In recent years, the problem of difficult and expensive medical treatment has attracted much attention. However, one doctor published an article on social media that argued that we shouldn't put too much emphasis on these issues. He believes that the main reason why it is difficult and expensive to see a doctor is that medical resources are unevenly distributed, and people tend to go to large hospitals rather than primary medical institutions. Therefore, he advocated strengthening the hierarchical diagnosis and treatment system, allowing grassroots medical institutions to play a greater role, and improving the efficiency and quality of medical services. 
Indeed, there is some truth in this doctor's opinion. Top-notch medical resources are scarce, and the services of top-tier hospitals are hard to come by and expensive in any country. Therefore, strengthening the construction of grassroots medical institutions and improving the diagnosis and treatment level of grassroots doctors is one of the effective ways to solve the problem of difficult and expensive medical treatment. However, we cannot ignore the problems in reality. First of all, although community clinics and other grassroots medical institutions have played a certain role in alleviating the problem of difficult and expensive medical treatment, there is still a big gap between their service quality and medical level compared with large hospitals. Moreover, the medicines in community clinics are not cheap, and the cost of some common diseases is even higher than that of large hospitals. 
Second, although the number of doctors in China is increasing year by year, the distribution of medical resources is still uneven. Many medical graduates are unable to work in major hospitals, and there is still a large talent gap in primary medical institutions. This has led to disparities in health care and uneven levels of care. Therefore, we need to carry out in-depth reform of the health care system. On the one hand, it is necessary to strengthen the construction of grassroots medical institutions, improve the level of diagnosis and treatment and the treatment of grassroots doctors, and attract more outstanding medical graduates to work at the grassroots level. On the other hand, it is necessary to break the monopoly of medical resources, promote the rational distribution and flow of medical resources, let more high-quality medical resources sink to the grassroots level, and improve the service capacity and level of primary medical institutions. In addition, we should also strengthen the supervision and management of medical institutions, and avoid turning medical institutions into for-profit institutions, so as to reduce people's medical burden. At the same time, it is also necessary to strengthen the construction of the medical integrity system, standardize the diagnosis and treatment behavior of doctors, and avoid the occurrence of undesirable phenomena such as excessive and arbitrary charges. 
In short, solving the problem of difficult and expensive medical treatment requires efforts and reforms in many aspects. Only by changing the starting point correctly and taking medical care as a public undertaking with the goal of serving the people's health can we correctly carry out the reform of the medical system and the construction of grassroots medical institutions, and can more people enjoy high-quality, efficient, and convenient medical services.