The unreasonable feature of system of Chinese medical services -- " for medical services process pays fee

Rep. Ron Paul meets a medical marijuana patient--Nov. 9 2007

Open win the first, talk about the problem that oneself understand system of more Chinese medical services.

Before reforming and opening, chinese sanitation and health are regarded to be a kind of cause that provides welfare of the whole people, as the arrival of times of reforming and opening, socialist market economy, safeguard of this kind of welfare begins to transfer to social security, conventional medical services defends make trouble course of study to cannot have gotten used to the need that society of current our country admits, "Commercialize " or " welfare is changed " the controversy lasts up to now. No matter be to commercialize system or welfare to change system, the current situation that we see is: In 30 years when go in reforming and opening on one hand, chinese economy lasts level of fast growth, per capita rises substantially; On the other hand, scope of number of the sicken rate of countrywide urban and rural dweller, sicken is increasing; On one hand the investment that governmental year after year is increasing medical services to protect make trouble industry, on the other hand, "Have economic requirement see a doctor difficult, do not have economic condition see a doctor expensive " the outstanding issue that becomes current medical services to serve a field.

Create the source of above phenomenon, come from the problem at medical services system, and the outstanding performance of a variety of system issues, it is the directional mistake that the government throws: Major government investment is cast to medical services an orgnaization, and safeguard system is in medical services to serve a process to buy sheet for medical services again.

The process of healthy state and composition are: Healthy - inferior healthy - disease, and the corresponding countermeasure that controls this one process is precaution - healthy interpose - cure. Medical services is one of healthy payoff only, another payoff still included precaution, health care, education, environment, social security to wait a moment. Before this, the last segment that the much that governmental finance throws threw healthy state -- medical services an orgnaization, should undertake in upper reaches originally " scanty " , turn into to be in actually downstream " " , as a result expression is major countryman from " health " enter directly " disease state " , all sorts of chronic illnesses are sent high, and orgnaization of downstream medical services can‘ts bear heavy burden, because prevent investment and medical services investment to reflect the investment on healthy result,comparing is 1: 8, spend 1 yuan of money to throw precaution to be able to save the remedial cost of 8 yuan of money namely, the government appears in the investment of segment of medical services very little, when pressure of orgnaization of medical services is enormous, the investment that the government increases pair of medical services to serve again... made an investment so - the service is differred as a result - again devoted vicious circle.

Another feature of malady of system of Chinese medical services, namely " for medical services process buys sheet " . Below existing medical services system and system of medical services safeguard, formed what be dominant with clinical medical services to be " service process buys sheet " the current situation, basically pay cure to serve the expense of process happening namely, this also makes medical services system inside " baleful and revulsive " , " excessive service " system sex inducement. Finance can passive be patient allowance or " buy sheet " , form the finance that treats for the patient to guarantee a system, investment is very huge, but still cannot satisfy social requirement, thereby aggravate the vicious circle that governmental investment increases ceaselessly, it is dereliction of duty of medical services corruption, medical services, service poor, medicine and phenomenon of too advanced society offerred diagnostic fare " system opportunity " .

The result link up with that drive of medical services market, system should improve with health, is not with medical services process photograph is contacted. System of current medical services sanitation is heavy " the individual is clinical cure " , " buy sheet to serve a process " , light " healthy result is improved " , " healthy precaution result is incentive " , the promotion of the development that expression prevents medicine for negligence and healthy safeguard consciousness and fulfil, implementation is health and cannot consume in preventing a process " buy sheet for healthy result " .

Governmental investment should change key devote to communal and wholesome system, should pay close attention to precautionary medicine development and construction of healthy safeguard system and socialization application, attention relieves the communal product that service function gives priority to with healthy safeguard, medical services, still have a share clinical medicine development and " primary medical services is ensured " the half communal product that serves an orgnaization. And with clinical the product of half communal, half competition with cure (like civilian battalion hospital) with complete competition " personal product " (serve an orgnaization like health management, check-up, health care) relevant industry, should use the power of the market, outside capital, unlock completely, "Its society of the society does " , the benign loop that drives medical services market develops.