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浙江省萧山市义蓬地区经济发达,人民生活水平较高,年人均收入在4000元以上。按理说,在提前进入小康的农村里,推行农村集资医疗(农民互助合作医疗、乡镇企业职工统筹医疗)是一件轻而易举的事情。然而,在实际工作中却面临着一定的困扰和难度。在八个乡镇中,由镇、村集体投资和个人出资互助实施集资医疗的仅三个乡镇;单有个人出少量医疗费而集体不投入的有二个乡镇;其余三个乡镇尚未实施。在实施过程中,少数干部暴露出“出力不讨好”的顾虑心态;或认为是多此一举的事情。究其原因,主要有以下几个方面:
The Yipeng area in Xiaoshan City, Zhejiang Province has a prosperous economy and a high standard of living. The annual per capita income is over 4,000 yuan. It is reasonable to say that in rural areas that have entered the well-to-do level ahead of time, it is a breeze to implement rural fund-raising medical care (mutual assistance for farmers and cooperative medical care, and for township and township employees to co-ordinate medical care). However, there are certain difficulties and difficulties in the actual work. In the eight townships, only towns and townships that have collectively funded and personally funded the implementation of fund-raising medical care are provided in only three towns and townships; two townships and towns that have individuals who have a small amount of medical expenses and do not invest in collectives have not yet been implemented. In the process of implementation, a small number of cadres exposed the worrying mentality of “helplessness”; or considered to be an overkill issue. The reasons are mainly the following: