[Viewpoint] Realize the leap-forward inclusive service by "Internet + medical"

On June 8, 2016, Premier Li Keqiang presided over the State Council executive meeting. In addition to the decision to build two independent innovation demonstration zones in Fushaquan and Hefei, the conference also had two major themes: Internet + medical and health poverty alleviation. The former determines measures to develop and standardize the application of health care big data , and better meets the needs of the masses through the Internet + medical care; the latter deploys and implements health poverty alleviation projects to improve the medical security and health of the rural poor.

Later, some media interpret these two themes with two related image metaphors:

"Determining the development and regulation of health care big data application measures, through the Internet + medical care to better meet the needs of the masses, this is the end of one - relying on high technology and new formats, so that the national medical services greatly improve the speed, like riding on Medical 'high-speed rail', rushing to power; deploying and implementing health and poverty alleviation projects to improve the medical security and health of the rural poor, this is the other end - like China that has entered the high-speed rail era, it must be preserved in many places, especially in particularly poor areas. Improve the 'green leather car' to ensure that no one will be left behind during the development process."

The importance of health care is self-evident. However, the difference between the high-speed rail and the green leather car describes the difference between the Internet + medical and health poverty alleviation, but it is easy to form a misunderstanding: the "medical high-speed rail" that catches the Internet + is high-end, in contrast, health and poverty alleviation is The low-end demand for the "green leather car".

This is an overly simple two-point French understanding.

Does China's high-speed rail today mainly serve high-income people or urban population? Or can high-income people or urban populations get more convenience from the development of high-speed rail? At the moment, there is no evidence to prove this. On the contrary, for more rural populations, the emergence of high-speed rail has greatly changed their lifestyle and job opportunities. In front of the high-speed rail, everyone is equal.

The existence of the green leather car is not a purely market choice. The reason why the green leather car is still retained is not because some people cannot afford the high-speed rail fare, but the result of comprehensive measurement of efficiency and fairness. Retaining the green leather car, the main consideration is based on the supply side, not the demand side – in other words, even if the main residents near the green station can fully claim the high-speed rail ticket, the slow-moving green leather train may not be able to change. A high-speed rail that has become a wind-powered city.

In the health care industry, it is also necessary to correctly understand the relationship between the Internet + and poverty alleviation. The most important point is that the Internet + will never leave the group that is more likely to need health and poverty alleviation. On the contrary, it can greatly reduce it. The cost of “sinking” in health care – groups that originally needed health and poverty alleviation may therefore enjoy better medical services “leapfrogging”.

This is actually very well understood. In many rural mountainous areas and remote counties and towns, the medical conditions cannot be kept up, and the formation of medical and health “squatting” or even “collapsed blind spots” is closely related to the development level of the local economy, sometimes due to spatial distance, population concentration, etc. Conditional restrictions. In some areas, even if you have money, you can't guarantee good medical conditions—the same problem exists in areas such as education and social security.

The Internet+ can greatly reduce the cost in this aspect, thereby reducing the difficulty index that the mechanism reform needs to overcome, and making the group “resistance” involved in the redistribution of interests smaller. In addition, the implementation of Internet+ will also promote the “sinking” of various social service products such as finance and education, and form a synergistic effect with the Internet and medical care in rural areas, further reducing costs. In terms of the two characteristics of "unbounded" and "inclusive" that nourish the people's livelihood, the influence of the Internet is far-reaching.

Looking back on human history, technological advances do not always lead directly to the transformation of social wealth and even power distribution to fairness and fairness, but in most cases—especially for latecomers and backward groups (states)—parts brought about by technological advances Changes in costs will make fairness and equity easier to achieve and less resistant. Or take the Internet as an example. Who is better for it? For the more educated groups, the Internet has undoubtedly brought great convenience, but for more groups with lower education, the Internet brings not only a change but a life revolution. .

At present, many Internet companies in China are striving to build an Internet ecosystem platform that sinks into the countryside, such as the village Amoy in Alibaba. Distance education and telemedicine are becoming more and more mature in technology. In the long run, let the weak and vulnerable groups of the original get incremental benefits from the Internet +, which is more vital than health poverty alleviation.

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