"Xue Si Pingzhi" Li Ling: In the next step of medical reform, we should summarize the anti -epidemic experience

Li Ling: The next step in the medical reform, we should summarize the anti -epidemic experience

Xue Si Pingzhi

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Looking back at the medical reform for more than 10 years, almost every step is crossing the river with the stones. There are controversy and degeneration, but the unchanged is the direction of serving the health of the people.

As an expert in medical reform research, Li Ling, director of the Health Development Research Center of Peking University, has been deeply involved in the process of medical reform. She investigated the practice of medical reform in various places and conducted implementation effects to make suggestions to the government to promote medical reform. Li Ling believes that medical care is a field of serious market failure. She proposed that the reform of the Chinese medical and health system should adhere to public welfare and fairness, and adhere to the direction of the government.

During the "Fourteenth Five -Year Plan" period, deepening the reform of the medical and health system is still an important task. In an exclusive interview with the Minsheng Weekly, Li Ling pointed out that the more than two years of epidemic is a test of medical reform and an important inspiration for medical reform. The next medical reform should summarize the experience of resistance to the whole people.

Minsheng Weekly: How do you evaluate medical reforms for more than 10 years?

Li Ling: Generally speaking, I think this is a great change in the process of the great power, involving everyone's interests, and at the same time involved in all aspects. We are walking on the right path, and have achieved great achievements, and we will deepen reform step by step in the future. I have always believed that in the field of health, China will be the benchmark of the world in the future.

I said many years ago that China's per capita life span will exceed the United States, and now it has been realized early. Recently, it has just been announced that in 2021, my country's per capita life expectancy has increased to 78.2 years. The main health indicators ranks among the forefront of high -income countries. This is an extraordinary achievement. And our model is low -cost and efficient, and can make examples for the world.

Minsheng Weekly: In your opinion, what are the important progress of medical reform over the years?

Li Ling: I think the biggest progress of medical reform over the years should be the establishment of the State Medical Insurance Bureau and a series of policies introduced to people's health and people's benefits since the establishment of the State Medical Insurance Bureau. Essence

my country is a great population, but in the past few decades, multinational pharmaceutical companies have sold drugs at high prices in China, which has also breeds countless corruption. After the medical reform, many places tried to negotiate with multinational companies to reduce prices, but did not succeed. The centralized procurement of drugs organized by the state is to negotiate with pharmaceutical companies at home and abroad with a unified market in the country to reducing the price of drugs with quantity to reduce the price of drugs and reduce the burden on the medical expenses of patients.

In fact, some reasons for high drug prices are high R & D costs, and the other part is the high circulation cost, including public relations costs. After the national centralized procurement, it saves a large amount of circulation for enterprises, and the larger the amount, the lower the cost, so the company is also profitable. The small messy enterprises cannot enter the centralized national procurement. In the future, it will give greater room for developing companies with ability, research and development, conscience, and serving people's health.

This is a major change. It is what we are doing and doing very well. At present, everything is very stable, there is no problem of drug quality, and the price of medicines has dropped sharply. The people have obtained real reform dividends.

Minsheng Weekly: What are the inspirations to the medical reform in recent years?

Li Ling: Our next -step medical reform should summarize the experience of resistance to the whole people. Life is first, prevention. During the anti -epidemic, we guaranteed the health of more than 1.4 billion people, ensured the stability of society and the rapid economic growth, and was unique in the world.

Health is the soft power of a country. Since we have been able to do so well for more than two years, why not institutionalize the successful experience in resistance into our next step? We must summarize the effective policies and measures taken by the state during the anti -epidemic period. Now the prevention and treatment of new crown pneumonia is free, which brings the people a sense of happiness.

Now Omikon BA.5 is popular again, with stronger infectious power, and the epidemic has not ended, but we can control it, which is related to our huge public hospital system. For example, during the Wuhan resistance, more than 40,000 medical staff rushed to the front line. Global resistance has also seen the importance of public hospitals.

Minsheng Weekly: During the "Fourteenth Five -Year Plan" period, how should the medical reform deepen further?

Li Ling: During the "Fourteenth Five -Year Plan" period, the medical reform should achieve two changes. One is the fundamental transformation of public hospital operations from profit -seeking to public welfare. The fundamental change of "centered".

Public welfare is actually the arrangement of the national system. It is necessary to further reform from the investment, operation, and distribution mechanism. During the epidemic, the public welfare nature of public hospitals was the best because the state introduced a free treatment policy for the first time when the state's outbreak was outbreak.

During the "14th Five -Year Plan" period, we must attach great importance to the development of public hospitals, strengthen the dominant position of public hospitals, and accelerate the reform of public hospitals. The country's investment method must be changed, and doctors cannot be forced to create revenue. Some hospitals now hope that there are many patients. For example, a banner of "all the money in the operating room is full of money" was hung out of the hospital last year, which touched the bottom line of society. Since ancient times, China has paid attention to hanging the world, how can patients become a tool for making money?

Health is actually the soft power of a country, and the hospital will become the guardian of the health of the people. For example, Sanming, Fujian, pre -paid medical insurance money to the county and rural general hospitals in advance according to the population. The hospital strives to help the people to reduce the disease, tell the people how to live a healthy life, control chronic diseases and dangerous factors. The people do not get sick. Money is the hospital. So in the past two years, hospital doctors in the country have declined, but Sanming's doctors have risen.

China's future medical insurance model should use less money to ensure the health of the people to the greatest extent. The key is to prevent prevention. Mainly prevention is China's original health policy. In fact, Sanming belongs to the underwriting area. Why is the money so little so well? Because Sanming's money is used on the blade, on the one hand, it improves the health literacy of the people, and on the other hand, it provides them with the best treatment after the people are sick and prescribed the right medicine.

Minsheng Weekly: What is the core of Sanming's experience in medical reform? How should other places learn Sanming experience?

Li Ling: The core of Sanming's experience is that the local party and government really practiced the people's supremacy. Because Sanming's medical reform is not a health department or a medical insurance reform, Sanming's medical reform is the party and the government in comprehensive, systematic and comprehensive reform.

We need to use our institutional advantages. The party and the government take the lead, cooperate with various departments to change tracks, do not let doctors rely on their income lives, integrate medical insurance, public health, and finance money to ensure the health of the people. Now the money is good, free medical care for the whole people can be achieved, and there is no need to increase investment.

Li Ling: Member of Chang'an Street Reading Club and Director of the Health Development Research Center of Peking University

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