The first rebel of the Tang Dynasty

And when Li Shimin was going to look for Lu Zhaolin, Fang Xuanling came to him.

In a gorgeous study room in Tai Chi Palace, Li Shimin and Fang Xuanling sat opposite each other. The study was filled with the faint fragrance of ink, and there were birds chirping outside the window, but the atmosphere inside the room was extremely solemn.

Li Shimin frowned, his eyes showing deep concern. He gently touched the armrest of the throne and asked in a deep voice: "Fang Qing's family, you have always been preoccupied recently. Is there anything important you need to report to me?"

During this period of time, Fang Xuanling was really worried. On the one hand, it was because of Liu Rengui's matter, but on the other hand, he came to Li Shimin because of other things.

Fang Xuanling looked serious. He took a deep breath, as if gathering his inner strength. He leaned forward, clasped his hands, and said firmly: "Your Majesty, when I visited various places, I found that many people in remote areas cannot afford medical treatment because of financial difficulties. Some families even give up treatment because of the high medical costs."

Regarding medical issues, Shengtang Group has done a lot, but Shengtang Group is still an enterprise, and what they can do is still extremely limited.

Unlike the imperial court, whenever Li Shimin orders something to be done, the people below him will do it well.

But Shengtang Group is different.

Although his appeal is very powerful, it is still not enough.

There are relatively few aspects he can touch.

After hearing this, Li Shimin frowned deeper and looked more concerned:

"Oh? How come I haven't heard of this before?"

Fang Xuanling took a breath and said, "Your Majesty, this matter has never been brought to the table, and I discovered it recently. That's why I came here to talk to you."

This matter is very important.

It's so important that it concerns people's livelihood.

If the common people can't even cure their illnesses, then Li Shimin didn't do a good job.

At this time, Li Shimin was shocked.

He didn't understand such things, and he didn't understand why this happened.

Then, he added: "Is this happening? Haven't we already implemented a series of medical exemption policies?"

Regarding this matter, Li Shimin is indeed doing something about it, but in the face of such a huge amount of things, such a small amount of work is still a drop in the bucket.

Fang Xuanling sighed and said in a heavy tone: "Yes, Your Majesty. But those policies are still a drop in the bucket for poor families. Moreover, in some places, due to the scarcity of medicines, even with policies, it is difficult for people to receive timely and effective treatment. "

This is indeed a very serious problem that must be solved.

Li Shimin was silent for a moment, his eyes shining with thought. He picked up the tea cup, took a sip, then put it down, his eyes falling on Fang Xuanling again: "Fang Qing's family, do you have any suggestions?"

Fang Xuanling looked at Li Shimin firmly, her eyes full of determination: "Your Majesty, I propose to implement a free medical care policy for all. So that every common person can enjoy fair and high-quality medical services, and no longer give up treatment due to financial pressure."

Li Shimin fell into deep thought after hearing this. He knows that universal free health care is a difficult task that requires huge investments and reforms. He gently tapped the armrest of the throne, his eyes revealing the consideration of weighing the pros and cons.

Fang Xuanling saw Li Shimin's hesitation and said firmly: "Your Majesty, the prosperity of a country should not be based on the suffering of the people. The health and well-being of the people are the cornerstone of national development. If we can gradually achieve this goal and I believe that the country will become more prosperous by continuously improving and optimizing the medical security system."

Li Shimin looked deeply at Fang Xuanling with a flash of determination in his eyes: "Fang Qing's family, I will consider your suggestions carefully."

Fang Xuanling looked at Li Shimin gratefully and nodded slightly: "Thank you, Your Majesty. I will do my best to prepare detailed plans and plans for your reference."

Regarding free medical care, it is impossible for Fang Xuanling to think of it. In the eyes of the ancients, it was impossible for them to have such an awareness, and all of this was because Li Min changed their views and ideas. It can be said that without Li Min, everyone's awareness would still be a little less. But it is precisely because of Li Min that the people's lives are getting better day by day.

Without Li Min, everyone would have developed slowly, and it might not have been until the Song Dynasty that we had such an idea. However, we are now in a parallel world, and everything we do now will not have any impact in the future. That's why Li Min boldly changed it and brought this parallel world to another dimension. Maybe one day, he can go back. Perhaps one day, he can return to the future through the power of science.

"How did you come up with such an idea?" Li Shimin asked curiously.

Fang Xuanling replied: "I have been listening to the Sixth Prince's classes and have read his books. Now, all the unsigned books in the library belong to him. Your Majesty, you can take a look when you have time, and I can let you read it. look."

Li Shimin immediately became interested after hearing this, "What books can I read? I want to read them."

Fang Xuanling told Li Shimin the titles of all the books he could read. Later, Fang Xuanling went to the library in person and picked up all the books. When he put all the books in front of Li Shimin, Li Shimin was shocked. Because these books are as high as hills.

He flipped through these books and couldn't help but sigh: Li Min's knowledge and insights are really amazing! The books contained far more thought and wisdom than he could have expected. He became more and more aware of Li Min's talent and potential, and became more determined in his decision to support and train Li Min so that he could make greater contributions to the prosperity and development of the country.

But at this time, Li Shimin showed no special performance.

After all, no matter how good Li Min is, he is still just Li Min.

He still has some prejudice against Li Min.

Just two or three years ago, he wanted to communicate with Li Min, but now, he has given up this doubt.

"Your Majesty, what do you think?" Fang Xuanling asked again.

Li Shimin didn't speak. He was reading the contents of the book carefully.

After a long time, Li Shimin said: "I read it and it's really good. What do you want to do?"

Fang Xuanling said at this time: "Your Majesty, I have made a feasible plan for free medical care for all! Do you want to hear it?"

"Okay, tell me! I'm listening." Li Shimin had a certain understanding.

So when Fang Xuanling said this, he was mentally prepared.

"Yes, Your Majesty!"

Then Fang Xuanling said: "First, background and goals. With the development of the Tang Dynasty's economy and the improvement of people's living standards, people's demand for health is growing day by day, and medical security has become the focus of social attention. Free medical care for all as a This important measure to protect people's health rights is of great social significance. This plan aims to provide a practical plan for the implementation of universal free medical care to ensure that citizens can enjoy high-quality medical services."

"Go on!"

Li Shimin knew these things because he had read the book written by Li Min. Therefore, when Fang Xuanling said this, he understood.

"Tell me about your content!" Li Shimin said again.

"Yes, Your Majesty, please listen. Secondly, the content of the plan.

The first is the source of funding. I believe that the funding sources for universal free medical care mainly include government financial allocations, medical security funds, social donations, etc. The court should increase investment in the medical field to ensure the sustainability of free medical care for all. Specific measures include: increasing the proportion of medical expenditures in the national budget, establishing a medical security fund, maintaining and increasing the value of funds through investment and operations, and encouraging social donations. In addition, social capital can be introduced to reduce the financial pressure on the court through diversified funding sources. "

"This is very good, especially the social capital aspect, which needs to be handled by dedicated personnel!"

Li Shimin said again.

"Yes, then there is the service model. I recommend adopting a service model with public hospitals as the main body and community medical institutions as the basis. Public hospitals are responsible for the diagnosis and treatment of severe and difficult diseases, while community medical institutions are responsible for the prevention and treatment of common and frequently-occurring diseases. . Through the hierarchical diagnosis and treatment system, optimize the allocation of medical resources and improve the efficiency of medical services. At the same time, strengthen the construction of primary medical institutions, improve the level of primary medical services, and achieve a balanced distribution of urban and rural medical resources.

Then, there is medical security. Free medical care for all should cover the entire process of prevention, treatment, and rehabilitation. The court should increase investment in primary medical institutions and improve the level of primary medical services. Strengthen the construction of the public health system, raise awareness of preventive health care, and reduce the incidence of diseases. At the same time, we should strengthen the supervision of drug prices, implement a centralized drug procurement system, reduce drug costs, and reduce the burden on patients.

The next step is to cultivate and introduce talents. Implementing free medical care for all requires a large number of medical talents. The court should increase investment in medical education and cultivate more medical talents. Strengthen the construction of medical schools and teacher training to improve the quality of medical education. At the same time, preferential policies are used to attract outstanding medical talents at home and abroad to participate in free medical care for all. For example, provide a good working environment and living conditions, provide scientific research funding support, etc.

Finally, there is supervision and evaluation, establishing and improving a universal free medical supervision mechanism to ensure fairness, justice and transparency in medical services. Strengthen supervision and inspection of medical institutions to ensure the quality of medical services. Establish a third-party evaluation agency to regularly evaluate the implementation of universal free medical care, identify problems in a timely manner and take measures to improve them. At the same time, establish and improve a patient complaint handling mechanism to handle patient complaints and disputes in a timely manner. "

Fang Xuanling said a lot in one breath, and Li Shimin listened completely.

If Fang Xuanling can say this, he must have done some research. He must have read a lot of Li Min's books, so he can say so much.

"Fang Xuanling, what you said is very good, is there anything else? There should be more content in your report, right?" Li Shimin said again.

"Yes, Your Majesty, then there is a third point, which is the consideration of fund security.

Once free medical care is established, budget management is required. We must establish a special budget management mechanism to uniformly manage the funds for free medical care for all. Develop detailed budget plans and implementation plans to ensure the rationality and effectiveness of fund use. Establish budget approval and execution processes, and adjust and monitor budgets. At the same time, supervision of the financial status of medical institutions should be strengthened to prevent financial loopholes and waste. "

Li Shimin nodded.

Fang Xuanling continued. "Of course, there must be audit supervision. An independent audit agency must be established to conduct regular audits and supervision on the use of funds for free medical care for all. The audit content should include the legality, compliance and effectiveness of the use of funds. Auditing The results should be disclosed to the public and accepted for public supervision and evaluation. Violations discovered should be dealt with and punished in accordance with the law. At the same time, a sound internal supervision mechanism should be established to strengthen the supervision and management of medical institutions and medical staff.

As well as risk control, establish and improve risk control mechanisms to prevent and respond to possible financial risks. This includes qualification review of medical institutions and doctors, standardized management of drug procurement, and compensation mechanisms for medical malpractice. Strengthen medical quality control and safety management to reduce the incidence of medical accidents and disputes. At the same time, a risk warning and response mechanism will be established to promptly discover and deal with financial risk issues. "

Li Shimin expressed his approval again.

"Then, there is financial transparency, improving the financial transparency of universal free medical care so that the public can understand the source and use of funds. The court should regularly publish financial reports and audit results on universal free medical care and accept public inquiry and supervision. At the same time, establish information Disclosure system to release important information to the public in a timely manner and increase transparency. Medical institutions should also disclose their financial status and operating conditions and accept public supervision and evaluation.

Finally, there must be social participation and encourage social forces to participate in the management and supervision of free medical care for all. Through the establishment of third-party evaluation institutions and the establishment of patient rights protection organizations, all parties in society can participate in the implementation and management of free medical care for all. Establish a feedback mechanism and hearing system to listen to opinions and suggestions from all parties to improve the safety and effectiveness of fund use. At the same time, we will strengthen publicity and education to improve the public's awareness and understanding of universal free medical care and enhance social trust and support. "

Fang Xuanling talked a lot, and finally he said: "I believe that the court should take the lead, and the people should also participate, so that a benign environment can be formed, and free medical care can be implemented. "

"Then how much money do you think the court should pay first?"

Li Shimin wanted to know how much it would cost to provide universal free medical care.

This question troubled Fang Xuanling.

Because he has not made any specific calculations.

Therefore, he had no choice but to say: "This requires people from the Ministry of Revenue to come together. I don't know how much it will cost at the moment."

What Fang Xuanling said was very shrewd. Li Shimin would have been angry if it had been done before.

But now, Li Shimin doesn't know how to do it. Why?

Because Li Shimin felt that it was not easy for Fang Xuanling to make such a constructive suggestion.

This is a good thing and should be encouraged.

So, Li Shimin said: "Okay, I will ask the Ministry of Household Affairs to come together now!"

"Your Majesty, we need the Ministry of Works to come with us, because it involves construction!"

"Okay, everyone from the Ministry of Industry will come too!"

Now Fang Xuanling says whatever he says.

In fact, there is a more important party, and that is the Shengtang Group's First Hospital and the Shengtang Group's Medical College. Without them, it would be very difficult for Li Shimin to promote free medical care.