Official Ladder [Grassroots Civil Servants]

As long as the truthful confession is made, the death penalty is generally not imposed, but why do some corrupt officials choose to commit suicide?

Wang Hongtao is very aware of Zhang Fei's mentality, which is also the mentality of many corrupt officials: first, eliminate evidence and protect fellow criminals.In recent years, collective corruption, corrupt corruption, and family-style corruption have only increased day by day. Discipline inspection and supervision agencies often start from relatively weak links and strip cocoons from the outside to the inside.However, according to the criminal law, once the party concerned dies, the judiciary will no longer pursue his criminal responsibility or withdraw the case or terminate the trial.Therefore, if a corrupt official commits suicide or is killed, it means that the chain of evidence is broken.The anti-corruption work can only be abandoned halfway, or only kill the fly but let the tiger go.

Second, protect some of the vested interests of family members.Corrupt officials commit suicide, although it brings pain to the family members, but it may keep part of the vested interests of the family members.Traditional culture pays attention to the greatness of the deceased.Once someone dies, even if he is a corrupt official, public opinion will be merciful, enough is enough.Although the practice of digging three feet in the ground is reasonable and legal, it is not feasible.This also means that if a corrupt official used the proceeds of corruption to buy a house for his children or deposited the stolen money in the bank in the name of his family members.It is unlikely that the judiciary will recover all of these illegal money and property.Even once a corrupt official commits suicide, the violation of law and discipline involving his family members will be dealt with lightly.Because I was afraid of causing another death, the ending was not easy to deal with.

Third, avoid insult.Once caught and released without charge, some corrupt officials with weak will would rather commit suicide.All kinds of abuse are also unacceptable.Of course, it is not ruled out that some corrupt officials felt that the matter would eventually be revealed before being investigated.Therefore, he chose to commit suicide to cover up his crimes, which actually protected the reputation of corrupt officials during his lifetime and after his death.

In this regard, Wang Hongtao had no choice but to abide by some rules, and this Zhang Fei would most likely stop here!

At 9 am on September 1, the Chang'an Municipal Party Committee and the Municipal Government held a press conference on deepening the reform of the medical and health system. Wang Hongtao attended and delivered an important speech in person.Simultaneous live broadcast on the Internet, people in the city hold mobile phones, waiting for the introduction of epoch-making policies!

After the press conference began, Zhang Xuemei, deputy mayor of Chang'an City, read out the "Implementation Opinions on Medical Reform in Chang'an City." medical treatment and so on.

Under Wang Hongtao's control, the policy is easy to understand, and more than 200 media present continuously reported the new policy of Chang'an's medical reform to the outside world.

Under the attention of the world, Wang Hongtao picked up the microphone and said with a smile: "General citizens and friends from the media, today is an extremely important day for Chang'an City, because the medical reform that everyone is looking forward to is about to be implemented! The Chang'an Municipal Party Committee and the Municipal Government complied. The voice of the masses, the comprehensive medical security reform plan is officially released today to deepen the reform of the three-medicine linkage of "medicine, medical insurance, and medical care", give play to the guiding role of medical insurance "leverage", promote the expansion and balanced distribution of high-quality medical resources, improve medical services, and reduce medical expenses , Fundamentally solve the problem of difficult and expensive medical treatment for the masses.

The plan increases medical insurance support for designated medical institutions, optimizes the policy of packaged payment for urban and rural residents' medical insurance funds, lowers the proportion of funds reserved for assessment and liquidation at the municipal level, implements differentiated reserve ratios for settlement and payment in different places, and packages payment The use of surplus funds is inclined to rural two-level designated medical institutions, to promote medical institutions to change their concepts and improve their awareness of cost control and fee reduction, to give full play to the advantages of a close medical community, and to fully improve medical service capabilities.

The maximum payment limit of ordinary outpatient medical insurance for urban and rural residents will be increased by 300 yuan on the original basis, reaching 600 yuan per person per year, and the scope will be expanded from rural two-level designated medical institutions to all designated medical institutions in the city that implement zero-mark-up drug sales.

In fact, today's press conference was requested by me to participate, and there is only one purpose, which is to ask everyone to trust the confidence and determination of the Municipal Party Committee and the Municipal Government to completely solve the "difficult and expensive medical treatment" in Chang'an City!

Before the new policy of medical reform, I always had a worry, that is, to get together to see a doctor. The patients in large hospitals must be overcrowded in a short period of time. Some patients may even delay their illness because of the new policy of medical treatment. crave.At present, Chang'an has 42 tertiary hospitals and 42172 beds, ranking fifth in the country; the number of top 5 hospitals is [-], ranking fifth in the country.However, according to estimates, it will definitely not be able to meet the needs of the general public, and the suppressed demand for diagnosis and treatment will be released quickly. A large number of patients in the city will flock to tertiary hospitals for medical treatment, failing to follow the rules of hierarchical diagnosis and treatment, so that "minor diseases and common diseases are diagnosed and treated at the grassroots level. Serious illnesses are treated in county-level hospitals, and serious illnesses are referred to large hospitals'; at the same time, many patients do not follow the scheduled time for appointment and registration, but come to the hospital in advance, causing large hospitals to gather staff, and they will inevitably not be able to queue up Not to mention the waste of time, the delay of the best treatment time for the disease is the most distressing!

In order to effectively solve this phenomenon, under the premise of ensuring the quality of medical treatment and the safety of diagnosis and treatment for the general public, and in accordance with the requirements of the hierarchical diagnosis and treatment system of "first diagnosis at the grassroots level, two-way referral, separation of emergency and slow treatment, and linkage between upper and lower levels", medical service institutions in the city must Focus on 'seven enhancements' to ensure medical safety:

The first is to strengthen the management of graded diagnosis and treatment diseases.Relevant experts were organized to formulate 256 graded diagnosis and treatment diseases in county-level hospitals and 49 graded diagnosis and treatment diseases in grass-roots medical and health institutions, requiring all counties and districts to combine local conditions, and in principle, diseases that can be diagnosed and treated by medical institutions at the same level must not be transferred; For patients who really need to be transferred, the medical institution from which they are transferred shall issue a referral form and the patient's informed consent, and be referred to the higher-level medical institution of the medical consortium with priority.

The second is to strengthen the implementation of the medical referral system.Except for critically ill patients, all patients who meet the diagnosis of graded diagnosis and treatment diseases, in principle, receive the first diagnosis and treatment at the primary medical and health institutions near the place of residence or the place where the disease occurred.Referrals are generally followed in the order of primary medical and health institutions, county-level hospitals, and municipal or provincial hospitals. Patients admitted to higher-level hospitals should be referred in a timely manner after their condition is stable or entering the recovery period.

The third is to strengthen the improvement of primary medical service capabilities.It is necessary to establish a division of labor and cooperation mechanism and a counterpart support relationship between higher-level medical institutions and grass-roots medical institutions, to drive the steady improvement of the diagnosis and treatment level of grass-roots medical institutions, and to guide the masses to make the first diagnosis at the grass-roots level.

The fourth is to strengthen the implementation of the two-way referral mechanism.All types of medical institutions at all levels should cooperate closely, relying on medical consortia, counterpart support and other forms to form a two-way referral channel to reserve medical treatment space for referral patients at the grassroots level.

The fifth is to strengthen the diagnosis and treatment of chronic diseases at the grassroots level.Clarify the responsibilities of different levels of medical institutions and medical personnel, strengthen cooperation and cooperation, implement hierarchical services and management, implement the grassroots chronic disease joint outpatient clinic and long-term chronic disease prescription system, and carry out online drug delivery.

The sixth is to strengthen the construction and application of information technology.All medical institutions above the second level must implement online appointment registration, appointment inspection, and telemedicine, and guide patients to seek medical treatment at the nearest location and at different times.Secondary and tertiary medical institutions should provide grassroots medical institutions with remote consultation, remote pathological diagnosis, remote imaging diagnosis, remote ECG diagnosis, remote training and other services through the Internet, and promote the implementation of the "basic inspection, superior diagnosis" model.

The seventh is to strengthen the hierarchical management of diagnosis and treatment.Medical institutions at all levels and of all types should specify the referral service department and implement a referral responsibility system.According to the recommendations of the receiving doctors, responsible for contacting the upper and lower referrals, and actively providing continuous diagnosis and treatment and referral services for patients.Strengthen the publicity of scientific medical treatment and the scope of graded diagnosis and treatment of diseases, enhance the consciousness of patients at the grassroots level for first diagnosis and graded diagnosis and treatment, and promote the effective implementation of the graded diagnosis and treatment system.

On this basis, the medical insurance has improved the medical insurance payment policy for graded diagnosis and treatment. If a lower-level medical institution is transferred to a higher-level medical institution, it only needs to make up the difference between the minimum payment standard of the upper-level medical institution; pay standard.In this way, the medical resources at all levels can be rationally used, and the medical security role can be maximized, forming a medical treatment model of 'go to the community for minor illnesses, enter medical institutions for serious illnesses, and return to the community for rehabilitation'. "

Finally, Wang Hongtao emphasized: "The general public is requested to seek medical treatment rationally. I assure you that since the new medical policy is promulgated, it will be implemented for a long time, especially in the past few days. As long as your body can handle it, don't go to the hospital to 'join in the fun' At the same time, the implementation of a new policy will inevitably have many unexpected difficulties and accidents. Please be tolerant and give the municipal party committee and the municipal government a certain amount of time to correct errors. We will definitely solve everything as quickly as possible. Unpredictable problems, completely solve the problem of 'difficult and expensive medical treatment'.

thank you all!Now, I declare that Chang'an City's medical reform policy is officially implemented! "

After Wang Hongtao's speech was over, the reporters rushed forward, asking various questions non-stop.

Today's Toutiao reporter asked: "Secretary Wang, I would like to ask a question that is of great concern to netizens across the country. How much money does Chang'an City need to invest in the new medical reform policy every year? Is there any reference for other cities?"

Wang Hongtao said with a smile: "Chang'an City currently has a population of more than 1600 million. We invest in a budget of 400 yuan per capita. This is the result of scientific calculations. In addition to the medical insurance fund, the city's finances are expected to invest 40 to 60 billion yuan." As for Keep your mouth shut about other cities!

But some people are not willing. Dongfang reporter asked: "Secretary Wang, Chang'an's economy has developed rapidly this year. I heard that most of the government debts have been repaid, and the finances are sufficient. Chang'an is capable of implementing a new medical policy. But will it bring benefits to other cities? What about the pressure? After all, in terms of gdp and fiscal revenue, Chang'an City is not number one in the country!"

Wang Hongtao replied with a smile: "Each place has its particularity. The direction of financial investment is different, but it does not mean that it is wrong. Maybe the billions invested in other areas of people's livelihood will produce better and greater results. The municipal party committee has been exploring."

Wang Hongtao's answer caused a burst of good-natured laughter!Which means, everyone self-evident!

Wang Hongtao continued: "Please also focus on the medical reform, help us find problems, strive to make Chang'an's medical reform work more perfect, and provide more references. I think this is more meaningful than the medical reform itself!"