First, the basic relationship between Chinese medicine and medical insurance.
As an important part of Chinese traditional medicine, Chinese medicine has unique advantages in disease prevention and health care. As the core component of China's medical security system, medical insurance co-ordination aims to provide basic medical security for the people. Therefore, in theory, Chinese medicine should be included in the overall medical insurance scope to provide affordable medical services for the majority of patients.
However, in practice, whether Chinese medicine can take medical insurance as a whole still needs to consider many factors. First of all, there are many kinds of Chinese medicines, and different kinds of Chinese medicines have differences in efficacy and price, so not all Chinese medicines can be included in medical insurance as a whole. Secondly, the sources of funds for medical insurance co-ordination are limited and need to be allocated reasonably on the premise of ensuring basic medical needs. Therefore, some Chinese medicines with high prices or unclear curative effects may be difficult to be included in the overall medical insurance.
Two, the status quo and challenges of Chinese medicine into medical insurance as a whole
At present, the state has issued a series of policies to encourage and support the development of traditional Chinese medicine and bring it into medical insurance coverage as a whole. However, in practice, the integration of Chinese medicine into medical insurance still faces some challenges. On the one hand, the quality standards and efficacy evaluation of traditional Chinese medicine need to be further improved to ensure the safety and effectiveness of traditional Chinese medicine. On the other hand, the overall management and supervision mechanism of medical insurance needs to be further strengthened to prevent and combat fraud and abuse of medical insurance.
Third, measures to promote the integration of Chinese medicine into the overall medical insurance.
In order to promote the integration of Chinese medicine into the overall medical insurance, a series of measures need to be taken. First, strengthen the quality supervision and efficacy evaluation of traditional Chinese medicine to ensure the safety and effectiveness of traditional Chinese medicine. Secondly, improve the medical insurance policy, include more qualified Chinese medicines into the medical insurance catalogue, and improve the level of patient medication security. In addition, the supervision and management of medical insurance funds should be strengthened to ensure the rational use and effective distribution of medical insurance funds.
To sum up:
Whether Chinese medicine can provide medical insurance as a whole depends on many factors. Although the state has issued a series of policies to encourage and support the development of traditional Chinese medicine, it still faces some challenges in actual operation. Therefore, it is necessary to further strengthen the quality supervision and efficacy evaluation of traditional Chinese medicine, improve the medical insurance policy and management mechanism, promote the integration of traditional Chinese medicine into the overall medical insurance, and provide more economical medical services for the majority of patients.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28 provides that:
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
People's Republic of China (PRC) Traditional Chinese Medicine Law
Article 4 provides that:
The state develops Chinese medicine, implements the principle of paying equal attention to both Chinese and Western medicine, establishes a management system that conforms to the characteristics of Chinese medicine, and gives full play to the role of Chinese medicine in China's medical and health undertakings.