Official Ladder [Grassroots Civil Servants]

After the symposium, it was almost seven o'clock, and Wang Hongtao accompanied the research team to have dinner in Shenzhou County.

Before the meal, Wang Qiang repeatedly told Wang Hongtao not to drink alcohol!The pain of yesterday has not passed yet, and today's investigation is completely forced, and besides, my life is gone!

In fact, Wang Qiang wanted to have an in-depth exchange with Wang Hongtao, so he had to stay awake.

After dinner, everyone went back to their room to rest. Zhang Qiang, secretary of the county party committee, and Yang Xiaowei, county magistrate, were cadres single-handedly promoted by Wang Hongtao. They naturally accompanied Wang Hongtao back to the room, exchanged feelings, and continued to report on work.

Yang Xiaowei said: "Secretary, during the symposium, Secretary Zhang talked about free medical care. I saw that Minister Wang didn't say a word, so he didn't pay much attention to it. He briefly reported on the work. In fact, our Shenzhou County has achieved a lot this year. less achievement."

Wang Hongtao said with great interest: "Give it back to me, tell me, let me see what you two have achieved!"

Zhang Qiang said with a smile: "In fact, it's nothing, that is, the country's top 6 industrial counties can rank sixth, and it is basically settled. The integration of coal resources has basically been completed, the total number of mines has been reduced by nearly 50%, and the production capacity has increased by 6.5 times. The development of semi-coke industry A historic breakthrough was made. "Shenzhou Blue Coal" was successfully registered as a National Geographic trademark, and semi-coke products entered the civil clean fuel market in Beijing, Tianjin, Hebei, Shandong, and Guanzhong, and won orders from large domestic and foreign enterprises. The scale of "Shenzhou Coal-to-Liquid" continues to grow , with a total production capacity of 147 million tons. Eight new industrial products such as olefins and ceramics have been added. Minister Wang will not understand these tasks even if he tells them.”

Yang Xiaowei, the county magistrate, continued to add: "A total of 63 billion yuan has been invested in agriculture-related funds, and a large number of agricultural projects have been implemented. The total grain output and per unit yield have repeatedly hit new highs, and 3 national records have been set in 4 years. There are 16 registered agricultural product trademarks. Won the "China The title of "Hometown of Black Beans". Vigorously carry out afforestation. If all the trees planted this year can survive, the preserved area of ​​all kinds of trees will reach 400 million mu, and the forest coverage rate will reach 40%. The government debt is still 16 billion yuan. I discussed it with the secretary. , live a tight life, and strive to clear the zero at the end of the year, so that you can go into battle next year and focus on development!"

Wang Hongtao nodded with satisfaction and said: "It seems that you two have done a good job, I praise you verbally! China relies on energy, and it seems to be very prosperous now, but the industrial structure is too simple, and the coal price fluctuates too much. Market risks are easy to explode. The ability to resist is not strong. However, the coal-based industrial structure cannot be changed in the short term, and it is necessary to focus on coal conversion, scale around conversion, and deep processing around scale, so as to achieve 'turning and overtaking'!"

The two deeply agree that this is also the key development direction of the "[-]th Five-Year Plan".

The three chatted about the development of Shenzhou in full swing, and suddenly there was a knock on the door. After Yang Xiaowei opened the door, he saw that it was Wang Qiang, the vice minister of the Ministry of Health, and hurried in to welcome him in.

After brewing the tea, the two knew that Wang Qiang would not go to the Three Treasures Hall if he had nothing to do, so they withdrew with a wink.

"Hong Tao, it can be seen that you have a high prestige in the counties and districts, and you are deeply loved by the masses. It shows that you have made impressive achievements in Yinzhou and have a bright future!"

Wang Hongtao said with a smile, "Minister is overrated! How can he be as good as he wants? But I beg you to be ashamed! There are still many things that have not been fulfilled."

"Excessive modesty is pride! Hong Tao, I'm here today to talk to you about free medical care. I have a question. Do you think it's time for our country to implement comprehensive free medical care?"

Wang Hongtao thought about it for a while, and said: "This problem is too big. I'm just a secretary of the municipal party committee. I don't have such a deep and far-sighted perspective, so I can only plan on the three-acre land in Yinzhou. But let me say, There will be resistance and difficulties at any time, it mainly depends on determination, there are always more solutions than difficulties!"

Wang Qiang said: "Then let's talk about the medical reform in Shenzhou County, which has indeed benefited many people, but it is undeniable that there are big problems. For example, if you want to be hospitalized in a hurry, you have to ask acquaintances to intercede; Specially renting a house near the hospital, wandering and waiting in the hospital sadly; patients flocked to the hospital, the beds in the designated hospital were full, and there were patients who could be discharged from the hospital and go home to recuperate. Staying for two weeks and spending public money to recuperate in the hospital is a serious waste of medical resources; the implementation of the policy has not taken into account the quality of the public, and there are too many small peasants who take advantage of the small farmers, and now the implementation of free medical care does not match the quality of the people!"

Wang Hongtao didn't like to listen to these words, and always put the problem on the quality of the masses. In the final analysis, is the government's work not doing its job properly?

Then he said: "Minister, there is indeed a 'blowout' phenomenon in hospitals, and it is hard to find a bed! But I think this is a concentrated release of patients' pent-up demand for medical treatment, or the result of a long-term huge deficit of public medical care. !

This is like many parents who know that eating too much sugar is not healthy for their children, so they hide the sugar.However, once a child who has not been able to eat candy for a long time gets a handful of candy one day, the child who originally only wanted to eat one will eat up the whole handful of candy that day.

This is a symptom of psychological fear, fear of losing opportunities.If the parents regard the child as a bad child because he ate a handful of candy today?In fact, the child knows the disadvantages of eating candy, even if your house is full of candy, he will not eat it in handfuls.

Just like a cadre holding a public medical card in his hand, he doesn't rush to the hospital all day long when he is not sick.People in Shenzhou are crowding the hospitals, not because the incidence rate of people here is higher than in other places, but because people are not practical and worry that this free lunch will be taken back at any time.This kind of panic is due to doubts about the policy of free medical treatment. This has something to do with the sequelae brought about by the government's frequent changes in decision-making, but has nothing to do with the moral quality of the public.In front of the patients crowding the hospital, the government should feel guilty instead of making irresponsible remarks about these poor people with moral and quality words!

Why don't we think about what extra benefit people get by staying in the hospital?Unless someone can prove that 'high-quality people' don't get sick or 'low-quality people' can eat medicine, otherwise, it is pure nonsense to talk about the quality of the people from the hospital full! "

Wang Qiang felt that he couldn’t say enough about Wang Hongtao in this regard, and even felt that he was a little short of words, so he said from another perspective: “Hongtao, I admit that China’s free medical care is the first of its kind in China. It is a particularly meaningful attempt and an ice-breaking move in medical reform. , has a certain enlightenment significance for the development of national medical reform, but it is undeniable that now is not the best time to implement free medical care nationwide, because financial resources are difficult to support trillions of medical expenditures. Free medical care not only causes waste of medical resources, but also The efficiency of medical services is low, because many people are hospitalized for an operation, and they often have to queue for a long time, which will delay the treatment of some people at the bottom of society.

Any policy formulation must not be divorced from reality, let alone blindly pursue ideals and perfection regardless of cost. Comprehensive free medical care is good, but it is beyond the government's ability to pay. It is inevitable that ideal policies will become beautiful shooting stars, so we have discussed it more than once. Free medical care did not take shape in the end.Let me give you the simplest example. If free medical care is implemented in Yinzhou City, who will pay for those poor counties?Municipal finance?If Qin Province promotes free medical care, who will pay for those poor cities?Some people enjoy it for free, and some people pay for it at their own expense. Is it fair?It can only add more hidden dangers and contradictions!

Moreover, during the investigation, Shenzhou County has discovered such a phenomenon that doctors and patients conspire to falsely prescribe medicines for profit. This phenomenon will intensify, and sooner or later there will be greater risks!Because free medical care blocks the income of doctors, the unsound system will only breed more corruption!I think, all the doctors in Shenzhou County will not support free medical care, right?This is a system issue. Obviously, Yinzhou has not considered it thoroughly. If this issue is not resolved, the failure of free medical care is inevitable! "

Wang Qiang's words gave Wang Hongtao enough vigilance. Indeed, the implementation of the free medical policy is a bit blindly optimistic. There are too many flaws and loopholes. It seems that there is still a lot to do!

But Wang Hongtao didn't think that Wang Qiang was so noble, and he said that he was dedicated to the public by persuading him so earnestly, "Thank you for the minister's reminder. Realistically, let more people have fair access to medical care, severely punish medical corruption and improve the medical security system, and then promote it to the whole city after everything is mature! I still say that there are always more ways than difficulties! Like India The most populous country in the world has implemented free medical care, so we are better than India, right?"

Regarding this, Wang Qiang is very familiar with this, saying: "Although India's free medical care system is open to all citizens, regardless of class, rich or poor, and regardless of caste, it seems to have achieved the most extensive and fair free medical system. However, the implementation of free There are long queues at designated hospitals for medical treatment, lack of doctors, equipment, hospital beds, and medicines. Private medical insurance, it is an indisputable fact to go to private hospitals to see a doctor! Another example is the United States, where you must pay a high amount of medical insurance to enjoy high-quality medical services. There is no free lunch in the world, and free food is often hard to swallow Yes! There is also free medical care in Russia. Public hospitals have been underinvested for a long time, and the supply of free services is seriously insufficient, even scarce. Free services are difficult to obtain and the quality is difficult to guarantee. Patients often have to pay for alternative medical services. % of total medical expenses.”

Although Wang Hongtao agrees with these words, it is not enough to dispel the determination to promote free medical care in the whole city. Although the pilot project in Yinzhou is to cross the river by feeling the stones, the reform must have a group of people who are reckless and indomitable. Daqi takes a path that no one has gone before, has responsibility, does not give up, dares to challenge, and dares to fight!Only in this way, relying on doing our best again and again, breaking through ourselves time and time again, and completing a remarkable mission, can we achieve the brilliance of an era!

Wang Hongtao said: "The height of the mountain has its own way for passengers, and the depth of water has its own ferrymen! Although there are thousands of people, I will go! I am willing to be a pathfinder for medical reform. Even if the road ahead is full of thorns, I must go forward bravely and serve the silver People in the state should do something practical to explore the path for medical reform. Even if it fails, it will allow the country to sum up the experience and lessons and provide valuable experience for future medical reform!"