Section 406 Medical Insurance and Provincial and Hong Kong Hospitals
The cabin where Shi Xiaoren was staying was at the end of the ship away from the engine room. On one wall of the room facing the engine room, there were large bags filled with coconut palms piled up - it was better than nothing. This was a design to protect the chief in the event of a boiler explosion.
.Including 854, 901 and a series of self-produced steam-powered ships that are regarded as the "pride of Lingao Industry". In the eyes of the members of the Senate, they are generally in such a safe condition, and this is indeed the case.
At this time, Shi Xiaoren was sitting in front of the desk in the cabin, flipping through a thick book open in front of him, with a gloomy look on his face. His face seemed not to be good since he set off, of course not because he wanted to
The entourage explained that he was seasick because what was in front of him was not actually a book, but a report that the civil affairs department gave him for review - or acceptance - when he returned to rest after completing his inspection tour of the previous area.
Detailed rules for regulating public medical care for citizens.
When Shi Xiaoren communicates with veteran doctors from China, he will mention "brother, when I was in the United States" intentionally or unintentionally, but he never mentioned how he was constrained by medical insurance when he was practicing medicine in the United States.
.I didn’t expect that when I traveled back to the United States more than a hundred years ago, I still had to be covered by medical insurance, and it was a brand-new method of self-defense. Thinking of this, Shi Xiaoren was in a particularly bad mood.
In the second half of last year, at the enlarged meeting of the Executive Committee, the Ministry of Finance proposed that a monetary settlement system should be adopted within the health system, and free allocation of drugs and equipment should no longer be implemented. Similarly, specific prices must be determined for all health services.
This is not directed at the Ministry of Health alone: Regarding the policy of implementing monetary accounting in various agencies, enterprises, institutions, factories, and commercial units, Finance Director Cheng Dong has mentioned it many times. This time it is considered preliminary - the Ministry of Health is a pilot
unit.
I don’t have any objections to the point of monetary accounting. After all, without monetary settlement, the total amount of currency issuance, total economic output, fiscal expenditures, etc. of the fiscal bureau are just headless accounts. But the next thing will happen.
It was beyond his expectation.
There is nothing difficult about implementing monetary accounting. It just adds more financial accounts. In the past, the health department was only responsible for receiving things, making things, and treating patients. If there was any need, it would just make a report. Now in this process, in addition to making reports, it also needs to be calculated according to the allocation price list.
Of course, the calculated money will be recorded in the account and the procedures will be completed in Delong. The impact on the Ministry of Health is that several more accountants, cashiers and cashiers will be hired.
Elders and naturalized citizens also have more things to do when seeing a doctor: in the past, seeing a doctor was just a matter of registering, but now they have to fill out a triple form. List the details and amounts of medicines and medical expenses, and then submit them to the Ministry of Civil Affairs and the Ministry of Finance respectively. For this purpose, the Ministry of Health is affiliated
The three hospitals in China also hired a group of cashiers to take charge of this matter.
However, the following trend went wrong: The Ministry of Civil Affairs then asked the Ministry of Health to formulate a clinical path for common diseases among naturalized residents to guide the diagnosis and treatment activities of naturalized medical staff. At that time, the Ministry of Health did not take it seriously and originally issued
There are several large hospitals equipped with veteran medical staff. In addition to public health and epidemic prevention work to promote hygienic habits, the medical services for naturalized people are basically to solve the problems of red wounds and daily headaches and brain fever. The Ministry of Health issued a letter to
After a few months of crash course in the common disease handbook for naturalized civilian medical care, I reorganized the contents and submitted it to the Ministry of Civil Affairs.
Unexpectedly, a few months later, the Ministry of Finance and the Ministry of Civil Affairs jointly issued a document based on the clinical pathways submitted by the Ministry of Health to guide the diagnosis and treatment activities for naturalized citizens with publicly funded medical care. To be precise, based on the clinical pathways submitted by the Ministry of Health, guidance was provided on
The diagnostic and treatment activities of naturalized citizens under public-funded medical care are subject to a limited fee. Without special reasons, the diagnostic and treatment activities of patients who enter the path of treatment will exit the path. All expenses incurred that exceed the limit will be borne by the medical institution itself and will not be paid for publicly-funded medical care.
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The reason given by the Ministry of Civil Affairs is: because modern medical care is based on huge high-tech investment, according to original experience, the growth of medical expenses is basically faster than the economic development rate and residents' income in the same period.
At present, the diagnostic and treatment activities of the Senate for naturalized civilian soldiers and employees are all included in the publicly funded medical system and provided free of charge. In the area under the control of the Senate’s modern system, the medical care provided to naturalized civilians with non-employee status is basically half
Sell half and get half, the above is the political superiority of the Senate.
The reason given by the Ministry of Civil Affairs is: Although the current overall medical service is still very crude, if there are no restrictions on the payment of public medical care, an empire of leapfrog technological development will occur every moment. I am afraid that it will prematurely form a welfare system that is too big to lose.
The burden will affect the long-term rule in the future.
After hearing this reason, Shi Xiaoren immediately asked the Ministry of Civil Affairs: "Do people who starve to death need to worry about obesity?" and had a "frank conversation" with the relevant responsible comrades from the Ministry of Civil Affairs and the Ministry of Finance invited by the Ministry of Civil Affairs to participate in the negotiation and "fully
"Exchanged views", "enhanced understanding between the two parties", "the talks were beneficial", and both parties "fully reserved their opinions".
Minister Shi knew very well that there were some people in the finance department behind this matter - as for their purpose, it was nothing more than the "perfect social insurance system" that they had been actively advocating.
Shi Xiaoren’s opinion is: the health system of the Senate is still very primitive in its medical activities for naturalized people. Half of the common medical treatments are so primitive that in the opinion of the senators, they are all comfort therapies. There is an urgent need to vigorously develop them. Early attention to primitive medical treatment
Setting such economic restrictions on activities will definitely restrict the development and progress of the Senate's medical undertakings. Medicine is a highly practical science, and prematurely restraining the hands and feet of practice is detrimental to improving the level of medical care.
He was embarrassed to say that a doctor is actually a skilled worker, and the more skills he has, the better. Therefore, Minister Shi emphasized the great truth that true knowledge comes from practice, and then extended it to the point that medical activities that only rely on serving elders are not a skilled worker.
Yes, the medical development of the Senate will surely stall - waiting for the senators in the future...
Moreover, all the modern supplies and medicines required by the medical institutions under the Senate currently rely on planned allocations. Although it has been changed to monetary settlement, the essence is still full allocation. If public medical care refuses to pay, where will the shortfall come from?
The expansion of the financial gap will inevitably affect the maintenance and self-upgrading of the entire health system. At that time, it will be difficult for the health department to "serve the Senate wholeheartedly."
These words obviously aroused the "great attention" of the Senate, so the matter was shelved for now. But Shi Niaoren was still unhappy - it seemed that Cai Jinkou felt that he was determined to win the medical insurance issue.
After leaving the Qiongzhou Strait, the Octopus merged with the two patrol boats departing from Haikou to form a small escort formation heading for Hong Kong.
According to the plan, the Octopus will be anchored in Hong Kong for a few days to clean up the ash and make final touches. Then the Octopus will choose a good day to sail along the Pearl River to Baietan, and officially hand it over to Guo Yi as his yacht.
According to the plan, the Octopus will be anchored in the waters of the newly built Guangzhou World as a display and symbol of Australian civilization and lifestyle.
After the Octopus anchored, a group of veterans from the Hong Kong base came to the pier to greet them. Although the Central Government Administration Council, the General Office of the Executive Committee and the Cheka jointly issued several documents, requesting veterans stationed abroad to reduce the number of greetings to veterans who are on business trips, visiting and passing through.
The activities sent to the government have greatly reduced the "three official" expenses, but the elders stationed abroad all hold the idea of "it is not strange to be polite to many people" or "the monks in the capital are good at chanting scriptures", and entertain "comrade elders".
It is getting more and more intense. There is a lot of food and drink, plus various local gifts. For a time, the trend of "looking forward to a business trip" and "asking for a business trip" became very popular.
The methods for reducing expenditures in various places are also very simple: the elders receive large dividends every year, which are just numbers in the bank. If they are taken out directly for consumption, the finance department and the Cheka have nothing to say. For this reason, every one of Wu Nanhai’s cafes
Every month, a large number of "special packages" of high-end consumer goods such as kvass, rum, and cigars are sent to various overseas stations.
The Hong Kong Station is no exception. Due to the engine operation, there are many senior officials in Hong Kong: including the Planning Institute, the Ministry of Civil Affairs, the Army and the Navy. However, they are all on business trips, and there is no need or need to come to greet them. Appeared at One Central
On the pier are two elders stationed in Hong Kong: the leader is Luo Chen, the captain of the Hong Kong Farm Reclamation Team, and beside him is Hong Kong business representative Hong Kong Yin. In addition to the two of them, there is also an unattractive young man wearing a
Wearing a crisp cadre uniform and holding a briefcase in his hand.
Shi Niaoren came down from the springboard, and Luo Chen, Hong Hongyin and others shook hands and exchanged greetings. The two greeted each other very attentively. Minister Shi knew very well that the two people were so enthusiastic about him, apart from the fact that he was a "monk in Beijing"
, there is also the meaning of striving for a project: to be precise, it is the planned "Provincial and Hong Kong General Hospital".
The idea of building a provincial-Hong Kong hospital in Guangzhou or Hong Kong has been in the Senate for a long time. It has recently been put on the agenda.
On the one hand, this was naturally for economic purposes; on the other hand, it also had the intention of expanding the influence of the Senate and modern health care - almost the same as sending a visiting medical team.
However, for the Ministry of Health, the most important benefit is that there are a large number of patients who can pay their own expenses to train the new staff of the health department. At a time when the current clouds of the medical insurance system have begun to hang over, this plan is of great benefit to the Minister.
of temptation.
"This guy Shi Jiantao is really not interesting. If you want to get a carriage, you will say there are no horses. There are no horses anywhere else on Hong Kong Island except the shipyard..." Accompanying the voice was a short and fat figure. This is medicine.
The only one among the elders of the health clinic who has no medical, pharmaceutical, health, nursing, or biology professional qualifications—no, no academic qualifications at all—is Deng Platinum, the chief of the medical department of Bairen General Hospital directly under the Ministry of Health.