China has three main health insurance programs, each aimed at a certain group. The New Rural Cooperative Medical Scheme (NCMS) is a voluntary program for rural residents that pay a small premium. Specifics differ widely as local governments have control over its implementation, but there are two main models used (Barber & Yao, 2010). The first has a formula based reimbursements for inpatient services along with a Medical Savings Account (MSA) for reimbursement of outpatient services and preventive care. Each household is expected to contribute to their own MSA used for their outpatient services. The second main model is identical, but contains no MSA.
The next program Urban Employee Basic Medical Insurance (UEBMI) targets employees in urban areas. The central government has fixed the annual premium for UEBMI at 8% of payroll, employers pay 6% while employees pay the remaining 2%. The employees share and 30% of the employers are contributing to a medical savings fund with the remaining amount go into a pooled account. While the 8% remains fixed the provincial governments control the insurance plan however the plate model has arisen as the most common (Barber & Yao, 2010). The plate model has the pooled funds covering inpatient and catastrop...
... middle of paper ...
...care for those uninsured. There is no formal referral system in this system. It provides care through different types of facilities; Integrated hospitals are small about 20 to 60 beds, they are responsible for providing primary and specialized care in rural areas. District hospitals are larger and can be found in every urban community their task is to provide more specialized care. The largest general is the general hospital and contain all medical specialties and there is one in every capital of a governorate. Lastly, specialty hospitals are located in urban areas.
In addition, Teaching Hospitals and Institutions provide tertiary care for those unemployed along with HIO and private patients. Other ministries within the government have medical facilities that provide for their employees such as the Ministry of Transport provides free care to their railway employees.
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- China’s health care is primarily financed through public health insurance, private health insurance, and out-of-pocket spending (The Commonwealth Fund, 2016, p.31). Publicly financed health insurance is provided from three primary sources: the New Rural Cooperative Medical Scheme (NCMS) which covers rural residents in general, Urban Residents-Basic Medical Insurance (UR-BMI) which covers unemployed urban residents, and Urban Employees-Basic Medical Insurance (UE-BMI) which covers employed urban residents (Barber & Yao, 2010).... [tags: Health insurance, Medicare, Finance, Health care]
844 words (2.4 pages)
- Urbanization brings with it a disparity between rural and urban living standards. Nonetheless, in China this gap has started to become quite severe and has become a cause for concern (Naughton 113). Chinas Gini coefficient is currently at .415, which displays the increasing disparity in the country ("DISTRIBUTION OF FAMILY"). The rural-urban divide begun with the different ways the Chinese government ran the rural and urban areas. The urban areas were fully under control of the central government and since they were seen as the building blocks of the country they received many governmental subsidies.... [tags: Sociology, Economics]
1023 words (2.9 pages)
- Unenthusiastic to serve in villages. But this is a global phenomenon. There is no doubt that medical students should be unprotected to challenges of rural health care. This could be easily done through proper implementation of the up-to-date undergraduate medical curriculum and not through coercive tactics such as outspreading the 5.5 year-MBBS course to 6.5 years by making one year rural service binding and banning doctors from settling abroad. In ideal state both basic health and education needs of a citizen should be public sector programmes.... [tags: urban health, rural hygiene]
622 words (1.8 pages)
- This essay discusses the determinants of health in New Zealand with a focus on maternity care in rural areas, mainly the rural Tai Rawhiti area and how two objectives of the New Zealand Health Strategy can have a positive impact. The two objectives described are … 1Discuss health inequalities in nz. Dew and Matheson (2008) state that the disciplines of epidemiology and social epidemiology have progressively given more descriptions of health inequalities. Epidemiology mainly focuses on how and from where infectious diseases spread, whereas social epidemiology looks at the patterning of health outcomes involved with social characteristics such as gender, ethnicity and income in order to find... [tags: rural facilities, midwives]
1151 words (3.3 pages)
- Madoff’s Scheme “The Whole Government is a Ponzi Scheme” is a quote by Bernard “Bernie” Madoff who was said to have ran the largest Ponzi Scheme in the U.S. Madoff was 71 years old when he was caught for running a Ponzi Scheme. He ran a family business and through that he ran his Ponzi Scheme. He told no one until 10 years after his family business took off. Madoff’s was quite successful in his life, before he made his mistake. His Ponzi Scheme hurt many people who invested in the company, not knowing that it was a swindle all along.... [tags: Ponzi scheme, Bernard Madoff, Charles Ponzi]
1867 words (5.3 pages)
- ... Figure 1: Total number of health institutions by years Source: China Statistical Yearbook 2013. In below table 1 there is an obvious increase of the number of health institutions in all levels of health system, during six years from 2003 to 2012 number of health institutions have increased by 17%, whereas the increase of hospitals is almost 30%, then the increase of grass-root level health facilities has increased only 17%. Table 1. Number of health institutions Institution 2003 2005 2008 2009 2010 2011 Hospitals 17764 18703 19712 20291 20918 23170 Grass-root level health institutions 774693 849488 858015 882153 901709 912620 Specialized public health institutions 10792 11177 11485 11... [tags: cooperative medical systems, open-market]
3271 words (9.3 pages)
- ... In rural areas, where many miles may lay between the population and services, there may be a lack of service in many aspects of life. One area where the lack of services can be felt is in the medical field. “Many rural communities have difficulties attracting and retaining clinicians because of concerns about isolation, limited health facilities, or a lack of employment and education opportunities for their families (Young, 2004)”. Because of the lack of medical services the physical health of those who live in rural areas may not have access to many in urban areas take advantage of.... [tags: social work, community activists, rural]
1454 words (4.2 pages)
- There are significant number of countries where there is carbon emissions trading scheme. Like Australia, New Zealand, Switzerland, United Kingdom and some many more. China has launched its first carbon emission trading scheme. Providing a market incentive to control pollution, companies which exceed their quota of carbon emissions can buy unused allocations from others- as per the scheme. It is unlikely to have much impact as analysts say the scheme’s limited range means. With some permits allocated free and others auctioned, companies must construct a permit for every tonne of carbon dioxide they produce, under the emissions trading system.... [tags: EU Emissions Trading Scheme]
3036 words (8.7 pages)
- Couple of years ago my brother told me about this good samaritan in his class that inroduced him to a job that can yeild millions in no time. Thos class mate “good samaritan” explain this job as a program rather than an everyday job. He claims you are enrolled by investing a small amount in the program then you become a recruiting agent for the program, the new investors also invest in this great program and whoever recruited the new recruiter gets a share of the investment. As a fresh graduate this sounded great but as an Accounting Major it rang too many illegalities and fraud, I just couldn’t phantom it.... [tags: Ponzi scheme, Bernard Madoff, Fraud]
1770 words (5.1 pages)
- Social Security is not the Ponzi scheme some oppositions may advocate. Social insurance, as envisaged by President Roosevelt, would address the permanent problem of economic security for the elder community by creating a work-related, contributory system in which workers would provide for their own future economic security through taxes they paid while employed. It provided an alternative both to reliance on welfare, and to radical changes within the capitalist system. It can be seen as a moderately conservative, yet activist, response to the challenges of the Depression (SSA, 2014).... [tags: social security act,ponzi scheme,social insurance]
857 words (2.4 pages)