Reorganizing the healthcare system

All citizens of our country should enjoy universal medical security, and guarantee based on demand rather than income.

This is a basic human right and an important measure of social justice. The government should play a central role in regulation, financing and provision of medical services. Everyone faces the possibility of poor health.

Risks should be widely shared to ensure fair treatment and fair interest rates, and everyone should share responsibility for contributing to the system through progressive financing.

The cost of health care is rising. In the past few years, its spending has grown faster than the cost increases reported by other economic sectors. In fact, the free market does not work for the health care system.

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There are two ways to fund health care:

The first is private financing, which provides health care by using the money of workers and companies as insurance premiums for purchasing private insurance. The established order lags far behind the 47 million people without health insurance.

The second method used by all developed countries in the world is to tax workers in order to generate large sums of money and fund them through national budgets. Our people prefer private health insurance and private health care. As we get used to the existing system over time, our employees will reject all other suggestions without being affected by their strengths.

An analysis of the private health insurance agency system shows that this is essentially a social approach to collecting premium distribution. The insurance company collects insurance premiums from all insured workers and uses part of it for the health care of patients in need. As we have seen, private individuals only leave the appropriation of profits. Social distribution is not based on the size of the entire country, but is limited only by each health insurance company.

Health insurance companies use the basis of their operations as an unfair practice. The medical insurance they choose is only relatively young, healthy, and labored, and rarely ill. They continue to increase premium rates, excluding retirees who need more care. Therefore, health insurance companies have established greenhouse conditions for themselves. They have earned billions of dollars in profits, which is actually a simple misappropriation of unhealthy means for healthy people and does not require medical services. It is reasonable to say that these tools should be left in a special fund and used for care when these workers retire.

Under the current system, health insurers have every reason to limit our care and increase our co-payments and deductibles. HMO is known for refusing to take the necessary hospital stays, refusing people's coverage of emergency room visits, and medically necessary procedures and treatment arrests. The main reason why our system is so expensive is that it must support HMOs that are eager to make a profit. In the United States, 30 percent of each dollar is used to pay for administrative expenses and profits.

HMOs are a useless barrier between doctors and patients. A problem has arisen. Do I need to use HMO in the system? The answer is clear. No HMO is required. This is an unnecessary link and needs to be revoked. It is necessary to establish a system that allows providers to focus on care rather than profitability.

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The healthcare system needs radical change and improvement. To be precise, this is necessary to identify improved health care while reducing spending and providing mature care for all citizens of our country. This major issue cannot be ignored. As we all know, China's health care is equivalent to small businesses, and all participants, like every company, are interested in getting the highest possible profit.

Dispersing medical services into small medical offices is not conducive to the development of this area and the basic medical tasks of reducing medical costs for the following reasons:

These offices cannot use advanced medical technology; high levels of organized health services do not exist; doctors are more willing to minimize the time for medical examinations; service fees are not the best option in this area.

The listed shortcomings lead to:

The increase in the number of medical staff and administrative services; the deterioration of outpatient treatment, the increase in the number of visits to patients and the unnecessary referral of hospitals; and the overall increase in medical expenditures.

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Under the current situation of unreasonable medical care organizations in China, it is necessary to find new structures to meet the requirements of contemporary reality.

Inevitably, the feasibility conclusion of reorganizing the entire medical structure will be thought of. It is best to form large multi-purpose medical clinics instead of a large number of non-productive medical offices, each connected to a nearby hospital and working in two shifts.

These outpatient clinics should be equipped with modern medical and information-computer technology, as well as modern laboratories, in which all necessary medical examinations, tests, procedures, etc., are carried out to greatly improve the quality and productivity of all health care. Medical staff.

Another important measure – a fundamental change in the existing medical care payment system. We provide compensation for the hourly compensation system in the form of wage rates. The doctor’s salary should be determined according to the qualifications and be confirmed every five years, with an annual amount of 150-200-2.5 million US dollars. In addition, a bonus allocation should be established for successful surgery and excellent medical care for patients. This will undoubtedly shift the attention of doctors to provide quality medical services to patients. In essence, only this fundamental change can be called health care reform.

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It is recommended to establish a public non-profit organization to provide medical services to the population of the country and to establish branches in all states. The leadership of non-profit organizations should be conducted by the best experts in medicine, science, economics, finance and public relations. They must take full responsibility for the health care of all people and use financial aid. It must include an effective mechanism to control medical costs. All controversial issues should be determined by the organization's doctors – experts and therapists. This will be a managed healthcare system. Managed care reflects a unique approach to the country’s general challenges to humanity. Medical expenses must be included. The rationality of restricting policy development must be clear and readily available to the public. Rationality must show how the policy promotes good care for individuals and the best use of available resources for large populations.

It is recommended that doctors be exempt from the need for insurance to prevent medical errors, thereby lifting their heavy burden of unnecessary wastage. The doctor should undoubtedly bear the responsibility of making a mistake in performing his duties and causing irreparable damage to the health of the patient.

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This caused a problem. How to develop health care financing in the new semester?

The primary and sole source of financing should be the use of special taxes for these purposes. A scientifically based tax percentage should be established based on the worker’s income and the profits of the business and the business, generating a fund that should cover health care costs. The fund should be directed from Medicare and Medicaid. Therefore, all health care financing instruments should shift from budget to public non-profit organizations. The organization should calculate in detail the estimated expenditures for its budget in an appropriate manner. Within the reasonable limits of this budget, the entire health care system will be maintained.

A scientific organization with an appropriate image should develop such a budget. If we can say this, there is no doubt that we can assume that the cost of maintaining health care will be much lower than it is under the new favorable conditions. In our view, the proposed system is designed to provide a barrier to uncontrolled medical expenditures. Under the system of providing unlimited bills to insurance companies, Medicare and Medicaid become similar to snowballs, not on the verge of disaster. Go downhill on an intermittent basis.

The new medical security system should determine the hot issues of contemporary health care.

Reorganizing the healthcare system was originally published on Spring

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