The reason why vaccines are not included in the scope of medical insurance payment is actually based on certain facts. Here, we need to distinguish between medical insurance and public health. Simply put, the prevention, monitoring and treatment of major diseases and infectious diseases belong to the category of public health, including the prevention, monitoring and treatment of epidemic situation in COVID-19. Medical insurance is a social insurance system to ensure the basic medical needs of workers when they are sick.

Judging from their definitions, medical insurance and public health are obviously two different concepts and services. Of course, their sources of funds and payment paths are different. For example, public health funds are allocated by the government, and medical insurance belongs to crowdfunding and mutual assistance. The cost of vaccination is included in the public health fund. It is unreasonable to use medical insurance to reimburse the cost of vaccines, which is equivalent to spending money twice to buy vaccines. Even if all vaccines in COVID-19 are "paid" by the medical insurance fund, it is beyond the affordability of the medical insurance fund. You know, in 20 19, the per capita financing of medical insurance for urban and rural residents is only about that of 800 yuan, which is simply unaffordable.