Since the country does not choose to directly incorporate the Science and Livelihood Foundation, Lu Ming can only continue to hold the position of chairman, and there will be no major changes in management positions, but this is not a big problem.
The meeting is still going on.
Secretary-General Lou Yiyun who attended the meeting said: "If the foundation adds funding for the two major public services of medical care and education, the budget will probably soar significantly."
Lu Ming nodded and said concisely: "You don't have to worry about the budget issue."
Money is definitely not a problem. First of all, the foundation itself also has a huge asset. This is all due to Lu Ming's operation last year, which made the Science and People's Livelihood Foundation's empty-handed pledge become a subsidiary of Tiansheng Capital.
Members of the major LPs, the current scale of their assets has reached 600 to 700 billion, but there is no point in reinvesting it all the time.
Another thing Lu Ming lacks most is money. Tiansheng Capital does not have enough dividend funds, so he can also use equity pledges and other means to front-load future cash flow. Lu Ming personally holds 55% of Tiansheng Capital's equity. According to today's closing price
Calculated by his market value, the market value of Tiansheng Capital alone makes his current worth reach 2.62 trillion yuan.
The world's richest man, with a nominal net worth of 2.62 trillion, which is close to 400 billion U.S. dollars regardless of exchange rate changes, can cash out a lot of money by simply pledging a few shares.
The leader of the meeting, Lu Ming, said simply and clearly: "Let's start with the people's livelihood funding plan related to medical public services and launch a large-scale layout in the central and central and western regions with underdeveloped medical resources. We will plan to build 500 new hospitals in the next ten years.
A total of 3A-level hospitals have been deployed at an average rate of 50 a year."
As soon as these words came out, Lou Yiyun and other attendees all smacked their lips. The boss said this very lightly, but the matter is huge. Five hundred new tertiary-level hospitals will be built, which is undoubtedly an astronomical sum of money.
budget expenditure.
Based on the budget of a construction cost of about 750 to 800 million yuan, it would cost a huge sum of 375 to 400 billion yuan to build 500 hospitals. This year’s budget expenditure of the foundation is about 230 billion yuan, and all the expenditures on public medical resources are far less.
Far from enough.
The foundation needs to spend money on all aspects, not just medical and public services. The name of the foundation is science and people's livelihood. Funds must also be provided in the field of basic scientific research, and the field of people's livelihood also covers many aspects.
Fortunately, Lu Ming said it would take ten years to achieve this goal. The average annual budget for public medical resources is about 37.5 to 40 billion yuan. Although it is an astronomical amount, at least it is not that outrageous. The foundation can also
You have to budget.
But then again, even if it is 30 to 40 billion, the budget for public medical resources will become a single area in which foundations will account for a large proportion of expenditures in the future.
At the meeting, Lu Ming looked around at the crowd and said: "In the current domestic medical field, capital is rooted in medical care, and the capitalization of medical care has brought increasing negativity. Capitalized private hospitals combined with today's big data, capital will naturally tend to
The attribute of profit drives them to allocate medical resources according to the patients' consumption ability, and extend the familiar gameplay of big data to this field."
At this point, Lu Ming sighed with emotion and added: "This is very scary. Capital is looking at the money in your pocket, and you want to save your life, so you have no room for bargaining. At this time, you
We will seize any straw, and a serious illness often results in bankruptcies, and excessive medical treatment causes a huge waste of already limited medical resources. We must deeply reflect and learn from experience to avoid this situation from happening."
Lu Ming leaned back in his seat and continued: "Doesn't medical capitalization mean that people who have the financial ability and are willing to spend more to buy better unexpected services? Well, now we are cutting in, and we are funding these
What the hospital should do is not to provide high-quality and high-end medical services, but to save lives and heal the wounded, and curing the disease is the top priority."
Lu Ming was methodical: "To put it bluntly, we treat and save people who are not rich. If rich people want to be comfortable and live in a hospital and want a single room or even more luxury, then go to a private hospital. If you have money, live in a villa.
Everything is fine.”
In fact, ordinary people go to the hospital just for medical treatment. No matter how good the hospital environment is, no one wants to stay one more day. What's more, ordinary ordinary people are not too rich to begin with, and they cannot afford to treat serious illnesses. After the illness is cured, the medical expenses are affordable. These two points
More important than anything else.
At this time, Lu Ming looked at Lou Yiyun, secretary-general of the foundation, and said: "The hospitals I run must be careful to prevent the waste of medical resources caused by excessive medical treatment. I think we can regulate the salary of the attending doctors in the hospital.
, in addition to guaranteeing the basic salary, the other big head must be tied to the ratio of the patients he has treated and the medical expenses. For example, the less medical resources are spent on treating 100 patients with the same case, the remuneration of the relevant attending doctor or team
The higher the salary, there may even be no upper limit on the benefits.”
Lu Ming took a sip and added: "Under such a mechanism, hospital doctors will be very concerned about saving money for patients, preventing people from spending more money and destroying their bodies, and at the same time avoiding the waste of medical resources caused by excessive medical treatment.
It’s a waste. Let the people below study and supplement the specific details and come up with a feasible plan based on this guideline.”
After a while, another director present couldn't help but said: "Then how to avoid the phenomenon of brushing indicators and making data?"
Everyone present at the meeting couldn't help but look at Lu Ming. This was a problem, and it was a very real problem. Someone would definitely use this mechanism to seek benefits by taking unconventional paths.
Lu Ming immediately said: "The losses caused by making profits in this way must be less than the waste of medical resources caused by excessive medical treatment. Let's include it in the mechanism cost. As long as it is less than the losses caused by excessive medical treatment, the reference object of the mechanism cost is mainly the benchmark.
For private hospitals, the lower cost ratio shows that this mechanism is more competitive and dynamic. As for how much lower it can be, we need to conduct careful investigation and research."
Private hospitals with capital embedded in them want to make profits, but the biggest difference between these hospitals that foundations want to build is that they do not aim to make profits and do not seek benefits from patients. So the first priority is the total absolute cost.
Avoiding excessive medical treatment is an effective way to reduce the absolute cost surge.
Lou Yiyun immediately nodded and memorized his instructions, and said at the same time: "However, all hospitals may not be able to achieve even profits and losses, and it may even be normal to be on the edge of losses."
To avoid excessive medical treatment, the hospital's income will definitely be reduced, and this part of the profit will definitely be gone. This is also a very real problem. The salary of the hospital staff here must be increased, and some mechanism costs must be taken into consideration. In the end, it will definitely be
If a hospital cannot maintain a profit-and-loss balance, it must be a loss-making business.
Lu Ming laughed when he heard this and said: "What the Science and Livelihood Foundation has always done is a loss-making business."
Everyone burst into laughter upon hearing this, as this remark revealed its essence.
Lu Ming continued: "It's for sure not to make money. I didn't expect to make money in the first place. If I make money or even make a lot of money, it means there is something wrong, but I will definitely not lose much. This is the medical industry, and if I lose blood, it means there is definitely something wrong.
If there is a problem, the foundation can only make up for the part of the actual losses that will occur in the future, but the most ideal situation is to strive for an even balance between profits and losses."
Lou Yiyun nodded: "Understood!"
Lu Ming said: "Work in the medical field can be advanced step by step. With so many new hospitals, the first problem we face is the shortage of medical talents. Where can we find so many medical talents, right? So there is no rush.
, we have to take our time, the layout can be grand and long-term, but a steady pace is more important than a big step, and we must not only adapt to local conditions, but also take advantage of the situation."
Lou Yiyun nodded again.
It is true that for big things like people's livelihood, the first thing you need is money, but to get things done well, money is only one of the important factors.
According to incomplete statistics, there are currently about 2,500 tertiary hospitals in China, of which no more than 1,500 are tertiary hospitals. The Science and People's Livelihood Fund plans to build 500 new tertiary hospitals in the central and central and western regions. It is not difficult to build hospitals, but it is difficult.
This has suddenly opened up such a huge gap in medical talent, and we need a sufficient team of doctors.
There are not enough doctors and there is a shortage of people in positions. No matter how many hospitals are built, it will be in vain. Instead, it will cause greater waste and economic losses.
