I have a flow system
Chapter 401: Subsidy Fraud Incident
Chapter 401: Subsidy Fraud Incident
From 2020 to 2022, these three years will be spent to maximize the international medical system's ability to respond to masks at that time!
China's medical insurance system is like Alexander!
The first is the construction and upgrading of medical infrastructure. A large amount of money has been invested in the construction and renovation of hospitals, increasing the number of intensive care unit (ICU) beds, negative pressure wards and isolation facilities, and improving the capacity for treatment. At the same time, many places have newly built or expanded infectious disease hospitals and public health emergency centers, enhancing the ability to respond to public health emergencies.
The second is vaccine development and vaccination. Needless to say, China is one of the few countries in the world that has multiple mask vaccines at the same time!
Then to the construction of public health system, talent training and so on!
So after 2023, there will be no money for medical insurance
After all, China is not the United States, so when you borrow money, you never think about paying it back!
If you have overspent before, you have to save a little now! As the hospitals save more, they have less money. As a result, many doctors have to be stingy.
Otherwise, if you spend too much money, your salary will be deducted.
And now, this excess medical "donation" from Aiying is a timely rain for all hospitals!
In October, the support plan was launched in several top tertiary hospitals, with a total expenditure of 10 billion yuan.
In November, the total expenditure of the Aiying Medical Support Project nationwide was 11 billion.
In December, more hospitals cooperated, and with the help of the National Health Commission, the progress was further accelerated. The total project funding investment that month was 12 billion.
By January 2024, the number had soared to 1 billion.
Almost every month, millions of patients receive direct help from Ireland and Britain.
However, also in January 2024, Aiying stopped cooperating with hundreds of hospitals and their "assistance" plans for patients!
Cause
"Subsidy fraud" is a common thing in the medical insurance system! A large amount of medical insurance funds are actually obtained by some people with connections through medical insurance or chronic patients, who get low-priced drugs after medical insurance reimbursement, and then turn around and sell them at a "high price" lower than the market price. This is also one of the sources of many "low-priced genuine drugs" on the market.
Money and silk touch people's hearts!
Wang Cuicui is an elderly rural woman with cancer. When she was first diagnosed, her children thought that treatment was a bottomless pit and that it would not be cured and was not worth continuing. They even wanted to take Wang Cuicui back to her hometown in the hospital!
But the doctor saw the old woman's strong desire to live in her eyes, and finally helped her contact the person in charge of Aiying's charity project.
However, I learned that Aiying's medical support project can provide large reimbursement. This drug happens to be domestically produced, and the reimbursement rate can reach 80%. However, considering that the original price is still more than 5000 yuan, even after the second reimbursement, it still costs about yuan per month, which is still a bit unpleasant.
In the end, Wang Cuicui took out more than 2 yuan of her own savings, and the old man finally received treatment.
After surgery and monthly targeted therapy, Wang Cuicui's condition has been maintained well.
However, one day, her eldest daughter accidentally learned that the targeted drug that the elderly took every month was very expensive. The normal price of a box was 5000 yuan, but after reimbursement, it only cost more than 1000 yuan. This huge price difference made her see a business opportunity. Then she began to persuade her mother, "Mom, you should take less of this medicine. After saving for a month or two, we can save one box and sell one box of medicine. This way we can make yuan! Even if we sell second-hand drugs at a low price, we can at least make about yuan."
"But this medicine was made by some company, and they said at the time that reselling it was not allowed." Wang Cuicui didn't dare to do it at first!
"Mom, you can make three thousand by reselling it once. You need 12 boxes of this targeted drug a year. If you save four boxes, you can save all the money for the drug in a year. Then you don't have to spend your own money, right? It's okay to take less!"
"But..." "Let me tell you, that little bit of money you have will be gone once it's used up! We spent tens of thousands of dollars on your surgery, and we don't care about the medicine. It's up to you whether you want to do it or not."
"Okay." Wang Cuicui finally agreed.
Since then, every time she bought medicine, she took less as her daughter requested. At the beginning, she felt a little uneasy.
But after her daughter sold the medicine she had saved for 4000 yuan for the first time, and she had taken less medicine in the past month but didn't feel any ill effects, her mind suddenly became active!
Then continue to save money on medicine
In the fourth month, she saved up another box of medicine and got back another 4000 yuan.
She has already started to calculate. According to this way of taking medicine, she can save 6 boxes of medicine a year, which can earn her 2.4 yuan, and then deduct the annual medicine cost of 1.2 yuan, which means that she can make a net profit of 1.2 yuan.
But the good times didn't last long.
All medicines that have passed Aiying's medical support program, especially those expensive ones, have a unique traceability code laser-printed by Aiying. Once the user scans the traceability code, it will be directly monitored by Aiying's system.
Then, Wang Cuicui's medicine was resold twice by her eldest daughter through QQ groups, and the two people were from different addresses hundreds or thousands of miles away from Wang Cuicui's home.
After scanning the code, you need to provide your mobile phone number. That means the two people who bought the medicine also had their mobile phone numbers, and the staff at Aiying contacted them to verify.
Of course, even so, Xiao Li, a staff member of Aiying, called Wang Cuicui back and asked her how Wang Cuicui was doing recently, whether she had left the address she registered at the time, etc.
Finally, the evidence is relatively complete and sufficient.
The follow-up was that when Wang Cuicui continued to take medicine accompanied by her family, she was refused medication.
Xiao Li looked at Wang Cuicui's family with complicated eyes, and said helplessly, "The purpose of this project is to help families like yours so that they don't have to delay treatment due to excessively high medical expenses, but this is not a means for you to make a profit!"
Then, the story of the farmer and the snake begins!
Wang Cuicui and her family made a scene in the hospital, but were soon taken away by security guards. But her son and daughter were not reconciled.
The next morning, they hung a banner directly in front of the hospital entrance, which read "Aiying went back on its word and refused to treat a seriously ill elderly person."
Wang Cuicui's son even held a loud speaker, shouting and crying: "Look everyone, this is the so-called charity project! They said they would reimburse our medical expenses, but now they are turning us away."
The hospital is a huge gathering place for people. Although most people just took a look and passed by in a hurry, in less than 5 minutes, Wang Cuicui's family was surrounded by the crowd who came to watch the fun in the hospital.
Hundreds of people took out their phones to take photos and posted them on Douyin and WeChat Moments.
After all, this is a very hot topic of news, involving Aiying Company and vulnerable groups.
Gradually, people began to talk about it and asked what had happened. Wang Cuicui's daughter also joined in the accusation. She said loudly: "My mother takes a bus for more than an hour every month just to get a box of medicine. She was fine before, but this time she said she would not give it to me!"
"We are ordinary farmers and we don't have enough money to treat my mother. Thanks to Aiying's charity project, my mother had hope. But now, they refuse to give us medicine for some unfounded reasons. Don't they want to see our family destroyed? Woo woo woo."
Not long after, a reporter finally arrived, breathless.
(End of this chapter)
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