From January 1, 2013, Nanjing will cancel the publicly funded medical system.

This is the last city among Jiangsu's 13 prefecture-level cities to announce this reform.

When Nanjing announced the cancellation of this benefit on December 8, it did not cause any ripples in the civil service system.

Yan Wenwen, deputy director of the General Office of the Nanjing Municipal Party Committee, said at the meeting that this is a "self-revolution" to clarify the relationship between the government and the market and transform the government's functions.

This reform that has been "in the making for a long time" in Nanjing also confirms a general trend. The publicly funded medical system will gradually withdraw from history and be replaced by universal medical insurance.

Eighty percent of provinces and cities across the country have canceled publicly funded medical care. “To be honest, the publicly funded medical care system has played a certain role in history, but with the development of the market economy, its shortcomings have become more and more prominent.” Chen Jianning, deputy director of the Nanjing Municipal Human Resources and Social Security Bureau, said at the meeting that day

admitted at a press conference.

Talking about the disadvantages of public medical care, the director of the financial department of a university in Nanjing told reporters that due to historical reasons, the medical insurance of a general-level cadre with outstanding military exploits was placed in the school. The large amount of medical expenses consumed every year seriously squeezed out the rest of the school.

Quota for faculty and staff.

“We have had to invest huge sums of money in recent years to purchase commercial insurance for faculty and staff to compensate,” said the above-mentioned finance director.

In 1994, the state decided to launch an employee medical insurance system. Jiujiang, Jiangxi Province, and Zhenjiang, Jiangsu Province were the first cities to be piloted. Commonly known as the "Two Rivers Pilot", it was expanded to 50 cities in the second year, and many cities such as Jiangsu, Suzhou, Wuxi, Nantong, Yancheng, etc. entered again.

"State Councilor Peng Peiyun, who was in charge of this reform, visited Zhenjiang seven times for investigation. It can be said that the country has invested a lot of energy in establishing a medical insurance system for enterprise employees." Chen Jianning said.

In 1998, the State Council decided to launch reforms nationwide.

At the same time, the abolition of publicly funded medical care has become a trend.

However, considering the uniqueness of the country's deployment agencies and military-industrial enterprises that are different from other cities, Nanjing only started piloting it in 2001 and implemented a "dual-track system" at the same time in order to achieve a stable transition.

After Yang Weize came to power in Nanjing, this reform was accelerated as one of the important methods to reverse the gap with the traditional southern Jiangsu economy of Su, Wu and Chang.

“This is mainly due to the gradual improvement of the basic medical system of employee medical insurance, urban residents’ medical insurance, new rural cooperative medical care and poverty relief over the past ten years.” Chen Jianning, deputy director of the Nanjing Municipal Human Resources and Social Security Bureau, said.

As of November 2012, Nanjing's basic medical insurance covered 3.33 million people.

However, Nanjing has a population of about 8 million.

After the abolition of the publicly funded medical system, approximately 200,000 people from government agencies and institutions in Nanjing (mainly concentrated in municipal government agencies and 8 main urban areas) have entered the employee medical insurance system. They will realize unified system policies and insurance coverage like existing employees.

Payment, treatment standards, processing procedures, and enjoy the "same" medical services in future medical visits.

In fact, the abolition of publicly funded medical care is a trend.

By the end of 2011, 24 provinces and cities across the country had canceled this benefit and included civil servants in the employee medical insurance system.

It is reported that Shandong Province has arranged this reform at the end of November.

"Deputy department" and above are not included in "The gradual formation of the institutional framework, the continuous improvement of policy regulations, the increase in the number of insured persons, a slight surplus in fund revenue and expenditure, the improvement of security levels, and the strengthening of management capabilities are the characteristics of the current Chinese medical insurance system." Jiangsu Provincial Health

A person in charge of the department once introduced it to this reporter.

When answering reporters' questions, Chen Jianning also emphasized that according to calculations, the cancellation of municipal-level public medical care this time will not affect the interests of existing employee insurance groups.

According to the reform plan, all the basic medical insurance premiums paid by the insured persons will be transferred to their personal accounts, and the overall fund will be based on the payment base of the current employee (distinguished by age) or a certain amount of the retiree’s last month’s retirement fee (pension).

The proportion will be transferred to the personal account of the insured person on a monthly basis.

However, this reform does not involve the deployment agencies, provincial agencies and provincial-level public institutions in Ningxia due to the attribution of authority.

This newspaper learned that Jiangsu provincial-level public medical care has implemented the "dual prerequisites" of designated hospitals and differential reimbursement for those below the deputy department level, that is, the benefit of 100% reimbursement has been completely cancelled.

As for the "deputy department level" and above, since their cadre management authority is at the provincial level, this newspaper learned that the publicly funded medical system is still implemented, and their treatment locations are generally in high-end wards of various larger hospitals, such as Jiangsu Provincial People's Hospital and Drum Tower.

Hospital etc.

Specifically, those at the deputy department level and above (including retired ones) will generally have an identification card, with which they can go to the hospital for treatment directly, eliminating the need to queue up and other procedures and procedures. The treatment space, medical equipment and medical staff are relatively independent.

, and there are not many restrictions on time.

A person familiar with the matter told reporters that preparations for incorporating the employee medical system into the Jiangsu Provincial Government level are already underway. The current controversy is that those who have retired after participating in the insurance "for men less than 25 years old and women less than 20 years old" "should have a one-time payment according to regulations."

Who will be responsible for making up for the basic medical insurance premiums for employees in the missing years?

This newspaper learned that some provincial units have already made plans for possible reforms. “The current preliminary design plan is to provide a small part of the financial subsidy, part of which is paid by the unit, and part of which is raised by individuals themselves.