Media: Don't use Mount Taishan's contributions to offset the mistakes of muddling. Fight against medical corruption with a heavy fist President | Hospital | Need | Investment | Doctors | Reform | Doctors | Medical
The medical anti-corruption storm has suddenly risen, and various regions are taking swift measures, which has made the people who deeply detest the difficulty and high cost of seeking medical treatment applaud.
Interestingly, a popular online review written by the author in March 2020 was suddenly reposted by many people - "Please always remember, doctors have fought for us":
Forgetting means betrayal. Regardless of the passage of time, we must firmly remember that doctors have fought their lives for us! Please always remember that they, who are retrograde, have raised a clear and safe sky for all Chinese people; Please always treat patients kindly, and accelerate the pace of medical reform, increase medical investment, enhance the thickness of national medical insurance, and make the socialist medical system with Chinese characteristics more solid and reliable as a safety barrier for legal medical care.
Think about it, some people are worried: Will anti-corruption in the healthcare industry lead to stigmatization of the entire population? Will it provoke the already fragile doctor-patient relationship?
Such concerns are illogical.
The targets of medical corruption that have been hit, the good doctors who have fought for us and the frontline medical staff who have stood up during the three-year epidemic, are not the same group. Let's take a look at the exposed corruption case, which is shocking. A medical device with an import price of 15 million yuan was spent by the hospital at 35.2 million yuan. During this time, a kickback of 16 million yuan was swallowed up by the dean. This year, 168 deans and secretaries have been investigated, with an average of one going in per day.
The severity and scope of corruption are beyond imagination, and not cracking down on them is not enough to appease public anger. Mount Taishan is arrogant and muddy. How can we use Mount Taishan's efforts to offset the mistakes of muddy painting?
However, after combing through some online discussions, it was found that concerns about the stigmatization of the medical industry are not unnecessary. For example, some alarmist statements: don't let anyone run away, if they really pass the screening, the entire medical system will collapse; According to analysis, after anti-corruption, the cost of medical treatment for the people will be reduced by more than 50%; Some examples of volume based procurement policies include, "Many drugs and medical devices have their prices directly cut by 80% or 90%, essentially bypassing the bribery process of the dean and giving benefits to the general public."
After sorting it out, the view that anti-corruption will easily solve the problem of "expensive and difficult medical treatment" underestimates the complexity of healthcare system reform; Attacking the entire healthcare industry indiscriminately may also erode the consensus on healthcare anti-corruption. Therefore, the author believes that there are several issues that need to be reiterated.
Firstly, anti-corruption is aimed at eliminating corruption and creating an environment where there is no need, no fear, and no corruption.
Why are some hospitals so corrupt and rampant? Why "dare" and why "can"? The former is an inflation of personal greed and lawlessness; The latter is a system loophole, astonishingly large. Only by blocking the latter can we control the former.
Secondly, how can people overcome the difficulty of seeking medical treatment? Capturing corrupt doctors and deans, we still need to continue to confront them. It is important to govern medicine with morality and rule of law. Increasing medical investment, strengthening medical security, and accelerating medical reform are also indispensable.
For example, the return of public hospitals to public welfare and the strengthening of grassroots medical capacity building, especially in the central and western regions, all require increased financial investment. In recent years, significant achievements have been made in building a healthy China. In 2018, the Lancet released a global ranking of medical accessibility and quality, ranking China 48th out of 195 countries, making it the country with the fastest progress.
But as a developing country, the shortcomings are still prominent. According to data from the World Health Organization in 2019, government spending in various countries accounts for an average of 51% of health expenditure, with over 35% still being covered by patients themselves. China recently released its national health expenditure data for 2021: government health expenditure accounted for 27.4%; Social health expenditure accounts for 44.9%; Personal health expenditure accounts for 27.7% - government spending is not high, and personal health expenditure is not low, making it difficult to avoid "having no money to treat illness" and "poverty caused by illness.".
Shortage of resources and lagging reforms have brought about a series of complex interests that are difficult to reverse. For example, medicine is difficult to separate, diagnosis and treatment costs are abnormally low, allowing chaos such as relying on medicine to support medicine, overuse of drugs, and over examination to take advantage of the situation, and even commercial bribery of public officials
To achieve fairness and justice, we must fight against corruption with a heavy hand. Punish evil while promoting good.
After three years of fighting against the epidemic, medical staff dressed in white clothes and armor, regardless of gains or losses, worked tirelessly day and night to protect the health of the Chinese people. The vast majority of them are trustworthy and reliable. We look forward to increasing national investment, improving the social and economic status of medical professionals, and ensuring that they "do not have to be corrupt, dare not be corrupt, and cannot be corrupt"; We look forward to making up our minds, addressing both symptoms and root causes, and promoting comprehensive reform of the medical system, no matter how large the vested interests involved may be.
The wind is high and the waves are fast, and China's medical and health sector is facing numerous accumulated contradictions and challenges. "Breaking down" is for the purpose of "establishing", and medical anti-corruption is a good opportunity to force reform, drive out hospital pests, and create a clean and upright medical environment.
Medical professionals need to be reminded to revisit the industry's creed: the life of a doctor is for others, not for oneself, without seeking comfort, disregarding fame and fortune, only willing to sacrifice oneself to save others
At the same time, Mount Taishan's contribution should not be offset by mud. Chinese doctors who are diligent and have high medical ethics should not become "scapegoats": the historical debts caused by insufficient investment, the sense of powerlessness caused by the boundaries of modern medicine, the overload of overtime caused by scarce medical resources, the occupational imbalance caused by the lagging medical reform, and the stigmatization of professional dignity caused by the corruption of a few medical students - these crimes should not be borne by them.
At present, we also need to prevent giving up eating due to choking. It is said that many medical academic conferences are being cancelled or postponed on a large scale, is it all due to "tricks"? Medical progress requires normal and open academic exchanges. After the end of the three-year epidemic, offline communication has resumed, which is extremely precious. It is advisable to establish clear norms for academic conferences in a timely manner, investigate and punish violations, and encourage compliance. There is no need to be swept away by fear and fear. Otherwise, if medical progress slows down, it will ultimately be the patients who suffer losses.
Only in this way can we not disappoint the conscience and fearless dedication of doctors.
