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Text Chapter 854 Conversation on Medical Reform

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    Shi Yusheng didn't know what happened to Li Jiayi at Huadu Airport. After returning to Huadu City, Shi Yusheng was very happy to see the lively Li Jiayi, and Li Jiayi was in good spirits.  After careful consideration, Shi Yusheng decided to persuade Yuan Zili to implement medical reform in Southern Province. Today, the problems in the medical system exist across the country. There must be a place to take the lead in medical reform and completely correct some of the shady practices in the medical system.  , otherwise, it will always be the common people who suffer.  Of course, medical reform is not a trivial matter. It just so happened that Yang Lei had been following the inspection for the past two days. Shi Yusheng and Yang Lei talked for a long time and learned that the problems in the medical system in Southern Province were even more serious than those in the mainland.  Medical insurance coverage is very comprehensive, reaching more than 90%. Except for cadres and workers who receive fiscal salaries and participate in publicly funded medical care, the rest of the residents and farmers participate in urban medical insurance and rural medical insurance. It should be said that the finance still needs to spend a year.  If a large amount of money is invested, the wider the scope of insurance, the easier it will be to implement medical reform measures, because all cadres, workers, and residents and farmers can benefit from it and get practical benefits.  During the afternoon meal, both Yuan Zili and Liu Jun came over. Shi Yusheng was very happy. This opportunity was so rare. It happened to be able to talk about medical reform. It was best to talk about such things during a meal.  "Governor Yuan, Governor Liu, thank you for your warm hospitality, and thank you even more, Director Yang, for staying with me these two days. I really caused trouble for you." "Don't say that, Minister Shi, he came to the south.  , just stay a few more days, you can go to Yunchuan City for a few days. The hot springs in Yunchuan City are very good. It is good to soak in the hot springs more, especially Ms. Li Jiayi. Hot spring baths can really improve your beauty. " Li Jiayi opened.  With eyes wide open, she kept saying that she wanted to go to Yunchuan to soak in hot springs. In fact, Li Jiayi had soaked in hot springs, but she just wanted to stay in the southern province for more time and continue her love with Yuan Zili.  The topic gradually turned to medical reform. Shi Yusheng used to work in the health department and he always kept his profession in mind.  "Alas, I am no longer a minister. It is still a pity. The main thing is the health care reform. Because the conditions are not mature, the whole country cannot play a game of chess, so it has not been able to start. Thinking of the problems that exist, I feel panicked.  Medical institutions were originally meant to save lives and heal the wounded and serve the people. Now, they have changed their taste and become a place for some people to seek benefits. It's really heartbreaking. " Yuan Zili smiled, he understood what Shi Yusheng meant.  .  "Today is a great opportunity. Governor Liu is in charge of the medical system, Director Yang is the head of the Health Department, and although Minister Shi has retired, he is the authority of the medical system. Let's talk about the medical reform. I  In Huaxiang Province, we once prepared to carry out medical reform, but it has been abandoned halfway. It is a pity. Medical reform must be linked to the quality of finances before it can be successful. I think so, Director Yang, can you explain in detail?  "What are the outstanding problems in the medical system? Let's talk about the situation in Southern Province." Yang Lei did not expect that the negotiation work would be carried out here. However, Yang Lei was very clear about the problems in the medical system. Today Shi Yusheng said it.  Regarding the medical reform, Yuan Zili wants to explain the situation himself. Then, it is very likely that medical reform will be implemented in Southern Province. This is an extraordinary task.  "Common situations exist. For example, drug prices are too high, people spend too much for medical treatment, and among cadre families, if someone suffers from a chronic disease, the family cannot afford it, let alone residents and farmers. Serious disease relief mechanisms  Many people are disappointed because the standards in different places are not uniform. The highest is 30,000 yuan and the lowest is several thousand yuan. This money is nothing more than a drop in the bucket in the face of serious illness. Some people rely on social assistance to get treatment.  , But after all, they are a minority. Many families even go bankrupt for medical treatment. "The private room became quiet. Everyone knows that the cost of treatment for some diseases is astronomical, such as leukemia, cancer chemotherapy, etc., these serious diseases.  , it can indeed bring down some families.  "The most prominent problem in the medical system in Southern Province is the problem of income polarization. Up to now, there is a problem of shared interests in all aspects of the hospital, which affects the whole body. Generally speaking, doctors are divided into two categories.  It is not uncommon for famous doctors to have good skills and incredibly high incomes. It is not unusual for them to earn millions or even tens of millions a year. However, the annual income of ordinary doctors is between 100,000 and 500,000 yuan.  The time is not bad, but the income of nurses and newcomers in the hospital is very low, with an average of less than 100,000 yuan. Of course, special nurses are excluded. In this way, the difference comes out. In the south  In the province, the doctors in the outpatient clinics are all average-skilled, high-level doctors, and famous doctors. They are all in the ward. Life has improved, and there are many cardiovascular and cerebrovascular diseases. One thing I know is the heart stent.Let¡¯s move on. For a stent procedure, the doctor who performs the surgery can get more than 10,000 yuan. One procedure is 10,000 yuan. A good doctor can perform 5 to 6 procedures in a day. The one who does the most can perform 12 surgeries in a day.  , what is their income? The profit from surgery is so great that it is simply beyond the imagination of ordinary people. There are also some so-called expert clinics, and the registration fee is usually 100 to 120 yuan, not to mention the following.  After treatment, the people who see the doctor have a psychological effect of trusting the famous doctor.  " "The most serious problem is the price of drugs. It has been exposed a lot on TV. The price of some drugs has increased by more than a hundred times. It is very common to see dozens of times. Why do these problems occur? One aspect is to support doctors.  , the prevalence of kickbacks is the biggest problem. I once heard the person in charge of a pharmaceutical factory complain that he is a big boss, but he is still cautious in front of doctors. Each hospital has great power and can use your medicine.  It doesn¡¯t matter. Therefore, you can¡¯t sell medicines without sending money. The wool comes from the sheep, and the people who suffer in the end are the people.  " "The most hateful thing is that some famous doctors have accepted benefits from pharmaceutical companies, or received favors from other sources, and they have been biased when using medicines. No one can find anything wrong with this situation, ordinary people.  There is a superstitious belief that famous doctors treat diseases in the same way. The medicines prescribed by famous doctors cost more than 100,000 yuan, and the patients are willing to take them. If ordinary doctors spend more than 1,000 yuan, the patients will have objections.  " "There is another situation where medical trouble occurs. Those who go to the hospital to make trouble. There is such a professional team. The formation of this team is also due to the moral decay of some doctors. They are not thinking about treating the people at all. They have no sense of responsibility and cause trouble.  Many medical accidents have occurred, and the professional medical team has done a good job.  " "Relevant medical appraisals are even more chaotic. Many times, appraisal opinions are contradictory. Appraisal agencies all work under the leadership of the health department, and they have certain tendencies. The results are inconsistent with those of the parties concerned.  I don¡¯t really believe it, and I don¡¯t rule out manipulation during the identification process.  " "The people in charge of big hospitals are very arrogant. In the Department of Health, except for me as the director, they still respect them relatively. Even the general deputy director, they don't care anymore. Now that they have money, what are they afraid of? Besides,  Yes, their reputation is great, and many people are willing to seek medical treatment from them. Even when my family members were sick, they came to them for medical treatment.  " Yang Lei said these words in one breath. The expressions on the faces of Yuan Zili and Liu Jun were unclear. Yang Lei's ability to say these things must be related to Shi Yusheng. "Director Yang, these problems that exist, health  What is your opinion?  " When Yuan Zili asked these words, Liu Jun's face looked a little ugly. The medical system is not easy to manage at all. Many people are unwilling to take charge of this area. They don't understand professional and technical matters and can't manage it.  "There is currently no good solution. When a problem occurs, it involves investigating and dealing with all aspects of the problem. Sometimes, the investigation and treatment will come to nothing. Of course, the Department of Health also has shortcomings in this process.  There are areas where work has not been done well.  " Yang Lei's answer was very simple. However, Yang Lei felt uneasy at the moment. Such an answer was suggested by Shi Yusheng. When Shi Yusheng was inspecting below, the two of them talked about these things. Shi Yusheng suggested that Yang Lei should not have any  What are you hiding? The previous work was not done well. Just admit it boldly. It¡¯s not a big deal. It¡¯s just that the work was not done well. Everyone makes mistakes at work. Looking at Yuan Zili¡¯s face,  There seemed to be no special reaction, but Liu Jun couldn't help it. "Director Yang, we will discuss the things that have not been done well in the future. Now, we have to talk about how to solve these problems.  We are all aware of the problems, but there is no systematic system to correct these problems. If a headache aches, treat the head, and if a foot aches, treat the feet. It will definitely not work if this continues. Governor Yuan asked this, I think, as a health official, you  Director, you must have considered a solution.  " Shi Yusheng lost no time in speaking. "Governor Liu's consideration is very correct. To completely solve the problems here, the best way is to carry out thorough medical reform and clarify the relevant systems. Nowadays, the medical system exists  The problem exists in all parts of the country, but a truly successful medical reform has not yet appeared. Therefore, the health system is always trying to treat headaches and feet. In fact, the conditions in Southern Province are very good.  You can consider health care reform, which still requires a certain amount of financial resources.  "
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