When Vice Governor Liu Jun entered Yuan Zili's office, he was holding a stack of materials in his hand. (_PA&书&吧) Since the preparatory work for medical reform began, Liu Jun has been aware of his own suffering. Everyone thought that he was the deputy governor.
The governor is in charge of the medical reform work. The specific things are done by the people below, but the actual situation is not like this at all. As the leader in charge of the medical reform work, it would be a joke to say that he is not familiar with the medical reform work at all. Moreover, what is mentioned below
The plan that came out was also undecidable. Therefore, during this period, most of Liu Jun's economic energy was devoted to drafting the medical reform plan. Liu Jun did not need to take action, but he had to understand every step in the plan.
The reason for the creation of the clause was, after all, the deputy governor in charge. In many cases, Liu Jun stood at different heights and had an overall view.
For example, Liu Jun has a different view on one of the most fundamental things in the current medical policy, which he thinks is a bit extreme, and that is the issue of fees. He mainly has several opinions. One is the issue of charging registration fees. There are many
People think that why do they have to charge registration fees before seeing a doctor? Moreover, the registration fees vary. The registration fees of experts are ridiculously high. In some cases, they reach 200 yuan or even 300 yuan. Where is the basis for such charges?
I have to ask, is this a mandatory clause in the hospital? The second issue is the doctor’s examination. After getting sick, ordinary people do not know the situation, but doctors are different. They are professionals. They can know the general situation by looking, smelling and asking.
You can roughly determine what the problem is. Of course, if you encounter difficult and complicated diseases, it is a special situation. Through the doctor's judgment, you can conduct a professional examination on a certain aspect. However, many hospitals now frequently ask patients to undergo comprehensive examinations.
Not only do patients spend money on examinations, but they are also worried. The final examination result is likely to be a cold. The hospital has made the money. The patient has spent time and money and is still feeling very uncomfortable. If such examinations occur in the future,
, should we deal with doctors who do this? The third is the issue of early charging. It is true that the problem of arrears of medical expenses exists to varying degrees, but why don’t hospitals think carefully about why arrears of different chromatograms occur?
If the medical expenses are not sky-high, who is willing to default on the medical expenses? It is their own life, or money to put themselves out of pain. Medical issues are different from buying and selling in shopping malls. In shopping malls, buyers can bargain.
Yes, the hospital offers a fixed price. I have never heard of price bargaining. Therefore, we must make practical improvements when it comes to charging. The fourth issue is the name of the charges and the medical certificate issued by the doctor. Many times, patients
I don’t understand it, and I can’t understand it, but the most typical feeling everyone has is that all costs are borne by the patient. No matter what the name is, from the cost of examinations to CT films, it is all paid by the patients.
In the medical reform plan drafted by Yang Lei, this part has not yet been finalized. The hospital charging method has been going on for many years. If it is to be changed in this aspect, it is tantamount to an earthquake in the medical system. Therefore, Yang Lei and Shi Yusheng
After the discussion, no specific measures were proposed, but this aspect was reported as an issue. Liu Jun understood what Yang Lei meant. Since it was reported in this way, it means that this aspect may not appear in the future medical reform provisions.
Content.
Wang Youming, who was transferred from Huaxiang Province, attracted Liu Jun's attention. Wang Youming had some knowledge. Moreover, during the drafting of the medical reform plan, Wang Youming even conflicted with Shi Yusheng's opinions. For example, the opinions of the medical appraisal agency Wang Youming suggested that medical appraisal institutions should become social intermediaries and be subordinated to the management of judicial organs. In this way, medical appraisals and justice will be directly linked. Such suggestions are very novel, but they are also very drastic. Shi Yusheng cannot I agree with this suggestion. The key is the appraisers of medical institutions. They are also doctors. They are not medical experts and cannot enter medical appraisal institutions. These experts are elites in various fields of the medical system, no matter which system they belong to. , the ultimate identity is still a doctor, so for medical appraisal matters, it is best to adopt a strict system to manage them, or to believe in the principle of using systems to manage people and systems to manage things.
What caused the biggest controversy was the issue of medical expenses. Wang Youming suggested implementing a completely free policy. It should be said that most people agree with the policy of completely free medical treatment. However, it is not easy to implement such a policy. We face many challenges. There are too many practical problems. If such a policy is implemented in a county or a town, the operation process may be much simpler. However, it is very difficult to implement a fully free medical treatment system in Southern Province. It is very difficult to implement it nationwide. As long as such a system has not yet been formed, Southern Province cannot withstand this kind of financial pressure. The final result of everyone's discussion was that the idea of free medical treatment was still not adopted.
Liu Jun's idea is different. The main targets of medical reform are hospitals and patients. There needs to be a balance between the two. Any plan that overemphasizes one side and caters to the other will not last long. Don't expect that it will be solved through one-time medical reform. All the problems, even the country's constitution, sometimes need to be revised, not to mention the medical reform plan of Southern Province. But Liu Jun's biggest idea is that this medical reform must be in the interests of the people and must be reflected in the interests of the people. Liu Jun could see the idea of doing practical things. After Yuan Zili took office in Southern Province, his main focus was on doing practical things. Yuan Zili did not like long speeches, but he paid great attention to details and the effects of doing things.
Liu Jun thought about it. Yuan Zili was a leader who rose up 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 true. Yuan Zili and the leaders from above have indeed made some achievements. Different, it is rarely summarized from a macro perspective.
Liu Jun also made up his mind about this medical reform and made the plan as complete as possible. After it was studied and approved by the Standing Committee of the Provincial Party Committee, he went to Beijing to report to the Ministry of Health, the Vice Prime Minister in charge of health work, and the State Councilor to win over the Southern Province. The medical reform work will be fully rolled out at the beginning of next year. Liu Jun knows that this is a real political achievement. No matter from which aspect, it is an achievement that cannot be erased. As a provincial leader, he wants to accomplish something. , is not that simple, and health care reform is the best opportunity.
Yuan Zili is waiting for Liu Jun in the office. Medical reform is what Yuan Zili is most concerned about.
"Old Liu, have you encountered any problems again?"
"Governor Yuan, there are too many specific issues involved in the medical reform. I have already reported on some of the main aspects. The current plan has been roughly prototyped. I am soliciting opinions below. The discussion has been very extensive and the opinions are also
There are many, but one contradiction stands out the most.”
"Is it a matter of disagreement between medical institution workers and ordinary people?"
"Yes, that's the problem. People in medical institutions believe that the profession of doctors is originally a representative of intellectual property rights. They rely on their own skills to make a living. Therefore, their income cannot be compared with ordinary workers. If
Comparing according to that standard, experts from medical institutions will all leave the southern province. Ordinary people also agree that doctors’ income is higher, but it must be within a range and cannot be ridiculously high. After all, their income comes from
patient."
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, ordinary people cannot afford medical treatment, and on the other hand, doctors
Driving a luxury car, let’s compare the two. What do we think? I’m not very familiar with the medical system. When I was in Huaxiang Province, I didn’t pay too much attention to the medical reform. When I came to Southern Province, it was you who
I am responsible for the medical reform work, but from a general perspective, I think there is still a balance. Some time ago, I read some foreign information. Rich people abroad cannot afford medical treatment, but the medical insurance of ordinary people is very good. This
It’s a means of control.”
There was a look on Liu Jun's face that he hesitated to speak.
"Old Liu, I know what you are going to say. Currently, many countries in Europe are facing bankruptcy due to the issue of high welfare. You are worried that our health care reform may follow this old path. In fact, there is no need to worry so much.
Everything we do must be implemented based on 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.
, including some born in the 1990s, are slowly accepting this concept, so 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 felt a little depressed.
"Many people have discussed this. It is normal for a country to become poor and its people to become rich. However, anyone who is familiar with history knows that without a rich and powerful country, the people will become rich, and the people will become rich.
What can we do? There are too many lessons learned in the past, so we still have a long way to go. To make the people prosperous, we still have a lot of work to do. Some things may involve policy restrictions, so
It depends on our ability and courage. This health care reform is the first substantial step we have taken. You are under a lot of pressure, but you must persevere and do a good job in this health care reform."