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 major achievements are achieved, then 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 corrupt whenever they speak. Everyone hardly believes that the government will do practical things for the people. Yuan Zili came
Southern Province will also encounter such problems, but Yuan Zili cannot be anxious. Things have to be done 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 deal. Shi Yusheng had many considerations. At the beginning, Shi Yusheng was not very optimistic about the medical reform in Huaxiang Province, but
The situation is different now. Shi Yusheng is prepared to devote all his efforts to the medical reform in Southern Province. Otherwise, he will not stay and participate in the formulation of the plan. You must know that formulating the plan is a lot of work and consumes energy.
.
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 big thing. I know it well. When we first implemented medical reform in Huaxiang Province, we encountered considerable difficulties. Now, when Southern Province is preparing to carry out medical reform, it is not easy either.
I'm not too sure about some of the specific issues, and 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 medical reform work. As long as you make up your mind, make a decision, and strongly support the medical reform work, everything will be easy. There are people below who specialize in such things, but
The problems that medical reform may encounter are obvious, such as 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,
Correcting some existing shady practices and ensuring that people spend less money on medical treatment is the core purpose of our medical reform. Moreover, another key aspect of the medical reform in Southern Province is to ensure its own success while becoming a leader in the national medical reform.
Think about it, if only Southern Province’s medical reform succeeds and the rest of the country does not carry out medical reform, Southern Province’s financial situation will not be able to bear it, no matter how good it is.”
Yuan Zili nodded.
"Minister Shi, I have considered the situation you mentioned. It is indeed true. 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 but think that 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 the work of medical reform. What I am most worried about is not here."
"I know what Governor Yuan is worried about. The medical reform work involves the interests of all aspects, especially the interests of doctors. Most of the people involved in the reform are professionals. Outsiders are not very clear about the interest relationships.
I am not familiar with the issues that need to be paid attention to in the medical system. I have carried out medical reform work many times before, and I have always acted as referees and athletes. This way of working is difficult to succeed. The same problem exists in Southern Province. Don’t worry, we
We have noticed this problem. When we discussed it with Yang Lei, we considered that those who join 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 have agreed to carry out medical reform on behalf of the provincial party committee and the provincial government, I will work hard to do a good job. Who is needed, how much money is needed, and what measures need to be taken. You
Although Yang Lei may be a little timid in this regard, you can bring it up."
Shi Yusheng 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, when he has a minor health problem, his secretary or Lao Ma helps to contact him. He rarely
When he was hospitalized and got medicine, Yuan Zili was prepared to pay for it, but neither his 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,
I was so busy that I thought Yun Haiyi had to settle the medical expenses, but in the end I 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 out of your own pocket. This was the case when you were in Huaxiang Province. According to the current reimbursement method, leaders at the provincial level and above, in the central government, the Ministry of Health is directly responsible for verifying medical expenses.
For write-offs, leaders at the deputy ministerial level and units are 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 secretary of the provincial party committee, the governor, the director of the provincial people’s congress and the provincial political consultative conference
The Health Department is responsible for writing off the chairman's medical expenses. The medical expenses of other provincial leaders need to be written off by the unit itself. However, under normal circumstances, they are written off directly by the Health Department. The current method is to reimburse the expenses in real terms. To the following
I have conducted surveys in cities, prefectures, and counties, and many of them 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 central government's regulations. 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 that, at the provincial level in Southern Province
Leaders above can reimburse medical expenses according to 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 something that can be fully covered by the medical reform. To give an unfortunate example, if a certain municipal party committee secretary or mayor is seriously ill and cannot afford medical expenses, is it necessary?
Will the common people believe that society comes to provide rescue? This is a continuation of thousands of years of official-oriented thinking. If the municipal party committee secretary and mayor despise illness, what will the lower-level cadres think? As far as I know, their medical expenses,
It has all been solved financially. In this situation, we must seriously consider it. The critical illness relief mechanism we mentioned earlier is involved in these aspects."
"Governor Yuan, what I talked about is this aspect. However, I meant to talk about one aspect of the problem. I did not say that all problems will be solved through this medical reform. That is not realistic. If
If we think too comprehensively, the medical reform may not be successful. The medical reform work must respect the actual situation. We cannot copy many foreign practices. 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 much attention to the medical reform. I always felt that the progress was slow and difficult. I also believed that medical reform is not a temporary matter. With the energy
Due to limited resources, it is impossible to pay full attention to the medical reform work. I came to Southern Province and mentioned the medical reform work again. I also hope that Minister Shi will give strong support."
"Governor Yuan, don't worry. As I get older, I will do what I say."
In fact, Yuan Zili is still worried, mainly because 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, everything will be lost.
All work may go astray.
"This time the health care reform work in Southern Province is focused on the Department of Health. Governor Liu also has other responsibilities, so I have some thoughts on 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 very well. He is familiar with business. I spent more time in Southern Province in the past.
The medical system in our country is generally very good, especially the work done in the past few years, which 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 Yang Lei’s contribution.”
"Haha, Minister Shi, I'm really not very clear about these aspects. However, 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, it means that you need to put on a bad face and may be hated by many people. If everyone thinks that they don’t want to offend people and are unwilling 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 he was most worried about. Matters involving interests are the most difficult things to deal with. What's more, the personnel of the medical system are not what everyone said.
Vulnerable groups, now that they are powerful, may come up with all kinds of ways to obstruct this health care reform. (To be continued)