According to an online survey initiated by People's Daily Online, nearly 70% of netizens blamed "medical care with medicine" and hospitals' excessive profit-seeking. The new round of medical reform is the breakthrough of hospital reform-Guangdong plans to carry out pilot projects in Shenzhen, Shaoguan and Zhanjiang, and gradually cancel the current drug income bonus of hospitals 15%. Jiangxi province is also making a similar reform plan.
Carry out a pilot, observe the effect, then sum up the experience and lessons, determine the plan that conforms to the national conditions, and then fully implement it. This practice is no stranger to people, and so are many reforms. Of course, the pilot also means that it is still unknown whether public hospitals in China will cancel the 15% drug income bonus in the future.
Drug price addition is a common practice in the medical industry, and the current ratio of 15% began in 2006. Under the system of "taking medicine to support doctors", patients will eventually have to pay for the bonus. Only two years later, the reform idea turned again, and the drug price increase of 15% was tried to be cancelled. In 2005, the State Council Development Research Center reported that the reform of medical and health system in China was basically unsuccessful. There are many unsuccessful arguments. I wonder if this frequent turn and the "short-lived" rise in drug prices are one of them.
No matter from which aspect, the core value of medical and health services is public welfare. At present, the medical and health system is criticized by people, mainly focusing on the lack of government investment, public hospitals are public and lack of public welfare. 15% drug revenue bonus is one of the manifestations. As a way to make up the operating cost of hospitals, drug addition is related to corruption in the field of drug circulation, and it also means some substitution and shirking of government responsibility. The monopoly of medical industry still exists, and the marketization of medical care has not made great progress. If the government continues to replace the investment responsibility of real money with preferential policies, it can infinitely approach the public welfare of medical services, and there are few successful examples in the world.
The game of medical reform is nothing more than three parties: the government, hospitals and patients. Now, the new medical reform has broken the problem from the reform of public hospitals, and the previous pilot only increased the bonus of 15%, which attracted the hospital to issue the voice of "crying for poverty". No matter whether this reform will cause huge losses to public hospitals, it is not normal that at least one party speaks and the other two parties are temporarily silent. Perhaps the government departments abide by the logic of saying nothing or saying nothing, but whether the majority of patients can make a sound with decibel and equivalent effect is really not optimistic.
Back to canceling the drug addition. For hospitals, the lack of government investment is an objective fact. It is not known whether there is a relevant compensation mechanism after the drug addition is cancelled. For patients, it is unknown whether the hospital will "fill the vacancy" under the pressure of operation, or even pass it on to consumers through other more secret channels. For the government, whether there is a definite standard for increasing investment, how to invest and where to invest, the draft of the new medical reform is vague and the public has no way of knowing. Some experts say that the attitude of the new medical reform plan is unclear and the focus is not prominent, which is not groundless accusation.
The ancients said that it is easier to do than to do. Needless to say, the difficulty of medical reform, change, move, is not a bad thing. We don't mean to criticize the reform of public hospitals, and the effect of canceling the 15% bonus is expected. We just hope that the path selection prospect of the new medical reform should be predictable and clear. If the reform is covered by departmental interests and various interest groups, it will also be covered by the core values of medical and health services: public welfare and fairness. (