先玩一个模拟经营游戏：人民币20亿元花费到卫生保健，你将会怎么做？第一个方案，建一组2010年未来时代的医院，今后50年不变，每年源源不绝补充和供养一批医生护士，保证市民诊症治病很方便。第二个方案，把这20亿元换作医疗劵，或者时髦的说，向你命名下的虚拟城市注入20亿医疗保险资金，让市民投资健康时从容大气。
可惜这只是一个游戏，只有富裕城市玩得起，对于余下的内地城市，它们怎样期待这种富裕可以临幸到市民和村民的头上，是中央政府任命得力官员刺激地方经济发展，是哀求社保资金不被挪用，还是豪赌黑色金子能为我们带来新的财富？
我们这些内地医院全部都是公家的，从安装26层德国高速电梯的那些到工资被拖欠的乡村诊所，身无分文的昏迷流浪者需要义无反顾救治，城市白领和下岗大妈同迫在闷热狭窄的诊室里轮候，这就是大陆卫生光怪陆离的现象。成因就是那么简单：官办医院占着坑，自由资金无门可入。结果养出一群只懂得伸手要钱的儿子，一个脑满肠肥，8个面黄肌瘦。
「卫生公平」已经被「卫生平均」政治替代，看病贵没有得到解决之余，另外的人也不能享受专家特诊、美女导医、私人护理。压力下的医院在医疗保险上整些小动作，更多情况下不敢赚富裕市民的钱，因此有时候基层医生得理解他们的CAO为什么三五天就往行政长官办公室跑，不去哭叫哪有奶吃呀！
将社会富余资金吸引到医疗服务上，让诊所经历更舒服更好，病人付费比例更少，你可以称之为讨要，鸦打医生学他的教授曰之为卫生筹资。通常情况下医院经营者眼巴巴看着财富被市民浪费在洋酒和名车上，尽管境外卫生服务自有一套招商引资的办法，积累诊所财富，或为弱势人群牟利。或者说，我们的卫生经营只有三板斧，招架不住市民的诉求，空空嗟叹机遇一次又一次的措施。
延伸阅读：日本殷勤服务中国富人 招徕豪华体检游（Japanese firm woos rich Chinese for medical trips）
TOKYO (AFP) - A financial services group said Wednesday it plans to offer wealthy Chinese a three-million-yen (30,000-dollar) one-week trip to Japan for health check-ups at top hospitals.
Participants will fly first-class and stay at a top-notch hotel, said Tomoko Kamei, a spokeswoman for SBI Holdings, whose health service subsidiary is organising the trip in partnership with top travel agency JTB.
“The wealthy class in China is rapidly expanding as its economy grows. We want to target them (for health services) and also hope to enhance business ties,” she said.
Three days are set aside for medical checks on the heart and brain but the company also hopes to brief participants on its investment services during their stay in Japan, she said.
The subsidiary, SBI Wellness Bank, plans to organise three tours by 2009 for a total of 30 people, with the first trip set for July. SBI also hopes to offer similar tours for Russians although details have yet to be decided.
Technorati Tags: SBI,CHINA,JAPAN,卫生筹资
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Tags: 健康评价, 市场, 日华经合
