At ten minutes to three o'clock in the afternoon, Li Chu rushed to the door of Uncle Wang's office and was greeted by Uncle Wang's work secretary, Secretary Liu.
"Director Liu, are you okay now, Chief?"
Secretary Liu is now also the director of the Second Secretariat of the General Office. The work of the Second Secretary is mainly to serve Uncle Wang.
"Dean Li, the chief is waiting for you. Leader Zhao from the health center is also here."
"Thanks"
In the office, after Secretary Liu poured a glass of water and left, Uncle Wang spoke.
"Xiao Chu, it was Lao Zhao who suggested calling you here this time. He thinks your views on many things are relatively novel, so he wants to see what your opinions are on some of the proposals at this meeting."
"Leader Zhao is complimenting me. What I say is just family talk. You can just listen to it."
Li Chu said something polite to Leader Zhao in the name of haha, and then Uncle Wang revealed the two issues that gave him a headache at this meeting.
After listening, he was filled with questions.
What is going on?
It's not a medical work meeting, so why does it involve insurance?
The system of reimbursement of medical expenses by the unit will be abolished and replaced by individual payment of insurance like those in European and American countries.
Which man of God proposed this? He now really wants to meet this Lord and see if he is the same kind as him.
This alone won't make him doubt, the most important thing is the following.
Eliminate financial subsidies for hospitals and instead assume responsibility for their own profits and losses, following a market-oriented approach.
Could what he brewed be what people of this era would have thought of?
So many factories and enterprises have not reached the level of being responsible for their own profits and losses. If you ask hospitals to be responsible for their own profits and losses, is this not bullshit? What is this?
"Uncle, who came up with this idea while squatting there to use the toilet?"
“Let’s leave aside the first issue. It is simply not a problem that can be solved by the sanitary den. Although the proposal is very good, it is a very large system project that requires the cooperation of multiple departments.
Let’s just talk about the second item. If the hospital is responsible for its own profits and losses, what will happen? The most likely cause is high medical expenses, which the people cannot afford. And if we take urban employees as an example, that is actually
This part of the medical expenses is passed on to the enterprise, because our current medical expenses are reimbursed by the employer.
However, there are prerequisites for the unit's reimbursement, that is, the individual needs to advance the payment first, and then the unit will reimburse the patient after he is discharged from the hospital. In this case, it is necessary to consider whether the unit can reimburse the patient.
Excluding urban workers, what about farmers in rural areas? What about people without jobs? Do we really want these people to be unable to afford medical treatment?"
"Ahem... Dean Li," Leader Zhao coughed twice and said, "So the first issue needs to be met. When everyone has insurance, will everyone be able to afford medical treatment?"
"You are right. It is indeed possible with universal insurance, but there is also a question. How much should an individual pay? What is the proportion of insurance reimbursement? Should all medical items be fully covered, or what?"
"Uh..." They had never considered these questions at all, and they definitely didn't know how to answer when asked by Li Chu.
"Xiao Chu, let's not mention insurance. As you said, it is not a problem that one or two departments can solve. You continue to talk about the hospital's responsibility for its own profits and losses."
Li Chu picked up the cup and took a sip of water and said: "Uncle, Zhao Bu, I have had exchanges with England, France, the United States, Germany, including the countries of Japan before.
You are like England, which is probably the oldest capitalist country in the world. They implement a free medical system for all. Ninety percent of the hospitals in the country are public hospitals and are not for profit. Others
The same is true in several countries, and the proportion of public hospitals in them will not fall below that level.
So what will happen if we, with different political systems, take this path?"
He can be considered as using magic to defeat magic.
I won’t talk to you about the quality of medical marketization. It hasn’t happened at all. Who can say clearly what will happen in the future.
Things like those doctor-patient conflicts can't be explained at all now because they haven't happened after all.
For now, after people arrive at the hospital, they are quite convinced and respectful of the doctors and nurses. If you ask them to go east, they will never go west.
Because he knows that whatever doctors and nurses do is for his own good, and you are not doing it to make money from him.
Since there is no way to talk about good and bad, he can only find another shortcut and use data to speak. For those public hospitals with free medical care that are used in developed countries in Europe and the United States, why do you want our country to be market-oriented? What do you want to do?
What?
"Xiao Chu, is the data you mentioned true?"
"Of course, when I talked about this with the senior executives of the pharmaceutical companies, there should be records. Oh, by the way, those records should have been submitted to the headquarters for filing."
Uncle Wang nodded slowly and said nothing, sitting there wondering what he was thinking.
"Dean Li, why do you think those developed countries do this? Shouldn't they put capital above all else?"
"Zhao Bu, no matter in any country at any time, the people at the bottom are the largest group. No matter how you develop, you must leave a way for these people to survive.
Can you imagine the despair when an ordinary person cannot even guarantee the most basic right to health? Taking a step back, shouldn't our organization focus on the interests of the common people?"
"That's good. No matter when we do work, we should put the interests of the people first." Uncle Wang felt a little emotional, and then said with finality: "Okay, there is no need to talk about the marketization of medical care.
But as for the data about the public hospital in developed countries in Europe and America that you just mentioned, Xiaochu, I will ask the foreign affairs department to verify it, so that if someone mentions this again in the future, we can refute him with reason."
"Do you have any ideas about insurance?"
Li Chu was a little confused when he heard Uncle Wang mention this again. Didn't he just say that this was not a department matter? Why did he still ask himself?
"I really don't know much about this, but I think we can send people to the developed countries in Europe and the United States to conduct on-site inspections to see how their universal medical insurance is implemented, and then we can formulate a set of policies based on our national conditions.
An effective method.”
Uncle Wang nodded noncommittally, then looked at the record-keeper who had been sitting in the corner and asked: "Xiao Sun, have you written down the content of the conversation just now?"
"Remember the leader."
"Well, okay, Xiao Chu, if nothing happens, you can go back."
"Hey, uncle, you are trying to kill the donkey, why don't you even care about your food?"
"Get out of here"
The pen in the hand of the recorder, Xiao Sun, scratched the "ku cross" on the page that was being recorded in the notebook.