According to the survey, 97% of netizens think that people with h7n9 infection should be treated free of charge

2013-04-15 source: Legal Evening News "tens of thousands of Yuan" is the daily treatment cost for each person with severe avian influenza h7n9 Falling on anyone's head is a "big mountain" "Bird flu is coming, who will pay for the patients" has become a public topic According to a survey conducted by our newspaper and phoenix.com, 97% of netizens think that the country should give free treatment Last night, the national health and Family Planning Commission (nhfpc) made it clear that patients would not enjoy free treatment, but requested that medical treatment costs be solved in accordance with the prescribed channels, and it is strictly prohibited to delay treatment or excuse patients due to cost issues The first suspected human case of h7n9 avian influenza has been confirmed in Beijing, the official website of Beijing Municipal Health Bureau announced At the same time, the number of confirmed cases of h7n9 avian influenza in China rose to 44 "The first patient diagnosed in Nanjing has spent 100000 yuan since he became ill, and plans to sell his house to raise money." another patient in Anhui who is critically ill has spent all his savings The news also began to enter the public view Expensive to see a doctor, this nerve that has been lurking becomes especially heavy at this moment According to public reports, h7n9 avian influenza patients found in China are mostly severe, and the cost of treatment is much higher than that of ordinary patients According to the report, the treatment cost per person per day for the severe h7n9 avian influenza patients rescued in Nanjing is more than ten thousand yuan Severe patients with avian influenza often need to enter the intensive care unit and use the ventilator Once they use the ventilator, they need to fight against infection The price of antibiotics is very high, a few hundred yuan, plus other costs, it is not surprising that tens of thousands of yuan per day for treatment Tens of thousands, millions of huge treatment fees, not only for the difficult groups, but also for ordinary families are huge pressure The first patient diagnosed in Nanjing was Xu, a 45 year old woman, who spent nearly 10000 yuan a day in ICU She had planned to sell her second-hand home to pay for her medical expenses, but she didn't expect her home address to be posted on Weibo "Who will buy it now? It can't be sold " Xu's family hopes that someone can help them and that the hospital can try its best to treat them Focus on 97% of netizens think that free treatment should be given to patients with avian influenza Should it be free? Yes 97.26% no 2.74% we can see from the survey results that 97.26% of the participants in the survey think that the country should give free treatment for the current situation of avian influenza "Who pays for the patient?" Become a public topic This newspaper and phoenix.com jointly launched an investigation to investigate whether h7n9 avian influenza should be treated free of charge at present As of 9 a.m today, a total of 56989 people have participated in the survey Whether there is sufficient legal basis for free treatment behind this aspiration full of expectation Previously, experts and the public believed that one of the bases for free treatment of avian influenza was the relevant provisions of the law of the people's Republic of China on the prevention and control of infectious diseases According to Article 62 of the law of the people's Republic of China on the prevention and control of infectious diseases, the state provides medical assistance to the needy people suffering from specific infectious diseases and relieves medical expenses In practice, the state has implemented free medical treatment for some infectious diseases, such as tuberculosis However, whether "specific infectious diseases" include h7n9 avian influenza and how to implement "relief" are not clearly defined People's daily, the most authoritative organ in China, concluded in "who pays for the patients when the bird flu comes?" according to the current regulations in China, the treatment cost of human infection with h7n9 bird flu is still mainly paid by the patients themselves " Zhong Nanshan, academician of the Chinese Academy of engineering, defined h7n9 as an emergency public health event He believed that the government should set up channels to provide emergency funds and medical assistance He suggested that a special fund could be allocated by the government to allow patients to receive free treatment or give appropriate relief Article 43 of the regulations on emergency response to public health emergencies promulgated in 2003 stipulates that people's governments at or above the county level shall provide necessary funds to ensure that the people who are ill or disabled due to emergencies are treated promptly and effectively The national health and Family Planning Commission recently judged that at present, the cases of avian influenza are in a sporadic state, and no evidence of human to human transmission has been found According to our survey, 69.99% of the netizens said that the current h7n9 avian influenza should be a public health emergency, 18.94% of the people think that the avian influenza is a sporadic case, while 11.07% of the participants in the survey do not know what type of avian influenza should be Fu Dalin, deputy director of the military law teaching and Research Office of Xi'an University of political science, believes that at present, all regions have entered a state of emergency for public health events Shanghai is prohibited from slaughtering birds in three major markets, purchasing and raising live birds in restaurants and cancelling pigeon competition; Nanjing is suspended from trading live birds; Hangzhou West Lake lattice feeding center is cancelled; Beijing is prohibited from carrying livestock and poultry to Beijing to prevent and control bird flu The public response from all over the country has fully demonstrated that the avian influenza epidemic has not been a health event subordinate to individuals, but has gradually become a public health event Wang Hufeng, director of the medical reform research center of Renmin University of China and professor of the school of public management, said in an interview with the media that China has a classified and hierarchical management system for public emergencies Now, although h7n9 avian influenza is a newly discovered virus, it is still in a sporadic state and fails to meet the legal recognition standards for class A and class B infectious diseases and the level of medical assistance H7n9 avian influenza has a certain potential of infection and spread Therefore, the government needs to protect the treatment of patients On the contrary: the legal standard has not been met On the other hand, it is strictly forbidden to delay treatment due to cost problems Last night, the national health and Family Planning Commission once again stated that "medical treatment costs shall be solved according to specified channels, and it is strictly forbidden to delay treatment or shirk responsibility for patients due to cost problems." This is its second statement after April 3 At the same time, in this release, the treatment cost of h7n9 avian influenza patients was described in detail The notice explains the different situations, and the medical treatment expenses incurred by h7n9 avian influenza infection of people who have participated in basic medical insurance for employees, basic medical insurance for urban residents and new rural cooperative medical treatment can be reimbursed according to the above three systems The national health and Family Planning Commission requires all localities to include h7n9 avian influenza in the payment scope of local urban and rural residents' serious illness insurance subsidy and disease emergency medical assistance fund The high medical treatment expenses incurred by patients can be guaranteed through the serious illness insurance system and disease emergency medical assistance fund For the poor patients who have not participated in the basic medical insurance system, or who are still heavily burdened by the individual medical treatment after reimbursement, they can be solved through the urban and rural medical assistance system Focusing on three regions and starting to issue rescue policies, Guangdong has set up a fund for prevention and control of human infection with h7n9 avian influenza and medical assistance, with an initial funding of 30 million yuan The fund is mainly used to help patients with difficult diseases, such as low-income people who are not included in the medical insurance or migrant workers who are unable to pay for medical expenses, and for prevention and control work The medical expenses of the patients participating in the NCMS can be reimbursed up to 250000 yuan / year, and the treatment of h7n9 avian influenza can be reimbursed up to 1.25 million yuan through supplementary medical insurance for serious social diseases Guangdong has set up a fund for the prevention and control of human infection with h7n9 avian influenza and medical assistance, with an initial allocation of 30 million yuan In addition, for the patients infected with h7n9 avian influenza who have purchased medical insurance for urban and rural residents in Guangdong Province, their treatment costs are included in the scope of medical insurance reimbursement The medical expenses of the patients participating in NCMS in Jiangning District of Nanjing can be reimbursed up to 250000 yuan / year, and the medical insurance for h7n9 avian influenza can be reimbursed up to 1.25 million yuan through supplementary social medical insurance According to the people's daily, the health department of Jiangning District, Nanjing, said that according to the relevant provisions of the opinions on the implementation of new cooperative medical care in Jiangning District, Nanjing, part of the medical expenses can be reimbursed according to the policy As of April 3, the medical expenses of the patient in Gulou Hospital reached 65000 yuan, and the family members of the patient paid 60000 yuan The reimbursement proportion of medical expenses is within 45% of 30000 yuan, 30001-60000 yuan, 60% of 60000 yuan and more than 90% of new type cooperative medical reimbursement details remarks: reimbursement of 70% of 30001 yuan and more than 15000 yuan of medical expenses within the scope of personal self payment after reimbursement will be reimbursed additionally, and reimbursement of 50% of 15000-30000 yuan will be reimbursed separately On April 29, 2003, the Ministry of Finance and the Ministry of Health issued an urgent notice, asking all localities to do a good job in the treatment of SARS patients among farmers and urban poor people According to the notice, the government will provide free medical treatment for SARS patients in rural and urban areas, and the cost of treatment shall be borne by the local government Other expenses for the treatment of SARS patients shall be settled according to relevant regulations The central government shall, in accordance with regulations, subsidize the governments in the central and western regions in need of medical treatment At that time, the central government set up a 2 billion yuan SARS prevention and control fund The detailed rules are as follows: if the patient is diagnosed as SARS and cannot afford the medical expenses, the financial department of the local government shall give full play to the medical assistance For SARS patients who have participated in the basic medical insurance, the medical insurance agency must pay the medical expenses for the treatment of the patients in time according to the regulations Medical expenses beyond the scope of payment of basic medical insurance for insured patients will be further solved by means of Medicaid for civil servants at all levels, supplementary medical insurance for enterprises, and large amount medical expenses subsidy For the SARS patients receiving unemployment insurance benefits in cities and towns, the unemployment insurance agencies must arrange corresponding medical subsidies to provide necessary assistance The unit and the local government shall provide medical assistance for the treatment expenses that the individual cannot afford.