which projects need farmers to raise themselves. Therefore, the phenomenon of chaos, multi-raising and abuse in implementation is not uncommon. Some villages also violated regulations to raise funds for super standards. In addition, the "one case, one discussion" fundraising and financing program is complicated, the operation is not strong, and the supervision is not in place. Farmers also generally report that "one case, one discussion" is too complicated, and only cadres can understand it, and all cadres have the final say. Fourth, blind construction and damage to the people in the construction of new rural areas. In order to pursue the temporary economic development speed, some towns and villages violated the economic law, disregarded the financial resources and the people, shouldered huge debts, blindly went to projects, set up enterprises, engaged in investment, and built "image projects" and "performance projects." Some also cause unnecessary low-level redundant construction and capital investment. For example, some Chengguan Villages in our county have blindly built the market, but the market has been built but no one cares.

At present, violations of the interests of peasants have been repeatedly banned and revived, seriously affecting the construction of rural grassroots party style and clean government and the building of a new socialist countryside. The reasons for this are not only the problems of cadre style, but also the institutional mechanism. To sum up, there are mainly the following aspects: First, the ideological understanding is poor. Many village cadres and seven eight-station staff have a weak sense of purpose, lacking a correct world outlook, outlook on life, and values, leading to unsatisfactory decision-making and doing things to the detriment of the people. Some for the interests of individuals or small groups, do not hesitate to distort the national policy, play the policy of "scratching the ball." Some use the power to control people, money, things, etc., in violation of the provisions for the department to obtain benefits, there is a phenomenon of competition with the people. For example, in XX, the county's land resources office used the new relocation machine in XX, and asked the relevant villages to give congratulations, including "red packets" or air conditioning. Of course, this behavior was also promptly corrected and investigated by the County Commission for Discipline Inspection. Second, the basic quality is low. The “village official” who has been investigated and dealt with since XX in the county has accounted for nearly 40% of the school. The low level of culture determines that the "village officials" are not strong in their work ability, and they do not pay attention to methods and methods. They like to take pictures of their brains and do not consider the consequences, thus causing violations of the interests of farmers. Third, policy and regulations are lagging behind. Due to the variety of the grassroots winds, the complicated situation, and the constant changes, there are cases where laws and regulations are not perfect or lagging behind, and the lag of legislation has caused many new legal problems in rural areas to be denied. Fourth, the supervision and constraints are weak. Some townships and towns have not yet established a comprehensive, systematic and effective supervision mechanism, and there is a lack of regular and relatively standardized inspections and assessments on the implementation of the responsibility system of grassroots stations and villages. Or the supervisors flow in the form, the superiors lack understanding of the lower-level supervision, the supervision between the levels does not guarantee, the lower levels do not dare to supervise the superiors, and the public supervision and public opinion supervision have a lag. The fifth is to punish the crackdown. Some township party and government leaders did not pay enough attention to the problems of village cadres reflected by the people. They believed that as long as the village cadres can complete their tasks, they are good cadres, and they are not well handled in the relationship between protection and punishment. The problem is numb, even wrapped and protected. On the other hand, the grassroots disciplinary committee has insufficient strength, and there are passive and coping phenomena in the investigation and handling of cases.

2, governance countermeasures

The first is to build a "thought dam". We must do a good job in publicity and education, and urge party members and cadres to firmly establish a correct view of power, interests, and people, so that they do not want to harm the interests of the people, and they are the basic work to solve the problem of harming the interests of the rural people. We will firmly build up the party members' cadres' party, state, and country's ideological defense lines, so that party members and cadres can do things according to law, do things impartially, and effectively solve the problem of inaction and chaos on the issue of treating the interests of the people. The second is to promote "transparent government affairs." Make them unable to harm the interests of the people. Fully implement the construction of the village supervision committee to solve the problem of unsupervised. The village supervision committee personnel should actively collect and analyze the information reflected by the public on the interests of the people, and promptly report to the relevant departments of the county; it is necessary to comprehensively supervise the implementation of the policies and performance of the "two committees" of the village. The third is to innovate supervision methods to solve problems that cannot be supervised. Continue to do a good job of the "performance and style" hotline live broadcast program, insist on solving the practical problems that harm the interests of the people and effective rectification as the focus of the work, and turn the hotline into a "linking bridge" that connects the people with the people, and correct the unhealthy trend of the industry. The "supervisory post", the "service desk" for the people of the people to do practical things, understand the "display screen" of social conditions and public opinion, and resolve the "regulators" of social contradictions. The fourth is the smooth communication channel. Intensify the investigation and punishment of harming the interests of the people. Seriously investigate and deal with cases involving violations of laws and regulations involving agriculture, and use case conferences, public notifications, media exposure, and conduct warning education. We will carry out special governance on the common problems existing in handling cases, and do a combination of point and face, pay equal attention to punishment and prevention, and focus on solving the hot and difficult problems that the people of the people have strongly reflected in different periods to determine the focus of special clean-up.