Official Ladder [Grassroots Civil Servants]

If you want to do a livelihood project that involves the cadres and masses of the city, it will not be done overnight. The preliminary preparations are quite cumbersome. When Yinzhou City is intensively preparing for free medical care in the city, there is a trend gradually spread on the media and the Internet. City Shenzhou County's free medical care questioned.

CCTV famous mouth talk show, put forward: Shenzhou County free medical care, free "lunch" taste.

The interview said: The free medical care in Shenzhou County, Qin Province has caused the hospital to be overcrowded, and the policy of benefiting the people has encountered embarrassment. There are pictures and the truth.In the month when free medical care was implemented, the total reimbursement of hospitalization expenses in the county reached 960 million yuan, and a total of 2100 hospitalized patients were admitted.However, once this people-benefiting project was implemented, it caused a lot of controversy. Some people criticized them as a "head-slapping" project, and some called them a "Great Leap Forward". Why?It turned out that after the implementation of this policy for more than two months, there were some headaches for the local medical department. For example, many patients flocked to the hospital, and the seven designated hospitals in the county were full of beds.A family member of a patient said that if you want to be hospitalized in a hurry, you have to find an acquaintance to intercede. Under the benefits of free hospitalization, some people even "have to be hospitalized for minor illnesses, and they will not be discharged when they are well. Hospitalization” and so on.The government’s financial strength is strong, and it is a good thing to be able to return wealth to the people. However, how to make the medical project of benefiting the people into a more scientific and popular project requires Yinzhou City to think carefully. Much dissatisfaction!Moreover, it is said that it is completely free, and ordinary people still need to pay, which seems a bit grandstanding!

This is a national column, and it is also blessed by famous mouths. Under the guidance of the navy, China's free medical care immediately ushered in a wave of criticism on the Internet.The reality is often like this, ordinary people are easily misled by public opinion without knowing it.

Immediately afterwards, the Southern Weekly reported: Shenzhou County, Qin Province tried to implement free medical treatment for all, causing the hospital beds to be overcrowded, and new corruption to breed!

After a year of brewing, the "Implementation Measures for Free Medical Care for All in Shenzhou County" was implemented as scheduled.Since the implementation of this medical insurance system, which the media called "the first of its kind in China", the public moral hazard has pushed the government into an embarrassing position...

The temptation of free makes the hospital beds full.Since the implementation of this policy of benefiting the people, there has been a "headache" for the government: the seven designated hospitals in the county are all full of beds. "If you want to be hospitalized in a hurry now, you have to find an acquaintance to intercede." A family member of a patient who was treated at Shenmu County Hospital said yesterday: "There are still people who rent rooms near the hospital and queue up for hospitalization." A government official said helplessly. Said: "It is conceivable that the hospital beds are full. Some of them have been neglected for many years; some of them have to be hospitalized for minor illnesses..." The patient is waiting to be admitted to the hospital, and the medical staff have to communicate with the patient.” A hospital leader said: “Some critically ill patients must be admitted to the hospital for treatment immediately, but being seen by some patients with milder conditions will cause unnecessary doctor-patient visits. contradiction."

Patients flocked to it and the finances couldn't afford it.Following the implementation of the 15-year free education project, the county has implemented free medical care throughout the county, which is driven by the advanced county economy.Some experts have raised concerns about the economic backing behind Shenmu's "free medical care", and believe that this move is radical.According to preliminary calculations by researchers from the Institute of Industrial Economics of the Chinese Academy of Social Sciences, after the implementation of the "universal free medical care system", Shenzhou County's finance needs to subsidize at least 1.5 million yuan a year, and the per capita subsidy is about 400 yuan, which is much higher than the per capita subsidy in the new medical reform plan. The standard of 120 yuan.It is difficult for Shenzhou County to have so much fiscal revenue to afford free medical care for the people, and this move may have unsustainable financial consequences. "

How to deal with "public moral hazard".Regarding the contradictions exposed at the beginning of the policy implementation, various doubts from all walks of life, and interviews with the media, the Shenzhou County Government has always adopted the principle of avoidance.It only said that the relevant government departments are currently in the process of further improving the problems existing in the "free medical care" system, and it is inconvenient to disclose others. "The implementation of the policy did not take into account the quality of the public. The current priority is not the issue of funds, but how to set up strong constraints in the system. Regulating the public is the key." said a government official who did not want to be named.

Under the "free" incentive, both doctors and patients have a tendency to excessively occupy the government's financial resources to enjoy medical services. This kind of collusion will bring about adverse selection, and the finances will not make ends meet, unable to maintain the current level of medical security. In the end, the government will be in a dilemma. situation.

Wang Hongtao looked at the two reports, frowning and worried. These are all official media, and the review process is quite strict. It is impossible to criticize a prefecture-level city without the consent of the leaders. Yinzhou's free medical care is not optimistic, does not support, is suppressing, warning?

Public opinion is a double-edged sword. While it produces positive effects, it also brings many negative effects.Restricted by information sources, there is a certain distance between online public opinion and the truth, and some are even rumors, and the Internet has become a "booster" and "amplifier" for these rumors, misleading public opinion.Faced with such news, most netizens rarely question its authenticity, showing a kind of blind obedience and impulsiveness of the group. Most netizens also easily bring personal emotions and tendencies into speech, and interest groups use the Internet to manipulate public opinion. .

For a while, rumors about free medical care in Shenzhou County spread everywhere, constantly misleading netizens. The Internet hates iron and steel, and the voices of Yinzhou and Shenzhou are one after another. Of course, many of them are the rhythm of the navy. Information, or hype sensitive news, forming rumors, deceiving netizens, and misleading public opinion.

Soon, the Global Times reported: "Radical" medical reform, "free" disadvantages!

A large amount of financial expenditure is not easy for a western county that is not rich compared with some coastal counties and has many historical debts to repay.The radical health care reform in Shenzhou County has its first flaws. If it is unsustainable, it will lead to even more dissatisfaction among the masses.

Enticed by free medical care, a large number of medical seekers poured into county-level designated hospitals, and the number exceeded the highest number that could be estimated.Within a few days, the reporter came to the Shenzhou County Hospital and saw that all the 350 beds in the hospital were full.In Shenzhou Second Hospital, the beds are also full, in order to treat inpatients.The hospital had to place a lot of beds in the corridors.

The scale of seeking medical treatment is huge, and hospital beds have become a scarce commodity. Since inpatient beds cannot be provided for medical seekers, many patients who should be hospitalized are waiting and wandering in the hospital with a dejected expression.Some patients can be discharged from the hospital to recuperate after being hospitalized, but they just don’t want to be discharged because they have a book in their hearts: they also experienced a short period of four or five days, and a maximum of 20 days. After completing the discharge procedures, according to the regulations, the "free lunch" will be cut off abruptly. Instead of going home and spending money to recuperate, it is better to stay for another two weeks and continue to receive free treatment.

"In designated hospitals, those who are sick cannot be admitted, and those who are cured are not hospitalized." A woman who runs a private clinic said, "Free medical care is definitely a bad policy for those who are not satisfied."

A patient with liver cirrhosis came to Shenzhou County Hospital more than 3 times for nearly a month since March 3. As a result, the beds in the Department of Infectious Diseases were always full.I had no choice but to rent a private house in the county. My wife sells fruit on a tricycle every day, and he waits for the hospital. On the afternoon of April 10, the doctor asked him to go there, but Yao, who was out of breath, made the trip in vain.

"Anyway, I can clearly see that some inpatients have hepatitis B's "small three yang", but they are admitted to the hospital and don't want to come out. I have a serious illness, and the doctor is helpless. What way? As long as I can live in the upper hospital, I don’t want to pay for it for free, just give me 80% of it!”

In chaos, Shenzhou County's "free medical care for all" model is being explored in the mist!

In the online media, Sohu, NetEase and other media also keep reporting: the confusion of "free medical care"; the utopia of "free medical care";

In less than five days, the "China Times" published a commentary "Shenzhou Free Medical Care Suspected Great Leap Forward", pointing out that "when major policies are introduced, in addition to idealistic motives, decision-making departments need more realistic thinking and scientific considerations. A complete medical system or any social service system must have a mature mechanism to match it.”

"Dazhong Daily" published a comment "Medical Care Needs Guarantees, Not Free", thinking that "instead of unrealistically implementing a universal free medical system, it is better to establish a practical basic medical security system that truly benefits the people, and continuously expand the basic medical security system. The coverage of the basic medical insurance system will be gradually improved.”

……

Si Daiqiang has been sorting out free medical reports about Shenzhou County, Yinzhou City. In just a few days, there were 25 articles in major media, all of which were negative reports.

To Wang Hongtao's surprise, the headline on the front page of the Qin Provincial Daily read: "Applause for the free medical system for all in China"!

Today’s Toutiao commented “Don’t be in a hurry to speak ill of China’s free medical care attempt.” The article said, “We value the ice-breaking nature of China’s free medical care. Only by being the first to eat free crabs can those latecomers clearly see , How far is the gap between free medical care from dream to reality, how many institutional and institutional problems need to be solved one by one, and how many public moral hazards need to be controlled.”

With the hot discussion and hype covered by the media and the Internet for free, the cadres and masses of the entire Yinzhou City are confused. The free medical care in China is so good, how can it be as it is said on the Internet?Especially the hundreds of thousands of people in Shenzhou County feel that they have been greatly slandered.

Yinzhou people rose up to resist, fought back doubts on the Internet and in the media, presented facts and reasoned, but in front of netizens across the country, this little person was like a drop in the ocean, not worth mentioning at all, and was quickly overwhelmed, and some people ridiculed, these people It was the sailors invited by Yinzhou to forcibly clean up Yinzhou, but the methods were too naive!

For the first time, Wang Hongtao felt the power of capital, and at the same time felt a sense of powerlessness, helpless.Fighting the public opinion war is not just about spending money, but also having an official and clear attitude.The current situation made Wang Hongtao feel chilling for the first time!