The cabin where Shi Xiaoren was staying was at the end of the ship away from the engine room. On one wall of the room facing the engine room, there were large bags filled with coconut palms piled up - better than nothing. This was a design to protect the chief in the event of a boiler explosion. &spades思&hearts路&clubs客レ includes a series of self-produced steam-powered ships that are regarded as the "pride of Lingao Industry". In the eyes of the members of the Senate, this is generally a safe situation, and this is indeed the case.
At this time, Shi Xiaoren was sitting at the desk in the cabin, flipping through a thick book open in front of him, with a look of unhappiness on his face. His face seemed not to be good since he set off, of course not because he had been to the cabin. The entourage explained that he was seasick because what was in front of him was not actually a book, but a document that the civil affairs department gave him for review - or acceptance - when he returned to rest after completing his inspection tour in the previous area. Detailed rules for public medical care for naturalized citizens
When Shi Xiaoren often communicated with veteran doctors from China, he would intentionally or unintentionally bring up "brother, when I was in the United States", but he never mentioned how he was constrained by medical insurance when he was practicing medicine in the United States. I didn't expect that now that I have traveled to the United States more than a hundred years ago, I still have to be covered by medical insurance, and it is still a brand-new method of self-restraint. Thinking of this, Shi Xiaoren was in a particularly bad mood.
In the second half of last year, at the enlarged meeting of the Executive Committee, the Ministry of Finance proposed that a monetary settlement system should be adopted within the health system, and free allocation of drugs and equipment should no longer be implemented. Similarly, specific prices must be determined for all health services.
This is not directed at the Ministry of Health alone: Regarding the policy of implementing monetary accounting in various government agencies, enterprises, institutions, factories and commercial units, Finance Director Cheng Dong has mentioned many times that this time it is considered preliminary - the Ministry of Health is a pilot unit.
Minister Shi had no objections to the point of monetized accounting. After all, he did not engage in monetized accounting. The total currency issuance of the fiscal bureau, the total amount of economic expenditure, and so on were all headless accounts. But what happened next was beyond his expectation. Unexpected
There is nothing difficult about implementing monetized accounting. It's just that there are more financial accounts. In the past, the health department only focused on getting things, making things, and seeing a doctor. If necessary, they just issued reports. Now, in this process, in addition to reporting, it also has to be calculated into circulation coupons according to the allocation price list. Of course, The calculated money is recorded in the accounts. The impact of completing the procedures in Delong on the Ministry of Health is that several more accountants, cashiers and cashiers will be hired.
Elders and naturalized citizens also have more things to do when seeing a doctor: in the past, seeing a doctor was just a matter of registering, but now they have to fill out a triple form listing the details and amounts of medicines and medical expenses, and then submit them to the Ministry of Civil Affairs and the Ministry of Finance respectively. For this purpose, three agencies under the Ministry of Health The hospital also hired a group of cashiers to take charge of this matter.
However, the following trend went wrong: The Ministry of Civil Affairs then asked the Ministry of Health to formulate a clinical path for common diseases among naturalized residents to guide the diagnosis and treatment activities of naturalized residents. At that time, the Ministry of Health did not take it seriously. Several large hospitals equipped with veteran medical staff have been established. In addition to public health and epidemic prevention work to promote hygienic habits, the medical services for naturalized citizens are basically to solve red wounds and day-to-day pain and brain fever. The Ministry of Health has issued After taking a crash course for several months, I reorganized the contents of the Common Disease Handbook for Naturalized Civilian Medical Care and submitted it to the Ministry of Civil Affairs.
Unexpectedly, a few months later, the Ministry of Finance and the Ministry of Civil Affairs jointly issued a document to guide the diagnosis and treatment activities for naturalized citizens with publicly funded medical services based on the clinical pathways submitted by the Ministry of Health. To be precise, based on the clinical pathways submitted by the Ministry of Health, guidance was provided for those with publicly funded medical care. Medical diagnosis and treatment activities for naturalized citizens are subject to a limited fee. If there are no special reasons, if a patient who enters the path of treatment withdraws from the path, all expenses exceeding the limit will be borne by the medical institution itself, and public medical care will not be paid.
The reason of the Ministry of Civil Affairs is: because modern medical care is based on huge high-tech investment, according to original experience, the growth of medical expenses is basically faster than the economic development rate and residents' income in the same period.
At present, the diagnostic and treatment activities of the Senate for naturalized civilian army employees are all included in the publicly funded medical system, and the medical treatment provided to naturalized civilians with non-employee status in the area under the control of the Senate's modern system is basically half-priced. Half a gift, the above is the political superiority of the Senate xì
The reason of the Ministry of Civil Affairs is: Although the current overall medical service is still very crude, if there are no restrictions on the payment of public medical care, in an empire where technological leaps and bounds are happening every moment, I am afraid that it will prematurely form a welfare system that is too big to lose. Baggage affects long-term rule in the future
After hearing this reason, Shi Xiaoren immediately asked the Ministry of Civil Affairs: "Do starving people need obesity?" and had a "frank conversation" with the relevant responsible comrades from the Ministry of Civil Affairs and the Ministry of Finance invited by the Ministry of Civil Affairs to participate in the negotiation and "fully "Exchanged views", "enhanced understanding between the two parties", "the talks were beneficial", and both parties "fully shared their views"
Minister Shi knew very well that there was someone from the financial department behind this matter - as for their purpose, it was nothing more than the "perfect social insurance system" that they had been actively advocating.
Shi Xiaoren’s opinion is: the health system of the Senate is still very primitive in its medical activities for naturalized people. Half of the common medical treatments are so primitive that the senators believe that half of the common medical treatments are placebo therapies. There is an urgent need to vigorously develop early and early primitive medical treatments. Setting such economic restrictions on activities will definitely restrict the development and progress of the Senate's medical undertakings. Medicine is a science with a strong practical nature. Restricting the hands and feet of practice too early is detrimental to improving the level of medical care.
He was embarrassed to say that a doctor is actually a skilled worker, and the more skills he has, the better. So Minister Shi particularly emphasized the great truth that practice leads to true knowledge, and then extended it to the fact that medical activities that only rely on serving elders cannot be practiced. , the medical development of the Senate will definitely stall - wait for the senators in the future... Moreover, all the modern materials and drugs needed by the medical institutions under the Senate currently rely on planned allocation. Although it is now changed to monetary settlement, the essence is still Fully funded nature If public medical care refuses to pay, where will the shortfall be made up? The widening financial gap will inevitably affect the maintenance and self-upgrading of the entire health system. At that time, it will be difficult for the health department to "serve the Senate wholeheartedly."
These words obviously aroused the "great attention" of the Senate, so even if the matter has been shelved for now, Shi Niaoren is still unhappy - it seems that Cai Jinkou feels that he is bound to get the medical treatment.
After leaving the Qiongzhou Strait, the Octopus merged with the two patrol boats departing from Haikou to form a small escort formation heading to Hong Kong.
According to the plan, the Octopus will be anchored in Hong Kong for a few days to clean up the ash and make final touches. Then the Octopus will choose a good day to sail along the Pearl River to Baietan, and officially hand it over to Guo Yi as his yacht.
According to the plan, the Octopus will be anchored in the waters of the newly built Guangzhou World as a display and symbol of Australian civilization and lifestyle.
After the Octopus anchored, a thousand elders from the Hong Kong base came to the pier to greet them. Although the General Office of the Executive Committee of the Zhōngyāng Government Affairs Council and the Cheka jointly issued several documents, requesting the elders stationed abroad to reduce the number of greetings to elders who were on business trips and passing through. The activities sent to the government have greatly reduced the "three official" expenses. However, the elders stationed in foreign stations all hold the idea that "it is not strange if there are too many gifts" or "monks in the capital like to chant sutras" and entertain "comrade elders". It is getting more and more popular to have a lot of food and drink, plus various local gifts, and the trend of "looking forward to a business trip" and "asking for a business trip" is booming.
The methods for reducing expenditures in various places are also very simple: the elders receive large dividends every year, which are just numbers in the bank, and they are taken out directly for consumption. The finance department and the Cheka have nothing to say about this. Wu Nanhai's cafe every month A large number of "special mail packages" of high-end consumer goods such as kvass rum, cigars, etc. must be sent to various overseas stations.
The Hong Kong Station is no exception. Due to the engine operation, there are many senior officials in Hong Kong: including the Civil Affairs Department of the Planning Institute and the Army and Navy. However, they are all on business trips and there is no need or need to come to greet them when they appear on Pier 1 in Central. Yes, they are two elders of Hong Kong: the leader is Luo Chen, the captain of the Hong Kong Reclamation Team, and next to him is Hong Kong business representative Hong Yin. In addition to the two of them, there is also a young man with an undistinguished appearance, wearing a straight Qianbu. Suit, holding a briefcase in hand
Shi Niaoren came down from the springboard, Luochen, Honghong, Yin and others shook hands and exchanged greetings with the two. They were very attentive. Minister Shi knew very well that the two people were so enthusiastic about him. In addition to being a "monk in Beijing", there was also It means to strive for a project: to be precise, it is the planned "Provincial and Hong Kong General Hospital"
The idea of setting up a provincial and Hong Kong hospital in Guangzhou or Hong Kong has been on the agenda for a long time in the Senate.
On the one hand, this is naturally for economic purposes. On the other hand, it also has the intention of expanding the influence of the Senate and modern health care - it has the same meaning as sending a visiting medical team.
However, for the Ministry of Health, the most important benefit is that there are a large number of patients who can pay their own expenses to train new members of the health department. At a time when the clouds about the current medical insurance system have begun to hang over, this plan is of great benefit to the Minister. great temptation
"This guy Shi Jiantao is really not interesting. If you want to get a carriage, you will say there are no horses. There are no horses anywhere else on Hong Kong Island except the shipyard..." Accompanying the voice was a short and fat figure. This is The only one among the veterans of the medical and health department who does not have a degree in medical and health care biology - no, no degree at all is Deng Platinum, the chief of the medical department of Bairen General Hospital directly under the Ministry of Health.
