Chapter 917 The fundamental problem of medical reform policy
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 naturally 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, which Song Dahong himself didn't even notice.
What Yuan Zimei did was actually not because she was suspicious, but because 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 talk to Yuan Zili about it.
Yuan Zili said with a smile, maybe Dahong did it for work. The matter came from the nursing home. He wanted 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 a little. Perhaps it was precisely 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 weakness. 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 his lips.
, I am still very sure about Song Dahong.
Song Dahong took the initiative to go to Yuan Zili's home.
"Dahong, why do you want to visit me today?"
"Brother Yuan, I have some doubts about this case." Song Dahong said.
"Tell me about it." Yuan Zili had guessed some problems a long time ago, but he was not sure. The reason why he said that to Yuan Zimei last time was because Yuan Zili was also a man, and Song Dahong would not do anything extraordinary, but if Yuan Zimei
Any unexpected move can have a huge impact on a family.
"I came into contact with the murderer of this case accidentally 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 strong feeling for that woman.
It was a special feeling. Later I realized that more than ten years ago, I watched a woman jump off an overpass and die. It was the same feeling when she looked back and smiled. I couldn't tell whether it was because 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 muttered: "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, they understand better the responsibilities of the family. A beautiful female doctor of medicine
If there was no murder, he could work with Dr. Wang Youming who works in the medical reform team, and he could 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 he did
If you make a mistake, you have to pay the price. I think you understand this better than I do."
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 took it and looked at it. Listed above were the proportion of red envelopes received by the entire Southern Provincial Hospital. The details also included the list of some chief surgeons at the First People's Hospital.
He looked at Yuan Zili in confusion, and Yuan Zili lit a cigarette: "Supposedly, these things have been investigated during the medical reform, and they are all very detailed. Do you know why they are not made public? In fact, I won't tell you the reason.
I also understand that I have the same idea as you on the Miyuki case. It is true that the disadvantages of making these things public and telling the public outweigh the advantages. The most a murder case involves is a few lives. If the police are more effective, the number may be reduced.
, but if the doctors are not dedicated on the operating table, they can only get a certain salary every month. When operating on the patient, they accidentally forget the gloves or something in the patient's stomach, or they are distracted by their thoughts.
The patient suffered massive bleeding and died on the operating table. In this case, the doctor receiving the red envelope can reassure the patient's family, and at least they will feel that they are doing their best."
After listening to Yuan Zili's words, Song Dahong thought for a while: "But, this..." Obviously he did not agree with this point.
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 are thinking
Clearly, as long as red envelopes are 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, this is Song Dahong."
The other end of the phone said: "Song Bureau, 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 colluded with the middle-level leaders of major hospitals."
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 will directly lead to the real mastermind behind the scenes.
Destroy evidence.
"The comrade in charge of the interrogation must keep confidentiality. In this case, I will contact Director Sun now."
After Song Dahong hung up the phone, he said to Yuan Zili: "Brother, something went wrong. The real person in charge of the organ workshop may still be in the big hospital."
"Oh, in that case, I called Comrade Jianhua. The people involved in Shi Lao's incident last time confessed to some issues, but they did not talk about the most important thing. Organ workshops have always been widespread across the country. I heard about one
The national purchase price of a kidney is only 35,000, and even the quick settlement is only 20,000. Most of the donors are young people who are not sensible. Is it possible that one kidney will be fine? The body function will decline, and the cost of treatment in the future will be more than this amount.
Several times of the body's adrenaline is very important. A kidney, if it really reaches a critical moment, it will definitely die very quickly. This issue must be investigated strictly, since they can start with Lin Yuan and the people in the nursing home.
, maybe there are some other vulnerable groups in the receptors, you decide what method to use."
Yuan Zili said that this basically showed that he had 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
In the investigation, even if there are fish that slip through the net, they are definitely very small exceptions.
After Yuan Zili called Ma Jianhua, he called Xu Yixi and explained some problems.
When Yuan Zili arrived at the office, the provincial governors in charge, Governor Liu and Governor Bao, were already waiting.
"Old Liu, the implementation of this medical reform 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.
Liu Jun's performance is quite good compared to the conservatives in the provinces and cities.
"I have studied Huaxiang's previous medical reform plan. 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 that the government should bear, and at the same time, it can be targeted and let go of the appropriate places.
Let it go, the central government is responsible for 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 put the initiative and responsibility for this reform on the local governments. This
It is not difficult to understand that there are too many people in our country. In fact, we ourselves understand that universal medical insurance cannot be truly universal, otherwise we would not have to go through so many situations. Direct universal coverage would not be simpler, so under the current situation,
I think it is unrealistic to realize universal medical coverage. 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 the medical reform on the people in need, and these are mainly
Mainly in rural areas and urban-rural fringe areas, migrant workers are also a focus."
Yuan Zili nodded, and Governor Bao who was standing aside also looked thoughtful.
"Old Bao, tell me."
"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 prescribe basic drugs for you?
Are patients with a little money willing to accept low-priced drugs? It is difficult for imported drugs that are really 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 have to deal with relevant departments. The responsibility of foreign companies
People don’t 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, the medical expenses for a patient with leukemia and AIDS may be as much as
Millions are huge, but if this money is put into ordinary patients, how many people will be saved? This is why our country has not improved some related policies. Most of them rely on donations from the Red Cross, but in trust
In times of 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. The separation of medicine can reduce charges to a certain extent, 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 either. Our focus on this aspect of the investigation has done a good job this time.
Therefore, I believe that the intensity of supervision must be increased. There are thousands of rules and no matter how rational they are, rigid measures must still be promulgated.”
Yuan Zili has thought about the issue mentioned by Governor Bao before. When the measures are introduced during the medical reform, it is a question whether the people below can comply with it. It is also a question whether they can persist after complying. The health bureau of pharmaceutical companies has always been
If medicine and medicine are separated just to increase manpower and material resources, the fundamental purpose will be lost.
(There are still four or five flowers left to make it to the home page. Please give me a thumbs up. Thanks to Pinghu. Yesterday, my friends went fishing, but I couldn’t hold it in at home and didn’t go out. A colleague’s birthday is today, so I have to go out in the afternoon. I
I think I’m very good at it, and I beg you all to do the same) (To be continued)