How much does it take for a patient to laugh at the purchase of medicine?

According to Zui's new medical reform plan, starting in October, the national primary medical institutions will implement the “National Essential Drug System” and 307 commonly used drugs “zero price difference” sales. The reporter learned from the Hangzhou Xiacheng District Health Bureau that the local residents not only bought the medicines, but also had more than 160,000 people who had received the “reduction of the card”, and the 8% of the loans were all reduced. Since January of this year, six community hospitals in the district have implemented “zero conceit”. As of September 1, the total amount of drugs used in the catalogue was more than 12.6 million yuan, and the amount of relief and profit was 1.52 million yuan. Only one point of Changqing Chaoming Community Hospital, in 2009, the district government subsidy is expected to reach 1 million yuan.

According to reports, as early as three years ago, Hangzhou Changqing Chaoming Community Hospital became a hospital in the country that tried to make money without selling drugs, which benefited patients and benefited chronic patients. For example, diabetic patients need to play 4 needles every week, "Nuohe Ling", this medical insurance class A medicine retail price of nearly 70 yuan. However, the prices of different hospitals are different. In provincial hospitals, patients have to bear more than 10 yuan; in ordinary community hospitals, patients have to pay more than 5 yuan; and in community hospitals that implement "zero price difference" in drug sales, patients can not pay for themselves. 4 yuan. Patients who need long-term medications such as high blood pressure and diabetes can save hundreds of dollars a year by selecting medicines in the catalog.

There is no doubt that the reform of the six community hospitals in Xiacheng District of Hangzhou has benefited the people and made the majority of patients get a greater benefit. However, I believe that this kind of reform that seems to make people clap their hands is not to escape the fate of development. First, “typical” is not a “model”. The regional economic development in China is seriously unbalanced. The demonstration significance of the model of Hangzhou's lower urban area with high economic development and the practical effect of popularization and popularization are not significant. Second, “blood-filling” is not as good as “hematopoietic”. To solve the problem of residents taking medicine and taking medicine, the government financial fund subsidy alone is only an expedient measure, and it is not a cure-up policy. Third, “Bianbu” has intensified the “dark harvest”. Government finance comes from taxation, national debt, state-owned enterprise profits and fees. If it is difficult to solve many people's livelihood problems such as poor farmers, expensive housing, and difficult medical treatment, all financial subsidies will inevitably prompt the government to levy on full grounds. More taxes, borrow more money, and penalize more money. Zui is still a moldy person or ordinary people. Therefore, it is indeed a question mark that “zero conceited” purchase of drugs can make patients laugh for a long time.

In fact, "there is no free lunch in the world", this is indeed a universal truth. Shopping payment, justified, nothing to say. Any reform involving people's livelihood issues is inseparable from the government's financial support. This is necessary. It is also the duty of the government to solve problems for the people and for the people. However, solving the problem of people's livelihood is not the more the government takes the initiative to pay for it, the more pockets, the better the pockets, the more medicine can be cured. The government must not ignore an important question before reaching out: Is this the scope of the government? Is there a better solution than government intervention?

To be precise, the reason why the people are difficult to see a doctor and expensive to see a doctor today is not because the government does not invest or invest insufficiently, but because the social basic medical insurance system is not perfect and the market for medical services is lacking. The reason why the medical market has a high barrier to entry is that it has not yet been fully open and lacks reasonable and orderly competition. The fundamental reason is that the "hand of the government" has been stretched too long, and it is said that the government is competing with the people. In fact, China's private capital reserves are huge. If the medical market is completely opened, the social and financial resources will be freely entered, and the private profit-making or non-profit hospitals will be supported and encouraged to develop in a healthy manner. The medical problems of the medical industry will naturally ease. Most of the time. All the problems that the market and society can solve, the government can completely squander, but focus on freeing up financial resources to provide free and effective medical services to those vulnerable people who do not have a stable source of income.

It is undeniable that governments at all levels are making unremitting efforts to solve the people's livelihood issues. For example, in the face of the continuous rise in housing prices in the country, the government has introduced a strong policy to regulate the real estate market, which has also attracted the attention of the public and public opinion. But today we can still say that the government real estate regulation and control policy is a failure. .

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