Public funds, medical insurance, at their own expense. Three different kinds of treatment patients wish to

"The public funds, medical insurance, at their own expense?" Generally, go to the hospital's patients will be asked whether such a registered member. Members which are registered in a different color of paper prescription, in his capacity to distinguish between three different patients, that is, public health, medical insurance, medical persons at their own expense. In an interview with reporters in recent days, it was found that three types of medical treatment of patients with different state of mind, their medical system reform has different sensitivity. The cause of the difference is rooted in the present three different kinds of "pay" system - public health, medical insurance, medical insurance at their own expense, the health care system. Patients with public health services: pay no attention to drug prices, only the best selection of "more than 900 yuan a month of medication, but the reimbursement of drugs, their own little money, I do not really concerned about medical reform program." In Beijing's Chaoyang Hospital medicine Zhang Shuzhen patients told reporters. Zhang Shuzhen Chaoyang District, Beijing Huang Zhou is a test of a retired primary school teacher. Huang Zhou Chaoyang District Experimental Primary School is a public institution, the teachers of medical expenses are reimbursed within the framework of public health services. "Do not ask price, only the best selection" of confidence from the public health of the patients "status." According to this system, national authorities, owned institutions in the provision of personnel and retirees, college students, such as health care funding population, according to the provisions of proportion and accountable. Former Labor and Social Security has never been made public to participate in the national public health services the number of reporters that in addition to Taiyuan, in part, the city of Liaoyang, and other civil servants, public institutions have been incorporated into medical insurance system, central ministries, municipalities, provincial authorities and the cause of Units in the whole public health of patients. Huang Zhou's experiment in publicly funded primary health care reimbursement agreement, the reporter met the terms of reimbursement: public health costs out-patients 3,000 yuan more than 5% of its own; below 3,000 yuan, 10% of the self. Maintenance fee of 1,000 yuan more than 3% of its own; 1,000 yuan, 5% of its own. Special inspection costs 200 yuan for more than 10% of its own. "After the reimbursement, I just pay more than 150 yuan in January." Zhang Shuzhen frankly, more than 2000 yuan per month on their pension, more than 150 yuan for medical expenses can afford. "But if not the public health services, we are really too much for these elderly patients." Medicare patients: a small percentage of reimbursement to restrict the number of Medicare patients will not be so lucky, the starting line to pay standards, such as the ratio of reimbursement conditions, their medical condition and Patients have different public health services. Medicare patients refer to participate in the basic medical insurance, basic medical insurance for urban residents, new rural cooperative medical care, migrant workers medical insurance. Mr. Meng is a Beijing institution of retired workers, he said, the whole unit will be retirees to Medicare, the proportion of claims dropped significantly, the types of claims has also been restricted, "medical drugs, was always something to myself." With public funds Medical accountable difference is that the health insurance system by starting to pay line, the line to cap constraints, the Commission to take account of the combined form of reimbursement will be divided into patients with medical insurance fund and co-ordinate individual accounts to pay the two modes. Starting line for reimbursement to pay the cost of personal accounts to be designated, and the starting pay beyond the line between the line to cap the cost of co-ordination by the Fund. Reporters from "Beijing's basic medical insurance" that, out-patient reimbursement from line to pay 2,000 yuan to 20,000 yuan cap lines, to pay 50% of individuals. Starting line for the hospital to pay 1300 yuan, 70,000 yuan for the capping line, one, two, three hospitals, the proportion of individual claims, 15%, 10%, 8% grade, and so on. Clearly, Huang Zhou and the experimental primary health care at public expense reimbursement agreement on the proportion of claims compared to the basic medical insurance system for reimbursement of the terms is not so "affordable." In addition to the percentage of reimbursement, Medicare has set a certain threshold. Mr. Meng said a number of new drugs, treatment techniques not included in the Medicare reimbursement areas, "some of the efficacy of new drugs is better than traditional medicine, medical insurance, but only to protect the most basic treatment, the treatment will have to look at individual economic conditions to the burden The cost of new drugs. "In the Xuanwu District of Beijing Center for Disease Control and Prevention, the reporter met with a family of three came to a hepatitis B vaccine injection of Mr. Yao. And his wife have participated in the basic medical insurance, to the hospital after that medical injections did not have the functions of a hepatitis B vaccine and a preventive vaccine can not be reimbursed. "Needle legislation appropriate Shuangfu of the Joint Vaccine 199 yuan, three-needle injection in general to be effective, together with our medical cost nearly 3,000 yuan." He asked reporters, the preventive health care costs, why not included in the medical insurance reimbursement Areas. The liquidity of the new rural cooperative medical patients, the medical insurance system a bit too. "My son fell, the middle of the night to the hospital, doctors said, have to undergo an operation, but must pay, not pay not to do." Recall the scene when the son of a doctor, farmers in Gansu Province, Wang Mother full of grievances. She said that although there are rural cooperative medical care that they can be less burden on some medical expenses, medical co-operation but a year is reported that the event of serious illness, but at other times less than the money together, can only be pulled. Patients are told reporters heard that medical reform program will be introduced this year, they hope to "increase the percentage of reimbursement to reduce the restrictions, to reduce the proportion of pay." Patients at their own expense: a two-month operation, such as a correspondent in Beijing, Shanxi interview, public health, medical insurance system covering urban workers and residents of large cities in the hospital, the floating population accounts for most of the patients at their own expense. They feel it is common for medical treatment - a city too difficult to seek medical attention. Early in the morning, from Xinjiang to take on Mr. Lin's daughter waited at the Beijing Xuanwu Hospital Neurosurgery Department, waiting. "Beijing more than in January, and now only children diagnosed with the disease." He said, lining up their own registered, disease diagnosis and spent three weeks time. "After the diagnosis still waiting for the surgery, doctors said may be a month or two after it." "We hope that the Government will reduce the cost of health care." Mr. Zhou in Beijing, general manager of a securities company, often with children in Beijing children's hospital . "Although medical treatment for children, parents do not care about money, but medical expenses are too high." He told reporters that his daughter was diagnosed with acute tonsillitis, a medical expenses more than 2,000 of these costs to their all-out. (Reporter: Liu Xiang Xiao Liang-liang had interns: Yan Song)