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推进医疗卫生体制改革的前提,是准确把脉现行医疗卫生体制的问题及其根源。有人说主要问题是政府投入不足,也有人说是市场化不足或过度;有人说医疗服务体系不完善,也有人说是医疗保障体系不健全。这些观点均有一定道理,但反映的都只是问题的某些方面而不是全部。我认为,目前医疗卫生体制的根本问题是结构失衡、公平性不够。让我们从现行体制中一系列“多”与“少”的矛盾来分析吧。
The precondition for advancing the reform of the medical and health system is precisely the problem of the current medical and health system and its root causes. Some people say that the main problem is insufficient government investment. Others say that marketization is insufficient or excessive; some people say that the medical service system is not perfect, while others say that the medical security system is not perfect. These views have some truth, but they reflect only some aspects of the problem but not all. In my opinion, the fundamental problem in the current health care system is structural imbalances and lack of fairness. Let us analyze the series of “multiple” and “less” contradictions in the current system.