Comparing the new medical reform with the American medical reform, how about the medical care in China?

China's plan of "new medical reform" can be described as "we shouted for a thousand times and urged for a thousand times before she laid hands on us". Now it has been running quietly under the main framework of "four beams and eight columns" for some time. Recently, however, the public's attention to medical care has almost focused on the treatment of influenza A (H 1N 1), and stayed in the handling of the Nanjing Children's Hospital incident and related issues. Vigorous discussions and tit-for-tat debates have become the understanding and implementation of policies in various places. When everything seemed calm, the American senator finally made the word "medical reform" no longer calm on Christmas Eve. The 60: 39 plan barely passed, and the new medical reform in the United States finally passed. Looking back, the health care reform in the United States was finally submitted to Obama for signature and publication one quarter after it was passed by the House of Representatives in September 2009. The same pain, the same expectation, the same long road! The differences in social system, financing channels and medical level between China and the United States determine the differences in medical reform between the two countries. But just as we are facing the "big problem" of 654.38+03 billion people, the medical reform in the United States is also facing the problem of more than 200 million people, which is naturally no small matter. Difficulty and caution in the introduction of the medical reform plan: Some people say that the medical reform in China is generally unsuccessful because there are still many problems to be solved. Some people say that the medical reform in China has improved the overall medical level and promoted people's health, so the medical reform is fruitful. But in any case, we are faced with increasingly high medical expenses, huge differences in medical level and service capacity of hospitals at all levels, unbalanced development between the east and the west, insufficient security and weak security. The personal feelings of the masses are-it is difficult to see a doctor, and it is expensive to see a doctor! The doctor-patient relationship is tense! Faced with many complicated situations, the problems to be solved in medical reform are not only financing, orientation, marketization or government-led, but also many problems to be solved in medical reform. So the experts put forward the medical reform plan on the basis of analyzing the original problems. From the first edition to the sixth edition, from Peking University edition to Tsinghua edition, and from Fudan edition to NPC edition, we have seen and discussed a lot. The final version can be said to absorb a lot of useful research results, but it also makes the implementation of the plan complicated. In any case, after a long period of comparison, screening, refining and sublimation, the new medical reform plan was introduced. What is the health care reform plan in the United States? At the beginning of Clinton's administration, Hillary, as the first lady, jumped to the United States to start their medical reform. A few years later, the first lady became a member of Congress and Secretary of State. The characteristics and shortcomings of the market-oriented and expensive American medical system have always been in front of everyone. Whether the insurance-led market model adopted by the United States is suitable for countries undergoing medical reform and the United States itself is worrying in the dispute. Obama's successful campaign, one of the selected commitments is to start the new medical reform in the United States, but the new medical reform plan is also "difficult to produce." What the House of Representatives passed may not necessarily belong to the phenomenon of American politics, but the medical reform plan is complex, the prospect of medical reform is unknown, and the huge expenditure of medical reform costing 850 billion US dollars is really in front of us. Therefore, the new plan of American medical reform has gone through a tortuous process. Barely passed before the Christmas holiday ... the plan was passed, but the road to medical reform has a long way to go! As the saying goes, "a good beginning is half the battle" and "everything is difficult at the beginning". However, the road to medical reform is by no means as simple as imagined, and there is a long way to go from the introduction of the plan to its implementation. There are obvious differences between the two countries, but there is still a long way to go! "Not bad money" and "not bad money". Great medical achievements have been made with less expenses. Through the efforts of medical staff, government planning guidance and policy support, a sound medical system has been established, and the public health system has been gradually improved through SARS and earthquake relief. A large number of experts and scholars have emerged in many fields such as disease prevention, treatment and rehabilitation, and accumulated a lot of successful experience. However, the problems we face, such as unbalanced economy, obvious differences in medical technology, poor medical conditions at the grass-roots level and low level of personnel, can never be solved in one day. The 850 billion investment needs to be implemented step by step, and many policies and regulations need to be promulgated and implemented. Money is the main thing here, but it can never be solved with money. Besides, we are really short of money. What about America? The United States is the country with the largest medical expenditure in the world. Is America's medical security solved because there is no shortage of money? Their good money is relative to other countries. In the face of health care needs, the United States is far from reaching the era of not bad money. At present, the coverage needs to be expanded. Although medical insurance in the United States has covered most people, the excessive increase in costs has also marginalized the entire insurance industry. Therefore, it is still a long-term problem to realize the healthy and orderly development and virtuous circle of the medical system. There are two main reference models for "market-led" or "government-led" medical reform: British model and American model. The model of universal health insurance in Britain embodies more public welfare, and the government-led component is very strong, but efficiency is a bottleneck problem. The American medical system is a relatively efficient model, but it needs economic support and the perfect operation of insurance and medical system. The two models have their own advantages and disadvantages. What about us? The fully planned economic model has long been broken, but the hospital is still dominated by the government, and the compensation is still less than the insurance compensation. We need to take advantage of the advantages of the two models and abandon their shortcomings. There is nothing wrong with the direction. But the key is, how can we identify these advantages and disadvantages, and how can all links of the whole health system operate efficiently and take fewer detours? There is no wave at the bottom valve, a large population and a huge difference, all of which need to be adapted to local conditions, but sometimes unified standards are needed. Where is the balance point of contradiction? Every place has a scale and its own specific situation. ...... The American medical reform plan was passed, our medical reform plan was implemented, and a race began again. In this endless game, although we seem to be one step ahead, we are backward on the basis of the problems and solutions we face. We both need to move on, move on, and move on. Because we are not in the same field, the difficulties we face are also very different. I hope that both schemes can be carried out, promoted and succeeded according to the established scheme, because people's health protection is the same goal of medical reform!