Job medicine is bought to sell " L The annual pay " R As many as ten thousand clinic specific disease qualifications dare to sell too
Content summary: Because it is simple and convenient to handle, going through the special procedure of the door becomes that supervises the vacuum. Though some large hospitals and community hospitals have regulations, what disease see what medicine to drive, and the dosage has the restriction, but some is enough for the medical insurance of this year " L The fee of threshold " R Door special for patient,or utilize of hospitals many write a prescription repeatedly but medical insurance loophole where the systems can't know, assault and write a prescription, write a prescription more. An anonymous doctor tells reporters, the phenomenon that special patient got it filled and sold medicine on the door has already proned to the professionalism.
Medicines are the special goods curing the sickness to save the patient, but in some persons and medicine dealer's eyes who enjoy the medical insurance, but turn into means and tool of making profit. " L The end of the year " R Close on, go to the hospital to assault " L See the doctor " R People more and more, a part " L Patient " R See the doctor the about hospital one purpose,only for " L Write a prescription " . Though some large hospitals and community hospitals have regulations, what disease see what medicine to open, and the dosage has the restriction, but some is enough for the medical insurance of this year " L The fee of threshold " R Door special for patient,or utilize of hospitals many write a prescription repeatedly but medical insurance loophole where the systems can't know, assault and write a prescription, write a prescription more. At the same time with it, some medicine dealers who specially retrieved medicines, concealed the gate that wanders up and down in each hospital Specific patient and forming a dense integral interests roller chain at this point between the medicine dealers.
Go to the village fair live " L See the doctor " R In order to pour medicines originally
Two No. the intersection of bridge and hospital responsible for doctor Yang of medical insurance tell reporters, they go to work at 8 o'clock in the morning, ordinary number, between 300 and 400 persons at least, and more than 100 persons at least of special patient of door every day, influence the normal patient to seek medical advice seriously. In order to relieve this kind of contradiction, the medical insurance department of this hospital restricted special brass-wind instrument of the door from November 8, 30 pieces of number in the morning, 10 pieces of number in the afternoon, but have no restriction to general disease.
In the hospital of one community, the reporter sees, a lot of people begin to line up to wait to clinic halls of the hospital since 6 o'clock in the morning. At less than 8, have already formed a long team. Cutting it to 40 points of 9 points, special brass-wind instrument is worn the black horse first by one on the last door, the middle aged women who wears the short hair got. Ask in the registration office when what disease it is, middle aged women say it is diabetes and partial and paralysed. After number finished hanging, middle aged women look for a doctor, row prices, pay dues and take medicines making easy progress from experience. Less than half hour, middle aged woman have another more a lot of medicine right away in the hand. After getting medicines, middle aged women draw out the telephone, inquire the situations of the other hospitals.
Unless unless subsequently, middle aged woman want river Western medicine institute in this person, last clinic hall,with after not joining one of over 40 years old men, give medicine to this man, continue lining up oneself. The man leaves by car after getting medicines .
An anonymous doctor tells reporters, the phenomenon that special patient got it filled and sold medicine on the door has already proned to the professionalism. Take their hospital as examples, the special patient of every Tianmen is up to more than 200 people, so-called and 40% among them " L The special patient of the door " R Have become the medicine dealer of the job. Because community's hospital limits less, some community doctors turn into the full-time body " L The persons who write a prescription " . This woman followed by the reporter pours one of the medicine patients.
Investigate secretly " L Turn into living people big " R Can falsely claim as one's own on the door specially
Reporter in the capacity of patient, go 254 hospital go through the clinic specific disease of medical insurance formalities, because relevant check the analysis report and does not accord with the demands for clinic specific disease of medical insurance, 254 the intersection of hospital and the intersection of medical insurance and staff member of department refuse to go through the special procedure of the door for the reporter. Reporter, behind the bright bright identity, this institute medical insurance the intersection of department and Liu gentle to tell reporter while being beautiful: " If you get ready relevantly to check the analysis report, even if the special procedure of the door of falselying claim as one's own, we are unable to refuse. " L Liu WenJuan says, it is very simple to handle the special primary condition of the door, just having a blood test and other pathologic reports, then some people do not only utilize having a blood test to people's loophole to the name, play " R Great to become living conjuring of people " . A healthy person handles the special procedure of the door, change into a diabetic while having a blood test. The doctor can only register according to the result of having a blood test, even if know they falsely claim as one's own, the hospital has no right to check the place too, the ones that can only be become are reflecting to the medical insurance centre.
Sell door to be specially pure to make ten thousand yuan every year
Door reporter by qualifications special by hand from,be contacted a medicine dealer. Medicine dealer it claims to be surnamed Li, as hear reporter have door behind the special qualification in the hand, ask how many the intersection of door and special Carloses it is without preamble immediately, plan, wipe out arbitrage or sell the card directly : " It wipes out arbitrage to be whether the intersection of you and flower enough for threshold behind the fee, hold the door to specially write a prescription, no matter all kinds of medicines are accepted at high price. Sell a special card to the door directly, sell the special card of the door to us directly, we fetch medicines by oneself. "
According to medicine dealer, by sell medicine, can earn 1 more than yuan Wan one year specific the intersection of medical insurance and patient. Treat hypertension and diabetes, medicines of tumour charge price to be relatively high, some can charge medicines according to original the intersection of medicines and 50%-70% of price, need oneself to go to every hospital to write a prescription. If sell a special card to the door, pure every year to earn 5000-10000 yuan, diabetes, tumours are the most costly, just give the special card of the door to them .
The medicine may return to the hospital again
Does the reporter inquire, does not the hospital limit? Why still prescribe medicines repeatedly? In case exceed the amount of medical insurance? Dealer tells reporters medicine : " The present medical insurance card can't realize the networking among the hospitals is managed, so can hold the medical insurance card and go to each hospital to open the same medicine respectively. In addition, so long as you have a relation in the hospital, medical insurance medicines are easy to hold out. If exceed medical insurance, wipe out range, the intersection of volume and degree, some hospital will turn out to be, make a diagnosis fee expenses for medicine. "
Then where do these medicines flow? Dealer reveals medicine : " We finish charging the last medicine, know to relevant organization, the only family on us, they will sell to the pharmacies and hospitals of the other provinces and cities again. "
Investigate special disease applies to supervise blank on the door
According to the human resources and data which the social security office releases of Tianjin, up to the end of October, urban employee endowment insurance effect an insurance 396.6 Wan effect an insurance 443 people Wan by people, medical insurance, urban and rural residents medical insurance effect an insurance 458 people Wan, Tianjin enjoy medical treatment ensure crowd up to 900 people Wan, the coverage rate of the medical insurance occupies the leading place in the whole country. The staff members of a tertiary hospital medical insurance department say, according to the incomplete statistics, the patient who go through special procedure of the door reach in the whole year of their hospital 3000 persons.
Clinic specific disease of medical insurance has 10 multi-type, including diabetes, lung worry, cancer, hemiplegia, psychosis,etc.. According to the relevant regulation of the medical insurance, the patient, only according to different number, holding relevantly and checking the analysis report form looks for the tertiary hospital to appoint the doctor to get>,The doctor asserts that opening the special number diagnosis of the door proves, after the patient selects medical insurance to treat the hospital, hold the above-mentioned materials and cure the assurance, medical insurance card to go to the door of medical insurance department to specially network and register the window to go through the special registration of the door formalities. Because it is simple and convenient to handle, went through the special procedure of the door and become that supervises the vacuum. (Chai Bo ) (Source : Www.enorth.com.cn )
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