五年前今日，即係03年3月14日，當時嘅衞生福利及食物局局長楊永強走出嚟話：「冇社區爆發」。究竟爆發啲乜，相信孫柏文都唔使提。作為一個喺03年初，有份笑啲人用50蚊買一支白醋嘅人，我對於啲小學生今時今日毋須返學，唔會話呢個決定早定遲、對定錯。現在取態，只能希望大家冇事。
講真，都唔知個天係咪同政府有仇，就喺宣佈強醫金之前，盡量凸顯政府醫療制度嘅漏洞。
強迫金後再呃港人
我以前都講過，香港全體市民上次畀政府呃咗，令到大家都要忍受強迫金，我哋已經學咗教訓。堅決相信，fool me once shame on you，fool me twice shame on me（俾你呃第一次，就係你衰；俾你呃第二次，就係我戇居。）香港市民要堅決唔戇居。
多都唔講，因為今時今日政府直接出錢，如果有轄下醫生喺原本應該睇症嘅時間，走咗去洗車，政府都起碼會做啲嘢。如果有咗強醫金，啲「洗車醫生」就會冇壓力，因為政府都冇誘因睇實。選擇做戇居嘅人可能會話：「政府會睇實啲開支！」咁我就要問嗰啲人：「你啲強迫金，畀緊幾多管理費？政府係咪好熱心咁，減少啲迫金公司嘅打劫費？完全冇囉！」
仲有，搞強醫金係為咗保證未來港人可以更加健康，得到更好嘅醫療服務。不過，如果有間機構，政府迫人一定要幫襯佢，就連錢都幫佢搶埋，呢間機構嘅服務質素會點？
今時今日，自己啲錢仲可以去例如泰國睇醫生，他朝，政府話啲錢點使就點使，點嘥就點嘥。講到尾，政府根本冇決心去減少醫療系統浪費。冇心節流，惟有開源。所以希望大家同我一樣，深信一日唔減少浪費，就唔好叫我哋融資。
錢點使管佢唔到
講真，大家只要墮入特首曾蔭權嘅思維，就可以明白點解冇得節流，惟有開源。點解又要講強醫金。因為，過百萬人嘅勞動人口，唔會喺七．一國家主席胡錦濤來港幾日，玩嘢落曾特首面。不過啲醫生就會。明啦？
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on more than one occassion, you linked the healthcare reform with salary of doctors
ReplyDeletethis is probably only a quick and brief response, and just another attempt to make 爛gag, yet this is irresponsible, shallow, and 哇眾取寵
I don't agree with anymore attempt by the governmanet to squeeze money from the community. I believe in free market. The situation of healthcare is exactly what happens with violation of free market.
When the price is close to zero, demand will be infinity, and there will be wastage of resource. This is elementary high school stuff.
public health care currently is charging almost nothing, comparing with the cost. There is no control of the demand.
It is said that citizen enjoying free public healthcare, dose not pay by monetary substance, but pays by "long waiting time" , "sub-prime standard", and "being the training ground for young personeels".
After the era of Tung KW and EK Yoeh, these public "payments" were eradicated, by there blind investment of the hospital authority.
York Chow extrapolated the demand based upon the current situation, whereas public service provided more than 98% of health care. Then he tried to scare the shit out of everyone and asked for money. This is much alike George Bush lying about WMD
Yet this is in no way related to the salary of doctors. For the constant requirment of high standard it requires the cream of every generation to work in the system. This is true in all history and culture.
One wouldn't be easy to see a docotr who has a self-value of a montly salary $7000.
About the monopoly of professional body. This concerns with the urbanisation of health care, the so called hypothesis of inverse relationship between supply and demand. Without geographical limitation, more resources and personeel will tend to be attracted to areas of high medical pay, deserting the rural area.
In a word, please don't say again that York Chow is trying to rob money for the payrolls. He's doing this because he is lazy. He's lazy to do what is politically wrong yet theoretically right. He's lazy to increase the cost (not only monetary) for usage of public healthcare. He's lazy and chooses to allow the public health care to explode infinitely, and asks for money.
Please read also the article by 練乙諍 in 信報 on 11 Mar 2008.
BTW it should be 練乙諍 or 錚?
by 骨佬
Hey 骨佬,
ReplyDeleteI agree completely that it is the failure to incur the correct incentives in both reducing demand and reducing costs that is the root of problems.
But isn't the opening of the doctor's supply from other country a good way to tackle costs? AND improving choice for patients.
Anyhow, setting the doctor issue aside. The government's abject failure in controlling demand and costs is the root of MMF Mandatory Medical Fund.
骨佬 I don't think Pakman is directly attacking the doctors in this post. Rather, he is probably trying to make the point easier to understand for the general public. The spearhead is on the health management organization that is going to be created.
ReplyDeleteThe free market argument for opening up the healthcare system is completely broken. One only have to look to the U.S.A to see the failure of the free market system in providing adequate healthcare for its residents. There were 45.8 million uninsured individuals in 2004, 15% of the U.S. population. Some of these people simply could not afford to pay the hefty premiums that the insurance companies charge for adequate health care. Part of the reason, I would argue, is in the profit incentives
of various private companies involved, be them HMOs, drug companies and insurance companies. If the goal is to provide adequate health care, the incentives are completely misplaced. These company has grown to be the monsters they are, making reforms extremely hard.
It's fine making sure doctors are properly paid. But don't let greedy health care management organizations dip their hands into the jar driving up costs.