Rep. Ron Paul meets a medical marijuana patient--Nov. 9 2007
"Does price of medical services rise " should how " proper " ?
Numerous place fixes eyes upon " cure revises a report " will open veil on December 26. Grow Chen Zhu to divulge according to Ministry of Public Health, "Public hospital should cancel stage by stage ‘ with medical filling medical service ‘ mechanism, lower drug price " , emphasize at the same time, "Besides increase finance allowance, also can raise medical services to serve the price appropriately, compensate a mechanism in order to perfect public hospital " . (" news morning paper " on December 27)
Although, go up in current price big setting leaves reputation, "Huff " not be the word that a public wants and likes to hear, but specific change a course to cure medium " medical services the price " , calmly and theory, undertake rising appropriately to its, should say, still have quite of the rationality of degree and necessity.
Above all, I think, this is complete abolish " with medical filling medical service " this long a of the medical services chronic illness that denounces inevitable price perhaps says premise. Well-known, long-term since, "With medical filling medical service " with " medical services price on the low side " it is one pair coexists each other in fact and have very big phenomenon of causal abnormal medical services, should cancel accordingly former, latter needs a change likewise necessarily. Moreover, the angle that compensates a mechanism from the medical services that builds ideal looks, "Fill with cure (raise) cure " is not " with medical filling medical service " , undoubted ability is medical services compensatory road the right path, after all, hospital eventually is " cure " courtyard and rather than " medicine " courtyard, former ability should be his " establish a body to conduct oneself in society " essential.
But for all that, of price of medical services rising to mix impossibly also apparently should not be blind with exceeding (the concern of the people that mentions in report of this no less than: "Medical price fell, medical servicesd the price to go up however, the defray of whole medical services of common people can very tall still? " ) , and must strict sincerely abide by " proper " principle. So, crucial now question is actually, "Does price of medical services rise " should how " proper " ?
The medical services that the basis exists generally at present is effective and " cure revises a report " the important medical service of place establish changes a fundamental, the author thinks, here " proper " , ought to contain the content of the following respects at least:
One of, look from the specific project that medical services, "Proper " should reflect in: Cannot be value of project of service of all medical services is general rise, and can be only emphasize particularly on somewhat " have go up have do not go up " it is even " have go up have fall " . With us very familiar medical services collects fees, like registration cost, operation expenses, cure is expended and check cost, assay cost to wait for exemple, the author thinks, former might as well rise somewhat, and latter should not rise not only, and need drops appropriately. We know, nowadays and " raise cure with medicine " malpractice of likewise abominable compensation of a medical services is, of the hospital " with equipment (examination) raise cure " -- in proper and normal medical services the service collects fees besides, medical services checks Fei Ji not to fall high, "Random examination " " collect fees in disorder " etc phenomenon of excessive medical services is very common.
Secondly, look from the general classification that medical services, "Proper " still should reflect in: Primary medical services the price not to rise as far as possible, and the price that primary medical services the main dispute that heighten. Because, with former correspondence is, with the service closely related demand of health of general the people‘s livelihood, the medical services that is like common to the majority disease, frequently-occurring disease serves -- examination, diagnose, cure. And serve about primary medical services, ministry of Public Health expresses already clearly " by governmental dominant " , already such, so, its corresponding service price level also ought to be necessarily as far as possible cheap.
Finally, the can supervise commonweal angle that serves from common medical services looks, this kind " proper " still ought to include: Serve in medical services especially of the price of service of primary medical services in communal and wholesome orgnaization in establishing process, program, the participation that raises the public as far as possible is spent, ensure their know the inside story, superintendence.
Without doubt, the primary medical services of communal and wholesome orgnaization takes deal with concrete matters relating to work to be nonprofit commonweal to serve, and it is communal, commonweal already, be participated in with respect to what cannot leave the public apparently and supervise, otherwise, nominal " commonweal " very difficult not decay is in fact " utility " . Have to say, in reality of present medical services, on one hand medical services price, medical establishment is a government strict control and " public " , and on one hand, "See a doctor ugly disease is expensive " problem however from beginning to end of brandish do not go growing in intensity even, include broad patient inside social community lacks this respect due know the inside story, participate in, superintendence, be one of prime cause.
On December 28, 2007 " young times "
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