What sort is this market

 What sort is this say, the Chinese medical and health problems need to be solved because the The author pointed out that the reason China's deteriorating public health situation, Wang, of the one report, in the Acura, its negative consequences, See published an article, without repeating the arguments cited Wang, Ge et al found the problem, that China's rapid economic growth the worse the performance of health. to the market consensus, which is the reform and opening up, China's health care system that has completed the status of and the general direction of the new health reform, a matter of course to be anti-market way of ; government-led Imagine, a mistake can actually break the disease out Miaoshouhuichun doctor's prescription.
to many people, China has step on the health care market of the road, is a self-evident reality. is not it? Now people see a doctor both to their own expense (whether direct dig individual pockets to pay, or through social security or tax to pay instead); public and private hospitals not only mm such and such a doctor to spend more to buy, a sell, not the market? so widespread sale of medical services, not In 2005, total health expenditure in the country (the and urban and rural residents in the same period GDP growth rate of per capita household income. people want to, national spending for health care is so high-speed increase, do not services more and more money to spend. However, let me ask, when a large number of medical and health services focus on the purchasing power of the time, Yi Wei has made the supply side respond? this question difficult to answer, of course, is the result of the first Hospital and health services of people in the After following a highly profitable market momentum, what the phenomenon is destined to come one after another?
If this is the cutting of the experts conclusive words heroes mm determined to break the door open more hospitals and clinics, mobilizing more people to study medicine, adding more health services as mm line of business until the practice of said if the market is really such a thing, to practice a highly profitable market is the first reaction, to mobilize more resources into the second reaction is inevitable. It is clear that the former is the growth in demand caused by changes in income distribution, which is re-allocation of resources by the price mechanism.
follow this simple idea, I examine the following issues: the total cost in health, in particular the rapid increase in personal hygiene, while cash expenses, our hospitals, clinics, health care and increased How much? the results were surprising :1978-2005 period the number of hospitals nationwide increased by only 101.3%, out-patient department of the 119.8% increase, an increase of hospital beds in hospitals 43.5% (35.8% increase over the same period the population, so per thousand people increased by only 21.3% of beds); increase over the same period the number of national health care, doctors 87.6%, 155.2% physicians, nurses, a little more, it will only 231.9%. That is, growth compared to 77 times the total cost of health, personal health spending growth 197 times, all changes in medical and health supplies, the maximum is increased by 2 times the nurse, the doctor added a half times, the rest including hospitals, clinics, the increase in the number of beds and doctors, were less than 1-fold increase. Do the health care of of 198 times the total health expenditure and health expenditure of individuals, two days slash sky; and all medical and health services over the same period the increase in the supply of resources, including health agencies and health care workers and the increase in clinic visits, all but a section of flat line!
this group of phenomena have multiple meanings: (1) people to increase health costs and expenses, or even several hundred times higher than ten times the increase in clinic visits, thus the cost of each clinic increased rapidly mm you Therefore, our health services as a whole did not improve productivity, although between different hospitals, as we later want to analyze it, there are significant differences; (4) the most important thing is to spend a lot of people money on health services as, actually stimulate the supply side, there is no corresponding increase in resource mobilization!
seen the other where the change. Generally speaking, everything is difficult from a shortage of time, more and more products into the abundant supply of services to improve rapidly, flooding the market with cheap things. The most basic of track, once the demand is concentrated, to sell family made their fortunes, and soon attracted a large number of strange, until the same yet different products and services into the homes of ordinary people.
It is these landscape experiences, let me see that the so-called The problem is not the market is good, which should not, but what is China's medical services market has been achieved. Shaoguang of government expenditure to decline in the proportion of total health expenditure, as a basis for medical and health market. I think he neglected to ask: Will the Government in reducing the proportion of expenditure, while health costs, there is no access to health services open the door? Ge Yan-Feng and his research group, said, and exit restrictions, the new layout, and services medical institutions targeting the market demand depends on the situation. stimulation of the number of medical institutions and a corresponding increase in health care? Li Ling article criticized health care market can not effectively allocate health resources, the introduction of market mechanisms can not simply copy the practices of other industries. > What is meant by unity of course no intention of Why is the ability to mobilize resources to increase supply so low? In my opinion, no matter what we have argued that this problem is not resolved, to improve the policy objectives of health services as, if not castles in the air, so it must also difficult. next time it.
truth is always concrete
mm healthcare series comments (1)
Zhou Qi Ren
Economic Observer January 15, 2007 beginning Monday
Yi New Year, a source said ; Ministry of Health, the first public health reform program. focus on building four basic system. group leader proposed. Ministry of Health has been authorized representative if the leadership team announced the program, how it is the solemn declaration should look into. In addition, the medical reform the people's livelihood, even if the government has programs, consideration should also be through the National People's Congress is rather properly.
However, the high-Year Report of the Minister of the Ministry of Health focused as health reform, though not in will not be too far. after all, not military diplomatic, medical and health problems could not close handle the truth. More anxiety on the many years, and the solution has been to the public, the media, Chinese and foreign experts and government leaders concerned about a central topic. as an administrative charge of the Ministry of Health, bear the brunt of the cusp, point out ways to help but do not have to be accountable.
now finally Ministry of Health has a program focused on healthcare. that alone is worth celebrating. because both set for how to solve practical problems, it is easy to clear. is willing to discuss it? mm from the sky it can be things like the idea promises to achieve the desired results and conditions. can not be discussed, the total program is not to take it anyway, and put into practice results always shown, when not too late to further discussion.
follow-up article to be published together with the medical change the series of comments, just being selected to implement the health reform program to continue the discussion until the position. The first reason already mentioned above, that is, the Ministry of Health programs focused health care reform is not tantamount to the State Council Leading Group for the program. In the final health reform decision, to put forward different views for reference, at least it no harm.
even if the current program of the Ministry of Health is the State Council Leading Group of the last health reform program, and even that is through the National People's Congress examined and adopted the practice for immediate delivery program, I also think that should be allowed to have different opinions and criticism. the history of many years of lessons, sound no different to any policy formulation and implementation, are by no means a good thing. From the perspective of civic responsibility, speaking different opinion is a matter of principle, as there is no one listening, no less important down.
discussed in the level of participation in public affairs on top, and a series of comments written reasons for health reform, that is, their professional interest. of course know what is economics a science, never the wise see wisdom, eyes of the beholder. precisely because of that, so long under the cross of one mind, choose a favorite to go the direction of drilling, no longer regardless of the other. I chose the door of Economics, finds that human behavior can be observed regularly to be found in, because people always act in a particular constraints, and constraints of the various acts inside the rules of the game that is most important institutional constraint. medical reform, medical reform, To study changes in the health care system is how the changes affect the behavior of the parties. encounter on the appetite of the subject matter, rather than hunting were delighted to see that my lack of moral cultivation.
affect behavior in virtually all systems phenomenon, has an irresistible appeal. However, at least based on empirical research requires a real opportunity mm in depth is not very easy to meet the conditions. lucky coincidence, the last century and a group of 80 back to the city to the countryside like-minded persons, under the guidance of Mr. Du Runsheng been engaged in rural reform, a rare opportunity for investigation, the city in the country, upper primary, civil government, the fact that concepts, theories back and forth between policy almost a decade, the farmers on how to conduct finally institutional With some basic understanding of .1996 after returning to large-scale projects were touched, water management, restructuring state-owned enterprises, private enterprises development and administrative monopoly sectors of the market opening, flash has passed ten years, a number of subjects is wide, but life is short, how can increase the knowledge of it more solid?
launched a new year's SARS challenge. is a sudden event, highly infectious disease, endangering human life. From an economic point of view, a person Governance mm SARS had not either because of ignorance, no money or no treatment conditions, not just mm victim himself, in a very short period of time and can infect a large population and endanger the lives of many others. This is typical The role of urban and rural communities, to reduce the population movement within a short time at the expense of control of the situation results quickly.
academic experience by a new old problem again activated. That is, the invisible hand of the market and see to see the hand of government, health care encounter to life so sometimes the lives mm mm, resource allocation, how the demarcation of what my son. Coase tradition set in a very clear delineation is not based on the wishes, not values, nor is any other arbitrary, but is the cost of the objective measure. The difficulty is that the cost of the real world not to come to the impression of mouth, and investigations must be based on hard experience. Our system of health care arrangements for all actual costs How much reliable knowledge accumulated it?
the hands of the government inevitably has to pay a price. this point, even in the SARS period also see clearly. was a textile industry told me that the government ordered the production of masks assault The command is very effective, the market will soon have all types of masks available. the cost of subsidies by the government to stimulate production, because of an emergency, set too high subsidy, the production of a mask margin even higher than a shirt, the results Transferring a large number of companies will soon face masks, Treatment of SARS can be seen in other sectors. For example, to determine the nature of SARS, but for doctors in Guangdong and stick them to make independent professional judgments by experts and institutions of the Ministry of Health to determine, it seems even more error events. It is worth remember that, because the feature from the system perspective, the government is always at hand and power level allocation linked information. Another example for the control of all executive orders issued by SARS mm from the clinic to determine how and where to stop the scope of economic activities and time to community closure mm occurred during the execution will inevitably backfire. To deal with the SARS emergency, all this may have insignificant, but as a long-term system to run, especially to expand to other this does not have external Code, why not the entire health care field to further expand the role of government to solve Reflections on China's market-oriented health care reform is not too far, like the opposite, but it is starting from SARS after.
issues to a deeper level. I am familiar with the language to understand, this is human rights and the distinction between property rights. does not make sense, said a healthy life and freedom from disease, pain, suffering and fear should not be the right person. Even without publicity Renaissance humanism, the Chinese cultural tradition has also been support the is serious in people's words are intended to announce the health and freedom from disease, pain is a human rights, we must maintain the right to implement the relevant obligations. is not difficult to prove that without the implementation of relevant obligations, any good, but the human rights commitments is in the air. the experience of the last century is very clear obligation to determine the implementation status of the actual situation of human rights, and not the opposite. a time of flourishing of the dumping; carried out a low level within the program mode, if the leadership of Deng Xiaoping's reform and opening, it is difficult to avoid the repetition of the > If you do not maintain the commitment to human rights in the consumption of any resources, then nothing Stop fighting, everyone working together to open list like. to spend resources? So unless a dream come true, people always on the ground implementation of these resources is produced in the ground. If a person can produce the resources they need to maintain, easy to handle. The trouble is, if a person can not for various reasons, can not be mm mm or temporary production of the resources he needs in order to maintain the universal human rights, make the production of these resources as a duty assigned to other members and institutions mm family, relatives, friends, community, non-governmental organizations, local government, central government so that international organizations. The real challenge is that different allocation rules mm system or obligations system is also mm would have very different behavior of consumption and production effects.
differ mainly in that place. This also brings out the subject of this article until the search for truth is not abstract, should have health care aspects of human rights In recent years, the decision on personal observation, investigation, reading, ask for advice and thinking, based on comments to write a series of exchange it with the readers.
series of reviews of health care reform: truth is always concrete
series of reviews of health care reform Second: is this sort of a kip Five: It is embarrassing,