"I see, Dean Jing's vision and planning are not like you just staring at the one-third of an acre of land in front of you, thinking that Dean Jing and the provincial hospital will support you with a group of experts and give you some equipment, so that your county hospital will have a level and conditions similar to that of the provincial hospital. "www.biquge.info Qi Tianxiang couldn't hide the joy in his heart, but he deliberately looked at Feng Juncai and said solemnly: "Listen to the layout of other experts, feel the pressure and gap!" The so-called workers who want to do their jobs well must first sharpen their tools, and dare to make suggestions without thinking about their own goals? “

Feng Juncai also applauded Jing Zhenlin's proposal, but he didn't dare to show it easily, seeing Qi Tianxiang's words, he also understood that Qi Tianxiang was a cover-up, so he smiled forcefully and said: "Either I just suggested, and took the initiative to pilot first, don't we just understand?" If you don't listen to Dean Jing's speech, you have the feeling that you have been enlightened! As long as we can alleviate the plight of grassroots hospitals and alleviate the contradiction that it is difficult for the people to seek medical treatment and expensive to see a doctor, we are willing to try any good suggestions and are willing to fully cooperate. ”

"I can't say that my idea was good, let alone that I had foresight, isn't it all forced? Speaking of which, I have to sincerely thank Secretary Feng for giving us such a platform! I would also like to thank the provincial government for giving us the opportunity to try the hospital first! From the conversation between Qi Tianxiang and Feng Juncai, Jing Zhenlin felt that they were very satisfied with his proposal, and they also deeply appreciated his ideas, but he still tried his best to express his modesty, and said frankly in the face of Qi Tianxiang: "Grassroots but experienced experts and senior doctors, where do I want to produce results, waiting for the doctors to be promoted to professional titles are crowded together, and I am reluctant to flow and lose disorderly, and they are not willing." Now we have the opportunity to let the qualified medical staff to the grassroots exercise, increase the practical experience, enhance the ability, but also the grassroots potential medical staff into our hospital to study, which is a good thing in itself, two-way flow, our doctor team quality will be greatly improved, but also cultivate talents, why not? ”

"That's to the point." Qi Tianxiang looked at Jing Zhenlin with a smile, and praised him with a smile on his face: "It was originally a normal two-way flow, but because of marketization and interest barriers, it has become difficult. ”

"Before the reform and opening up, during the period of the government-led planned economy, hospitals were part of the government's public services, and the allocation of medical resources was established according to the region and population. Qi Tianxiang's happy expression was instantly covered by a serious topic, and he said sincerely: "At that time, when the national economy was seriously in difficulty, the party and the government still did their best to ensure the health and medical and health conditions of the people, because this is the responsibility of the party and the government, and it is a mission and a necessity. However, with the development of our society, this sense of mission and sense of responsibility has gradually given way to economic interests, and it is said that the invisible hand of the market is used to regulate the needs of society, but in fact it is shirking responsibility, and it is a disregard for the sense of mission, and the root cause is the deviation of our government's leading ideology, and there is no better reason to explain it. ”

Qi Tianxiang glanced at Jing Zhenlin and Feng Juncai, and continued with a grim expression: "Over the years, it can be said that our investment in medical and health services has increased every year, and the increase has exceeded the investment in education and people's livelihood security, but have these huge investments benefited the people?" And how much goes into the pockets of medical representatives and equipment suppliers? And how many went into the small treasury of the hospital? How much more has become a doctor's and specialist's personal income? And this doesn't include the benefits of too much medical treatment by private medical units? Is this the reason for the medical system? Or is it the industrialization of medical and health care that we regard as a salvation for the world? ”

"You have a really unique vision and a keen eye for the current problems and crux of the health care system." Jing Zhenlin looked at Qi Tianxiang with a smile and responded seriously: "The industrialization of medical and health care has played a certain role in popularizing and expanding the scope of medical services, especially in promoting the development of medical technology and the application of advanced diagnosis and treatment equipment, but the side effects cannot be avoided. That is, the medical units that provide public medical services have become economic entities, and they are business units with unique characteristics and monopoly, and the goal pursued by the hospital is not how many people have provided medical treatment services, but how much profit has been realized and what kind of benefits have been created. In addition, as you said, the huge economic benefits not only come from the government's financial investment, but also the income obtained by the hard work of the majority of patients, which has not returned to the government's finance and taxation, but has entered the pockets of all links in the industrial chain and has become a vassal that is difficult to give up. This is naturally abnormal, but it does not happen overnight, and change cannot happen overnight. ”

"That's true! In today's situation where the real economy is withering and business profits are declining sharply, the easiest business units to see on the streets of any city, in addition to banks, are mobile or Unicom business outlets, and some may be pharmacies! Feng Juncai took over the topic of Jing Zhenlin and said slowly: "Why these industries can open stores in the bustling city is not the demand generated by the market, but the drive of interests, which can cope with such high rents and various expenses, if it is not profitable, there is really no better explanation." How much does a box of medicine cost? How much profit is reasonable? The people are not clear, the relevant government departments do not care, and the harsh entry threshold shows that there are huge profits in this industry, and it should be curbed as necessary, otherwise the burden of the people will be even more overwhelming. ”

Qi Tianxiang listened to Jing Zhenlin's words, especially Feng Juncai's complaints, without any hesitation, and said firmly: "Of course, these chaos must be controlled, and it must be curbed as necessary, and it must start from the root cause of the medical and health units. Such a good thing cannot last long. ”

"Medical and health units must face market-oriented competition conditions when they operate as enterprises, and Han Fei has not repeatedly asked for the introduction of private medical and investment institutions to expand the scope of competition? If there is no other intention, then there must be a need for competition. There is no need for the health administration department to be in charge, here is the Department of Family Planning and Health, where is there a Food and Drug Administration, and there is also a Traditional Chinese Medicine Administration, so many overlapping institutions, but they can't manage a hospital, what does this kind of aggressiveness mean? It shows that our government agencies are set up unreasonably, we don't care about what should be managed, and we don't care about what shouldn't be managed, isn't it still a matter of interest? Qi Tianxiang's voice couldn't help but rise again, looking at Jing Zhenlin and said solemnly: "As the president of the hospital, you should know what the weakness of the hospital is, it is nothing more than interests and authority, don't worry about it, just start with medical security, and the approval power is assigned to the management of the labor and social security department, I don't care what drug price increase you have, and I don't care if you over-inspect and over-medicalize, I will only review your documents, and it is a post-event review, to see what tricks you can have." ”

Qi Tianxiang looked at Jing Zhenlin with a slight sneer, and said slowly: "As far as one provision is concerned, all medical activities are settled after the fact, and the price is clearly marked like a restaurant dish code, and the patient is admitted to the hospital to be cured and discharged, and there is no need for upfront costs. Market economy! It is necessary to act according to the laws of the market, so that what black hole cannot see the light, and what problems cannot be solved? ”

"These issues are not only for health care units, but also for the chaotic real estate and food sectors." Qi Tianxiang saw Jing Zhenlin's slightly embarrassed expression, so he smiled slightly and said: "Of course, these statements are not aimed at your director Jing, let alone your provincial hospital, but the problems existing in the entire industry and social form. The key is still the confusion of profit-driven and responsibility-driven, is there no way to solve the problem? What is the role of banks in the wave of real estate price increases? The frequent safety problems in the food industry, has the role of the regulatory authorities and the accountability mechanism played its due role? In fact, if you manage both ends well, real estate will manage financial loans and down payment ratios, and the other end will manage the review and evaluation mechanism, and the behavior of investment will become much more rational, and the house will return to the housing function. The same is true for the food industry, where increased regulation and market condemnation, as well as mismanaged chaser mechanisms, will these issues still stir the nerves of governments and citizens? ”

Qi Tianxiang spoke, raised his wrist and glanced at his watch, and said to Jing Zhenlin with a smile: "These are all the work that the provincial government needs to start doing, but this is not a top priority, the focus now is to invite you to dinner, which is the most important thing." I think it's about the same time, let's move to the small restaurant and chat while eating! ”