Text: The last elder brother
Editor: The last elder brother
———Foreword———
In today's era when data is king, every change in data may reveal the deep secrets of society. Recently, an astonishing discovery announced by the National Health Insurance Administration, like a cold snap, penetrated our trust barrier in the medical security system - male patients were actually recorded for gynecological diagnosis and treatment! This news quickly fermented on the Internet, arousing strong public repercussions and profound discussions.
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### Gender Misalignment: The Mysterious Origins of Male Gynecological Records
In the perception of ordinary people, the medical terms "hysteroscopy" and "cervical cancer screening" are undoubtedly exclusive words for women's health. However, when these data anomalously appeared in the medical records of male patients, a torture about the integrity and supervision of health insurance quietly unfolded. What is even more shocking is that some hospitals even "create" thousands of such medical records for male patients in a year, and the truth behind this is thought-provoking.
### Fraud in the insurance industry: a gray operation in which self-financed items become reimbursed
In-depth analysis of these bizarre data, we found that some medical institutions do not hesitate to take risks in order to obtain improper benefits, and cleverly "transform" self-paid items into reimbursable items. For example, the cost of "high-frequency electrosurgical surgery", which was originally required to be paid by the patient, is converted into "intraluminal color Doppler ultrasound examination (transvaginal)" within the scope of medical insurance reimbursement through technical means. The cleverness of this method and the concealment of the operation not only deceived the medical insurance system, but also made countless male patients "lie down" and become victims of insurance fraud.
### Family Trap: Health insurance cards have become a breeding ground for fraud
In addition to the direct insurance fraud of medical institutions, the failure of individual medical personnel has also exacerbated this chaos. In some cases, female patients are allowed or even encouraged to use their male relative's health insurance card to settle the cost of gynecological treatment. This seemingly "reasonable" arrangement is actually a great violation of the fairness of the medical insurance system. The warmth of family affection should not be a fig leaf for illegal behavior, but a solid cornerstone for maintaining social order and fairness and justice.
### Big Data Bright Sword: Let Violations Disappear
In the face of the grim situation of medical insurance fraud, the National Health Insurance Administration took decisive action and used big data technology to conduct in-depth mining and comprehensive screening of medical insurance costs nationwide. This move is like a sharp sword, straight into the heart of health insurance fraud, so that countless violations have nowhere to hide. With the publication of a list of problems, one by one the black holes of medical insurance have been exposed to the sunshine and accepted by the society's scrutiny and criticism.
### Strike hard: Maintain the sanctity and purity of the medical insurance fund
In response to these violations, local medical insurance departments quickly responded to the call of the National Health Insurance Bureau, stepped up law enforcement, and strictly investigated and punished the medical institutions and doctors involved in the case. They said that they would further improve the regulatory mechanism, improve technical means, strengthen publicity and education and other measures to ensure the safety and fairness of the medical insurance fund. At the same time, it also calls on the whole society to participate in the supervision of medical insurance, and form a good atmosphere of "everyone pays attention to medical insurance and everyone participates in supervision".
### Conclusion: Let the medical insurance system return to its original intention
As an important part of the social security system, the safety and fairness of the medical insurance system are directly related to the vital interests of the people.
We should deeply reflect on the problems and loopholes exposed behind this incident, strengthen supervision, improve the system, raise public awareness, and jointly protect this hard-won protection of people's livelihood. Let the medical insurance system truly return to its original intention and mission of protecting people's livelihood and promoting health, and contribute to the construction of a harmonious society.
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