At present, few countries in the world regard the public medical system as a commodity and put it into market competition, and treat sick patients as the object of profiteering! China has set a precedent again! It is hard to estimate the number of people who are disabled or even die every year! Now medical care has become the privilege of some rich people. Because of economic reasons, most medical needs in society cannot be met. The poor can't even enjoy the most basic medical services. Medical reform should serve the broad masses of the people! Let most people improve their physical fitness and keep healthy; Let the masses truly respect the treatment! Therefore, medical reform should start with "public health system" and "medical service system". According to national regulations, experts' research should continue to follow three basic principles.
Since the two sessions, medical care has always been a hot topic in media discussion, because medical care involves people's livelihood and is a practical issue that people are most concerned about. For China, a developing country with a large population, the imperfection and deformity of the medical insurance system has become a hot topic for people to discuss in their spare time!
People are complaining about the medical system in China. It is an indisputable fact that it is difficult and expensive to see a doctor! Let me introduce the current situation of China's medical system.
"The hospital only recognizes money and does not recognize people." Just because he didn't bring enough cash in the middle of the night, Mr. Tao of Yuzhou University still watched his students with acute appendicitis get no treatment. One of the doctors with gray hair actually replied, "We only recognize money, but not people." (Zhongxin. It is not uncommon for hospitals to collect deposits before accepting emergency patients. The official media expressed shock at the tragedy. Four hospitals refused to admit a three-year-old child who died of burns-Liu Guangxiang, a three-year-old child, was accidentally burned by boiling water and died of shock after being held by his parents for more than four hours. (People's Daily)
At present, few countries in the world regard the public medical system as a commodity and put it into market competition, and treat sick patients as the object of profiteering! China has set a precedent again! It is hard to estimate the number of people who are disabled or even die every year! Terrible! The British "Times" published an article on August 4, pointing out that China's medical system "naked greed has replaced barefoot doctors!" Now medical care has become the privilege of some rich people. Because of economic reasons, most medical needs in society cannot be met. The poor can't even enjoy the most basic medical services.
According to statistics, 20% of people in our country have more than 80% bank deposits. It can be seen that the poor or not-so-rich people account for the vast majority, and the government should ensure that these people get the most basic medical insurance. At present, the proportion of health expenditure in China's fiscal expenditure is 1.6%- 1.7%. Of this part of fiscal expenditure, 70% of medical expenses are used in cities and 30% in rural areas; In China, 70% of the population is in rural areas, which means that 30% of the population occupies 70% of health resources, including government expenditure. In 2003, the per capita income of farmers in China was 2622 yuan. According to the results of the third health service survey, the average hospitalization expenses of farmers in 2003 were 2236 yuan. In this way, if one person in a farmer's family is hospitalized, all the income in this year may be used for medical expenses. Zhu Qingsheng, Vice Minister of Health, once admitted at the press conference on the progress of the pilot project in china new rural cooperative medical system, Ministry of Health, that 40%-60% people in rural areas were poor because they looked down on the disease and returned to poverty due to illness. In the central and western regions, it is estimated that 60%-80% of the people who died at home because they could not afford to look down on the disease and stay in the hospital. What is national humiliation? This is a national humiliation. 30% people occupy 70% of health resources, and very few people occupy the vast majority of resources and financial expenditure. The workers and peasants outside died because they couldn't pay the hospitalization fee.
It can be seen that medical care in China is quite imperfect and unfair! How many times must our health care reform fail before we can really learn a lesson? How many failures can we tolerate? I am equally skeptical about this year's medical reform! There is a simple reason. Whether Beijing can set off firecrackers must solicit the opinions of all citizens. Do you want to cover the bottom of Yuanmingyuan Lake with plastic sheets? You must listen and broadcast live. How can medical reform, which is bigger than the sky, be so assured that "relevant departments, experts and scholars" will operate behind the scenes, all by themselves?
I think medical reform should serve the broad masses of the people! Let most people improve their physical fitness and keep healthy; Let the masses truly respect the treatment! Therefore, medical reform should start with "public health system" and "medical service system". According to national regulations, experts' research should continue to follow three basic principles: First, adhere to the development path suitable for China's national conditions and not blindly copy foreign development models; Second, adhere to the purpose of health serving people's health and the nature of public welfare can not be changed, and medical and health institutions can not become places to pursue economic interests; Third, the government's responsibility for public health and safeguarding residents' health rights and interests cannot be changed. Increasing health investment, providing public services and strengthening medical and health supervision are still important responsibilities of governments at all levels.
The health service in China is a social welfare service that the government implements certain welfare policies. The overall goal of health reform and development is to establish a relatively perfect medical and health service system that is compatible with the socialist market economic system, China's economic development level, people's health needs and affordability. Details are as follows:
First, transform government functions and strengthen public health management. It mainly includes four aspects: preventing the epidemic and spread of major infectious diseases and effectively responding to public health emergencies; Provide basic medical security for the masses and safeguard people's health; Strengthen the supervision of the health industry to ensure the safety of people seeking medical treatment; Strengthen health publicity and education, improve the living and working environment, improve people's health concepts and awareness, change bad habits and lifestyles, and reduce the occurrence of diseases.
Second, speed up the construction of public health system and improve the ability to deal with public health emergencies.
Third, strengthen the prevention and control of major infectious diseases, focusing on controlling the occurrence and prevalence of major diseases such as AIDS, hepatitis, tuberculosis and schistosomiasis.
Fourth, strengthen rural health construction and improve farmers' health level. Governments at all levels and health departments should effectively focus their work on rural areas, adopt comprehensive management measures, and strive to solve the situation that farmers lack medical care and medicine. First, with the strong support of the National Development and Reform Commission, the rural health infrastructure plan was officially launched this year, and the central government and local governments jointly raised funds to gradually improve medical and health conditions in a few years. Second, actively promote the new rural cooperative medical system and improve the level of farmers' medical security. Third, establish a rural medical price management system and rural medical management norms that are suitable for farmers' affordability, and provide farmers with safe and cheap basic medical services. Fourth, resolutely implement the central government's requirement that the annual increase in health funds should be mainly used in rural areas, and actively study and formulate safeguard measures to increase rural health investment, reform the operating mechanism of rural medical and health institutions, and provide farmers with cheap services. Fifth, strengthen the training of rural health personnel and organize urban doctors to support rural areas.
Fifth, deepen the pilot reform of urban medical system and vigorously develop community health services. In recent years, the reform of urban medical service system has made some progress, but the overall effect is not obvious enough, and there are many prominent contradictions and problems. Mainly: there are problems in the operating mechanism of public hospitals, and the nature of public welfare is weakened; Social resources enter the medical service field poorly, and the development is not fast; The supervision of medical services is weak, the development of community health services is slow, and the problems of difficult and expensive medical treatment for the masses are still outstanding.
Sixth, strengthen hospital management and improve the quality of medical services.
Seventh, strengthen the work style construction of the health industry and resolutely stop unhealthy trends.