The man fishes and is burnt the medical insurance by the high-pressure electric current and refused to submit 10 therapeutic Fei Wan

The man fishes and is burnt the medical insurance by the high-pressure electric current and refused to submit 10 therapeutic Fei Wan
At Nanyang the intersection of Dengzhou and the intersection of city and one man fish, wave pole, fishhook hang live in the intersection of fishpond and high-pressure line of high altitude carelessly, cause the large area of whole body to be specially severe and burn, treat the fee and spend nearly 10 ten thousand yuan. When he goes to the medical insurance centre to submit an expense account holding the form of expenses for medicine, but told to belong to " L The unexpected injury " ,Do not submit an expense account in the range in the urban worker's basic medical insurance.
The fishhook is hung the electric current of the high-voltage line burns anglers
In the morning of December 15, the reporter is in the institute of traditional Chinese medicine of the market of Nanyang burns the department ward, the king that saw and lay on the sick bed revitalizes the sea. The treatments of nearly 50 days, kings revitalized in the sea most had already healed and has been longer than the new skin the skin burnt, right arm and lay half-length to burn relatively more serious place, there is a full of stains or spots scar.
" Go to angle a fish, but burn oneself into this sample. " Talk about the process that oneself is burnt, 45 -year-old Wang Xing sea is too deep for tears. Wang XingHai says, he is a worker of the municipal housing bureau of Dengzhou, likes fishing at ordinary times. In the afternoon of October 23 of this year, he and a friend come to the fishpond of the Huang 's of Dengzhou to fish, when he waves the pole to get rid of the hook, hear " L Pa " R A loud noise,last one by oneself fireball.
Wang XingHai goes into a coma for 20 minutes, just knows not merely oneself is burnt Cheng Zhong by the high-voltage line wounded after waking up, even fish in the fishpond follow to suffer disaster, because the electric current is passed to the fishpond, electrocute large numbers of fish.
Nanyang the intersection of city and institute of traditional Chinese medicine burn soldier, sea of woods of head of the department, tell reporter whether admitted to hospital, will it be 5 o'clock that afternoon, Wang XingHai's whole body, as black charcoal, the hair has already been scorched, the face and large area of whole body have been burnt. Because the king revitalizes the carbon element fishing rod electric conduction used in sea, the high temperature is up to eight or nine hundred degrees in the twinkling of an eye, whole body clothes catch fire immediately, high-pressure electric current enter the body from right arm to hold pole their, transfer to a circle in the body, go out from the left foot. Left foot of XingHai Wang cook burnt, one toe of left foot cut, lose already, whole body large area specially severe to burn.
" In hospital nearly 10 of the cost this time Ten thousand yuan is borrowed. " Wang XingHai says, he is only an ordinary worker in the unit, the income at ordinary times is only enough for the whole family's expenses.
Because has participated in the urban worker's basic medical insurance in the unit, kings can get a part to submit an expense account to compensate the expenses after leaving hospital to repay debts while revitalizing the original hope of sea. But when he let family go to the unit to consult how holding expense note in hospital to submit an expense account, the unit claims this is unexpected injury, does not compensate the range in the medical insurance, so can't submit an expense account. Subsequently, its family go to the medical insurance centre of Dengzhou to consult again, it was the same reply that was got.
" Why is unexpected injury in hospital not to enjoy the medical insurance? " Wang XingHai and relative are unable to understand to this explanation.
Do not submit an expense account according to the unexpected injury of policies and regulations of the medical insurance
" Wang XingHai these kind of situation belong to the abnormal ill hospitalization cost that produced, the medical insurance refuses to submit an expense account. " Ms. Hou of the social medical insurance centre of Dengzhou tells reporters.
The reporter asks : " Which are the unexpected injury? "
Ms. Hou answers : " The unexpected injury usually refers to the body injury caused by outside, send suddenly, non- natural disease,etc., traffic accident, burn, fall and injure etc.. "
Subsequently, Ms. Hou takes out one>Show reporter, there is such a content in article 2 of this method: " And>The number pool fund in the third regulation refuses to pay, by patient's cash settlement. "
" Not only the urban worker effecting an insurance is not wiped out by the unexpected injury, urban residents are the same. " Ms. Hou says, the government of Dengzhou printed and distributed on December 15, 2008>In express regulations too,effect an insurance resident because of traffic accident, unexpected injury, malpractice,etc. last hospitalization cost that be produced, residents refuse to pay medical insurance fund.
The unexpected injury can submit an expense account in the other places there is precedent
" Personnel are unable to enjoy the medical insurance ' unexpected injury ' that urban worker and resident effect an insurance, it is mainly a reason of the policy. " L Yesterday, a person in charge of the medical insurance centre of Nanyang explained when being interviewed by reporter, " At present, relevant systems of the medical insurance of Nanyang were carried out according to country's total policy, Nanyang city 13 piece county ( Municipal or district) Workers and urban residents urban effect an insurance that personnel ' unexpected injury ' within range that medical insurance compensate. "
" But does not say all people can't submit an expense account by ' unexpected injury '. " This person in charge says. It is reported, since April of 2007, the students of Nanyang urban area have appeared in the campus " L The unexpected injury " ,If nobody compensates, after verifying and sanctioning, can submit an expense account according to medical insurance standards of urban residents. Begin since January of 2008, universities, colleges, junior colleges and special secondary schools and middle and primary schools students in the range of the whole city of Nanyang can enjoy this policy.
Moreover, the directly subordinated worker of Nanyang above the age of 65 receives " L The unexpected injury " ,Without the compensation with square responsibility, after department examine and approve the medical insurance and confirms, also can enjoy the medical insurance to compensate.
And just join and shut to peasants and cause newly and agriculturally in daily life and production by the fact that the factor happens suddenly the human body damaging jointly in Dengzhou, this kind of damage is due to joining and shutting peasant's one's own factor and having no responsibility of other party, if nobody compensate, too can wipe out medical fee.
Why only urban worker and resident effect an insurance to receive " The unexpected injury " R Got rid of except compensating the range in medical insurance? To this, a person in charge of municipal bureau of labour in Dengzhou says to the reporter: " Stipulate like this that avoids repetition and submits an expense account. Under the general situation, the emergence of ' unexpected injury ' has the third party's participation, for example after the traffic accident happens, someone will certainly bear responsibility, just mean compensating and paying; The industrial injury has other compensation methods too . "
Then, if urban worker and resident effect an insurance personnel are receiving " The unexpected injury " R When without third party compensate participating in,can have an opportunity to enjoy by compensation policy?
Understand according to the reporter, though the policy stipulates in the country: " L The unexpected injury " R It is not in the medical insurance is paid the range for. But at present, many other province and city have already begun to issue and effect an insurance the unexpected injury hospitalization cost of personnel compensate the method. For example assist the Fan 's in 2009 Issue on annual November 12>Stipulate, effect an insurance when the unexpected injury take place to personnel, it is in hospital the hospitalization cost to enjoy the treatment according to the regulation of the urban worker's basic medical insurance.
Second affiliated hospital bone head of the department, Zhao ShaoJie of member of the CPPCC National Committee of University of Science and Technology in Henan have submitted motions to appeal for during CPPCC's meeting>. Zhao ShaoJie says, after receiving the personal unexpected injury, for offering the medical expenses that the reliable evidence proved persons who are in hospital without responsibility of other party, should compensate the regulation to carry out in more hospital in the light of disease in principle; Compensate the regulation and reduce the proportion and compensate in more hospital in the light of disease as to the unable to offer the reliable evidence one.
Will the outcome be deserved " L The unexpected injury " Include in the medical insurance of urban worker and resident in Nanyang and compensate the category, in government and relevant department of Nanyang have been canvassing and thinking. The person in charge of the medical insurance centre of Nanyang says : " It has had three discussions to compensate the category whether ' unexpected injury ' included in the medical insurance in Nanyang. The medical insurance submits an expense account in order to accept and props up definitely, adjust range and proportion of submitting an expense account according to amount of raising funds, so relevant departments are all very prudent. " (the intersection of great river and newspaper Qi Guo beautiful towards Hao)
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