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Text Chapter 917 Fundamental Issues in Healthcare Reform Policy

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    Yuan Zili had heard about Song Dahong for a long time. In fact, Yuan Zimei was too vigilant. She noticed it when Song Dahong went to the nursing home for the second time. Yuan Zimei had been in Huadu for a long time, so she knew many people.  Quite a few, and because of Yuan Zili's relationship, there were many people who wanted to curry favor with her. With just one phone call, Song Dahong was already being followed. Song Dahong himself didn't notice this. Yuan Zimei actually didn't do this out of suspicion, but  Song Dahong's performance was too obvious. As a wife, she naturally wanted to see what was going on. When she learned about the murder case in the nursing home, Yuan Zimei made a special trip to Yuan Zili to talk about it. Yuan Zili smiled and said, maybe Dahong is  For work, the matter happened in a nursing home. He has to contact the relevant people. You, the family member, must understand. Isn't this the case for the past few decades?  Yuan Zili's words were not very explicit, but Yuan Zimei also understood something. Perhaps it was because her brother had become the top leader of the Southern Province that she had a sense of superiority in her character, and this feeling was especially unpleasant for her husband.  It should be shown that a man in his forties has a certain amount of psychological pressure, and his body is also in a period of decline. Thinking of this, Yuan Zimei felt a little relieved at the time. The case was solved in just two days, and Yuan Zimei had plum blossoms on her lips.  , I was still very sure about Song Dahong. Song Dahong took the initiative to go to Yuan Zili's house. "Dahong, why did you think of visiting me today?" "Brother Yuan, I have some doubts in my heart about this case," Song Dahong said, "Tell me about it."  Yuan Zili had already guessed some problems, but he was not sure. The reason why he told Yuan Zimei like that last time was because Yuan Zili was also a man. Song Dahong would not do anything particularly outrageous, but if Yuan Zimei did something unexpected,  It has a huge impact on a family. ¡°I had accidentally come into contact with the murderer of this case when I went to a nursing home. Later, when the provincial experts came to determine that the murderer was a woman, I guessed that it might be her.  At that time, I had a very special feeling for that woman. Later I realized that more than ten years ago, I watched a woman jump off an overpass and die. It was the feeling when she looked back and smiled. I couldn't tell whether I liked her.  Or for other reasons?" "Dahong, do you feel some sympathy for Miyuki?" Yuan Zili asked. Song Dahong was a little surprised that Yuan Zili could remember her name. He murmured: "Yes." Yuan Zili nodded.  : "To be honest, I sympathize with such women. I think men all have a desire to protect themselves when they see someone who needs protection, but they understand the responsibility of the family. If a beautiful female doctor of medicine does not kill anyone, he can be with her in the medical reform.  Working together with Dr. Wang Youming, who works in the group, we can communicate with seniors in the medical field like Mr. Shi. Similarly, the medical work in the entire southern province may be improved by a point, but since I have done something wrong, I have to pay the price.  I think you understand this better than me." Looking at Song Dahong's hesitant expression, Yuan Zili continued: "This morning, Governor Liu brought me a piece of information about medical reform. Take a look." Song Dahong continued  He came over and took a look. It listed the proportion of red envelopes received by the entire Southern Provincial Hospital, and the detailed list of some chief surgeons of the First People's Hospital. He looked at Yuan Zili in confusion, and Yuan Zili lit a cigarette: "These  Supposedly, these things have been investigated in the medical reform, and they are all very detailed. Do you know why they are not made public? In fact, you will understand the reason even if I don¡¯t tell you. It is the same as your idea on the Miyuki case. Indeed, these things are made public.  The disadvantages of telling the public outweigh the advantages. A murder case can only involve a few lives at most. If the police are more effective, the number may be reduced, but if it is on the operating table and the doctors are not dedicated, they can only do it every month.  After receiving a certain amount of salary, when performing an operation on a patient, he accidentally forgets his gloves or something in the patient's stomach, or his mind wanders and causes the patient to bleed profusely and die on the operating table. In this case, the doctor is actually accepting red envelopes.  Being able to reassure the patient's family will at least make them feel that they are doing their best." After listening to what Yuan Zili said, Song Dahong thought for a moment: "But, this." Obviously he did not agree with this. Yuan Zili smiled: "These things can only be said to be  The product of the development of the times, some of the materials in this medical reform have not only been seen by us, but also by the heads of those heavyweight hospitals. As for how to do it, they know clearly in their hearts that as long as the red envelope item is curbed,  Medical troubles will also decrease at the same time." At this time, Song Dahong's phone rang. He looked at Yuan Zili, who nodded. Song Dahong answered the phone: "Hello, I'm Song Dahong." The other end of the phone said: "  Bureau Song, the main person in charge of the organ workshop has been arrested and brought to justice, but we now suspect that some of them have connections with major"The middle-level leaders of the hospital have colluded." Song Dahong understands that hospitals in Huadu City and even Southern Province have certain backgrounds. The municipal bureau wants to investigate and cannot go on a rampage. If they handle the search warrant, it may take a long time.  This directly led to the destruction of evidence by the real mastermind behind the scenes. "The comrades in charge of the interrogation must do a good job of confidentiality. In this way, I will contact Bureau Sun now." After Song Dahong hung up the phone, he said to Yuan Zili: "Brother, it's out.  Regarding these issues, the real person in charge of the organ workshop may still be in the big hospital.¡± ¡°Oh, in that case, I¡¯ll give Comrade Jianhua a call. The people involved in Shi Lao¡¯s incident last time confessed to some issues, but they didn¡¯t talk about the most important points.  Yes, organ workshops have always been widespread across the country. I have heard that the purchase price of a kidney nationwide is only 35,000, and even the quick settlement is only 20,000. Most of the donors are young people who are ignorant. Is it possible that one kidney will be fine?  If the body function declines, the money spent on medical treatment in the future will be several times more than this. Adrenaline in the human body is very important. If a kidney is really at the critical moment of life, it will definitely die quickly. This problem must be solved  Investigate carefully, since they can attack Lin Yuan and people in the nursing home, and maybe there are some other vulnerable groups in the recipients, you decide what method to use." Yuan Zili said, this basically shows that he has made up his mind.  Song Dahong was not polite and immediately called Sun Xuejian and explained the matter in detail. At the same time, Yuan Zili called Ma Jianhua. The provincial department and the municipal bureau jointly conducted a comprehensive investigation. Even if there were fish that slipped through the net, it would definitely be very serious.  There was a small exception. After Yuan Zili called Ma Jianhua, he called Xu Yixi again and explained some problems. When Yuan Zili arrived at the office, the governors in charge, Governor Liu and Governor Bao, were already waiting. "Old Liu,  The implementation of the medical reform this time has almost been solved. I want to hear your opinion." The main person in charge this time is Liu Jun. Yuan Zili is not polite. As a solid reformist, he is more optimistic about Liu Jun.  , compared with the conservatives in the provinces and cities, his performance is quite good. "I have studied the previous medical reform plan of Huaxiang. It can be said that all the details in the plan have been blurred. The key to the success of the medical reform lies in the responsibility of the government.  , and at the same time, it can be targeted and let go where appropriate. The central government has shouldered one-third of the country's 85 billion medical reform funds, which is a drop in the bucket, but it also shows a problem. The central government's purpose is to  The initiative and responsibility for this reform is placed at the local level. This is not difficult to understand. There are too many people in our country. In fact, we ourselves understand that universal health insurance cannot be truly universal, otherwise there would be no need to go through so many hospitals.  The situation, direct universal coverage is not simple, so under the current situation, I think it is unrealistic to achieve universal health insurance. The central government¡¯s document states that it is also for local governments to do their best, so our main purpose this time is to focus on the medical reform  Put it on the people in need, and these are mainly rural and urban-rural areas. Migrant workers are also a focus." Yuan Zili nodded. Even Governor Bao standing aside showed a thoughtful look. "Old Bao,  "Tell me about it." "As far as the basic drug system is concerned, I have learned about it before. In the past medical reform, the purpose of this system was obviously good, but when you go to the hospital to see a doctor, will the doctor give you  Are basic drugs prescribed, and patients with a little money are willing to accept low-priced drugs? It is difficult for imported drugs that are truly effective but expensive and need to be reimbursed to be included in the essential drugs list. Under the current situation, if you want to be included in this list, you must contact the relevant departments.  The person in charge of foreign companies does not like to do this kind of thing, and drugs that are too expensive cannot be included in the catalog. The ability of local finance is to serve the majority of people. For example, one person with leukemia and AIDS  Medical expenses may amount to millions, but if this money is spent on ordinary patients, how many people will be saved? This is why our country has not improved some related policies. Most of them rely on the Red Cross.  Donation, but in the era of trust crisis, the Red Cross is not immune to being affected. Let¡¯s talk about the separation of medicine. This has to be said to be the best move at present, but these are only limited to the present. To some extent, the separation of medicine can  Lower fees, but if these hospitals and pharmacies secretly unite to raise prices, the meaning of separating medicine will be lost. Medicine is a circle. Medical representatives are not fools, and hospitals are not fools. We have launched a key investigation in this regard this time.  It has a good effect, so I think that the intensity of supervision must be increased. There are thousands of rules. You can talk about the truth no matter how you talk about it, but rigid measures still need to be promulgated.¡± The issue mentioned by Governor Bao, Yuan Zili had already mentioned  I have thought about it, when measures are introduced in the medical reform, whether the people below can comply is a question.??Whether we can persist is also a question. Pharmaceutical companies and health bureaus have always been in contact with each other. If medicine is separated just to increase manpower and material resources, then the fundamental purpose will be lost. There are still only four or five flowers left to be on the homepage. Everyone  Thank you, Pinghu. Yesterday, my friends went fishing, but I couldn¡¯t hold it in at home and didn¡¯t go out. A colleague has a birthday today, so I have to go out in the afternoon. I think I¡¯ve done a great job, and I beg you all to do the same.
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