India, as a country that is far behind our country in many respects, has been able to do it successfully"It's freeMedical", which has left many people confused and puzzled. In fact, it's free in IndiaMedicalThe system is built on:"EveryoneMedicalHealth care"on the basis of which it is intended to be provided for its own citizensMedicalhealth care services to improve health and provide to peopleMedicalGuarantee. Free in IndiaMedicalThere are three key pillars of the system: first, public hospitals are not for profit, and for diseases such as colds and fevers and minor surgeries, they can receive free medical treatment in public hospitals;The second is to make private hospitals a supplement to public hospitals, which are allowed to make profits, but are strictly regulated in terms of feesThe third is to commit to it at the same timeMedicalR&D of new drugs and the production of generic drugs have made India a global playerMedicinesCheapest country.
However, some people will be confused by the contrast to our country'sMedicalThere seem to be a lot of problems: over-examination, over-prescribing drugs, over-use of intravenous drips, indiscriminate surgery, and exorbitant fees. These problems have existed for a long time and are difficult to **, which makes our country inMedicalThe field is much worse than India. Judging from the comparison of data from the third-party evaluation: according to the data released by the World Bank, in 2011, China's publicMedicalExpenditures accounted forMedicalThe proportion of total expenditure is 559% compared to 31% in India. Typically, the higher the percentage, the closer it is to freeMedicallevel. In addition, according to 2017 data, the public in IndiaMedicalThe share of input in GDP is about 2 per cent, while in our country it exceeds 5 per cent. In addition, the number of hospital beds per 1,000 people in India is 05 sheets, while our country is about 65 sheets. Released in 2019, theThe LancetGlobalMedicalIn the quality ranking, our country ranks 48th, while India ranks 145th, which means India'sMedicalThe level is comparable to that of 1990 in our country. According to the statistics of the World Health Organization in 2022, the average life expectancy in our country is 774 years old, compared to 69 years in India, which is equivalent to the level between 1979 and 1985 in our country. So, from the point of view of third-party reviews, India is freeMedicalIt is inferior to ours in terms of actual expenditures and benefits to the population.
This is despite the fact that India has implemented it for many years for freeMedicalJudging from the third-party evaluation, whether it is the actual expenditure or the benefits of the people, it is not as good as my country is not freeMedicalsituation. This makes one wonder if India is freeMedicalWhat does that mean exactly?However, judging by the reality of our country, freeMedicalAlthough it has not yet met the conditions for implementation, many have been implemented in terms of public epidemic prevention, vaccination, and serious disease co-ordination"It's free"measures, or the state bears most of the costs, and individuals only have to bear a small part. This is characteristic of our countryMedicareSystem.
To implement freeMedicalThere are several real-world conditions to consider. First of all, support the whole peopleMedicalHealth care requires high taxes, and this model is:"Take it from the people, use it for the people"but it is unfair to those who have not yet reached an adequate level of livelihood, shifting more of the burden onto them. Even our countryMedicalMore than 1.3 billion people have been covered by insurance, and the participation rate is high, but it is still unaffordable. Secondly, it is free for the sake of the packageMedical, the procedure may change, and the appointment time will be significantly longer because of the medical staff andMedicalThe number of facilities is never enough. Some developed countries in the West implement it free of chargeMedicalLater, they all met"Appointments for medical appointments are long"For example, wait a month or two before you can do a B-ultrasound test. Third, it's freeMedicalMost likelyMedicalThe overcrowding of resources has led to the fact that even some patients with headaches and brain fever will go to the doctor, resulting in those with cardiovascular and cerebrovascular diseases not being able to get beds, so they can only choose to go to private hospitals for treatment, which costs more money. In addition, in the event of epidemic prevention orPublic health events, the consequences are also unpredictable. Fourth, it's currently freeMedicalmay causeMedicalQuality is declining, operational efficiency is decreasing, and healthcare workers are slacking off due to lack of income. However, the needs of patients are diverse and convenient, and this contradiction is difficult to reconcile, and ultimately harms the interests of patients.
So, it's freeMedicalThere are pros and cons, but it is currently implemented in China, and the pros outweigh the disadvantages. If it drags down, it is not strong enoughMedicalsystem, the gains outweigh the losses. This also explains why India's"Free for allMedical"Just a slogan, which in essence did not materialize"It's free"and, in the current situation, truly freeMedicalIt's also impossible. Therefore, from the national level to the pilot in a county in China, it can be seen that India's"Free for allMedical"It's just a slogan, and it doesn't come true in essence"It's free"。In the actual situation in our country, free of chargeMedicalAlthough there is a lot of work to be carried out to be perfected, to be matched, and to be laid in the early stage, it is not a reason why it cannot be achieved. but because of the current one in our countryMedicalsystem andMedicareThe system is not yet able to support the free of chargeMedicalmode. We should gradually improveMedicalsystem, promotionMedicaresystem, in order to achieve freeMedicalBuild a strong foundation. At the same time, it should be strengthenedMedicalThe allocation of resources is improvedMedicalThe quality and efficiency of services to better satisfy the peopleMedicalDemand.