"Governor Sun's proposal is timely and necessary. Pen? Interesting? Pavilion wWw. ｂiquge。 info" Lu Shanzun, who had been quietly listening to Qi Tianxiang and Sun Pingfang's speeches, echoed Sun Pingfang's words with a smile, "Medical and health care is not only an important part of social security, but also a major event related to the lives of the people. ”

As he spoke, Lu Shanzun looked at Qi Tianxiang and said seriously: "Seeking experience with pilot projects has always been the basis for our government's work and decision-making and deployment, which can not only prevent blind paving, but also avoid the losses caused by decision-making mistakes, especially when it comes to measures in the field of medical and health care for the masses, and we must have scruples." As a pilot, the medical mutual assistance between the provincial hospital and Heyang County, including the alliance with other counties and cities, as long as it is within the scope of Hezhou City, the attitude of our municipal party committee and municipal government is very clear, that is, positive response, serious cooperation, there is no price to talk about, just for this work can bring tangible benefits to the people. ”

Qi Tianxiang was deeply satisfied with Lu Shanzun's statement, so he responded with a slight smile: "The Hezhou Municipal Party Committee and the Municipal Government can have such an attitude, this is the best premise, whether it is market-oriented operation or interaction between hospitals, the basis is based on local reality, and ultimately it depends on the satisfaction of the people, which is the standard for judging any work."

"It seems that the consensus is unanimous, so there is a good start, and the next step is to actively and steadily implement the steps." Qi Tianxiang looked at Lu Shanzun and said, then looked around at everyone, and looked at Sun Pingfang and said: "Since Shanzun has such an attitude, if the provincial hospital and the director of the well do not feel embarrassed, I think that in addition to Heyang County, an agricultural county, you can also choose one or two different types of counties and cities for classification pilots, not only farmers, but also urban low-income groups, these all need government policies to tilt, first of all, start with medical security, find common ground, So that the provincial government can better carry out the reform and decision-making of the medical system. ”

"I have no opinion, and as my attitude is also very clear, the policy of benefiting the people must really make the people feel the benefits, it can really be regarded as a good policy, otherwise any so-called measures to benefit the people will not stand the test of history, and it is difficult to get the support of the people." Sun Pingfang reacted quickly, and immediately took Qi Tianxiang's words and said, perhaps feeling that her words were a little vain, so she said in a targeted manner: "Although the medical insurance full coverage measures implemented this year have greatly increased the proportion of medical insurance reimbursement for rural residents and solved the problem of serious illness treatment, because the actual problem of medical expense transfer has not been straightened out, the actual medical burden of farmers has not really been alleviated, but only reduced in form, and the effect is still not obvious." ”

Sun Pingfang seemed to have a plan, and after a brief explanation, she looked around at everyone, cleared her throat and said: "There are many ways to solve these contradictions and problems, but the fundamental problem is the distribution of economic benefits and actual benefits. In the existing management system, the rural and urban medical insurance audit and management are responsible for the health administrative agencies at all levels, while the medical insurance audit of employees and retirees is the responsibility of the labor and social security department, which produces the actual two-line management, and it is inevitable that the excessive medical problem will swim between the two lines, and the final increase is the burden of the masses. ”

Sun Pingfang said, without thinking: "I think that the time should be more ripe at this stage to solve the practical problems of chaotic management of the medical system and uneven bitterness in hospitals, and to change the dual-track system to a single management system." Curbing the impulse of the hospital's economic interests not only alleviates the confusion of the hospital's operation, but also cuts off the pursuit of patients by the hospital and various interest groups. Just like the problems and contradictions that Dean Jing just talked about, on the one hand, there are overwhelmed medical staff, and on the other hand, the patients and families whose burden is increasing. ”

After Sun Pingfang finished talking about this, her eyes turned to everyone in the office, as if she was seeking everyone's consensus, but in fact, the purpose was very clear, that is, she wanted everyone here to respond to or echo her topic.

Li Shijun saw that Sun Pingfang's eyes were focused on him, and he knew that Sun Pingfang's intention was to make him respond positively and block Han Fei's opinion, and for Sun Pingfang's idea, in fact, Li Shijun also had something to say, but the governors didn't speak, and he didn't dare to answer rashly.

The dual-track system of medical insurance reimbursement was originally a headache for the Department of Finance, which was originally the actual allocation of expenses. The difference in the proportion of medical insurance for urban residents and employees has made community medical units and private medical institutions change their methods to strive for medical insurance designation, and also make the diseases that can be treated in nearby community outpatient clinics and small and medium-sized hospitals concentrated in large hospitals, just for medical insurance reimbursement. Large hospitals also have a tendency to dislike the poor and love the rich, and they have an extraordinary affection for employees and retirees who can be reimbursed or reimbursed by medical insurance for a high percentage, but they are respectful of the NCMS and urban residents who need to bear most of the expenses themselves and have to bear the upfront medical expenses first. In addition to the consideration of actual positioning, this is more of a consideration of economic interests.

As a health administrative department responsible for the approval and management of medical insurance and NCMS designated hospitals, Li Shijun is very clear about the weight of this cake for Han Fei, but he is more aware of the difficulty of enterprise medical facilities and fee management, and of course he is more aware of what Sun Pingfang wants him to express. Although he is not in Sun Pingfang's field of responsibility, as the director of the Department of Finance, he knows the actual role of Sun Pingfang, and he can't be offended and dare not offend, especially Qi Tianxiang, who supports her behind Sun Pingfang, which he can't ignore. What's more, taking advantage of the situation to suppress Han Fei's arrogance is also the goal he wants to achieve, and he doesn't need to deliberately prompt it, but also to take the opportunity to bring it up.

"Governor Sun is worthy of being a leader in charge of the medical and health industry for many years, and he has a thorough understanding of the crux of the medical and hospital system." Li Shijun said respectfully, gave a high hat to Sun Pingfang, and then looked at Qi Tianxiang with a smile on his face and said: "This is also the question I want to ask Governor Qi and the leaders, but I didn't expect Governor Sun to be more prescient than me." ”

Li Shijun knows that on such an occasion, whether it is a compliment or a modesty, it needs to be done in moderation, so he did not say any further, but seriously reported to Qi Tianxiang: "The universal medical insurance has been partially implemented last year, and this year it has been fully rolled out in the province, but due to the problems of system and management, it has not yet involved administrative institutions, although the provincial government has already required, there are still some operational problems, and it is estimated that it will not be implemented until the beginning of next year." ”

"Civil servants and personnel of public institutions enter the overall planning of social insurance and implement full coverage of medical insurance, which can well straighten out labor relations and better reflect fair and just social relations, which is a good thing in terms of labor security, but there is a problem of increasing the burden on medical insurance management." Li Shijun's thinking was very clear, but his words were very low-key, and he said unhurriedly: "This is mainly reflected in the fact that from the actual reimbursement in the past to the current proportional bearing, this part of the initial financial support should be given to stabilize the mood of the civil servants, which is also a last resort." It is based on these actual situations that we have investigated and referred to the practices of other provinces and cities, and believe that the unified management of medical insurance review and reimbursement by the labor and social security department is more in line with the trend of social development, and can also better smooth the relationship and meet the requirements of a simplified model of window management. ”

"Speaking of which, after such a big turn, don't you want to talk about such a thing?" Lu Shanzun listened patiently to Li Shijun's narration, and it was easy for him to come to an end, so he briskly interjected: "Don't say any reason, just say that it is necessary, what to straighten out the relationship, conform to social trends, etc., is too far-fetched!" ”

Lu Shanzun said to Li Shijun unceremoniously, it can be seen that he still has thoughts about Li Shijun in his heart, but he did not take advantage of the situation to attack, but said a few words mockingly, and then turned to Qi Tianxiang and said: "Lao Li is right, but it is a little detouring, in fact, the purpose is to complain, the implementation of these policies has increased their public expenditure, which is somewhat unbearable." These problems are also very prominent in Hezhou City, and Mayor Liang has a good understanding of them and has told me about these things, so I am still clearer. ”

Lu Shanzun's words invisibly pushed Liang Bingyu out, and also made Liang Bingyu, who had never had the opportunity to speak, become the focus of everyone's eyes, and their eyes were focused on her face, waiting to hear her methods and insights to solve these problems.

"Secretary Lu is right, the dual-track system has become integrated, and we are all like a fried pot there, finance, health, labor, in addition to several departments, are just complaining, only hospitals are waiting to pick fruits." Liang Bingyu looked at Qi Tianxiang and said slightly seriously: "My attitude is very clear, in addition to resolutely implementing the deployment of the provincial government, and straightening out the things that are centralized, I only look at the effect, and it is the effect of really reducing the financial pressure and the burden of medical treatment on the people." ”

Liang Bingyu said quickly, looked around at everyone's reactions, and then continued: "Don't find a solution from the root, but have reached out to me for ideas, these lazy ideas not only exist in the medical system, but also exist to varying degrees in other fields, but like Director Li, they are still actively researching, and come up with specific ideas are not much, we also need to seriously learn from Director Li's experience, first straighten out the context, come up with practical results, and fundamentally close the hand of the interests of the hospital and patients. There is no problem that cannot be solved. ”