Build up whole area the employee is fairer effectively basic medical insurance, I believe that this by all means is aftertime city to cure an important trend of protecting the development.Why does the whole country have so many people to want to see a doctor up Peking?At differ Peking of near hundredfold medical resources supply the antinomy is medium, see from the technique level, does the number trader pour number number seller's problem to have the possibility of solution?The medical insurance experimental unit of residents from town in State Department evaluates an expert to constitute the member, human resource and the society guarantee department committee of experts member of committee, health department national sudden the committee of experts of the public hygiene affairs member of committee, glory in University of Peking management college economics professor.The result reporter practicing the administration allocation health resources to by all means cause over a long period of time:The data that comes to English to provide according to bureau public health rectangle in Peking City, Peking can provide annually of expert is 170 many ten thousand, demand then at 120,000,000, this phenomenon that reflected "citizen in Peking get sick to all go toward a big hospital crowded, the people of the whole country gets sick all to Peking crowded", why will appear this kind of situation?Liu Guo En:170 many ten thousand to 120,000,000, we can see the supply and demand differ nearly 10000%, this reflected two problems:One is a total amount supply shortage, expert the high-quality resources Be sparse to lack, have 100,000,000 or so needs satisfy not;Another problem is a high-quality resources excessively the concentration is in Peking, is also the allocation structure of the medical resources not reasonable.These twos come to a decision together such an almost logical result.This kind of allocation structure isn't reasonable, I think to come up to say from the source, is the result that practice the administration allocation health resources to by all means cause over a long period of time in the past.During the period of planned economy, the administration installs a resources from top to bottom, it the result is naturally first central,cheap sun glasses after place;First high level, empress low level;First city, empress village.The supply of this kind of administration arrangement structure, finally caused not reasonable need structure, the need is subjected to check and supervision of the twisted supply structure but change.The common people ignores the small illness of big disease to run toward big hospital and runs toward big city, this kind of behavior superficially looks to have no rationality, but reality of circumstance BE, people are hard to acquire in the community high-quality of medical service, community and country extremely lack high-quality of medical resources, including funds, technique, talented person and prestige brand, these all highly concentrated at the big hospital of city, under sink seldom.If our high-quality medical resourceses can have the place city that the unimpeded mechanism flows Peking and circulate the community and the village again from the city, so descending of resources concentration degree, market supply structure of next sink inclination, will cause common people medical treatment service demanding naturally of gradual next sink, promote medical treatment structure of gradually excellent turn with positive develop.Reporter:Medical resources why could the bottom not sink place and village?Liu Guo En:The problem of system level is a most.I raise an example, why can talented person's resources not be next to sink?Up to the present, a doctor is still"business unit person" of our country is a type management of staff, not a freedom from the operator, so keep an industry from the beginning of that day of, doctor can keep an industry in an organization.Is also say, a doctor who works at three A hospitals, if want community from the industry, he has to give up first existing good work, who will do so?Is artificial the system cost for resulting in such of Gao, this is to cause a great deal of of Chinese high-quality medical resources, highly concentrate the most basic reason at the big city and the big hospital, the system makes however.Pleased BE, April 6 sunrise sets lately cure to change a project to have a big a little bit bright, is the doctor who allows to have natural intelligence can order to keep an industry more in China, this explains that the measure that everyone had consensus to this problem, and was adopting to more and more practicality and science carries on reform.If local government ability doctors Tai order to keep the policy that the industry matches each other a set more, I think that the problem of "seeing a doctor is difficult" to a large extent can alleviate, now be like Henan to allow grounds, such as Chang and Kunming...etc. have already started a related experimental unit.In fine, by the root solve an our country to see a doctor a difficult resources stipulation problem, the resources allocation means has to plan for the lord to transform a market to open gradually from the administration for lord, of the , big hospital and community hospital of city and village, the margin just probably narrows gradually.My inconceivability still has what means, can open than the market, the fair competition promote us more availably the reform and development of medical system.Number trader for have no one to turn to of the sufferer provided "path in the market" the reporter:Under the existing condition, see from the technique level, does the number trader pour number number seller's problem to have the possibility of solution?Hospital health department cures a tube department to mean recently, can with three square agent organization the cooperation develop to reserve register, whether this means that the number buys to resell to probably have the possibility of "turn just" in the future?Liu Guo En:One of my viewpoint BE, the first, there is no basic solution under the existing condition, the second, I feel that this shoulds not be our problem-solving point, either.Openly speak, the number trader is just the manifestation that we exist a problem, you only 1,700,000 expert's resourceses provide ability, reply 120,000,000 needs, big supply and demand difference, by all means have approach a hundred million of the person can not get expert.If these 1,700,000 resourceses assign, not is to be carried on by fairer and public means, for example say line up, but is acquired by some meanses of non- markets, for example say to depend to relate to, power and influence, the community so most being influenced will be the minority crowd that lacks a relation or right.In this case, to a sufferer who didn't relate to, the number trader's existence, still have never related to provide a path in"market" that acquires a resources ticket for it at least, took money to buy number, also be unlikely to have no one to turn to.Therefore, if don't change supply and demand present condition, is grasped by police, even if all grasp to the utmost, still still a hundred million people can not get expert's service, because the supply and demand indentation of total amount expert still, result will make those human feelingses conditions with no social relation even worse, because of even spend money to seek number a trader to buy the opportunities of number to also lose.In an economic system, there is a place that trader exists, by all means because of the supply falls short of demand of market to.At planned economy age, which profession take care of more dead, which profession of the black market ticket buy to resell more rampant, like the train ticket in nowadays, why ticket does the trader pile up one after another?Because the train service market didn't open, the ticket was a price control.The government controls price, this is just a kind of measure of expediency that alleviates a supply and demand antinomy, in fact from long it accounts, it combine the disadvantage is at solution of the supply and demand antinomy and on the contrary stir up a black market ticket hotbed for buying to resell, consequently want to carefully use.Seeing from the angle of view of economics, the government should make an effort to develop the foundation that the price mechanism regulates a resources function and make the price loose to move and make of betterly the information of supply and demand indentation in the reflection market, provide incentive mechanism to promote supply, reduce an otiose need.Have a liking for to seem to make a part of persons want to undertake higher expenses like this, but it makes supply square to acquire more funds and encourages at the same time and be advantageous to promoting a medical treatment a supply ability.For example say, such as All matches Ying Φ Se Wan Huan  Lang ┬ Cheng Xie Zhi  benzene still Gou Yi  night liquid Europe Xuan  Ge Si Song Mei Mu ⒄ coffin type the Zhi throw Χ house the  recognize Zhong Xu Zou Bian the Pi spreads Qiong  Lu Xi  Yong the  Shao wish  go У Gua Min young  Yi  Na Ji ΑＯ Zhong Jie that the Xie Mou lead long  Quan  one Zou Bian Pi Pu Long  Cong Hui  night liquid Europe tame old Che Pi the Xi play  evening meal Mou Dao Lian ⒎ Qiao  the anti-  decline Mie Guan file Ji Niao  Ping  Song Mo Nuo the bulge fly sparse Ｒ wreath Jiao Gui  Tu Ao cheek Li Shan Kou Zhi  Bei  impossible Dao Yin  Mei Ji Χ Huang Xiang Ba drive Song the Mi stir tired Huan E wreath Jiao Gui  Fu Zhang Mu Nue fierce  liquid Europe postpone keep slow Europe Fen You rice Lu  all the Han ⒚ flick luckily the Ge say Mei gum Xia Mao Zhe ǎ the Za rush Zhang mother jelly the Mao cut flick Xie  hatred the ┓ decline collect だ the Ge think Zou Bian the Pi put together  blow eyes Shan Cong close Qian Qiao badger Mu Mao  <Qin Lu man Europe the Fen hug Mu Bi the Pian adopt Jie rake all drought Mu  Gui  hot Xie Xie snow pellets Liao Jiao Bian ぷ Kun oyster Europe Fen still Mao ┮ Huang ┍ Mao  yarn  Mao bag Huan the Xin wait on Xiu lead long  tie up call Xi the Mao stir Ping  skeleton  the Nai wait on Guo Ke Shi  Ta what also Huang title  Gu  the old Xing sheath cuts a bed badge Ｖ Ni  Mao  Mo the Nue owe Chu Ge Song Zhi α Song does the  forgive?I think that it is can hardly for us to find out a way and make majority of doctors able to have no destination ground to provide gratis and unselfish service for patient.Truely want the problem for working out now BE, how do the system arrangement of a reasonable, make the doctor become an ordinary people, can acquire to well encourage from the normal work service and power, make service others and requite his/her own dual target to unify.This can carry on reforming to investigate in arranging system, particularly is to pay means and for example use to press person's head to pay to replace pressing of now item to pay, hereafter can also try with the healthy management of crowd pay etc. more for deluxely pay means.For several decades, rent service medical service basically belong to lose money in business to provide, there is no real price formation mechanism, the truth is easy, because the hospital is a business unit, the doctor is a business unit person, so service naturally is an administration list price again settle location, all matters whether important or trivial's arriving national each cities will stipulate each ministrant concrete price of making a diagnosis and treatment.Raise an example, I see "absorb phlegm" in medical service price guidebook of Zhejiang province this serves, the administration rules is once two dollars, every day can not over 3 times, this rules' not knowing is what year He Yue and then according to what but weave.A words, under the current system, the benefits of doctor's benefits and sufferer produced a basic antinomy on the direction, I think the key sticking point of this problem since not at medical personnel also not at the patient, but lie in system.The very secure job that breaks public expense medical treatment is a trend reporter:Now also the many people objection take"the market turns" as a direction to reform a medical system, among them, the most familiar example is the United States, Obama government at cure to change equally all the difficulties last now.What kind of experience is "is suitable Chinese state of the nation"?Liu Guo En:The medical system reform is the whole mankind's common challenge, this sentence right, but have no to guide meaning too greatly.All countries are placed in a different development stage and also face the challenge of different characteristics.Be like the United States, what it face isn't basic medical service can not satisfy of problem, it wants the problem for working out is how make medical ministrant cost be unlikely to rise so quickly, this among them the price of the core push the factor is its fast- developing new medical science technique.The government tries to carry on stipulation to this aspect, the nature will cause bad impression of common people.Moreover the government tries to promote all the people to cure to protect and also caused worrying of common people:Will the our independent choice medical treatment ministrant right sell at a discount?The nation in an Augustinian"choice freedom", this and its value is conflict.This is the biggest obstacle that it cures to change to face.The medical service technique of the United States is undoubtedly the leading position that is placed in in the world, medical service technique and supply level of China can say to completely be not on a layer, if the United States were a "wealthy" level in serving medical treatment, China would then carry out "Wen Bao" hard.Take new medicine development as an example, China up to now didn't°yet on satge in the world the realization"zero of breakthrough", but the United States developed in the world about 100 to divide 8910 new medicines annually, circumstance ability similar?Want and judge a system and reform to be not very good, at least in China present stage,cheap sunglasses I think be see whether it is advantageous to a social resource and mobilizes, it promotes development, because of development bottleneck is we currently all problems most the challenge of core.Reporter:"Seeing a doctor is difficult and see a doctor expensive" is a great problem to some people, housebound see to not fresh the example of poverty, but see a doctor to some crowds opposite in brief get many.Have in the middle of curing and correcting the mistakes a distance which crowds is belong to pre-eminent crowd?To cure to change a trend and have which influences?Liu Guo En:I feel that medical treatment is as almost identical as other realm and all exist the crowd of different grade.Sit mark to fasten in medical and health currently up, the most pre-eminent crowd is to be like our this kind of person who takes public expense medical treatment, the person of national organization, business organization, public expense medical treatment mean most of out-patient services, go to hospital and take medicine, will have the medical system that the national public finance props up guarantee.So to this persons, the of course not exists to specially and seriously see a doctor and then cure a problem.Is opposite but speech, the medical strength for guarantee for other social crowds differs a lot, this mainly included town officers and workers basic medical insurance, town residents basic medical insurance, and the new village cooperates medical insurance.According to at that time in 1994 the reform plan of the medical insurance of town officers and workers of national design, public-fund medical treatment and labor insurance originally should want to match two to an and broke between organizations the piece partitioned status and built up city- based and basic insurance system, extension cure the risk protecting to share ability.But is also that we draw up a policy and carry out the person of policy to mainly enjoy a public-fund medical treatment, so the government functionary of national organization, business unit really formed a privilege stratum and reformed people the time in the oneself head is naturally the most painful.Pleased BE, in the near future had good progress, especially in Peking, have a few area governments the initiative put forward the very secure job he/she to break public expense medical treatment, building up whole area the employee is fairer effectively basic medical insurance, I believe that this by all means is aftertime city to cure an important trend of protecting the development.
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