Leisurely tax collector
Chapter 726
Chapter 726
Wang Yi asked without answering: "You have said it all, it is medical reimbursement for employees, not medical reimbursement for urban residents. How many retired employees are there in our country now? How many urban residents are there?"
"Also, do you know that my family's Dechi is regarded as the first-class in the third-tier cities, but the people in Dechi get sick and are not treated in many regional hospitals. They all like to go to the third-tier hospitals in Tingnan City?"
"It's because the medical level of the Dechi District Hospital is not as good as that of the Grade [-] Hospital in Tingnan City, which is two hours away by car."
"In addition, even if it is an employee's medical reimbursement, a large proportion can be claimed, but the patient still needs to pay a large deposit before being hospitalized. For a serious illness, at least [-] to [-] must be paid. If you cannot be discharged within a week , I have to continue to pay another [-] to [-]."
"Some employees may be able to take out the money, but some families of retired employees may not be able to take out the money right away, especially those in need."
"Why are the doctors in the tertiary hospitals in the first-tier and second-tier cities so high? The equipment is advanced. In addition, because there are many patients, there are also many doctors."
"Doctors are human beings, and they also want to have high income and high honor. But now, our grassroots medical organizations are seriously short of patients, and our hospitals in big cities are overcrowded and severely short of doctors. This is a bad development."
"But large hospitals have limited space, and it is impossible to recruit doctors without restrictions." ZL looked at Wang Yi: "Of course, we are also considering how to solve this problem."
"Actually, it's easy to solve. Let the powerful doctors flow, and bring more doctors in small areas to practice. After all, the profession of a doctor requires more practice!" Wang Yishou said: "The powerful doctors of every tertiary hospital in the first-tier cities are local. Keep the establishment, stay in the first half of the year in rotation, treat patients in the local area, and the treatment is the same as in his own hospital, and then use his name to attract local patients. Within half a year, he will definitely be able to train a few skilled hands in the small hospital doctor."
"Afterwards, hospitals in first-tier cities must have restrictions on registration, taking into account the physical strength and diagnosis level of doctors, limit the number of patients per day, and have special departments to divert patients from first-tier and second-tier cities."
"To put it bluntly, since public officials can flow in our government affairs system and education system, why can't staff with staff flow in our medical system? Do we have to hang in a hospital?"
"A section chief can be transferred to another department, a section chief can be transferred to another department, or another department of a different institution, so doctors should also be able to obey the organization's deployment!"
Wang Yi knew that once his words were spread, no matter whether the authorities would consider and adopt them, they would definitely cause a big disturbance.
This is equivalent to a big change in the medical industry.
However, Wang Yi felt that he was right.Why can government departments and education departments transfer employees around, but medical institutions can't?
No matter how big the hospital is, it must be supervised by the health department.Of course, the country has pushed the hospital industry to the market before, and it may also feel that the country's finances alone cannot fully cover such large medical expenses, so it makes the hospital charge, some of which are reimbursed by the state and some of the patients are borne.
But doctors are a special industry after all, requiring a lot of experienced hands, and the work is high-intensity and costly. It is not wrong to push it to the market. What is wrong is that the intensity of the push to the market is a bit out of control.
What is the national economy and people's livelihood?Clothing, food, housing, transportation, education, and medical care.The reason why the cost of living has not come down for a long time is mainly related to education and medical care.
If educational resources and medical resources are dispersed, then housing costs must be reduced accordingly.
Educational resources can be circulated, so medical resources should be circulated accordingly. After all, housing cannot be moved at will.
"It's impossible!" A leader in charge of medical and health shook his head: "Doctors also have choices. Once these doctors are forced to go to remote areas where they don't want to go, it is very likely that they will choose to resign."
Wang Yi said confidently: "A good doctor with a conscience, a sense of revenge, and a sense of social responsibility, as long as he can get enough material rewards, I believe he is still willing to work hard for half a year to train more outstanding young people for the country." Doctor, lighten the workload for himself."
"It's just supporting for half a year, and it's not about letting them support and teach for free. Their treatment is still there, why not?"
"At the same time, the atmosphere of ranking seniority in the medical industry needs to be changed. I don't think it is necessary to strangle the review of senior titles too much. As long as the technology is up to the point, the theoretical level is up, and there are no major problems in thinking, we can pass. Now we After all, there are still too few third-level hospitals, which leads to the scarcity of senior professional titles, because there are only so many positions in one hospital."
"However, if we increase the construction of tertiary hospitals in second-tier cities, increase the number of tertiary hospitals in third-tier cities, and disperse those talented and capable young doctors, let them see the hope of making a fortune, and don't have to stay in the first-line The city still has good development prospects, so they will naturally be willing to be chicken heads rather than phoenix tails!"
"Why are there so many young people in Beijing, Shanghai and Guangzhou? Because there are so many opportunities, and because of the reputation, life is modern enough, and there is enough entertainment for young people to enjoy. If there are other cities that take off rapidly and are in line with international standards, there are also many conveniences and benefits. Young doctors who are still tall and have the hope of improving their ability, flexible and energetic, are still willing to work and fight hard."
"When the level of medical care and education improves, more and more migrants will naturally be absorbed to stay and take root. For example, the Binhai Special Economic Zone developed rapidly in just a dozen years?"
The leader looked at the earnest Wang Yi: "So, what do you mean, at present, let go of the staffing and job title assessment of large public hospitals in second- and third-tier cities, improve the treatment, and then set up a medical support policy to mobilize medical staff from the top three hospitals in first-tier cities. Top doctors, sent to the countryside in equal groups, to pass on their experience? The two work in parallel? Have you ever calculated how much it will cost?"
"Our country's current transportation hub is already very developed. I think that, except for infrastructure roads in some remote areas and the desolate areas of the Northwest, there is no need to build other super-large infrastructure. The saved funds can be used to upgrade doctors and In terms of teachers' welfare, let them feel at ease, so that they can educate talents, study patients and treat diseases."
Transportation in remote areas must be built. Only when there are roads can there be people, circulation, and prosperity.
But for other things, there is really no need to invest too much. No matter how fast the high-speed rail runs, the carrying capacity is limited, and the accommodation space of a big city is also limited.
(End of this chapter)
Wang Yi asked without answering: "You have said it all, it is medical reimbursement for employees, not medical reimbursement for urban residents. How many retired employees are there in our country now? How many urban residents are there?"
"Also, do you know that my family's Dechi is regarded as the first-class in the third-tier cities, but the people in Dechi get sick and are not treated in many regional hospitals. They all like to go to the third-tier hospitals in Tingnan City?"
"It's because the medical level of the Dechi District Hospital is not as good as that of the Grade [-] Hospital in Tingnan City, which is two hours away by car."
"In addition, even if it is an employee's medical reimbursement, a large proportion can be claimed, but the patient still needs to pay a large deposit before being hospitalized. For a serious illness, at least [-] to [-] must be paid. If you cannot be discharged within a week , I have to continue to pay another [-] to [-]."
"Some employees may be able to take out the money, but some families of retired employees may not be able to take out the money right away, especially those in need."
"Why are the doctors in the tertiary hospitals in the first-tier and second-tier cities so high? The equipment is advanced. In addition, because there are many patients, there are also many doctors."
"Doctors are human beings, and they also want to have high income and high honor. But now, our grassroots medical organizations are seriously short of patients, and our hospitals in big cities are overcrowded and severely short of doctors. This is a bad development."
"But large hospitals have limited space, and it is impossible to recruit doctors without restrictions." ZL looked at Wang Yi: "Of course, we are also considering how to solve this problem."
"Actually, it's easy to solve. Let the powerful doctors flow, and bring more doctors in small areas to practice. After all, the profession of a doctor requires more practice!" Wang Yishou said: "The powerful doctors of every tertiary hospital in the first-tier cities are local. Keep the establishment, stay in the first half of the year in rotation, treat patients in the local area, and the treatment is the same as in his own hospital, and then use his name to attract local patients. Within half a year, he will definitely be able to train a few skilled hands in the small hospital doctor."
"Afterwards, hospitals in first-tier cities must have restrictions on registration, taking into account the physical strength and diagnosis level of doctors, limit the number of patients per day, and have special departments to divert patients from first-tier and second-tier cities."
"To put it bluntly, since public officials can flow in our government affairs system and education system, why can't staff with staff flow in our medical system? Do we have to hang in a hospital?"
"A section chief can be transferred to another department, a section chief can be transferred to another department, or another department of a different institution, so doctors should also be able to obey the organization's deployment!"
Wang Yi knew that once his words were spread, no matter whether the authorities would consider and adopt them, they would definitely cause a big disturbance.
This is equivalent to a big change in the medical industry.
However, Wang Yi felt that he was right.Why can government departments and education departments transfer employees around, but medical institutions can't?
No matter how big the hospital is, it must be supervised by the health department.Of course, the country has pushed the hospital industry to the market before, and it may also feel that the country's finances alone cannot fully cover such large medical expenses, so it makes the hospital charge, some of which are reimbursed by the state and some of the patients are borne.
But doctors are a special industry after all, requiring a lot of experienced hands, and the work is high-intensity and costly. It is not wrong to push it to the market. What is wrong is that the intensity of the push to the market is a bit out of control.
What is the national economy and people's livelihood?Clothing, food, housing, transportation, education, and medical care.The reason why the cost of living has not come down for a long time is mainly related to education and medical care.
If educational resources and medical resources are dispersed, then housing costs must be reduced accordingly.
Educational resources can be circulated, so medical resources should be circulated accordingly. After all, housing cannot be moved at will.
"It's impossible!" A leader in charge of medical and health shook his head: "Doctors also have choices. Once these doctors are forced to go to remote areas where they don't want to go, it is very likely that they will choose to resign."
Wang Yi said confidently: "A good doctor with a conscience, a sense of revenge, and a sense of social responsibility, as long as he can get enough material rewards, I believe he is still willing to work hard for half a year to train more outstanding young people for the country." Doctor, lighten the workload for himself."
"It's just supporting for half a year, and it's not about letting them support and teach for free. Their treatment is still there, why not?"
"At the same time, the atmosphere of ranking seniority in the medical industry needs to be changed. I don't think it is necessary to strangle the review of senior titles too much. As long as the technology is up to the point, the theoretical level is up, and there are no major problems in thinking, we can pass. Now we After all, there are still too few third-level hospitals, which leads to the scarcity of senior professional titles, because there are only so many positions in one hospital."
"However, if we increase the construction of tertiary hospitals in second-tier cities, increase the number of tertiary hospitals in third-tier cities, and disperse those talented and capable young doctors, let them see the hope of making a fortune, and don't have to stay in the first-line The city still has good development prospects, so they will naturally be willing to be chicken heads rather than phoenix tails!"
"Why are there so many young people in Beijing, Shanghai and Guangzhou? Because there are so many opportunities, and because of the reputation, life is modern enough, and there is enough entertainment for young people to enjoy. If there are other cities that take off rapidly and are in line with international standards, there are also many conveniences and benefits. Young doctors who are still tall and have the hope of improving their ability, flexible and energetic, are still willing to work and fight hard."
"When the level of medical care and education improves, more and more migrants will naturally be absorbed to stay and take root. For example, the Binhai Special Economic Zone developed rapidly in just a dozen years?"
The leader looked at the earnest Wang Yi: "So, what do you mean, at present, let go of the staffing and job title assessment of large public hospitals in second- and third-tier cities, improve the treatment, and then set up a medical support policy to mobilize medical staff from the top three hospitals in first-tier cities. Top doctors, sent to the countryside in equal groups, to pass on their experience? The two work in parallel? Have you ever calculated how much it will cost?"
"Our country's current transportation hub is already very developed. I think that, except for infrastructure roads in some remote areas and the desolate areas of the Northwest, there is no need to build other super-large infrastructure. The saved funds can be used to upgrade doctors and In terms of teachers' welfare, let them feel at ease, so that they can educate talents, study patients and treat diseases."
Transportation in remote areas must be built. Only when there are roads can there be people, circulation, and prosperity.
But for other things, there is really no need to invest too much. No matter how fast the high-speed rail runs, the carrying capacity is limited, and the accommodation space of a big city is also limited.
(End of this chapter)
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