Wang Yi didn't answer the rhetorical question: "You said that it was a medical reimbursement for employees, not a medical reimbursement for urban residents." How many of us are retired workers in China, and how many are urban residents?"

"Moreover, do you know that my family Dechi is considered to be the top class in the third-tier cities, but the people of Dechi are sick and do not receive much treatment in the regional hospitals, so they all like to go to several third-class hospitals in Tingnan City?"

"Just because the medical level of Dechi District Hospital is not as good as the tertiary hospital in Tingnan City after two hours by car. ”

"In addition, even if the medical reimbursement of employees can be reimbursed for a large percentage, patients still need to pay a large deposit before being hospitalized. In the case of a major illness, you have to pay at least 10,000 to 20,000 yuan, and if you can't be discharged from the hospital within a week, you have to continue to pay another 10,000 to 20,000 yuan. ”

"Some workers may be able to take it out, but some retired workers' families may not be able to take out the money immediately, especially those in difficulty. ”

"Why is the level of doctors in the tertiary hospitals in the first-tier and second-tier cities high? The advanced equipment is on the one hand, and on the other hand, because there are many patients, there are also many doctors. ”

"Doctors are also human beings, and they also want to have a high income and high honors. But now, there is a serious shortage of patients in our primary health care organizations, and our big city hospitals are overcrowded and there is a serious shortage of doctors. That's bad development. ”

"But big hospitals have limited space, and it is impossible to have unlimited access to doctors. ZL looked at Wang Yi: "Of course, we are also thinking about how to solve this problem. ”

"Actually, it's easy to solve. Let the powerful doctors flow, and drive the doctors in small areas to practice. After all, the profession of a doctor requires more practice!" Wang Yishou said: "The powerful doctors of each tertiary hospital in the first-tier cities will retain the establishment in the local area, take turns to stay for half a year, treat patients locally, and treat them in their own hospitals, and then use his name to attract local patients, and within half a year, they will definitely be able to train a few skilled doctors in small hospitals." ”

"Then, hospitals in first-tier cities, in terms of registration, should have some restrictions, consider the physical strength and diagnosis level of doctors, limit the number per day, and have a special department to triage first-tier and second-tier cities. ”

"To put it bluntly, since in our government system and education system, public officials can be mobile, then why can't we have staffed personnel in our medical system?

"A section chief can be transferred to another department, a section chief can be transferred to another department, or other departments of different institutions, then the doctor should also be able to obey the organization's deployment!"

Wang Yi knew that once his words were spread, no matter whether the authorities would consider and adopt them, they would definitely cause a big storm.

This is the equivalent of a major revolution in the medical industry.

However, Wang Yi felt that he was not wrong. Why can government departments and education departments transfer employees around, but medical institutions cannot?

No matter how large a hospital is, it must be supervised by the health department. Of course, the state has pushed the hospital industry to the market before, and it may also feel that the state finance alone cannot fully be responsible for the large medical expenses, so it will let the hospital charge, part of the state reimbursement, and part of the patient's burden.

But after all, doctors are a special industry, which requires a large number of skilled hands, and the work is high-intensity and costly, so it is not wrong to push to the market, but the wrong thing is that the intensity of pushing to the market is a bit out of control.

What is the national economy and people's livelihood? Clothing, food, housing, transportation, education, and medical care. The reason why the cost of housing has not been reduced for a long time is mainly related to education and medical care.

If educational resources and medical resources are scattered, then the cost of housing will be reduced accordingly.

Educational resources can be circulated, then medical resources must also be circulated accordingly, after all, housing cannot be moved at will.

"This can't be!" a leader in charge of health care shook his head: "Doctors also have a choice, and once these doctors are forcibly sent to remote areas that they do not want to go, it is likely that they will choose to resign." ”

Wang Yi said with confidence: "A good doctor with a conscience, revenge, and a sense of social responsibility, as long as he can get enough material rewards, I believe that he is still willing to work hard for half a year, train more outstanding young doctors for the country, and reduce his workload for himself." ”

"It's just half a year of support, and it's not for them to support and teach for free. Their treatment is still there, why not?"

At the same time, the atmosphere of seniority in the medical industry must also be changed. I don't think it's necessary to strangle the review of senior titles too much. As long as the technology is reached, the theoretical level is reached, and there are no major problems in terms of ideology, it can be passed. After all, there are still too few tertiary hospitals now, which leads to the scarcity of senior professional titles, because there are so many positions in one hospital. ”

"However, if we increase the construction of third-class hospitals in second-tier cities, increase the number of third-class hospitals in third-tier cities, and disperse those talented and capable young doctors, so that they can see the hope of running forward, and they do not have to stay in first-tier cities, and still have good development prospects, they will naturally be willing to be the head of the chicken rather than the tail of the phoenix!"

"Why are there so many young people in Beijing, Shanghai and Guangzhou? Because there are many opportunities, because of the fame, the life is modern enough, and there is enough entertainment for young people to enjoy. If other cities take off rapidly, are in line with international standards, have a lot of convenience, high salary, and hope for improvement, flexible and energetic young doctors are still very willing to work and fight. ”

"When the level of medical care and education is raised, it will naturally absorb more and more migrants to stay and take root. For example, didn't the Binhai Special Economic Zone develop rapidly in just over a decade?"

The leader looked at Wang Yi, who was bitter: "So, what do you mean, at present, let go of the establishment and professional title assessment of large public hospitals in second- and third-tier cities, improve the salary, and then set up a medical support policy, mobilize top doctors from the third-class hospitals in first-tier cities, go to the countryside in equal groups, and go to various places to impart experience? Have you calculated how much it will cost?"

"Our country's current transportation hub has been very developed, I think, except for some remote areas and the desolate northwest of the infrastructure roads, there is no need to build other super infrastructure, the saved funds can be used to improve the welfare of doctors and teachers, so that they can settle down, good students to educate talents, good students to study patients and treat diseases. ”

Transportation in remote areas must be built, and only with roads can there be people, circulation, and prosperity.

But there is really no need to invest too much in the rest, even if the high-speed rail runs fast, but the carrying capacity is limited, and the capacity of a large city is also limited.