When Vice Governor Liu Jun entered Yuan Zili's office, he held a stack of materials in his hand. (_Book & Book & Bar) Since the preparations for medical reform began, Liu Jun has had his own problems. Everyone thought that he was the vice governor, in charge of medical reform. The specific matters were done by the following people, but the actual situation was not the case at all. As the leader in charge of medical reform, if he was completely unfamiliar with medical reform, it would be a joke to tell it out, and the proposal proposed below could not be decided. Therefore, during this period, most of Liu Jun's energy was devoted to the drafting of medical reform plans. Liu Jun did not need to do it, but he had to understand the reasons for the occurrence of each clause in the plan. After all, he was the deputy governor in charge. Many times, Liu Jun stood at a different height and had a global concept.

For example, Liu Jun has a different view on the most fundamental thing in the current medical policy and thinks it is a bit too extreme, that is, the issue of charging, mainly because of several opinions. First, the issue of charging registration fees. Many people think that why you have to charge registration fees before you have seen a doctor? Moreover, the registration fees are different. The registration fees of experts are ridiculously high. Sometimes, it reaches 200 yuan or even 300 yuan. Where does this charge come from? Is this a mandatory clause of the hospital?

It is a problem for doctors to check. After getting sick, as an ordinary person, he does not know the situation, but doctors are different. He is a professional. Through looking, listening, asking and touching, he can know the general situation and roughly determine what the problem is. Of course, if he encounters difficult and complicated diseases, it is a special situation. Through the doctor's judgment, professional examinations can be conducted on a certain aspect. However, in many hospitals now, they often ask patients to do comprehensive examinations. The patient spends money and is worried. The final examination result is likely to be a cold.

The money is earned by the hospital. The patient spent time and money and felt very uncomfortable. If such examinations occur in the future, should the doctor who did this? Third, the problem of early charges. Of course, the problem of arrears of medical expenses now exists to varying degrees, but why don’t the hospital think about it carefully? Why are there different chromatography arrears with different chromatography? If it is not the sky-high medical expenses, who is willing to arrears of medical expenses, it is your own life, or to free yourself from pain money, medical problems and shopping malls.

The transactions are different. In the mall, buyers can bargain. Yes, the hospital is just a bargain. I have never heard of bargaining. Therefore, when it comes to charging, we must make practical improvements. Fourth, the name of charging and diagnosis issued by doctors. Many times, patients cannot understand or understand. But the most typical feeling is that all the costs are borne by the patient. No matter what the name, from the cost of the examination to the films of CT, it is the patient who pays for it.

In the medical reform plan drafted by Yang Lei, this part has not been determined yet. The hospital charging method has lasted for many years. If it is to be changed from this aspect, it is tantamount to an earthquake in the medical system. Therefore, after Yang Lei and Shi Yusheng discussed it, they did not propose a specific method. They just took this aspect as a question and reported it. Liu Jun understood what Yang Lei meant. Since it was reported in this way, that is to say, this aspect may not appear in the medical reform clauses issued in the future.

Wang Youming, who was transferred from Huaxiang Province, attracted Liu Jun's attention. Wang Youming had some insights. Moreover, during the drafting of the medical reform plan, Wang Youming even had a conflict with Shi Yusheng's views. For example, the problem of medical appraisal institutions. Wang Youming suggested that medical appraisal institutions become social intermediary institutions and are under the management of judicial organs. In this way, medical appraisal and judicial authorities have been directly linked. Such suggestions are very novel, but also very fierce. Shi Yusheng disagreed with such suggestions. The key is that the appraisers of medical institutions are also doctors, and they are not medical experts, and they cannot enter medical appraisal institutions. These experts are elites in all fields of the medical system, no matter which system they belong to, their final identity, or doctors, so it is best to use a strict system to manage medical appraisal matters, and they should still believe in the principle of managing people with systems and managing affairs with systems.

What caused the biggest debate was the issue of medical expenses. Wang Youming suggested that the policy of free medical treatment should be implemented. It should be said that the policy of free medical treatment is agreed upon by most people, but it is very difficult to implement such a policy. There are too many practical problems faced. If such a policy is implemented in a county or township, the process may be much simpler. However, it is very difficult to implement a free medical treatment system in the southern province. Under the premise that such a system has not been formed in the whole country, the southern province cannot withstand this financial pressure. The final result of everyone's discussion still did not pass the opinion of free medical treatment.

Liu Jun’s ideas are different. The main objects of medical reform are hospitals and patients. The two need to be balanced. Too low on one side and cater to the other side’s plans will not last long. Don’t expect to solve all problems through one medical reform. Even the national constitution needs to be revised, let alone the medical reform plan of the Southern Province. But Liu Jun’s biggest idea is that this 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 can see that after Yuan Zili took office in Southern Province, his main energy was to do practical things. Yuan Zili did not like long-term discussions, but he paid great attention to details and the effects of doing things.

Liu Jun thought that Yuan Zili was a leader who rose 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 real. Yuan Zili is indeed different from the leaders above, and rarely summarizes it from a macro perspective.

Liu Jun also made up his mind to improve the plan as much as possible. After the Standing Committee of the Provincial Party Committee passed the study, he went to Beijing to report to the Ministry of Health, to the Deputy Prime Minister and State Councilor in charge of health work, and to strive for medical reform in southern provinces, which began to be fully launched at the beginning of the next year. Liu Jun knew that this was a real political achievement, and no matter from any aspect, it was an unforgettable achievement. As a provincial leader, it was not so simple to do something, and medical reform was the best opportunity.

Yuan Zili was waiting for Liu Jun in the office. Medical reform was the thing that Yuan Zili was most concerned about.

"Old Liu, have you encountered any problems again?"

"Governor Yuan, there are too many specific issues involved in medical reform. I have reported some major aspects. The current plan has roughly emerged. I will solicit opinions below, which has caused a lot of discussions and many opinions, but there is one contradiction that is the most prominent."

"Is it a question of whether medical institution workers have different opinions from ordinary people?"

"Yes, it's this problem. The staff of medical institutions believe that the profession of doctors is originally the representative of intellectual property rights. They rely on their own technology to make a living. Therefore, their income cannot be compared with ordinary workers. If compared according to such standards, the experts in medical institutions will leave the southern province. Ordinary people also agree that doctors' income is higher, but they must be within a range and cannot be outrageous. 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, the people cannot afford to treat patients, and on the other hand, the doctors drive luxury cars. Compared with the two, what do we think? I am not very familiar with the matters of the medical system. When I was in Huaxiang Province, I did not pay too much attention to medical reform. When I came to the Southern Province, you were also responsible for medical reform. But from a general perspective, I think it is still necessary to balance. Some time ago, I read some foreign information. Rich people can't afford to treat patients. However, ordinary people do a good job in medical insurance. This is a means of regulation."

Liu Jun looked like he was reluctant to speak but stopped.

"Old Liu, I know what you are going to say. At present, many European countries are facing bankruptcy because of the high welfare problem. You are worried that our medical reform may follow such an old path. In fact, you don't have to worry so much. Everything we do must be implemented in accordance with the actual financial situation and within our ability. The consumption concept of our Chinese people is different from that of many foreign countries. We are used to paving the way for ourselves. Some post-90s generations are slowly accepting this concept. Therefore, we will not implement high welfare policies for the time being. There are too many people in our country and we cannot afford it."

When Yuan Zili said this, he was a little bleak.
Chapter completed!