全国政协十一届二次会议刚开幕，农工民主党中央就向大会提交了《关于尽快解决村医基本待遇和养老保障问题的建议》，与此同时，一些全国人大代表也准备在十一届全国人大二次会议上提出相关建议。
    “现在在乡村行医连自己都养活不了了。”福建武夷山的乡村医生李功华对自己的处境感到十分尴尬。

    “卫生所的收入主要来自问诊费和卖药利润。不过问诊费少得可怜，一般只能收取几毛钱的挂号费。需要吃药或者打针，能提取10%至15%的费用。”李功华说，“按理说这个提成基本可以养活自己，可是不行。村卫生所治疗的基本都是一些常见病和多发病，这些病的用药非常便宜。同样是提成，我们和公立医院的收入有着天壤之别……”

    “乡村医生不仅是村民及家庭最鲜活的健康档案，而且是农村唯一全天候、廉价、好使的医生。”王正荣代表说。

    然而，很多乡村医生至今没有正式编制，也没有工资。全国乡村医生有百万之多，他们生存压力日益加大，队伍日趋不稳，已经成为影响和制约农村卫生工作发展的瓶颈。“造成这一问题的根源在于乡村医生的基本待遇以及养老保险问题长期得不到解决。”迟宝荣委员说。

    “老村医退了，年轻村医补充不进来，乡村医生队伍后继乏人。”农工民主党潘晓慧委员说。

    “如果有一天，乡村医生都没有了，农村的老百姓怎么办？”迟宝荣委员说，妥善解决百万乡村医生基本待遇和养老问题，不仅关系到8亿农民享有基本医疗卫生服务的公平性及质量，更关系到我国全面建设小康社会的大局。

    代表委员们建议，尽快研究解决乡村医生基本待遇问题，加快建立乡村医生社会养老保险制度，由国家有关部门共同研究，制定农村基本医疗卫生服务项目及政府补助标准，建立规范乡村医生从业行为及绩效考核工作机制、调动乡村医生积极性的鼓励政策和奖惩机制。

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2009-10-29 14:23:17

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