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1 dead, 2 injured by gunshots near a pro-democracy protest in Guatemala_我的网站

A |     　　讯 近日，国家医保局印发《全民医疗保障“十五五”规划》（以下简称《规划》）。    GUATEMALA CITY -- One person died and at least two more were injured by gunshots near a pro-democracy demonstration in Guatemala on Monday, local authorities said.Victor Gomez, spokesman for the volunteer firemen in Malacatan, near the border with Mexico, said it was not clear whether the victims were protesters themselves, or just caught nearby.The incident marked the beginning of a third week of demonstrations against Attorney General Consuelo Porras, who protesters accuse of attempting to undermine a popular vote for progressive President-elect Bernardo Arévalo.Videos from Malacatan circulating on social media painted a chaotic picture. Some appear to show civilians and police officers fleeing as bursts of gunfire are heard. In one recording, a vehicle and a police patrol are burning. It is not clear who fired the shots. In response to the incident, Guatemalan President Alejandro Giammattei said authorities were “carrying out corresponding investigations” and promised more details in due course.The National Police later announced the arrest of 11 people.The Interior Department said in a statement that after the attack it coordinated a search for the vehicles involved and found three wounded people, but it made no mention of a death.Arévalo took to the social network X, formerly known as Twitter, to condemn the violence. “We demand that the authorities ensure the safety of those who peacefully demonstrate and guarantee that this act does not go unpunished,” he said.The incident is the latest violent episode after 15 days of protests and roadblocks in the Central American country. On Sunday, Porras' supporters in Guatemala City called for violence against demonstrators blocking roads. Then on Monday, other social media videos appeared to show people in civilian clothing carrying machetes attacking protestors at three roadblocks in the township of El Asintal, Retalhuleu, just under 55 miles (90 kilometers) southwest of Malacatan.Porras herself has called for the roadblocks to be cleared, using force if necessary, “in the public interest.” On Monday she urged the government to sack Interior Secretary Napoleón Barrientos for failing to do so.Demonstrators maintain that after Arévalo’s victory in the August runoff election, Porras mounted an undemocratic challenge against Arévalo, his left-wing Seed Movement party and electoral authorities. They have called for the resignation of Porras, prosecutors Rafael Curruchiche and Cinthia Monterroso, and Judge Fredy Orellana.。《规划》提出，“十五五”期间，基本医疗保险参保率将保持在95%左右；长期护理保险制度覆盖所有统筹地区；基本医保目录内住院费用基金支付比例职工医保稳定在80%左右，居民医保稳定在70%左右；基本医保基金即时结算支出覆盖率从2025年的70%左右提高到80%以上；所有统筹地区实现生育津贴直接发放到个人。　　“十五五”期间，我国将持续提升全民医保参保质量，提高职工基本医保的参保人数占比。继续推动落实新生儿“出生一件事”联办，实现“出生即参、待遇即享”。探索对婴幼儿参加基本医保提供资助。优化完善可持续筹资机制，均衡个人、用人单位和政府筹资责任。报销政策向基层倾斜，适当拉开参保人员在不同等级医疗卫生机构的住院报销差距。推动省内门诊慢性病、门诊特殊病保障规范统一。

B | 推动统筹地区提升筹资、保障管理水平，提高基金抗风险能力和使用效率，到2029年基本医保基本实现省级统筹。　　“十五五”期间，国家医保局将大力推动参加职工医保的灵活就业人员、农民工、新就业形态人员参加生育保险。

C | 　　全面落实参保女职工享受国家法定产假生育津贴待遇。

D | 推进辅助生殖技术规范有序应用，合理提升产前检查医疗费用保障水平，指导地方制定覆盖孕期基础检查的基本服务包，可参照门诊慢特病待遇支付。

E | 完善住院分娩医疗费用支付政策，推动基本实现生育保险政策范围内住院分娩个人“无自付”。将适宜的分娩镇痛项目纳入保障范围。推动医保支付方式改革延伸至生育医疗费用保障。实现参保人员生育医疗费用直接结算和生育津贴直接发放给参保人。版权申明：凡注有“”或电头为“”的稿件，均为独家版权所有，未经许可不得转载或镜像；授权转载必须注明来源为“”，并保留“”的电头。

F |     。

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