I don't know if you've ever thought about where the expenses behind the free vaccination of COVID-19 vaccine in hospitals and community health stations come from.

public hospitals pay wages in arrears because of the epidemic, but they give money for vaccination?

On July 19th, Zhen 'an District Hospital in Dandong City was exploded. Due to the epidemic situation, the outpatient income was poor, and the hospital staff were in arrears for five months.

Dandong, as a border port city, faced with the epidemic situation, both inside and outside should be strictly guarded against and strictly prevented, and the economy is under great pressure.

according to official website, Dandong municipal government, from January to May, 222, the general public budget revenue was 3.15 billion yuan, down 8.1% year-on-year, ranking eighth in the province. Among them, the tax revenue was 1.77 billion yuan, down 25.4% year-on-year, ranking 14th in the province.

Due to the impact of the epidemic, the economy in many places has declined and the pressure has increased. As a result, some factories and enterprises have stopped production, which has led to bankruptcy and the youth unemployment rate has been rising. Many places need to tighten their finances.

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However, in many places, in order to encourage residents to get vaccinated in COVID-19, the method of giving rewards for vaccination is implemented.

For COVID-19 vaccine, the state emphasizes "voluntary vaccination", and some elderly people need to sign a "consent form" before vaccination to ensure that it is voluntary vaccination.

Because of the principle of voluntariness, there are always people who are unwilling to get vaccinated. However, there are "indicators" of the number of people vaccinated in local and community areas. So I thought about completing the task explained above through some "operations".

Some residents' committees go to the door to persuade the elderly to "voluntarily" vaccinate when their children are not at home; In some communities, compulsory measures are taken, and residents' insurance is directly suspended if they are not vaccinated.

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But after such a thing is exposed, it will inevitably lead to widespread controversy, and it also violates the rights of citizens. At present, the prevention and control of epidemic situation is very important, and for fear of getting into trouble, the local authorities simply give up some money in order to be comprehensive. So there are all kinds of incentives.

rewarding money is the most practical. For example, in Shajing, Shenzhen, as long as they are elderly friends over 6 years old who have not received the first dose of COVID-19 vaccine, they will be rewarded with cash from 1 yuan for vaccination. But for some pragmatic elderly people, there may not be rice, oil and salt to impress people. For example, Dayuan Village, Baiyun District, Guangzhou, has been rewarded with vaccination and oil, rice and solatium.

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Then the question is coming. Where does the money behind free vaccines and rewards come from in the current economic downturn?

The wool is on the sheep

According to the official of National Health Commission, as of July 21st, the country reported a total of 3,415,934, doses of Covid-19 vaccine. Although with the price reduction of vaccine companies, manufacturers first reduced the purchase price to about 9 yuan/dose, and then gradually reduced it to 4 yuan/dose and 2 yuan/dose, even though the price of single dose vaccine decreased, on the whole, it was still a huge amount.

where did the money come from and where did it go?

the answer is, from our medical insurance fund and the taxes paid.

the basic medical insurance fund consists of two parts: the social pooling fund and the individual account, which are paid by the employer and the individual employees in a certain proportion.

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Taxation is the most important form and main source of revenue in modern countries. Regarding this expenditure, the state finance will also bear part of it.

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So in the final analysis, wool is always pulled out from wool. We always pay for the free vaccines, the free nucleic acids and the free medical services we have experienced.

Is it reasonable to send rewards?

Vaccination and nucleic acid preparation are for the sake of our own health and safety. However, in some places, rewards are used to entice people to "voluntarily" vaccinate for their own indicators, and even staged performances at inoculation sites, which inevitably wastes people and money. Is this appropriate?

Some netizens commented on this.

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In fact, medical insurance funds are not endless. In the pre-epidemic era, medical insurance has been subsidizing our medical services, and our income and expenditure are in a dynamic balance, reducing the economic pressure when we are seriously ill and need to spend money on treatment.

However, the contradiction between the high-intensity expenditure of the medical insurance fund and the economic recession in the three years after the epidemic, the water in the "pool" of the insurance fund will inevitably decrease. If there is less water, turn down the tap, but in the post-epidemic era, epidemic prevention can't be relaxed, and something else needs to be turned off. For example, reduce reimbursement of drugs.

Recently, Beijing Medical Insurance Bureau has deleted 141 non-national medical insurance drugs from Beijing Medical Insurance Drugs List.

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Who won't get sick? Who hasn't been sick around? No matter how big or small, you have to go to the hospital when you are sick, and you have to prescribe medicine. Now, prices have risen sharply, and many people sigh in front of the hospital's payment desk. These removed medicines include 7 western medicines and 71 Chinese patent medicines, including many medicines commonly used by the elderly to treat hypertension, including antibiotics, and even cold medicines for children .......................................................................................................................................

On the one hand, you can't make ends meet, and on the other hand, you can get a generous reward, which is overdrawing your future security.

a grain of sand in the era is a mountain when it falls on the head of an ordinary person. In the face of the epidemic, we must not relax and still strictly prevent and control it. But can we strictly supervise the unreasonable behavior in detail handling?

after all, no one knows whether the wheel of fate will run over us in the future.