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Who "stole" the subsidy from the village doctor?

Xu Yucai

Recently There are too many "shocking" events, one after another. Serious hospital infection incidents occurred in two hospitals. Jiangsu doctors were threatened by "Guoan" personnel, Beijing hospitals were beaten by a group of masked people, Heilongjiang anesthesiologists were forced to commit suicide by medical trouble, and Guangxi village doctors went to the streets because of public health subsidies. One by one, it seems that the upcoming two sessions will start year after year with the theme of hospital safety, violence hurting doctors, and strengthening the grassroots. Here, Mr. Xu mainly talks about the medical service in Gongcheng Village, Guangxi, and puts forward some suggestions.

one Why Gongcheng Village Doctors Go to the Street?

two month fourteen day ， It was originally a romantic festival. However, for Guangxi province Gongcheng County Village doctor , but no leisure to romance. They have to go for their own livelihood go into the street Head, walk to the county health and family planning bureau to ask for the basic public health service subsidies that have been withheld for a long time. It is said that this kind of collective going on the street is also a last resort. For the sake of public health subsidies, they have repeatedly asked for no results, so they came up with this bad policy.

Then, why is it that the hard money that should belong to you can't get it? What is the problem? As for what happened in Gongcheng, the author did not investigate and dare not make a false statement. However, from the situation reflected by village doctors all over the country, it is quite common.

two How much is Gongcheng County's village medical subsidy in arrears?

According to network news, Gongcheng County village doctor asked the county health and family planning bureau to distribute two thousand and fourteen Balance arrears before two thousand and fifteen 、 two thousand and sixteen Annual subsidies for basic public health services. And how many are there in all?

Let's calculate for everyone:

two thousand and thirteen In, the national subsidy for basic public health services was per capita thirty Yuan, there is a document clearly stipulating that rural doctors should do 40% Huona of 40% At that time, the subsidy for basic public health services of village doctors should be thirty Yuan × 40%=12 element 。

two thousand and fourteen year Premier Li Keqiang clearly requested in the government work report of that year that basic public health services should be added five Yuan, all for village doctors, then two thousand and fourteen The subsidy for basic public health services of village doctors should be per capita in seventeen Yuan.

two thousand and fifteen year , and newly added five element The Prime Minister also clearly requested in the government work report "All for rural doctors" should be one seven Yuan+ five element =22 element ， In the current year forty Yuan of total funds for basic public health services 55% 。

two thousand and sixteen Annual increase five element , although there is no explicit requirement "All for rural doctors", but still proposed want "Focus on rural doctors", even if not, Give half to village doctors, and increase it two point five Yuan, reaching per capita twenty-four point five element 。

Web search "Gongcheng, Guangxi" learned that the population of Gongcheng Yao Autonomous County, Guilin, Guangxi Zhuang Autonomous Region twenty-eight point five 10000 yuan（ two thousand and ten The sixth census in 2006). If calculated according to this population, two thousand and fifteen Subsidy funds for basic public health services in the county in twenty-eight point five ten thousand ×22 element =627 ten thousand element ； two thousand and sixteen Yes twenty-eight point five ten thousand ×24.5 element =698.25 ten thousand element 。

three problem probably Out stay which Yes ？

Now the village doctor said that he didn't get the subsidy he should have received. What might be the problem? According to Lao Xu, there are several possibilities:

First, local government finance was not in place in time and in full. It may be that government subsidies at provincial, municipal and county levels are not timely or sufficient, or even not allocated directly.

Second, the relevant departments of the local government did not specify specific assessment methods, which led to the randomness of township health centers in cashing in subsidies, resulting in unfairness and arbitrary deduction 。 The focus is on the health and finance departments at the county level. This situation Very common.

Third, the appropriation of grass-roots government also exists. Especially the county government. Due to the financial difficulties of local governments, they are keen to borrow money for construction, "The emperor dares to misappropriate the horse money". Perhaps the basic public health service subsidies of Gongcheng village doctors have also been "lost" from this channel. In this way, the health administrative department is often powerless.

Fourth, the village medical subsidies were seriously withheld due to the misappropriation and occupation of relevant departments, and some of them were severely withheld, leading to a significant reduction in subsidies. It is understood that this situation mainly occurs in health administrative departments or township hospitals.

four proposal

proposal Relevant national departments, including the Health and Family Planning Commission and the Ministry of Finance, should intervene when necessary to carry out joint inspections, First, check whether government departments at all levels have allocated subsidies for basic public health services in time and in full according to the policy. Second, check whether the governments at all levels and relevant departments have timely and correctly cashed in the subsidy funds in full amount. Third Strictly investigate and deal with the violations. Especially for places with strong reaction, such as Gongcheng County, It is necessary to intervene in a timely manner, and the relevant personnel who ignore the national policies and regulations, no matter who is involved, should “ method ” Accountability and serious treatment. Otherwise, Premier Keqiang said "We should do everything possible to improve their treatment, so that competent village doctors are willing to stay in the countryside." He proposed that Strive to achieve “ Village level stability ” It's all empty talk.

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