Basic drugs "the central focus on purchase and unified distribution" is a bad idea

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To overcome the basic-level medical institutions implementation system for basic drugs the difficulty they have ever met, someone to advise a basic drugs "the central focus on purchase and unified distribution, urban and rural residents free or the low use" (hereinafter referred to as "the central used, unified distribution") approach. We believe that this is a wrong advice for the following reasons:
In accordance with relevant proponent of saying, "2009 basic drugs without tax procurement value is about 103.4 billion yuan", the data covered basic-level medical institutions and second level 3 hospital basic drug purchasing amount. This data to estimate, basic drugs if the central finance capital contribution to the practice of purchasing, don't consider basic drug usage annual growth rate, just consider purchasing spending, including direct drug procurement costs, drug distribution costs, the corresponding tax cuts (103.4 billion yuan the number has been deducted the value-added tax, taxes), and the relevant administrative costs, every year the central finance for actual spending in 1200 140 billion yuan between, we took a middle value 130 billion yuan. If the central finance can take out 130 billion yuan more used to improve people's medical security level, we first need to consider is that if the money to let people get the maximum benefits.
Obviously, will this $130 billion direct subsidies to new farming and urban residents and medical insurance, people get benefit to the highest efficiency, the government is the largest, the administration cost of minimum. We can use digital to illustrate the point.
By the end of 2010, the new agriculture and urban residents and the number of medical insurance for urban and rural residents in about 900 million or so. Consider to Beijing, Shanghai, jiangsu, zhejiang, shandong, guangdong province developed parts of new farming $per capita funding level has more than 400 yuan, to ensure the impartiality of the basic medical services, and the central government spending more of the $130 billion only need for subsidies in less developed areas of farmers and urban residents, this part of the population in 5-600 million people about, such BuTieE per capita in 250 yuan. By the end of 2010 new farming and raised the lowest per capita has reached 150 yuan, plus the 250 yuan, new farming and to reach 400 yuan per capita terms. Shenmu county universal coverage in per capita terms 400 yuan, has reached between urban and rural residents in the county hospital medical expenses actual compensation rate is 85% (if contains outside the county hospital medical costs, the actual compensation rate 75%). In 2009 the per capita medical health cost less than 460 yuan, new farm raised $per capita amounted to 400 yuan, the outpatient service a serious illness and farmers means that most of the medical expenses can get new farming and compensation. In this case, the outpatient service as a whole can completely in the national established, a serious illness as a whole and outpatient service as a whole can do a complete coverage of urban and rural residents. To do so, urban and rural residents and high cost greatly ease the problem, we can even very confident to announce a new order basic had been a success.