。 Gong Hanlin glanced at Peng Yuanzheng and was silent.

In order for him to obtain all the physical and mental support and cooperation of Peng Yuanzheng, he must give strong support to Peng Yuanzheng, which is mutual, not one-way.

If he did not support Peng Yuanzheng's work, how could Peng Yuanzheng cooperate with his work.

Besides, now he and Peng Yuanzheng are definitely two grasshoppers on the same rope, one is prosperous and the other is lost. Although he didn't know very well why Peng Yuanzheng wanted to start with medical treatment, he chose to tacit understanding unconditionally with the greatest trust.

Peng Yuanzheng quietly looked at Yan Hua, the deputy county magistrate with an excited expression, and said calmly, "Comrade Yan Hua, I have never denied the legitimacy of the hospital's profits. In fact, as long as it is a business unit, under the market economy system, there is room for profit. There is no doubt about it. ”

Yan Hua sneered, "Then what do you mean?" ”

"Comrade Yan Hua doesn't understand?" Peng Yuanzheng smiled slightly, but his face suddenly sank and said, "Profit and profit first are two concepts. After all, the hospital is a place to save lives and help the wounded, and it is very terrible to see the death without saving it, ignoring the needs of patients, and recognizing money and people. The lack of medical ethics is shocking! ”

"Patients are dying and in urgent need of surgery, but the hospital still insists on paying the money before seeing a doctor – this kind of rules and regulations itself is unreasonable."

"Jokes,! Then comrade of the expedition, let's talk about it, how can it be called reasonable? It is natural to pay for medical treatment, the hospital is not a charity, free medical treatment, the hospital will go bankrupt and close its doors, when the time comes, who will speak for the hospital? ”

"Last year, the county hospital was owed and evaded hundreds of thousands of medical fees, and this deficit cannot be filled so far, if the hospital does not adhere to the system. Who will guarantee the interests of the hospital? If hospitals can't keep running basically, it's all the patients who suffer! ”

"I don't think I discussed the same topic with Comrade Yan Hua. I'm talking about the public welfare nature of hospitals - as a public hospital, county hospitals must ensure that public welfare and serving the people come first, rather than taking profit as the first goal. ”

Peng Yuanzheng was unhurried. He was not angry, but said, "If interests and profits come first, then it will not be called a public hospital." ”

Yan Hua sneered, "All in all, the hospital has the difficulties of the hospital. Hospital marketization, it is necessary to establish a standardized and strict operation management system, I hope that the hospital to promote free medical care, the people do not spend money to see a doctor, all happy, but is that possible? ”

"Free medical care is not impossible, and there are many such cases abroad. Of course, in our country, it is not realistic for the time being. But we can't do free health care. However, basic medical investment is indispensable. Therefore, I would like to reiterate here that the marketization of medical care does not mean that there is a lack of financial investment. There must be corresponding subsidies and policy inputs in the annual budget of the government. ”

Before Peng Yuanzheng could finish his words, he was interrupted impatiently by Yan Hua, "Comrade Yuanzheng is trying to go against the policy of the Central Committee?" The central government advocates marketization and complete marketization, so that hospitals can be responsible for their own profits and losses and operate on their own, but you are clamoring here to increase government investment...... It's ridiculous! ”

Peng Yuanzheng looked up at Yan Hua, and his heart was slightly on fire.

He consciously lowered his attitude, but this Yan Hua has always been aggressive, and he has not disregarded at least his demeanor and face unity - is Lao Tzu really a sheep who is easy to bully?

Peng Yuanzheng's voice became cold, "Comrade Yan Hua, don't give me such a big hat!" ”

"The controversy over how public hospitals can ensure the attributes of public welfare has not subsided in the past two years. Someone who holds my view. Not in the minority. ”…,

"There has also been a series of debates within the Ministry of Health about the tendency of hospitals to focus on efficiency and ignore public welfare. At the National Medical Policy Work Conference held in May this year, Vice Minister Zhou of the Ministry of Health made it clear that he opposes marketization and calls for more consideration of the public nature of medical care and the minimum social fairness ......"

"These have been reported at large lengths in Jiangbei Daily and Northern Evening News, and I remember them very clearly. If Comrade Yan Hua doesn't believe it. You can go to the library and look for newspapers from the past. ”

Peng Yuanzheng's voice was full of faint mockery.

Yan Hua was choked for a moment, but immediately retorted in shame, "It's just a controversy, we work at the grassroots level, and what we implement is the spirit of the policy above, not the controversy of whom." ”

"It's going to be revised, it's a matter of time. If the tendency of excessive marketization is not reversed, the phenomenon of ordinary people having difficulty in seeing a doctor and being expensive will become even more aggravated, causing deeper social problems. Peng Yuanzheng smiled, putting aside Yan Hua and said, "I'm just talking about things here, and I don't want to argue with Comrade Yan Hua about anything." ”

"What I'm talking about is, within the framework of the policy, does the government want to maintain the relevant investment in health care to ensure the public nature of medical institutions? In the budget, the lack of medical budget is an abnormal phenomenon, and many regions in China are paying attention to and adjusting this problem. As far as I know, the city finance still has relevant budget input, how come it is completely zero investment in the county? ”

"That's the first question. The second question is, if a patient like Wang Jun's mother, whom I mentioned, is from a poor family and cannot afford the high medical expenses, should the hospital watch and die? What to do with this particular patient? ”

"It's not about holding anyone accountable, and it's not simply about condemning hospitals for not saving them, it's about finding a way to solve the problem."

"Are we considering the establishment of a special assistance system for serious illnesses? It is applied for by medical institutions and is subject to special financial allocation. Once the hospital encounters such a patient, it can immediately apply for the initiation of special assistance procedures, which not only saves the patient's life, but also protects the cost of the hospital. ”

Contrary to the general trend of the whole country and the general trend of medical marketization (although the medical reform later proved to be unsuccessful), Peng Yuanzheng was powerless and did not want to use the mantis arm as a car to kill himself. He has been arguing with Yan Hua for so long and saying so much, it is nothing more than to settle on this special assistance system.

The previous words are all paving the way for this idea.

He had this idea in his previous life, and taking this opportunity to put forward it and try his best to promote it into reality, for him, it was also a process of "realizing his dream".

After Peng Yuanzheng finished speaking, Yan Hua immediately sneered, "It's a drop in the bucket, it's useless at all!" We are a poor county, and it is difficult to maintain the basic programs we have now, let alone increase the expenditure. Moreover, if there is such a rescue channel, there will definitely be fishing in troubled waters and black-box operations, and how to review and supervise will become a big problem at that time. ”

"I have heard that the comrades of the expedition have carried out drastic reforms in Yunshui Town, greatly promoting education and medical care, and it is said that all the investment in education and medical care in Yunshui Town is covered by the government, which is very enviable. But this is a neighboring county, and I need to remind the expeditionary comrades that the neighboring county is a poor county, and it can't support your various largesse! Work should not be a great success, but pragmatic. ”

Peng Yuanzheng didn't pay attention to Yan Hua anymore, he felt that this woman was simply unreasonable. He turned his head to look at Gong Hanlin, Gong Hanlin cleared his throat, and said with a smile, "The argument between the two of us has actually made us gain a lot of knowledge." ”

"Health care is a big issue and an important livelihood issue. I think Comrade Expedition is quite right, for some very poor patients, the hospital cannot die without help, and the government cannot sit idly by. Let people die in the hospital, this is not only a shame for the hospital, but also a shame for our county government! ”…,

"Therefore, I think that we can consider the suggestion of the comrades of the expedition and start trying to build such a special rescue channel. Of course, the county's finances are stretched, and how to raise this part of the funds still requires us to consider carefully and comprehensively. ”

Gong Hanlin, as the county magistrate, made such a statement, and Lin Changhe hurriedly followed suit.

Yan Hua saw that Peng Yuanzheng and Gong Hanlin were out of one nostril, and they were suspected of joining forces to "operate" on him, so he couldn't help but get up in shame and said angrily, "County Magistrate Gong, I reserve my personal opinion. ”

Yan Hua brushed his sleeves away.

This is actually very impolite, Gong Hanlin was very unhappy in his heart, but he didn't show it on his lips, he just smiled lightly, "Comrade Yuanzheng, Yan Hua is in charge of culture, education and health, this idea still depends on her to promote, and I still have to communicate with her more." ”

Peng Yuanzheng smiled, "Old leader, I'll talk to her later." ”

Lin Changhe said with a smile, "Comrade Yuanzheng, Comrade Yan Hua is just a little quick-tempered, but in fact, he is still a good person." Well, if you had ventilated with her in advance, it might have been better. ”

Lin Changhe's words implied something, which means that although Peng Yuanzheng is an executive deputy county, you should respect the old comrades, and don't think that "colluding" with Gong Hanlin will be able to cover the sky in the neighboring county. Hehe, the neighboring county is not Xin'an District!

What kind of person is Peng Yuanzheng, where can he still not hear the twists and turns in Lin Changhe's words. His face did not change, but he secretly sneered in his heart: Since Lao Tzu is here, he is not afraid of wading into troubled waters! I want to see how muddy the water really is!

Yan Hua went back to his office in a menacing manner, and made an inexplicable fire at Xiao Li, who served him for the county government office, and then went home in the car and left work early.

She believes that Peng Yuanzheng's interference in her work is a kind of naked-naked demonstration and provocation. What medical reform problems and what special medical assistance system are just all kinds of excuses that Peng Yuanzheng made to play on the topic.

In her opinion, you, a newcomer to the executive deputy county, do not work in a down-to-earth manner familiar with the situation, but instead hold on to a little in the county hospital, which is itself unreasonable. (To be continued.) If you like this work, you are welcome to come