Cracking drugs to support medical advances

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Minister of Health Chen Hao said that the most obvious result of the three years since the promotion of medical reform was the initial realization of the full coverage of the medical insurance system, and the public hospital services that are the focus of the reform have also been fully implemented. Chen Yun said that as a chronic illness in the medical system, it is "deep water" to support medicine. However, it is difficult to cross out.

The new rural cooperative medical insurance and urban health insurance spread in the form of “low-level and wide-coverage coverage” are designed to make more people “dare to see the doctor”, but there are still defects such as low level of financing and inaccessibility of regional networks. Only dare to see minor illnesses, dare not see serious illnesses, and problems such as tedious procedures for cross-regional visits, are still testing the gold content of the medical insurance system.

At the same time, medical resources are seriously out of balance, the swings and vagueness of public hospitals, especially county-level hospitals, the chronic illnesses caused by medicine and medical care, and the tension between doctors and patients, all show how heavy the restructuring of the medical system is. There is still a long way to go for ordinary people to go from "dare to see a doctor" to "see a good doctor."

Chen Hao vowed to cross the deep waters where medicine was used to support medical practitioners, demonstrating his determination to continue to implement medical reforms. This reform incision directly corresponds to the heavy medical burden of the public and finances. However, there are many challenges to achieve lightening. On the one hand, the use of medicine to support medicine is a historical product that the finances cannot afford to undertake during the period of public medical care. Now, this policy has led to a layered interest relationship between medical institutions and drug production and intermediate links. This relationship is manifested as personal rent seeking. The type is also expressed as rent-seeking units. Increase the price of drugs to hold the hospital half the sky, how to let the hospital take the initiative to give up their own interests?

On the other hand, the government pricing mechanism where the current price increase for drugs cannot exceed 15% is also worth discussing. The result of government pricing is that hospitals prefer to purchase and use high-priced medicines for patients to obtain more profits, and they are unwilling to purchase affordable and effective low-priced medicines. As a result, the effect of the pricing mechanism aimed at reducing the burden was compromised.

There are two ways of thinking about the governance of medicine and medicine, and many places are practicing it. One is the loss of drug service fees that can not be increased and sold. The second is to rely on government subsidies. However, if there is no fixed fee for the pharmacy service, then the “supply” from the patient to the pharmacy may become “supply” to the doctor. The supplier has changed and the burden has not been reduced. Since the hospital budget is not an actual budget, in the case of huge local financial differences, relying on government subsidies will result in the flow of high-quality medical staff to wealthy areas, exacerbating the already serious imbalance in medical resources. Therefore, this road is also full of risks.

The facts are very clear. The deep water “drought medicine” can not be stopped by the Ministry of Health. The social security system has to be upgraded and the fiscal system has a unified budget to allow public hospitals to really name “public” and price management to try to close their hands. These are prerequisites. Only when the government's resources form a concerted effort and it is actually pushed forward, the “water” for medicine and medicine can become less profound and less embarrassing. One of the "three old difficulties" of seeing a doctor is only expected to be resolved.

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