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Text Chapter 856 The Chief¡¯s Medical Expenses

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    After the meal, Yuan Zili was ready to leave the hotel. He was the acting governor and had many things to care about, but the medical reform was a big move and a major breakthrough for Yuan Zili in Southern Province. If the medical reform could be successful, or  If you achieve significant results, many things will be much easier to handle.  Nowadays, there is a lot of resentment among the people. When it comes to officials, they are always corrupt. People hardly believe that the government will do practical things for the people.  When Yuan Zili came to Southern Province, he would also encounter the same problem, but Yuan Zili could not be anxious. He had to do things step by step and slowly.  "Governor Yuan, I want to talk to you alone." Shi Yusheng walked to Yuan Zili's side and spoke in a low voice. The preparation of medical reform in Southern Province was a big thing. Shi Yusheng had a lot to consider.  Shi Yusheng is not very optimistic about the medical reform in Huaxiang Province, but the situation is different now. Shi Yusheng is prepared to do his best for the medical reform in Southern Province. Otherwise, he will not stay and participate in the formulation of the plan.  You know, formulating a plan is a lot of work and energy-consuming.  Yuan Zili and Shi Yusheng entered the lounge, Liu Jun left first, and Yang Lei was waiting outside.  "Governor Yuan, I have to tell the truth about the medical reform." "Minister Shi, I haven't had time to thank you yet. Medical reform is a major event, and I know it well. When we first implemented medical reform in Huaxiang Province, we encountered  Now, Southern Province is preparing to carry out medical reform. It is not a simple matter. I am not very clear about some of the specific issues. I feel a little embarrassed when I think about it. " "Governor Yuan, you are joking.  You don¡¯t need to be particularly familiar with the work of medical reform. As long as you make up your mind, make a decision, and strongly support the work of medical reform, everything will be easy. There are people below who specialize in such things. However, the difficulties that may be encountered in medical reform are obvious.  For example, the relationship between pharmaceutical groups and hospitals, the problem of kickbacks, the problem of high drug prices, the problem of the huge income gap between hospital doctors, how to coordinate the relationship between them, correct some existing shady practices, and ensure that the people have less medical treatment  Spending money is the core purpose of our medical reform. Moreover, there is another key point in the medical reform of Southern Province, which is to ensure its own success and at the same time become the leader of national medical reform. Think about it, if it is only the southern province.  The medical reform is successful. If other parts of the country do not carry out medical reform, no matter how good the financial situation of Southern Province is, it will not be able to bear it." Yuan Zili nodded.  "Minister Shi, I have considered the situation you mentioned. It is indeed the case. Medical reform requires a large amount of funds from the government. Southern Province has reformed. If other parts of the country do not carry out reforms and a large number of people enter Southern Province, we will bear the burden.  I can¡¯t help it, I have already thought about it. In the early stage of reform, the finance needs to allocate a lot of funds. After the reform is successful, the financial burden will be reduced a lot. However, this money must be spent, not only to save money, but also to save money.  Finance and finance at all levels must also allocate funds to support medical reform. What I am most worried about is not here. " "I know what Governor Yuan is worried about. Medical reform involves the interests of all aspects, especially doctors.  Most of the people involved in the reform are professionals. Outsiders are not very clear about the interest relationships, and are not familiar with the issues that the medical system needs to pay attention to. I have carried out medical reform many times in the past, and I was responsible for it.  It is difficult to succeed in this way of refereeing and acting as athletes. This problem also exists in Southern Province. Don¡¯t worry, I have noticed this problem. I was considering it when I discussed it with Yang Lei before. Enter  Members of the medical reform team need to be particularly cautious. Otherwise, our plan will not work and the entire reform will be difficult to achieve good results. " "Minister Shi, I understand what you mean. Don't worry, since I agree on behalf of the Provincial Party Committee and Provincial Government.  Once the medical reform is carried out, we will work hard to do it well. Who is needed, how much money is needed, and what measures need to be taken. You can just put it forward. Yang Lei may be a little timid in this regard, so you can put it forward. " Shi Yusheng.  He smiled, the smile on his face was somewhat meaningful.  "Governor Yuan, I think you may have never paid for medicine." Yuan Zili thought about it carefully. This is the actual situation. For many years, Yuan Zili has never thought about the cost of medicine. Sometimes, his body  Whenever there was a minor problem, the secretary or Lao Ma helped to contact him. He was rarely hospitalized. When he got the medicine, Yuan Zili was prepared to pay for it, but neither the secretary nor Lao Ma wanted it.  I remember when I was in Huaxiang Province, I had a cold and went to the Provincial People's Hospital for infusion. From the director to the doctors and nurses, they were so busy that I thought Yun Haiyi had to pay the bill for the medical expenses, but in the end he didn't care.  "Minister Shi, I really don't know very well. I have never cared about my own medical expenses." "Haha, you don't need to pay for it yourself."??, this was the case when I was in Huaxiang Province. According to the current reimbursement method, leaders at the provincial level and above are directly responsible for the write-off of medical expenses in the central government, and the Ministry of Health is directly responsible for the write-off, and leaders at the deputy ministerial level and units  Responsible for write-offs. At the local level, the Department of Health is directly responsible for write-offs. Now it is not very standardized at the local level. Generally speaking, the Department of Health is responsible for verifying the medical expenses of the secretary of the provincial party committee, the governor, the director of the provincial People's Congress and the chairman of the provincial CPPCC.  The medical expenses of other provincial leaders need to be written off by the unit itself, but under normal circumstances, they are written off directly by the Department of Health. The current method is to reimburse the expenses in real terms. I will do this in the following cities, prefectures, counties and cities.  After investigation, many cases are like this. You are a provincial leader and according to regulations, you do not need to pay your own medical expenses.  " Yuan Zili somewhat understood what Shi Yusheng meant. "You are saying that the write-off of leaders' medical expenses also needs to be standardized. It must be blocked from the source in accordance with the regulations of the central government. In this way, it can be open and transparent.  .  " "In this sense, medical reform is divided into two aspects. One is the reform of the medical system we are talking about, and the other is the reimbursement of medical expenses. According to the above regulations, I can say this, Southern Province  Leaders above the level can reimburse medical expenses in accordance with the regulations of their superiors during the medical reform process, but leaders below must bear the medical expenses they should bear according to regulations.  " Yuan Zili quickly thought of the problems. "Minister Shi, the scope you mentioned is no longer a category that can be fully covered by medical reform. To give an unfortunate example, a certain municipal party committee secretary or mayor  Do people who are seriously ill and unable to pay for medical expenses also need assistance from the society? Will ordinary people believe that the continuation of thousands of years of official-oriented thinking? If the municipal party committee secretary and mayor despise illness, what will the cadres below do?  Look, as far as I know, their medical expenses are all financed. In this case, we must seriously consider it. The serious illness assistance mechanism we mentioned earlier is involved in these aspects.  " "Governor Yuan, what I talked about is this aspect. However, I meant that I talked about one aspect of the problem. I did not say that all problems will be solved through this medical reform. That is unrealistic.  If we consider it too comprehensively, the medical reform may not be successful. The medical reform work must respect the actual situation. We cannot copy many things from foreign countries. Our country's system is different, and the public sentiment and public opinion are also different.  " "Minister Shi, I understand. When I was in Huaxiang Province, I did not pay too much attention to the medical reform. I always felt that the progress was slow and difficult. I also believed that medical reform was not a temporary matter. In addition,  My energy is limited and it is impossible to pay full attention to the medical reform work. I came to the southern province and mentioned the medical reform work again. I also hope that Minister Shi will support it.  " "Governor Yuan, don't worry, as soon as I get older, I will do what I say.  " Yuan Zili is actually still worried. The main reason is that he is not familiar with the situation of cadres in Southern Province. No matter how loud the shouts are, or how important it is, people are ultimately needed to do the work. If the people are not suitable,  "All work may go astray. "This time, the focus of the health care reform work in Southern Province is still the responsibility of the Department of Health. Governor Liu has other responsibilities, so I have some thoughts about whether Minister Shi is ready to help us.  Take the lead.  " "Governor Yuan, the key work is still in charge of Yang Lei. You have not been in Southern Province for a long time. Comrade Yang Lei, I know him well. He is very good and familiar with business. I spent more time in Southern Province in the past.  The provincial medical system is generally very good. Especially its work in recent years has been well received by the ministry. In terms of the medical expenses of migrant workers, Southern Province has made some attempts and has some experience.  It¡¯s all thanks to Yang Lei.  " "Haha, Minister Shi, I'm really not very clear about these aspects, but I have thought about it. The focus of medical reform work still lies in the ability of cadres. Nowadays, no work can be done without effective cadres. Medical reform  Work, to put it mildly, requires a bad reputation and may be hated by many people. If everyone thinks that they don¡¯t want to offend others and don¡¯t want to get involved in actual work, then there is no need to do it.  " Shi Yusheng had a smile on his face. He didn't expect that Yuan Zili would directly point out the thing that he was most worried about. Matters involving interests were the most difficult things to deal with. What's more, the personnel of the medical system were not what everyone said.  The disadvantaged groups are now powerful and may come up with all kinds of ways to obstruct this health care reform.
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