“政府主导卫生”的观点非常模糊:刘国恩向记者表示,在日趋迈向具有中国特色的现代市场经济的今天,笼统地提倡“政府主导”卫生,不利于寻求更为有效公平的卫生体制。事实上,政府主导卫生的观点非常模糊,既缺乏清晰的理论依据,也无系统的实证支持。相对明显的弊端是,政府主导将加剧卫生市场的国营垄断,破坏本来就脆弱的竞争机制和价值规律,这不仅导致总体效率损失,也难以顾及公平。从过去的实践看,政府主导的垄断模式恐怕不是解决问题的途径,更可能是医改中所出现问题的症结所在。 Liu Gu’en told reporters that as we move toward a modern market economy with Chinese characteristics, the promotion of “government-led” health in general is not conducive to seeking more effective and fair Health system. In fact, the government’s view on leading health is very vague. It lacks a clear theoretical basis and there is no systematic empirical support. The obvious obvious drawback is that the government-led will aggravate the state monopoly in the health market and undermine the already fragile competition mechanism and law of value, which not only leads to loss of overall efficiency but also to fairness. From the past practice, the government-led monopoly model is probably not the way to solve the problem, but also the crux of the problems in the medical reform.