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November 16, 2014, daxin county, Guangxi. Huang Min shallow took off his shoes, twisted feet exposed, she said, has been 30 years.

In November 2014, Huang Chunpu, a villager from Sanhe Village, showed his deformed hand near the lead-zinc ore dressing plant in daxin county, Guangxi. The Paper reporter Quan Yitu

　　　　　　　　The 74-year-old Huang Chunpu is sitting on the edge of the chariot. Whenever it is windy and rainy, his hand joints are painful. The first joints of his index finger and middle finger have been deformed and twisted into an acute angle with his thumb.

　　　　　　　　Karst landforms in southwest Guangxi are a paradise for tourists, but for people in Changtun, Sanhe Village, Wushan Township, daxin county, Guangxi, they are just stone mountains that are too barren to root eucalyptus.

　　　　　　　　A state-owned medium-sized lead-zinc mine built in the 1950s once brought prosperity to this small village on the Sino-Vietnamese border, but 50 years later, with the depletion of mineral resources, people who stayed in the village were constantly found with bone pain. On the eve of the bankruptcy of lead-zinc mine in 2001, a lawsuit between villagers and the mine revealed the secret of more than half a century of deep-buried soil-the waste water from sewage drains flooded farmland, which made the cadmium content in rice exceed the standard by 11.3 times.

　　　　　　　　In 2005, the environmental pollution incident of Daxin lead-zinc mine was instructed by Wen Jiabao, then Prime Minister of the State Council. The government of Guangxi Zhuang Autonomous Region organized experts to conduct a comprehensive investigation on the pollution sources and local water, soil and crops, and the Health Department organized medical departments to conduct physical examinations on the villagers. However, in the past nine years, soil remediation and cadmium removal treatment have come to a standstill, and the results of physical examination at that time were also kept secret. The villagers were poor and sick in the dilapidated buildings on the ground that had been emptied, and the people with bone pain insisted that they were victims of pollution. They frequently petitioned with reports of cadmium exceeding the standard in their own medical examinations.

　　　　　　　　Relevant persons from Guangxi Zhuang Autonomous Region Institute of Occupational Disease Prevention and Control who organized the physical examination told The Paper that the report held by the villagers was not scientific, but as of press time, the hospital responded to The Paper’s interview request for obtaining the medical examination results on the grounds that the person in charge could not be contacted and that "the medical examination information may not be made public".

　　　　　　　　On November 19th, two villagers, Wu Shimin and Huang Guiqiang, sent a public application for medical examination information to Guangxi Health and Family Planning Commission.

Cadmium in cultivated land exceeded the standard by nearly 30 times.

　　　　　　　　It is 143 kilometers westbound from Nanning to Daxin County, and then turns to the northeast. The provincial road changes to the county road for 21.7 kilometers, and the Changtun lead-zinc mine area is surrounded by mountains.

　　　　　　　　According to public records, after the founding of New China, Guangxi 437 Geological Team discovered lead-zinc deposits in Changtun, with a cumulative proven lead-zinc reserve of nearly 270,000 tons, which is a medium-sized deposit. In 1954, Daxin lead-zinc mine was built. At first, it was a state-owned enterprise under the former Ministry of Metallurgy, and then it was placed under the direct management of Guangxi Metallurgical Department.

November 16, 2014, daxin county, Guangxi. Most miners have moved out of the mining area. Wu Zhengyang, a retired worker from Daxin Lead-Zinc Mine, and his wife Huang Qiuying live in the family building of the mining area.

On November 16th, 2014, in daxin county, Guangxi, Wu Zhengyang, who retired from Daxin Lead-Zinc Mine, and his wife Huang Qiuying still lived in the family building of the mining area, and most of the miners moved out of the mining area. The Paper reporter Quan Yitu

　　　　　　　　Nowadays, the prosperity is like a bubble. Facing the empty and decaying playground and the bombed-out cinema, the miner’s wife, Huang Qiuying, 52, often feels disorganized in time and space: in those days, the crowd was bustling, and villagers in Wushan Township, 10 miles away, often watched the movie "White-haired Girl" with flashlights after dinner. Free tickets were the privilege of miners, and villagers who tried to evade tickets were pulled down by the doorman as soon as they climbed onto the windowsill.

　　　　　　　　Changtun is located in the southeast and downstream of the lead-zinc mine area, which is divided into four concentrated residential blocks, of which the nearest fourth production team is only a hundred meters away from the mineral processing workshop, facing each other across the cultivated land.

　　　　　　　　Cadmium exists in lead-zinc mine, but when Daxin lead-zinc mine is mined, only two metals, lead and zinc, are recovered, and the rest symbiotic metals are discarded in tailings, which makes the cadmium content in tailings much higher than its grade in ore.

　　　　　　　　There are three drainage ditches in the production area of the mining area, one of which is a closed culvert leading from the mineral processing workshop to discharge toxic sewage. The sewage in this ditch is directly discharged into the tailings reservoir of the mining area, and there is an open ditch on the right side of the tailings reservoir to discharge the overflow sewage in the reservoir. Due to the serious dissolution of rocks around the reservoir bank, the reservoir water leaks sideways in a wide range and in many directions. Another sewage ditch introduces the "Naming Canal" used by villagers to irrigate farmland.

　　　　　　　　Heavy metals carried by sewage accumulate silently in farmland until the "magic" attacks.

　　　　　　　　Wu Shimin, 65, remembers that in the 1960s or so, villagers discovered that the rice harvest was not good, and "it died when it grew to a piece." However, during the period when the industry was "on the move", the villagers’ resistance mostly ended in compensation from a few people in the mine.

　　　　　　　　When the minerals are on the verge of exhaustion and the benefits are declining, everything becomes inadequate. The contradiction finally broke out after a large-scale rice harvest in the 1990s.

　　　　　　　　"The seedlings are all dead. Let them look at the zinc mine. They ignored it. Later, they found the county environmental protection department and the leaders ignored it. They said that it was our own interception of the sewage ditch and the introduction of sewage irrigation. " Wu Shimin was the leader of the fourth production team in Changtun at that time. He remembered that someone in the mine "warned" him to "make trouble with the public security to arrest you again".

November 17, 2014, daxin county, Guangxi. In 1999, Wu Shimin’s group filed a lawsuit with the Nanning Intermediate People’s Court and filed a civil lawsuit with Daxin Lead-Zinc Mine on the cadmium pollution incident. The lawsuit went through the first and final trials and lasted for two years, and received economic compensation and land improvement expenses totaling more than 322,000 yuan, including lawyer’s fees and other miscellaneous fees, and villagers paid less compensation.

In 1999, villagers such as Wu Shimin sued Daxin lead-zinc mine to Nanning Intermediate People’s Court.

　　　　　　　　"I really can’t swallow this tone, then go to court." In 1999, Wu Shimin summoned 200 villagers from the Fourth Production Team, each of whom raised funds for 280 yuan, and sued Daxin Lead-Zinc Mine to the Nanning Intermediate People’s Court.

　　　　　　　　The secret sealed in the soil for half a century was uncovered. In 2000, Guangxi Institute of Environmental Geology was entrusted by the court to investigate the polluted farmland in Changtun. The report showed that 34 mu of cultivated land (part of the fourth production team in Changtun) had been polluted, and the main pollutants were lead, zinc, cadmium and mercury. According to the then-implemented Water Quality Standard for Farmland Irrigation (GB5084-92), the cadmium content in the first-class water for farmland irrigation should be less than 0.005mg/l, while the cadmium content in the irrigation water sample is 0.087 mg/l, which means that it exceeds the standard by 17.4 times. However, the highest cadmium content in the soil samples exceeded the standard by 29.1 times. It is worth mentioning that the appraisal agency refers to the third-class soil standards. If the cadmium content in the soil samples is less than 0.6mg/kg, the highest cadmium content in the soil samples exceeds the standard by 48.5 times.

　　　　　　　　Since then, the court’s judgment shows that, after testing, the cadmium content of rice in the polluted area is 11.3 times higher than the national standard.

　　　　　　　　The villagers’ rights protection experiment ended in success. In September, 2001, the Higher People’s Court of Guangxi Zhuang Autonomous Region awarded Daxin Lead-zinc Mine more than 320,000 yuan in economic compensation and land improvement fees for the fourth production team in Changtun, and limited daxin county Lead-zinc Mine to control the sewage facilities according to the national sewage standards within three months.

　　　　　　　　The above economic compensation was implemented in that year. However, at the end of 2001, Daxin lead-zinc mine was approved by the government of Guangxi Zhuang Autonomous Region for bankruptcy due to the exhaustion of its mineral resources. This state-owned mine was lost on the eve of the collapse, leaving an unfinished mess.

　　　　　　　　Until 13 years later, Zhao Shaolin, deputy director of daxin county Environmental Protection Bureau, admitted to The Paper that due to the limited financial resources at the county level, the underground sewage of the mine, the heavy metal pollution source of Changtun cultivated land, has not been blocked so far. This year, the central government just approved a special fund for mine treatment of 20 million yuan, but the project is still in the early stage of feasibility study and environmental assessment.

November 18th, 2014, daxin county, Guangxi.

In daxin county, Guangxi, red and yellow marks can be seen on the bare hillside. The Paper reporter Quan Yitu

　　　　　　　　The Paper goes upstream along the irrigation water source of Changtun, and the water near the tailings pond is turbid red and yellow, and the hillside is washed out with yellow marks by the waste ore wrapped in heavy rain. The cultivated land of Huang Guiqiang’s family is less than half a meter from the horizontal distance of this irrigation canal.

　　　　　　　　Chen Nengchang, a researcher at Guangdong Institute of Ecological Environment and Soil, has long been concerned about cadmium. In his view, this heavy metal is special and difficult-it is highly mobile, and it is easy to enter the soil, be enriched by plants and then enter the human body through the food chain.

The highest urinary cadmium of "patients with bone pain" exceeded the standard by nearly 5 times.

　　　　　　　　Since 2000, Huang Guiqiang has been entangled in a "strange disease" and lost his ability to work: the joints of his hands and feet are swollen and painful, and he can’t move when he is sick. Nowadays, his hands protrude from the wrist to the back of his hand, and his palms are deformed and cannot be held normally.

　　　　　　　　At about the same time, his second brother, Huang Fuqiang, also suffered from this disease, and they often relied on painkillers to get through the onset. His eldest brother Huang Jinqiang died in 2013 after 10 years of paralysis.

November 21, 2014, daxin county, Guangxi. On November 21, 2011, 60-year-old Huang Fuqiang became ill, and his body was in unbearable pain. He was lying on the couch with a sad face.

On November 21st, 2014, 60-year-old Huang Fuqiang fell ill and suffered from unbearable physical pain. He was lying on the couch with a sad face. The Paper reporter Quan Yitu

　　　　　　　　The Paper got an inspection report from Guangxi Institute of Occupational Disease Prevention and Control on 46 villagers in Changtun in March, 2001. Huang Guiqiang’s urine cadmium index was 24 micrograms per liter, while the critical value of urine cadmium was set at 5 micrograms per liter in Diagnostic Criteria and Treatment Principles of Occupational Cadmium Poisoning GB7803-1987. According to this standard, urine cadmium usually exceeds this value when chronic cadmium poisoning occurs. According to the report, the urinary cadmium index in Huang Fuqiang is 4.29 micrograms per liter, while that in Huang Jinqiang is 11.25 micrograms per liter.

　　　　　　　　According to the statistics of the above-mentioned 46-person inspection report in The Paper, 20 people (about 43.48%) have urine cadmium content above 5μg/L, and the overall average urine cadmium content is 4.95μg/L, which is close to the upper limit of 5 μ g/L.. However, it is not clear whether the sample of this test is statistically significant.

　　　　　　　　In the humid southern countryside, backache and leg pain are considered to be caused by the weather and labor. Wu Jinjie, who started to be a village doctor in 1969, said that the patients who saw him the most were those with bone pain, and they often asked Wu Kai to take several plasters to deal with the pain.

　　　　　　　　In 1987, when Huang Guiqiang was the young and strong deputy director of the village committee in Changtun, Nanning Regional Metallurgical Bureau, regional epidemic prevention stations and county epidemic prevention stations and other relevant personnel went to Changtun to take water, soil samples and blood and urine samples from some elderly people in the village.

　　　　　　　　His mother participated in the sampling inspection. After the test, a group of elderly women in the village were asked to go to the mine workers’ hospital for infusion in batches, "for more than ten days". It was not until many years later that Huang Guiqiang knew that it was "cadmium drive treatment", and the villagers knew nothing about the results of that test.

　　　　　　　　Huang Guiqiang couldn’t expect that after more than 20 years, bone pain also broke out in his hands and feet, and now he is trapped in a body identified as "second-degree disability".

　　　　　　　　In 2013, a professor from a university in Guangxi took students to randomly select 15 villagers of different ages (6 males and 9 females) in Changtun to investigate and analyze the health effects of cadmium pollution on residents. The results showed that 4 people had hyperosteogeny (osteoarthropathy), 11 people had symptoms of bone pain, 10 people found obvious brown rings around their eyeballs, and 4 people had swollen joints. However, the professor reminded The Paper that "the sample size of this survey is small and can only be used for reference."

　　　　　　　　According to the diagnostic criteria of "painful disease" in Japan, it is generally believed that osteoporosis and osteomalacia are typical manifestations of severe cadmium poisoning, but the relationship between osteoarthropathy and cadmium poisoning remains to be studied. A paper published in 2013 by Li Jimeng, deputy chief physician of Changsha Center for Disease Control and Prevention, holds that long-term exposure to low-concentration cadmium can lead to increased calcium excretion, which leads to increased bone load and aggravation of hyperosteogeny.

　　　　　　　　According to Hao Fengtong, chief physician of the Department of Occupational Diseases and Poisoning Medicine of Beijing Chaoyang Hospital, the "painful disease" is related to the background of malnutrition and calcium deficiency in Japan after the war. "The present manifestations of cadmium poisoning may not be like that at that time", but he also believes that it is not appropriate to regard bone hyperplasia as the inevitable manifestation of cadmium poisoning.

The 81-year-old Huang Min is shallow, her hands and feet are deformed, and her spine is bent. It is inconvenient for her to walk. She has to take a rest when she walks with her legs in her hands. The Paper reporter Quan Yitu

　　　　　　　　The Paper interviewed 18 villagers who claimed to have symptoms of bone pain in Changtun. Most of their pain parts were from the waist down to the thigh, the joint of the calf to the sole of the foot, or the lower arm to the palm of the hand, and they were swollen and deformed to varying degrees from the outside.

　　　　　　　　For example, 82-year-old Huang Minshan’s big toe joint is swollen, and his toes curl inward and deform. She once participated in the physical examination in 2001, and the urinary cadmium index was 16.95 μ g/L; In this list of 46 people, two people have passed away so far. Besides Huang Jinqiang, there is also an old man named Wu Minquan whose urine cadmium value is 7.8 μ g/L. Her family told The Paper that Wu died in about 2004, and they couldn’t explain the cause of Wu’s death. "One day I was still herding cattle, and the next day I suddenly died"; In this list, the youngest one was born in 1991, and now he has moved to other places. His neighbors in the village recalled that the child had symptoms of foot pain when he was 5 to 6 years old. "He cramped with pain, cried when he was in pain, and heard his crying when he slept at night." The aforementioned tests showed that his urinary cadmium index was 7.44 μ g/L.

　　　　　　　　Cadmium exposure is divided into occupational cadmium exposure and environmental cadmium exposure. The Paper learned from his visit that Huang Minshan and Wu Minshan are both villagers, who make a living by farming. There is no possibility that cadmium in their bodies comes from occupational cadmium exposure.

　　　　　　　　However, Hao Fengtong told The Paper that excessive cadmium in urine is not a single indicator to judge cadmium poisoning, and the target organ of cadmium is the kidney, which needs to be comprehensively judged by combining whether there is renal damage such as renal tubular reabsorption dysfunction and clinical symptoms such as low back and limb pain.

　"Cadmium Exposure Physical Examination Results" has not been made public for 9 years.

　　　　　　　　Guangxi Institute of Occupational Disease Prevention and Control is a qualified institution for cadmium poisoning identification in this area. The above-mentioned inspection report in 2001 came from this hospital, and the villagers spontaneously conducted tests at their own expense. However, the sample of the list is small, and there is only a single indicator of urinary cadmium. It is impossible to establish the association of cadmium poisoning only by this report.

　　　　　　　　In fact, there is another test report with more complete samples and data issued at the end of 2005, which records the health status of cadmium exposure of villagers in Changtun in detail. Now it is dusty in the reference room of relevant departments.

　　　　　　　　This report originated from a visit to Beijing by four villagers’ representatives from Changtun in 2005. Huang Tuanbao, one of the four petitioners, told The Paper that the motive of the petition was that "the historical problem has not been solved, and private companies have come in to plan to open mines again".

　　　　　　　　A report published in "Chongzuo News" in 2004 said that Nanning Jin Tao Tendering Co., Ltd. obtained the prospecting license of Changtun Lead-zinc Mine in 2004, and when it carried out the exploration work on August 17 of that year, "it was blocked by some villagers in Changtun … Since August 20 this year, the people in this village have dug 14 mines blocked by the county government according to law for indiscriminate excavation."

　　　　　　　　Wu Shimin told The Paper that the villagers did engage in private mining. They believed that the prospecting company was mining in the name of prospecting. "Before the pollution problem was solved, we started digging again. Since you are mining, we will also mine.".

　　　　　　　　The problems reflected by the petition of four villagers were instructed by Wen Jiabao, then Prime Minister of the State Council. A summary of the meeting of the People’s Government of Guangxi Zhuang Autonomous Region (Zheng Gui Yue [2005] No.110) obtained by The Paper shows that, in order to implement the spirit of Wen Jiabao’s instructions, on November 14th, 2005, Lu Bing, then chairman of the autonomous region, led the heads of relevant departments of the autonomous region to Daxin to investigate the environmental pollution of lead-zinc mines, and held a special meeting in Chongzuo on November 16th to study how to further investigate and deal with the environmental pollution of lead-zinc mines in Daxin.

　　　　　　　　This meeting proposed to stop the prospecting activities of Nanning Jin Tao Tendering Company; Organize relevant experts to conduct in-depth investigations on pollution sources and local water, soil and crops; The Health Department organizes medical departments to conduct free physical examination on whether pollution affects the health of the people in Changtun, and study and put forward treatment measures; And the civil affairs department gives some relief to the villagers who have lost their ability to work because of the pollution of mining and beneficiation.

　　　　　　　　The Paper confirmed from many departments that at the end of 2005, it was the Guangxi Institute of Occupational Disease Prevention and Control that led a team to Changtun to have a physical examination for the villagers. The Paper contacted a doctor who participated in the physical examination. He refused to disclose the results of the physical examination in that year, but only stressed that "the physical examination results were not as serious as the villagers described".

　　　　　　　　The Paper consulted a paper entitled "Investigation on the Health Status of Residents Exposed to Cadmium in a Lead-zinc Mine in Guangxi" written by doctors of Guangxi Institute of Occupational Disease Prevention and Control and published in China Public Health in 2010. The subject, time and samples of the investigation were consistent with the physical examination of the villagers in Changtun in 2005. The paper disclosed some survey data: among the 361 permanent residents tested, 195 people had urinary cadmium exceeding the limit of 5 micrograms per creatinine, and the highest value was detected. The investigation shows that renal tubular reabsorption dysfunction increases in cases where urinary cadmium exceeds 5 micrograms per creatinine.

　　　　　　　　However, the author of this paper refused to check with The Paper about the relationship between the article and the physical examination report of Changtun in 2005. The reporter tried to contact Guangxi Provincial Institute of Occupational Disease Prevention and Control to obtain the above-mentioned medical report information, but as of press time, he did not get a reply from the other party.

　"Cadmium Poisoning": An Unspeakable Secret

　　　　　　　　For the protagonist of this "public case", the villagers in Changtun, daxin county, this is the most helpless dilemma-physical examination information is not only the basis for them to know their own health status and symptomatic treatment, but also the evidence for litigation and claims. Now, the self-inspection report they are holding is not "recognized", but there is no way to know the "real situation".

　　　　　　　　According to Wang Zhenyu, deputy director of the Public Decision Research Center of China University of Political Science and Law, both the Guangxi Health Department (now the Guangxi Health and Family Planning Commission) which organized the physical examination and the Guangxi Occupational Disease Prevention and Treatment Institute which carried out the physical examination have the obligation to inform the villagers of the physical examination information.

　　　　　　　　"The medical examination hospital has concluded a civil legal relationship with the villagers and should inform the villagers of the testing information; The government not only has the administrative obligation to disclose the test results, but also should issue treatment opinions according to the situation. " He said to The Paper.

　　　　　　　　The responsible person of the Propaganda Department of daxin county Government explained to The Paper that the information on heavy metal pollution could not be made public "because of social stability".

　　　　　　　　It is worth mentioning that in April, 2014, the first soil pollution survey bulletin in China announced that cadmium pollution was the largest among the eight heavy metal pollution, and the over-standard point reached 7%. At the same time, the cadmium content has generally increased throughout the country, with an increase of more than 50% in the southwest and coastal areas.

　　　　　　　　However, the impact of such "universal and increasing cadmium pollution" on human health is still an unspeakable "secret".

　　　　　　　　Many cadmium pollution researchers interviewed also told The Paper that this was a "minefield", and even when they were writing their papers, they often hid the relevant data, or treated them vaguely or anonymously.

　　　　　　　　The "painful disease" incident in Japan is recognized as a classic case of studying cadmium pollution and cadmium poisoning. Chen Nengchang told The Paper that the level of cadmium pollution in some areas of China was comparable to that of Japan in that year, and there were also cases of suspected "painful disease" in unofficial data, but the "painful disease" has not been confirmed by the government, and the cases of suspected "death from cadmium poisoning" have not been confirmed.

　　　　　　　　However, Shang Qi, a researcher at China CDC, once pointed out in an interview with Caixin reporter that China did not observe that "painful disease" was related to the relatively low background value of cadmium content in China soil and the large number of young people leaving the village to enter the city; In addition, the outbreak of "painful disease" in Japan was when the people were malnourished after the war, and when the cadmium damage in China was serious, people did not worry about food and clothing after the reform and opening up.

Replanting vegetables on poisonous land

November 17, 2014, daxin county, Guangxi. The local government banned villagers from planting crops, and there was no vegetable market near the village, so they had to open a wasteland at the door of the house, lay a layer of soil and grow vegetables for their families to eat.

The local government banned villagers from planting crops, and there was no vegetable market near the village, so they had to open a wasteland at the door of the house, lay a layer of soil and grow vegetables for their families to eat. The Paper reporter Quan Yitu

　　　　　　　　Times have changed. After the petition in 2005, only the following things have been changed in Changtun: since 2006, polluted fields have been banned from farming; The daxin county Municipal Government will distribute rations at a rate of 30 kg/m per capita every month for 8 months a year; There are fewer and fewer people to support in this land. Young people, including middle-aged people who are still able to work, go out to work, leaving only the old and the young who are getting sick and sick.

　　　　　　　　For example, at Huang Guiqiang’s home, only he and his octogenarian old menstruation stay behind, and his wife in her fifties goes to Shenzhen to work with her son, and can come back about once a year during the Spring Festival.

　　　　　　　　Hao Fengtong said that the half-life of cadmium is about 15 to 20 years, and its natural excretion from the body is very slow. At present, there is no ideal drug to drive cadmium, but symptomatic treatment is often taken in clinic to improve the quality of life of patients. This treatment needs to last for about 3 to 5 years.

　　　　　　　　For this poor and sick village, such treatment is almost extravagant. Some villagers interviewed have been taking cheap hormone drugs for a long time to stop the pain, while others who are slightly ill have picked up herbs or put on some plasters to deal with it.

　　　　　　　　The Paper interviewed the leaders of daxin county Municipal Government, County CDC and County People’s Hospital to ask about the medical treatment of villagers in the cadmium-polluted area in Changtun after 2005. They all replied that they had not received any arrangement or implemented such free projects from their superiors.

　　　　　　　　What is even more worrying is that the source of cadmium pollution has not been blocked, and waste mineral water containing cadmium is still polluting cultivated land, although these cultivated lands are required to be banned from planting. However, when The Paper visited, he saw that some villagers planted vegetables, cassava and corn in their own fields. "If you don’t plant it, where will those (distributed) rations be enough to eat?" They explained that it was the old way to pick some new soil from the outside and cover it.

　　　　　　　　This means that "old wounds have not healed, and new wounds have been added", and cadmium metal may accumulate in the human body along the original path-food chain. The above-mentioned health department confirmed that there was no new physical examination on the health status of villagers exposed to cadmium in 9 years.

　　　　　　　　In 2009, Wu Shimin was told by the township government to move out of his old house in the village. Because of mining, 19 houses in Changtun have been mined out and become dangerous houses. He had to stay in the workers’ dormitory in the mining area-besides him, there lived a couple of weak miners, an old man who was paralyzed all the year round and a middle-aged man who lived alone, and other miners all made their own living separately.

　　　　　　　　Suspicion and fear of cadmium poisoning, anger and powerlessness of poverty and illness are intertwined in Changtun village. Most villagers think that the cost and risk of litigation are too great, and they are unwilling to spend money to fight another lawsuit; Some villagers pinned their hopes on petitioning, such as Huang Guiqiang. The last time they went to Chongzuo to petition was in April this year, but the petition letter was as heavy as a stone; "What’s the use? Petition in Beijing in 2005 can’t solve the problem. Other villagers said that they thought it would be more affordable to change the travel expenses and accommodation fees for petitioning to a few bottles of hormone drugs.

　　　　　　　　In 2014, the daxin county Municipal Government’s work report mentioned that "accelerating the treatment of heavy metal pollution in Daxin lead-zinc mine area". However, when The Paper went to the daxin county Municipal Government for an interview on November 21, the relevant person in charge of the Propaganda Department was somewhat unfamiliar with this topic. "Daxin lead-zinc mine, wasn’t it a long time ago?" He said to himself, "the leaders of health and environmental protection bureau don’t know how many dials have been changed."

　　　　　　　　On November 23rd, when most of China was covered by winter, the temperature in Daxin, southwest Guangxi was still 18 to 21 degrees Celsius. The rural life surrounded by green hills and heard of by chickens and dogs must satisfy the imagination of urbanites on pastoral songs, but this is only the appearance. You will soon notice that the weeds in the banned cultivated land have turned yellow.

　　Xinhua News Agency, Moscow, June 3rd　(International observation) How has the situation of the conflict between Russia and Ukraine evolved in the past 100 days?

　　Xinhua News Agency reporter Liu Kai Li Dongxu Geng Pengyu

　　Russia has carried out special military operations in Ukraine for 100 days until June 3. At present, the focus of the war is Lisichansk and North Donetsk in Lugansk region. Judging from the war reports released by Russia and Ukraine, the competition between the two sides in North Donetsk has become fierce.

　　Russia has repeatedly stressed that special military operations will achieve all the "set goals", while Ukrainian President Zelensky shouted that he would "fight to the end". At the same time, the western countries led by the United States continue to exert pressure on Russia and increase their military assistance to Ukraine.

　　Analysts believe that Russia and Ukraine have different negotiating positions, and the United States and the West are constantly on fire. In the short term, peace is hopeless and the war may escalate further. How long the Russian-Ukrainian conflict will last and how it will end depends to a great extent on the future direction of the war situation.

　　The focus of the war "moved northward"

　　Since the launch of the special military operation, upor in Mali has been the key target of the Russian army, and the Russian and Ukrainian sides have fought fiercely around this place for more than two months. Russian Defense Ministry said on May 20th that Russian troops have completely controlled the city of upor, Mali. Since then, the focus of the battlefield has moved "northward" to the northeast of Donetsk and the west of Lugansk.

　　At present, the focus of Russia-Ukraine competition is Lisichansk and North Donetsk in Lugansk region, in which North Donetsk is regarded by Ukrainian troops as one of the most important strongholds in Donbass region. According to a report by the Ukrainian National News Agency on June 1, the Russian army has controlled 70% of the city of North Donetsk.

　　On the whole, the Russian army still takes the initiative in the battlefield. Zelensky recently admitted that the situation faced by the Ukrainian army is very difficult. He recently inspected the front line of Kharkov State and said on social media that Uzbekistan "will defend the country to the last person, and we will continue to fight and will certainly win".

　　Russian Defense Minister shoigu said that the special military operations will continue until all the established tasks are completed. The Russian army once said that one of the tasks in the new stage of special military operations is to "completely control Donbass and southern Ukraine."

　　Leonkov, a Russian military expert, believes that the situation of the Ukrainian army in the "Battle of Donbass" is not optimistic. It may be the most rational choice for the Ukrainian army to withdraw its troops from Donbass and leave its effective forces to reorganize its defense line. Tyshkevich, a researcher at the Institute of Future Relations in Ukraine, believes that Russian troops can’t control the whole territory of Donbass in a short time, and Ukraine has not given up the tactics of "sticky blocking", that is, fighting in areas with good defensive positions, attacking enemy supply lines and conducting mobile operations in other areas, so as to achieve the goal of consuming the enemy to the greatest extent.

　　The peace talks are difficult to resolve.

　　After the "Bucha incident" in early April, the Russian-Ukrainian negotiations were interrupted. Russia has repeatedly stressed that it has not closed the door to negotiations, while Zelensky has repeatedly reiterated that Russian troops should be withdrawn to the pre-conflict military contact line or border line, in which case the two sides can resume "normal" negotiations. Medvedev, vice chairman of the Russian Federal Security Council, said that the armistice conditions proposed by Zelensky were impossible in principle.

　　Recently, some European countries have stepped up their diplomatic mediation with Russia. Italian Prime Minister Mario Draghi, French President Macron and German Chancellor Angela Scholz have successively telephoned Russian President Vladimir Putin to discuss the situation in Ukraine. Turkey has also actively promoted the Russian-Ukrainian dialogue. However, judging from the results, the above diplomatic actions have had little effect on restarting the Russian-Ukrainian negotiations.

　　Medvedev pointed out that Russia has two red lines of negotiations: the sovereignty of Crimea cannot be discussed; Donetsk and Lugansk regions have chosen their own destiny, and it is meaningless to talk about "autonomy" within the framework of Ukraine.

　　Tyshkevich believes that the Russian-Ukrainian conflict has actually developed into a "long-term war", and the "active phase" may last for several months or even longer. The next key is to discuss the relevant conditions of the ceasefire agreement, but even if a ceasefire is reached, it will be very fragile.

　　Russian military expert Pelendzhiev believes that Kiev has no autonomy in negotiations, and Russia’s real negotiating partner is the Western countries, but at present, "the West is not ready for serious negotiations."

　　The west poured oil on the fire

　　Since the escalation of the conflict between Russia and Ukraine, the West has exerted extreme pressure on Russia and imposed several rounds of severe sanctions on Russia in economic, financial, energy and cultural fields. At the same time, the West has continued to provide military assistance to Ukraine, from the initial helmets and body armor to the current heavy weapons and sophisticated weapons, and the military assistance has been continuously strengthened.

　　On May 31, US President Biden approved the latest batch of weapons aid to Ukraine, including providing a long-range multi-barrel rocket launcher system at the request of Ukraine. In addition, the Ukrainian Ministry of National Defense said on May 28 that Ukraine is receiving a batch of Harpoon anti-ship missile systems from Denmark, Britain and the Netherlands for defense in the Black Sea region, and other partner countries will also supply such missiles to Ukraine one after another. At the same time, the EU recently passed the sixth round of sanctions against Russia, banning the import of 75% Russian oil.

　　In this regard, Putin stressed that it is very dangerous for the West to continue to deliver weapons to Uzbekistan, which may lead to further tension and deterioration of the humanitarian crisis. Russian Ambassador to the United States Antonov said on May 28th that the influx of western weapons into Ukraine "significantly triggered the risk of conflict expansion", and it would be "unacceptable" for Russia if the United States sent long-range artillery systems to Ukraine.

　　Buzarov, an expert on Ukrainian international issues, believes that Biden recently signed a $40 billion aid bill to Ukraine, and it is expected that the United States will continue to strengthen its military aid to Ukraine in the future. Russian independent political scientist Gevorgyan said that under such circumstances, it is impossible to expect great progress in Russia-US relations, and cooperation between the two sides on issues such as strategic dialogue and the Iranian nuclear issue is out of the question.

　　Russian Foreign Minister Lavrov said that in fact, the West has launched an "proxy war" against Russia, and the direction of Russia-West relations depends entirely on the West. When the west falls into "anti-Russian fanaticism", even if they propose to restart relations with Russia in some way, Russia has to seriously consider whether it is worth it.

　　On February 10th, Yan Wengang set off in the first round of the men’s snowmobile. Our reporter Yi Yushe

　　On February 11th, Yan Wengang crossed the line in the men’s steel snowmobile competition. Our reporter Yi Yushe

　　On February 10th, Yin was in the second round of the men’s snowmobile. Our reporter Yi Yushe

　　In the past few days, Snow Youlong, the national snowmobile and sleigh center like a pure white ribbon, has witnessed a number of China team players making breakthroughs here, constantly turning a new page for snowmobile and sleigh sports in China. On February 11th, the men’s snowmobilers Yan Wengang and Yin Zheng added another wonderful stroke.

　　That night, the men’s steel snowmobile ushered in the third and fourth rounds of competition. Yan Wengang, 24, won the bronze medal with a time of 4: 01.77, which was the first medal won by the China team in the Winter Olympics snowmobile, sleigh and steel snowmobile. His teammate Yin Zheng also played well, winning the fifth place in 4 minutes 02.13 seconds. German players Grotheer and Juncker won the gold medal and silver medal respectively.

　　"I have made so much efforts in recent years, hoping to show myself better to everyone." Yan Wengang said after the first two roller skating of the men’s steel snowmobile on the 10th. A day later, he went all out to hit the target. In the most crucial fourth roller skating, Yan Wengang and Yin Zheng scored 1 minute 00.15 seconds and 1 minute 00.28 seconds respectively, ranking the top two among all the players, and also promoted their overall ranking to the final third and fifth place.

　　According to statistics, the fastest speed in Yan Wengang is close to 130 kilometers per hour. China’s players have grown just as fast in recent years. The Beijing Winter Olympics is only the second time for China team to compete in the Winter Olympics steel snowmobile project. At the PyeongChang Winter Olympics four years ago, the China steel-frame snowmobile team, which had been formed for less than three years, first entered the Winter Olympics, and Geng Wenqiang won the 13th place in the men’s steel-frame snowmobile competition. In the following seasons, Geng Wenqiang successively stood on the podium of international competitions, from the North American Cup champion in Whistler, Canada, to the third place in Laplagne, France, and then to the World Cup champion in Innsbruck, Austria, creating many classic moments of China’s steel-framed snowmobile. Under his leadership, China players such as Yan Wengang, Yin Zheng and Chen Wenhao have greatly improved their technical and tactical level, and the China steel snowmobile project has achieved leap-forward development.

　　Now, Yan Wengang is on the podium, and Yin Zheng has won the fifth place, once again achieving a breakthrough for the China steel snowmobile project.

　　Steel snowmobile is a thrilling and exciting sport, which tests the courage and skills of the players. "Now I have enjoyed this feeling of high-speed sliding very much." Yan Wengang said, "This kind of enjoyment is exercised through thousands of slides." Not only the steel snowmobile, but also the China team achieved the full participation in the Winter Olympics for the first time in both sledding and snowmobile, among which the China team boarded the Winter Olympics for the first time. Galloping on the smooth and curved track allows no mistakes. For the players of China team who started late, facing difficulties and challenges, "devotion" and "concentration" are their answers.

　　For this thrilling sport, Yan Wengang’s feelings are getting deeper and deeper. "I have been skating for 7 years, and now I feel more, it is love." Yan Wengang said.

　　Xinhua News Agency, Beijing, September 16 th, New Media Specialist (Reporter Mao Weihao) You don’t have to wait in line at a big hospital, you can test the urine sample by taking out WeChat and sweeping it; You don’t need an old Chinese doctor to take a pulse, but you can diagnose your constitution by taking a photo at the eyeball … …

　　With the Internet companies marching into the grassroots general clinics, refreshing medical treatment scenes are constantly emerging, or will completely change the medical treatment experience of Chinese people.

　　On the 15th, in the newly opened "Penguin Doctor" general clinic in Chaoyang District, Beijing, a device about the size of an air purifier caught the attention of reporters. According to Wang Shirui, CEO of "Penguin Doctor", this is a self-service body fluid testing instrument, which was jointly developed by Tencent and Tsinghua University. At present, it can complete three tests, such as urine routine and ovulation period.

　　How to carry out urine sample testing by self-service? The staff gave a demonstration on the spot. Open WeChat and scan the QR code, and the machine will "spit out" a test paper. After completing the collection of urine samples according to the instructions, send the test paper back to the self-service machine, and the urine test results will be sent to the WeChat terminal soon and synchronized to the "Penguin Doctor" clinic.

　　In this clinic, there are many similar "new and unique" testing equipment. For example, the detection process of "eye image detector" is similar to that of vision test, but the physical examination report can show which of the nine constitutions of traditional Chinese medicine patients belong to and give suggestions on health management.

　　"Reconstruct the medical service process, break up the clinic services, release the services that can be shared, and put them around users, so that users can see their physical health more conveniently. We will make these self-help inspection and testing items like shared KTV or even vending machines, and put them in places where users can touch them quickly, such as office buildings and shopping malls, so as to save time for patients and doctors and provide patients with more humanized and convenient medical services. " Wang Shirui said.

　　It is understood that "Penguin Doctor" is a medical and health science and technology enterprise jointly established by Tencent, Jihui Capital, Medical Association and sequoia capital china. At present, the "Penguin Doctor" general clinic has landed in Beijing, Chengdu and Shenzhen, and will be put into operation one after another. Its service scope covers all common departments such as internal medicine, surgery, stomatology, rehabilitation medicine, psychological consultation, dermatology and physical examination.

　　In addition to sharing tests, future general clinics will also share doctors. In the "Penguin Doctor" clinic, it is not a full-time doctor who provides services to patients, but a part-time doctor who practices more. Patients must make an appointment in advance to see a doctor, so as to alleviate the shortage of doctor resources and improve the efficiency of doctor service.

　　In addition, "Penguin Doctor" also connects more general clinics through cloud services to provide standardized services for patients. The data shows that the system has been online for only two months, and more than 800 offline clinics have been connected, and about 200 clinics log in and use the system every day.

01

Finalization of Dasong Gongci

Directed by Li Shaohong, starring Tamia Liu and Vic Zhou and starring Gui Yalei and Zhao Wenxuan, the costume drama "Song Gong Ci" was officially announced on March 20, and was broadcast on three platforms: iQiyi, Tencent Video and Youku.

02

China version of "loyal dogs and eight males" is scheduled for New Year’s Day.

Starring Xiaogang Feng Chen Chong

Adapted from the classic IP, the China version of "Loyal Dogs and Eight Men" released a poster of "Only for Meeting", and announced that it would be finalized on December 31st. The film tells the touching story of a loyal dog named Ba Tong who keeps waiting for his master, starring Xiaogang Feng and Chen Chong and directed by Xu Ang.

The film was produced by iQiyi Film, Zoom in Film and released by Hengye.

03

Game of Thrones will develop three more derivative dramas.

A number of foreign media reported that in addition to The Dragon Family and Duncan and Igo, HBO is also developing three new spin-off dramas of Game of Thrones, focusing on collis Vallian, the sea snake, Namelia, the warrior queen of Donne, and the flea nest in the slums of King’s Landing.

　The first derivative drama, titled Nine Voyages, was created by Bruno Heller, the creator of Rome and Gotham. The sea snake is a great navigator, and this role will also appear in Dragon Family, with Steve Toussaint as the star.

　The second work, titled "Ten Thousand Ships Coming Together" (10000 Ships), focuses on the legendary character Namelia (a member of Sand Snakes was named after her, and direwolf of Er Ya was also named by this name). Her story took place about 1000 years ago in the background time of Quan You, and the story of Materre family and Yangji City.　

The third play, with an unexposed title, is set in mean streets, the "Flea Nest" in King’s Landing, where the Onion Knight and others walked out.

04

The word-of-mouth of the guide edition of Justice League opened higher.

Set a career record for directors.

The much-watched "Zach Schneider’s Justice League" was launched on HBO Max on March 18th. The freshness of rotten tomato media was 77%, and the popcorn index of the audience was as high as 97%, setting a record for the director’s career.

In Douban, the film also got a high score of 9 points, and the score went up all the way, which was the highest in the director’s career, second only to Nolan’s The Dark Knight in the super-English theme.

05

Detective Conan: Crimson Bullet was definitely introduced.

Conan’s latest theatrical version "Detective Conan: Crimson Bullets" released a hand-painted poster in Chinese characters, confirming the introduction to the mainland for release, and the schedule is to be determined. The film is scheduled to be released simultaneously in 22 countries and regions including Japan on April 16th.

This theatrical version tells the story of WSG World Sports Conference, the world’s largest sports festival, which is about to be held in Tokyo. The sponsors of the conference were kidnapped and the "vacuum superconducting maglev train" from Nagoya to Tokyo was involved in the incident.　

06

Weibo’s revenue fell by 4% last year and its net profit fell by 14%.

Weibo released its financial report for the fourth quarter and the whole year of 2020. The financial report shows that in the fourth quarter of 2020, Weibo achieved revenue of 513.4 million US dollars, a year-on-year increase of 10%; The adjusted net profit was $212.7 million, compared with $176.5 million in the same period last year.

In 2020, Weibo’s revenue was US$ 1.69 billion, down 4% year-on-year, and its adjusted net profit was US$ 547.5 million, compared with US$ 637.5 million in the same period of last year.

CCTV News:According to the website of the National Medical Insurance Bureau on July 8, the National Medical Insurance Bureau, the Ministry of Finance and State Taxation Administration of The People’s Republic of China recently issued a notice on doing a good job in the basic medical security for urban and rural residents in 2022. In order to implement the decision-making arrangements of the CPC Central Committee and the State Council and the relevant task requirements of the Government Work Report in 2022, further deepen the reform of the medical security system, and promote the high-quality development of medical security to achieve new results, we are hereby notified as follows:

First, raise the financing standard reasonably.

In order to adapt to the increase in medical expenses and the demand for basic medical care, and ensure the medical insurance rights and interests of the insured, in 2022, we will continue to raise the financing standard of basic medical insurance for urban and rural residents (hereinafter referred to as "residents’ medical insurance"). Finance at all levels will continue to increase subsidies for residents’ medical insurance participation, and the per capita financial subsidy standard will be added to 30 yuan, reaching not less than 610 yuan per person per year, while the individual payment standard will be raised to 30 yuan, reaching 350 yuan per person per year. The central government will continue to provide subsidies to local governments in different grades according to regulations. The western and central regions will be subsidized according to the per capita financial subsidy standard of 80% and 60% respectively, and the eastern provinces will be subsidized according to a certain proportion respectively. Co-ordinate arrangements for urban and rural residents’ serious illness insurance (hereinafter referred to as "serious illness insurance") funds to ensure that the funding standards and treatment levels are not reduced. Explore the establishment of a dynamic financing mechanism linked to residents’ medical insurance financing standards and per capita disposable income, and further optimize the financing structure. Let go of the restrictions on the household registration of flexible employees such as employees with new employment forms. Earnestly implement the "Provisional Regulations on Residence Permit", which stipulates that those who hold residence permits to participate in local residents’ medical insurance should be subsidized according to the same standards as local residents.

Second, consolidate and improve the level of treatment

It is necessary to adhere to the principle of "fixed income and expenditure, balanced income and expenditure, and slight surplus", do our best and do what we can, give full play to the comprehensive security efficiency of the triple system of basic medical insurance, serious illness insurance and medical assistance, and scientifically and reasonably determine the level of basic medical insurance. Stabilize the level of residents’ medical insurance hospitalization treatment and ensure that the proportion of fund payment is stable at around 70% within the scope of the policy. We will improve outpatient safeguard measures, continue to ensure the use of drugs in outpatients with hypertension and diabetes, and improve the protection of chronic diseases and special diseases (hereinafter referred to as "chronic and special diseases in outpatients"). Strengthen the outpatient support function of serious illness insurance and medical assistance, explore the inclusion of high outpatient medical expenses within the policy scope in the calculation of compliance medical expenses of serious illness insurance, coordinate the use of outpatient and inpatient assistance funds, and share the annual assistance limit. Reasonably improve the level of medical insurance and maternity medical expenses for residents, effectively support the three-child birth policy, reduce the burden of maternity medical expenses, and promote the long-term balanced development of the population.

Third, earnestly grasp the bottom line of people’s livelihood security

It is necessary to consolidate and expand the achievements of medical security in getting rid of poverty, consolidate the function of medical assistance, and resolutely hold the bottom line of not returning to poverty on a large scale due to illness. We will continue to do a good job in medical assistance to the needy people to participate in the classified funding of individual contributions for residents’ medical insurance, fully subsidize the extremely poor people, and subsidize the low-income recipients and the poor people who return to poverty. Make overall plans to improve the efficiency of the use of medical assistance funds, make full use of the policies of subsidizing insurance and direct assistance, and ensure that all resources should be used and all resources should be saved. We will improve the long-term mechanism for preventing and resolving poverty caused by returning to poverty due to illness, and improve the working mechanisms such as dynamic monitoring of insurance participation, early warning of patients with high expenses, information sharing among departments, and collaborative risk disposal to ensure early detection, early prevention and early assistance of risks. We will improve the mechanism of applying for assistance, provide classified assistance to people in need who have been identified and approved by relevant departments, and timely implement the medical assistance policy. For the needy people who are still heavily burdened with personal expenses after the triple system guarantee, we should do a good job of connecting with temporary assistance and charitable assistance, accurately implement hierarchical and classified assistance, and work together to prevent the risk of poverty caused by returning to poverty due to illness.

Fourth, promote the unification of institutional norms

We must resolutely implement the medical insurance treatment list system, standardize the decision-making authority, promote the unification of system norms, and enhance the balance and coordination of the development of the medical insurance system. In strict accordance with the requirements of the "Three-year Action Plan for Implementing the Medical Security Treatment List System (2021-2023)", the institutional framework of all the overall planning areas will be unified by the end of 2022, and 40% of the overall planning areas will complete the clean-up of off-list policies. Adhere to the principle of steady and steady progress, establish first and then break, make overall plans for connecting funds and benefits, and promote functional integration. Promote the basic unification of the scope of medical insurance drugs in the country. Gradually standardize and unify policies such as the scope of chronic and special diseases in basic medical insurance clinics in the province. Strengthen overall planning and coordination, and steadily promote provincial-level overall planning in accordance with the direction of unified and standardized policies, balanced fund adjustment, improved hierarchical management, strengthened budget assessment, and improved management services. Employee medical insurance and resident medical insurance can be promoted in a classified and orderly manner. It is necessary to strictly implement the reporting system for major decisions, major issues and major issues, and implement new situations, new problems and major policy adjustments in a timely manner after reporting. The implementation of the medical insurance treatment list system in each province will be included in the relevant work performance appraisal.

Five, do a good job in medical insurance payment management

It is necessary to strengthen the management of medical insurance drug list, do a detailed "dual-channel" management of negotiated drugs, and strengthen the supply guarantee and landing monitoring of negotiated drugs. Do a good job in the pilot work of medical insurance payment standards and strengthen monitoring. By the end of June 2022, the digestion of the original self-supplemented drugs in each province will be completed. Standardize the medical insurance access management of ethnic medicines, preparations of medical institutions, Chinese herbal pieces and Chinese herbal formula granules. Improve the management of medical consumables and medical services in medical insurance. Continue to promote the reform of medical insurance payment methods, solidly implement the "Three-year Action Plan for the Reform of DRG/DIP Payment Methods", accelerate the reform of DRG/DIP payment methods, and cover at least 40% of the overall planning areas in the jurisdiction. Explore outpatient payment by head, promote the reform of TCM medical insurance payment methods, and explore TCM diseases to pay by disease score. We will improve the designated management of medical security in medical institutions and retail pharmacies, strengthen the medical insurance management of "internet plus" medical services, and smooth the links of follow-up, drug collection and distribution.

Six, strengthen the centralized procurement and price management of pharmaceutical consumables.

It is necessary to promote the centralized procurement of drugs and medical consumables in an all-round and multi-level way, and coordinate and carry out centralized procurement by national organizations and inter-provincial alliances. By the end of 2022, the number of national and provincial (or inter-provincial alliance) centralized drug varieties was not less than 350, and the number of high-value medical consumables reached more than 5. Do a good job in the implementation of centralized purchasing results and the continuation of the purchase agreement when it expires, and implement supporting policies such as prepayment of medical insurance funds, coordination of payment standards, and retention of balances. Improve and improve the functions of the centralized pharmaceutical collection platform, strengthen performance evaluation, improve the online collection rate of public medical institutions, and promote online settlement. We will steadily and orderly promote the deepening of the pilot reform of medical service prices, and guide and urge the overall planning areas to do a good job in price adjustment evaluation and dynamic adjustment in 2022. Start the medical price monitoring project, compile the medical price index, strengthen the normalization supervision of the prices of drugs and medical consumables, and continue to promote the implementation of the credit evaluation system for medical prices and recruitment.

Seven, strengthen the fund supervision and operation analysis.

It is necessary to speed up the construction and improvement of the medical insurance fund supervision system and law enforcement system, promote the establishment of an incentive and accountability mechanism, and incorporate the work of combating fraud and insurance fraud into the relevant work assessment. Continue to carry out special rectification actions to crack down on fraud and insurance fraud, and constantly expand the breadth and depth of special rectification actions. We will improve the supervision linkage mechanism led by the medical insurance department and involving multiple departments, improve the working systems of information sharing, coordinated law enforcement, joint defense linkage, execution linkage and discipline linkage, promote the coordinated use of comprehensive supervision results, and form a fund supervision work pattern of multiple investigations in one case, multiple cases in one case and joint management.

It is necessary to do a good job in fund budget performance management as required and improve revenue and expenditure budget management. Comprehensive aging population, chronic diseases and other disease spectrum changes, the application of new medical technology, the increase of medical expenses and other factors, to carry out the fund income and expenditure forecast analysis, improve the risk early warning, evaluation, resolution mechanism and plan, and effectively prevent and resolve the fund operation risks.

Eight, improve the medical insurance public management services.

It is necessary to enhance the public service capacity of primary medical security and strengthen the handling power of medical security. We will fully implement the list and operational norms of handling government affairs services, promote the standardization of medical security government services, and improve the level of medical insurance convenience services. Fully implement the basic medical insurance management procedures, strengthen source control and repeated insurance management, and promote "one thing to participate in insurance" at a time. Optimize the insurance payment service, adhere to the parallel innovation of intelligent online payment channels and traditional offline payment methods, and continuously improve the level of payment facilitation. We will fully implement the interim measures for the transfer and continuation of the basic medical insurance relationship, and continue to do a good job in the transfer and continuation of "inter-provincial communication". Actively participate in the promotion of the "one thing for birth" joint office. Continue to do a good job in the settlement and liquidation of COVID-19 patients’ medical expenses, COVID-19 vaccines and vaccination expenses. By the end of 2022, at least one designated medical institution with inter-provincial networking for general outpatient expenses will be opened in each county, and five inter-provincial direct settlement services for outpatient chronic and special diseases such as hypertension, diabetes, radiotherapy and chemotherapy for malignant tumors, uremia dialysis and anti-rejection treatment after organ transplantation will be opened in all co-ordination areas.

Nine, promote standardization and information construction

It is necessary to continue to deepen the application of the unified national medical insurance information platform and give full play to the platform’s effectiveness. Comprehensively deepen the maintenance and application of business coding standards, and establish an assessment mechanism for standard application. Establish a sound information system operation and maintenance management and security management system, and explore the establishment of information sharing mechanism. Give full play to the role of national integrated government service platform, commercial banks, government applications and other channels, and explore cooperation mechanisms in the fields of inter-provincial medical records and medical insurance electronic certificate activation application.

Ten, do a good job in organizing the implementation

It is necessary to further improve the political position, strengthen the responsibility, compact the work responsibility, ensure that all policies and measures for medical security for urban and rural residents are effective, and continue to promote security and improve people’s livelihood. Medical and social security departments at all levels should strengthen overall coordination, strengthen departmental coordination, do a good job in the implementation and management of residents’ medical insurance benefits, the financial department should arrange financial subsidies in full and allocate them in time according to regulations, the tax department should do a good job in the collection of individual contributions for residents’ medical insurance, facilitate the masses to pay, and strengthen work linkage and information communication among departments. It is necessary to further intensify policy propaganda, popularize the concepts of mutual assistance, responsibility sharing, joint construction and sharing in medical insurance, enhance people’s awareness of insurance payment, reasonably guide social expectations, and do a good job in coping with public opinion risks.

I hereby inform you.