Shi Yusheng didn't know what happened to Li Jiayi at Huadu Airport. After returning to Huadu City, Shi Yusheng was very happy to see Li Jiayi jumping up and down, and Li Jiayi was in good spirits.
After careful consideration, Shi Yusheng decided to persuade Yuan Zili to implement medical reform in Southern Province. Today, the problems in the medical system exist across the country. There must be a place to take the lead in medical reform and completely correct some of the shady practices in the medical system.
, Otherwise, it will always be the common people who suffer. Of course, medical reform is not a small matter. It just so happens that Yang Lei has been following the inspection for the past two days. Shi Yusheng and Yang Lei talked for a long time and learned about the problems in the medical system in Southern Province, which are even worse than
The situation in the mainland is even more serious. The medical insurance coverage in Southern Province is very comprehensive, reaching more than 90%. Except for cadres and workers who receive fiscal salaries and participate in publicly funded medical care, the rest of the residents and farmers have participated in urban medical insurance and rural medical insurance. It should be said that
, a large amount of money still needs to be allocated financially every year. The wider the scope of insurance coverage, the easier it is to implement medical reform measures, because all cadres, workers, and residents and farmers can benefit from it and get actual benefits.
During the afternoon meal, both Yuan Zili and Liu Jun came over. Shi Yusheng was very happy. This opportunity was so rare that he could talk about medical reform. It was best to talk about such things during a meal.
"Governor Yuan, Governor Liu, thank you for your warm hospitality, and I would also like to thank Director Yang for staying with me these two days. I really caused trouble for you."
"Minister Shi, don't say that. When you come to the south, just stay a few more days. You can go to Yunchuan City to stay for a few days. The hot springs in Yunchuan City are very good. It will be beneficial to soak in more hot springs, especially Ms. Li Jiayi
, soaking in hot springs can really beautify you.”
Li Jiayi opened her eyes wide and kept saying that she wanted to go to Yunchuan to soak in the hot springs. In fact, Li Jiayi had soaked in the hot springs, but she just wanted to stay in the southern province for more time and continue her love with Yuan Zili.
The topic gradually turned to medical reform. Shi Yusheng used to work in the health department, and he always spoke about his profession.
"Alas, I am no longer a minister. It is still a pity. The main thing is the health care reform. Because the conditions are not mature, the whole country cannot be a game of chess, so it has not been able to start. Thinking of the problems that exist, I feel panicked.
Medical institutions were originally meant to save lives and heal the wounded and serve the people, but now they have changed their taste and become a place for some people to seek profits. I feel really distressed."
Yuan Zili smiled, he understood what Shi Yusheng meant.
"Today is a great opportunity. Governor Liu is in charge of the medical system, Director Yang is the head of the Health Department, and although Minister Shi has retired, he is the authority of the medical system. Let's talk about the medical reform. I
In Huaxiang Province, we once prepared to carry out medical reform, but it has been abandoned halfway. It is a pity. Medical reform must be linked to the quality of finances before it can be successful. I think so, Director Yang, please explain in detail
, what are the very prominent problems in the medical system, let’s talk about the situation in Southern Province.”
Yang Lei did not expect that the negotiation work would be carried out here. However, Yang Lei was very clear about the problems in the medical system. Today, Shi Yusheng talked about the medical reform and Yuan Zili wanted to explain the situation himself. Then, it is very likely that he would have to talk about the situation in the medical system.
Southern Province has implemented health care reform, which is an extraordinary task.
"Common situations exist. For example, the price of medicines is too high. People spend too much on medical treatment. In cadre families, if someone suffers from a chronic disease, the family cannot afford it, let alone residents and farmers. Serious illness relief mechanism
Many people are frustrated by the incompleteness of the system. The standards in various places are not uniform. The highest is 30,000 yuan and the lowest is several thousand yuan. This money is nothing more than a drop in the bucket in the face of serious illness. Some people rely on social assistance to obtain treatment.
, but they are a minority after all, and many families even go bankrupt for medical treatment.”
The private room became quiet. Everyone knows that the cost of treatment for some diseases is astronomical, such as leukemia, cancer chemotherapy, etc. These serious diseases can really bring down some families.
"The most prominent problem in the medical system in Southern Province is the problem of income polarization. Up to now, there is a problem of shared interests in all aspects of the hospital, which affects the whole body. Generally speaking, doctors are divided into two categories.
It is not uncommon for famous doctors to have good skills and incredibly high incomes. It is not unusual for them to earn millions or even tens of millions a year. However, the annual income of ordinary doctors is between 100,000 and 500,000 yuan.
The salary is not bad, but the income of nurses and newcomers in the hospital is very low, with an average of less than 100,000 yuan. Of course, special nurses are excluded. In this way, the difference becomes clear. In the south
In the province, the outpatient doctors, all with average skills, high-level doctors, and famous doctors, are all in the ward. Life has improved, and there are many cardiovascular and cerebrovascular diseases. One thing I know is the procedure for cardiac stents.
For a stent procedure, the doctor who performs the surgery can get more than 10,000 yuan. A good doctor can perform 5 to 6 procedures in a day. The most experienced doctor can perform 12 surgeries in a day. What do you mean?
How much is the income? The profit from surgery is so great that it is simply beyond the imagination of ordinary people. There are also some so-called expert clinics. The registration fee is usually 100 to 120 yuan, not to mention the subsequent treatment and medical treatment.
The masses, out of a psychological effect, believe in famous doctors."
"The most serious problem is the price of drugs. It has been exposed a lot on TV. The price of some drugs has increased by more than a hundred times. Dozens of times is very common. Why do these problems occur? One aspect is to support doctors.
The prevalence of kickbacks is the biggest problem. I once heard the person in charge of a pharmaceutical factory complain that he is now a big boss, but he is still cautious in front of doctors. Each hospital has great power and can use your medicine.
No, so you can’t sell medicines without sending money. The wool comes from the sheep, and the people who suffer in the end are the people.”
"The most hateful thing is that some famous doctors have accepted benefits from pharmaceutical companies or received favors from other sources, and they have given them bias when using medicines. No one can find anything wrong with this situation. People are superstitious.
Famous doctors treat diseases in the same way. The medicines prescribed by famous doctors cost more than 100,000 yuan, and the patients take them willingly. But when ordinary doctors spend more than 1,000 yuan, the patients have objections."
"There is another situation, medical trouble, where people go to the hospital to cause trouble. There is such a professional team. The formation of this team is also because some doctors have lost their morals. They are not thinking about treating the people at all. They have no sense of responsibility and cause trouble.
Many medical accidents have led to a good business for professional medical teams."
"Relevant medical appraisals are even more chaotic. Many times, appraisal opinions are contradictory. Appraisal institutions work under the leadership of the health department, and they have certain tendencies. The results are inconsistent with those of the parties concerned.
I don’t really believe it, and I don’t rule out manipulation during the identification process.”
"The heads of big hospitals are very arrogant. In the Department of Health, except for me as the director, they still respect them relatively. Even the general deputy directors, they don't care anymore. Now that they have money, what are they afraid of? Besides,
, their reputation is great, and many people are willing to seek medical treatment from them. Even when my family members were sick, they came to them for medical treatment.”
Yang Lei said these words in one breath, and the expressions on the faces of Yuan Zili and Liu Jun were unclear. Yang Lei's ability to say these things must be related to Shi Yusheng.
"Director Yang, what is the opinion of the Department of Health on these existing problems?"
When Yuan Zili asked these words, Liu Jun's face looked a little ugly. The medical system is not easy to manage at all. Many people are not willing to take charge of this area. They don't understand professional and technical matters in the first place and can't manage so much.
.
"There is no good way for now. When a problem occurs, we have to investigate and deal with it. It also involves all aspects of the relationship. Sometimes, the investigation and treatment will come to nothing. Of course, in the middle, the Health Department also has shortcomings. There is work
Nothing was done well.”
Yang Lei's answer was very simple, but Yang Lei felt uneasy at the moment. Such an answer was suggested by Shi Yusheng. When Shi Yusheng was inspecting below, the two of them talked about these things. Shi Yusheng suggested that Yang Lei should not have anything.
Conceal it. The work you did in the past was not done well. Just admit it boldly. It’s not a big deal. It’s just that the work was not done well. Everyone makes mistakes at work sometimes.
Looking at Yuan Zili's face, it seemed that there was no special reaction, but Liu Jun couldn't help it.
"Director Yang, we have not done a good job in our work. We will discuss it in the future. Now, we are going to talk about how to solve these problems. We are all aware of these problems, but there is no systematic system to correct them.
The problem is, if you have a headache, treat the head, if you have a foot pain, treat the feet. It will definitely not work if it goes on like this. Governor Yuan asked this. I think, as the director of health, you must have considered a solution."
Shi Yusheng lost no time in speaking.
"Governor Liu's considerations are very correct. To completely solve the existing problems, the best way is to carry out thorough medical reform and clarify the relevant systems. Today, the problems existing in the medical system exist all over the country.
, but the truly successful medical reform has not yet appeared, so the health system is always trying to treat headaches and foot pains. In fact, the conditions in Southern Province are very good, and medical reform can be considered. Medical reform is still
It depends on a certain amount of financial resources.”