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众所周知,国家在医院推行医保政策,对患者的医疗费用给予不同额度的报销,最大程度上保障了居民的基本医疗需要。全国许多地区也采取了类似于医院的医保做法,对居民在药店所购药品予以报销。而有些地区的药店虽然挂着“医保定点药店”的牌子,却并没有真正“医保”过。有人认为在药店购买的药品应该报销,因为对医院和药店在相关医保政策上的一视同仁有利于他们相互之间展开公平竞争,而且由于药店自身布局合理,拥有方便快捷的现代化联网手段和足够的药师力量配备,再加上相关部门监管措施的得力到位,药店推行医保政策各方面的条件都已具备。而有人则对此不以为然,他们觉得药店在市场化条件下的逐利性与医保的社会公益性之间有着根本冲突,在此前提下,对居民在药店所购买的药品予以报销很可能演变成药店“增收创效”的一种手段,也使社会公共医保基金的效能得不到充分发挥,因此他们不主张对居民在药店所购买的药品予以报销。对此,本期辩论会围绕“在药店购买的药品该不该报销”这个话题,邀请相关的医保专家、药店经理以及部分医保定点药店的参保居民展开了激烈辩论。
As we all know, the state promotes the medical insurance policy in the hospital, reimburse patients for their medical expenses with different amounts, and ensures the residents’ basic medical needs to the greatest extent. In many parts of the country, health insurance practices similar to hospitals have been adopted to reimburse residents for purchases of medicines at pharmacies. While in some areas the drugstore hangs “Medicare designated pharmacies ” brand, but did not really “Medicare ” too. Some people think that drugs purchased in pharmacies should be reimbursed because hospitals and pharmacies in the relevant Medicare policy is conducive to fair play among them, and because of the rational layout of the pharmacies themselves, with convenient modern networking tools and sufficient pharmacists Equipped with the strength and power of supervisory measures in the relevant departments, the conditions for implementing various aspects of health insurance policies in pharmacies are all available. However, some people disagree with them. They think there is a fundamental conflict between the profitability of pharmacies under market conditions and the social welfare of medical insurance. Under this premise, reimbursement of medicines purchased by residents in pharmacies is likely to evolve into Drugstores, a means of “increasing revenue and generating profits,” also failed to give full play to the effectiveness of social public health insurance funds. Therefore, they did not advocate reimbursement of medicines purchased by residents in pharmacies. In this regard, this debate will focus on “should not be reimbursed for drugs purchased in the pharmacy ” this topic, invited the relevant medical insurance experts, pharmacy managers and some insured residents of Medicare designated pharmacies heated debate.