I. What happened

Mr. Qian reflected that in the village near Yancheng Boai Rehabilitation Hospital, there are even many elderly people who go in groups for free hospitalization

Yancheng citizen Mr. Qian's lover in November 2017, had a "free hospitalization" in this hospital for five days. Mr. Qian told reporters that his lover's health is actually good, at first it is fancy here can be "free hospitalization free medicine", only to covet this small advantage, every morning to come, go at night, sometimes in the hospital to eat a meal, discharged back to the pre-paid 600 yuan.

But Mr. Qian's old couple do not know is that the old man hospitalized in the past few days, the hospital reported to the Yancheng City Tinghu District Health Insurance Center reimbursement up to more than 2,400 yuan. In Tinghu District Health Insurance Center, after inquiries, 63-year-old Mr. Qian lover, diagnosis of disease is "lumbar disc herniation". Mr. Qian told reporters that his wife did not have this disease.

What is more surprising to the old couple is that in the hospital reported to the Tinghu District Medical Insurance Center on the diagnosis and treatment details, just five days, the hospital even gave the old man did more than 70 times "treatment". These include 20 times of wax therapy, 10 times of warm needle therapy, 10 times of lumbar disc massage, 10 times of infrared therapy, 20 times of intermediate-frequency pulsed electric therapy.

Not only that, the hospital even gave the 63-year-old woman an AIDS antibody test and a syphilis spirochete-specific antibody test. In this regard, Mr. and Mrs. Qian are anxious and angry. Mr. Qian said that his wife, in addition to the past to take medication and hang water, there is no other treatment: "Obviously there is no such disease, the seventy treatments must be fictitious. What treatment are not ah. It is nothing but fiction."

(b) What is the crime of taking health insurance funds?

Social Security fraud has now been officially criminalized in China. The crime of social security fraud will be punished as fraud. The Criminal Law Interpretation stipulates that those who fraudulently obtain social insurance benefits such as old-age pension, medical care, work injury, unemployment, maternity, or other social insurance treatments by fraud, falsification of supporting documents or other means.It is an act of defrauding public and private property as stipulated in Article 266 of the Criminal Law.

According to the provisions of this article, if the amount of fraudulent public or private property is relatively large, the penalty shall be fixed-term imprisonment of not more than three years, detention or control, and a fine or a single fine; if the amount is huge or there are other serious circumstances, the penalty shall be fixed-term imprisonment of not less than three years and not more than ten years, and a fine; if the amount is particularly huge or there are other particularly serious circumstances, the penalty shall be fixed-term imprisonment of not less than ten years or life imprisonment, and a fine or confiscation of property.

In order to give full play to the role of social supervision, to encourage units and individuals to report irregularities and violations by health insurance agencies, designated medical institutions, designated retail pharmacies and insured personnel

Provisions are also contained in the Social Insurance Act:It is determined that fraud, falsification of supporting documents or other means of obtaining social insurance benefits such as old-age pension, medical care, industrial injury, unemployment, maternity and other social security benefits shall be recognized as the crime of fraud. Only by legal means can we truly deter wrongdoers.

Hospitals are not charities, and free hospitalization is nothing more than a lure for those who wish for pie in the sky. In fact, the person who pays for your hospitalization is the health insurance fund. Look at the results of the old man surnamed Qian's companion hospitalized for five days: sent to the Yancheng City Tinghu District Health Insurance Center reimbursement costs up to more than 2,400 yuan. But hospitalized people only need to bring ID cards, social security cards, pay a deposit of 600 yuan, you can live free of charge for a week, discharge deposit refund. The hospital provides three meals a day, picking up early and delivering late. Such a good thing to make no loss, so much so that the hospital near the village of the old people in the company, no disease also go to the free hospitalization.

The old man surnamed Mr. Qian's companion in the hospital is considered a "strange encounter", was found to have AIDS and syphilis, lumbar disc herniation. 5 days of treatment 70 times. Other old people needless to say is also so, so blatant fake fake. It can be said that purely in the fraudulent health insurance fund, not a little bit of the meaning of seeing a doctor, treatment. And counterfeiting techniques are very poor, very amateur, purely amateur level. On the one hand, you can see the ignorance, but also crazy. This is the application of the health insurance fund on the chaos, it seems that the rectification should come.

In addition to the annual contributions made by individuals, the State has made a considerable investment in medical insurance. This year, in particular, the urban residents' health insurance and rural health insurance have been merged into the urban and rural residents' health insurance. It should be said that the majority of people to see a doctor, hospitalization have been improved at different levels. The medical insurance fund is for everyone, but it is not unlimited, but limited. The limited funds should be used for the most needy people and in the most needy places. Don't be hospitalized even if you are not sick, and don't get water transfusions even if you are not sick. In fact, that kind of practice doesn't work for healthy people, and there are risks involved. For hospitals, especially problem hospitals like the ones mentioned above. The fact that the state has included you in the health insurance reimbursement is a sign of trust and support. The only right way is to comply with the law and act in the interest of patients. Definitely can not treat the health insurance fund as a "monk meat", trickery, that would be wrong.

There's still quite a bit of news in this category lately, and the reason is that health care is still in trouble.

1, the use of medical insurance card is not standardized, in fact, some of the disease does not exist, however, private hospitals in order to more medical insurance funds, listing names, many beyond the routine examination, of course, this part is not to the patient to pay, in fact, there is no treatment at all.

2. The medical insurance center is not strict in this audit, which is also the biggest factor that private hospitals dare to exploit the loopholes. In fact, is it true that these costs can not be seen at the time of the audit?

3. People do not have a strong sense of the use of their health insurance card, think anyway, six hundred dollars hospitalization, but also food, as a hotel, in the hospital convalescence. Do not know, health insurance card is also a limit, if the current year's health insurance quota exceeds, that really happened to need medical treatment of serious illness, it will really regret.

4. It is indeed difficult for private hospitals to compete with public hospitals for resources, after all, many private hospitals are difficult to keep up with the relative medical standards and hardware, as well as the level of medical management. And medical resources in general are tilted toward public hospitals. Private hospitals unless in the medical level of hard work, constantly improve their facilities, really win patients.

5. The people should have the mindset of greedy for small gains and losses, after all, medical care is not a treat, many times it is really a life-threatening event, the most generous resources to their own so give away, the ultimate harm is their own. In the hospital is also to understand the consumption, every penny spent on where, to do in mind.

6,. The State should govern the legal system to control the use of health insurance funds and strictly control the use of life-saving funds. For the medical business to adopt the survival of the fittest, medical policy should also adopt a fair symbiosis, so that private hospitals have a place. Let private hospitals become hospitals for the benefit of the community, rather than a worm that harms the people and the country.

In fact, for these operations, many just pretend not to know, is not really in the heart?

Private hospitals under the "umbrella" dare to do anything! Especially in remote areas is more, due to the remote areas of regulation is not in place, and even indiscriminate fees, set the state subsidies, and cleverly named, too much! For example, the city of Jiamusi, Heilongjiang Province, has opened several private hospitals in the city to facilitate the people's access to health care, but in fact, in order to take the national health insurance subsidies! Regular hospitals are overcrowded, private hospitals hide dirt! There is no medical ethics, there is no public spirit, everything is only for money! Hey indiscriminate use of antibiotics, indiscriminate prescribing!

First of all, this matter reflects the laxity of medical insurance supervision, the above gods have already answered in detail, I will not repeat. As you know, our normal admission will have blood, urine, electrocardiogram necessary examination, which has an infection test, that is, AIDS, syphilis, hepatitis B, hepatitis C and other preliminary screening, let's put aside the fact that she in the end there is no real blood test this thing, in general, each regular hospitals, especially surgical this infectious five items of the test is a mandatory check, some internal medicine in order to prevent conflicts between doctors and patients will also be checked to prevent the person himself infectious diseases, he did not know, and the results of the test later thought it was caused by hospitalization. After the person itself infectious diseases, he did not know, the results of the later test out also thought it was hospitalized, but also in line with the idea of the patient's responsibility to routinely test.

It is definitely an abomination to take advantage of medical insurance, but it also reflects the mentality of people who are greedy for small advantages. This is the same as we buy information, genuine to 300, pirated to 30, the results you know is a pirated version of the still buy buy, buy also crowned to complain about people are not genuine. If it is an undercover operation will be very understandable, when admitted to the hospital obviously know that they are hospitalized in order to people set of health insurance, the hospital confiscated you a penny, but also tube food, after the hospital and feel that they suffer, I think the country suffered a loss, the state should pay attention to this matter, of course, or to encourage this kind of revelation, after all, or to draw attention to it, I believe that in the attention of the local will be the supervision of the health care insurance up.

Personal opinion, if you don't like it, please keep your mouth shut.