The medical security system is to solve the poverty caused by illness、Important institutional arrangements for returning to poverty due to illness。Since the implementation of poverty alleviation mission，my country passes basic medical insurance、Disease Insurance、Medical assistance and other systems to promote the implementation of precision poverty alleviation work。"Three -year Action Implementation Plan for Poverty Alleviation (2018-2020)" further refined the specific task of the medical security system in poverty alleviation。2020，my country achieves poverty alleviation; although absolute poverty will be resolved，But there are still relatively poor problems。The Fourth Plenary Session of the 19th Central Committee decided to point out，To "establish a long -term mechanism to solve relatively poor poverty"。After 2020，The functional positioning of my country's medical security system must be changed from poverty alleviation to preventing poverty。

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In recent years，my country has carried out a lot of work in medical security poverty alleviation，accumulated a series of experiences。These experiences reflect how the existing medical security system responds to the special needs of the poor people，It also provides knowledge and bet365 Play online games experience for the construction of a medical security system for the next step。

a，The origin of the regression system of the medical security system。The medical security system has many functions，If the income is re -assigned、Cost control and resource allocation。but，The most fundamental purpose of the medical security system is to resolve the risk of medical expenses，This is the original intention and mission of the medical security system。The medical security system should first complete this job，Consider how to further play other derived functions。Medical guarantee poverty alleviation work through implementation of the poverty -stricken people，It can effectively reduce the burden of medical expenses for the poor，Relieve the risk of medical expenses。This is the origin of returning to the medical security system。

2，The ability to raise funding for the medical security system is important。High -level fundraising capacity is the prerequisite for the level of medical security treatment。Medical Security Funding is not just consumption，More human capital investment，Is the construction of social infrastructure。Current，The actual reimbursement ratio of poor people in many regions can reach 90%。The reason is，The total amount of funds used in the poor increased significantly。This indicates，As long as you have determination，By improving funding capabilities，The medical security system can effectively reduce the burden of medical expenses of the poor and even all citizens。

bet365 best casino games 3，The medical security system should be implemented for classification protection，Ensure that substantial fairness。The core principle of the medical security system, especially the medical insurance system, is，Pay according to ability、Enjoy it as needed。Different medical expenses faced by different people，Need to be different。Low income of poor people，Poor anti -risk ability，Medical security requires high。The medical security system should tilt to the poor，To ensure substantial fairness。The medical security system of various countries in the world also often to special groups (such as the elderly、Children、Low -income groups) Tilt。With the development of the medical security system，Future medical security classification guarantee can be more fine。

4，The medical security system needs to be designed for the bottom system。The core of the design of the bottom system is to reduce the burden of large medical expenses。Regardless of the large medical cost is caused by a one -time diagnosis，Or outpatient minor illness、Cumulative purchases of pharmacies，As long as a certain standard is reached，All belong to a large burden。Large burden standards can vary from person to person，Classification guarantee。The design of the bottom system should be designed by increasing the actual reimbursement ratio or setting up a personal self -payment top line，to reduce the burden of medical expenses of the people, especially the poor。

Although the medical security poverty alleviation work has gained a lot of experience，But there Bet365 lotto review are some shortcomings in practice。One is，The gap between poverty and non -poor medical care treatment is too large，It has led to some non -poor people who use the identity of the poor to enjoy medical security treatment。Two is，Poor Medical Guarantee treatment fragmentation，Medical security policy in some areas of poverty -stricken population stacking bed structure，Although the impoverished medical security treatment has been improved，But it also increases the complexity of the system。Three is，Some regions lack effective constraints on the poor of the poor，As a result of excessive use of some poor people，Especially the hospitalization rate is high。

　　Poverty alleviation for all citizens

With the completion of poverty alleviation mission in my country in 2020，The three -year action plan for poverty alleviation in medical security will also end。but，Uncertainty of the disease itself and medical expenses，Poverty caused by illness、The problem of returning to poverty due to illness will be continued for a long time，Still needed to solve the medical security system。It is different from the current medical security poverty alleviation work.，In the future, the performance of medical security to prevent poverty function should be targeted at all nationals。

First，Improve the ability of fundraising the medical security system，Basic shift from insurance to moderate protection (from a longer -term need to be fully guaranteed)。Current，Employee medical insurance funding ability is sufficient，The number of participants Bet365 lotto review in the country accounts for most urban and rural residents' medical insurance funding capabilities。Urban and rural residents' payment accounts for its disposable income is not high，It must be greatly lower than its tobacco and alcohol consumption、Payment of medical expenses expenses。Urban and rural residents are not capable of payment，Instead, the willingness to pay is not high。This is required to change the voluntary insurance as a compulsory payment。At the same time，It is also necessary to moderately improve the level of medical security treatment，Reduce the risk of national medical expenses。

2，Optimized medical security system design，Make up shortcomings、Tune structure，To prevent poverty more efficiently。One is，The shortcomings of the current medical security system are insufficient outpatient protection treatment。Outpatient minor illness is also an important source of the risk of catastrophic hygiene expenditure，Especially the poor and poor people。For this，To strengthen outpatient treatment guarantee。Two is，Urban and rural residents' Disease Insurance has canceled the ceiling line for the poor，Medical Insurance and Urban -Rural Residents Medical Insurance of employees can also consider gradually canceling the top line，Improve the level of treatment。Three is，​​With the improvement of medical rescue funding capabilities，You can gradually rescue the expenses of the three directory，Expand the scope of protection。Bet365 lotto review Four is，Strengthen the management of national medical behavior。You can consider implementing the category system of the hospitalization disease，Make sure that the disease that can be hospitalized in the first, second and third -level hospitals。Diseases that can be treated at low -level hospitals，Transfer to the higher -level hospital for treatment，Payment of hospitals and patients in accordance with the low -level hospital medical security payment standards。

third，Improve classification guarantee capabilities，Increase protection for high -risk people。Poverty caused by illness is not unique to rural people，Not unique to low -income groups。In the short term，To establish a classification guarantee mechanism，For different income groups，Create different guarantees of guarantee tilt measures。Where，The key is to establish a tilt policy for low -income groups。We must focus on strengthening the construction of a poverty -stricken medical assistance system for disease expenditure。For example，Families that can be rescued by families with high income higher than low income lines but deducting rigid medical expenses than low -income.。In the middle and long term，With the improvement of medical security funding capabilities，It can be established for all citizens' pocket guarantee mechanisms，Personal payment of personal fees。

　　(Author Unit: School of Public Management, Huazhong Normal University)