Zhejiang the intersection of Yuhang and the intersection of district and 300 million buy-back sell public hospital cause dispute

Zhejiang the intersection of Yuhang and the intersection of district and 300 million buy-back sell public hospital cause dispute
Zhejiang the intersection of Yuhang and the intersection of district and 300 million buy-back sell public hospital cause dispute
The incident is returned: 8 years ago, Yuhang district of Hangzhou passed and auctioned, with the total price of 75 million yuan, sold one-man business of 29 commune hospitals, this district government furnishes funds of 300 million yuan again recently, retracted all 28 commune hospitals by the government finance. It shows, the buy-back of a huge sum of money, the government not merely wants to buy back common people's trust to the medical organization at the basic level that the kingdom of Vice Chief of department of public health of Zhejiang Province offers, also want to buy back the whole people's health. This cost is quite high " The grass that has been eaten " What role is acted during medical reform? In the near future, opinions vary to this in the various circles of society. Our publication selects and edits the public sentiment of the will of the people as follows, in order to read for reader's reference. Why eat the medical reform of Yuhang " The grass that has been eaten " HangMin Wu one circuitous detour in this, can also look at do national a sparrow of medical reform. 8 years ago, Yuhang district passed and auctioned, with the total price of 75 million yuan, sold all 29 commune hospitals - " introduce to the market " like this several years ago Medical system reform,we seem to have met before. In order to remedy the financial input to the medical field of the country insufficiently, several years ago, encourage developing, prospering the private hospital and becoming the trend, the public hospitals of much basic unit march toward the market-based road one after another, auctioned and changed into privately. The shareholding system reform which Yuhang district carries on, cured and changed a epitome in the direction at that time. Should inherit the marketization of hospital of public service properties, how its result will be? It is believed that everybody sees and hears, feels indebted as if it were received in person. Vigorous private hospital and those were the market-based public hospital several years ago, the enticement that is driven in the interests " Urge on " Leave, violate medical ethics, offends against the behavior of the law and emerges in an endless stream, large prescription, high price medicine remain incessant after repeated prohibition, not only has not reduced the pressure of the difficulty and high cost of getting medical treatment of ordinary people slowly, the medical price increases accordingly instead, let patient disasters pile up on one another further, cause the tense aggravation of the relationship between doctors and patients. The situation of the commune hospital at the basic level of Yuhang district can not make an exception. Sold one-man business at 75 million yuan that year, today, " redeemed" with a huge sum of money government finance of 300 million ,This account, not really easy to regard as, including the change of government finance capability, ordinary people's medical demand, the localization of medical care that the government offers, the economic development levels of country and city,etc.. However, one is clear. Get rid of the hospital bearing public service properties for individuals to make profit, will only make the masses unsatisfied, the market is unsatisfied with too finally. After buying back, medicine is made into the result and appeared tentatively: Follow taking profit as purpose policy, reduce the intersection of medicine and price greatly, let, benefit common people. Prescription value once has dropped, but the clinic person has increased, government, the hospital, market and masses are all satisfied. The intersection of medical reform and pilot instruction that release will it be February this year propose, want with public beneficial for the core clearly. No doubt, medical reform take real Huimin, medical reform want, relieve to diagnose the illness, see the doctor difficult problem while being expensive masses conscientiously, the government " gets rid of the burden" It is impractical absolutely, only devote more efforts to investing in the government, it is public beneficial to stand fast at, could stand fast at common people's trust to the medical organization, could bring the whole people's health. It is public service to buy back the commune hospital " Bring order out of chaos " (used at the end of a question) Yan Yang sold 29 commune hospitals with 75 million yuan several years ago, by 300 million yuan for 28 commune hospitals of buy-back now, this pen of the district government of Yuhang " Buy and sell " It is great to lose. May be a lot of the people do for the government " The major part of wrong " And feel aggrieved, it is gloomy endlessly to bury only for the artificial government's decision fault of paying taxes. In fact, in more than ten years in the past, a lot of local governments have done the loss of capital bought back in similar sale to " buy and sell " . If this is a kind of decision fault, then this kind of decision fault relates to social agitation at that time more, accurately say and for a time " Suffused with marketization " The agitation has something to do. In planned economy times, market economy was once regarded as dreadful monsters by us; Plan it to market transition times, " marketization " And is regarded as omnipotent panacea by us for a time, the difficult problem of any economics and society that seem, so long as it is easily solved to implement marketization, everything is just fine, we have not even found time to comprehend the true essence of market economy, move towards another extreme from one extremely. Medical marketization, public transit marketization, housing commercialization, education industrialization, marketization equate with, pursue interests, maximize not merely, even simple to turn it into and rise in price. Just in this kind " Suffused with marketization " Under the agitation, reform system of the public medical organization the private medical organization one after another a lot of places, no exception in Yuhang district. But the predicament which must face in medical marketization is, the private medical organization makes pursuing profits and maximizing as one's own duty, two is chosen to raise medical price, medicines price and does not almost become. The situation of Yuhang district is so: Manage benefit in order to improve, the large prescription is customary, the medicines income of the commune hospital accounts for 80% to 90% of all incomes; In order to lower costs, the shareholders are generally can't be more unwilling; In order to reduce the expenses of manpower, engage the casual labour in a large amount; Abstandard because of medical care, doctors and patients' dispute takes place frequently, masses' satisfaction drops, the medical brain drain is serious The fact like iron shows, has made the directional mistake in medical marketization, one the obstructed wrong road leaves in the privatization of medical organization, the government " gets rid of the burden" , act as " master asking only others to do,but without himself " Result ordinary people interests damage. Now, a lot of places including Yuhang district buy back the private medical organization one after another, though it is high to spend, it is " road of retrogression " that must be taken ,Have bought back and reflected government's public service idea and policy " Bring order out of chaos " . This section of detours warn us: Marketization is not omnipotent panacea, belonging to the market, belonging to the government of the government of the market, not obscuring each other, this's the real market economy. I wish we will not leave again afterwards in such a detour. Buy back the commune hospital " Buy back " Popular feelings Selling before Dong BiHui, it is for getting rid of the burden. Because the government puts into insufficiently, the most commune hospitals of the whole country including Yuhang generally suffer the loss, have even presented the question of surviving. At that time, the income of the whole Yuhang all commune hospitals was added up there is only several ten million yuan too, at least 70% of the commune hospitals face loss, the great majority lose amount above 30%, look from economic angle, such a burden is very heavy. After getting rid of the burden, can go into battle with a light pack, is it radical to hold in the mouth one? Reality commune hospital busy diagnose, write a prescription for the patient, public health serve hands allocate enough, carry out strength and give a great discount too. The profit has become the oldest motive force of shareholders. Managing benefitedly in order to improve, most doctors are arranged to diagnose, the great prescription is customary. At that time, the medicines income of the commune hospital accounted for 80%- 90% of all incomes. Doctors and patients' dispute takes place frequently, the masses have many complaints. Thought that got rid of the pack of dynamite, had never expected that had shouldered a case of detonator again. I frequently One that change will need not to be only one by angle. Angles looking at problem are different, the problem will change too. For example, the government regards oneself as the businessman, then the medical organization becomes the industry of government's name, this industry suffers the loss, certainly cut down. But if the government regards oneself as the provider of the public service, the hospital has become the organization offering medical care, the standard of appraising the medical organization is not today " The turnover " OK, how many profits enter the account, and how many patients have enjoyed medical care, for how much people have relieved the agony brought because of disease. To public service, money that spend call, make the investment at medical treatment, call input. The district government of Yuhang spends 300 million retracting these medical organizations, it is the awakening of the public service consciousness. Some local governments of ours can not always find out one's own role make a reservation frequently, let it play a part in, it must act as the man for the first, unsatisfied on the first as the man, must take on, come down too work of playwriter, director, film-making, film editing, specially good effect belong to it too finally certainly. The subject of planned economy, does not mean looking on as the subject of market economy as spoiling. In one pair of middle schools to some extent in city of Heilongjiang Province, it should be state-run, but is making the banner run by the local people and subsidized by the state and charging the great amount of tuition, the government still participates in being divided into. Such a government, it has already been so small as to fall into the money, still can do the public service of education well, let one's own image be getting tall and big among people? The medical field is the same. The government should not stride the border of the public service, enter the ranks of the person who chases profit. As Yuhang district spends the buy-back health station of a huge sum of money, do not regard profit as object to manage, but increase input, reduce the medicine price, patients have received material benefit vividly, clinic person and masses satisfaction has been got " Pair of growth " . In this sense, a huge sum of money buy-back in Yuhang is " bribed " Heart,bribe such one we are welcome. It's a pity, many medical organizations still swim in the money at present, certainly a drowned one is those ordinary people who look down upon the disease forever. Some " burden " Can't get rid of The intersection of stone and 75 million of Sichuan Wang sell, 300 million buy-back, such well-known writer, make people right to smell the air having wealth speak louder than others of the government peng have. It is many net friend think is it getting stranger so like,getting more reasonable non-, there are sweet to last wrong major part on government, among them there is a trick. Whether is there a hidden inside story, wait until the relevant department to get involved in the investigation. I think, the disturbance of commune hospital of buy-back of 300 million yuan that this of ruminating gets up, a great deal of lessons need drawing. Some " burden " Can't get rid of it. Why sell the district government of Yuhang to the commune hospital originally? Originally, the most commune hospitals of the whole country including Yuhang generally suffered the loss at that time, have even presented the question of surviving. So, the government determines to introduce the market-based means, lighten the burden on one hand, vitalize resources on one hand. The but actually so-called one " Lighten the burden, vitalize resources " ,Actually just get rid of the burden. In all fairness, marketization is not a bastard, the thing mound people of today are bright that there is no marketization either. But market a clever one Wan, government can't indiscriminately, all " burdens" All throw away to the market, the public products can't be thrown. For example, implement the market-based reform of the running water in place and throw the running water to the market, the result causes water price to connect with rise once, the government is unable to control, ordinary people's grievance is towering. Obviously, there are " burdens " Can not get rid of, the public products can't be excessively market-based. Public services such as medical treatment,etc. are the same, medical care can not absorb social resources, but can't only to lift in marketization, throw market to all, will have endless trouble. We see, after Yuhang hospital reforms system, all kinds of problems. Managing benefitedly in order to improve, most doctors are arranged to diagnose, the great prescription is customary; In order to lower costs, the shareholders are generally can't be more unwilling, will come down in the courtyard and give up in a few years, the apparatus is tattered; In order to reduce the expenses of manpower, engage the casual labour in a large amount. Some doctors and patients of commune hospital disputes take place frequently, masses' satisfaction drops, the people of commune hospital run off seriously. The lesson is undoubtedly heavy. Recall past pains, implement buy-back with resolution in Yuhang, this is because the local government has realized previous wrong cognition, have realized even more that " adhered to basic medical treatment and public service attribute of the public health service field, relieve the essential that the difficulty and high cost of getting medical treatment of the masses is the medical reform. " In fact, exactly the same the favorable comment wooden mode of spirit before this thinking and this. God's wooden mode operates very successfully, very popular, the reason why the locality should pursue free medical care, have exactly reflected the idea of governance of putting people's livelihood first. Certainly, watch out for too to enter into another extreme, namely think the government should totally dominate, the market can't have finger in medical care at all. In fact, on February 25 this year, " pilot instruction of the public hospital reform " that the central authorities issue is pointed out clearly, the basic principle of the public hospital reform, the unity of fair and efficiency, government's leading factor that insist and giving play to the market mechanism to combine, encourage doing and curing, promoting different ownership and managing the property hospital to develop in harmony in pluralism at the same time. In other words, social resources can get involved in medical treatment too. I expect even if government increase the input into medical treatment, can't son sell the intersection of grandfather and field love either still, strengthen and supervise even more, cherish the taxpayer's money. Who can guarantee not to sell cheap again after the buy-back commune hospital of a huge sum of money? Wang JunRong sells by 75 million, a few years later, repurchase 300 million yuan, this transaction, obviously lose greatly. This one sells one to buy, how many secrets are hidden inside? Certainly, the money of this deficit is not the policymaker individual pays the bill, but is buried by the taxpayer singly. Sold reason sold, sold that year, because suffered the loss. At least 70% of the commune hospitals face loss, the great majority lose amount above 30%. Buy excuse bought, the buy-back of a huge sum of money, the government not merely wants to buy back common people's trust to the medical organization at the basic level, also want to buy back the whole people's health. It seems that no matter " sold " that year ,Of today " Buy " ,All for the state and the people. The public hospital, originally should not sell it. After private interests occupied the public hospital, public beneficial on all going. Making money just becomes the shareholder's inevitable pursuit goal, as a result, invest insufficient, disparate development, the intersection of development capacity and on the weak side, medicines expensive, clinic times of question such as being costly emerge in an endless stream again, the one that suffered hardships is common people, they want to bear to see the doctor expensively. Unless true, recall past pains now, determine Yuhang district government to purchase and combine all without exception wholly about commune hospital that be sold but, but after buy-back, can really solve the difficult problem of those years? If it is still insufficient to put into, the guarantee that if the public hospital is public beneficial to still fail, no matter how to speak are all empty verbiages. The reform, seem to all want Pay the tuition, this 225 million, can be regarded as and pay the tuition too. However, do not poor toss about, should not frustrate the family in reform. If in a few years, some leader said that should sell, whether can sell it again? Really as net friend says, will more than 5 pieces sell after two year, and more than 10 pieces buy back later. Toss about to toss about, who is it to raise a fertile one? Is it only a buyer? This will obviously type a big question mark. There is no harm in jumping out and seeing government's buy-back reforming system in the hospital at high price The shareholding system hospital after reforming system of He Yong Zhejiang Yuhang government's buy-back, cause the social concern, not in fact because the government buys back the hospital again this kind of method causes the concern, but because costly a lot comparing with the time of selling before this prices of the buy-back hospital of the government. Frankly speaking, it is " high price " Two words cause the social concern, let the external world suspect whether this measure has a corrupt trick, whether let some people earn the middle price differential, this kind of phenomenon and behavior are really many at present after all. Hospital sell at a low price, the intersection of high price and buy-back, I think society need, jump out view of high price treat this action. In fact even there is not corrupt behavior, the high price is not unexpected in buy-back. Jump in prices instantly on one hand, the inflation is rising constantly, RMB " devalue " greatly ,The hospital worth 75 million yuan rose 300 million yuan until today very normal too 8 years ago, saw the upward speed of the regional room rate, it is easy to understand. On the other hand government's buy-back reforms system the hospital, the articles redeeming oneself mortgage from the pawnshop with civilian in fact are the same, the ransom money is certainly higher than in gold, only the proportion is different. From the viewpoint of this angle, give up the worry that the masses reform system of the hospital to government's buy-back and suspect, the more important thing is buy-back reforms system the policy of the hospital wants the trade to be transparent, with appropriate procedure in the course of implementing, economy is worthwhile, let ordinary people see conscientiously it is worthwhile whether the buy-back of high price is economic, there are corrupt tricks in the middle, whether ordinary people can get material benefit from it. As everyone knows, one of the basic principles of the medical reform is to insist and ensure the public service properties of the hospital, certainly easier guarantee on public service properties of state-run hospital of governmental investment. However, the shareholding system hospital on one hand, and even the private hospital, so long as government's support is put in place, supervise in place, can guarantee the properties of its public service all the same. On the other hand with the development of economy, ordinary people have proposed the pluralistic requirement to the resources of the hospital. Government's buy-back reforms system in the hospital, the situation of letting medical resources return to the state-run hospital to unify the whole country, may not meet masses' demands. Moreover, government's buy-back reforms system of the method of the hospital, let the public worry to the development prospect of the medical industry of investment to some extent too, influence the development of the national medical industry. I thought, reform system in the hospital, might as well change a thinking with the buy-back of high price of government, strengthen it to the support which reforms system of the hospital, invest the support measure to ensure the properties of its public service through the finance, promote the medical reform synchronously.


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