New Health Care Reform Plan: "Wear New Shoes And Take The Old Road"?

In October 14th, the national development and Reform Commission made public comments on the opinions on deepening the reform of the medical and health system (Draft).

The draft has made clear that the development direction of the medical and health system for achieving the goal of basic medical and health services for all is encouraging.

However, the existing social insurance and medical insurance policies are still mainly based on the combination of units, individuals and the three countries, but the social insurance is integrated into the medical insurance co ordination, and the number of 1 billion 300 million Chinese people insured is only 200 million and 2 million.

The social insurance and medical insurance system of our citizens can not satisfy the social security needs of every citizen.

The draft has basically failed to break through the framework of the existing policy for the establishment of the medical insurance fund guarantee system and the price of medicine, and is lack of innovation. Therefore, it is difficult to solve the defects and deficiencies of the existing social insurance and medical insurance system.

The author thinks that it is an effective measure to achieve the goal of social development for all people to enjoy the basic medical and health service by defining the state social medical insurance responsibility according to law and changing the existing social medical insurance system.

"Wear new shoes and take the old road" can not be unbroken.

The new "health care reform plan" does not break through the drawbacks of the existing social insurance system.

Achieving the goal of medical security for all.

The existing social insurance and medical insurance policy is still mainly based on the combination of units, individuals and the three countries, but the social insurance is integrated into the medical insurance co ordination, and the number of 1 billion 300 million Chinese people insured is only 200 million and 2 million.

The existing social insurance and medical insurance deprived a large number of citizens of the legal rights and interests of the state's financial insurance treatment, and violated the principle of equality before the law in the constitution.

This does not match the huge population base.

A large number of urban labourers do not participate in insurance because of unstable work and mobility. Some of the freelancers and recessive unemployed are not insured. The existing social insurance management system and social assistance system can not be included in it.

The legal policies that advocate social insurance for individuals, units and countries to co-ordinate the three parties are mainly to reflect the sharing of responsibilities and avoid the problem of laziness and neglect of the state.

However, the current situation is that many people with labor records do not participate in social insurance for various reasons, and this situation will continue.

In this way, a considerable number of people with labor records have not been able to pay social insurance, but they can not achieve social insurance treatment such as state pension, medical care and disease.

In other words, even if those who have labor records fail to pay their social insurance part in time, they can not deprive them of the part of the state and social enterprise.

Therefore, social insurance, medical insurance and so on simply decide whether it is entitled to social insurance and medical insurance based on whether the laborers pay part of the social insurance personal co-ordination funds.

In order to avoid those who have participated in social work, but for various reasons, those who have not participated in social insurance, medical insurance and other co-ordinated individuals in time enjoy the state's proper social insurance and medical insurance benefits, the author believes that two measures should be taken to achieve the full coverage of social insurance.

One solution is to achieve social insurance taxation.

That is to say, enterprises should collect social insurance tax in accordance with the law or 1% or 5% of the corporate income tax to make social insurance funds.

It eliminates the problem of insufficient co-ordination of social insurance and medical insurance between individuals and units.

This may lead to a small number of people who do not participate in labour but do nothing for them.

But social insurance and medical insurance solve the problem of unemployment under the condition of unemployment, disease and old age. It is not a guarantee that every citizen can survive without pains.

So there will not be a lot of "lazy guys" after social insurance taxation.

However, there is no way to distinguish the working life and social contribution of different workers, but the existing social insurance benefits are different.

Therefore, it is a difficult point to divide the social insurance benefits of different workers.

But one thing is certain that workers lose their ability to work and are equal social individuals, without distinction of identity, rank, and distinction.

The difference is that the laborers who are able to work because of their rich labor are better off in their later years.

But this differential treatment should not be embodied in social insurance.

Workers enjoy equal treatment of state social insurance, which is the basic requirement of social equity and justice.

If a worker wants to have better living conditions and treatment in his later years, he can only rely on his own ability and savings rather than the difference in the social insurance benefits of the state.

Therefore, the existing way of compounding the national insurance benefits fund by laborers' social insurance is in violation of the principle of fair law.

The second option is based on the principle of equal treatment for workers, such as state social insurance and medical insurance.

The state recognizes the state's financial share of each citizen's social insurance according to law. The State shall be equal in terms of the allocation of social insurance funds for each citizen, and the state funds shall not be allocated because the workers are paying social insurance or the amount of social insurance payments.

Otherwise, everyone will be unequal before the law and violate the constitution.

On the basis of establishing the state's share of social insurance funds for every citizen, the rest is part of the undertaking of enterprises and institutions.

In order not to increase the burden on enterprises, enterprises and institutions can draw 5% of the social insurance tax from the corporate income tax and the total wages to the national financial co-ordination. In order to embody the equality before citizens' laws, this part of the fund workers also have the right to enjoy equal rights.

Finally, the part of the individual co-ordination can be adopted in a more flexible way, not necessarily on a monthly basis.

It is stipulated by law that the amount and time limit for citizens to pay social insurance and medical insurance are different, but there is a gap between the personal part of social insurance and medical insurance in later years.

However, whether or not individuals pay will not affect the level of social insurance benefits of the state and enterprises and institutions.

There is a clear gap between the more flexible payment methods and the different levels of social insurance and medical insurance benefits for the individual co ordinating part, so as to encourage every worker to actively participate in social insurance and medical insurance.

When the economic conditions are good, pay more for the personal co-ordination part. If the economic conditions are not good, pay less or not, so that the end result is flexible payment so that everyone can actively participate in the insurance. However, there is a clear gap between the insured time and the part of the individual co ordinating fund for obtaining social insurance and medical insurance benefits.

In this way, the problems of social insurance, medical insurance funds and insufficient coverage can be comprehensively solved.

The contradiction between the principle of free competition in the market economy and the price regulation system is becoming more and more serious.

On the one hand, adequate market competition environment does not require excessive intervention by administrative means; on the other hand, enterprises in the competition are bigger and stronger to form a dominant position in the market. In order to prevent large enterprises from using monopoly position to implement price monopoly, it is necessary to strengthen the supervision of market prices.

On the other hand, the supervision of the prices of some public service institutions is the need to safeguard social and public interests.

The problem exposed by the "Wall Street financial turmoil" is the result of excessive freedom of the market. This shows that market supervision can only be strengthened rather than laissez faire in the market economy.

Some people say that without speculation, there can be no competition. Without speculation, the enthusiasm of the market players can not be mobilized.

However, at the expense of the majority of people, allowing the minority to speculate in profiteering is the result of the widening gap between the rich and the poor in the society and the periodic outbreak of the economic crisis.

In this regard, we must accept a reality that fair and reasonable profits are in line with the needs of market competition.

If social production can not follow the safety line of social average profit, the law of healthy development of economic society will be destroyed.

Social average profit and price speculation and monopoly are a pair of contradictions. For a fair market paction order and the rights and interests of the vast majority of citizens, we must impose sanctions and restrictions on the price behavior that exceeds the average profit of the society. Only in this way, the price level of commodities is compatible with the needs of social development and the interests of the majority, so that the economy will develop healthfully.

Therefore, by checking the level of the enterprise's profit, we can see whether the level of its commodity and price is legal, and impose a 80% "windfall tax" on the part that surpasses the average profit of the society, so as to realize the fairness and stability of the market commodity price is an effective measure for the legalization of price regulation.

The formulation of "anti profits law" to curb excessive speculation and monopoly is a legal means to make up for the lack of means of price management.

Based on the above facts and reasons, the author suggests: (six) speed up the construction of the medical security system.

To increase or amend the following contents: the state ensures that every citizen enjoys equal funds and treatment of state financial burden, such as state social insurance, medical insurance and so on. Social insurance, medical insurance and other ways of payment of co-ordinate funds are flexible and diversified. Each citizen has a gap in the treatment of social, medical insurance and so on due to the amount and duration of personal co-ordination fund.

(seven) establish and improve the drug supply guarantee system and (eleven) establish a scientific and rational mechanism for the formation of the price of drugs. The state will increase the stability of medical and pharmaceutical prices through price regulation and market-based legal means.

Through the formulation of the "anti profits law", we will scientifically determine the average social profits of pharmaceutical enterprises and different medical sectors, and crack down on profiteering and speculation, so as to achieve the stability of pharmaceutical prices.