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She said the Government’s direct responsibility for medical reform, is to assume vulnerable citizens without the ability to do things, and the ability of public health can not do something. Indirect responsibility is not the Government come forward, you can outsource, delegate, do it indirectly. Medicaid is the government can do, it may make use of social resources to do.
The socalled relative responsibility of the government how to build a secure operating system, the introduction of private services to meet the needs of different groups. "This responsibility is a test of three government how to build a mechanism to mobilize social forces to strengthen government capacity building. The Government to increase the capacity, in turn, strengthen the responsibility to

Citizens, the Government’s responsibility is funding a variety of ways to ensure that citizens universal access to basic health services, so that the limited health care resources fair and effective configuration. Tsinghua University, Professor Yang Yansui told reporters, experienced a "failure of medical reform" discussions, to calm down, consider how the future of medical reform road to go. As scholars,
They are most worried about is that the Government because of "failure of medical reform" to retreat back to "nanny government to do all the thinking up the hospital’s planned economy. They support the hospital, but also to support doctors, the government afford this?" She said, The Government now have to consider how to deal with the past, rural health,
Public health and medical assistance in the field of "Absence", to avoid the sweep all the "reset" but calm "homing." Government, in ensuring the health of citizens rights to limited liability, rather than unlimited liability, so the government should be in accordance with the direct responsibility, indirect responsibility and the relative responsibility of thinking, to carry out health care reform.

Limited responsibility for the president, Taizhou Hospital of Zhejiang Province, told reporters the tsunami, to see the media repeatedly playing "failure of medical reform," that very injustice of medical personnel. We believe it is caused by medical treatment difficult and expensive real problem, to the hospitals and doctors, that is the superintendent and the doctors have not good relations, there
Is a bias of the Department. But should also reflect, in the process of medical reform, medical institutions, especially large hospitals do not control power why? He believes that lack of financial investment is one of the reasons, "do not pay, the hospital certainly does not obey." But this is not the main reason. State financial resources are still difficult
To achieve "full support of health up." He said that as a government department, should first define their responsibilities, the Government means to master the scientific and regulatory standards, commitment to good government regulatory responsibility, will be able to manage the hospital. Experts believe that the world is not what a government can meet all the medical needs of all

The lowest is only 8.5 yuan, a difference of 10 times. Experts believe that, due to different local financial resources, the initiative on health reform and the reform of the choice of route will be to some extent. In areas with adequate financial resources to implement the "three reforms" of the steps on the stability of some real number, and
In some places, the Government will push the market all of the medical profession, making the implementation of central policies are affected. Some experts believe that, "three reforms" Why is it hot cold? Not difficult to find in practice, policy interests of the government itself is involved in department, or the interests of the industry spokesman, the department is not
"a trail run of the car," the unsustainable nature of reform. For "three reforms" continue, the Government must first change its functions, if necessary, or even to change the organizational structure. Medical reform in the city, the government departments to work toward the same goal, that is to maintain the health interests of the people. 3 The government should take

That in order "three reforms" good progress, with the exception of other national ministries to strengthen coordination, central and local government health management system also needs to reflect. It is understood that the State Council since 1980, on the provincial, municipal finance pilot "division of revenue and expenditure, grade contract system" approach. Large lump sum of financial classification structure, the
Health expenditure mainly from the local budgets, a very small proportion of central transfers. As the gap between local economic development and expansion of local financial capacity gaps, where the gap between the government health spending is also growing. Nationally, the lack of an effective system of fiscal transfers to balance around the level of public services including health care
Level. In 1994 the implementation of "tax sharing", the situation has improved, but so far, the central government’s strength is not strong enough, the intensity of fiscal transfers across regions still not big enough. Therefore, the provincial health expenditure per capita between, spending for other still far, according to statistics, the highest provincial per capita health expenditure of 90 dollars,

To restrict the hospital irregularities. The field of medicine interested in the short term can not operate a "medical separation." Local government from the small cast, do not vote, and more income, more than the interest return on the angle, stress or even conniving with "privatization" as the keynote of the hospital ownership reform. Price departments reluctant to give up
On doctors, drug pricing authority, nothing mentioned compensation mechanism to avoid distortions on the "drug dependent doctors" in the direct effect. Some macromanagement planning is the lack of emphasis on the development and coordination of the health sector to solve planning problems in operability. Peking University, China Li Ling, deputy director of economic research that the health system alone is
Not move the Ministry of Health, and 20 years, health are constantly changed, but only health reform health. Now the medical issue is not just the health sector issue, the resolution needs the cooperation of various departments, need the government to do so. In the long run, medical and health system reform is the Government’s biggest challenges. Some experts believe

Health and social security reform on the comprehensive coordination of medical and health management department. Currently, more departments are involved, medical reform, the department has its own interests, it is difficult in the interdepartmental coordination, failing to come forward to insist a higher level of organization can be coordinated. Otherwise, the various departments lack the unity of the whole direction
Of the reform goals and steps, it is difficult to avoid designs from the sector point of view the idea of reform. State Council Development Research Center of Ge Yanfeng also believes that promoting the health care reform requires a strong health administration system. At present, the same level of health among the major function has been dismembered, more than
20 health departments have management functions. Between central and local governments, regulatory capacity decreased, human factors leading to low efficiency, the central coordination and management capacity of local guidance weakened. Therefore, strengthening the health administration system is urgent. Some experts say this example, the current health insurance sector to ensure that the fund balance, and too much focus on how

Mechanisms. Some experts suggested that the "three doctors linked" introduced many policies and measures, but close examination will find them "temporary and permanent measures were not clearly distinguished, and solve the interest of major and minor problems listed together not clear. the policy requirements, and procedures there is no clear logic. "This also led to parts in the forward direction
Of the reform process is not clear, for effective implementation. 2 case of medical and health management system "challenges" that the Fudan University professor Hu Shanlian, in the current health reform, many health system issues become, greater resistance to reform. But the "three doctors linked" or should be continued. Lee told reporters that the Constitution, from now, people see a
Doctor is not practical to solve your problems, indicating the target of reform is not achieved, but we can not deny that reform is not successful. The "medical reform failed," the discussion, should see it brings another effect, that is, the government health management system reflections. Hu Shanlian that the country in the organization structure, there should be a unified

Changed significantly, the industry slowdown in economic growth, the pharmaceutical industry considerable conflict. However, lower prices only a limited variety, people do not feel down drug expenses. Expert analysis, "three doctors linkage" involves the interests of all parties on how to make balance between the interests of all, do not have a policy and mechanism for the formation of coordinated
Solution. Conflicts between different interest groups, if not effectively addressed by the "harm" would only be a people. According to the 2002 China Consumer Association survey, most people are not satisfied with the transparency of medical costs is poor, most are not satisfied with the goods and medicine. Experts in the analysis of three reforms when the linkage is difficult
To coordinate that, although the goal of the reform is very clear, but "reform does not find the breakthrough point", from the macro level, the steps on how to coordinate with the linkage and coordination is not operable and sustainable development mechanism. How effective reform, but also a lack of planning and evaluation mechanisms as well as management and monitoring

Medical insurance department to launch the "total control of a single disease pays" policies, and "the hospital in order to achieve breakeven turn increase the amount of special needs outpatient services, increase the field at their own expense or pay for health care costs from the control patients Hospital production of such contingency measures to increase the patient conflicts and
Increase patient and health care system, health insurance agency conflicts. In the field of medicine, drug prices is difficult to Jigan water, efforts to reduce drug prices lead to widespread opposition in the pharmaceutical industry. Drugs unrealistically high price is due to more lowlevel repetitive products, pharmaceutical distribution and marketing end of the fierce competition, pharmaceutical companies will rebate the
Cost of promotional costs into the pricing departments of different drugs is difficult to determine the true costs and profits, only through price cuts , pharmaceutical bidding to "squeeze water." According to reports, the National Development and Reform Commission several times lower drug prices, vigorously bidding and purchasing medicines and medical ecommerce, so that the foreign pharmaceutical industry environment has