At 9:00 a.m. on Monday, March 5, 2012 (Monday), the fifth session of the Eleventh National People's Congress was opened at the Great Hall of the People. Wen Jiabao, Premier of the State Council, was given a government work report to review the annual plan report and the budget report.
When Premier Wen Jiabao of the State Council made a government work report, the government would vigorously promote the reform and development of the medical and health services. Accelerate the improvement of the universal health insurance system, consolidate the expansion of basic medical insurance coverage, and improve the level of basic medical insurance and management services. The urban residents' medical insurance and new rural cooperative medical subsidies have been raised to 240 yuan per person per year. Comprehensively promote the protection of uremia and other 8 major diseases, including 12 major diseases such as lung cancer into the scope of protection and rescue pilot. We will consolidate and improve the basic medicine system and strengthen the establishment of a basic medical and health service system.
The reform of public hospitals will be promoted, with the separation of medicines, separation of management and management, and the elimination of the mechanism of medicine supplementation. Encourage and guide social capital to run medical services, and accelerate the formation of a pluralistic pattern of medical service that is open to the outside world. Fully mobilize the enthusiasm of medical workers and establish a harmonious doctor-patient relationship. Strengthen public health services, prevent and control major infectious diseases, chronic diseases, and occupational diseases that seriously threaten people's health. Strengthen drug safety work. Support and promote the development of Chinese medicine and ethnic medicine.
Complete population and family planning work. We will continue to stabilize low fertility levels and comprehensively address the issue of high gender ratios at birth and improve the quality of the birth population. Accelerate the realization of full coverage of quality family planning services, and expand the pilot range of pre-pregnancy eugenic health examinations to 60% of counties (cities, districts). Raise the support and special assistance standards for rural family planning families. Strengthen the management of family planning services for the floating population.
We will do a good job for women and children, expand coverage of cervical cancer and breast cancer in rural areas, and increase the coverage of women’s and children’s development and protection of their rights and interests. Further improve the social security system and service system for disabled persons. Actively develop the cause of old age, speed up the construction of a social pension service system, and strive to make elderly people in both urban and rural areas have old age and a happy old age.
Expert interpretation:
Yu Mingde, President of China Association of Pharmaceutical Enterprise Management
The interpretation of Yu Mingde, president of the Chinese Pharmaceutical Enterprise Management Association:
In his report, Premier Wen Jiabao talked about the reform of public hospitals and once again clarified the direction of reform of public hospitals, that is, he must change the system and change the mechanism. In particular, the separate reference to medicine and the separation between management and management are separate. The core of “separation of government affairs, separation of management, separation of medicines, profitability, and non-profit separation†is the most important separation between the four divisions. It is difficult to form a market mechanism because of the independence of management and management. It is difficult to truly separate medicines and really cut off the interest link between medicine and medicine.The separation of medicines is mainly separated economically, and should not be understood as simple, superficial "stripping" and "custodianship." The so-called economic separation is To cut off the two economic interest chains, one is that hospitals make money by selling drugs, and the other is that doctors prescribe prescriptions and get kickbacks.
The Prime Minister’s report mentioned “encouraging and guiding social capital to run medical treatment and accelerating the formation of a pluralistic pattern of medical treatment for opening up to the outside worldâ€, which is crucial for the reform of public hospitals. The introduction of social capital for medical treatment is conducive to breaking the monopoly of public hospitals and forming a competitive medical service market, which can better meet the needs of the people. Without competition, medical services will never be better. Foreign and private capital should be strongly encouraged to provide medical services. The "Opinions on Further Encouraging and Guiding Social Capital to Organize Medical Institutions" has been announced for more than a year, but the relevant supporting rules have not yet been seen and it is not known how to evaluate public hospitals. The value of the relevant supporting regulations should be accelerated and must be accelerated.
“Urban residents' medical insurance and new rural cooperative medical subsidies have been raised to 240 yuan per person per year,†which fully shows that the central government is very concerned about people’s livelihood and is willing to spend money. The subsidy standard has been raised to 240 yuan, and the growth rate is still very large.
Zhu Hengpeng, Research Fellow, Institute of Economics, Chinese Academy of Social Sciences
Zhu Hengpeng, a researcher at the Institute of Economic Research of the Chinese Academy of Social Sciences, reads:
Zhu Hengpeng said with sincerity that the contents of the Prime Minister's work report are extremely accurate and timely.
The reform of public hospitals will be promoted, with the separation of medicines, separation of management and management, and the elimination of the mechanism of medicine supplementation. This is very correct. However, medicine is the result of long-term accumulation of the old system, and it is not the cause of the problem. The cancellation of the use of drugs must reform the old system, and it is impossible to solve the problem from the perspective of drug prices.
To realize the separation of medicines and to eliminate the use of medicine to supplement medicine, it is necessary to improve the payment methods of medical insurance and convert the cost-per-project payment into a payment-based insurance payment method that can fundamentally solve the problem of medical treatment for medical treatment.
Regarding the issue of remedy for medical problems, we should not hold the expectation of a short-term solution. We must insist on the separation of the medicine mentioned in the prime minister's work report and the separation of management and management, and we must unswervingly continue to go. The problem of remedying medicine with medicine will naturally be eased after five years.
If a major breakthrough is to be achieved in the near future, there is only one way to increase the price of medical services. There is no other alternative, including a substantial increase in government financial compensation.
Raising the price of medical services will not lead to an increase in people's medical expenses, but will reduce the burden of medical care, because the price of drugs will drop more than the rising price of service.
In addition, the Prime Minister’s report mentioned the consolidation of the basic medicine system. If you want to perfect such a system, you must first abrogate the zero difference and income and expenditure.
Vice President of China Pharmaceutical Enterprise Management Association Niu Zhenggan
Ni Zhengchang, vice president of the Chinese Pharmaceutical Enterprise Management Association, reads:
The Prime Minister's government report is very good. We must achieve the ultimate goal of medical reform. It is the separation of government affairs, separation of management and administration, separation of medicines, profit-making and non-profit separation.
The "four separates" emphasized by the prime minister were mentioned in 2007, but after so many years have passed, there is still no separation. With regard to the “Formation of a multiplex mode of operation for medicineâ€, the new medical reform program in 2009 also explicitly stated that there has been no progress in the introduction of social capital. It is hoped that social capital will be used for medical treatment. The actual purpose is to form a multi-divisional medical system and meet the multi-level demands of consumers. However, the premise for forming a diversified medical service is to have a sponsor that allows multiple providers to enjoy a fair living environment. If there is no such a fair competition environment, this pattern of multi-divisional operation is difficult to form.
The Prime Minister mentioned that “to break away from medicine and to seek medical careâ€, but there is currently a consensus in the society that there is a common understanding that whether taking medicine to raise a doctor is to raise a doctor or raise a hospital. There are two meanings here, and now everyone is targeting the hospital for medicine. The issue of bonuses and bonuses does not increase the focus of the problem on the doctor's side. The question of the doctor’s rebate is the most critical issue. The Prime Minister once again mentioned that "breaking away from medicine to support medical treatment" is, I think, very correct, but there is no mention of how to do it.
The achievements of the three-year medical reform are very big, but they are still far from the expectations of the people, experts and scholars, industry practitioners and even the government itself. We look forward to implementing reforms in the future.
Lung Cancer Center, Capital Medical University
Lung Cancer Diagnosis and Treatment Center of Capital Medical University
Professor Xiu Xiuyi from the Lung Cancer Clinic at the Capital Medical University talked about: “The inclusion of 12 major diseases such as lung cancer in the scope of trials for protection and assistance†mentioned in the Premier Wen Jiabao's government work report:
The 12 major diseases such as lung cancer mentioned in Premier Wen's government work report mainly refer to the medical reimbursement of medical insurance for the new rural cooperative medical system and urban residents. This year will pilot the rescue of lung cancer and other 12 types of diseases in some regions. The current incidence of lung cancer in rural areas is probably It is 50,000 of 100,000. Experts suggest that the reimbursement rate for each patient can reach 50,000. At the same time, this year, the Ministry of Health will increase the pilot area for early diagnosis and early treatment of lung cancer. Beijing will start the trial in April 2012. The first step is to determine the method of early screening for lung cancer.
In addition, due to the current high price of targeted cancer treatment drugs, representatives of the two associations proposed to incorporate cancer treatment drugs into the medical insurance. The previous assumption was that pharmaceutical companies would cut prices by 1/3, Medicare reimbursed by 1/3, and patients would pay 1/3.
When Premier Wen Jiabao of the State Council made a government work report, the government would vigorously promote the reform and development of the medical and health services. Accelerate the improvement of the universal health insurance system, consolidate the expansion of basic medical insurance coverage, and improve the level of basic medical insurance and management services. The urban residents' medical insurance and new rural cooperative medical subsidies have been raised to 240 yuan per person per year. Comprehensively promote the protection of uremia and other 8 major diseases, including 12 major diseases such as lung cancer into the scope of protection and rescue pilot. We will consolidate and improve the basic medicine system and strengthen the establishment of a basic medical and health service system.
The reform of public hospitals will be promoted, with the separation of medicines, separation of management and management, and the elimination of the mechanism of medicine supplementation. Encourage and guide social capital to run medical services, and accelerate the formation of a pluralistic pattern of medical service that is open to the outside world. Fully mobilize the enthusiasm of medical workers and establish a harmonious doctor-patient relationship. Strengthen public health services, prevent and control major infectious diseases, chronic diseases, and occupational diseases that seriously threaten people's health. Strengthen drug safety work. Support and promote the development of Chinese medicine and ethnic medicine.
Complete population and family planning work. We will continue to stabilize low fertility levels and comprehensively address the issue of high gender ratios at birth and improve the quality of the birth population. Accelerate the realization of full coverage of quality family planning services, and expand the pilot range of pre-pregnancy eugenic health examinations to 60% of counties (cities, districts). Raise the support and special assistance standards for rural family planning families. Strengthen the management of family planning services for the floating population.
We will do a good job for women and children, expand coverage of cervical cancer and breast cancer in rural areas, and increase the coverage of women’s and children’s development and protection of their rights and interests. Further improve the social security system and service system for disabled persons. Actively develop the cause of old age, speed up the construction of a social pension service system, and strive to make elderly people in both urban and rural areas have old age and a happy old age.
Expert interpretation:
Yu Mingde, President of China Association of Pharmaceutical Enterprise Management
The interpretation of Yu Mingde, president of the Chinese Pharmaceutical Enterprise Management Association:
In his report, Premier Wen Jiabao talked about the reform of public hospitals and once again clarified the direction of reform of public hospitals, that is, he must change the system and change the mechanism. In particular, the separate reference to medicine and the separation between management and management are separate. The core of “separation of government affairs, separation of management, separation of medicines, profitability, and non-profit separation†is the most important separation between the four divisions. It is difficult to form a market mechanism because of the independence of management and management. It is difficult to truly separate medicines and really cut off the interest link between medicine and medicine.The separation of medicines is mainly separated economically, and should not be understood as simple, superficial "stripping" and "custodianship." The so-called economic separation is To cut off the two economic interest chains, one is that hospitals make money by selling drugs, and the other is that doctors prescribe prescriptions and get kickbacks.
The Prime Minister’s report mentioned “encouraging and guiding social capital to run medical treatment and accelerating the formation of a pluralistic pattern of medical treatment for opening up to the outside worldâ€, which is crucial for the reform of public hospitals. The introduction of social capital for medical treatment is conducive to breaking the monopoly of public hospitals and forming a competitive medical service market, which can better meet the needs of the people. Without competition, medical services will never be better. Foreign and private capital should be strongly encouraged to provide medical services. The "Opinions on Further Encouraging and Guiding Social Capital to Organize Medical Institutions" has been announced for more than a year, but the relevant supporting rules have not yet been seen and it is not known how to evaluate public hospitals. The value of the relevant supporting regulations should be accelerated and must be accelerated.
“Urban residents' medical insurance and new rural cooperative medical subsidies have been raised to 240 yuan per person per year,†which fully shows that the central government is very concerned about people’s livelihood and is willing to spend money. The subsidy standard has been raised to 240 yuan, and the growth rate is still very large.
Zhu Hengpeng, Research Fellow, Institute of Economics, Chinese Academy of Social Sciences
Zhu Hengpeng, a researcher at the Institute of Economic Research of the Chinese Academy of Social Sciences, reads:
Zhu Hengpeng said with sincerity that the contents of the Prime Minister's work report are extremely accurate and timely.
The reform of public hospitals will be promoted, with the separation of medicines, separation of management and management, and the elimination of the mechanism of medicine supplementation. This is very correct. However, medicine is the result of long-term accumulation of the old system, and it is not the cause of the problem. The cancellation of the use of drugs must reform the old system, and it is impossible to solve the problem from the perspective of drug prices.
To realize the separation of medicines and to eliminate the use of medicine to supplement medicine, it is necessary to improve the payment methods of medical insurance and convert the cost-per-project payment into a payment-based insurance payment method that can fundamentally solve the problem of medical treatment for medical treatment.
Regarding the issue of remedy for medical problems, we should not hold the expectation of a short-term solution. We must insist on the separation of the medicine mentioned in the prime minister's work report and the separation of management and management, and we must unswervingly continue to go. The problem of remedying medicine with medicine will naturally be eased after five years.
If a major breakthrough is to be achieved in the near future, there is only one way to increase the price of medical services. There is no other alternative, including a substantial increase in government financial compensation.
Raising the price of medical services will not lead to an increase in people's medical expenses, but will reduce the burden of medical care, because the price of drugs will drop more than the rising price of service.
In addition, the Prime Minister’s report mentioned the consolidation of the basic medicine system. If you want to perfect such a system, you must first abrogate the zero difference and income and expenditure.
Vice President of China Pharmaceutical Enterprise Management Association Niu Zhenggan
Ni Zhengchang, vice president of the Chinese Pharmaceutical Enterprise Management Association, reads:
The Prime Minister's government report is very good. We must achieve the ultimate goal of medical reform. It is the separation of government affairs, separation of management and administration, separation of medicines, profit-making and non-profit separation.
The "four separates" emphasized by the prime minister were mentioned in 2007, but after so many years have passed, there is still no separation. With regard to the “Formation of a multiplex mode of operation for medicineâ€, the new medical reform program in 2009 also explicitly stated that there has been no progress in the introduction of social capital. It is hoped that social capital will be used for medical treatment. The actual purpose is to form a multi-divisional medical system and meet the multi-level demands of consumers. However, the premise for forming a diversified medical service is to have a sponsor that allows multiple providers to enjoy a fair living environment. If there is no such a fair competition environment, this pattern of multi-divisional operation is difficult to form.
The Prime Minister mentioned that “to break away from medicine and to seek medical careâ€, but there is currently a consensus in the society that there is a common understanding that whether taking medicine to raise a doctor is to raise a doctor or raise a hospital. There are two meanings here, and now everyone is targeting the hospital for medicine. The issue of bonuses and bonuses does not increase the focus of the problem on the doctor's side. The question of the doctor’s rebate is the most critical issue. The Prime Minister once again mentioned that "breaking away from medicine to support medical treatment" is, I think, very correct, but there is no mention of how to do it.
The achievements of the three-year medical reform are very big, but they are still far from the expectations of the people, experts and scholars, industry practitioners and even the government itself. We look forward to implementing reforms in the future.
Lung Cancer Center, Capital Medical University
Lung Cancer Diagnosis and Treatment Center of Capital Medical University
Professor Xiu Xiuyi from the Lung Cancer Clinic at the Capital Medical University talked about: “The inclusion of 12 major diseases such as lung cancer in the scope of trials for protection and assistance†mentioned in the Premier Wen Jiabao's government work report:
The 12 major diseases such as lung cancer mentioned in Premier Wen's government work report mainly refer to the medical reimbursement of medical insurance for the new rural cooperative medical system and urban residents. This year will pilot the rescue of lung cancer and other 12 types of diseases in some regions. The current incidence of lung cancer in rural areas is probably It is 50,000 of 100,000. Experts suggest that the reimbursement rate for each patient can reach 50,000. At the same time, this year, the Ministry of Health will increase the pilot area for early diagnosis and early treatment of lung cancer. Beijing will start the trial in April 2012. The first step is to determine the method of early screening for lung cancer.
In addition, due to the current high price of targeted cancer treatment drugs, representatives of the two associations proposed to incorporate cancer treatment drugs into the medical insurance. The previous assumption was that pharmaceutical companies would cut prices by 1/3, Medicare reimbursed by 1/3, and patients would pay 1/3.
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