Now that we are engaged in medical reform, how many years have we been shouting, how many times have we been reformed, and until now, it is still the same as in the past, why is this? I can't figure out why that's why.

I paused and said to her: "Medical reform must be real, hard, and real, if you don't reform fundamentally, just water over the wet ground, pretentious, instead of really serving the people, that will not be effective." ”

Wang Aiying said: "According to what you say, if you are the minister of reform, if you hold heavy power, do you have a plan for reform? ”

I smiled and said: "I haven't thought about it so much, I am eating my own food, the royal heart, logically speaking, I should not comment indiscriminately, I also know that this is going to be a family affair, but, we are here to talk, just to kill time, out of this door, our words will not count." ”

I laughed, and she laughed too.

She said: "I can't see that you are still a very small person, just say, I won't sue you, this is not the era of the past, if it makes sense, maybe you really have this opportunity?" ”

I said: "I never dreamed, not to mention, this thing is not an easy thing, how can one person satisfy everyone's wishes?" ”

"yes, then you can tell me too! How do you know if it's okay if you don't say it? ”

I put the medical reform ideas I usually told my colleagues about, and said them at this time, so as to show my talent in front of her.

I said: "Doctors, medicine, testing, hospitalization four separate, in the implementation of fair competition in the society, the people who see the patient to see the money of the patient, the person who examines the money of the instrument, the person of the pharmacy to collect the money of the pharmacy, no one is linked to the interests, and can compete with each other, how simple it is, so that there is no chain of interests, there is no hotbed, what a good thing." However, those experts do not look at the problem like this, they always see the beginning and the end, and link the chain of interests, so it is inevitable that the things that take rebates and get benefits and the things that cost high hospitalization are inevitable. ”

Wang Aiying said: "What you are talking about will not work at all, let me tell you why it will not work, this is because our country has not yet reached the level of Western social countries, not to mention that your set is not suitable for China's national conditions, although the things you talked about are theoretically good and good, in fact, there are many things and things at the operational level that do not work." ”

I said, "Why doesn't it work?" ”

She said: "First of all, you cut the chain of interests, who will support this proposition, the people will support it, but what the people say does not count, and the person who makes the decision decides everything in front of them." They will have many reasons and excuses to say that this one is not suitable and that one is not successful. If you think too simply, you'll suffer, comrade! ”

I have come to realize that any reform is a revolution, a revolution that is brutal and has very clear boundaries. When I think of this, I look very solemn, although there are some things that everyone understands, but there is no need to explain clearly, there are some things that everyone knows, but often pretend to be confused and understand the most.

However, in such an occasion, I have no worries. A kind of vanity, a kind of competitive mentality, often dominates my face, and makes me want to talk about everything, which is the fault of young people.

I said, "Don't interrupt my train of thought, let me continue to tell you, and finally, let's discuss and see who says the solution is feasible." ”

I continued the topic just now: "I think about the problem in this way, in order to mobilize people's enthusiasm, assign doctors to the community, or set up a doctor management center, let people choose their own doctors, let patients pay for doctors willingly, if they are not satisfied with this, people will make new choices, multi-head exchanges, multiple choices, so as to meet the requirements of human nature." ”

"You mentioned this in the newspaper just a few days ago, but it's a Western thing." Wang Aiying said.

I went on to say: "In the past, doctors charged more for the rich and free for the poor, and there was some humanitarianism; Today's doctors don't even want basic professional ethics, and hospitals also dislike the poor and love the rich, which is inconsistent with the social civilization advocated today. ”

"Yes, people are now advocating that everything is about money, and people's values have changed, so it's not new for this to happen, and I agree with that." Wang Aiying added. However, the past and the present are the same, this is caused by social laws, not by that system. You go on to say. ”

I'm still thinking about a question: "Medicine has to shop around, whose goods are genuine, whose service attitude is good, whose price is good, and whose price is good, this is the only way out." In the pharmaceutical market, use the behavior of the market to regulate the market, let the real drugs stay, let the fake drugs out, let the honest stay, let the fraud slip out, so as to form competitiveness, in order to be conducive to the health and development of the market, if this is done, those profiteers will disappear, will be eliminated by the society, and the social environment will be purified. ”

"You agree with what you said, but it is difficult to implement, and some people who can make connections always mess up the order, and they take advantage of the loopholes, which creates the theme of unfair competition in the market, and this problem is easy to say and difficult to do. The reason why it is not easy to do is that I have explained it just now, and you should know this. ”

"Now people do not leave the inspection, the inspection equipment is large, the cost is high, the technology is complex, for this situation, my suggestion is that the society, the government, the people to develop together, to make these large-scale equipment into the nature of the company, people use the method of dividends, or the formation of a number of inspection market, to adopt the method of competitive bidding, in the market or the implementation of the membership system, after this kind of methods and measures, then will be responsible for their duties, people to see a doctor is feasible and effective."

"That's what you're talking about? It is feasible to say, but it is not easy to do, and the current hospital is relying on these equipment to collect money, leaving these things, so many people's salaries, so many managers, who will support it, this problem I deny. ”

I said: "Although the government has let people participate in medical insurance, this form is not very practical, and minor illnesses should be looked at; If there is a relationship, you should look carefully; Especially cadres, whether they are sick or not, the hospital lives up, one to collect money, two to receive gifts, three to avoid crises, although the proportion is not high, but the medical insurance finally fell into the pockets of the hospital, and in the end, the patients did not benefit, but the hospital benefited; The poor have not benefited, the rich have received greater benefits, the production of medicinal materials has not benefited, and the upside-down medicinal materials have benefited, this is not the original intention of medical reform! ”

"That's what you're talking about? It's even more complicated, in this complex society, without complex characters, will this society still be complicated? Wang Aiying spoke, she looked at me with her eyes, and I nodded in agreement with her statement.

"The idea of medical insurance itself is good, but the deterioration of medical insurance is useless, simple things are often complicated, a little problem is often exaggerated, and the medical treatment seen for a penny is often exaggerated to thousands or hundreds of times, so the emergence of this problem is strange? What's more, who manages the money for medical insurance, and who can manage it well, there is a lot to be done in this management! ”

"Medical ethics are very important, and management is also very important." Wang Aiying commented.

"The problem of seeing a doctor is respect for life, and it has nothing to do with wealth and poverty, seeing a doctor is an instinct of human nature, and it should have nothing to do with identity. People tend to stir up these things, often to stir up relationships, and as a result, there are a lot of unfairness, and there are many chains of interests, which can only increase people's burdens and increase people's hatred of hospitals and doctors. ”

"What do you have to do about this?" Wang Aiying is not a reporter, and her questions hit the nail on the head and get to the point.

I was thinking: "If the government has money, it is better to send this money to the people, let the people dispose of it, let the people choose by themselves, the people have the initiative, they will have the right to speak, grasp the key points, in order to spend less, this is fair and reasonable, is conducive to social progress and development." ”

In this gap, Wang Aiying should have interjected, but she didn't have any reaction, and seeing that she didn't have the opportunity to speak, I also started to complain.

"Alas! I've thought about so many questions, and I don't use a single question, who will listen to us? I also eat radishes and worry about it, it's purely self-inflicted, a waste of life and time, I'm really full of panic, owe a curse! Underwhelmed. "I'm going to hit myself in the mouth when I say that.

At this time, Wang Aiying didn't know why, her thoughts seemed to stop, and she hurriedly stopped my actions.

She said: "We have nothing to do, but we are also a waste of time, do you really let xxx come and ask you to reform, why don't you find a mirror to take a look at it and see what kind of virtue you have?" ”

Then she began to speak: "Now the chain of social interests has been formed, one link after another, if your plans are realized, and you don't let your family destroy your ancestral grave, I think you are really daring." ”

"China's civilization was brought by the ancients, and the modern civilization is destroyed by the system, and the development of science and technology has not benefited the people, but has become a machine for people to make money, and the money-centered society makes people unable to see fresh life."

"Back then, there were many good doctors in China, they were the spiritual realm of today's people are difficult to walk, save lives, medical ethics and medical style, although there is no angel in white, today's angel in white can do their words and deeds? If Hua Tuo is alive? If Bian Que is alive? If Zhang Zhongjing is alive? It's just that it's not good to see the disease, and people's hearts are already full of spring breeze. There will be no such disputes, such a chain of interests, and it will not make the poor look down on the sick. ”

After listening to her words, at this moment, I think too much, naïve, childlike, dreamy, I forget to live in that century......