After the epidemic, I hope to cancel private hospitals. Hospital is a special profession, and we can't just consider economic interests. If most hospitals are gradually changed into private hospitals in order to adapt to the market economy, the consequences will be unimaginable. At present, there are many people in the middle and lower classes who look down on the disease, and with the development of the times, people have normal requirements for enjoying free medical care, health education, health knowledge, medical security and human rights protection. Will increase day by day. If all of them are privatized, it will affect the medical reform and people's yearning for a better future. Especially the appearance of the plague in COVID-19 shows that only the public system can resist the spread of the epidemic.
In this epidemic prevention and control campaign, public hospitals are the absolute main force, and we have not seen the shadow of private hospitals. Many public hospitals, especially grass-roots health centers, can't even get full salary, but they still push up without hesitation. What are private hospitals doing? Did they get the mask from the back door? It's time to wake up, ban private enterprises, ensure the financial input of public hospitals, and ensure the financial wages of grassroots medical and health personnel who undertake public health. There is an urgent need to find the root of the problem.
The marketization of hospitals should be abolished. There is a simple reason. The so-called market is fair, open, voluntary and transparent. My wallet. I'm in charge. However, in medical treatment, patients can't make decisions. The patient doesn't know what disease he has, how to treat it and what medicine he wants to use. There is no reciprocity principle in the market. They can't be masters of their own diseases, only doctors can be masters, and patients have to pay, but there is no master. Therefore, the marketization of hospitals is unequal, opaque and unfair. Patients can only choose to trade, which one is the same.
Should medical care be market-oriented? This proposition is not a black-and-white problem, and should be faced objectively and rationally.
Medical care is a special industry related to the basic livelihood security, and more public welfare characteristics determine that it can only give full play to the reliable livelihood security role by maintaining the public operation mode. In the special period, it is not an exaggeration to encourage private capital to participate in the medical industry to supplement the shortcomings of social resources, but we must clearly realize that public hospitals are the main line to ensure medical public welfare.
The main purpose of medical care under the management of private capital is profit-seeking. As a seller's market for purchasing services, it will think about whether to fulfill its social obligations under the premise of safeguarding its own interests, and public services lack reliability.
An epidemic has made the whole society aware of the necessity of public hospitals, but it does not mean that private capital must completely withdraw from the medical market. The key is how to standardize guidance and establish a strict access mechanism. The most urgent task is to cut off small and irregular medical institutions that cheat patients, provide transitional medical care and take medical insurance funds as the main means of operation, or stop their qualification as medical insurance funds.
Medical insurance fund is one of the most basic people's livelihood security, and the deep harm does not lie in the failure of an epidemic. 19 the national hedging incident proves that a large amount of medical insurance funds have been regularly taken by unscrupulous operators for a long time, which seriously endangers the operational safety of people's livelihood security, let alone public welfare undertakings.
While adhering to the main line of public hospitals and developing in the direction of intensification, scale, specialization, cutting-edge and standardization, encouraging private capital to intervene in medical care not only supplements the shortcomings of insufficient social resources, but also meets the individualized diagnosis and treatment needs of some people. Is this better?
We can see the necessity and inevitability of public hospitals from this epidemic. Hospitals, like special industries, can reflect personal value to a certain extent, but more is that hospitals use their own characteristic resources to infinitely improve profit margins, which makes the national medical insurance fund illegally and infinitely outflow, which greatly makes people lose confidence and increase medical burden. In recent years, the national medical reform, whether from the drug price reform or the economic subsidy for doctors, is based on the basic national policy of serving the country and the people and developing China's medical cause healthily. Although hospitals have played a certain role in economic development since the reform, they have also paid a huge price to the country and people. Luxury medical care has discouraged many people. The people are poor because of illness, and the state comes to help the poor. The sky-high medical expenses have plunged the people and the country into a vicious circle. What is even more frightening is that the high medical expenses will make ordinary people give up their lives because they can't afford it. In the long run, it will cause people to misjudge life and affect the interpretation of the value of life. Therefore, personally, medical care is not a commodity, and life cannot be copied. To a large extent, the advantages of changing hospitals into public hospitals outweigh the disadvantages, which is also more conducive to national policies.
Hospitals need state planning control. Otherwise, the hospital will become a place where some people over-treat to make money instead of saving lives, increasing the burden on the people and tearing the relationship between doctors and patients. At the same time, the state plans to control hospitals, so that the state's medical resources can be reasonably distributed to the grassroots. It is more difficult to see a doctor in some rural areas now than in the past. Farmers have to go to the county seat or buy their own medicine for minor illnesses. If they have no money, they will put up with it. If they can't stand it, they will get seriously ill. If they are seriously ill, they will die later. Moreover, the state must tilt its policy and vigorously train medical workers, especially pay attention to the research and inheritance of Chinese medicine, otherwise Chinese medicine will be lost, and now it is rare to see pulse conditions in Chinese medicine hospitals. The conditioning of some Chinese medicine is very good for health care.
In recent years, the policy has been encouraging private hospitals, that is, private hospitals, to meet the needs of different groups and make up for the market vacancy of public hospitals. However, the proportion of public and private hospitals is different in different regions. It is said that all public hospitals in Suqian City, Jiangsu Province were restructured and bought by private individuals. Later, the government spent money to build new hospitals, which can be described as twists and turns. Judging from the current situation, public hospitals can only be strengthened, not weakened. Whether it is the need of building a well-off society in an all-round way, the need of a healthy China, or the occurrence of a major epidemic, it is enough to prove that public hospitals play a leading role and private hospitals cannot shoulder the heavy responsibility.
Reform is necessary and necessary, but the system is still flawed. Take the hospitals in our city as an example, hospitals should be trustworthy places in the eyes of ordinary people. At present, many public hospitals do not take the medical ethics and benevolence of saving lives as their belief, but put the interest chain first. The essence of doctors is to make a living by technology, not to muddle along. Many hospitals are short of doctors, and as long as they can't die, they are finished. Many hospital directors are not thinking about how to improve the medical level of doctors and how to change the professional quality of medical staff, but are keen on establishing ulterior interest chains with drug dealers and equipment and consumables suppliers. The essence has changed, everything has changed, and the meaning of existence has lost. If a person scolds you, it may be because he doesn't understand and has revenge, then half of the people in a county-level city with a population of 250,000 are scolding you, so this is worth pondering. So I want to say that the advantage of the system is that reform is also a trend, but I hope that the essence will not be confused, and even the professional quality and professional ethics are gone. What can we talk about?
Private hospitals = private enterprises = the more profits, the better. Epidemic prevention serves the whole society to a great extent, and the two are fundamentally in conflict.
In order to earn more profits, private hospitals generally focus on low-risk, difficult and high-profit fields, such as beauty, plastic surgery, gynecology, andrology and health care. Then it is aimed at the maternity of the rich, the diagnosis and treatment of common diseases.
As for infectious diseases and incurable diseases, especially the diagnosis and treatment of diseases in susceptible population = ordinary people, it is even more unavoidable, not to mention the thankless department of pediatrics.
This feature is not only reflected in some newly established private hospitals, but also in a public hospital in a city in northern Jiangsu, so that the city has to spend another 2 billion yuan to rebuild the First People's Hospital, and it also needs the support of other excellent public hospitals in Jiangsu Province.
This time, public hospitals are mainly used to prevent and control the epidemic and support areas with more severe patients. Most private hospitals are useless. It is unrealistic for you to let the doctor who usually cuts people's eyelids treat infectious diseases.
The country that completely privatizes hospitals is the United States, while Northern Europe has done a good job in public hospitals.
The medical expenditure in the United States in 20 13 years was 2. 1 trillion dollars, and it is estimated that it may rise to 3.2 trillion dollars in 2020, equivalent to 18% of the US GDP.
Note that most of these expenses are paid by the American people, not financial input, and some people always misunderstand them, which is really unreasonable.
Hospitals in the United States, even though they are touted as non-profit private hospitals by some people in China, such as Mayo Clinic (a super hospital with more than 60,000 medical staff), charge tens of thousands of dollars for slightly more complicated diagnosis and treatment projects, not including other expenses such as medication.
In 20 17, the median income of full-time office workers in the United States was only $3,500 a month, so there is a saying among American civilians that a minor illness is good and a serious illness is waiting for death. Only after China students came to the United States to understand the real medical situation in the United States did they know that public hospitals in China had some drawbacks, but the situation faced by American civilians was even worse.
China's medical industry may be careful not to slip into the ridiculous "free medical care" in India, and making investment more efficient may be a direction.