医改怎么改？这不仅是普通人关心的话题，也是人大代表、政协委员关心的话题。

Health care can change?This is not only ordinary people concerned about the topic,Is also a representative of National People's Congress/CPPCC member concerned topic.

　　政府工作报告显示，我国教育投入已经达到GDP的4%。在全国政协医疗卫生界别，很多人都在讨论，国家对医疗卫生领域的投入是否应该继续加大。

Government work report,Education investment in China has reached 4% of GDP.In the national committee of the Chinese medical and health sectors,A lot of people are talking about,State spending on health care whether should continue to increase.

　　几天的讨论下来，出现了两种观点。

A few days of discussion,In two perspectives.

　　一部分委员认为，医疗卫生领域就应该是政府投入，把医生养起来。另一部分委员则认为，完全靠政府投入解决不了医疗卫生领域现有的问题，还是要通过更有效的方式来激发医生的积极性。

Part of the thought,Health care should be the government spending,The doctor keeps up.Another part of the members is considered,Completely rely on the government investment cannot solve the existing medical and health fields,Or through a more effective way to stimulate the enthusiasm of the doctor.

　　“我支持后一种观点。”全国政协委员、卫生部副部长黄洁夫告诉记者，卫生系统的干部总说没有钱，实际上是卫生系统自己没有设计好，很多时候是不知道把钱花到哪里去。

"I support the latter view."The CPPCC national committee/Deputy health minister huang jiefu told reporters,Health system of cadres always said no money,In fact is good health systems have no design,Most of the time don't know where are you going to spend money.

　　在黄洁夫看来，对卫生系统来说，更重要的是培育医疗市场，而不是总想着向国家要钱。

It seems to Huang Jiefu,For health systems,More important is the cultivation of medical market,Not always want to the country for money.

　　作出这样的结论，黄洁夫并非没有依据。

To make such a conclusion,Huang Jiefu is not without basis.

　　1995年，台湾开始推行全民健康保险。当时，台湾的医院中，80%是公立医院，面临的问题并不比内地少。经过18年的发展，台湾的医疗卫生体系已经成为让很多国家羡慕的范本——公立医院与民营医院互换了位置，民营医院成为80%的那部分。黄洁夫说，台湾就是按照市场规律办事的。

In 1995,,Taiwan began to implement universal health insurance.At that time,Hospital in Taiwan,80% is a public hospital,Problem is not less than the mainland.After 18 years of development,Taiwan's healthcare system has become a sample let the envy of many countries, public hospitals and private hospitals have switched positions,Private hospitals as part of the 80%.Huang Jiefu said,Taiwan is in accordance with the laws of the market.

　　“社会上愿意享受高水平医疗的人大有人在。”黄洁夫说，中国人现在到美国做手术，到新加坡美容，到香港生小孩，对高端医疗市场需求很大。而中国有很多很高水平的医生，挤在公立大医院，高端医疗市场无法得到发展。

"Society enjoy high level of medical treatment of people."Huang Jiefu said,Now the Chinese to the United States for surgery,To the beauty of Singapore,To Hong Kong to have children,A great demand for high-end medical.While China has a lot of high level doctors,Squeeze in public hospitals,High-end medical market cannot develop.

　　和睦家医院是北京一家规模颇大的合资医院。该院院长曾告诉记者，我国现在的问题是所有人都挤在公立医院看病，无法按照市场的规律进行调节，造成了各种各样的怪现象。

United family hospital is a quite large scale joint venture hospital in Beijing.The hospital director, told reporters,The problem now is that all the people in China are squeezed in a public hospital,Cannot be carried out in accordance with the law of market regulation,Causes all sorts of strange phenomena.

　　在这位院长看来，公立医院的定位就是保基本，保证所有人能享受最基本的医疗服务，而对于其余的医疗市场，要通过民营医院来经营。

It seems to the dean,Is to protect the basic positioning of public hospitals,Ensure that all people can enjoy the most basic health services,And for the rest of the medical market,Want to run by private hospitals.

　　据了解，仅仅是国际医疗旅游市场，目前就已经有上千亿美元的消费量。中国无法从中分得一杯羹，是彻底的支付方。

We have learned,Just international medical tourism market,Currently has hundreds of billions of dollars of consumption.China cannot share,It is utterly ZhiFuFang.

　　全国政协委员、北大心内科主任霍勇也研究过这个问题，他告诉记者，这个市场很大，但目前还没有机制能够激活。

The CPPCC national committee/Peking University, director of cardiology blood also has studied this problem,He told the reporters,The market is very big,But there is no mechanism to activate.

　　按照国家统计局发布的数据，2012年我国人均GDP达到了6100美元。这个数字让黄洁夫相信，中国已经有足够的消费能力可以支撑起基本医疗服务之外的医疗市场。

According to the national bureau of statistics data released,China's GDP per head reached $6100 in 2012.The digital let Huang Jiefu believe,China already has enough spending power to shore up the basic medical service outside of the medical market.

　　现实的担忧是，如果大多数医院由公立变为民营，医院的公益性就无法实现。

Worry is that in reality,If the majority of hospital changed from public to private,Hospital public welfare will not be able to achieve.

　　“这是一个误区，并不是市场经济就没有公益性。”黄洁夫说，台湾的长庚医院是民营医院，但现在是台湾最具有公益性的医院。而且，当年王永庆创办第一所长庚医院时，以为这不会是个能赚钱的事业，但从第二家长庚医院开张起，王永庆就再也没有额外投入过。

"This is a myth,Is not a market economy, there is no public welfare."Huang Jiefu said,Chang gung memorial hospital is a private hospital in Taiwan,But now is the most public hospitals in Taiwan.and,When wang founded the first chang gung memorial hospital,Thought it wouldn't be a profitable business,But from the chang gung memorial hospital opened up,Wang had no additional input.

　　在内地医疗市场，尽管也有文件支持民间资本进入，但多年下来，民营医院迟迟得不到发展。“数年前，王永庆也想进入内地医疗市场，结果还是失望而归。”黄洁夫说。

Medical market in the mainland,Although there are file support folk capital into,But for many years,Civilian battalion hospital slow development."A few years ago,Wang also to enter the mainland of the medical market,The result is disappointed."Huang Jiefu said.

　　黄洁夫告诉记者，他反对医院追求利益最大化，但跟其他行业一样，医疗卫生行业同样要按市场规律运转。

Huang Jiefu told reporters,He was opposed to the hospital to pursue benefit maximization,But the same as other industries,Medical and health industry, too, should operate according to market rule.

　　本报北京3月13日电 李松涛

Our newspaper Beijing on March 13 (Reuters) Li Songtao