China passes new medical reform plan
http://news.xinhuanet.com/english/2009-01/21/content_10698501.htm

CCTV video
http://www.youtube.com/watch?v=7IpWy9_O4Ws

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Xi

On 21 ene, 18:45, "[email protected]" <[email protected]> wrote:
> http://news.xinhuanet.com/english/2008-10/14/content_10218424.htm
>
>  BEIJING, Oct. 14 (Xinhua) -- China's long-awaited health care reform
> plan, which aims at providing universal medical service to 1.3 billion
> people, was released Tuesday for public debate.
>
>     The country wants a health care system that covers all urban and
> rural residents by 2020. According to the plan, that care should be
> safe, effective, convenient and affordable.
>
>     The plan breaks up the health care system in to four departments:
> public health service, medical treatment, medical insurance and
> medicine supply.
>
>     Medical reform has been deliberated by authorities since 2006.
>
>     Growing public criticism of soaring medical fees, lack of access
> to affordable medical service, poor doctor-patient relationships and
> low medical insurance coverage compelled China to launch the new round
> of reforms.
>
>     China once prided itself for a government sponsored "socialized
> medicine" system, in which most Chinese, including urban and rural
> residents, enjoyed low-priced medical service.
>
>     However, when China began economic reforms in the early 1980s, the
> system was dismantled to ease government burdens and changed to a
> market-oriented health care system.
>
>     Insufficient government funding resulted in deficits for public
> health institutions, thus opening doors for hospitals to generate
> their own revenue by raising fees and aggressively selling drugs.
>
>     The reformed plan clarifies government's responsibility by saying
> that it plays a dominant role in providing public health and basic
> medical service.
>
>     "Both central and local governments should increase health
> funding. The percentage of government's input in total health
> expenditure should be increased gradually so that the financial burden
> of individuals can be reduced," the draft said.
>
>     The plan listed public health, rural areas, city community health
> services and basic medical insurance as four key areas for government
> investment.
>
>     The plan also promised to tighten government control over medical
> fees in public hospitals and to set up a "basic medicine system" to
> quell public complaints of rising drug costs.
>
>     The basic medicine system includes a catalogue of necessary drugs
> that would be produced and distributed under government control and
> supervision. Its goal is to ensure accessibility to a range of basic
> medicines and to prevent manufacturers and businesspeople from
> circumventing existing price controls.
>
>     The draft was formulated by a team of officials and experts from
> 16 departments, including the Ministry of Health and the National
> Development and Reform Commission.
>
>     Bai Chong'en, one of the plan's authors, said the team has visited
> more than 20 provinces, municipalities and autonomous regions over the
> past two years.
>
>     "It's fair to say that the research was quite comprehensive and
> we've found where there are problems," said Tsinghua University
> Professor Bai.
>
>     He said the team also held many seminars on the key issues
> including the establishment of a basic drug system, governmental
> medical investment, medical insurance, drug pricing mechanisms andthe
> development of private medical institutions.
>
>     "There were few disputes on the development of the public health
> sector and the bigger government responsibility. Debates focused on
> whether government should invest more money into basic medical
> insurance or into public medical service," Bai said.
>
>     To have a more balanced view, the Chinese government entrusted
> nine domestic and overseas organizations including the World Health
> Organization to conduct independent research. Their opinions were
> included in the draft.
>
>     In early 2007, the National Development and Reform Commission
> started a website, inviting public opinions on medical reform. The
> commission received 1,500 suggestions and 600 letters in less than six
> months.
>
>     The draft will be open for public debate until Nov. 14. People can
> visit the website:http://www.shs.ndrc.gov.cn/yg(Chinese) to leave
> suggestions and comments.
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