Chapter 1185: Out of the Box (Part II)
There was a brief silence in the quaint office. Qi no pop-up window
He Jingqiang and Fang Li looked at Liu Weihong, and their eyes flashed with a hint of surprise. I have long known that Liu Er is a "cannon," and it really lives up to his reputation, and he even dares to fire a cannon in front of Vice Premier Hong. It's kind of daring.
"What about health care reform? Let's talk! ”
After a while, Vice Premier Hong said in a deep voice.
Regardless of whether Vice Premier Hong agrees with Liu Weihong's remarks or not, since he has spoken first, he must let Liu Weihong tell everything he thinks in his heart.
After all, this is just a discussion, not an executive meeting of the State Council.
"Yes, Prime Minister."
Liu Weihong replied loudly. ”
The importance of medical reform is not in the same way that it is under the education reform, and it involves a wider range than the education reform, so it should be considered more carefully and cannot be carried out lightly. There are many similarities between the dilemmas we face in health care and education. The foundation is poor, the foundation is thin, the equipment is backward, and the penetration rate is low. Many people in remote areas have nowhere to see when they are sick, so they can only carry it. This phenomenon must be changed, but in the same way, we cannot engage in market-oriented industrialization, and we can only solve it by taking the government as the mainstay. ”
He Jingqiang interjected: "Director Liu, if all areas of people's livelihood can be solved by the government, it is of course the best. However, judging from the current actual situation, if the government has to bear all the burdens in these fields, the time will drag on for a long time, and we will be in the dilemma of insufficient financial resources for a long time, whether it is education or medical care, if we want to achieve comprehensive popularization and improve the level of technology, I am afraid it will be difficult to do it in 20 or 30 years. ”
Liu Weihong smiled, and then said: "Mayor He, I'm actually not as optimistic as you. If all the burden is borne by the government, within twenty or thirty years, we will be able to catch up with or basically approach the level of developed countries in the West in the field of education and medical care, which is simply great. Twenty or thirty years may not be a short time for an individual, but for a country and a regime, twenty or thirty years is really not a long time. Ancient and modern, Chinese and foreign, the so-called Weishi, at least has experienced such a long period of accumulation. For example, the rule of Wenjing, the rule of Zhenguan, the reign of Kaiyuan Weishi, etc., are basically two or three generations of emperors borrowing strength, or there is an emperor who has been in power for a particularly long time, governing the country for decades, and slowly reaching that level. Relatively speaking, the so-called rule of ZTE is far worse. If the accumulation is not enough, the glory will not last long. It took nearly 100 years for the United States to dominate the world from the end of the Civil War, and it took even longer for Britain to develop into an empire on which the sun never sets. I believe that education and health care are the basic areas of the country and the cornerstone of social harmony and stability. Step by step, increase investment year by year, and use thirty or forty years to improve the entire system. The role of providing the masses of the whole country with honest and high-quality education and medical services is obvious in stabilizing social order and stabilizing the mood of the masses. This is a long-term plan and an unbreakable foundation for maintaining our party's ruling position. ”
Fang Li smiled lightly and said, "Director Liu, the great leader once taught us that 10,000 years is too long, seize the day. If we do this way, education and medical care will occupy a large proportion of fiscal revenue, and relatively speaking, there will be less money to be invested in economic development, and the speed of economic development will slow down, which is a big loss in the long run. ”
"Director Fang, what is our goal in developing the economy? It is the country that is strong and the people are rich! Only when the masses are rich can the country be truly strong. Now that we are sacrificing the vital interests of the majority of the masses in exchange for the high-speed and ultra-high-speed development of the national economy, what is the significance of this economic development? The fact that the country is rich does not mean that the masses are rich. On the contrary, when the masses are rich, the country must be rich. Over the past 40 years, we have implemented a gap between industry and agriculture and sacrificed the interests of the vast number of rural areas and peasants to accelerate the development of industry. Perhaps it will not be long before we will have to spend more money and energy to support rural development. The gains outweigh the losses. We must find ways to enable all the masses to live a stable and prosperous life, so that the country will always be able to enjoy vitality, the masses will wholeheartedly support it, and we will be able to overcome any difficulties. With all due respect, it doesn't matter whether it takes us thirty years or forty years to catch up with the economic aggregates of the United States and Japan. That's nothing more than a glossy face. If we sacrifice a little bit of the speed of economic development and spend an extra 10 or 20 years catching up with Japan and the United States, we can build a perfect social security system and let the people live a truly happy life, which is very cost-effective. ”
Fang Li bowed his head slightly and did not speak again.
Vice Premier Hong said: "So, according to your vision, how to carry out education reform and health care reform? ”
Looking at Liu Weihong's eyes, they were blazing.
Fang Li and He Jingqiang couldn't help but straighten up.
It's time for the critical part. Liu Weihong is so fiercely opposed to the current education reform and medical reform, and it depends on yourself, it is not difficult to find fault with what is the best move, but it is more difficult to do better.
Liu Weihong was obviously prepared for this question for a long time, and immediately said: "Prime Minister, then I will talk about my thoughts roughly for your reference." ”
"Hmm."
Vice Premier Hong replied softly, silently.
"Let's start with education reform. Education is not only the imparting of knowledge and the progress of technology, but also the inheritance of civilization and the continuation of morality. If there is widespread injustice in education, it is hard to believe that such an environment can educate mentally healthy and virtuous students. The inheritance of civilization and the continuation of morality are even more impossible to talk about. Therefore, I insist that education should be run by the government as the main body, tuition and miscellaneous fees must be controlled at a very low level, and public schools, Renge must not be liberalized, and must be strongly controlled by the government. At this stage, we do not yet have the conditions to engage in compulsory education, but we also cannot engage in utilitarian education. When I was in Pingyuan, I discussed this issue with Mayor He. When it comes to the small group of people who have become rich first, they will have higher requirements for education, hoping to spend more money and enjoy more resources. This is possible. Nationwide, public education must be the main body. Private education can be used as a supplement. Specifically, institutions of higher education can choose a small number of institutions to carry out public-private partnership reform experiments and attract foreign capital and private capital. But it can't be all released, there must be a certain proportion, and there must be a certain amount of supervision and guidance, let's carry out a pilot first. At the same time, in large and medium-sized cities where conditions permit, the opening of private schools can be appropriately liberalized. In terms of fees, they can be slightly relaxed and go with the market. The State and the Government are mainly concentrating their financial resources to complete the universal coverage of basic education throughout the country. Priority should be given to supporting institutions of higher learning with a certain degree of strength and strengthening scientific research strength. Private capital and private capital, what they pursue is to quickly recover costs and make quick profits. In my opinion, technical schools and skills training schools can be fully liberalized and private capital can enter. They want to be short, flat and fast, and the degree of integration with the market is very high, after the technical school students graduate, they can immediately join the work, relatively speaking, the fee can be slightly higher, the masses can basically accept. In addition, the development of high-precision technology and the training of high-precision technical personnel can also be handed over to the market. Many large foreign companies have their own R&D departments, or R&D companies with independent accounting and self-financing. I think it is worth learning from the way that enterprises take the initiative and cooperate with strong alliances of colleges and universities to develop technology and cultivate talents. We should not only liberalize, but also vigorously encourage and support this form of private high-tech R&D companies. However, Juche education must be controlled by the government, and it cannot be relaxed, let alone let go. ”
"There are many similarities between the reform of health care and the reform of education. Involving thousands of households, once industrialized, whether it is a hospital, a doctor, a pharmaceutical company or an intermediary link, it will become mercenary. Do everything possible to make up your mind from the patient, treat the patient as Tang monk meat, and everyone wants to eat a bite. When it becomes a luxury, when the cost of treatment becomes unattainable, you can imagine how heavy the impact and blow to the government's image will be. We can't afford this infamy! ”
Liu Weihong said slowly.
Fang Li's face changed slightly, and his pupils contracted slightly.
So bold!
Mr. Hong remained silent and said, "Your idea, is it a balance between public and private? ”
"Yes, Prime Minister. We can allow private hospitals to exist, and in the vast remote rural areas, we not only allow it, but encourage the opening of private clinics. At a time when the country's medical care has not yet been fully popularized, small private clinics can play a certain role. In addition, the prices of prescription and over-the-counter drugs should also be controlled separately. Clear legislation so that no one can take advantage of it. However, there is another big difference between the medical reform and the education reform, that is, the soundness of the medical insurance system. We should explore this system more and carry out pilot projects. What the central and local governments need to do is to ensure that medical insurance funds are in place and cannot be misappropriated. On the one hand, the government's efforts to universalize health care, and on the other hand, efforts to improve the health care system, supplemented by the necessary private hospital system, spend decades, and believe that we can do this well. ”
"Are you done talking?"
"Yes, Prime Minister, I'm done."
Liu Weihong looked at Vice Premier Hong and said politely.
Contrary to Fang Li's wishes, Vice Premier Hong did not express his opinion, pondered for a while, and said to Liu Weihong: "Sort out your opinions and make a special report to send to me." ”
The tone is calm.
"Yes, Zheng Li!"
Liu Weihong straightened up and replied loudly.