Chapter 587 The Second Pilot

"Elder Zhai, you have to pay attention to your body and rest more!"

During the meal, Zeng Yi mentioned very seriously, judging from his complexion, Zhai Lao did have some signs of exhaustion, which showed that he had been in a very tired state recently.

Zhai Lao sandwiched a chopsticks side dish, put the porridge into his mouth, chewed slowly for a long time, and after swallowing it, he said: "It's really old!" In the past, when I was fighting with a gun, I could go three days and three nights without sleep, and travel 200 miles day and night, but now when I move a little, I feel that my energy is low! ”

Zeng Yi didn't say anything more, people like Zhai Lao, even if they retire, they are destined to work all day long, he can realize that his body is not as good as before and his energy is not good, it is already a good phenomenon, with this awareness, people will slowly adjust their bodies to a state of recuperation. At Zhai Lao's age, what he is most afraid of is the kind of idea that he refuses to accept old age and wants to work hard for five hundred years, and people with this kind of thinking will not live long.

As for what Zhai Lao has been busy with recently, Zeng Yi doesn't care, and that's not something he can worry about.

"The sanatorium in Nanjiang has been built?" Elder Zhai suddenly asked.

Zeng Yi nodded and said, "Some time ago, I went to attend the inauguration ceremony of the recuperation base, and I also met Qiao Lao and Xu Lao. After this year, Qiao Lao will move to Nanjiang to live. ”

Zhai Lao picked up the bowl, snorted a few times and drank the remaining gruel in the bowl, then put down the chopsticks, picked up the towel and wiped his mouth, and said, "I really envy Lao Qiao, you can pat your ass and leave at any time." ”

At this moment, Zhai Lao is not at all like a famous old general, like other elderly people, after experiencing the vicissitudes of life, Zhai Lao also has a desire to return to the basics and return to the plain.

It's just that this is a very difficult thing for Zhai Lao, Qiao Lao can easily unload all the burdens, but Zhai Lao can't. The unique culture of loyalty in the army is destined for generals to never return to the field. The more prestigious the general, the more so, even in the field, the influence of the old general still exists.

Come to think of it. Zeng Yi suddenly understood another reason why Xu Cannon Xu Lao went to Nanjiang, it is likely that the Nanjiang Military Region will have a large personnel adjustment, and at this time, there must be an old general with high prestige to personally suppress the formation.

"How is work at Dongjiang?" Zhai Lao put down the towel and asked Zeng Yi.

Zeng Yi said: "There are so many things to do, and I haven't found a suitable entry point yet. ”

Zhai Lao bowed his head slightly and said, "The most taboo thing to do is impetuousness. I'm glad you're able to do that. Zhai Lao knew that Zeng Yi went to Dongjiang this time, and he had the task of piloting the reform of the private economy, he didn't understand the economy, but he also knew that in the current system environment, it was very difficult to make any breakthrough reforms.

Zeng Yi was able to calm down and do things without hurrying. This change made Zhai Lao very happy.

After eating, the two returned to the living room. According to his habit, Zhai Lao sat down in his old recliner again, and grabbed the teacup on the side.

Zhang Jiexiong walked up at this time, leaned over and whispered a few words in Zhai Lao's ear.

Zhai Lao just bowed his head calmly, indicating that he knew, and then the tiger's eyes flashed, and he said in a deep voice: "Prepare the car!" ”

Zhang Jiexiong immediately turned around and went out, and after a while, he heard the sound of a car outside the door.

Zhai Lao put down the teacup and stood up, and straightened his outfit. He walked towards the door with his waist straight, and his feet were full of tigers. At this moment, Zhai Lao has become a majestic old general again, maybe his ordinary side is only seen by Zeng Yi.

Walking to the door, Zhang Jiexiong was already standing aside and waiting.

Zhai Lao suddenly remembered that Zeng Yi was still there at this time. Stood still, leaned slightly sideways, and said, "Zeng Yi, do you have anything else to talk about?" ”

Zeng Yi immediately said: "No, I just came back to see you." ”

Elder Zhai nodded and said, "Then you can rest at home!" After speaking, under the escort of Zhang Jiexiong, Zhai Lao got into the old red flag at home and drove down the mountain.

Zeng Yi stood at the door and watched the car disappear, revealing a look of doubt, and said strangely, why has Zhai Lao been so busy recently, he just got home in the early morning, and now he is going out again!

Since Zhai Lao was not at home, Zeng Yi did not stay on the mountain, he returned to the living room to drink his cup of tea, and then went down the mountain.

As soon as he returned to the Beijing Office, before he could sit down and rest, Zeng Yi's phone rang, and it was an unfamiliar male voice on the phone: "Excuse me, is it the county magistrate Zeng of Fengqing County?" ”

"It's me, who are you?" Zeng Yi asked.

The male voice on the phone was much more enthusiastic, and said, "Hello County Magistrate Zeng, I am Huang Xiaotian, Minister Liang's secretary, and we have met before." ”

Zeng Yi remembered who it was, Liang Bin's father was hospitalized in the capital hospital before, and he had seen this Secretary Huang, but he hadn't talked about it, Zeng Yi said: "Hello Secretary Huang!" ”

Huang Xiaotian said: "That's the case, Minister Liang wants to see you." ”

Zeng Yi said: "Will it go now?" ”

The voice of Huang Xiaotian flipping the notepad came from the phone, and after a while, he said, "Minister Liang is free at four o'clock this afternoon, can you come over?" ”

"I'll be there on time in the afternoon!" Zeng Yi gave a sentence of willingness and said, "Thank you for your hard work, Secretary Huang." ”

"It's just a job, then I'll arrange it according to this, and I'll wait for the arrival of County Magistrate Zeng in the ministry in the afternoon!" Huang Xiaotian said very politely, his dignified secretary would not be so polite to a small county magistrate, but Zeng Yi is the savior of Old Man Liang, and when he is a secretary, he has to watch people put down dishes.

At 3:45 p.m., Zeng Yi arrived at the Ministry of Health on time and sat outside Liang Bin's office for a while.

Zeng Yi took a look at the time, only one and a half minutes away from four o'clock, the more high-level the leader, the more accurate the requirements for time, which also shows the secretary's ability to do things, a good secretary can generally card the time of each schedule of the leader to the right minute, and can even be calculated in seconds, which requires deep skills, and it also requires a strong grasp of the leader's usual meeting habits.

Since the reform of the tax-sharing system, local finances have been drying up day by day, while the central ministries and commissions are becoming more and more abundant, and the office of the minister of health is naturally not comparable to the office of the county leaders below. Spacious and quiet, the atmosphere is restrained, and even the brightness of the light in the room seems to have been calculated.

Liang Bin was sitting in an office chair. Holding the teacup and taking a few sips of water, he put down the cup and said, "Zeng Yi, sit!" ”

Zeng Yi smiled, looked left and right, and sat on a sofa close to him, and Huang Xiaotian gave him a glass of water. And he withdrew.

"When you come to me, don't be restrained, it's not the first time we've met!" Liang Bin laughed and said: "The miracle doctor of the Beijing Hospital has become a young and promising county magistrate in a blink of an eye, Xiao Zeng, you are still an all-rounder, I really don't see it!" ”

Saying this, Liang Bin reached out and touched the lighter on the table. With a "bang", he lit a cigarette.

Zeng Yi smiled: "I will go wherever the organization needs me." When I was the county magistrate, I was also a big girl in a sedan chair - the first time! ”

Liang Bin took a puff, put the cigarette between his index finger and middle finger, and said: "Fengqing County's medical insurance bidding, the ministry leaders have also been paying attention, I called you over today to hear your thoughts as a party, you don't have to worry, just speak freely!" ”

Zeng Yi said: "Actually, I don't have any other ideas, I have worked in the health system, and I am no stranger to this field. Since we see that there are mistakes, we naturally need to correct them. ”

Liang Bin bowed slightly, sat there and pondered for a long time, and finally flicked the cigarette ash and said, "What do you think about the matter of medical insurance?" Which pattern do you think. More suitable for our national conditions? ”

Zeng Yi was a little surprised, he didn't understand why Liang Bin suddenly asked himself this question, Zeng Yi didn't think about the matter of medical insurance, and even he thought more deeply than anyone else, but after thinking about it, the conclusion was that there was no conclusion.

There is no medical insurance model in the world, it is specially born for a certain country, and there is no certain country, it must only be suitable for a certain model, even the United States, which is known as the most complete system, is also engaged in new medical reform, it can be seen that there is no medical insurance model, which can be praised and satisfied by everyone.

In the final analysis, the issue of health insurance is a trade-off between fairness and efficiency: if you tend to be fair, it will lead to inefficiency; If you prefer efficiency, you will lose fairness.

For example, if a person is sick, radish can cure it, and ginseng can also cure it.

If the fair model is adopted, then all the radishes can be used for treatment, because there are so many ginsengs, and the use of ginseng simply cannot meet everyone's needs, and the financial resources cannot afford it. If you don't use ginseng, it will undoubtedly reduce the efficiency, because the medicinal effect of radish will definitely not be comparable to ginseng; At the same time, there are some people with deep pockets who can afford to choose to use ginseng for treatment, and their needs are virtually suppressed.

If the efficiency model is adopted, it can only be treated with ginseng, which is obvious because of its fast effect and high profits, and ginseng is definitely the best choice for the sake of efficiency and benefits. As a result, no one produces turnips, those with strong financial resources use ginseng, those with less financial resources are forced to use ginseng, and those who cannot afford to use ginseng are excluded from the efficiency model.

A long time ago, we used to adopt the cooperative medical model, which belongs to the fair model, that is, in the era of barefoot doctors, we used 2% of the average investment in the world's medical insurance to achieve universal medical insurance, and increased the average life expectancy of Chinese people from 34 years to 70 years old, which is an irreproducible success story. But it is undeniable that it is a model of lack of medical treatment, and "a silver needle cures all diseases" is a clear example.

What the United States has adopted is the efficiency model, and the achievements are also brilliant, which has given birth to a large number of the world's most advanced medical research institutions, the most powerful hospitals, and the most authoritative medical schools. But it must also be faced that the medical cost of the United States is the highest in the world, and at the same time, the medical insurance coverage rate of the United States is the lowest in the world, and the low-income part of the population is eliminated by this high-efficiency model.

There is also a model that intervenes in between, the so-called high-welfare model, which wants to achieve maximum fairness and wants everyone to use ginseng, but the wool is destined to come from the sheep, and it is difficult to say how long this model can last.

In fact, to solve the problem of medical insurance, it is very simple, the government does a good job of basic medical security, to ensure that everyone can have a radish to treat when they are sick, which can be called "medical treatment", and at the same time, we must resolutely support and encourage the development of a higher level of medical system, so that those who have the ability to use ginseng can use ginseng.

This is easy to say, but to really solve, but very difficult, after the problem of medical insurance into the whole society, the simple problem begins to become complicated, is no longer simply a trade-off between fairness and efficiency, but more trade-offs between interests. Secondly, there is an unavoidable problem, that is, people's hearts, in the face of disease, who doesn't want to use the best ginseng? No government dares to completely ignore the will of the people.

To solve this problem, we must first define what kind of fairness we want.

The reason why our medical insurance is so serious now, in the final analysis, is that we pursue efficiency in the link where we should pursue fairness, but in the link that we should pursue efficiency, but pursue fairness, resulting in a serious imbalance in the distribution of medical resources, and only serving a small number of people with the indignation of the whole people.

Zeng Yi thought very deeply about this issue, but he couldn't tell Liang Bin directly, after thinking for a while, he said: "Minister Liang, this question is too big for me to answer, but I don't think there is a one-size-fits-all model, finding problems and solving them is to be responsible for the people." ”

Liang Bin smiled, and said in his heart that Zeng Yi was very shrewd, and on the surface, it seemed that he did not answer his own question, but in fact, the answer had already been given, that is, our current model needs to be reformed and changed.

"Some of the problems exposed by the Fengqing County medical insurance bidding are indeed thought-provoking, there are some problems that need to be corrected immediately, and there are some problems that need us to take precautions...... "Liang Bin did not continue to ask, and after making some conclusions, he said: "After I studied with Minister Xu, I intend to carry out a pilot project of medical insurance program reform in Fengqing County, I don't know what you think?" ”

Zeng Yi was surprised again, Liang Bin called himself here today, and he actually wanted to talk about this matter, which was indeed unexpected by Zeng Yi, but Zeng Yi immediately said: "As long as the ministry leaders support, we are confident that we can do this well." ”

Although he was unprepared in advance, Zeng Yi took this matter down without hesitation, which is definitely a good thing, not only for Fengqing County, but also for more people.

"Since you are so confident, then this matter is settled." Liang Bin was in a good mood, stretched out his hand to extinguish the cigarette, and said, "I will personally go to Fengqing County to announce the news and award you a license!" ”

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