Chapter 697: Medical Reform Ideas

A week later, according to the deployment arrangement of the provincial party committee, Songyang City held a city-wide cadre meeting to welcome acting mayor Liao Wang.

At nine o'clock in the morning of the same day, Pan Baoshan took the leaders of the city's four sets of teams to Songyang Airport and received several people from the Organization Department of the Provincial Party Committee headed by Fang Yan and Liao Wang.

At half past ten, the cadre meeting was held on time.

Everything was carried out one by one in accordance with the procedures, and the meeting first clarified Liao Wang's position as a member, deputy secretary, and member of the Standing Committee of the Songyang City Party Committee. After that, the Organization Department of the Provincial Party Committee conveyed the proposal on behalf of the Provincial Party Committee, and Liao Wang was appointed as the acting mayor of Songyang City.

The meeting did not last long, and the speeches in all aspects were very brief. After the meeting ended, Pan Baoshan immediately convened the Standing Committee and elected Liao Wang as the acting mayor.

By less than twelve o'clock, all the procedures were completed.

The lunch was held in the form of a banquet, which could be regarded as a reception for Liao Wang. The other Standing Committee members were all there, and they sat down with Fang Yan together.

The conversation at the wine table was much easier, and Liao Wang also let go of his body and seemed very talkative, and he toasted one by one and showed modesty.

Pan Baoshan saw it in his eyes, and he could directly feel that Liao Wang was very urban. Especially when it comes to staffing, Liao Wang said more beautifully, he said that Songyang is for work, for the development of Songyang, for the development of Ruidong, so in order to adapt to the environment and integrate into the work as soon as possible, his team basically keeps the original composition of the staff unchanged, because that can ensure that all aspects of work start smoothly. That is to say, the secretary general of the municipal government is still Huang Guangsheng, and the full-time secretary remains the same, and it is still Yao Gang's secretary Zhang Jinjin.

When Liao Wang said this, his tone was condescending, which seemed to show that he disdained to form his own right and left hands and engage in gangs, and seemed to be very upright and had a good view of the overall situation. But in fact, everyone understands that Liao Wang and Yao Gang are in the same line, and Yao Gang's original subordinates are also his people, which is self-evident, but why does Liao Wang take it out so high-profile to shake it up?

In fact, this is Liao Wang's purpose, not only to emphasize his open-mindedness and selflessness, but also to quietly bring down his own people, lest Pan Baoshan preconceived ideas to promote inappropriate personnel is inappropriate.

Liao Wang's approach of killing two birds with one stone, Pan Baoshan understood later, and couldn't help but sigh secretly, Liao Wang in front of him is really much more difficult to deal with than Yao Gang, and I am afraid that he will have to be more distracted in the future. But no matter what, Pan Baoshan believes that he can completely control the situation and make a move when it is time to make a move.

According to the plan, the Standing Committee will be convened in the afternoon to study and discuss the implementation of medical reform, so at the end of lunch, Pan Baoshan mentioned that Mayor Liao had just arrived and should have taken a good rest, but the Standing Committee originally scheduled to be held in the afternoon could not be canceled, so he was asked to work hard.

Liao Wang smiled, said that the time from Shuanglin to Songyang was very short, he did not feel tired, and he was happy to attend the meeting, and said that this would be the first working meeting he would attend in Songyang, and he was looking forward to it.

Fang Yan listened all the time, did not interject, he looked at Pan Baoshan and smiled meaningfully, saying that he was tired and wanted to rest for a while before returning to Shuanglin, and it just so happened that the plane could catch up.

Pan Baoshan understood, and ten minutes later, he came to the room where Fang Yan was resting.

"You must have felt it, Liao Wang is not a fuel-efficient lamp." Fang Yan spoke first, "Compared to Yao Gang, I'm afraid it's much more difficult to deal with." ”

"Minister Fang, I have indeed noticed that compared to Yao Ganglai, Liao Wang should be regarded as a real opponent." Pan Baoshan said, "I didn't expect it, I knew that it would be better to let Yao Gang do this, and it might be better for him to stay in Songyang." ”

"What are you talking about?" Fang Yan smiled, "Discouraged? ”

"I'm not discouraged, I just feel like I'm burdened." Pan Baoshan said with a smile, "But Minister Fang, with you and Secretary Yu here, even if there is a heavy burden, I Pan Baoshan can bear it." ”

When Fang Yan heard this, he straightened his neck and laughed heartily, "Well, young people have to have this momentum, Liao Wang probably won't have any wind, after all, it's just the mayor, the power of Songyang is still in your hands, and in the end, it is you who have the right to decide, not him Liao Wang." ”

"I'm just worried about him playing tricks." Pan Baoshan said, "The open gun is easy to dodge and the dark arrow is difficult to prevent, I don't want to spend too much energy on him, now the economic development situation in Songyang is urgent, and the supporting social work is complicated, we must devote ourselves wholeheartedly, otherwise the economic development of the short legs can not bring happiness to the society and the people." ”

"Alas, Baoshan, to be honest, young cadres like you are rare nowadays." Fang Yan sighed, "Although you can do it boldly with confidence, anyway, I will support you as much as I can, even if I stand up to Duan Gaohang, it doesn't matter, I don't want to be motivated by age, and I can also see it, even people in the officialdom can't be cartilage and smooth for a lifetime, and if I don't do something with a temperament in this life, it's a big pity." To put it bluntly, it is the so-called chivalry, in fact, everyone, no matter what position they are in or what halo they are wearing, there is no lack of blood in their chests, and it is not happy to release it. ”

Fang Yan's words were very affectionate, Pan Baoshan was very moved when he heard it, he pursed his lips, nodded and said, "Minister Fang, I will never let you down!" ”

"I believe in you!" Fang Yan patted Pan Baoshan's shoulder with a smile, "Let's stop here today, and we will communicate again when we have time in the future." ”

"Minister Fang, you rest, I'll call you to the airport in an hour."

"Well, I really need to rest for a while." Fang Yan loosened his collar, "It's really old, I don't have enough energy, I have to save a little, and I have to hug my grandson when I go home." ”

"Okay, Minister Fang, then you have a good rest!" Pan Baoshan smiled understandingly, turned around and went out.

After leaving, Pan Baoshan hurried back to the office, he had to prepare for the executive meeting in the afternoon, and many things had to be thought out as carefully as possible.

At half past three, after sending Fang Yan away, Pan Baoshan led the Standing Committee members to sit down.

At the beginning of the meeting, Pan Baoshan made his proposal clear, saying that the deepening reform of Songyang's medical and health system must be carried out in a drastic way, and from now on, the functional peripheralization of public hospitals should be turned into terminals, specifically, that is, public hospitals should only see minor and ordinary diseases, and mainly assume the basic medical security function of solving the people. Serious illnesses tend to be handed over to a number of large-scale private hospitals with market-oriented operation, with the aim of introducing a competition mechanism to achieve a good medical market situation of energy saving, cost reduction, and quality improvement.

As soon as this remark came out, everyone was surprised, and they didn't understand what kind of reform law should be made, and most directly, how to set up public hospitals? How can we support a group of large private hospitals with strong strength?

"After the reform, the so-called public hospitals refer to the health service centers at the neighborhood and township levels, and the nature of the staff in the centers has changed to the status of civil servants." Pan Baoshan then further explained, "The so-called large-scale private hospitals refer to the city's first and second people's hospitals, the city's traditional Chinese medicine hospitals, the city's maternal and child health hospitals, as well as the county's people's hospitals, traditional Chinese medicine hospitals, and maternal and child health stations. ”

When Pan Baoshan said this, everyone understood what was going on, and they pondered it one after another.

"Secretary Pan, your proposal is very novel, but it also makes people sweat and feel a little suspenseful." Liao Wang soon began to speak, he looked cautious and serious, "The most important thing is that what is the significance of privatization of large hospitals? ”

"The privatization of large hospitals can further give full play to the utility of medical resources and reduce medical costs. This reform is like the reform of state-owned enterprises, many state-owned enterprises have not changed their nature, all kinds of shortcomings have been highlighted, and no matter how much they are rectified, they will not be effective, but once they are restructured and become private, they have regained new vitality. In addition, after the privatization of many hospitals at the municipal and district levels, they will inevitably enter the market-oriented operation mode, and in order to ensure a certain market share, the profit space may be compressed in the pursuit of profits. Pan Baoshan said, "In this way, the medical expenses of patients can be reduced in both directions, so as to achieve the ultimate goal of restructuring, which is to benefit the people." ”

"Theoretically, there is no problem, but I personally think the actual effect is not necessarily." Liao Wang answered quickly, "The introduction of market competition can certainly achieve a certain profit release effect, but from the perspective of the market, competition will inevitably have monopoly." For example, the city's first people's hospital, its medical resources are strong, after the restructuring can still provide employees with more generous salaries, with such an advantage, they will try their best to other hospitals to dig talents, dig resources, the most inevitable will form a monopoly situation, in essence, is a monopoly. At that time, there will be a certain right to speak in the market, and it will be possible to manipulate the price of medical expenses to rise and fall, and at that time, the situation of ordinary people who are difficult and expensive to see a doctor may be worse. ”

Liao Wang's words made Pan Baoshan secretly surprised, and it was not difficult to see that his reaction was very sensitive, but fortunately, he had already thought of this and had words to deal with.

"What Mayor Liao said is all about the key points, which is also one of the key points and difficulties in this round of medical reform." Pan Baoshan said, "Therefore, as I said just now, we will implement a more thorough privatization and restructuring, and in the initial stage, we can adopt the shareholding system, and still retain some of the nature of state-owned assets." In other words, the privatization of large hospitals is not completely liberalized, but also has certain guidance and constraints. Some people may say, what is the effect of such a reform? I can't be sure that this will have any effect, but one thing I can be more sure of is that this is only a stage of medical reform, and it will be completely liberalized in the end. ”

"To what extent, or situation, will it eventually be to be completely liberalized?" Liao Wang asked.

"From the current insurance market, we may see some eyebrows, customers can freely choose insurance companies, and insurance companies continue to launch preferential programs in order to attract customers." Pan Baoshan said, "Of course, it is a dynamic process, and there are still disadvantages in the insurance market of one kind or another, but in general, the development trend is still relatively clear, that is, the premium is declining." ”

"Well, Secretary Pan has a point." After hearing this, Liao Wang kept nodding his head, and suddenly frowned again and said: "However, there is a situation worth noting, after all, the medical industry is different from other industries, due to the imperfect medical system and incomplete reform in the early stage, which has led to some extremely abnormal phenomena. As far as I know, doctors' incomes are extremely unbalanced, and the difference in doctors' incomes between different departments of the same hospital is even dozens of times larger. Once the system is restructured, perhaps the original high-income doctors will be very disappointed, resulting in slack work and unsatisfactory work, and it is not the patients who are unlucky in the end? ”