190 1. In the countries where people usually mention free medical care, such as Canada, the United Kingdom, Russia and other countries, all citizens can indeed receive basically free treatment without paying medical insurance premiums, but they still need to pay certain fees when seeing a doctor, such as registration fees.

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2. In the UK and Canada, medical services outside the insurance catalog also have to be paid for out of pocket.

Free medical care in these countries refers to basic medical services. The government pays a large part of the money, and each insured person also pays part of the money in the form of taxes.

3. Medical insurance system refers to a system in which a country or region raises, allocates and uses medical insurance funds in accordance with insurance principles to solve the problems of disease prevention and treatment for residents.

It is an effective financing mechanism for residents' medical care and a relatively progressive system that constitutes the social insurance system. It is also a health expense management model that is widely used in the world.

4. The establishment of social insurance systems in Western countries mostly started from medical insurance.

Medical insurance began with the Labor Disease Insurance Act promulgated in Germany in 1883, which stipulated that workers in certain industries whose wages are less than the limit should be forced to join the medical insurance foundation, and the foundation compulsorily collects contributions from workers and employers.

5. China's medical security system can be divided into urban medical security system and rural cooperative medical security system according to the recipients.

Rural cooperative medical care originated from the "medical cooperatives" in the Shaanxi-Gansu-Ningxia Border Region in the 1940s. By 1979, more than 90% of production brigades across the country had established cooperative medical care.