医疗体制改革的初衷是好的。医改尽管不尽如人意,但卫生部门无愧于心。卫生部门在保障人民健康方面已尽了最大努力。在市场经济的冲击下,各级政府对医疗体制改革照搬了企业经济体制改革的方法。一些地方政府的决策者为了减轻、推卸财政负担,对公立医院逐年减少经费,直至断奶;有的地方政府把国有事业单位医院向股份化、私有化方向改制,甚至一卖了之。而卫生部门对医院一无财权,二无人权,三无基建权,仅有业务指导权和上述三权的建议权。在这种情况下,决策者只能是各级地方政府,哪个卫生部门也起不到决策作用。医疗是具有很强公共产品属性的行业,但是在一些地方政府的主导下,衡量医改成败的 The original intention of the medical system reform is good. Although not satisfactory medical reform, but the health sector worthy of the heart. The health sector has done its utmost to safeguard people’s health. Under the impact of the market economy, the governments at all levels have copied the reform of the medical system by means of the reform of the economic structure of the enterprises. In order to alleviate and push aside the financial burden, some local government policymakers have reduced funding for public hospitals from year to year until they are weaned. Some local governments have even resold the state-owned institutional hospitals to share and privatization. The health department has no right to the hospital, two no human rights, three non-infrastructure rights, only operational guidance and the right to advice the above three powers. Under such circumstances, policymakers can only be local governments at all levels and which health sector can not play a role in decision-making. Healthcare is an industry with strong public product attributes, but under the guidance of some local governments, the success of medical reform