PS:PS: Thanks to book friend Grace丨Yaora, kwan2012 (two pictures), xjh..... for the monthly ticket. Thanks to book friend Chinese lobster for their large rewards. Please give me monthly tickets and recommendation tickets!

Although there are many hospitals in Fengyuan, they cannot meet the countless patients coming from all over the province, and even from the northwest province. The large number of patients from other places have made the hospitals crowded, making it difficult to find even locals in Fengyuan. The citizens of Fengyuan are very resentful about this. Especially those elderly people, who are exhausted every time they see a doctor, and are even more dissatisfied with this.

Now, due to various reasons, there are still some people who come to Fengyuan. If medical insurance is to be opened for immediate settlement in other places, then there will only be more patients who go to Fengyuan for medical treatment!

In this way, the already very tight medical resources will have to bear tremendous pressure. Not only will the medical staff in Fengyuan face a surging wave of patients. Even if there is only Tongyi at present, it will also attract more dissatisfaction among citizens. Li Dongxing also needs to consider this decision and its impact on Fengyuan citizens.

"No, no, no, I think this may happen in the short term, but within two or three years, this situation will be greatly improved, and it is very likely that Fengyuan citizens will come to Tongyi for treatment at that time." Zhao Xu'an said confidently, "Don't forget that within two or three years, Tongyi will have at least four general practice hospitals that can reach Class 3 in the future that can reach Class 3 in the future. Two of them are joint venture hospitals! We will continue to build hospitals of all levels to fully guarantee the medical needs of Tongyi citizens." Today, Tongyi, the construction of the Second People's Hospital of Tongyi has entered the middle stage, and Tongyi Third People's Hospital has begun to select a site. In addition, two foreign-funded hospitals, normal situation, all four hospitals can be completed and put into operation within two or three years. By then, Tongyi will have five general practice hospitals with at least the hardware has reached Class 3. As for the medical level, look at the current Tongyi First People's Hospital. You will know.

Li Dongxing looked at Zhao Xu'an and Su Aijun in surprise, and of course he knew about the hospitals under construction and the ones under construction in Tongyi, but the two foreign-funded hospitals had high medical expenses, let alone Tongyi, even Fengyuan. I'm afraid not many people can afford it? It is said that there are five general-practice hospitals that can reach Level 3 A, but in fact, there are only three.

"Mayor Li, Secretary Su, and Fang Shao have reached an agreement on this matter. The two foreign-funded hospitals in the future will also be included in the medical insurance reimbursement guarantee system, but the reimbursement ratio there will be slightly lower than that of the First People's Hospital. Haha, the specific implementation methods are still being further improved." Zhao Xuan saw Li Dongxing's confusion and smiled.

"Ah?" Li Dongxing was surprised and blurted out, "So can Tongyi's city finance support?"

China's social security system was established on the basis of owing old debts. Before it was established, the pensions of urban residents were basically the responsibility of their respective units, that is, the state. In other words, their pensions had been deducted by the units for many years in the past and paid to the state. After the establishment of the social security system, their pension payments were shifted from the unit to social security, which should be said to be an improvement in itself, but there was no money in the social security account - the state did not transfer the part of the pension funds they deserved to be transferred to the social security department's account, which means that the pension expenses issued by the social security department must be compensated by the social security paid by the next generation of workers. The same is true for medical insurance!

Although Tongyi originally had no industrial foundation. The number of urban residents was limited and the pressure on this aspect was relatively small, it would be not small in the future. It would also include two foreign-funded hospitals in medical insurance. This will not be a good thing for Tongyi's finance in the future.

Moreover, Tongyi is now in a period of rapid economic expansion. In order to ensure economic development, the construction of various infrastructures can be said to be gradually launched. Although Tongyi has already settled many companies, the preferential period for various taxes has not passed. Although compared with the past, the tax revenue in the city has doubled a lot, compared with the current debt of Tongyi City, it is a big mistake.

The Tongyi Municipal Government is actually going to expand the hospital for medical insurance reimbursement. Su Aijun and Zhao Xuan are not worried. Will the Tongyi Municipal Government's financial collapse one day?

"The pressure will be greater in the short term, but I think it will be better in three to five years." Su Aijun smiled. "According to the budget, Tongyi City's fiscal and social security expenditure this year will account for 13% of Tongyi City's fiscal expenditure. We plan to take ten to fifteen years to make this proportion more than 20%. Moreover, Tongyi City will strictly control the medical expenses of civil servants. For those who take long-term sick leave, occupy cadre wards, cadre guesthouses, resorts, and seriously waste medical resources, they will deal with it according to the specific situation. Once it is confirmed that it is forging medical records, severe punishment will be given."

Li Dongxing felt that his heart was about to stop beating. There was too much information revealed in Su Aijun's words.

Li Dongxing knew that fiscal and social security expenditure mainly refers to the part of social security expenditure borne by the government. In China, the fiscal and social security expenditure last year was more than 310 billion yuan, accounting for only 9% to 10% of China's fiscal expenditure. Fengyuan's fiscal and social security expenditure last year did not even reach 9%. In the public financial system of developed countries, public consumption or income support for social security and welfare is the government's main expenditure item, accounting for 30 to 50% of fiscal expenditure. In some middle-income countries, this proportion has reached more than 20%. Isn't Tongyi making money fast enough?

And if they do this, aren't they worried about causing dissatisfaction among other provinces and cities in China? Uh... Li Dongxing's eyes immediately turned to Fang Mingyuan, who was the final decision-maker of Tongyi's fiscal expenditure. If he disagreed, Su Aijun and Zhao Xu'an would not be able to get it even if they wanted to invest more funds in this area.

Fang Mingyuan noticed Li Dongxing's gaze and smiled and said, "I support the decisions of Uncle Su and Uncle Zhao! However, how to ensure fairness and justice, so that the social security departments of both cities can accept it, and operate it for a long time is the key issue we urgently need to solve."
Chapter completed!