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“农民看病跑断腿、市民看病排长队”、“脱贫三五年、一病回从前”是老百姓看病难、看病贵问题的真实写照。为了从根本上解决这个问题,进行医疗卫生体制的改革已经势在必行,但对于医改的具体方向和路径,社会各方面在“把脉”后却又开出了不同的药方。有的人主张医改应走市场化路线,认为正是政府主导下的公立医院高度垄断导致竞争无法充分展开,造成医卫行业成本高昂、效率低下,此外,社会资本的难以介入使医疗资源的总体供给不足,一味地补贴医院也给政府财政带来了沉重负担。而有的人则认为医疗卫生事业必须要政府主导。过度的市场化倾向会使公立医院从此以逐利为惟一目的,医生的医风医德也会因为市场化而严重败坏,而市场主导下医疗资源配置的不平衡也会让“看病难、看病贵”问题进一步加剧。那么,医改该不该走市场化的路线呢?针对这个问题,本期辩论会邀请了相关的专家学者展开辩论。
“Peasants see the doctor running broken legs, the public waiting in line for long queues ”, “out of poverty in three to five years, a sick back to the past ” is the true portrayal of people see a doctor difficult to see a doctor expensive problem. In order to fundamentally solve this problem, the reform of the medical and health system has been imperative. However, for the specific direction and path of medical reform, various aspects of society have come up with different prescriptions after they have taken the lead. Some people advocate medical reform should take the market-oriented line, that is, under the government-led public hospitals, a high degree of monopoly leading to competition can not be fully expanded, resulting in medical and health care industry is costly and inefficient, in addition, social capital is difficult to intervene in the overall medical resources Insufficient supply, blindly subsidize the hospital also brought a heavy burden on the government finance. While others think that the medical and health undertakings must be government-led. Excessive tendency of marketization will result in profit-seeking for public hospitals from the sole purpose, the doctor’s medical morality will be severely corrupted due to the market, and market-oriented imbalance in the allocation of medical resources will make “difficult to see a doctor Expensive ”problem is further aggravated. So, medical reform should not take the market-oriented line? In response to this issue, this debate will invite the relevant experts and scholars to debate.