The reform of medical price in Chongqing: don't misinterpret the "real classic"

Source: review of new medical reform April 10, 2015 from March 25 to March 31, Chongqing medical price reform only lasted for 7 days and was criticized as "the shortest life medical reform" The current medical reform is closely related to the whole people Looking at the current situation of medical treatment in China, the author believes that there are three major outstanding problems: first, it is more and more expensive to see a doctor This has become a big knot in the hearts of ordinary people, especially the poor, "one disease back to before liberation", making people tremble, "don't be sick if there is anything, don't have money if there is nothing", which has become the general mentality of the public The high cost of medicine deterred the patients Second, there are some power rent-seeking phenomena in drug centralized bidding and purchase Because some bidding projects fail to be "open, fair and just", leading to the hospital in the strange circle of "supporting doctors with drugs", the price of drugs is falsely high and does not fall, giving some doctors space to seek rent Third, the doctor-patient relationship is tense In the past six years of China's medical reform, there have been more than 90000 disputes between doctors and patients, and even some doctors have been beaten up, which has had a negative impact on the society The main cause of the above phenomenon is related to too much administrative intervention in medical reform The effect of medical reform is not only to see a doctor and take medicine The 18th National Congress of the Communist Party of China put forward "making the market play a decisive role in resource allocation", and the State Council recently issued "opinions on Further Encouraging and guiding social capital to run medical institutions" At the executive meeting of the State Council not long ago, Premier Li Keqiang also emphasized "deepening medical reform, requiring the government and the market to" use both hands ", accelerating the development of commercial health insurance, forming a joint force with basic medical insurance, improving the level of medical security for the masses, and meeting multi-level health needs" There is no doubt that the high level of the central government has pointed out the direction of medical reform, and the marketization of medical and health care is the general trend What kind of medical and health marketization should we achieve? In the process of marketization, we should not only let the government reduce administrative intervention, strengthen supervision and service, but also use the invisible hand of market It is a big task to give consideration to the interests of pharmaceutical factories, hospitals and patients, to make pharmaceutical factories and hospitals not only make profits, but also to let patients enjoy the public welfare, fairness and basic medical and health services, so as to make everyone happy From the perspective of functional departments, we should never misinterpret the "real classics" of medical reform On the one hand, the relevant departments should get rid of the shackles of the planned economic system, really start from the interests of the masses, simplify administration and delegate power in accordance with the latest laws and regulations, especially to find out the "dead knot" of expensive medical treatment, and effectively reduce the medical expenses; on the other hand, they should tie up the "tangible hand", release the "invisible hand", and give full play to the role of the market mechanism In terms of pharmaceutical factories and hospitals, the competent departments and judicial organs should strictly investigate the illegal behaviors of pharmaceutical factories and hospitals according to law From the perspective of patients and their families, we should strengthen the thinking and understanding of transposition, and try our best to deal with the doctor-patient relationship In short, as a systematic project, medical reform can only be carried out with the full cooperation of all parties.