医疗反腐没有半途而废,也不能半途而废,广大老百姓都看着呢。
一、医疗反腐半途而废了吗?没有。
据《经济观察报》3月17日报道,多个权威消息源向经济观察网记者确认,某医院院长于2024年3月12日左右,因涉嫌贪腐,被带走调查。
为什么他被抓会引起大家的关注呢?
1、昨天就传出消息,而且细节拉满:
他们两口子都被带走了,他戴上手铐就尿裤子了,他媳妇一直哆嗦,晚上的时候纪委的人到家里给他拿裤子,据说大小便失禁。最后在他们家搜了6个小时,搜出先进、债券、存折共计3-4个亿。
2、他在骨科领域影响力巨大,是这一细分学科中最著名的专家之一,所以对行业的冲击非常大。
3、接近案件调查的人士亦向经济观察网记者表示,在春节之前,纪委监察部门曾对是否要带走调查他进行过评估,“最终还是决定抓了他”。
他被调查一事,是中国医疗反腐领域“标志性的案件”。
这说明,中国医疗反腐,仍在继续,而且敢于向“大人物”亮剑。
二、为何要支持反腐呢?医疗领域是一块肥肉。
看两个数据:
1、医疗卫生领域里的“财政支出”急剧飙升。
根据官方数据,我国财政医疗卫生支出,由2010年的4804亿元,增长到2015年的10833亿元,年均增长17.7%。
2016—2020年,全国财政卫生健康支出从13159亿元,增长到17545亿元。
2023年,全国财政卫生健康支出为22393亿元。
医疗领域,单单财政支出就从4800亿,飙升至2.24万亿。
这是一个天文数字。
2、卫生领域里社会和个人的支出也急剧飙升。
2009年,社会卫生支出6154.5亿元(占35.1%),个人卫生支出6571.2亿元(占37.5%)。
2022年,社会卫生支出38015.8亿元,占44.8%;个人卫生支出22914.5亿元,占27.0%。
全国卫生总费用,从2009年的1.75万亿,飙升至8.48万亿。
随着我国老龄化加剧,医疗卫生领域的开支还会指数级增长。
理论上讲,这些费用都是老百姓的钱,如果医疗领域腐败,就相当于他们吞噬了这块巨大的肥肉。
三、医疗领域有哪些腐败呢?
1、商业贿赂和回扣:医药企业、医疗器械公司等可能通过赞助科研经费、学术会议费等名义,进行不法利益输送。
也有一些在医药购销环节给付医院工作人员回扣,或者通过虚抬药品价格、虚假交易等方式套取资金进行贿赂。
2、招投标不透明:医疗设备、药品等招投标过程中存在“定制式”招投标,通过特定条件设置,变相达到与“指定”医药公司长期合作的目的。
3、医疗资源浪费:腐败行为导致过度医疗、不合理用药等问题,加剧了医疗资源的浪费,令患者利益受损。
4、隐蔽性强:医疗领域的专业性和“封闭性”使得一些腐败行为具有隐蔽性,不易被察觉。
5、不正之风:医药购销领域存在灰色链条,医护人员收受患者“红包”、与“医药代表”勾结等问题。
不可否认,这些腐败现象已经渗透到了每个角落。
四、医疗腐败,如何影响到老百姓?
1、权益受损:当医生为了个人利益而接受回扣或收受好处时,可能会牺牲患者的健康和福祉。患者的权益受到直接损害。
2、医疗资源不公平分配:腐败行为导致医疗资源的不公平分配,使得本应用于患者治疗和改善医疗设施的资金被滥用、浪费或流入个人腰包。
3、医疗费用增加:腐败问题导致医疗费用的飞涨,患者看病的负担加重。
4、信任受损:医疗腐败破坏了医疗系统的公信力和社会信任度,患者对医疗机构和医生的信任受到严重影响,进而削弱医疗体系的有效性。
5、健康风险:一些不合理用药、过度医疗等问题可能由腐败行为导致,对患者的健康构成潜在风险。
记住一句话,羊毛出在羊身上,他们在医疗领域赚的每一分钱,最终都来自广大老百姓。
五、支持继续反腐,因为反腐能够促进公平,利好老百姓。
一个社会制度选择,归根结底无非是,效率与公平。
效率代表进步,公平代表稳定,政策选择无非就是,在它们两个之间寻求平衡。
这是社会运行规律所致。
医疗行业反腐的本质是什么?促进公平。
医院的院长和科室主任,利用手中的权力,为自己谋利益,普通医护人员熬最长的夜,拿最低的薪水,肯定羡慕嫉妒恨。
当然,这对于普通人来说,也不公平。院长把回扣吞了,医院还得维护正常运行,羊毛出在羊身上,价格昂贵的医疗器械、药品等等,都得靠薅患者的羊毛。
观察者网8月9日有一个报道:医院院长被抓后,人均就医成本下降1400元。
案例是,中山市坦洲人民医院原党总支书记、院长罗勇受贿被抓后,中山市坦洲人民医院今年1-5月门诊和住院次均费用同比下降16.6%、21.4%,人均就医成本下降1400余元。
反腐更关键的是什么?倒逼改革。
现在这种氛围,不少医院都开始着手调整医生的分配机制了,逐步走向年薪制,淡化绩效,医生多开药(带货)并不能增加收入。
这个导向就是,促进社会公平。
医疗反腐没有半途而废,也不能半途而废,广大老百姓还等着呢。
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