As the words deepened, Qi Tianxiang's eyes became sharp, and he looked around at everyone and continued, "Can anyone tell me what is going on?" After more than ten years, why has the crux of the difficulty and high cost of seeing a doctor not changed in the slightest today? How did medical and health institutions, which are supposed to protect people's lives and health, become a peak that is difficult for ordinary people to climb? Where is the amount of money invested by our finances at all levels every year? Why can't it benefit the vast number of farmers and low-income groups in the city? I would like to hear an explanation, not only from the medical and health institutions, but also from the Ministry of Finance. Pen ~ Fun ~ Pavilion www.biquge.info"

Qi Tianxiang's words were like knives, and every sentence was full of fire, Sun Pingfang, Lu Shanzun, and Liang Bingyu had already understood Qi Tianxiang's thoughts, and they all knew that Qi Tianxiang's question was aimed at the new ones, so they watched calmly, waiting for their answers.

After a short period of coldness, Han Fei felt that as the director of the Provincial Department of Health, he couldn't avoid Qi Tianxiang's question, so he quietly looked at Qi Tianxiang's face, and then coughed lightly twice and hurriedly said: "Governor Qi raised a serious problem in the field of medical and health care, as a functional department in charge of health work, I feel very heavy, and I also hope to do my best to do a good job in medical and health management, and live up to the concern of the provincial party committee and the provincial government for medical care, as well as the needs of the people to receive good medical services." ”

"The medical and health undertakings in our province have made great progress in recent years, and the number of medical units and the level of diagnosis and treatment have made tremendous progress, which has greatly met the medical needs of the broad masses of the people. In addition to the industrialization and market-oriented development of the medical industry itself, this is inseparable from the care and support of the provincial party committee and the provincial government. Han Fei carefully considered the words and said carefully, seeing Qi Tianxiang's calm expression, he continued: "However, due to the uneven economic development of our province, as well as the reality of large rural areas and weak medical conditions, the advantageous medical resources are concentrated in the provincial capital city or central city, coupled with the insufficient financial investment in the field of public health, resulting in a serious difference between urban and rural medical conditions and medical environment. Although we have paid full attention to this issue, we have tried our best to reduce administrative expenditures from the health security funds every year and expand the proportion of support for primary medical institutions, and we have achieved some results, but there are still many gaps with the actual needs. This is also the focus of our work in the next step, and we will strive to strengthen and expand the necessary support and expansion of qualified primary medical institutions within three to five years, so as to solve the problem of the people's difficulty in seeing a doctor. ”

"Director Han's statement is basically in line with the medical and health reality of our province at this stage, and I have no objection, but I don't agree with some of the proposals, and I want to explain it." Since Han Fei spoke, Li Shijun's expression became nervous, and his face changed rapidly, from concern to dissatisfaction, to anger, and then to disdain and excitement. ”

Li Shijun was too eager to defend himself, and he didn't say anything more to Qi Tianxiang, but directly retorted to Han Fei, and after saying the words, he felt that he was a little too eager and excited, so he withdrew his gaze from looking at Han Fei, turned to Qi Tianxiang and breathed a sigh of relief: "I have a set of data here, which may be able to explain some problems." ”

"The year before last, when we had not yet implemented the provincial medical insurance, the funds directly allocated to the provincial health system were 7.26 billion yuan, and after deducting the administrative expenses and differential subsidy costs, the actual payment of medical insurance transfer costs was 4.87 billion yuan, and the funds for the new construction and renovation of medical equipment and institutions were 2.28 billion yuan." Li Shijun did not look at any materials, and clearly reported a series of figures, and there was no intention of stopping, "This data in the province last year after the implementation of the province's medical insurance should be fully insured, especially after covering the vast urban and rural areas of the province, it has become 11.32 billion five, an increase of nearly double, in addition to the province's medical administrative funds of more than 300 million yuan has not increased or decreased, medical insurance transfer payments have increased significantly, and the implementation of the hidden supplement to the open supplement, rural medical construction funds have only symbolically decreased by more than 200 million yuan, But it still reached $1.89 billion. ”

Li Shijun saw that everyone's eyes were focused on himself, so he became more and more energetic and said: "This year's final accounts have not yet come out, but the funds that can be allocated for medical transformation have reached 2 billion yuan, close to the level of the whole year before last, and the transfer payment funds have also reached 14 billion yuan, far exceeding the figure for the whole of last year." It is estimated that this figure will exceed 16 billion yuan throughout the year, and with the addition of administrative expenses and differential subsidies, the proportion of fiscal expenditure in all medical and health industries has reached nearly one-tenth of the province's annual fiscal revenue. If we want to say that this kind of financial investment is insufficient, I think it is indeed unfair. ”

Li Shijun's words, although he looked at Qi Tianxiang and said it again, but every sentence was like a refutation of Han Fei, and every sentence was reasonable, hitting the point. Immediately, Han Fei was speechless, not knowing how to respond, he froze somewhere, only his originally white face turned vermilion in an instant.

"Calculate the economic accounts with the iron abacus, I see that all of us here are willing to bow down, the so-called reason is not clear, the account is not unclear, after Comrade Li Shijun's accounting, I finally understand where the financial expenditure is spent." Qi Tianxiang looked at the embarrassed look on Han Fei's face, as well as the speechless embarrassment, and knew in his heart that it would be such a result, but he still smiled and eased the atmosphere and said: "The financial revenue comes from the people, and in the end it will benefit the people. ”

Of course, Qi Tianxiang understands the tricks in Li Shijun's accounting, as well as the shocking figures produced by stealing and confusing concepts, all of which stem from the effect of Li Shijun's clear data, and it seems that he can clearly and accurately report similar data, so he must have calculated everything and counted everything. This is the subtlety of Li Shijun's calculations, that is, through these huge data, I don't know how many units that have reached out to the finances, but they can't hide Qi Tianxiang's meticulous hearing and keenness.

Li Shijun only calculated the fiscal expenditure, but did not calculate the tax revenue from the medical industry, especially the part of the transfer payment that was paid first and then refunded, which seems to be a huge set of figures, but in fact, after deducting taxes and funds that should have been returned, the actual expenditure will be subtracted a lot. The annual expenditure of the medical industry should account for one-tenth of the annual financial revenue, Han Fei did not know that this was impossible, but was frightened by Li Shijun for a while, and did not stare at him. Qi Tianxiang was not ready to point it out to him, because Li Shijun's tricks were in line with Qi Tianxiang's thinking, and he sincerely appreciated his memory ability and ability to calculate, and the title of iron abacus was really well deserved.

Without too many pauses, Qi Tianxiang went on to say approvingly to Li Shijun: "Finance is not a bottomless pit, it cannot be overdrawn uncontrollably, it can be used as a transfer payment, which is the foundation of the national medical insurance work, and must be unconditionally allocated in full and in a timely manner, which is not only related to the operation and interests of the hospital, but also related to the treatment and family life of patients." ”

Qi Tianxiang still looked at Li Shijun and said, but the words were clearly saying to Han Fei: "The medical insurance for urban employees is easier to handle, after all, it is shared evenly on a proportional basis, and individuals only pay the part they bear, and the proportion and pressure of the burden are less, but it does not mean that there is no problem, is the medical fee charged reasonable, and is there a problem of minor illness and major treatment and taking the opportunity to charge?" The issue of reimbursement time after the annual quota is used up requires multi-party supervision and control. It is necessary to know that the annual limit of 70,000 yuan can be used up by patients, are not ordinary minor illnesses, often old and chronic diseases, or critically ill patients, long-term illness treatment not only exhausts the cost of living, but also brings serious troubles to the daily life of the family, to reduce the burden on them, to let them really feel the changes brought by medical treatment to patients and families, rather than because of the cost of the already difficult life to make things worse. ”

"This is the issue of medical insurance for urban workers and retirees, and this is only a small aspect of the problem, but it is not a negligible detail. We always say that the details determine success or failure, and we have taken 99 steps, so why can't we take this last step perfectly, so that the patient and his family members can feel warm and feel at ease? Qi Tianxiang glanced around at the people in the office, smiled lightly at the surprised divine information on everyone's faces, and then said: "First easy and then difficult, from shallow to deep, is the basic idea to solve all problems. Actually, I won't say it, everyone knows the problems I want to mention, and these problems are not something that Li Shijun and his Finance Department can solve, but the crux is still in money, which may be an indisputable fact. ”

The expression on Qi Tianxiang's face became solemn with the words, and he seemed unwilling to involve this field, but he couldn't help but say it, so he could only breathe a sigh of relief, looked at Li Shijun and Han Fei seriously, and said: "I don't say the original intention of universal medical insurance, you also understand, what we need to do with all our efforts is not to make hospitals and medical systems at all levels get rid of the dilemma of using medicine to support medicine, let alone to build a few more buildings in hospitals, but to reduce the burden of medical treatment for the vast number of farmers and low-income groups in cities. I really feel the warmth of the government and society. This is the principle, the bottom line, and the foundation of our medical and health undertakings. ”