在关于医疗卫生体制改革的讨论中,有一个关于医药经济理论的逻辑关系,常常被一些专家、政府官员们谈到,并在此基础上提了许多的政策建议,也被作为政府决策的强有力的理论依据。这理论就是:医药卫生服务具有特殊性,导致医药市场存在市场失灵,因此,政府就要介入干预,加大对医疗卫生事业的投入,通过政府办医疗机构和提供业务经费,以期提供价格低廉的医疗服务,解决看病贵的问题。这种逻辑关系从理论到政策,形成一个完整的链条,足以使广大民众和政府决策者信服。但是,且慢!从特殊性——市场失灵——政府干预——政府投入的关键环节来看,似乎不是那么简单,似乎还需要像用针挑刺一样仔细地拨一拨,否则,刺没挑出,却会挑出一大块肉。 In the discussion on the reform of the medical and health system, there is a logical relationship about the theory of medical economy. It is often referred to by some experts and government officials, and on this basis, many policy recommendations have been made, and it has also been used as a strong policy decision for the government. Strong theoretical basis. The theory is that the medical and health services have particular characteristics and lead to market failures in the pharmaceutical market. Therefore, the government must intervene to intervene, increase investment in medical and health care, and provide medical services through the government to provide business funding, in order to provide low-cost Medical services to solve the expensive problem. This logical relationship from theory to policy, forming a complete chain, enough to convince the majority of the people and government policy makers. However, it is slow! From the point of particularity—market failure—government intervention—the critical link of government investment, it seems that it is not so simple. It seems that it needs to be carefully dialed like a needle to prick. Otherwise, it will not be singled out. , but it will pick a big piece of meat.