Official Ladder [Grassroots Civil Servants]

On June 6, Wang Bin, the deputy governor in charge of culture, education and health, led a team back to Yunnan Province and concluded a comprehensive inspection of Qin Province’s medical reform. Wang Hongtao immediately convened an enlarged meeting of the Standing Committee to study the new policies of Yunnan Province’s medical reform.

At the meeting, Vice Governor Wang Bin and Director of the Provincial Health Commission Zhou Jianjiang reported on the huge gains from the trip.

Wang Binhui reported: "This trip to Qin made the inspection team thoroughly feel the enthusiasm of the people of Qin Province. Qin Provincial Party Committee Secretary Xu Yongjiang and Governor Niu Qianhua held symposiums with the inspection team respectively and attached great importance to this inspection work. Deputy Governor Qi Yonghuan and Director of the Health Commission Zhang Zhiqiang accompanied the entire inspection. During the investigation in Chang'an City, Yinzhou City, and Weiyang City, the secretaries of the municipal party committees of the three cities accompanied us throughout the inspection, allowing us to understand the most realistic medical reform in Qin Province, and at the same time, we also learned about this Xiang Huimin's policy is so great. Everywhere he went, the masses praised him. The people were always thinking about Secretary Wang. They asked me about the Secretary's situation in Yunnan Province and asked me to convey their best wishes to the Secretary. I was deeply moved. Of course, tangible monuments can be widely advertised and shown to the world; but what is truly precious and can be remembered for centuries is the word-of-mouth of the common people. When the dust settles, those who can truly be remembered by history are those who benefit the country. , obey the people's wishes, and benefit people and things. Only by keeping the interests of the people at heart at all times and putting the will of the people first in everything can we truly achieve political achievements that benefit the people and become a good cadre praised by the masses! Only by starting from small things, focusing on the details, sincerely serving the people, treating the people sincerely, and doing small things wholeheartedly. Only by doing these small things well, practically, and successfully, will the people trust us, get close to us, and support us!

Next, let me talk about my specific feelings: 1. The hierarchical diagnosis and treatment system, whether from the perspective of medical resource allocation or people's medical treatment habits, giving priority to "going to big hospitals" has become a common phenomenon for people to seek medical treatment, which makes the entire Medical services are in an unreasonable state like an 'inverted pyramid' where large hospitals are in a 'wartime state'. The characteristics of Qin Province are that it strictly implements the diagnosis and treatment model of "first diagnosis at the grassroots level, two-way referral, separate treatment of acute and chronic diseases, and linkage between upper and lower levels" to achieve equalization of medical services, build an orderly medical order, effectively utilize limited medical resources, and ease the public's medical treatment. It is an important measure to solve the problem of difficult and expensive medical treatment. It is worth learning from, and we can definitely copy the homework.

Second, the 95% reimbursement rate and the hospitalization threshold fees of 0 yuan, 200 yuan, 400 yuan, and 600 yuan for towns, counties, cities, and provinces have been widely praised by the public, and are all lower than the threshold fees we currently use.

Third, Qin Province is the first in the country to implement centralized drug bidding and procurement, achieving zero price difference sales of drugs. The so-called zero price difference means that the purchase price and retail price are the same. Unified financial payment and full online supervision. Provincial finance, the provincial health department and other departments implement two-line management of drug procurement for primary medical institutions, and all drug expenses will be paid to the enterprise from the national treasury in a timely manner. The company's capital is recovered quickly, and it can focus on quality production with peace of mind, unlike in the past where it had to spend a lot of money and energy on "public relations" for medical institutions. Effectively reduce production and distribution costs.

Through the above 'one-stop' and other measures, the average bidding price of essential drugs in Qin Province has dropped by 55% compared with the national retail guide price, and has dropped by about 20% from the previous actual purchase price. It has initially achieved the return of medical institutions to public welfare and the benefit of the people. Affordable goals, while fiscal health insurance expenditures have been significantly reduced. After one year of operation, the per capita investment in new medical insurance is less than 200 yuan!

Fourth, the construction of clean hospitals has shown results, and the wind of integrity is blowing across our faces. Last year alone, Qin Province investigated and prosecuted 49 hospital directors and dealt with 3295 related medical personnel. It effectively curbed corruption in the medical system, reduced medical expenditures by more than 30%, and invested limited funds in hardware upgrades.

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To sum up, the inspection team unanimously believes that Qin Province’s medical reform is extremely successful and has reached the top of the country. Most of the policies can be copied. What is rare and valuable is that after a series of reforms, Qin Province has a population of 4000 million. After the reform was implemented in 2019, the fiscal expenditure only increased by 42 billion yuan. If our medical reform can achieve the results of Qin Province, the actual increase in investment will be far lower than the 150 billion yuan proposed by the secretary. My report is completed. "

Of course it feels good to be praised, but Wang Bin is pretty good at flattering him!

Wang Hongtao said: "Comrades, the medical reform in Qin Province has indeed achieved great results. It can be said that it has effectively prevented and treated the phenomenon of poverty due to illness and return to poverty due to illness, and has initially formed the idea of ​​medical insurance and medical treatment. This work , I participated in the whole process, and I won’t go into too much detail about the various benefits I have achieved, otherwise everyone should say that I am bragging!”

The participants laughed in good faith. In fact, everyone admired Wang Hongtao very much, admired his courage to be the first in the world, admired his love for the people, and admired his work ideas and results. The results were clear at a glance, and the people benefited, and Wang Hongtao became the youngest in the country. Secretary of the Provincial Party Committee, when he came to Yunnan Province, he was more able to win over others, and the masses celebrated him. This has a lot to do with him being the "first person in medical reform." People in Yunnan Province all know that when Wang Hongtao came to Yunnan Province, medical reform followed. Come, the future is bright!

Wang Hongtao continued: "Through Comrade Wang Bin's speech, it can be seen that this inspection has achieved practical results. In fact, in summary, Qin Province's medical reform has several successful experiences: first, hierarchical diagnosis and treatment, which solves the problem of large hospitals being clustered together. No one cares about small hospitals. Since you want to enjoy high reimbursements, you must abide by the rules and go to any hospital for any disease. After one year of operation, we discovered such a problem. Lower-level hospitals find it troublesome and treat minor and major diseases. Pushing it to higher-level hospitals is a difficulty for the health department when formulating policies, and effective methods must be adopted to solve it.

Second, increase revenue and reduce expenditure. It is mainly about the procurement of medicines and equipment. Rejecting price differences from middlemen, centralizing procurement by the government, and allowing ordinary people to use it at zero markup. Is it a simple problem of addition and subtraction? It can definitely effectively reduce financial support. As time goes by, Qin Province's system also has loopholes. We need to formulate policies in more detail and improve them on the basis of Qin Province. This will test your wisdom. Also, try to use prescription drugs instead of over-the-counter drugs as much as possible. I won’t go into details about the tricks involved. "

The third is anti-corruption in the medical field. To put it bluntly, the medical field has become corrupt and upright, and those deans dare to issue 100 million invoices for 1000 million yuan of equipment to reimburse them. I can guarantee that the money lost by corruption in the entire medical field is no less than the money invested by the government! It will not be less than 100 billion every year! Dare not to fight corruption? Can we not fight against corruption? In Qin Province, before the anti-corruption campaign, medical staff in the province's medical field voluntarily handed over more than 50 billion in illegal income. Will Yunnan Province have less? Does the medical field in Yunnan Province have that awareness? I think there is still no awe in my heart. Corruption in any field will not stop until it is beaten and hurt! Next, I will personally deploy corruption governance in the medical field.

Finally, I would like to make some comments: We must have unique characteristics when doing our work, and we must also have the characteristics of "Dian Province" in medical reform, otherwise we will be disrespectful to others. I have an idea, since we have invested so much, why can’t we be bigger and more innovative? Let’s explore the national medical reform and implement ‘hospitalization first, reimbursement later’! Think about it, if the hospitalization fee is 10 yuan, the patient will only have to pay one or two thousand yuan in the end. However, for many families, it is not easy to collect the 10 yuan in hospitalization expenses. Some people even take out high-interest loans! Sooner or later, you have to reimburse the masses, so why take off your pants and fart? Why embarrass the common people? I suggest that we let everyone see a doctor first and pay as much as they should pay when they are discharged from the hospital. We should really think about what the people think, worry about their needs, and help the people's needs. "

It is indeed an innovation, and all participants are seriously considering the feasibility of this policy.

The governor said: "Secretary, I have a worry. What should I do if the patient runs away immediately after being discharged? Some people like to take advantage of petty advantages and are unwilling to take one or two thousand for self-care expenses."

Wang Hongtao said with a smile: "I think that kind of people are in the minority after all. A disciplinary system can be established. Patients who 'evade fees' will be directly blacklisted and no longer enjoy any medical insurance policies. They will be left to pay for themselves. At the same time, they will be exempted from the tax." Bind him to the letter system, put him on the 'blacklist', and conduct extensive publicity. I think that few people will lose big because of small things. Even if there are individual cases of 'fee evasion', it really can't be recovered. The government will cover it up, it won't It exists in a large area, and you may not be able to use up the 10 yuan you spend every year. If there are really special circumstances, you can apply for weight loss, and it is not a big problem. We are ready to spend our "cow" money, but we still care about a "chicken" money ?”

Lei Jianfeng smiled and said: "Yes, the masses will also weigh the pros and cons. In this way, I believe everyone will abide by the rules."

No one would oppose a policy that benefits the country and the people, otherwise he would be alienated from the cadres and masses of the province, so the Standing Committee members expressed their support and sang praises.

After everyone finished speaking, Wang Hongtao said: "Comrade Wang Bin, please take the lead, and the Health Commission, Medical Insurance Bureau, Department of Finance, Development and Reform Commission, Department of Industry and Information Technology and other relevant departments will cooperate to come up with our province's medical reform plan as soon as possible so that the people can enjoy care as soon as possible. , caring.”

After the provincial party committee meeting, the news gradually spread throughout the province. Countless people rushed to tell each other. The 95% medical reimbursement ratio was hotly discussed in the streets. It can be said that the whole province was excited and everyone was looking forward to it.

Medical and health care is related to millions of households and is a major livelihood issue. When Wang Hongtao came to Yunnan Province, everyone was holding back their nerves, waiting for Secretary Wang to make a big move. Now, the news is confirmed, and the medical reform has been launched!

Although there is still some time before you can enjoy the policy, who cares? The future is bright and the future is certain, it’s just a matter of waiting a few days. Compared to the past when there was no hope, what else is there to be dissatisfied with?

If this happens, anyone who dares to speak ill of Wang Hongtao in public, such as medical staff who are about to face an anti-corruption campaign, will definitely be attacked by the public.

Wang Hongtao has been in Yunnan Province for two months and has completely established himself and won the recognition and support of the people. It is just a policy to benefit the people. This shows how kind our people are and how easy it is to be satisfied.

Doing practical things for the masses and allowing them to benefit is the simplest and most effective principle. When dealing with ordinary people, there is no question of winning or losing. If we want to carry out our work effectively, we must respect the people, trust the people, and rely on the people.