Official Ladder [Grassroots Civil Servants]
Chapter 582
Seeing that Wang Hongtao was so stubborn and did not change his original intention of promoting the city from beginning to end, Wang Qiang became a little impatient. He came to Yinzhou with a mission, so he couldn't come here in vain, and it would be useless.
"Hong Tao, there are about 30000 hospitals in the country, 12800 public hospitals, 17200 private hospitals, and a total of 1118 million employees. To put it bluntly, if free medical care is implemented, the income of public hospitals and medical staff will decrease. will keep silent; the income of private hospitals will drop sharply, and even many private hospitals will not be able to survive. You know, you can’t afford to open a private hospital without any background. The capital, contacts, and background behind these 17200 hospitals are unimaginable for ordinary people Yes, if they are determined to do one thing, no one can resist! And they will cut themselves off from the tens of millions of medical practitioners, which may cause a devastating blow to your future. People are terrible, I am for you good!"
After listening to Wang Qiang's words, Wang Hongtao did feel a little worried. If the whole city of Yinzhou implements free medical care, it will definitely cause a huge wave, a huge chain reaction, and maybe some attacks.But, think about it carefully, hasn't the country made a statement yet?If it is resolutely not allowed, how can I let myself carry out the pilot smoothly?If the foundation is really shaken, will the country tolerate its own nonsense?What is the secretary of the municipal party committee in the face of the big picture?All it takes is one piece of paper!
As for the consequences Wang Qiang said, there might be some, but is it really that terrifying?Now is the information age, no one will blatantly do things that are self-isolated from the people, free medical care will definitely be supported by the people of the whole country, any force will only be a lonely boat in the vast ocean of the people, and just a wave will do Knock him over without too much worry!Therefore, it was not enough to dispel Wang Hongtao's thoughts.
So he said: "Minister, I think the interests of the people are more important than anything else! Dreams are something that make people feel happy when they work hard. Walking in a hurry, chasing the sparks in the distance; walking firmly, walking vigorously, and then To welcome the dawn of tomorrow, there is a dream to go far! If everyone drifts with the tide, timidly, and cares about personal gains and losses, then who will realize our great cause and the expectations of the masses? In front of the interests of 400 million people in Yinzhou, my point What counts as personal gain?"
Wang Qiang shook his head and said, "Pharmaceutical companies often cooperate with large distributors and then authorize distribution agents in the region. More than half of the drug cost may be consumed in the middle link. The ex-factory price of many drugs is often only 20% of the final sales price. %~30%, and there are also medical device suppliers. The implementation of free medical care will definitely set the price and set the price, only for the pharmaceutical source enterprises, which will inevitably destroy the interests of all parties in the medical industry chain, so it is better to be revolutionized by others Take action first, so to put it bluntly, those with vested interests will inevitably launch an "offensive defense" to protect their own interests. The power of capital is quite terrifying. Blocking people's money is like killing parents. Facing 10 trillion Do you think you can resist the anger of capital? Even the country must compromise in a special period, because it involves the livelihood of tens of millions of people and social stability, and someone must be a victim at that time, and many people may You have been implicated. Hong Tao, you have a great future, why bother to destroy your future for that illusory dream? You are a smart person, a gentleman does not stand under a dangerous wall, why put yourself in danger?"
Seeing Wang Hongtao's silence, Wang Qiang continued: "Actually, the country knows about these problems, and it will not be solved overnight. For the time being, it is unrealistic to implement universal free medical care, so there is still a long way to go!"
The Ministry of Health has been exploring the medical reform, considering a transitional stage, starting with some people for trial operation.After all, everyone knows that the 60-year-olds are yearning for free medical care day and night, and they are eager to see it.Can we gradually increase reimbursement for this group of people, or implement free medical care first, then if the experiment is successful for this group of people, then gradually lower the age, and finally consider realizing free medical care for all at the right time?If free medical care can be implemented on the elderly, it will surely relieve their worries, allow them to take care of and enjoy their old age, and greatly improve the happiness index of the elderly.It's not that we don't do things, but the formulation and promotion of a policy is not as easy as imagined, because our population base is large, we must think carefully, find a pilot, and sum up experience before we can gradually promote it.If Yinzhou is interested, it can be used as a pilot project. The Ministry of Health can cooperate with Yinzhou. Such achievements are not small! "
Although Wang Qiang was smiling, Wang Hongtao knew very well that a smile is not necessarily polite, it may also be a warning!This time he came to Yinzhou, he didn't represent himself, he might represent a group of people!
Although he made some efforts, Wang Hongtao still controlled it very well, and his expression was as usual.After many years of political career, I have been able to control emotions to express emotions instead of expressing them with emotions.
Human nature is: the more things you worry about, the more people will bully you!Whoever you care about thinks, you become his slave!
Wang Hongtao smiled lightly and said, "Minister, thank you for reminding me! But I always believe that those who follow the light will eventually shine! As long as the goal is firm, you will be able to triumph and overcome obstacles! Years Zheng Rong, I will always remain true to my original aspirations. The history is vicissitudes, but the spirit is eternal! At worst, if I don’t become this official, I will be happy and at ease. I think the minister also understands my situation. There are more than one billion in the account, and I am a rich man. Weng is also quite good. However, I firmly believe that the 400 million Yinzhou people are my backing, and I will always stand with them!"
Faced with Wang Hongtao's refusal, Wang Qiang was very helpless and felt powerless that he hadn't felt for many years, but he didn't want to get nothing from this trip and be unable to make business after returning, so he took out his last trump card and said:
"I have worked in the Ministry of Health for decades. The pilot project in China has a familiar track, just like in the past, it came vigorously and went quietly. So, will it be different this time? Hongtao, a pilot project in only one county, It doesn't matter. Now that the reputation has been gained and the attention of the whole country has been gained, it's time to stop. If you want to do something for the common people, you can do it in a disguised way. It's a detour, and you must fight against everyone and show off! If you can cancel the city-wide promotion I can assure you that there will be more than [-] billion medical industry funds pouring into Yinzhou, turning Yinzhou into a medical base, radiating the entire five northwestern provinces, and benefiting more people in Yinzhou. Political achievements are at your fingertips! Two years later, when your term of office meets the reporting requirements, the deputy minister will come. On the contrary, you can imagine the consequences. There is a high probability that what you want to do will be in vain, losing your wife and losing your army!
It's getting late, if you think about it carefully, I won't bother you! "
Wang Hongtao got up to see him off, and said, "Minister, no matter what the result is, I will thank you for your heart-to-heart words today!"
"Hey, Hong Tao, to be honest, a leader who is dedicated to the people like you is rare, I appreciate it very much, there should be a wider stage to benefit more people, I really don't want to watch you fall in the political arena You have to weigh the pros and cons when you do anything, think twice before acting, and don’t be impulsive. If you keep the green hills, you don’t have to worry about no firewood. Many things will come to fruition with the passage of time. Maybe what you want to do now will take more than ten years. It will be easy to do, there is really no need to hit the south wall. That’s all for now, let’s do it for ourselves!”
After sending Wang Qiang away, Wang Hongtao fell into deep thought. He is not a second-rate man, so how could he not consider his future?The age of impulsiveness has already passed!
As we all know, the existence of the pharmaceutical industry is the most important thing for the whole society, and with the development of the economy, the science and technology of the medical industry are also constantly improving, and it may be more convenient for people to see a doctor.But I don't know when, the chaos in the pharmaceutical industry has emerged one after another, and everyone has also been affected to a certain extent when seeing a doctor and buying medicine.
Even under this influence, an attitude of avoiding diseases and avoiding doctors has emerged, because it is possible to go to the hospital and be skinned, so that more and more people have formed the concept of looking down on diseases and medicines, and This concept has also become the norm in the whole society.
If the problem of the system is not solved, even if the city implements free medical care, the prices of many medicines are not under the unified control of the state at all, but are controlled by the supply of medicines. In order to obtain higher benefits from the common people, medicine suppliers They joined together to continuously raise the price of medicines, and then paid subsidies from medical insurance. In the end, the difference between these prices went into the pockets of pharmaceutical suppliers.
In addition, there are some suppliers who do not satisfy the immediate interests at all, and even contact doctors privately to reach cooperation.When doctors help patients to see a doctor, they will make some small diseases serious. They obviously don’t need to take medicine, but doctors will also prescribe various expensive medicines and guide patients to buy them. In this way, pharmaceutical companies will More benefits can be obtained, and doctors can also get kickbacks. I have to say that this way of making money is disgusting, but it will be the norm.
It seems that if you want to completely solve the medical reform and implement free medical care nationwide, you need top-level design. If it involves the entire medical industry, it will definitely be reshuffled. .
At the same time, Wang Hongtao has a deeper understanding of the pilot work in China. There are indeed many shortcomings, such as hospitalization for minor illnesses, failure to line up for critically ill patients, and excessive use of resources to benefit, resulting in low medical efficiency and lower medical service levels. A new type of medical corruption, collusion between doctors and patients, arbitrage of benefits, etc. have been introduced.
But isn't that the role of the pilot?If you have a problem, find the problem, and solve the problem, isn’t that enough?
In the next step, Shenzhou County must seek solutions to the existing problems, gather experience in solving them, and finally establish rules and regulations.
Lying on the bed, recalling those words of Wang Qiang, it still caused a certain amount of pressure on Wang Hongtao. Only he knew how much he had paid to get to this point. Who would give up the bright future unless it was absolutely necessary?Only fools don't care about it, they have to think about it carefully, think of a perfect plan, and do a good job so that they can throw the mouse.
"Hong Tao, there are about 30000 hospitals in the country, 12800 public hospitals, 17200 private hospitals, and a total of 1118 million employees. To put it bluntly, if free medical care is implemented, the income of public hospitals and medical staff will decrease. will keep silent; the income of private hospitals will drop sharply, and even many private hospitals will not be able to survive. You know, you can’t afford to open a private hospital without any background. The capital, contacts, and background behind these 17200 hospitals are unimaginable for ordinary people Yes, if they are determined to do one thing, no one can resist! And they will cut themselves off from the tens of millions of medical practitioners, which may cause a devastating blow to your future. People are terrible, I am for you good!"
After listening to Wang Qiang's words, Wang Hongtao did feel a little worried. If the whole city of Yinzhou implements free medical care, it will definitely cause a huge wave, a huge chain reaction, and maybe some attacks.But, think about it carefully, hasn't the country made a statement yet?If it is resolutely not allowed, how can I let myself carry out the pilot smoothly?If the foundation is really shaken, will the country tolerate its own nonsense?What is the secretary of the municipal party committee in the face of the big picture?All it takes is one piece of paper!
As for the consequences Wang Qiang said, there might be some, but is it really that terrifying?Now is the information age, no one will blatantly do things that are self-isolated from the people, free medical care will definitely be supported by the people of the whole country, any force will only be a lonely boat in the vast ocean of the people, and just a wave will do Knock him over without too much worry!Therefore, it was not enough to dispel Wang Hongtao's thoughts.
So he said: "Minister, I think the interests of the people are more important than anything else! Dreams are something that make people feel happy when they work hard. Walking in a hurry, chasing the sparks in the distance; walking firmly, walking vigorously, and then To welcome the dawn of tomorrow, there is a dream to go far! If everyone drifts with the tide, timidly, and cares about personal gains and losses, then who will realize our great cause and the expectations of the masses? In front of the interests of 400 million people in Yinzhou, my point What counts as personal gain?"
Wang Qiang shook his head and said, "Pharmaceutical companies often cooperate with large distributors and then authorize distribution agents in the region. More than half of the drug cost may be consumed in the middle link. The ex-factory price of many drugs is often only 20% of the final sales price. %~30%, and there are also medical device suppliers. The implementation of free medical care will definitely set the price and set the price, only for the pharmaceutical source enterprises, which will inevitably destroy the interests of all parties in the medical industry chain, so it is better to be revolutionized by others Take action first, so to put it bluntly, those with vested interests will inevitably launch an "offensive defense" to protect their own interests. The power of capital is quite terrifying. Blocking people's money is like killing parents. Facing 10 trillion Do you think you can resist the anger of capital? Even the country must compromise in a special period, because it involves the livelihood of tens of millions of people and social stability, and someone must be a victim at that time, and many people may You have been implicated. Hong Tao, you have a great future, why bother to destroy your future for that illusory dream? You are a smart person, a gentleman does not stand under a dangerous wall, why put yourself in danger?"
Seeing Wang Hongtao's silence, Wang Qiang continued: "Actually, the country knows about these problems, and it will not be solved overnight. For the time being, it is unrealistic to implement universal free medical care, so there is still a long way to go!"
The Ministry of Health has been exploring the medical reform, considering a transitional stage, starting with some people for trial operation.After all, everyone knows that the 60-year-olds are yearning for free medical care day and night, and they are eager to see it.Can we gradually increase reimbursement for this group of people, or implement free medical care first, then if the experiment is successful for this group of people, then gradually lower the age, and finally consider realizing free medical care for all at the right time?If free medical care can be implemented on the elderly, it will surely relieve their worries, allow them to take care of and enjoy their old age, and greatly improve the happiness index of the elderly.It's not that we don't do things, but the formulation and promotion of a policy is not as easy as imagined, because our population base is large, we must think carefully, find a pilot, and sum up experience before we can gradually promote it.If Yinzhou is interested, it can be used as a pilot project. The Ministry of Health can cooperate with Yinzhou. Such achievements are not small! "
Although Wang Qiang was smiling, Wang Hongtao knew very well that a smile is not necessarily polite, it may also be a warning!This time he came to Yinzhou, he didn't represent himself, he might represent a group of people!
Although he made some efforts, Wang Hongtao still controlled it very well, and his expression was as usual.After many years of political career, I have been able to control emotions to express emotions instead of expressing them with emotions.
Human nature is: the more things you worry about, the more people will bully you!Whoever you care about thinks, you become his slave!
Wang Hongtao smiled lightly and said, "Minister, thank you for reminding me! But I always believe that those who follow the light will eventually shine! As long as the goal is firm, you will be able to triumph and overcome obstacles! Years Zheng Rong, I will always remain true to my original aspirations. The history is vicissitudes, but the spirit is eternal! At worst, if I don’t become this official, I will be happy and at ease. I think the minister also understands my situation. There are more than one billion in the account, and I am a rich man. Weng is also quite good. However, I firmly believe that the 400 million Yinzhou people are my backing, and I will always stand with them!"
Faced with Wang Hongtao's refusal, Wang Qiang was very helpless and felt powerless that he hadn't felt for many years, but he didn't want to get nothing from this trip and be unable to make business after returning, so he took out his last trump card and said:
"I have worked in the Ministry of Health for decades. The pilot project in China has a familiar track, just like in the past, it came vigorously and went quietly. So, will it be different this time? Hongtao, a pilot project in only one county, It doesn't matter. Now that the reputation has been gained and the attention of the whole country has been gained, it's time to stop. If you want to do something for the common people, you can do it in a disguised way. It's a detour, and you must fight against everyone and show off! If you can cancel the city-wide promotion I can assure you that there will be more than [-] billion medical industry funds pouring into Yinzhou, turning Yinzhou into a medical base, radiating the entire five northwestern provinces, and benefiting more people in Yinzhou. Political achievements are at your fingertips! Two years later, when your term of office meets the reporting requirements, the deputy minister will come. On the contrary, you can imagine the consequences. There is a high probability that what you want to do will be in vain, losing your wife and losing your army!
It's getting late, if you think about it carefully, I won't bother you! "
Wang Hongtao got up to see him off, and said, "Minister, no matter what the result is, I will thank you for your heart-to-heart words today!"
"Hey, Hong Tao, to be honest, a leader who is dedicated to the people like you is rare, I appreciate it very much, there should be a wider stage to benefit more people, I really don't want to watch you fall in the political arena You have to weigh the pros and cons when you do anything, think twice before acting, and don’t be impulsive. If you keep the green hills, you don’t have to worry about no firewood. Many things will come to fruition with the passage of time. Maybe what you want to do now will take more than ten years. It will be easy to do, there is really no need to hit the south wall. That’s all for now, let’s do it for ourselves!”
After sending Wang Qiang away, Wang Hongtao fell into deep thought. He is not a second-rate man, so how could he not consider his future?The age of impulsiveness has already passed!
As we all know, the existence of the pharmaceutical industry is the most important thing for the whole society, and with the development of the economy, the science and technology of the medical industry are also constantly improving, and it may be more convenient for people to see a doctor.But I don't know when, the chaos in the pharmaceutical industry has emerged one after another, and everyone has also been affected to a certain extent when seeing a doctor and buying medicine.
Even under this influence, an attitude of avoiding diseases and avoiding doctors has emerged, because it is possible to go to the hospital and be skinned, so that more and more people have formed the concept of looking down on diseases and medicines, and This concept has also become the norm in the whole society.
If the problem of the system is not solved, even if the city implements free medical care, the prices of many medicines are not under the unified control of the state at all, but are controlled by the supply of medicines. In order to obtain higher benefits from the common people, medicine suppliers They joined together to continuously raise the price of medicines, and then paid subsidies from medical insurance. In the end, the difference between these prices went into the pockets of pharmaceutical suppliers.
In addition, there are some suppliers who do not satisfy the immediate interests at all, and even contact doctors privately to reach cooperation.When doctors help patients to see a doctor, they will make some small diseases serious. They obviously don’t need to take medicine, but doctors will also prescribe various expensive medicines and guide patients to buy them. In this way, pharmaceutical companies will More benefits can be obtained, and doctors can also get kickbacks. I have to say that this way of making money is disgusting, but it will be the norm.
It seems that if you want to completely solve the medical reform and implement free medical care nationwide, you need top-level design. If it involves the entire medical industry, it will definitely be reshuffled. .
At the same time, Wang Hongtao has a deeper understanding of the pilot work in China. There are indeed many shortcomings, such as hospitalization for minor illnesses, failure to line up for critically ill patients, and excessive use of resources to benefit, resulting in low medical efficiency and lower medical service levels. A new type of medical corruption, collusion between doctors and patients, arbitrage of benefits, etc. have been introduced.
But isn't that the role of the pilot?If you have a problem, find the problem, and solve the problem, isn’t that enough?
In the next step, Shenzhou County must seek solutions to the existing problems, gather experience in solving them, and finally establish rules and regulations.
Lying on the bed, recalling those words of Wang Qiang, it still caused a certain amount of pressure on Wang Hongtao. Only he knew how much he had paid to get to this point. Who would give up the bright future unless it was absolutely necessary?Only fools don't care about it, they have to think about it carefully, think of a perfect plan, and do a good job so that they can throw the mouse.
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