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In the office, Lu Rui repeatedly looked at the manuscript he had just written, which was a little opinion and suggestion on the unhealthy trend of the health system, and also involved some medical reform issues, Lu Rui read it word by word, after making sure that his article would not sting some interest groups and had something to say, he couldn't help but sigh softly, the more he looked at the whole country, the more things he was worried about, of course, this was also because his position was too light. Pen | fun | pavilion www. ｂｉｑｕｇｅ。 ｉｎｆｏ

Lu Rui's article is very well written, mainly because of some experience summed up from long-term work in the local area, and he feels that this report can at least prove that he did not come here to eat.

For a long time, while summarizing the achievements of the work, Lu Rui is also clearly aware that there are still some outstanding contradictions and problems in the work of medicine and health and food and drug supervision.

Specifically, Lu Rui summed up six problems.

The first is the dilution of the public welfare nature of medical and health care. For a long time, national medical institutions have been organized by governments at all levels, relevant departments, industries and enterprises, with scattered responsibilities, unclear responsibilities, unreasonable management systems and operating mechanisms, and it is difficult to implement the whole health industry and localized management. The government's investment in health care is seriously insufficient, and medical institutions mainly rely on supplementing medical treatment with medicine and medical service fees to maintain their operation, and implement the policy of generating income for themselves and discharging themselves, which directly leads to serious profit-seeking behavior of public medical institutions, weak professional ethics construction, waste of medical resources and increased burden on patients.

The second is the imbalance in the allocation of health resources. At present, the country's medical and health resources are mostly concentrated in cities, and most of the high-quality resources are concentrated in large and medium-sized hospitals, and the gap between urban and rural areas and regions is constantly widening. The structure and layout of existing health resources are unreasonable, macro-control is weak, and the health resources in rural and urban communities are few, the quality is not high, and the service capacity and level are low; Health resources are mainly concentrated in the field of medical services, and the resources in the field of public health are insufficient, which cannot meet the people's demand for basic medical and health services, and the problem of difficulty in seeing a doctor has not been solved.

Third. The advantages of traditional Chinese medicine have not yet been fully utilized. The investment in traditional Chinese medicine is small, the foundation is poor, and the conditions are backward, which cannot meet the needs of the people for traditional Chinese medicine services. The institutional, institutional and structural contradictions restricting the development of traditional Chinese medicine, as well as the problems of insufficient inheritance and innovation of traditional Chinese medicine, are more prominent. The state's special support policies and measures for traditional Chinese medicine need to be further implemented. The problem of unsatisfactory and unsound management system also restricts the development of traditional Chinese medicine and the full play of its characteristic advantages.

Fourth, the medical security system is not perfect. Recently. Although the national medical security system has achieved rapid development, on the whole, it still lags behind the economic and social development and the people's medical and health service needs. At present, about 400 million urban and rural residents are not covered by the medical security system; The guarantee capacity and level of the new rural cooperative medical system are very low, and need to be continuously improved and improved. The basic medical insurance system for urban residents has just started, and the coverage of basic medical insurance for urban workers needs to be continuously expanded, and the urban and rural medical assistance system needs to be continuously improved.

Fifth. The deep-seated problem of food safety needs to be further solved. The overall level of food production and consumption in China is not high, the environmental pollution of food producing areas is relatively serious, and the problem of excessive pesticide and veterinary drug residues is still prominent. The application of new food technologies, new raw materials and packaging materials leads to potential or actual quality and safety problems, some of which take a long time to be recognized and solutions to be studied; There are many potential quality and safety hazards in small workshops in small food production and processing enterprises, and there are serious violations of laws and regulations in small workshops; Some localities are not resolute enough to ban illegal food production and operation; There are overlapping functions of regulatory law enforcement departments, there is a lack of effective connection between various links, and duplicate law enforcement and lack of law enforcement exist at the same time. the inaction or indiscriminate actions of individual law enforcement officers; There are problems of incoordination, non-matching and non-uniformity in the sharing of inspection and monitoring resources, information exchange and release, and the formulation and use of standards; The allocation of food safety supervision resources at the grassroots level is weak, and the quality of the supervision team is not high; Further improvements need to be made in the transfer of illegal cases and the connection between laws.

Sixth, there are risks and hidden dangers in drug safety. The concentration of Huaxia's pharmaceutical industry is generally low. The pattern of many, small and scattered enterprises has not changed for a long time, with too many circulation links, high operating costs, unsustainable production of low-cost drugs, vicious competition in the market has occurred repeatedly, and the investment and ability of independent innovation of enterprises are seriously insufficient. Some enterprises are indifferent to corporate responsibility, quality awareness and law-abiding management awareness, ignoring quality management and product safety; In order to pursue economic interests, some publish drug advertisements in violation of regulations, seriously misleading the masses. The foundation of drug supervision is weak, and the technical supervision conditions are backward. Regulatory capacity needs to be further improved.

There are many reasons for the existence of these problems, including institutional, mechanical, structural, and historical problems, the contradiction that the people's demand for health care and the awareness of food and drug safety have been rapidly improved, but the development level of medical and health services, medical security systems, and food and drug industries is relatively lagging behind, and there are also problems that government departments do not adapt to the new requirements of the socialist market economy in terms of regulatory concepts, management methods, and working methods. On the whole, the masses of the people have a strong reaction to medical treatment and food and drug safety. It is a concentrated reflection of the lag in the reform and development of China's medicine and health, food and drug industries, and a comprehensive manifestation of the incompatibility between the development of medicine and health and the needs of the people. It is necessary to adhere to the people-oriented, implement the scientific outlook on development, and strive to achieve sound and rapid development of the medical and health industry by deepening the reform of the system and mechanism.

Lu Rui wrote this article very carefully, he was going to send this to the newspaper, on the one hand, he had time to ponder these things in the capital, on the other hand, Lu Rui was also thinking that he could not really be silent in the past few years, and he wanted to let the leaders above know his ambitions and be ready to accept new challenges.

Picking up the written documents and leaving the office, Lu Rui went straight to the office of the Authority.

Because it is a vice-ministerial-level unit, there are too many leaders, and it is impossible to be like in the locality, a county-level county magistrate must be equipped with a secretary and driver, and today's Lu Rui, even if he enjoys the treatment of a deputy minister, is not qualified to be equipped with a secretary. Speaking of this, Lu Rui couldn't help but smile bitterly in his heart. According to the regulations of the central authorities, only cadres at or above the vice-provincial level can be appointed with full-time secretaries. That is to say, cadres at or above the level of vice governors, deputy secretaries of the provincial party committees, members of the Standing Committee of the provincial party committees, deputy ministers of ministries and commissions of the State Council, deputy secretaries of the party groups, and party and government leaders (secretaries and mayors) of vice-provincial-level cities (similar to Hai'an and Binzhou) can be equipped with full-time secretaries, but now cadres at the level of basic county magistrates will also be equipped with secretaries. The rank of these secretaries is not clearly defined by the central government, because they should not exist, so the rank is determined by the other positions they hold. For example, if the secretary of a county magistrate is also the deputy director of the county government office, then he is at the deputy section level, and if he is also the director of the office, he is at the department level.

But the funny thing is that although this regulation is not completely implemented at the local level, it is very resolute in the central ministries and commissions, at least Lu Rui found in the Food and Drug Administration that except for Gao Jiexi, who has a full-time secretary, other people, including himself, do not have a full-time secretary.

The door of the Authority's office was closed, Lu Rui knocked on it, pushed the door and walked in.

There were a few people in the office, who didn't seem to be chatting about anything, all of them were in their thirties and forties, except for a young man who was bowing his head and writing something, and the rest of the middle-aged women were obviously chatting.

Seeing Lu Rui walk in, these people were stunned, and some people hurriedly put away the melon seeds on the table, but they fell to the ground in an uproar.

"Lu, Director Lu......" The person who spoke was a middle-aged woman in her forties, with a plump figure and a very ruddy face.

Lu Rui smiled: "Are you?" ”

The woman's face froze, and she said in an embarrassed voice: "I, my name is Dong Qianmei, director, we ......"

He was obviously afraid that Lu Rui would investigate the matter of his gang chatting and eating melon seeds in the office, after all, it was working hours, and a group of people were actually having fun when they didn't work, and ordinary leaders would not be satisfied.

Lu Rui smiled, didn't say anything, just handed over his manuscript, and said lightly: "Find someone to print it out and send it to me in a while." ”

Dong Qianmei nodded again and again: "Don't worry, right away, right away." ”

Lu Rui was not angry at their behavior, he had heard He Mingchi talk about the situation in the office of the Authority, the staff here were not administrative establishments, most of them were career establishments. In this part of China, the gap between the administrative establishment and the career establishment is definitely not a little bit. "Two senior workers are not as good as a handyman in an agency, and three senior workers are not as good as a primary school teacher." Such examples abound.

For example, the treatment of the same demobilized military personnel who retire from an enterprise and from a public institution will be completely different.

Since 2005, the state has raised the basic pension of enterprise retirees seven times in six consecutive years, and although the pension has nearly doubled, the gap between enterprise employees and government agencies and institutions is still large.

And Lu Rui knows very well that the key lies in the system. There is a problem in the basic old-age insurance for urban workers to design a basic old-age insurance system separately between public institutions, government agencies, and enterprise workers. The peculiarities between different groups can be reflected in the form of enterprise annuities or other supplementary insurance, and not in such a way.

You must know that if you work in an agency, looking at the treatment and welfare of the staff of the administrative establishment, and then looking at the welfare of the staff of the public institution, Lu Rui asked himself, even if he is himself, it is difficult to suppress that feeling of depression. It's no wonder that these career establishment staff either desperately want to become an administrative establishment, or simply mess around here! ~！