Gong Hanlin glanced at Peng Yuanzheng and remained silent.
If he wants to obtain Peng Yuanzheng's full physical and mental support and cooperation, he must provide strong support to Peng Yuanzheng. This is mutual, not one-way.
If he did not support Peng Yuanzheng's work, how could Peng Yuanzheng cooperate with his work?
Moreover, now he and Peng Yuanzheng are definitely two grasshoppers on the same rope. One is prospering and the other is suffering. Peng Yuanzheng's work entry is equivalent to the expansion of his work. Although he is not very clear why Peng Yuanzheng wants to start from the medical field.
But with the utmost trust, he chose to have an unconditional tacit understanding.
Peng Yuanzheng quietly looked at Yan Hua, the excited deputy county magistrate, and said calmly, "Comrade Yan Hua, I have never denied the legitimacy of the hospital's profits. In fact, as long as it is a business unit, under the market economy system
There is room for profit regardless of the situation. There is no doubt about it.”
Yan Hua sneered, "Then what do you mean?"
"Comrade Yan Hua doesn't understand?" Peng Yuanzheng smiled slightly, but his face suddenly darkened and said, "Profit and profit first are two different concepts. After all, hospitals are places that save lives and heal the wounded. They ignore the needs of patients and ignore money.
This kind of behavior is very scary. The lack of medical ethics is shocking!"
"The patient is dying and in urgent need of surgery, but the hospital still insists on paying money first and then seeing the doctor - this kind of rules and regulations itself is somewhat unreasonable."
"What a joke! Let me tell you, comrade Yuanzheng, what is reasonable? It is natural to pay for medical treatment. The hospital is not a charity. If medical treatment is free, the hospital will go bankrupt and close. When the time comes, who will speak for the hospital?"
"Last year, the county hospital was owed and evaded hundreds of thousands in medical expenses. This shortfall cannot be filled to this day. If the hospital does not adhere to the system, who will guarantee the interests of the hospital? If the hospital cannot maintain basic operations, all patients will be harmed.
Sick group!”
"I feel that Comrade Yan Hua and I are discussing different topics. What I am talking about is the public welfare attribute of the hospital - as a public hospital, county hospitals must ensure public welfare and serve the people as the first priority, rather than regarding profits as
As the first goal.”
Peng Yuanzheng was calm and unhurried. He was not angry, but said calmly, "If interests come first and profit comes first, then it wouldn't be called a public hospital."
Yan Hua sneered, "In a word, hospitals have their own difficulties. To market hospitals, they must establish standardized and strict operation and management systems. I hope that hospitals will promote free medical care so that people don't have to pay for medical treatment. Everyone will be happy, but
Is that possible?"
"Free medical care is not impossible. There are many such situations abroad. Of course, in our country, it is not realistic for the time being. But of course we cannot achieve free medical care. But basic medical investment is indispensable. So, I
Let me reiterate here that medical marketization does not mean the absence of financial investment. There must be corresponding subsidies and policy investment in the annual fiscal budget."
Before Peng Yuanzheng finished speaking, he was interrupted impatiently by Yan Hua, "Comrade Yuanzheng, are you going to go against the policies of the Central Committee? The Central Committee advocates marketization, complete marketization, and let the hospital take its own responsibility.
Profit and loss are running on their own, but you are here clamoring to increase government investment...it’s really ridiculous!”
Peng Yuanzheng looked up at Yan Hua, feeling slightly angry.
He feels that his attitude has been very low, but Yan Hua has always been aggressive, regardless of his basic demeanor and face-to-face unity - do you really think that I am a sheep that is easy to bully?
Peng Yuanzheng's voice became colder, "Comrade Yan Hua, don't give me such a big label!"
“The controversy over how public hospitals can ensure their public welfare status has not subsided in the past two years. There are also many people who hold my view.”…
"In response to the tendency of hospitals to focus on efficiency and ignore public welfare, a series of debates have begun within the Ministry of Health. At the National Medical Administration Work Conference held in May this year, Vice Minister Zhou of the Ministry of Health clearly expressed his opposition to marketization and asked for more consideration.
The public nature of medical care and basic social fairness..."
"These were widely reported in Jiangbei Daily and Northern Evening News. I remember them very clearly. If Comrade Yan Hua doesn't believe it, you can go to the library to look for old newspapers and have a look."
Peng Yuanzheng's voice was full of faint sarcasm.
Yan Hua was choked for a moment, but then he retorted in annoyance, "It's just a controversy. We work at the grassroots level and implement the spirit of the policies from above. It's not about whose controversy it is."
"Policies will be revised, sooner or later. If the tendency of excessive marketization is not reversed, the problem of difficult and expensive medical treatment for ordinary people will intensify, triggering deeper social problems." Peng Yuanzheng smiled and put aside the seriousness.
Hua Dao said, "I'm just discussing the matter here. I don't want to argue with Comrade Yan Hua."
"What I want to talk about is, within the framework allowed by the policy, should the government maintain relevant investment in medical care to ensure the public attributes of medical institutions? In the fiscal budget, the absence of medical budget is an abnormal phenomenon.
Many regions in the country are paying attention to and adjusting this issue. As far as I know, the municipal finance and related budget investment are still there, but how come it is completely zero investment when it comes to the county?"
"This is the first question. The second question is that patients like Wang Jun's mother I mentioned are from poor families and cannot afford high medical expenses. So, should the hospital just watch and see that
Death without saving? What should we do with this special patient?"
"It's not about holding anyone accountable, nor is it simply condemning the hospital for not saving the patient, but we need to find ways to solve the problem."
"Should we consider establishing a special assistance system for serious diseases. It will be allocated through special financial allocations and applied by medical institutions. It will be suitable for extremely poor patients. Once the hospital encounters such a patient, it can immediately apply to start the special assistance process, which will save the life."
It saves the patient’s life and protects the hospital’s costs.”
Against the general trend of the entire country and the trend of medical marketization (even though the medical reform later proved to be unsuccessful), Peng Yuanzheng was powerless and did not want to commit suicide. He argued with Yan Hua for so long and said so much.
It’s just that we still have to settle on this special assistance system.
The previous words are all paving the way for this idea.
He had this idea in his previous life, and he took this opportunity to propose it and work hard to turn it into reality. For him, it was also a process of "realizing a dream."
After Peng Yuanzheng finished speaking, Yan Hua immediately sneered, "It's just a drop in the bucket, it won't help at all! We are a poor county, and it is very difficult to maintain the current basic projects, let alone increase additional expenditures. Moreover, if there is such a rescue channel,
There will definitely be fishing in troubled waters and behind-the-scenes operations, and how to review and supervise them will become a big problem."
"I heard that Comrade Yuanzheng is carrying out drastic reforms in Yunshui Town to develop education and medical care. It is said that all investment in education and medical care in Yunshui Town is financed, which is very enviable. But this is a neighboring county, and I need to remind Yuanzheng
Comrade, the neighboring county is a poor county and cannot support your various generosity! You can't work too hard to achieve success, you have to be pragmatic."
Peng Yuanzheng ignored Yan Hua. He felt that this woman was simply unreasonable. He turned to look at Gong Hanlin. Gong Hanlin cleared his throat and said with a smile, "The argument between the two of us has actually made us grow a lot."
experience."
"Medical care is a big issue and an important issue of people's livelihood. I think Comrade Yuanzheng is right. For some very poor patients, hospitals cannot just ignore them, and the government cannot sit idly by and let people die in the hospital.
Here, this is not only a shame for the hospital, but also a shame for our county government!”….
"So, I think we can consider Comrade Yuanzheng's suggestion and start trying to build such a special rescue channel. Of course, the county's finances are stretched thin, so how to raise this part of the funds requires us to be careful and consider everything."
As the county magistrate, Gong Hanlin expressed his stance, and Lin Changhe quickly followed suit.
When Yan Hua saw that Peng Yuanzheng and Gong Hanlin were venting their anger from the same nostril, and they were suspected of joining forces to put pressure on him, he couldn't help but stand up in shame and anger and said angrily, "County Magistrate Gong, I reserve my personal opinion."
Yan Hua walked away with a puff of his sleeves.
This was actually very rude. Gong Hanlin was very unhappy in his heart, but he did not show it on his lips. He just smiled lightly and said, "Comrade Yuanzheng, Yan Hua is in charge of culture, education and health. It is up to her to advance this idea, or
You need to communicate with her more."
Peng Yuanzheng smiled and said, "Old leader, I will talk to her later."
Lin Changhe chuckled and said, "Comrade Yuanzheng, Comrade Yan Hua is a little short-tempered, but he is actually a nice person. If you had talked to her about this matter in advance, it might be better."
Lin Changhe's words had an implicit meaning, which meant that although you, Peng Yuanzheng, are the executive deputy county, you should respect the old comrades who should be respected. Don't think that by "colluding" with Gong Hanlin, you can dominate the neighboring counties. Hehe,
The neighboring county is not Xin'an District!
Who is Peng Yuanzheng? How can I not hear the twists and turns in Lin Changhe's words? His expression remained unchanged, but he was secretly sneering in his heart: Now that I'm here, I'm not afraid of wading into muddy waters! I want to take a look, this
How muddy is the pool water?
Yan Hua returned to his office angrily, got inexplicably angry at Xiao Li, who was serving him as his counterpart in the county office, and then drove home and got off work early.
She believed that Peng Yuanzheng's interference in her duties was a naked demonstration and provocation. The medical reform issues and the special medical assistance system were all just excuses made by Peng Yuanzheng.
In her view, you, a new deputy county executive, do not get to know the situation in a down-to-earth manner and carry out your work, but instead cling to trivial matters in the county hospital, which is unreasonable in itself. (To be continued. If you like this work,