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The Universal Integration of Medical Insurance System

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The Welfare System of Universal Integration in China

Part of the book series: Understanding China ((UNCHI))

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Abstract

Medical insurance is an important part of the social welfare system, so the universal integration of the medical insurance system is indispensable to the universal integration of the social welfare system. The universal integration of the medical insurance system is a tough task since it covers a lot of areas.

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Notes

  1. 1.

    See Decision on Health Reform and Development by State Council, [1998] No. 44 of the State Council.

  2. 2.

    Ibid.

  3. 3.

    Now foreign workers in China can also participate in the basic medical insurance system.

  4. 4.

    Ministry of Human Resources and Social Security, Statistical Bulletin on Human Resources and Social Security Development in 2011.

  5. 5.

    Statistical Bulletin of China’s Health Care Development in 2011, http://www.moh.gov.cn/publicfiles/business/htmlfiles/mohwsbwstjxxzx/s7967/201204/54532.htm.

  6. 6.

    See Interim Measures on Medical Insurance for Urban Residents in Xiamen, [2006] No. 281 of the General Office of Xiamen Municipal people’s Government Office. Since 2009 students have been included.

  7. 7.

    Source of data: Ministry of Human Resources and Social Security, Statistical Bulletin on Human Resources and Social Security Development in 2011.

  8. 8.

    People from Hong Kong, China, Macao, China and Taiwan, China who do business and live in the city are allowed and encouraged to participate in the basic medical insurance system in Xiamen, Dongguan and other cities.

  9. 9.

    Li [1], p. 123.

  10. 10.

    Dalian Civil Affairs Bureau, Work Manual of Urban Residents’ Minimum Living Security in Dalian, 2004.

  11. 11.

    See Management Measures for Public Medical Care in Beijing, February 24, 1990, [1990] No. 100 of the Beijing Municipal Bureau of Health.

  12. 12.

    See Reimbursement Range for Public Medical Expenses in Guangdong Province, [1998] No. 232 of the Health Commission of Guangdong Province.

  13. 13.

    Zheng [2].

  14. 14.

    In some places, the amount paid by individuals are directly credited into personal accounts for old-age insurance and used as compensation for outpatient services.

  15. 15.

    Hertzman and Keating [3].

  16. 16.

    Opinions on Deepening the Reform of the Medical and Health System, People’s Daily, April 7, 2009.

  17. 17.

    Statistical Bulletin on the Development of China’s Health Care Services in 2011 by the Statistical Information Center, the Ministry of Health, April 25, 2012.

  18. 18.

    Ibid.

  19. 19.

    At the end of 2010, the registered population of Xiamen was 1.802 million, and the total population (including permanent residents and temporary residents) of Xiamen was 3.53 million. See the Statistical Yearbook of Xiamen Special Economic Zone in 2011.

  20. 20.

    In Eq. 10.1, Y shows whether the respondents are sick in two weeks:1 represents Yes, 0 represents No; X1 shows gender of respondents: 1 represents men, 0 represents women; X2 represents age of respondents: 1 represent 0–4 years old, 2 represents 5–14 years old, 3 represents 15–24 years old, 4 represents 25–34 years old, 5 represents 35–44 years old, 6 represents 45–54 years old, 7 represents 55–64 years old, and 8 represents ages above 65.

  21. 21.

    Whether expenditure on entertainment belongs to basic consumer expenditure is still in debate. We still include it here and make calculation on the basis of the model.

  22. 22.

    Wang et al. [4].

  23. 23.

    Source: Answers to the Policy of the New Rural Cooperative Medical Scheme in Xiaoshan District, compiled by the Human Resources and Social Security Bureau of Xiaoshan District, 2010.

  24. 24.

    Jing [5].

  25. 25.

    Gao [6].

  26. 26.

    Source of data: Survey conducted by Suzhou Civil Affairs Bureau on July 15–16, 2010.

  27. 27.

    Source of data: Report of the Primary Health Department of the Suzhou Health Bureau at the forum of the Suzhou Civil Affairs Bureau on July 16, 2010.

  28. 28.

    Source of data: Reports of Suzhou Municipal Public Security Bureau and Suzhou Municipal Health Bureau at the forum of Suzhou Civil Affairs Bureau on July 16, 2010.

  29. 29.

    Ibid.

  30. 30.

    Reports from Suzhou Public Security Bureau and Suzhou Municipal Health Bureau at the forum of Suzhou Civil Affairs Bureau on July 16, 2010.

  31. 31.

    In Xiamen, four categories of urban residents, rural residents, college students, and minors are collectively referred to as “urban and rural residents”.

  32. 32.

    Because the fund was from social pooling, there were arguments over the implementation of the policy.

  33. 33.

    Employees from government bodies and public institutions could get 400 yuan every year for a medical examination, while rural and non-working urban residents could get 200 yuan each year for a medical examination.

  34. 34.

    Xiamen Price Bureau, Work Plan for Reducing the Drug Markup Rate of Public Hospitals by 5% in Xiamen, April 8, 2011.

References

  1. Li, Y.: Research on Urban Poverty and Social Assistance. Peking University Press (2004)

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  3. Hertzman, C., Keating, D.P.: Developmental Health and the Wealth of Nations: Social, Biological, and Educational Dynamics. Guilford Publication (1999)

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  4. Wang, Y., Gao, H., et al.: On urban-rural coordination of new rural cooperative medical scheme. Northwest Popul. J. 6 (2010)

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Jing, T. (2021). The Universal Integration of Medical Insurance System. In: The Welfare System of Universal Integration in China. Understanding China. Springer, Singapore. https://doi.org/10.1007/978-981-16-4839-7_10

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  • DOI: https://doi.org/10.1007/978-981-16-4839-7_10

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