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Suggested measures for establishing and improving the medical insurance system for urban residents


Over the years, especially in recent years, the party and the government have attached great importance to medical and health work and have taken measures to increase their efforts in various aspects. However, the current problem of "difficult to see a doctor and expensive to see a doctor" is still a prominent problem that the people are most concerned about and most strongly reflected. Therefore, establishing a basic medical insurance system for urban residents is an important task for improving people's livelihood.
First, the establishment of a basic medical insurance system for urban residents is a major event. In the past year or more, relevant departments have conducted in-depth investigations and studies, and extensively solicit opinions from various quarters. Some cities have also conducted preliminary explorations. It can be said that the basic principles and main policies determined by this pilot are the result of brainstorming from all walks of life, the concentrated expression of the will of the people, and the induction of preliminary practical experience. However, China's social and economic development is uneven and geographically different. Whether these principles and policies have universal applicability, they must be tested by practice. Therefore, it is necessary to carry out pilot projects, verify policies, improve systems, and rationalize the system; then gradually expand the pilot, re-verify, refine, and rationalize; eventually form a reasonable financing mechanism, a sound management system, and a standardized operational mechanism. Institutional stereotypes, stability and sustainability.
Second, it is a good thing to establish a basic medical insurance system for urban residents. The institutional arrangements for basic medical insurance for urban residents must be implemented in policy standards. We must proceed from the basic national conditions of our country and the actual conditions of each region, and insist on starting from a low level. According to the level of economic development and the ability to withstand all aspects, we must reasonably determine the level of financing and the standard of protection, and focus on ensuring the medical needs of major hospitalizations such as hospitalization, and gradually improve with the economic development. The level of protection. This institutional arrangement will also be implemented in the fund raising and management. The urban residents will voluntarily participate in the insurance payment according to the regulations, and the government will provide appropriate subsidies. Governments at all levels must do their best and do their best, increase the proportion of budgetary expenditures for social security, and ensure that subsidies for urban residents, especially those with difficult families, are fully and timely in place. At the same time, strict fund management ensures the safety of the fund and improves the efficiency of fund use. The money is really used to protect the basic medical needs of residents and improve their health. This institutional arrangement must be implemented in terms of service measures. It is necessary to vigorously promote the construction of urban community health service system, strengthen the construction of community labor security platform, make full use of existing medical insurance management resources, adhere to the people-oriented, focus on facilitating the people, reduce costs, improve efficiency, improve management methods, and make good systems and policies truly Benefit the people.
Third, it is also difficult to establish a basic medical insurance system for urban residents. The more difficult it is, the more you need to strengthen your confidence and explore boldly. It is necessary to explore the methods and mechanisms for effective mobilization, guidance and organization management in view of the complex and less organized characteristics of urban residents. The urban residents' basic medical insurance system should be regarded as an important part of the social security system, and the employees and retirees of the state-owned enterprises and migrant workers should participate in the basic medical insurance for urban workers, accelerate the promotion of the new rural cooperative medical care system, and improve the urban and rural medical assistance system. Work is promoted simultaneously, and the policy linkages of various safeguard systems are well done. It is also necessary to closely integrate the construction of the medical security system with the reform of the medical and health system, strengthen comprehensive support, coordinate and coordinate, accelerate the reform of the medical and health system and the drug circulation system, standardize the behavior of medical services, and effectively reduce the burden of medical expenses for the people.
The XX year just passed is a year of steady and rapid economic development and a year of improving the people's livelihood and achieving important results. Looking forward to 2019, the central government has identified a number of policy measures to improve people's livelihood, and the people of the people will receive more benefits. Efforts to make all the people learn to teach, to earn income, to have medical care, to be old, to live and to live, is an important part of building a harmonious society, and it is also a real action. The cities that have tried the “national health insurance” will include all the urban non-employed residents, such as students, children, and some elderly people. These people are in the “vacuum zone” of medical insurance, and they cannot enjoy medical insurance. Now, with the inclusion of these “marginal people”, a medical insurance system covering all urban residents is being established. Coupled with the existing new rural cooperative medical insurance, it can be said that an era of "all-people medical insurance" in the true sense of accommodating all the people is coming.
Of course, everything is not always smooth, and there is still a lot to go to "national health insurance." Moreover, although the total amount of gdp in China is among the highest in the world, because the denominator of the population base is too large, there are not many people who spread it to the individual. This requires us to spend a limited amount of money on the cutting edge, step by step, and gradually mature.
The establishment of a basic medical insurance system for urban residents has taken a solid first step. We are looking forward to the next step. In addition, all the residents of the city will be included in the medical insurance, and they will truly break the barriers between urban and rural areas. No city or country people, every citizen can fully bathe the rain of medical security.

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