Contents
武汉上万名退休人员上街到市政府抗议医保少发200块钱，事件综述
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今日（2023年2月8日）上午十点到下午2:00左右的现场照片是我 本人拍摄
我出发之前比较担心会出现暴力镇压老年人的事情，虽然不能做什么，但是本意是如果发生就真实地记录下来，目前来看，警方与政府方面的行为较为保守和克制，但同时也没有做出任何方面的回应。
因为看起来抗议人群年龄几乎都相当大，特警，武警在这次抗议中表现的都相当克制与保守没 有看见田可反击和推搡行为。
目前部分老人情绪激动，在路中间被便衣架走，看起来有年龄约60岁左右，由于较快发生，没有办法拍到照片，但是，警方的一切行动都相当克制，架走老年人的行为也较为温柔对待。
现场可以看见有准备少量医疗车。
抗议还在持续，警察在部分路口开始盘问路 人，但是由于处于交通要道，盘查并不仔细， 也并没有阻止人群拍照录像之类的。目前在现场听到的声音是没有答复的话，明天会继续。但是目测这个情况，一旦退场就很难再聚集了， 而且原定15日在中山公园抗议。我个人感觉目前是也不太可能进行，警方知道抗议行动后，应该会加大打压力度。
可能是因为抗议人群年龄较大，到目前没有看见墙内自媒体抖音，微博或是微信中有抗议的视频或者讨论。
我现在已经离开现场上面的消息，一部分是复制的，并不是现在实时的状况，但大致的事情经过如上面所描述。
现场抗议老年多出行方式轮残疾车与公交。政府目前已经停止公交的进入。有一部分抗议人群目前正在从公交站步行过来。
冲突似乎在加剧，但是抗议者均为年龄较大的老年人，武警方面表现仍然相当克制，其中也有 疑似社区引导员将人群带往信访处试图分散人 群。
上午8:46
我出发之前比较担心会出现暴力镇压老年人的事情。虽然不能做什么，但是本意是如果发生就真实地记录下来。目前来看，警方与政府方面的行为较为保守和克制，但同时也没有做出任何方面的回应
上午9:04
大致时间线是上午10: 20左右开始有人聚集， 讨要说法的老年人拦住了武汉市政府的主干道。
抗议人群中主要为老年人。现场并没有很大冲突，但看场抗议者并不满足政府的态度，并决定15日在中山公园进行更大规模的抗议活动。
现场抗议者的诉求相当明确，就是关于医保下调的问题。
现场发生的推撞，由于抗议人群年龄相当大， 特警表现相当克制。
现场抗议老年人大多出行方式是三轮残疾车与公交。政府目前已知停止公交的进入。有一部分 抗议人群目前正在从公交站步行过来。
人群开始聚集在市政府更远的位置了，市政府那出动了大量武警特警。
下午1:56
冲突似乎在加剧，但是抗议者均为年龄较大的老年人。武警方面表现仍然相当克制，其中也有 疑似社区引导员将人群带往信访处试图分散人群。
下午1:57
可能是因为抗议人群年龄较大，到目前没有看见墙内自媒体，抖音，微博或是微信中有抗议的 视频或者讨论。
抗议还在持续。警察在部分路口开始盘问路 人，但是由于处于交通要道，盘查并不仔细， 也并没有阻止人群拍照录像之类的。目前在现场听到的声音是没有答复的话，明天会继续。但是目测这个情况，一旦退场很难再聚集了。而且原定15日在中山公园抗议。我个人感觉目前是也不太可能进行。警方知道抗议行动后，应该会加大打压力度。
目前部分老人情绪激动，在路中间被便衣架走，看起来有年龄约60岁左右。由于较快发生没有办法拍到照片。但是，警方的一切行动都相当克制，架走老年人的行为也较为温柔。现场可以看见有准备少量医疗车。
我大约下午3：30离开现场，图片和消息来源是我在现场拍摄和收集的，实在抱歉会比较乱。
武汉市职工基本医疗保险调整对比表
武汉市公务员医保不受影响。
中国电信 14：43
老先生
14： 36
通知，因人民日报介入， 市政府紧急通知医改暂缓, 具体时间另行通知，请相互转告退休人员。
人民日报刚刚发声了，提出了四条整改意见，重点追究这次医改负责人的官僚主义，坑害老百姓的问题。恢复原状，下一步要向全民免费医疗靠近。
英雄的武汉人民，又为推动历史和社会的进步做出了贡献。
大包王朝备注：
这只是一个消息，《人民日报》的所谓发声，网上还没有搜到。
抗议人群要求政府官员公开解释为何将每月两百六十多元的医药补贴，降至八十几元。
武汉市民高先生告诉记者，近200万退休人员受到影响，抗议民众要求医保补贴恢复到原来标准。抗议人士来自武汉市各行业的基层退休员工，收入都比较低，医改对他们影响很大。
“就是为了新的医保政策，他们在抗议，请愿。扣了一百大几十块钱，一年就两千多。”他说，“因为很多退休老人，有些小病小痛的药铺买点药，这260块钱勉强维持，现在80来块钱，买一个药都不够。”
2月份开始，武汉退休人员职工医保账户，每个月返钱降到只有83元。灵活就业人员，退休后每个月返还的钱，只有66元（是职工退休的80%）。
下面是《武汉发布》1月份的官方消息
2月1日起，武汉职工医保有重大变化
2023-01-14 11:52武汉发布
武汉职工医保运行20多年来，最大的一次改革即将落地实施。武汉市人民政府印发《武汉市职工基本医疗保险门诊共济保障实施细则的通知》（下称《通知》）。1月12日，记者从武汉市医保局获悉，我市正稳妥推进实施职工医保制度改革。
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在前期实现职工医保个人账户家庭共济的基础上，2月1日起，我市将正式实施职工医保门诊统筹，“普通门诊费用不能报销”将成为历史。
届时，我市职工门诊治疗费用将纳入医保统筹基金支付范围，报销比例从50%起步，并同步调整职工医保个人账户的计入办法。
武汉职工医保制度改革正式启动
我市职工医保制度运行20多年来，实行的是统筹账户和个人账户相结合的保障模式。此前，我市职工医保以保住院为重心，政策范围内住院费用统筹基金报销比例达80%以上。而门诊费用除了特定门诊慢特病种等纳入报销外，普通门诊医疗费用只能通过个人账户来支付。由于个人账户是个人积累式的，其局限性也逐步凸显，健康和非健康人群个人账户积累差距很大，且家庭成员间不能共用，“有病的不够用，没病的不能用”。
“医疗保险的实质是互助共济，是健康的人帮助不健康的人”，我市要通过改革，建立健全互助共济、责任共担的职工医保制度，以切实减轻参保职工医疗费用负担。为确保制度安全平稳运行，本次武汉市充分考虑职工医保基金运行、医疗机构水平等因素，按照低水平起步原则设计政策，为后期适时调整政策预留空间。
改革主要涉及三项内容
我市职工医保门诊共济保障改革，主要涉及三项内容：
第一项
我市将建立职工医保门诊统筹制度，将职工医保参保人普通门诊治疗费用纳入医保统筹基金支付范围，报销比例从50%起步。
按照《通知》，我市在一级定点医疗机构（含社区卫生服务机构、乡镇卫生院） 统筹基金支付比例确定为80%，以鼓励参保人在基层首诊，缓解大医院“就医难”的问题。同时，考虑到退休人员患病率比年轻人高，医疗需求更大，退休人员报销比例达到84%，“体现报销政策向退休人员倾斜”。
第二项
调整医保个人账户的计入办法。《通知》明确，在职职工个人账户计入由原来的单位缴费的一定比例和个人缴费的全部，转变为只划入个人缴费部分。我市退休人员个人账户将按照2021年养老金平均水平2.5%划入。此外，参加我市职工医保的灵活就业人员，原则上不再给予补助，退休后参照用人单位退休人员个人账户计入金额的80% 给予门诊和购药补助。
改革个人账户划入比例后，增加的资金全部进入我市职工医保普通门诊统筹基金。“个人账户的已有积累部分仍归个人所有，不受影响。”
第三项
个人账户家庭共济。个人账户可以用于支付参保职工本人及其配偶、父母、子女在定点医疗机构就医时发生的医疗费用，以及在定点零售药店购买药品、医疗器械、医用耗材发生的费用。同时，探索个人账户用于本人以及配偶、父母、子女相关个人缴费。
改革将分步实施
去年底，我市已实现上述改革内容的第三项内容，即职工医保家庭共济正式落地实施。参保职工在我市统筹范围内参加基本医疗保险的配偶、父母、子女均可通过申请，关联到参保职工个人账户，使用个人账户余额支付就诊时的个人自付费用。
2月1日起，上述改革内容的第一项和第二项将正式落地实施，我市职工医保参保人员在定点医疗机构普通门诊就诊时，符合医保政策范围内的医药费用，将纳入医保统筹报销范围；并同步按照《通知》要求调整个人账户计入办法。目前，我市医保部门正在进行信息结算系统升级改造和测试，保障参保人如期享受普通门诊报销。
下一步，在省医保信息系统支持下，我市将逐步加强部分慢性病、特殊病的门诊保障。同时，逐步实现医保个人账户用于本人以及配偶、父母、子女参加城乡居民医保、职工大额医保等个人缴费。
Tens of thousands of retirees in Wuhan took to the streets to the city government to protest the 200 yuan less payment of medical insurance, a summary of the incident
related video
Today (February 8, 2023) from 10:00 am to 2:00 pm, the on-site photos were taken by me
Before I set off, I was worried that there would be violent suppression of the elderly. Although I couldn’t do anything, my intention was to record it truthfully if it happened. At present, the behavior of the police and the government is relatively conservative and restrained, but at the same time, they have not done anything. respond in any way.
Because it seems that the protesters are almost all quite old, the special police and the armed police were quite restrained and conservative in this protest and did not see Tian Ke’s counterattack and shoving behavior.
At present, some elderly people are emotional, and they are walked away by plain clothes hangers in the middle of the road. They seem to be about 60 years old. Due to the rapid occurrence, there is no way to take pictures. However, all actions of the police are quite restrained, and the behavior of dragging away the elderly Also more gentle.
A small number of medical vehicles can be seen at the scene.
The protests continued, and the police began to question passers-by at some intersections. However, due to the traffic arteries, the interrogations were not careful, and they did not prevent the crowd from taking pictures and videos. The voice heard at the scene is that if there is no answer, it will continue tomorrow. However, based on visual observations, it is difficult to gather again once they leave the venue, and the protest was originally scheduled to take place in Zhongshan Park on the 15th. I personally feel that it is unlikely to be carried out at present. After the police know about the protests, they should increase their suppression.
After the police knew about the protests, they should increase their suppression.
It may be because the protesters are older, and so far no videos or discussions of the protests have been seen on the self-media Douyin, Weibo or WeChat in the wall.
I have already left the site. The above news is partly duplicated, and it is not the current real-time situation, but the general events are as described above.
On-site protests for the elderly to use disabled vehicles and public transportation. The government has stopped public transport access for now. Some of the protesters are currently walking from the bus station.
The conflict seems to be intensifying, but the protesters are all older people, and the armed police are still quite restrained. Among them, there are also suspected community guides who take the crowd to the petition office in an attempt to disperse the crowd.
8:46 am
Before I set off, I was more worried that there would be violent suppression of the elderly. Although it can’t do anything, the intention is to record it truthfully if it happens. At present, the behavior of the police and the government is relatively conservative and restrained, but at the same time they have not responded in any way
9:04 am
At present, the behavior of the police and the government is relatively conservative and restrained
The approximate timeline is around 10:20 in the morning when people began to gather, and elderly people asking for explanations blocked the main road of Wuhan Municipal Government.
The protesters were mainly elderly people. There was not much conflict at the scene, but the protesters who watched the scene were not satisfied with the government’s attitude and decided to hold a larger-scale protest in Zhongshan Park on the 15th.
The demands of the protesters at the scene are quite clear, which is about the reduction of medical insurance.
Due to the age of the protesting crowd, the special police showed restraint in the push and collision that occurred at the scene.
Most of the older people who protested at the scene travel by three-wheeled disabled vehicles and buses. The government is currently known to stop access to buses. Part of the protest crowd is currently walking from the bus station.
The crowd began to gather farther away from the city hall, where a large number of armed police and special police were dispatched.
1:56 pm
Clashes appeared to be intensifying, but the protesters were mostly older people. The armed police remained quite restrained, and there were also suspected community guides who took the crowd to the petition office in an attempt to disperse the crowd.
1:57 pm
It may be because the protesters are older, and so far there have been no videos or discussions of the protests on We Media, Douyin, Weibo or WeChat in the wall.
Protests continue. The police began to question passers-by at some intersections, but because they were located on the main roads, they did not check carefully, nor did they prevent the crowd from taking pictures and videos. The voice heard at the scene is that if there is no answer, it will continue tomorrow. But visually observing this situation, it is difficult to gather again once they leave the field. And it was originally planned to protest at Zhongshan Park on the 15th. Personally, I feel that it is not possible at present. After the police knew about the protests, they should increase their suppression.
At present, some elderly people are agitated, and they are walked by plain clothes hangers in the middle of the road. They seem to be about 60 years old. Couldn’t get a photo due to it happening so quickly. However, all actions of the police were quite restrained, and the behavior of abducting the elderly was relatively gentle. A small number of medical vehicles can be seen at the scene.
A small number of medical vehicles can be seen at the scene.
Before I left, there was no reply or statement from the government
10:57 am
Only suspected community or government staff said they would suspend the implementation? But it is not sure whether it is an official statement from the government.
The number of participants in the entire protest was not large, and there was no bloodshed or violent conflict, and both sides were relatively restrained.
10:58 am
I left the scene at about 3:30 pm. The pictures and sources were taken and collected by me at the scene. I am really sorry for the confusion.
Wuhan City Employee Basic Medical Insurance Adjustment Comparison Table
The medical insurance of civil servants in Wuhan will not be affected.
Comparison table of basic medical insurance adjustments for employees in Wuhan
China Telecom 14:43
old gentleman
14:36
Notification, due to the intervention of the People’s Daily, the municipal government urgently notified that the medical reform will be suspended, and the specific time will be notified separately. Please tell the retirees to each other.
The People’s Daily has just made a statement and put forward four suggestions for rectification, focusing on the bureaucracy of the person in charge of the medical reform and the problem of harming the common people. To restore the original state, the next step is to approach free medical care for all.
The heroic people of Wuhan have made contributions to promoting the progress of history and society.
The People’s Daily just made a sound and put forward four suggestions for rectification
Remarks of Dabao Dynasty:
This is just a piece of news. The so-called voice of the “People’s Daily” has not been found on the Internet.
The protesters demanded that government officials publicly explain why the monthly medical subsidy was reduced from more than 260 yuan to more than 80 yuan.
Mr. Gao, a citizen of Wuhan, told reporters that nearly 2 million retirees were affected, and the protesters demanded that the medical insurance subsidy be restored to the original standard. The protesters come from grassroots retired employees from various industries in Wuhan, and their incomes are relatively low. The medical reform has a great impact on them.
“They are protesting and petitioning for the new medical insurance policy. They have deducted hundreds of yuan and dozens of yuan, which is more than two thousand a year.” He said, “Because many retired elderly people buy some medicines from pharmacies for minor ailments. , The 260 yuan is barely enough to survive, and now 80 yuan is not enough to buy a medicine.”
Beginning in February, the monthly rebates for the medical insurance accounts of retirees in Wuhan dropped to only 83 yuan. For flexible employees, the monthly repayment after retirement is only 66 yuan (80% of the employee’s retirement).
The following is the official news of “Wuhan Release” in January
From February 1st, there will be major changes in the medical insurance of Wuhan employees
2023-01-14 11:52 Released in Wuhan
Wuhan employee medical insurance has been in operation for more than 20 years, and the biggest reform is about to be implemented. The Wuhan Municipal People’s Government issued the “Notice on the Implementation Rules for Outpatient Mutual Aid Security of Basic Medical Insurance for Employees in Wuhan” (hereinafter referred to as the “Notice”). On January 12, the reporter learned from the Wuhan Municipal Medical Insurance Bureau that the city is steadily promoting the implementation of the reform of the employee medical insurance system.
advertise
On the basis of the realization of family mutual aid in the individual accounts of employees’ medical insurance in the early stage, starting from February 1, our city will officially implement outpatient pooling for employees’ medical insurance, and “general outpatient expenses cannot be reimbursed” will become history.
At that time, the city’s employees’ outpatient treatment expenses will be included in the payment scope of the medical insurance pooling fund, and the reimbursement rate will start from 50%, and the method of recording into the employee’s medical insurance personal account will be adjusted simultaneously.
The reform of Wuhan’s employee medical insurance system was officially launched
The city’s employee medical insurance system has been in operation for more than 20 years, and it has implemented a security model that combines pooled accounts and individual accounts. Previously, the city’s employee medical insurance focused on hospitalization, and the reimbursement ratio of hospitalization expenses within the scope of the policy reached more than 80%. In addition to the reimbursement of specific outpatient chronic diseases, general outpatient medical expenses can only be paid through personal accounts. Since personal accounts are accumulated by individuals, their limitations have gradually become apparent. There is a large gap in the accumulation of personal accounts between healthy and non-healthy people, and family members cannot share them.
“The essence of medical insurance is mutual aid, that is, healthy people help unhealthy people.” Through reforms, our city will establish and improve the medical insurance system for employees who help each other and share responsibilities, so as to effectively reduce the burden of medical expenses on insured employees. In order to ensure the safe and stable operation of the system, Wuhan City fully considered factors such as the operation of employee medical insurance funds and the level of medical institutions, and designed policies based on the principle of starting at a low level to reserve space for timely adjustments to policies in the later period.
The reform mainly involves three contents
The city’s employee medical insurance outpatient mutual aid security reform mainly involves three items:
First item
Our city will establish an employee medical insurance outpatient co-ordination system, which will include the general outpatient treatment expenses of employee medical insurance participants in the payment scope of the medical insurance overall planning fund, and the reimbursement rate will start from 50%.
According to the “Notice”, the city’s first-level designated medical institutions (including community health service institutions and township health centers) will pay 80% of the overall fund payment ratio to encourage insured persons to make their first visits at the grassroots level and alleviate the “difficulty in seeking medical treatment” in large hospitals The problem. At the same time, considering that the sickness rate of retirees is higher than that of young people and their medical needs are greater, the reimbursement ratio for retirees reached 84%, “reflecting that the reimbursement policy is tilted towards retirees.”
second section
Adjust the crediting method of individual medical insurance accounts. The “Notice” clarifies that the personal account of the serving employees is included in a certain percentage of the original unit payment and all the individual payment, and only the individual payment is included. The personal accounts of retirees in our city will be allocated according to the average pension level of 2.5% in 2021. In addition, flexible employees participating in the city’s employee medical insurance will no longer be given subsidies in principle. After retirement, 80% of the amount included in the personal account of the retirees of the employer will be given to outpatient and drug purchase subsidies.
After the reform of the personal account allocation ratio, all the increased funds will go into the general outpatient pooling fund of the city’s employee medical insurance. “The accumulated part of the personal account is still owned by the individual and will not be affected.”
the third item
Personal account and family mutual aid. The personal account can be used to pay the medical expenses incurred by the insured employees themselves, their spouses, parents, and children when they seek medical treatment in designated medical institutions, as well as the expenses incurred in purchasing medicines, medical devices, and medical consumables in designated retail pharmacies. At the same time, the exploration personal account is used for personal payment for the person, spouse, parents, and children.
The reform will be implemented step by step
At the end of last year, our city has realized the third item of the above-mentioned reform content, that is, the official implementation of employee medical insurance and family assistance. Spouses, parents, and children of insured employees who participate in the basic medical insurance within the scope of our city’s overall planning can apply to link to the personal accounts of insured employees, and use the balance of the personal account to pay for personal out-of-pocket expenses when seeing a doctor.
Starting from February 1, the first and second items of the above-mentioned reform content will be officially implemented. When the city’s employee medical insurance participants go to the general outpatient clinics of designated medical institutions, the medical expenses that meet the scope of the medical insurance policy will be included in the medical insurance. Coordinate the scope of reimbursement; and simultaneously adjust the method of crediting personal accounts in accordance with the requirements of the “Notice”. At present, the city’s medical insurance department is upgrading and testing the information settlement system to ensure that the insured can enjoy ordinary outpatient reimbursement as scheduled.
In the next step, with the support of the provincial medical insurance information system, our city will gradually strengthen outpatient protection for some chronic diseases and special diseases. At the same time, gradually realize that the personal medical insurance account is used for personal payment such as the personal medical insurance for urban and rural residents, large-amount medical insurance for employees, spouses, parents, and children.