The speech of the county party committee secretary is an important instruction at all times.

Bai Cunli, Yu Qiankun, Xue Zhanshan, Xu Bin and others quickly took out their notebooks and started taking notes in a serious manner.

Chu Tianshu picked up the tea cup and blew on it gently. As soon as it came close to his lips, he put the cup down again, licked his chapped lips, and said: "When such a conflict or contradiction occurs, of course the leaders of the health center must bear the main responsibility.

Their negligence in management is one aspect, but the root cause is still the current system. As we all have seen, the employees' calls for reform are very strong, and we are no longer allowed to sit down to study, analyze, come up with plans, issue documents, and solve them step by step.

Problem."

Chu Tianshu's eyes moved from Bai Cunli to Xue Zhanshan, Xu Bin, and finally to Yu Qiankun.

"First of all, we need to set up a team. Let Deputy County Magistrate Bai decide how to organize the specific organization, and announce it to the public within three days. The main tasks are: to deploy capable personnel to conduct a comprehensive verification and evaluation of the assets of the town health center, and to conduct a comprehensive review of the current situation and personnel of the health center.

Conduct detailed verification and finally auction it to the whole society. We are determined to promote public hospitals to society, cut off monopoly services, abandon the old concept of self-respect, promote hospitals to society, and participate in competition."

Yu Qiankun's writing was flying. Bai Cunli raised his head, a few questions flashed in his eyes, but he still nodded.

Chu Tianshu said: "Originally, I wanted to wait for the investigation results of the Health and Family Planning Commission to come out, and then organize relevant experts and industry insiders to fully demonstrate the medical system reform before making a decision. Now it seems that the employees can't wait any longer.

, their spontaneous behavior urges us to speed up the pace of reform."

Chu Tianshu felt that his throat was so dry that it was on fire. He picked up the cup and drank the full cup of water in one breath.

Xu Bin hurriedly held the cup in front of him and poured water into Chu Tianshu's cup while saying, "Secretary Chu, I haven't drank from my cup."

Chu Tianshu picked up the cup again and drank the full glass of water.

"It should be affirmed," Chu Tianshu added, "the health system system is the same as many other old systems. Its design is derived from the traditional planned economy concept, which is public ownership plus egalitarianism. Theoretically speaking, public ownership plus egalitarianism is

An ideal system design. However, for this old medical and health system to be implemented, three conditions must be met."

To be honest, among the people present, only Bai Cunli knows Chu Tianshu best. Although he has opinions about Chu Tianshu, he has seen Chu Tianshu's theoretical level, work style, especially the means of radical reform.

Of the county party committee secretaries he has come into contact with, there are no less than eight or nine, some are active in their work, some are part-time officials, and some are simple in style, but none of them see the problem as deeply as he does, and none of them is as sincere and dares to take risks for the sake of

For the sake of the broad masses of the people.

Chu Tianshu paused for a while and then said: "The three conditions are: first, the area must have sufficient social resources, and the government must have enough financial resources to run many and good medical institutions; second, the laws and regulations must be

Those who manage health resources have strong binding force and will not use public power for private purposes; thirdly, those who enjoy public power will not use it for private purposes;

People who receive public health services have a high degree of consciousness and cherish and will not waste health services. In our Nanling County, the economy is underdeveloped, the legal system is incomplete, government behavior is not standardized enough, and people's ideological consciousness is not very high.

In such a general environment, the system design with good intentions will inevitably be broken by the harsh reality."

Chu Tianshu looked at Yu Qiankun and said, "Director Yu, what do you think?"

In fact, Yu Qiankun was not surprised when he heard that something like this happened at the Chengguan Town Health Center in the morning.

Because during this month, as the director of the County Health and Family Planning Commission, in accordance with Chu Tianshu's request, he organized all the forces of the health departments at the county and township levels to conduct a comprehensive investigation of all medical institutions in the county.

Even though he was mentally prepared, he was also surprised.

Today was the deadline for the task Chu Tianshu assigned them. Until last night, he was still checking and revising the investigation data repeatedly. After confirming that there were no errors, he printed two copies and prepared to send them to Chu Tianshu's office this morning.

go.

But before he could set out, something happened at the Chengguan Town Health Center, where medical staff wanted to force the director to step down.

Of course, he never expected that Secretary Chu would rush to Chengguan Town in person.

Chu Tianshu's words just now made his heart, which had been confused and uneasy for many days, suddenly become more enlightened. Although he did not dare to stand high and see far like Chu Tianshu did, he had thought about the lack of financial resources.

Medical and health institutions in developed areas cannot continue like this. All walks of life are looking for ways to survive in the wave of reform. The medical and health departments cannot hang themselves on a tree forever!

Yu Qiankun took out a thick pile of information from his bag, read it, handed it to Chu Tianshu, and said: "Secretary Chu, this is the information we investigated about the current status of all medical and health institutions in the city. We originally planned to send it to your office in the morning.

Yes, it’s not too late yet.”

Chu Tianshu asked Xu Bin to make a few more copies and distribute them to everyone present.

Chu Tianshu took the materials and first turned to the Chengguan Town Health Center. The serious losses on its books were almost insolvent.

He shook his head and asked: "Everyone, what should we do with units like Chengguan Town Health Center? Should we ignore it and let it go on, or should the government pay to fill up this bottomless pit first? Since it is a bottomless pit, who can fill it up?

Can you afford it? What’s more, the government simply doesn’t have the financial resources.”

Yu Qiankun said: "After a month of investigation, we conducted 11 township health centers, one county-level general hospital, one county-level traditional Chinese medicine hospital, as well as all maternal health care stations, health and epidemic prevention stations and other medical services in the county.

I now have a general understanding of the current situation of the organization, and the specific digital materials are available for everyone to read, so I won’t repeat them.”

Chu Tianshu continued to look down, his brows furrowing more and more tightly. The situation in various township health centers was worse than he imagined.

Data show that the county has medical and health assets of 45 million yuan. The per capita medical and health assets and the number of health technicians per thousand people are at the bottom of the city, which is lower than the provincial average. There is only one hospital like Daliu Shuxiang Health Center.

Health centers with two doctors account for one-fifth of the total. However, township health centers cannot pay wages, and almost 100% of employees are owed wages.

Township health centers themselves are unsustainable, so how can we talk about solving the current situation where it is difficult and affordable for people to get medical treatment?

Chengguan Town Health Center originally had a good foundation, but due to the inaction and random actions of the managers, today's situation has emerged.

Chang Yikuan thinks the same as most people. In their habitual thinking, medical and health care is a social undertaking and should be taken over by the government. There is no need to worry about losses. Anyway, the government will take care of it. Why bother to worry about it? It is better to do it privately.

Affordable placement.

Unfortunately, how can Nanling County, which is financially strapped, have enough financial resources to fill this "bottomless hole".

Chu Tianshu raised his head, looked at Yu Qiankun, and continued to flip through the materials.

Yu Qiankun opened his notebook and said: "Now the eleven township health centers in the county are heavily in debt, with total assets of less than 20 million yuan. A considerable number of health centers cannot make ends meet, so they have to charge various fees in violation of regulations and increase prices in disguise. Because they cannot pay

Conflicts between leaders and employees abound over the payment of wages, but they are not as intense as those at Chengguan Town Health Center. Because of excessive fees, the conflict between doctors and patients is becoming increasingly acute. Major illnesses cannot be cured, and minor illnesses are treated haphazardly. If this continues, sooner or later

A medical accident occurred.”

The data is in hand, the facts are in front of our eyes, and everyone is nodding silently.

Yu Qiankun said: "In addition, the equipment conditions of township health centers have reached the point where it is difficult to maintain normal business. A township health center is responsible for treating tens of thousands of farmers, but it does not even have B-ultrasound machines or biochemical analyzers, so what else can it do?

Carry out medical work? The health center has no money of its own and relies on the health authorities to provide it. It is no longer possible. The year before last, the county applied for a medical subsidy of one million yuan from the city, but part of it went to the Health Bureau and the Family Planning Commission.

Part of the capitation fee is given to the county hospital. In this way, each health center only has an average of 30,000 yuan. For a health center that is heavily in debt, what problem can 30,000 yuan solve? It is not even enough to repay the work.

Why add medical equipment? As for technical staff, due to poor conditions in township health centers and the inability to pay wages, a group of college graduates and medical technical backbones have chosen to be transferred. Seeing these current situations, we are very sad, but

There’s nothing you can do!”

Chu Tianshu closed the materials in his hands and his face became serious: "Comrades, what should we do? Maintain the old system, continue to survive, and shamelessly ask for alms from the provincial and municipal finances. Even if we get a little money,

I'm afraid I can only sprinkle some 'pepper noodles' on each health center, but the result will not change the fate of the people who are still living."

Chu Tianshu spoke very excitedly, and the others stopped writing and looked up at him.

"This irresponsible muddle-through approach has no political risks. However, the people in the county continue to lack medical treatment and medicine, and the current situation of difficult and expensive medical treatment will never be solved." Chu Tianshu said loudly: "

Another way out is to completely reform the existing system and vigorously absorb social capital to invest in the construction of township health centers to make up for the serious shortage of health resources."

Bai Cunli said cautiously: "Secretary Chu, the provinces and cities have not yet issued policies for the restructuring of the medical and health sector. If we do this, we will bear great political risks."

Chu Tianshu stood up, frowning, walked back and forth a few steps, suddenly stopped, and said loudly to everyone: "There are always risks in reform. Some people say that if you don't change, you will die.

Reform is courting death. I believe that as long as we can fully mobilize the enthusiasm of medical staff, run better health centers, and solve the current situation where it is difficult and expensive for ordinary people to seek medical treatment, what does it mean to seek death? If we as leaders do not

If you dare to take risks, then the people of the whole county will face greater risks."

Bai Cunli lowered his head.

Chu Tianshu continued: "The medical situation in Nanling County can no longer continue like this and must be reformed immediately. It is impossible to accomplish something without risks. Even if there are risks, don't be afraid. Let me take care of it."
Chapter completed!