It's freeMedicalAsMedicalA hot issue in the field that has sparked extensive discussion. India, a country that is far behind China in many ways, has implemented free of chargeMedicalsystem, which makes many people start to wonder why India can be made freeMedical, and China has so far failed to reach ?In fact, it is necessary to achieve free for allMedicalThere are many practical conditions and challenges that need to be faced.
First of all, support the whole peopleMedicalHealth care needs to be highTaxesAs a safeguard, this will be for most peoplelifeThe burden creates inequity. Even if it is ChineseMedicalThe insurance system covers more than 1.3 billion people, and the participation rate is high, but it is still not affordable to be free of chargeMedicalcost.
Secondly, it is free for the sake of the packageMedical, the procedures for medical treatment will change, and the appointment time will be significantly longer. Thanks to the medical staff andMedicalThe number of facilities is never enough, and some developed countries implement them free of chargeMedicalAfter that, they generally faced the problem of "long appointment time for medical treatment". For example, in some countries, it is common to wait more than a month for a B-ultrasound examination.
Plus, it's freeMedicalMost likely, it will lead toMedicalExcessive run on resources. Since it's free, many people choose to seek medical attention, even if it's just for some mild symptoms. And those patients with cardiovascular and cerebrovascular diseases who urgently need medical attention may not be able to get timely treatment**, they can only choose to go to private hospitals, which will increase their costs. In addition, in the face of sudden epidemic prevention andPublic healthThe consequences are also difficult to **.
Finally, it's freeMedicalAt this stage, it is likely to resultMedicalDecline in quality. For example, operational efficiency may be reduced, and medical staff may be slacking off due to insufficient income. However, patients are interested in:MedicalThe needs are diverse, and there are high requirements for convenience, which is difficult to reconcile and may ultimately harm the interests of patients.
So, it's freeMedicalThe implementation of the system in China faces many conditions and challenges, and at present, it is difficult for the benefits to outweigh the disadvantages. If it's freeMedicalwill drag down the already not strong enoughMedicalsystem, then the gains may outweigh the losses.
For a better understanding of China and IndiaMedicalIt is necessary to make some comparisons and reflections on the differences in the field. Although the basic situation of the two countries is similar, in the:MedicalThere is a clear difference.
First of all, according toWorld BankPublished data, 2011 China PublicMedicalExpenditures accounted forMedicalThe proportion of total expenditure is 559 per cent, compared to 31 per cent in India. From this data, it can be seen that China is inMedicalThe investment in this area is higher than that of India, which shows that China is already thereMedicalSome efforts have been made in health care. In addition, according to 2017 data, China's publicMedicalInputs occupiedGross Domestic ProductThe proportion is more than 5%, while India's proportion is only about 2%. This also shows that China is inMedicalThe investment in the sector is higher than in India.
In addition, according to theThe Lancetwas published worldwide in 2019MedicalIn terms of quality, China is ranked 48th, while India is ranked 145th. This data shows that China is inMedicalThe level of quality is higher than in India. And, according to the statistics of the World Health Organization in 2022, the average life expectancy of Chinese has reached 774 years old, compared to 69 years old in India. This disparity makes life expectancy in India only equivalent to that of China between 1979 and 1985.
From the comparison of the above data, one conclusion can be drawn that although India has implemented free of chargeMedicalsystem, but from the perspective of third-party evaluation, whether in terms of actual investment or public benefits, it cannot be free of chargeMedicalcompared to the Chinese of China. This indicates that it is currently free in IndiaMedicalIt's just a slogan, and in reality it's not really "free", let alone freeMedicalThe meaning of it.
In China, it is not yet possible to implement universal free servicesMedicalconditions, but in the public epidemic prevention、VaccinationMany free measures have been implemented in terms of serious illness co-ordination. The state bears the lion's share of the costs, and individuals only have to bear a small part. This kind of medical insurance system is unique to China.
Overall, it's freeMedicalThis topic can only be said to be a mixed bag, and the conditions for implementation in China at the current stage are not yet available. dragged onMedicalThe system may outweigh the losses. Therefore, it is free for allMedicalThe discussion of the system should be more pragmatic and need to solve practical problems, rather than just looking at superficial phenomena and blindly pursuing slogans.