Discussion On The Duty Of Government In Establishing Rural Medical Treatment And Sanitation System

After the economy of a nation develops to a certain situation, its government would inevitably pay attention to the fairness of its administration. Rural medical treatment and sanitation system is one part of it. Looking on the existed problems in the rural medical treatment and sanitation system scientifically and reconstructing the function of government in the rural medical treatment and sanitation system, have become a hot topic that the administrating theory and practice of modern government concerns about. With a view to practical problems and combining the related public management theory, this paper makes a reality research and a theory analysis on the problem of rural medical treatment and sanitation that needs to be studied urgently. The full paper is divided into five parts. Firstly, the paper gives a systematic knowledge on the history and modern status of medical treatment and sanitation development in our country, and organizes the historical sequence of medical treatment and sanitation development in our country fastidiously. At the same time, a general introduction to the modern status of rural medical treatment and sanitation development in our country is made, and the existed main status is summarized and stated. By relating to the authoritative statistics of the sanitation department, the paper describes the existed problems in the field of current rural medical treatment and sanitation generally. Through the comparison of history and reality before and after the reform, it attempts to conclude a universal law or mode and find some behaviors of gap between history and reality. It also suggests that strengthening and perfecting rural medical treatment work and making related system reform is the historical necessity and rational choice in the economical society development of our country. Secondly, the paper expatiates that constructing a fine rural medical treatment and sanitation system is government's important duty. By taking the cause of rural medical treatment and sanitation work decline as the logical starting point, the paper makes a thorough analysis on the decline of rural medical treatment and sanitation work. Compared with the whole medical treatment and sanitation system, it also tries to explain the absence of government in the rural medical treatment and sanitation service system. On this basis, the paper elaborates the importance of rural medical treatment and sanitation work from different angles, such as politics, economy, society and national security. The predominant function of government in the rural medical treatment and sanitation work is empathized in virtue of facts. In detail, the government can embody the value of national administration, the public spirit of public management and government's duty idea to rural people in rural medical treatment and sanitation system. Thirdly, the historical coordinate and behavior rule that the rural medical treatment and sanitation work intends to achieve is pointed out in the paper by expounding the basic system and aim orientation of rural medical treatment and sanitation system. It analyzes the three existed possible modes that are recognized publicly gives detailed comparative research on how to choose among the three modes. After comparing the advantages and disadvantages of every mode, it shows that the constructing aim orientation of rural medical treatment and sanitation system should, after satisfying the reasonable demand of rural people, satisfy more medical demand of more people. It also indicates that selecting this kind of aim orientation can realize the protection to the health right of rural people in a large extent, and maintain the fairness of rural medical market in the largest extent. Meanwhile, it has the functions of stabilizing the society and promoting the economic growth, and it is easy to carry on. Fourth, from the choice of foreign grassroots'medical mode and their angle of reform, the paper tries to find out related experiences and lessons in order to help the establishment of rural medical treatment and sanitation system in our country. The characteristics and implementing situation of four modes are discussed in the paper detailedly, they are: the monopolized conformity type that Britain represents, market-oriented type that America represents, the public contract type that Germany represents and the mutual help between the public and the private type that Singapore represents. Their strong and weak points are introduced respectively and also the directionwhen carried out. The related experience and lessons are concluded. Combining the detailed situation in our country, the paper gives the orientation of rural medical treatment and sanitation work and empathizes that the key point of medical service should be put on the disease prevention and the treatment of ordinary disease and frequently occurring disease under the restriction of limited resources in the countryside. It makes related argumentation and study, trying to find road of rural medical treatment and sanitation work with Chinese characteristics. Finally, the paper puts forward the policy idea to set up rural medical treatment and sanitation system. Aiming at the problems stated above, it intends to see through their essential of contradiction. On the basis of aim orientation, using related experiences of foreign countries, and putting the construction of rural medical treatment and sanitation system under the grand background of the whole rural medical treatment and sanitation reform, it will starts from two angles: one is the macro angle that is the policy making to the whole medical treatment and sanitation system, and the other is the micro angle that is the system creation to the rural medical treatment and sanitation system. From these two angles, the inner relationship between the rural medical treatment and sanitation system and the whole medical treatment and sanitation system is considered in order to introduce the rural medical treatment and sanitation system into more extensive space. With the reform of the whole medical treatment and sanitation system, the change of rural medical treatment and sanitation system can be led and advanced. And then it can form composition of forces with the rural medical treatment and sanitation system to achieve the aim of perfecting and reconstructing the whole medical treatment and sanitation system.