Five thousand years of Chinese civilization has always maintained its basic cultural values through a strong sense of shame. Boyi Shu was ashamed to eat Zhou Su, and Xiang Yu was ashamed to see his elders in Jiangdong. All this sonorous pride stems from the sense of shame in China culture. However, due to historical reasons, Chinese traditional virtues have been wrongly criticized, and gradually formed a kind of loss and prejudice against Chinese virtues in people's minds. With the reform and opening up, the impact of foreign culture on people's ideology has made people lose the root of their beliefs and become spiritually empty. Gradually, the traditional concept of honor and disgrace in China culture became blurred, and the moral balance in people's minds began to tilt. People have lost their way and confused right and wrong between loving and endangering the motherland, serving and deviating from the people, advocating science and ignorance, and industriousness and laziness. So some scholars shout loudly that the most serious value crisis in contemporary China society is the weakening of sense of shame and the collapse of bottom line ethics.

Over the years, we have been emphasizing the rule of law and constantly improving China's socialist legal system. However, for China, which has a long tradition of Confucian morality, establishing a socialist concept of honor and disgrace will lay a solid political and moral foundation for the ongoing reform. Rule by law or rule by virtue has been debated by scholars and experts since ancient times. In fact, whether it is Confucianism or Legalism, it is not difficult to find the subtle explanation of the dialectical relationship between Germany and law by ancient sages. There is a saying in Mencius Li Lou: "Being good is not enough to cure, and being good cannot be done". How to break away from the track of moral standards in building a harmonious society? All kinds of social phenomena in the world are endless, all of which show that it is not enough to rely solely on legal coercion: some national cadres accept and send money and goods, run away from official positions, misappropriate public funds, and gamble abroad. Once they are held accountable, some cadres actually think that they are unlucky. Just go to an internet to have a look, but words such as eroticism, sex and mistresses can be seen at any time, and pornography in society erodes the "skin" of society just like various "viruses"; Looking at the hot and difficult livelihood issues that people pay attention to in the current society, all of them are inextricably linked with moral deficiency: some public officials have to take cards and even openly ask for bribes, losing the basic principle of being an official; Doctors receive red envelopes to prescribe, which leads to the shame of medical ethics; Academic corruption of scholars defiles the reputation of scholars by encouraging interest groups; Moreover, they are indifferent to social morality and extravagant. For behaviors beyond the bottom line of social morality, the government can of course introduce laws and regulations to rigidly regulate them. But for some legal blind areas, gray areas or pure moral problems, moral power is needed to restrain citizens' self-behavior.

Medical and health care is related to the health of hundreds of millions of people and the happiness of thousands of families, and it is a major livelihood issue. The reform of medical and health system, accelerating the development of medical and health undertakings, adapting to the people's growing medical and health needs, and constantly improving the people's health quality are inevitable requirements for implementing Scientific Outlook on Development and promoting comprehensive, coordinated and sustainable economic and social development, important measures for safeguarding social fairness and justice and improving people's quality of life, and important tasks for building a well-off society in an all-round way and a harmonious socialist society. Since the founding of New China, especially since the reform and opening up, China's medical and health undertakings have made remarkable achievements. The medical and health service system covering urban and rural areas has basically taken shape, the ability of disease prevention and control has been continuously enhanced, the population covered by medical security has gradually expanded, the level of health science and technology has been rapidly improved, and the people's health level has been significantly improved. The main health indicators of residents rank among the top in developing countries. Especially since the great victory in the fight against SARS, governments at all levels have increased investment, the development of public health, rural medical care and urban community health has accelerated, and the new rural cooperative medical care and basic medical insurance for urban residents have made breakthroughs, laying a good foundation for the reform of the medical and health system. At the same time, we should also see that the contradiction between the development level of China's medical and health undertakings and the people's health needs and the requirements of coordinated economic and social development is still outstanding. The development of medical and health undertakings in urban and rural areas and regions is unbalanced, the allocation of resources is unreasonable, public health and rural and community medical and health work are relatively weak, the medical security system is not perfect, the order of drug production and circulation is not standardized, the hospital management system and operation mechanism are not perfect, the government's health investment is insufficient, the medical expenses are rising too fast, the personal burden is too heavy, and the people reflect strongly.

From now until 2020, it is a crucial period for China to build a well-off society in an all-round way, and medical and health work has a long way to go. With the development of economy and the improvement of people's living standards, the masses will have higher requirements for improving medical and health services. Industrialization, urbanization, aging population, changes in disease spectrum and ecological environment all bring a series of new and severe challenges to medical and health work. The reform of medical and health system is a strategic choice to accelerate the development of medical and health undertakings, an important way to realize the people's enjoyment of the fruits of reform and development, and an urgent desire of the broad masses of the people.

The reform of medical and health system is a social system engineering, which involves a wide range and is difficult. China has a large population, a low per capita income level, a large gap between urban and rural areas and regions, and is in the primary stage of socialism for a long time, which determines that the reform of the medical and health system is a very complicated and arduous task and a gradual process. On the basis of clear direction and framework, through long-term efforts and unremitting exploration, the medical and health system in line with China's national conditions will be gradually established. Therefore, the reform of the medical and health system should not only be firmly determined and solidly promoted, but also be carefully organized and steadily implemented to ensure the smooth progress of the reform and achieve the expected goals.

In short, as long as we truly establish the socialist concept of honor and disgrace and strive to achieve the rule of virtue and the rule of law at the same time, the Chinese nation will certainly be able to radiate more unique charm among the nations in the world.