(NLDO) – Mr. Tran Anh Tuan, Vice Chairman of Quang Nam Provincial People's Committee, requested that this December, all difficulties in implementing Resolution 29 must be completely resolved.
On the afternoon of December 24, Mr. Tran Anh Tuan, Vice Chairman of the People's Committee of Quang Nam province chaired a working session with the Department of Labor, War Invalids and Social Affairs (LD-TB-XH), the Department of Health and a number of related departments, branches and units on the implementation of Resolution No. 29/2024/NQ-HDND of the province (Resolution 29).
Previously, some press agencies reported that many people in Quang Nam province had great difficulty going to medical facilities to confirm their health status in order to receive benefits under Resolution 29.
Mr. Tran Anh Tuan, Vice Chairman of Quang Nam Provincial People's Committee chaired the meeting.
At the beginning of the meeting, Mr. Tran Anh Tuan said that Resolution 29 of the Provincial People's Council is a very humane policy of the locality. However, during the implementation process, some officials worked too mechanically, causing frustration for the people. He cited that people had 4 diseases but the officials instructed them to ask for confirmation that only 1 disease was in the list of diseases in the resolution, which was an unusual way of doing things, causing trouble for the people.
According to the Department of Labor, Invalids and Social Affairs of Quang Nam province, the province previously issued Resolution No. 43 regulating the level of support for disadvantaged people in the area, including those with serious illnesses.
Resolution 43 does not clearly define each list of diseases eligible for monthly allowances and health insurance, but only states "people with serious illnesses". During the implementation process, in addition to the 42 diseases in the list of serious illnesses eligible for benefits, there are also diseases confirmed by the Department of Health and District Health Centers to be similar to one of the 42 serious illnesses.
Therefore, the whole province has 5,180 similar patients receiving subsidies under Resolution No. 43, so the budget for 2023 and 10 months of 2024 has increased significantly.
In October 2024, the People's Council of Quang Nam province issued Resolution 29. In which, there is an appendix listing 42 critical illnesses eligible for the regime. The resolution also sets a budget expenditure of about 95 billion VND/year.
Ms. Doan Thi Hoai Nhi, Deputy Director of the Department of Labor, Invalids and Social Affairs of Quang Nam province, spoke at the meeting.
The Department of Labor, Invalids and Social Affairs of Quang Nam province said that currently, medical examination and treatment facilities have conclusions and diagnose diseases according to the ICD-10 code, so there are many disease names that do not match the disease names in the list of serious diseases; there are diseases that are almost the same as the disease names; very few diseases have disease names that are exactly the same as the disease names in the list of 42 diseases, so the Department of Labor, Invalids and Social Affairs does not accept the records.
At the same time, due to lack of medical expertise, the staff cannot explain clearly to the people. In addition, some officials and civil servants are not thorough in their propaganda and guidance, causing trouble and frustration for the people.
According to Ms. Doan Thi Hoai Nhi, Deputy Director of the Department of Labor, Invalids and Social Affairs of Quang Nam province, there are currently 4,391 subjects who previously enjoyed policies under Resolution 43, but when switching to Resolution 29, they are submitting applications for resolution. There are similar diseases but they do not match the names in the list of 42 critical illnesses.
Ms. Tran Thi Bich Thu, Head of the Culture - Social Committee of the People's Council of Quang Nam province
Ms. Tran Thi Bich Thu, Head of the Culture and Social Committee of the People's Council of Quang Nam province, said that in fact, the 42 lists of serious illnesses in the appendix of Resolution 29 are taken from the list of 42 serious illnesses in Decree 134 of the Government.
She said that the nature of the subjects suffering from the disease called "similar diseases" with the list of 42 diseases is a serious disease, just different in name. Therefore, these subjects must be supported according to Resolution 29.
Ms. Thu said that Resolution 43 of the Provincial People's Council stipulates a budget expenditure of about 30 billion VND/year. In 2023, the expenditure will more than double to about 77 billion VND. Meanwhile, Resolution 29 stipulates a budget expenditure of about 95 billion VND/year. Therefore, adding 4,391 subjects from Resolution 43 will not "break" the estimated budget fund. Because this is not a new subject.
Ms. Thu said that the problem people are facing is because the health sector does not have specific instructions on diseases that are essentially serious illnesses but the names do not match the names in the list of 42 diseases, so units are confused in implementation.
Therefore, she suggested that the Department of Health redefine the list of diseases and provide guidance according to the nature of the 42 serious diseases so that localities have a basis for implementation.
Concluding the meeting, Mr. Tran Anh Tuan requested the Department of Health and the Department of Labor, Invalids and Social Affairs to coordinate to issue a specific instruction document, in which, it is necessary to clearly state the list of serious diseases, diseases that require regular treatment, and are costly so that localities can implement in accordance with the spirit of Resolution 29.
According to Mr. Tuan, those who previously enjoyed health insurance cards under Resolution 43 must continue to receive health insurance card support. Health insurance cards cannot be cut when implementing Resolution 29.
Mr. Tuan affirmed that the essence of Resolution 29 is to support the right people, the right subjects, only solving the problems for the truly disadvantaged. Those who are really in difficulty, have serious illnesses and need regular treatment, which costs a lot of money.
"In the province's conditions, we have to "cut our coat according to our cloth". We calculate that if we don't have enough 95 billion VND, we will not expand the target group. However, if it is the right target group with serious illness, we must "bite the bullet" to support the people by increasing the budget" - Mr. Tuan said and requested that in December 2024, all problems must be resolved, and all instructions and support for localities to properly implement the regulations in Resolution 29 must be provided.
Source: https://nld.com.vn/bi-4-benh-yeu-cau-xac-nhan-1-benh-la-qua-may-moc-196241224182721903.htm
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