Chapter 640 [Insufficient budget, if you have to add money, then add it]
Lu Ming set the general direction, strategy and tone at the meeting. As for the promotion and implementation of the specific plan, it was left to the people below.
It is foreseeable that once the Science and Livelihood Foundation's plan for 500 tertiary hospitals is announced, it will inevitably have a huge impact on some capitalized private hospitals in the country.
Your capital needs to make money and you need performance indicators.
The hospitals under the Science and Livelihood Fund not only do not seek profits, they even provide certain subsidies to these hospitals to maintain normal operations. It is absolutely clear who is more competitive.
Another is that the indirect transfer payment method of the Science and People's Livelihood Fund is started in the central and western regions of underdeveloped medical areas. The scale is so large that it can greatly alleviate the country's financial expenditure in the field of medical and public health. This kind of payment is beneficial to the country and the people.
The country will certainly strongly support this cause.
Lu Ming's goal is very clear. Hospitals rooted in capital will either close down and be eliminated from the competition. The other hand of the Science and People's Livelihood Fund is always ready to acquire and reorganize those private hospitals that cannot survive, so that they can truly move towards inclusive medical care.
up the road.
Either those private hospitals will change their policies and give up making profits from the poor people, and target the rich people, so as to cut off the rich people's leeks. The rich people are not short of money anyway, and can effectively boost GDP.
How wonderful that is.
Regarding matters in the public sector of medical and health care, the overall direction and strategy has been initially determined at the meeting. It will certainly not be implemented so quickly. Further research and analysis are needed to provide a complete set of solutions, and many details need to be added.
For example, under such a mechanism, if the source of income is suppressed, there will definitely be efforts to reduce expenditures. Reducing expenditures for the sake of reducing expenditures will lead to "shabby" hospital facilities. This obviously does not work. All of these require the development of a minimum health system.
The key to setting standards is to find a balance point.
These rely on the hospital's internal self-awareness, self-examination, self-blame and responsibility, but at the same time, it must also introduce a third-party monitoring mechanism that has no interest in the hospital and is directly responsible to the foundation.
Or it may happen that people inside the hospital collude with external "patients" to find out if there is no disease and then pay for it, and then the profits are divided. It is very simple to suppress this phenomenon, which can be solved technically through quantitative means, and then according to different conditions
Cases are assigned different weights. Minor illnesses that cost little will have a smaller weight, and doctors will receive a smaller commission. Serious illnesses that cost more will have a higher weight. Doctors who cure such a patient will receive a higher weight in performance indicators.
A minor illness makes it easy to fake orders, but the profit potential of an order is small. Unless you win by volume, the probability of exposure will also increase; a serious illness costs a lot, and the profit potential of an order is large, but it is difficult to brush data. The more aggressive you are, the more exposed you will be.
's bigger.
This phenomenon can be effectively suppressed by making the risks and benefits out of proportion through big data and quantitative methods. Big data can both kill people and benefit society. There is no right or wrong in the technology itself. The difference lies in the purpose of the people who use it.
That’s all.
In short, major issues related to people's livelihood are very complicated, so we must take our time and not rush.
…
The general direction of medical care was determined, and the second half of the meeting focused on education.
Prior to this, Lu Ming strictly prohibited those under him from reaching out to the field of education.
It’s different now. The nature of the Science and People’s Livelihood Foundation has changed dramatically because it obtained the charter qualification, but its entry into the education field is limited to this foundation. Lu Ming, as another capital, still won’t reach out to this field, such as
Tiansheng Capital still won’t enter.
Lu Ming, who was sitting in the chief position, looked around the crowd and said: "The core of funding for education is to allocate resources to higher education. Previously, funding was given to scientists and leaders in a certain academic field. Now we want to extend it to the group of college students."
, for example, it provides funds for some students to conduct research on their own interest topics, but it still prefers colleges and universities in underdeveloped areas in the central and western regions. Famous universities in the coastal areas are not short of money."
Lou Yiyun was thoughtful for a moment, then looked at Lu Ming and said, "Chairman, a very real problem is that outstanding students are concentrated in prestigious universities in developed areas."
Hearing this, Lu Ming smiled and said: "Isn't what we want to do just to change the real problem? What you are thinking about is whether it is cost-effective to invest so many resources, but the real point is fairness. There are only so many famous schools, and they all go to
So, there are more than one billion people in our country, and the students in the central and western regions are short of geniuses?"
"In a sense, geniuses are randomly born into families with different financial backgrounds across the country. But once he is born into a poor family, he will have to work hundreds or thousands of times harder than a wealthy family to achieve the same achievement.
The barriers to education faced by poor families have multiplied exponentially, and poor people have short ambitions."
"So our work in the field of education is to discover these potential geniuses, help them lower the relative threshold for studying, and give them a lift."
"To be specific, we help colleges and universities in the central and western regions, including not only using high-paying means to find some famous teachers in the past and improve their teaching quality; we also set up bursaries for students. The core indicator is only based on performance. What we want to discover is buried in the past.
A genius from a poor family."
When Lu Ming paused for a moment, one of the directors attending the meeting spoke: "How to judge performance? The common practice now is to use comprehensive performance as an assessment indicator."
Hearing this, Lu Ming shook his head directly and said: "Only outstanding talents are selected based on comprehensive performance. Using this indicator alone will make us miss the real genius. For example, let's say a student shows amazing talent in a single subject.
, but he is extremely mediocre in other subjects, and his overall score is very low, so he fails to get into a prestigious school and does not get better educational resources. Then we are very likely to miss a future genius in this field."
Lu Ming added: "After all, there are only one or two all-round generalists like Thomas Young in a hundred years, and some geniuses are difficult to discover through results. For example, let's say a person has abilities that are far beyond ordinary people.
How do you use quantitative performance indicators to discover that kind of insight, logical ability, and genius?"
Everyone at the meeting couldn't help but nodded. In fact, everyone was thinking that Dabo SS was actually a genius. Lu Ming was now known as the number one asset manager in the country and was recognized as such. However, he only had a high school education. In terms of grades,
A large number of so-called fund managers with professional backgrounds are more dazzling than him, but what next?
Of course, that's what everyone thinks in their hearts, but they definitely won't say that the big wave of SS is coming from a distance, and flattery is not the way to do it.
At this time, Lou Yiyun couldn't help but said: "Is education only limited to colleges and universities? Should primary and secondary schools be deployed?"
Lu Ming said solemnly: "Just extend some of the layout incidentally. The population trend is there. The new population growth is going strong. It is generally believed that the country will usher in negative population growth in ten years. I think this is still too optimistic. Time
We have to push forward. We may experience negative growth in the next four to five years. A large number of schools will face the problem of not being able to recruit students in the future. Focus on quality. The most important thing is that the foundation must clearly understand its position. We just
Supplementary nature.”
The Science and People's Livelihood Foundation plays a supplementary role in the country's public infrastructure construction. The C position can only be the country, and the annual budget of more than 230 billion seems to be an astronomical figure, but after spreading it out, it is not much money.
Lou Yiyun thought about it and said: "With these two new additions, the foundation's original budget will definitely not be enough. Unless some other projects are cut off, more money will have to be added..."
Lu Mingyan said concisely and comprehensively: "Then increase the total budget expenditure and directly increase the foundation to the era of 300 billion expenditure budget."
If it’s not enough, add more money; if you have money, be bold!
The meeting continued for about ten minutes, and after it ended, Lu Ming left the foundation headquarters.
