udn醫藥新聞
udn健康醫藥:提供醫藥新聞,包括醫療政策、醫藥新知、健康概念、特定疾病,以及兩性性事等。 
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總額成長縮水 民眾用藥恐自費
Sep 29th 2013, 01:32

全民健保會展開明年度健保財務大餅分配,醫界擔憂,若健保財務成長停滯不前,恐加速台灣醫師出走。

中華民國醫師公會全國聯合會秘書長蔡明忠,以日前消基會抨擊醫界「左手向健保要錢,右手放任急診關床」為例,說明民間「仇醫」風氣,只會打擊醫護人員士氣,「不能又要馬兒好,又要馬兒不吃草。」「環境不好,醫師當然會出走。」萬一健保財務大餅限縮,民眾如果想要使用先進醫材與藥品,未來恐怕都得自費。

其實近三年健保財務是年年成長,尤其在醫院部門,去年更是挹注一百九十八億元。

「醫院不能每次都以醫師出走來威脅消費者。」消費者名譽董事長謝天仁表示,每年健保給醫院那麼多錢,「我們沒看到任何改變,只看到醫院不斷關閉病床。」

謝天仁表示,健保分給醫院那麼多錢,但每年還是有醫護人員選擇出走,「會出走不是因為財務大餅,而是醫院壓榨醫護人員。」

和信醫院院長黃達夫認為,台灣健保面臨的瓶頸,在於支付制度不合理,多沿襲過去公勞保制度,致常引發爭執。

台灣民眾一年看病次數平均十五次,「這可能是世界第一!」黃達夫說,最近他就聽到一名扁桃腺炎病人,原只要在門診拿抗生素藥治療,竟卻住院一周。健保支付項目包山包海,也使民眾有不看白不看想法。健保應先把支付面弄好,要民眾再多繳錢才有可能。

前衛生署長楊志良也認為,他任內曾提出民眾要思考無效醫療的目的,結果遭致批評聲浪。

楊志良說,每當提議調高健保費率,政客為了選票就反對,但仔細一算,假設費率調高一個百分點,有錢人一個月多繳五百多元,窮人多繳五十多元,但錢是用在大家身上,窮人並沒吃虧。

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批踢踢實業坊 nb-shopping 板
 
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