Official Ladder [Grassroots Civil Servants]

After working as the secretary of the Municipal Party Committee for a few months, Wang Hongtao has also figured out the way. It is impossible to do everything by himself, so he summed up his experience as follows:

1. Work must have goals, start with the goal, and clarify the goal. This is the general direction. Only when the direction is right can we do the right thing. The whole city must focus on the secretary

Set goals and directions to carry out work;

2. For any goal, there must be a plan. Only by dismantling the goal, planning the path, and forming a plan can it be efficient;

3. All plans must be implemented, subdivided plans, implemented to people, and clear rights and responsibilities. Only when everyone has something to do and everything is done, can the plan be implemented. Otherwise, the plan will be empty talk;

4. There must be inspections in all executions. Checkpoints are set during the process, deviations are corrected in time, and results are guaranteed through process management. This is quality;

5. All inspections must have results. Good ones must be carried forward and solidified, and bad ones must be analyzed, held accountable, and more importantly, improved, prevented and promoted;

6. There must be responsibilities for any results. There are good and bad results, and there are experiences and lessons. The root cause is all human reasons, and the responsibility must go to people;

7. For all responsibilities, there must be rewards and punishments. How much responsibility, how much power, and how much profit must be matched. Power, capital, and benefits must be equal. Good ones must be promoted and reused. Do it, to establish a concept for Yinzhou people, that they can be promoted and reused even if they do their jobs, and if they don't do their jobs well, they will lose their titles as officials.

On the tenth day of the first lunar month, Zhang Qiang, secretary of the Shenzhou County Party Committee, and Yang Xiaowei, the county magistrate, came to report on the preparations for free medical care. Wang Hongtao immediately summoned the mayor Lu Jianguo, deputy secretary He Long, secretary of the Discipline Inspection Commission Li Jinliang, organization minister Gao Shuai, deputy mayor Zhou Ying, and city officials. The Personnel Bureau, the Health Bureau, the Joint Treatment Office and other relevant units held a small-scale meeting in the reception room.

Zhang Qiang reported: "Dear leaders, Shenzhou County has a total of 43.7 people. In 2015, the GDP was 820 billion yuan, the per capita gdp was 18 yuan, the investment in fixed assets was 250 billion yuan, and the annual fiscal revenue was 161 billion yuan. City 102 billion yuan, local general budget revenue 59 billion yuan.

Under the arrangements of the Municipal Party Committee and the Municipal Government, Shenzhou County, on the basis of extensive research and in combination with relevant policies, initially drafted the first draft of the "Measures for the Implementation of Comprehensive Free Medical Care in Shenzhou County (Trial)", which is divided into general responsibilities, free objects, management agencies, Fund management, outpatient medical treatment, inpatient medical treatment, expense settlement, supervision rewards and punishments, and supplementary rules, adhere to the principle of people-oriented, benefiting the whole people, focusing on collecting funds and finance, making overall arrangements, and comprehensive management, so as to completely solve the difficulties and difficulties in seeing a doctor for the people of the county. Expensive issues, so that the results of reform and development can truly benefit the people of the county, and promote the construction of a harmonious society. "

Wang Hongtao attaches great importance to free medical care. For this plan, Shenzhou County has spent a lot of manpower, material resources, and financial resources. The secretary and county head personally participated and checked it. The quality is very high. Zhang Qiang reported for an entire hour.

The participants have a plan in hand. Everyone knows that once this policy is introduced, it will cause a great sensation. Maybe Yinzhou City and Shenzhou County will become famous all over the country, so everyone attaches great importance to this work and concentrates on watching it. with the plan.

After being silent for a while, Wang Hongtao said: "Comrades, today's meeting is equivalent to an enlarged meeting of the secretary. We want to finalize this matter, so everyone should brainstorm, pool their wisdom and efforts, and consult the pulse of this plan. Any doubts and better suggestions can be raised. The purpose is to make the free medical care well and practical, and can withstand all-round inspections of all parties. Once the free medical care is implemented, it will definitely shock the world and cause a sensation in the whole country. I will express its importance and significance. Not much to say, in short, there is only one purpose, to help Shenzhou do a good job."

Mayor Lu Jianguo said: "Let me talk about it first. Article No. 16 implements a deductible line system for hospital reimbursement. Hospitalization expenses below the deductible line are paid by the person themselves, and expenses above the deductible line are reimbursed. The accumulative reimbursement of medical expenses does not exceed 30 yuan. The deductible standard is: 200 yuan per person for township hospitals, 400 yuan per person for county-level hospitals, and 3000 yuan per person for hospitals outside the county. I have two questions: one is The accumulative annual reimbursement per person does not exceed 30 yuan, isn’t it a bit low? Second, the minimum payment standard outside the county is 3000 yuan, isn’t it a bit high? Going outside the county for treatment, whether it’s a serious illness or a serious illness, they spend more , is an important group of people who are impoverished due to illness. Setting a threshold fee of 3000 yuan will invisibly increase the burden on patients, and a limit of 30 yuan is required. In fact, it is also aimed at them. Can it be set as a threshold fee of 600 yuan at the municipal level? 800 at the provincial level, 1000 outside the province? The upper limit is raised to 100 million yuan?"

Deputy Secretary He Long said: "Mayor Lu's suggestion can indeed reduce the expenditure of patients with severe illnesses, but the financial investment will increase significantly. The focus now is whether Shenzhou County can support this huge expenditure!"

Wang Hongtao thought for a while, and said: "According to Mayor Lu's opinion, modify the plan. That's why we are looking for a pilot project. Summarizing the pros and cons of the gains and losses is to see how much money can be spent to promote it for the city in the future. Provide valuable experience, not afraid of making mistakes, we have the opportunity to correct mistakes, and the municipal party committee and the municipal government will give you the bottom line of Shenzhou, so let your hands and feet do it!"

Executive Deputy Mayor Zhang Yang said: "Article No.19, cancer, liver cirrhosis, kidney disease and severe wasting disease, etc. cannot eat, need to rely on nutrient solution to maintain life, or certain special diseases must be treated with biological agents, use 80% of the cost of nutraceuticals is reimbursed, and 90% of the cost of using blood products must be reimbursed for blood system diseases and other diseases that cause severe anemia or hemorrhage during various operations. It’s all reimbursed, and it’s free to the end!”

Wang Hongtao nodded and agreed.

Deputy Mayor Zhou Ying said: "I read No. 20. If you need to do CT, ECT, MRI and other large-scale equipment and equipment inspections due to your illness, 90% of the cost will be reimbursed. Organ transplantation or For interventional treatment such as catheters and stents, 90% of domestic materials will be reimbursed, and 70% of imported materials will be reimbursed. Can we also refer to the full exemption?

No.20, if the patient is treated in a hospital outside the county, he must report to the county medical insurance office or joint treatment office according to the procedures before seeing the doctor; if it is an emergency, he should report it in time within three days of seeing the doctor.Various inspection fees for treatment in hospitals outside the county shall be paid by the person himself, and 70% of the medical expenses shall be reimbursed.How about this rule?I'm afraid that some people and some diseases can see it in China, and the masses insist on going to other places to see it. After all, the medical conditions in provinces and cities are better. "

Wang Hongtao thought about it, and said: "Forget it, this reservation, I even think that some common diseases that can be treated in the county have to be seen in the city or the province, which will increase the medical expenses virtually and lower the standard. After all, the county has implemented free medical care, which will definitely reduce medical costs. The same disease may be treated for 100 yuan in China, but only 500 yuan in the province. Since you have money and want to enjoy better medical conditions, then Spend your own money, don't occupy collective medical resources."

The mayor agreed: "The secretary is right. Our free medical care is an inclusive policy. It is aimed at the general public, not at the rich who want to enjoy high-quality resources. I think it is necessary to formulate some common diseases. Treatment outside the county is not allowed, and if necessary, the hospital must sign and admit that it is not good for you before you can go to other places for treatment.”

Wang Hongtao said: "The mayor's words are in place, please consider the words and expressions in this article, and add it!"

Li Jinliang, Secretary of the Commission for Discipline Inspection, pointed out: "The County Commission for Discipline Inspection must strengthen supervision, and those who include foreigners in the scope of free medical care for all, falsely claim hospital bed numbers, cheat or waste medical expenses, and prescribe medicines that do not follow the prescribed limit or prescribe non-therapeutic medicines Those who prescribe more medicines or prescribing finished medicines, increase the charging standards without authorization, arbitrarily increase the charging items, do not implement the pricing regulations on the difference between wholesale and retail prices of medicines, and prescribe medicines beyond the scope without authorization. out of the medical industry.

For those who lend their own certificates to others or use other people's certificates to see a doctor, alter prescriptions and settlement bills without authorization, make false claims, use counterfeit bills, and try to increase hospitalization expenses, the medical expenses reimbursed must be recovered and permanently cancelled. All people are eligible for free medical care, and if they are suspected of committing a crime, they will be handed over to the judiciary to investigate criminal responsibility according to law, and must be strictly enforced! "

Wang Hongtao nodded approvingly, and said: "Secretary Jin Liang's opinion is very important and necessary. The power of the Shenzhou Discipline Inspection Commission alone cannot achieve comprehensive supervision. How about this? , Supervision, auditing, finance, health, human labor and other relevant departments have launched a comprehensive investigation and punishment of all kinds of violations of discipline and law in China, and implemented "zero tolerance". The strict implementation of the "list" and the formation of a long-term mechanism will lay a solid institutional foundation for the in-depth development of free medical work in the future."

In today's meeting, everyone can speak, and they can talk about the key points. A total of [-] opinions and suggestions were put forward. Wang Hongtao asked Shenzhou County to adopt all of them, and immediately revise the work plan, and hand it over to the Municipal Standing Committee when it matures. Will study through.

After the meeting, everyone knew that the secretary had made a decision and that free medical care was imperative. Everyone just had to perform their duties and cooperate with the development of free medical care. As for raising different opinions, even the mayor seemed to be reluctant. Thinking about it, it can be seen that Wang Hongtao's authority in Yinzhou has reached a very high level.

The yearning of Yinzhou people for a better life is the goal of Wang Hongtao's struggle.The reason why free medical care has become a hot topic in society is the expectation of the people. In ancient and modern times, no country in the world has lost its country because of social welfare. According to the preliminary estimate of Shenzhou County, free medical care will increase additional expenditures by 30%-40%. , completely within the acceptable range.

The explosive economic growth that Yinzhou is about to usher in is Wang Hongtao's confidence to engage in people's livelihood projects. With money, everything is easy to talk about. Without money, all good ideas are nothing but hope and elusive. Therefore, the current top priority is still the focus Landing of projects and investment promotion projects.