Official Ladder [Grassroots Civil Servants]

After the medical insurance payment was confirmed, Vice Governor Wang Bin and Director of the Medical Insurance Bureau Lei Dongsheng reported the implementation plan to Provincial Party Committee Secretary Wang Hongtao.

There is no objection to the payment of funds. This is decided by the Standing Committee, 250 yuan per person. However, regarding the payment, management, reimbursement, use, settlement, etc. of medical insurance funds, the more Wang Hongtao listened, the more he felt that something was wrong, so he interrupted Lei Dongsheng's report and said: "There is a question. This purchase of services from commercial insurance companies is Is it mandatory by the National Medical Insurance Administration? Is there any policy basis?"

Lei Dongsheng didn't think there was any problem and said: "Secretary, the General Administration has issued a document and has fixed partners for cooperation with commercial insurance companies. Each province will implement it according to the document."

Wang Hongtao asked: "Is there any legal basis? Has the National People's Congress reviewed that document? Has the CPPCC provided any advice or suggestions?"

Lei Dongsheng has never paid attention to such deep-seated issues. His usual work habits are to act in accordance with the spirit of superiors' documents. Is there still a problem in listening to superiors?

Vice Governor Wang Bin stood higher and said: "Secretary, as far as I know, the National People's Congress and the Chinese People's Political Consultative Conference should not have participated, at least not publicly. Let me check it out!"

"Okay, please clarify this. I don't understand. Why should I buy medical insurance from a commercial institution?"

Lei Dongshenghui reported: "Secretary, the spirit of the document of the National Medical Insurance Administration is: to strive to support the coordination of management. Commercial insurance companies are encouraged to participate in critical illness insurance, long-term care insurance, medical insurance fund supervision and other work. By undertaking the relevant business of basic medical insurance, not only It will help commercial insurance companies further improve their service capabilities, and help commercial insurance companies optimize insurance service processes and open up service channels. Support and guide commercial insurance companies to simplify claims procedures, promote the facilitation of commercial insurance claims, and significantly increase the attractiveness of commercial insurance products. Effectively solve or alleviate the annoying problems of 'advance funds, errands, and long cycle' in commercial insurance claims that have been reported by the public in the past."

Wang Bin added: "Secretary, there is another meaning, which is to focus on improving fund efficiency. Deeply promote centralized volume-based procurement and the reform of medical insurance payment methods, continue to strengthen fund supervision, and severely crack down on fraud and insurance fraud. It is necessary to reduce the burden of insured patients. The burden of medical treatment must be alleviated by commercial insurance companies, such as "difficulty in accessing hospital supervision, weak bargaining power, and high risk management and control costs," and other bottleneck issues, so as to create a good medical service environment for commercial medical insurance to reasonably control expenses, reduce operating pressure, and create a good medical service environment."

Wang Hongtao made a rare expletive: "The commercial insurance agency is their 'father'? Does it provide such good service? Why not put this thought into serving the people?"

There is something that Wang Hongtao has not said, that is, these bastards have no chain of interests, so they must find a way to create a chain of interests! Every industry is made monolithic by these profit-driven guys. In the end, it will be impossible for a pin to penetrate and water to pour out, resulting in an extremely huge interest group!

After Wang Hongtao pondered for a long time, he said to the two of them: "Medical reform must prevent subversive mistakes! We and Western European and American countries, but I have never thought that medical insurance involving 14 people can be commercialized! Commercialization will inevitably lead to rising costs. , leading to a decline in fairness and economic and social risks. In the past two years, many local governments have handed over critical illness insurance to commercial insurance capital, euphemistically called it to solve the troubles of 'advance funds, errands, and long cycles' Question, but what does this mean? Interest groups are quite powerful! The harm is too great! Such a big thing has no legal support and no participation of the National People's Congress and the Chinese People's Political Consultative Conference! The interests of more than one billion people, such a big thing, cannot be There was no sound, and he sat firmly without any resistance!

I remember that more than ten or twenty years ago, an appendicitis operation could bankrupt an ordinary family, and they had to bear all of it themselves. The basic medical insurance system for urban employees was implemented in 2001, covering party and government agencies, enterprises and institutions; the new rural cooperative medical system was implemented in 2005; the basic medical insurance system for urban residents was implemented in 2007; through sharing among insured persons The risk of disease costs reflects the new social relationship of "when one party is in trouble, all parties will support it". Our medical insurance has made great progress from scratch. The government's starting point is to effectively solve the problem of critical illness insurance. Why can’t we find a solution within Social Security? Do we have to take money out of the social security fund and buy critical illness insurance from commercial insurance institutions? Isn't a link added out of thin air? Will the cost increase? Fees cannot be increased?

Wang Hongtao slammed the table and said with a little anger: "Why do you have to go to them to buy critical illness insurance? Is it necessary to add another step? Why bring them in? I think it's just taking off your pants and farting! One more step, it's too much A cost, even a fool can figure this out!

Are commercial insurance institutions doing charity work? Their essential purpose is to make money! He just wants to collect premiums, he is not willing to pay, this is the basic logic of doing business. Therefore, using social security money to purchase critical illness insurance from insurance capital is giving it to ordinary people with their money! It’s completely a transfer of benefits!

There was a document last year that said a certain commercial insurance collected RMB 1600 billion in premiums. Do you know how much was reimbursed? 500 billion yuan was reimbursed! Where did the 1100 billion go? This is a big part of saving lives and becoming their profit! Without commercial insurance, these 1100 billion yuan would just lie in the social security fund and continue to protect the people! "

Wang Hongtao angrily shouted: "Why do we have this policy? Are we out of our minds? Or have we gone crazy? Do we have to collect the people's money and give it to them to make those people rich? Fuck you bastards , I won’t do such unconscionable things! Lei Dongsheng, you know this best. How much did we pay last year? How much was reported? Where did the remaining money go? "

Lei Dongsheng said tremblingly: "Secretary, last year we purchased 216 billion yuan of critical illness insurance from them as required by the General Administration, and reimbursed 85 billion yuan."

Anger welled up in his head, and Wang Hongtao cursed: "131 billion yuan, just let them take it away for nothing? Are the people of Yunnan Province so rich? I don't feel sorry for selling Zaitian! You are just a bunch of people who want to do it." Eat inside and outside, and help the tyrants to do evil!"

131 billion yuan! Wang Hongtao is really distressed. If these funds are placed in the social security fund, it will be equivalent to the amount of money paid by individuals for medical insurance this year!

Wang Hongtao continued: "As long as I work in this position for a day, I will never allow anyone to make a name for themselves and make money from the hard-earned money of the people! Tell the General Administration that Dian Province can manage its own money and they don't need to worry about it!"

Although the secretary was angry, there were some words that Vice Governor Wang Bin had to say: "Secretary, if there is a deadlock, it may be difficult for us to carry out some of our work. Especially when it comes to support from superiors, we may be embarrassed by superiors!"

Wang Hongtao's eyes widened angrily and he said: "For the convenience of work, do you use more than 10 billion of the people's money as a favor? The price is too high, right? If you have the guts to do normal work, let them make things difficult! I don't believe it and I still don't make sense. Where? You made me anxious and made them all uneasy! If you are bold enough, take back those who deserve it. If there is a problem, I will deal with it. Anyone who dares to swallow the hard-earned money of the people of Yunnan Province is me. enemy!"

Wang Bin said: "Okay, Secretary, I know what to do. Tomorrow we will go to the General Administration to communicate with them in person, explain our ideas, and try to solve the problem without a stalemate."

"Well, go ahead. If you need me to come forward, you can call me at any time. I don't mind trying to reason with them! Also, the payment of medical insurance must be implemented as soon as possible. The insurance participation rate in Yunnan Province must reach 100% this year."

Provincial Government, Minister of Agriculture Wang Hongbu reported to Provincial Governor Li Gang the special fund for government subsidies for organic vegetables.

After listening to the report, Li Gang said with a smile: "Hongbu involves 675 companies, 49 vegetable farmers, and 369 billion. Our efforts may be unique in the country, and we deserve this money!"

Just as Wang Hongbu showed his smile, Governor Li's "turn" came: "But, it's the end of the year, money is needed everywhere, and there are holes everywhere. I am a clever woman who can't make a living without rice! Hongbu, organic vegetables are the most important project of the secretary. , he will definitely support it strongly. As far as I know, the secretary still has more than 500 billion, how about you fight with the secretary?"

Wang Hongbu was an honest man and understood the governor's difficulties very well, so he said, "How about I go to the secretary and report it?"

"Go, go! Hong Bu, let me tell you the truth. Even if the secretary goes to the secretary and fails, I can get 200 billion for you even if I sell everything!"

Wang Hongbu smiled and said: "Thank you for the governor's support! I will go and 'ask for money' from the secretary now!"

Watching Wang Hongbu leave, Governor Li Gang sighed: How pure and simple, dedicated to his career, what a good cadre! Only secretaries can probably use such people!

Wang Hongbu came to Wang Hongtao's office excitedly. After waiting for more than an hour, it was finally his turn to meet the secretary.

After entering the door, he got straight to the point: "Secretary, all the organic vegetable subsidy projects have been reported. After our review, a total of 675 companies and 49 vegetable farmers met the project application requirements, involving 369 billion yuan."

Wang Hongtao nodded and said, "Well, I understand. You go and report to the provincial governor and ask him to raise funds and disburse them as soon as possible. Try to let enterprises and vegetable farmers receive subsidy funds this month to increase their enthusiasm for developing organic vegetables."

This work was discussed and decided by the Standing Committee, and there is nothing wrong with it.

Wang Hongbu said: "Secretary, the governor said that it is the end of the year and financial funds are relatively tight, and we may not be able to get it together for a while. I heard that the secretary has money here, let me try my luck!"

Wang Hongtao smiled: "The governor sent you here, right? This Li Gang, just stare at my three melons and two dates. Forget it, I'll give it to you. You go to the Discipline Inspection Commission to find Secretary Xiaobin and tell me what I mean, 369 12 million in funds will be transferred from the Integrity Account to the Department of Finance. You tell the governor that the funds must be earmarked for special use and must be fully allocated before the end of December!"

Wang Hongbu smiled happily and said: "Secretary is so generous! I just like to work with you. I don't have to think about anything, just work hard!"

Wang Hongtao sighed, our cause does need such a group of people to build, they are pure and noble, but ordinary leaders really will not use them!

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