When the annual keywords flow, there is a future: the underlying logic of big health

Dear alumni from all walks of life:

Dear alumni from all walks of life:

Today is the 16th day of the first lunar month, the first working day after the Lantern Festival

The new year starts a new game, and everything is waiting to grow

Success or failure:

Success or failure:

turbulent dark tide

turbulent dark tide

In 2022, we are shocked to realize that the big health industry is at a watershed that determines success or failure

Medical service industry: For public medical care, the deformed structure of "cost-price" has not been reversed, excessive profit-seeking behavior has not been radically cured, and the establishment of an incentive mechanism for "how to supplement medical care" is still an unsolved problem in China's medical reform.

Medical service industry: For public medical care , for social medical services ,

Biomedical industry: In the face of increasing economic downward pressure and high-tech "stuck neck" dilemma, biomedicine is one of the few in China that has the ability to run alongside developed countries (some areas have already taken the lead) and form a trillion-dollar industry.

Biopharmaceutical industry: The biopharmaceutical industry is facing systemic risks .

Digital health industry: Survivors after the tide recedes, or look forward to a small share of the "national team" in the field of new infrastructure construction ("new infrastructure"), or become extremely low-key financial investors and avoid being positioned as "pharmaceuticals".

Liquidity: Seeking Win-Win and Compatibility

At the cusp of the storm, the leaders of the three major industries/industries mentioned above will inevitably feel sad and hesitate

Some national consensus/national consensus that has long been formed has been questioned again:

How to balance national security and industry development?

How to balance national security and industry development?

How are public interests compatible with industry interests?

How are public interests compatible with industry interests?

How to combine political literacy, medical literacy, and business literacy?

How to combine political literacy, medical literacy, and business literacy?

During the two sessions in 2018, the author once put forward the metaphor of "medical reform is like four people playing mahjong", which has been widely quoted in the industry in recent years

How to build a benign governance mechanism of "win-win" and "incentive compatibility" for the whole industry? I think there are two paths:

How to build a benign governance mechanism of "win-win" and "incentive compatibility" for the whole industry?

"The next bigger game": transcend the dimension, jump to a higher dimension, and seek global interests

"The next bigger game": transcend the dimension, jump to a higher dimension, and seek global interests

"Exchange time for space": From zero-sum game under static pattern to multiple optimal solutions under dynamic equilibrium , to seek long-term benefits

"Big Logic": The Trend of the National Pulse

Not only is the big health industry facing a major test, but also dealing with the increasingly severe political and economic situation, our country and nation are also in the "big change unseen in a century" - this is beyond the "small logic" of a single institution and the "medium" of a single industry.

Expense control target: In the second half of 2021, the year-on-year growth rate of total retail sales of consumer goods, which is regarded as the troika of China's economy, dropped to single digits, and even dropped to 1.

Cost control target: In 2022, even if the medical industry does not face a similar rectification storm, at least the cost control-oriented medical reform policy will not be relaxed - this will undoubtedly affect half of the pharmaceutical industry with commodity attributes and half of people's livelihood attributes

People's livelihood goals: For the basic medical and health system, the basic medical security system, and the drug review and approval system, the system and framework are not expected to undergo major changes this year, and only minor repairs will be made at the level of implementation rules and operation guidelines.

Industry goals: It is expected that the economic departments (development and reform, industry and information technology) and science and technology departments of the central and local governments will continue to issue policy documents to support the big health industry, especially in the context of the whole industry chain (industrial ecology) and the whole technology life cycle.
From the perspective of hedging the negative impact of the strict cost control policy and making up for the policy shortcomings of limited livelihood protection
.

Liquidity: The way out for the industry

Liquidity: The way out for the industry

In order to enhance this liquidity, in order to deal with national risks, we need not only technological innovation, management innovation, model innovation
.
As a big health social science/public policy platform, our "National Health Policy 2050" calls for a top-level system and mechanism innovation, in national governance, especially health governance (including but not limited to: health governance, medical insurance governance, pharmaceutical industry governance, Health technology governance, medical education governance) level, and promote the "second emancipation of the mind" since the reform and opening up
.

Concretely speaking, water is the most vivid expression of fluidity:

Flowing water does not rot: Use development thinking to solve problems in development
.
Use reform thinking to solve problems in reform
.
To implement the central policy policy of "never rigidity", we must not shake the national consensus of "developing with one heart and one mind" and regain the historical garbage of "taking class struggle as the key link"! We must never deny the basic line of "reform and opening up" and forget the historical lessons of the planned economy and the government's all-encompassing efforts!

Flowing water does not rot: We must not shake the national consensus of "single-heartedly seeking development" and regain the historical garbage of "class struggle as the key link"! We must never deny the basic line of "reform and opening up" and forget the historical lessons of the planned economy and the government's all-encompassing efforts!

Water has no shape and can contain all things: "Opening up" is the basic national policy that China has solemnly promised to the world.
No matter how turbulent the international situation is, no matter how sharp the confrontation between the Chinese and Western camps, China is open to the world's merchants.
Embrace, strictly abide by the international trade rules, and are unswerving in improving the business environment
.
It is necessary to implement the central policy policy of "never closed", refuse to allow commercial entities to become victims of political struggles, and avoid overdoing the right thing to allow foreign capital to change from "super-national treatment" to "low-national treatment"
.
The science of drug supervision enlightens us: when the country is closed, it is impossible to forge first-class
.
The experience of epidemic prevention and control enlightens us: when the world is connected, it is impossible to be alone
.
In the future, whether it is the supervision of logistics, capital, and data, it is necessary to further expand and open up to achieve a higher level of supervision
.

Water has nothing but everything, and nothing can contain everything.
In the future, whether it is the supervision of logistics, capital, and data, it is necessary to further expand and open up to achieve a higher level of supervision
.

Water conserves all things without arguing: nourishing and nurturing life is the ultimate value of water
.
The protection of life and health is the ultimate value of health care, medical insurance, medical and health industry, and industry regulatory agencies
.
No matter how far, how fast, or how long we go, we must not forget the two wise sayings of the sages: "Man is the measure of all things
.
" "All things have their own laws
.
" We must implement "Never complacent.
" "The central policy guideline, respect the people, respect life, and respect the laws of economic and social development
.

Water conservancy and all things are not contested: the protection of life and health is the ultimate value of health care, medical insurance, medical and health industry, and industry regulatory agencies
.

Even if there is still historical path dependence, even if external prejudice cannot be eliminated, even if it is difficult to reach a comprehensive consensus, various departments, industries, disciplines, and institutions can at least form the greatest common divisor - mobility is our common pursuit, and solidification is our common opposites
.
If the class is solidified, if the interests are solidified, if the knowledge structure is solidified, even if we can gain a temporary advantage, we will suffer the consequences in the end
.

If the class is solidified, if the interests are solidified, if the knowledge structure is solidified, even if we can gain a temporary advantage, we will suffer the consequences in the end
.

Only the anchor of political determination can reduce the impact of stormy seas on the sailing ships
.
Only the key to the emancipation of the mind can open the floodgate of industry liquidity
.
The academic platform of "National Health Policy 2050" proposes to:

Let health big data flow: promote data security and development in a coordinated manner, implement data processing and application, systematically evaluate three major performances (engineering performance, data performance, and health performance), and serve as the "gold standard for digital health industry development and regulatory rules.
" ”, say no to equipment “bathing”, data “chimneys/islands”, standards “duplicates/fights”
.

Let health big data flow: systematically evaluate the three major performances (engineering performance, data performance, health performance), and use it as the "gold standard" for the development of the digital health industry and regulatory rules.
", the standard "repeat/fight" says no
.

Let health industry capital flow: While setting "traffic lights" for financial capital and Internet capital, it is also necessary to encourage more long-term industrial capital to flow into the big health industry that is more conducive to people's livelihood, public health and safety, especially innovative pharmaceuticals, New service organizations, health insurance technology and other fields, and based on the thinking of the whole industry chain (industrial ecology), systematically calculate and scientifically control the comprehensive profit rate of upstream and downstream, internal and external entities, and optimize the "three access" policy tools (listing Entry, hospital access, medical insurance access), so as to leave sufficient liquidity for human capital, technical capital, and financial capital, and never let talents, technical faults, funds stop, and even bring about a decline in health and welfare;

Let the health industry capital flow: Based on the thinking of the whole industry chain (industrial ecology), systematically measure and scientifically control the comprehensive profit rate of upstream and downstream, internal and external entities, and optimize the "three access" policy tools (listing access, hospital access Entry, medical insurance access), so as to leave sufficient liquidity for human capital, technical capital, and financial capital, and never let talents, technical faults, funds cut off, or even bring about a decline in health and welfare;

Let the science of big health policy flow: political discipline, academic no restricted area
.
It is necessary to implement the central government's policy on philosophy and social sciences: "Adhering to and promoting academic democracy, respecting differences, tolerant of diversity, and advocating mutual learning and equal discussion of different academic viewpoints and schools of thought
.
" We believe that only by leaving enough gaps and nutrients, vegetation Only by allowing the coexistence of large trees and small grasses, the ecology will be diverse
.
The "National Health Policy 2050" academic platform will continue to promote academic exchanges, value consensus, data sharing, and knowledge empowerment
.

Let the science of big health policy flow: "Insist and promote academic democracy, respect differences, tolerate diversity, and promote mutual learning and equal discussions between different academic viewpoints and different >
.
"

If, this year, and in the next few years, we will face more and more risks (uncertainty), and even cannot avoid/contain many of them at the macro/meso level (uncertainty)
.

Then, maintaining liquidity becomes the greatest certainty in the risk society - this is the vitality in the severe winter, this is the dawn in the dark night, this is the rebirth from the ruins
.

When you move, there is a future
.

Let us run to the future together
.

Liang Jialin

Liang Jialin

Founder and Editor-in-Chief of the "National Health Policy 2050" academic platform

Founder and Editor-in-Chief of the "National Health Policy 2050" academic platform

February 16, 2022

February 16, 2022

Shanghai, China

Shanghai, China