Whether the medical care of China has been already " Marketization "

Whether the medical care of China has been already " Marketization "
At present, a lot of people think in the society, the health care system of our country has been already " marketization " ,and it is that field exist health care last health care the " the marketization "s of the systems all sorts of problem . Then, is the health care system of our country finally " marketization " ? As to this, people debate endlessly, but there is no clear answer. I think, it is necessary to comb this question, because judge the current situation of the system clearly, it is the foundation that the system policy further reforms. See, spend many experts at home and abroad say field, health care of China, demanding prompt solution extant problem because of " the marketization " at present in the fog Cause. As far back as 2003, the scholar wrote articles to point out in Chinese University of Hong Kong, the reason why China's public health situation worsened, "the predominant reason probably relates to two kinds of superstition existing in the overall thinking of our reform indistinctly - -First the economic growth of superstition; Second a market of superstition. " According to its speech, " after the 1990s last century, setting up market economy was established as the goal of the reform, the health care industry is introduced to the market progressively too " ,And the last result is, " the health care field of China is probably one of the most market-based fields in the world " . 2005, a relevant seminar delivers the special research report to point out, " the basic trend that the health care system has improved has been commercialization, marketization " since reform in China ,Its passive consequence " Mainly shown as the macroscopical efficiency that fairness decline and hygiene of medical care are invested is low " ,And " the origin of the question lies in commercialization, market-based trend have violated the basic law of development of health care industry " . In the same year, a scholar of China Center for Economic Research of Peking University even publishes the article to point out, the high-speed economic growth of China " Have not brought the improvement of health levels of people directly " ,And under the condition of putting into increasing, " the performance of health care drops instead " . This scholar thinks, " the main reason is that the government neglects one's duty and does not work with the market. There are no clear direction and goal in the development of the health care industry while reformed in the government, introduce the health care to the market blindly " . The above shows, several respect experts have already reached highly unanimous common understanding on the current situation of China's health care, this is since reform and opening-up, the already complete " marketization " of system current situation of China's health care . In the view of these scholars, because of the particularity of the health care, cause the market-based medical reform route and must fail. There are many questions involved herein, but in order to clarify the very crux, we should clarify the health care system already complete " marketization " of our country at first . The fact fails to agree for many people, it is a comprehended without being told reality that the health care of our country has already stepped into the market-based way. Isn't it? It diagnose the illness now compatriot it if you can't want, spend money by oneself all(no matter if you can't pay purses personal, pay, or take the place of social insurance or tax revenue directly in payment for) ; Some common, private hospitals " Do not come in without money while being sick " ,Utilize advantage status of information and technology even more, induce the patient to diagnose the illness and spend more money - -Buy directly while being such and such, sell directly, what is not market but it? The deal of medical care is so general, it is not " marketization " What is it? It is ultrafast that people use for the expenses of the health care to increase, it is not " marketization " yet The trouble got into? However, hold authors and ask one sentence, when a large number of purchasing power concentrates on health care service, what response is supply that medicine defends made? This question is easy to answer, the result first of all certainly the hospital and is engaged in the person that the health care serves " sending" ,either overt or covert income roll in. Then, when medical organization and employee are in the momentum that the demand concentrates on increasing large to send after the interests, what phenomena are destined to come one after another? If it is really that experts say the conclusive one with certainty " Marketization " ,The loud news that take place of the interests once spread, reach a decision to want to " burst open the door and enter " if not block the hero of hero all over the worlding practising medicine --Open more hospitals and clinics, mobilize more talents to study medicine, increase more medicine to defend and serve - -Trade until practising medicine " The superprofit " Equalized. In other words, if really there is " marketization " These matter, it is the first response to practise medicine loud and take place the interests, mobilize more resources not to have avoidable second response to enter. Very clear, the former is that the increase in demands initiates the assigned change of incomes, the latter reconfigures resources with price mechanism. However, find after my investigation: 1. The increase of hygiene expenses of compatriots and expenses, dozens of times even a hundred or so times are higher than making a diagnosis the person's increase, therefore the cost making a diagnosis each time has risen rapidly - -" it is expensive to see the doctor " It is too; 2.Each medical organization even each medical personnel, the service income that must count equally has got obvious increase; 3.Our country cures and defends the productivity served and has not promoted as a whole, (though the great difference exists among different hospitals) ; 4.The most important thing is compatriots spend freely and defend serving in medicine, do not have corresponding growth stimulating supply range resources to mobilize. In it's very kind of you to say so have seen like this " Marketization " (used at the end of a special alternative, or rhetorical question)? Seek truth from facts reform and opening-up, Chinese clothing,food,lodging and transportion spend, very much loud change has taken place. Generally speaking, change over to the products in liberal supply from all difficult shortage eras, serve and improve the fast, good and inexpensive thing and flood the market, the most basic orbit among them, once the demand is centralized, the large hair interests of the seller, it is large quantities of to attract quickly " The backward molecule " ,Make the investment, drive factory set up shop, mobilize manpower change one's profession, study intensively technical management, form, produce can trader can quickly, then every it work for, or competition beat the price down, or it is strange for innovation to appear, until the same and the same service of goods send into common people's house. It is these horizontal experiences exactly, make " China's health care is market-based " Have talked about having weak points. Repeat once again, my question to be argued is not " marketization " Good and deserving, but has the medical care of China been already " marketization " on earth . Some experts take government's funds the decline of the proportion of all-inclusive cost of the hygiene, regard as the health care " marketization " Foundation. I think he has neglected asking: Has the government opened the gate of the service entry of the health care while reducing the proportion of hygiene expenses? Some expert said, " various capital can enter the medical service field, has not basically entered and withdrawn the restriction, the overall arrangement of the newly-built medical organization and goal localization of the service mainly depend on the market demand state " . If they right, why medicine defend demand increase rapidly so, medical the intersection of service charge and dozens of, a hundred or so times promotion on average, but the corresponding growth not irritating medical organization of our country and medical personnel quantity? Certainly, I have no intention right " Marketization " Unifying the concept, each theorist can have a definition on this to justify oneself by oneself after all. But the author thinks the important one is to pay close attention to a substantive issue, this is that medicine of our country defends the system with surging demand cases, why is ability mobilizing resources to increase and is supplied so low? I think, no matter what opinions everybody each has, this problem is not solved, improve medicine of our country and defend the policy goal served, even not the plans or hopes that are unlikely to be realized, it must be beset with difficulties too to do.

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