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Text Chapter 878 Contradictions in Medical Reform

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    When Vice Governor Liu Jun entered Yuan Zili's office, he held a stack of materials in his hand.  (_Pao&Book&Bar) Ever since the preparatory work for the medical reform began, Liu Jun has been aware of his own hardships. Everyone thought that he was the deputy governor and was in charge of the medical reform work. The specific things were done by the people below, but in reality  This is not the case at all. As a leader in charge of medical reform, it would be a joke to say that he is not familiar with the medical reform work at all. Moreover, the plan proposed below cannot be approved.  Therefore, during this period, most of Liu Jun's economic energy was devoted to drafting the medical reform plan. Liu Jun did not need to take action, but he had to understand the reasons for each clause in the plan. After all, he was in charge  As the deputy governor, Liu Jun often stands at a different height and has an overall view.  For example, Liu Jun has a different view on one of the most fundamental things in the current medical policy, which he thinks is a bit extreme, and that is the issue of fees. He mainly has several opinions. One is the issue of charging registration fees. There are many  People think that why they have to charge registration fees before seeing a doctor. Moreover, the registration fees vary. The registration fees of experts are ridiculously high. In some cases, they reach 200 yuan or even 300 yuan. Where is the basis for such charges?  I have to ask, is this a mandatory clause in the hospital? The second issue is the doctor¡¯s examination. After getting sick, ordinary people don¡¯t know the situation, but doctors are different. They are professionals. They can know the general situation by looking, smelling and asking.  You can roughly determine what the problem is. Of course, if you encounter difficult and complicated diseases, it is a special situation. Through the doctor's judgment, you can conduct a professional examination on a certain aspect. However, many hospitals now frequently ask patients to undergo comprehensive examinations.  For the examination, the patient spends money and is worried. The final examination result is likely to be a cold. The hospital made the money. The patient spent time and money and still feels very uncomfortable. If such examinations occur in the future,  , should we deal with doctors who do this? The third is the issue of early charging. It is true that the problem of arrears of medical expenses exists to varying degrees, but why don¡¯t hospitals think carefully about why arrears of different chromatograms occur?  If the medical expenses are not sky-high, who is willing to default on the medical expenses? It is their own life, or money to put themselves out of pain. Medical issues are different from buying and selling in shopping malls. In shopping malls, buyers can bargain.  Yes, the hospital offers a fixed price. I have never heard of price bargaining. Therefore, we must make practical improvements when it comes to charging. The fourth issue is the name of the charges and the diagnosis certificate issued by the doctor. Many times, patients  I don¡¯t understand it, and I can¡¯t understand it, but the most typical feeling everyone has is that all costs are borne by the patient. No matter what the name is, from the cost of examinations to CT films, it is all paid by the patients.  In the medical reform plan drafted by Yang Lei, this part has not yet been finalized. The hospital charging method has been going on for many years. If it is to be changed in this aspect, it is tantamount to an earthquake in the medical system. Therefore, Yang Lei and Shi Yusheng  After the discussion, no specific measures were proposed, but this aspect was reported as an issue. Liu Jun understood what Yang Lei meant. Since it was reported in this way, it means that this aspect may not appear in the future medical reform provisions.  Content.  Wang Youming, who was transferred from Huaxiang Province, attracted Liu Jun's attention. Wang Youming had some knowledge. Moreover, during the drafting of the medical reform plan, Wang Youming even conflicted with Shi Yusheng's opinions, such as the issue of medical appraisal institutions.  Wang Youming suggested that medical appraisal institutions should become social intermediaries and be subordinated to the management of judicial organs. In this way, medical appraisal and justice will be directly linked. Such a suggestion is very novel, but it is also very drastic. Shi Yusheng disagrees.  The key to such a suggestion is the appraisers of medical institutions. They are also doctors. They are not medical experts and cannot enter medical appraisal institutions. These experts are elites in various fields of the medical system, no matter which system they belong to.  The ultimate identity is still that of a doctor, so for medical appraisal matters, it is best to adopt a strict system to manage them, or to believe in the principle of using systems to manage people and systems to manage things.  What caused the biggest controversy was the issue of medical expenses. Wang Youming suggested implementing a completely free policy. It should be said that most people agree with the policy of completely free medical treatment. However, it is not easy to implement such a policy. We face many challenges.  There are too many practical problems. If such a policy is implemented in a county or a town, the operation process may be much simpler. However, it is very difficult to implement a completely free medical treatment system in Southern Province. It is very difficult in the whole country.  Without such a system in place, Southern Province cannot withstand such financial pressure.  The final result of everyone's discussion was that the idea of ??free medical treatment was still not adopted.  Liu Jun¡¯s idea is different. The main targets of medical reform are hospitals and patients. There needs to be a balance between the two. Any plan that overly suppresses one side and caters to the other side is unsatisfactory.In the long run, don¡¯t expect that all problems will be solved through one health care reform. Even the country¡¯s constitution needs to be revised, let alone the health care reform plan of Southern Province. But Liu Jun¡¯s biggest idea is that this time  Medical reform must be in line with the interests of the people and must reflect the idea of ??doing practical things for the people. Liu Jun finally saw it. After Yuan Zili took office in Southern Province, his main focus was on doing practical things. Yuan Zili did not like long speeches.  However, there is great attention to detail and the effect of doing things.  Liu Jun thought about it. Yuan Zili was a leader who rose up step by step from the grassroots level. He once claimed to be a grassroots secretary. Judging from Yuan Zili's style of doing practical things, this situation is true. Yuan Zili and the leaders from above have indeed made some achievements.  Differently, it is rarely summarized from a macro perspective.  Liu Jun also made up his mind to make the plan as perfect as possible for this medical reform. After the Standing Committee of the Provincial Party Committee studied and approved it, he went to Beijing to report to the Ministry of Health and the Vice Prime Minister and State Councilor in charge of health work to win over the Southern Province.  The medical reform work will be fully rolled out at the beginning of next year.  Liu Jun knows that this is a real political achievement. No matter from which aspect, it is an achievement that cannot be erased. As a provincial leader, it is not that simple to accomplish something, and health care reform is the best one.  opportunity.  Yuan Zili is waiting for Liu Jun in the office. Medical reform is what Yuan Zili is most concerned about.  "Old Liu, have you encountered any problems again?" "Governor Yuan, there are too many specific issues involved in the medical reform. I have already reported some major aspects, and the rough prototype of the current plan has been released.  I'm asking for opinions below, and the discussion has been very extensive, and there are many opinions, but one contradiction is the most prominent. " "Is it a matter of disagreement between medical institution workers and ordinary people?" "Yes.  This is the problem. People in medical institutions believe that the profession of doctors is originally a representative of intellectual property rights. They rely on their own skills to make a living. Therefore, their income cannot be compared with ordinary workers. If according to that  Comparing the standards, experts from medical institutions have to leave the southern province. Ordinary people also agree that doctors¡¯ income is higher, but it must be within a certain range and cannot be ridiculously high. After all, their income comes from patients.¡±  Yuan Zili shook his head.  "Old Liu, in this regard, I prefer to balance income. Doctors are also workers. Although they rely on technology to make a living, their income must also be in line with the current actual situation. On the one hand, ordinary people cannot afford medical treatment, and on the other hand, doctors  Driving a luxury car, comparing the two, what do we think? I am not very familiar with the medical system. When I was in Huaxiang Province, I didn¡¯t pay much attention to the medical reform. When I came to the Southern Province, it was you who  I am responsible for the medical reform work, but from a general perspective, I think there is still a balance. Some time ago, I read some foreign information. Rich people abroad cannot afford medical treatment, but the medical insurance of ordinary people is very good. This  It's just a means of control." Liu Jun's face showed a look of hesitation.  "Old Liu, I know what you are going to say. Currently, many countries in Europe are facing bankruptcy due to the issue of high welfare. You are worried that our health care reform may follow this old path. In fact, there is no need to worry so much.  Everything we do must be implemented based on the actual financial situation and within our ability. Our Chinese people¡¯s consumption concept is different from that of many foreign countries. We are used to paving the way for ourselves.  , including those born in the 1990s, are slowly accepting this concept, so we will not implement high welfare policies for the time being. There are too many people in our country and we cannot afford it. " Yuan Zili said this.  , a little desolate.  "Many people have discussed this. When the country is poor, the people are getting rich. This is a normal situation. However, anyone who is familiar with history knows that without a rich and strong country, the people are getting rich, and the people are getting rich.  What can we do? There are too many lessons learned in the past, so we still have a long way to go. To make the people prosperous, we still have a lot of work to do. Some things may involve policy restrictions, so  It depends on our ability and courage. This health care reform is the first substantial step we have taken. You are under a lot of pressure, but you must persevere and do a good job in this health care reform.¡±
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