Investment in health reform has exceeded expectations for three years and new investment will reach 1,134.2 billion yuan

Three years of new medical reform program to invest 850 billion yuan of the budget, has far from meeting the needs of medical reform. During the Fourth Session of the Eleventh National People's Congress, Minister of Health Chen Wei, Deputy Director of the National Development and Reform Commission, Sun Zhigang, Director of the State Council Medical Reform Office, Vice Minister of Finance Wang Jun, Vice Minister of Human Resources and Social Security Hu Xiaoyi and other leaders of various ministries and commissions On the debut, the reporter asked the reporter on the issue of "deepening the reform of the medical and health system." The first time the medical reform investment has exceeded expectations, the new investment in the three-year medical reform will reach 1.1342 trillion yuan.

Three years of investment will be overfulfilled. Before the "two sessions" this year, some organizations issued 250,000 questionnaires for medical reforms, of which 60% said that "they did not feel the changes brought about by the medical reform." However, the Medical Improvement Exhibition did not "have no feeling" as most people think. From the data that has been published so far, it is not difficult to find that medical reform has actually achieved more than expected results.

Wang Jun, deputy finance minister, said that in 2009 the medical reform plan was announced, and it was decided to complete the five key reforms of medical and health care in three years. At that time, if the safeguard reform was in place, the financial authorities at all levels in China would need to increase input by 850 billion yuan, including the central government. To increase the investment of 331.8 billion yuan. According to current statistics, the fiscal health investment in the past three years has reached a level of one year. In 2009, it exceeded 300 billion yuan. In 2010, it exceeded 400 billion yuan, and in 2011 it will exceed 500 billion yuan. The budgetary arrangements for medical reforms that have been announced in 2011 are 536 billion yuan. From the total point of view, the three-year investment will be exceeded.

On the other hand, the increase in government health investment has also been higher than the increase in recurrent financial expenditures, and it has met the requirements of medical reform programs. Wang Jun said that in fact, since 2003, the proportion of government investment in the total health expenditure has been increasing. From 2003 to 2009, a total increase of 17 percentage points, of which the government investment ratio in total health expenditure in 2009 In 2008, it increased by 2.5 percentage points. From 2006 to 2010, the central government spent on health care from 142.1 billion yuan to 447.5 billion yuan.

The increase in government investment also means a corresponding decrease in the proportion of the individual’s burden.

According to statistics from the Ministry of Finance, in the past three years, subsidies for medical insurance for urban residents at various levels reached more than 46 billion yuan, plus subsidies for the employee medical insurance system, reaching 106.8 billion yuan in three years. Financial departments at all levels have increased subsidies for the medical insurance system and have also driven the growth of medical insurance revenue. In 2009, medical insurance for urban employees and medical insurance for residents increased by 63 billion yuan, and last year it increased by 58.6 billion yuan. With the continuous increase of government public service investment, the proportion of personal spending on social needs has decreased significantly. The proportion of personal health expenditures to total expenses has dropped from 60% in 2001 to 38.2% in 2009.

From the perspective of the ratio, the proportion of financial investment in health care as a percentage of total fiscal expenditure has also increased year by year. From 4.57% in 2008 to 5.35% in 2011, it has increased by 0.78 percentage points, with an average annual increase of 0.2 percentage points. Among them, the proportion of health expenditure to the central government expenditure has also increased from 2.28% in 2008 to 3.18% in 2011, an increase of 0.9 percentage points, and an average annual increase of 0.3 percentage points. The increase in this proportion shows that the government's investment in health care reform is also strong. It is strengthened year by year.

According to Hu Xiaoyi, Vice Minister of Human Resources and Social Security of the 1,260 million people covered by basic medical insurance, China’s three basic medical insurance systems have covered more than 1.26 billion people and are moving toward the goal of universal health care.

In 2010, China’s per capita GDP reached 4,481 US dollars. According to the World Bank's classification criteria, it has entered the ranks of upper middle-income countries. With the deepening of the medical improvement process, China has become the country with the largest population covered by basic medical security. Among them, the number of medical insurance for urban employees and medical insurance for urban residents reached 432 million, an increase of 213.5% compared with 2005; the number of new rural cooperative medical cooperatives reached 834 million, and the participation rate of new rural cooperative medical care was 96.3%.

In terms of expanding the coverage of health insurance, the number of urban residents participating in the insurance increased by 114 million in the past two years. In terms of raising the level of protection, the total expenditure on medical insurance and resident medical insurance for employees rose by 71.3 billion yuan in 2008 compared with 2008, and increased by 73.7 billion yuan last year. Focused on resolving a number of outstanding issues left over by history, and focused on solving the 8 million state-owned bankruptcy enterprises and other retirees from closed-down bankruptcy enterprises, and included them in basic medical insurance. It can be said that at present, the basic medical insurance system covering all urban and rural residents in China has taken shape.

The three basic compensatory channels of the basic medicine system are basically clear. At the same time, it is recognized that the most difficult hard bone in the five key tasks in medical reform is the basic cost-based compensation for basic medicines. The first is the financial input, which is mainly used for primary health care. Institutional infrastructure construction, basic operations, and compensation for basic personnel expenses. Second, the funds for equalization of basic public health services will be raised to 25 yuan per capita this year, and some of them will be reasonably compensated to grassroots medical and health institutions through performance appraisal. The third is the outpatient co-ordination of the new rural cooperative medical care, urban residents, and basic medical insurance for urban workers. The past registration fees, medical treatment fees, injection fees, etc. are combined into a one-off medical treatment fee of about 10 yuan, and most of them are covered by basic medical insurance.

Sun Zhigang, director of the State Council's Medical Reform Office, revealed that at present, 60% of grass-roots medical institutions in the country have implemented a basic medicine system. These three compensation channels are combined and the operation of basic medical and health institutions should be guaranteed. At the same time, measures will be taken this year to further strengthen the construction of a three-tiered medical network. Through the reform of the primary medical system, the strengthening of the basic medical system, and the strengthening of the basic medical team, the service capacity of the county's rural and tertiary medical and health networks will be further enhanced. This year, the fundraising level of the basic medical insurance system such as the New Rural Cooperative Medical System will be further enhanced, and thus the income from basic medical and health institutions will also increase accordingly.