The question that access to proper healthcare is difficult and
expensive for rural residents and low-income urbanites was again
raised at yesterday's news conference convened by the Ministry of
Health.
How to make it easy and cheap for low-income residents to see
doctors has been placed on the work agenda by the country's top
health administrative department this year. Gao Qiang, minister of
health, promised to solve the problem at the national conference on
healthcare on Sunday.
Local governments at various levels are required to establish or
convert some State-owned hospitals into "low-price" hospitals for
rural residents, laid-off workers and low-income urbanites.
Mao Qun'an, spokesman of the ministry, explained that the move
was welcomed by those who have been denied access to health care
because of high prices. Practice in some places has proved that it
is so far an effective method to meet the urgent needs of those
low-income patients.
Haidian District in Beijing opened a "low-price" hospital for
low-income patients in December. The district government allocates
funds for the salaries of the medical workers, while the hospital
turns its income over to the coffers of the district health
department.
Most of the medical instruments are old ones from big
State-owned hospitals, but are still usable. News reports reveal
that the hospital is quite popular with migrant workers and
low-income urbanites.
This is indeed an option to solve the healthcare problems for
low-income residents and efforts by the government in this respect
should be appreciated.
But the government should be on guard against the issue that
"low-price" hospitals cannot provide quality service. This is
because medical workers there get much lower pay than their
counterparts in big State-owned hospitals, and also because the
instruments are not in good enough condition.
State financial support must be strong enough to meet these
requirements.
Another possible consequence is that these hospitals might
become another symbol of disparity between rich and poor, which
runs contrary to the goal of building a harmonious society and the
realization of common prosperity.
Therefore, the government is faced with the question of how to
coordinate the relationship between "low-price" hospitals and big
State-owned ones.
As far as we know, some big State-owned hospitals make handsome
profits and their medical workers are fairly well paid.
If the State could have a policy to divert profits from these
big State-owned medical units to those low-price ones for the poor,
that would be a way of redistributing medical resources in a fair
manner.
That would also be a way to co-ordinate the relationship between
these two types of hospitals.
A survey in 2004 indicated more than 65 percent of urban
residents do not enjoy any form of medical insurance and the
percentage is as high as 74 percent in rural areas.
Under such circumstances, whatever problems arise, the
significance of "low-price" hospitals providing this large
proportion of low-income residents with access to basic health care
can never be overestimated.
While "low-price" hospitals should be established, efforts need
to be made to lower the prices of big State-owned hospitals.
(China Daily January 11, 2006)