CCTV News:In view of the irregular problems in some retail pharmacies, such as drug swapping and over-prescribing, resulting in the loss of medical insurance funds, the National Medical Insurance Bureau said on June 2 that it would increase supervision over designated retail pharmacies, urge them to standardize their business practices from the beginning of using the overall fund, at the same time, increase flight inspection, improve the effect of special rectification, and unite multi-departments to coordinate the supervision resources and exert the joint efforts of supervision to severely crack down on fraudulent insurance fraud such as false drug purchase and reselling medical insurance drugs.

From the practice of medical insurance fund supervision, some designated retail pharmacies illegally use medical insurance funds mainly in the following situations:

The first category is false prescription. Making up or forging drug prescriptions or sales records and swiping medical insurance codes (social security cards) without actually purchasing or selling drugs to defraud medical insurance funds.

The second category is drug swapping. Including swapping non-medical drugs for medical insurance drugs, using medical insurance funds to pay for health care products, food, cosmetics, etc., swapping non-medical insurance drugs for medical insurance drugs, and swapping low-priced drugs for high-priced drugs.

The third category is over-prescribing. First, sell the drugs that I don’t need or obviously exceed my consumption demand to the insured through buying gifts, exemption and reduction; Second, it provides convenience for drug distributors (such as sales staff of pharmaceutical companies) to prescribe more expensive drugs and settle medical insurance, so as to resell and promote drugs at low prices; The third is to induce the insured to use the employee medical insurance outpatient co-ordination fund for centralized drug purchase and peak consumption at the end of the year.

The fourth category is to settle medical insurance for other pharmacies. Lend the medical insurance settlement system to non-medical insurance designated retail pharmacies or designated retail pharmacies that have been suspended from medical insurance settlement, and make medical insurance settlement on their behalf.

The fifth category is management problems. For example, prescription drugs are sold without prescription, drugs are sold first and then prescribed, and the records of drug purchase and sale do not match.

Designated retail pharmacies will be punished for illegal use of medical insurance funds.

The National Medical Insurance Bureau said that designated retail pharmacies should implement the main responsibility of self-management, and those who violate relevant regulations will be punished accordingly.

In accordance with the regulations on the supervision and administration of the use of medical insurance funds and other rules, designated retail pharmacies shall not induce or assist others to impersonate or falsely purchase medicines, shall not forge, alter, conceal, alter, destroy medical documents, accounting vouchers, electronic information and other relevant materials, and shall not fabricate medical services. Violation of this requirement is an act of fraudulent insurance, and the medical insurance administrative department will order it to return the losses caused by the medical insurance fund and impose a fine of more than 2 times and less than 5 times the amount defrauded; At the same time, it is ordered to suspend the medical services involved in the use of medical insurance funds by designated medical institutions for more than 6 months and less than 1 year, until the medical insurance agency terminates the service agreement; Those with professional qualifications shall be revoked by the relevant competent departments according to law.

The above acts also constitute a crime of fraud, and the relevant responsible personnel may be imprisoned. Designated medical institutions (including pharmaceutical business units) for the purpose of illegal possession, defrauding medical insurance fund expenditures, the organization, planning, implementation of personnel, convicted and punished for fraud; If it constitutes other crimes at the same time, it shall be convicted and punished in accordance with the provisions of heavier punishment. Those who knowingly illegally purchase and sell drugs purchased by using medical insurance to defraud are convicted and punished for concealing and concealing the crime; Instigating, instigating and instructing others to use medical insurance to defraud and buy drugs, and then illegally buying and selling them, they are convicted and punished for fraud.

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　　 General Secretary of the Supreme Leader clearly pointed out in the report of the 19th National Congress of the Communist Party of China: "Socialism with Chinese characteristics has entered a new era, and the main contradiction in our society has been transformed into the contradiction between the people’s growing need for a better life and the unbalanced development." As time goes on, we will become more and more aware of the significance of this assertion.

　　The principal social contradiction is a very important theoretical and practical problem. In order to deeply understand the theory of Socialism with Chinese characteristics Thought, the supreme leader in the new era, about the main contradictions in our society in the new era, it is necessary for us to make some necessary investigations from four aspects: realistic basis, theoretical connotation, historical retrospection and practical grasp.

　　First, the realistic basis for the new expression of the main contradictions in our society in the new era

　　The expression of the main social contradictions in China in the report of the 19th National Congress of the Communist Party of China conforms to the current reality of our country, keeps pace with the times for Socialism with Chinese characteristics, and is a major theoretical innovation for the China, modernization and popularization of Marxism.

　　First of all, from "people’s growing material and cultural needs" to "people’s growing needs for a better life". On the one hand, after years of hard struggle, China has steadily solved the problem of food and clothing for more than one billion people, achieved a well-off society in general, and will soon build a well-off society in an all-round way. The people need higher quality and wider scope for a better life. Not only higher requirements are put forward for material and cultural life, but also diversified and higher-level requirements have emerged in democracy, rule of law, fairness, justice, security and environment. The expression of "material and cultural life needs" is not enough to cover the rich and diverse needs of the people in all aspects. On the other hand, as pointed out in the report of the 19th National Congress of the Communist Party of China, the economic difficulties and challenges we are facing are mainly "there are still many shortcomings in the field of people’s livelihood, the task of tackling poverty is arduous, and the gap between urban and rural regional development and income distribution is still large". Socialism with Chinese characteristics has entered a new era, and people’s demands for sharing the fruits of reform and development have become increasingly prominent and intense. If we don’t face up to this problem, social contradictions will accumulate more and more and become more complicated. With the strengthening of economic strength, the time to solve this major contradiction is becoming more and more mature. One more thing, in real life, some people’s needs can’t be met, which is by no means just a matter of lack of material wealth or productivity.However, it is often a problem of production relations or even superstructure, which belongs to the unbalanced and insufficient development of the "five-in-one construction" of economy, politics, culture, society and ecology and all aspects of party building. For example, the broad masses of the people are dissatisfied with the serious corruption in the party and society, worried about the excessive income distribution, eager for green mountains, green waters, blue sky and white clouds, and concerned about the vital interests of housing, education, medical care and old-age care. The new expression "people’s growing needs for a better life" accurately expresses that people have made great achievements since the reform and opening up, and they are full of good hopes for future life in various fields such as economy, politics, culture, society, ecology and party building.

　　Secondly, the transformation from "backward social production" to "unbalanced and insufficient development". Social production refers to productivity and relations of production. And development involves all aspects of the "five-in-one construction" of economy, politics, culture, society and ecology and party building. After 40 years of reform and opening up, China’s social production, especially productivity, has basically got rid of backwardness. China’s social production level, including total output and speed, has made historic development and leap, and its social production capacity has entered the forefront of the world in some aspects, and is moving towards the level of moderately developed countries in the world. In terms of production relations, with the deepening of the international financial crisis, the international community is increasingly aware of the charm of Socialism with Chinese characteristics’s roads, systems and values. Therefore, it is not consistent with the reality to call China’s current social production "backward social production", and the outstanding problems have been transformed into unbalanced and insufficient development. The imbalance of development is mainly reflected in the economic field. From a macro perspective, it is mainly reflected in the gap between regional wealth possession and income distribution in social production relations; From the microscopic point of view, it is mainly reflected in the gap in wealth possession and income distribution between people. However, the insufficient development is mainly reflected in the insufficient development of democracy, rule of law, fairness, justice, security and environment, and in the insufficient and uncoordinated relationship between them.This imbalance in development is not sufficient, which has become the main constraint to meet the people’s growing needs for a better life.

　　That is to say, the main contradiction in our society has been transformed into "the contradiction between the people’s growing need for a better life and the unbalanced development", which shows that in the new era, we should not only focus on deepening the structural reform of the supply side, continuously improve the development level of China’s social productive forces, but also deepen the reform of institutional mechanisms to ensure social fairness and justice. No matter from theory to practice, this will have a great impact on our future great struggle, construction of great projects, promotion of great undertakings and realization of great dreams.

　　Under the guidance of China’s principal contradiction theory in the new era, we should mainly carry out supply-side structural reform in the economic field, not only strive to develop the economy, but also improve the industrial structure and product structure at the same time, improve the scientific and technological content, cost performance and quality of products, and increase the variety of colors to meet the diversified needs of the people. In the social field, it should mainly solve the problem of insufficient imbalance in sharing the material and spiritual achievements of reform and opening up in the development process. It should be pointed out that the supply-side structural reform mainly refers to the problems in the economic field, while the main social contradiction in China in the new era has been transformed into the contradiction between the people’s growing needs for a better life and the unbalanced development, which mainly refers to the social field. For this reason, the General Secretary of the Supreme Leader put special emphasis on sharing, especially on efforts to do a good job in poverty alleviation.

　　Second, the theoretical connotation of social principal contradiction and social basic contradiction

　　Only by theoretically understanding the respective connotations of social principal contradiction and social basic contradiction, as well as their relations and differences, can we really understand the great judgment of the Supreme Leader’s Socialism with Chinese characteristics Thought in the new era on the principal contradiction in China today. This requires a clear understanding of the following basic theoretical issues:

　　1. Basic social contradictions. Marxism holds that the basic social contradiction is the contradiction between production relations and productivity, superstructure and economic base, which is an inevitable basic contradiction in any social form. A certain production relationship should adapt to a certain productivity, and a certain superstructure should adapt to the development of a certain economic base. However, any adaptation or balance is relative. Any contradiction and imbalance between social productive forces and production relations, production relations and superstructure are absolute. For this reason, the contradiction between production relations and productivity, superstructure and economic base is the basic contradiction that must exist in any social form, including the existing primitive society, slave society, feudal society, capitalist society, socialism and future communist society. However, in the original primitive society, the current socialist society and the communist society, the basic contradiction between productive forces and relations of production, and between economic base and superstructure will not have the nature of class conflict, but will be manifested as the contradiction between advanced and backward, right and wrong. The principle of contradictory movement between productive forces and production relations, economic base and superstructure is the foundation and core of historical materialism. The extension of this basic contradiction is the contradiction between man and nature, and the contradiction between man and nature is also the basic contradiction that will exist forever in any society.

　　2. Major social contradictions. The principal social contradiction is the contradiction in which the basic social contradiction dominates, regulates or influences other contradictions in a certain society. Other contradictions are non-principal contradictions. Fundamentally speaking, the main contradictions in a certain society often have different manifestations in different social forms and different historical stages of the same social form. Communist party people should adjust their understanding from the changing relationship between people according to the changing situation, and put forward and correctly handle the main contradictions in different periods of society. Only in this way can we mobilize the enthusiasm, initiative and creativity of the overwhelming majority of the people to the maximum extent, and can we implement the development idea of "people-centered".

　　3. Basic social contradictions and major social contradictions. The basic contradiction between social production and human needs is embodied in the basic contradiction between productive forces and production relations, economic base and superstructure, and also in the two contradictions between man and nature and between people. Among the basic social contradictions, productivity and economic base are generally the main aspects that play a decisive role, but the relations of production, superstructure and ideology react to productivity, economic base and social practice, and can also become the main aspects of contradictions under certain conditions. These basic contradictions are intertwined and interact with each other, thus promoting the continuous development of human society. That is to say, the contradiction between social production and human needs, that is, the contradiction between productive forces and production relations, the contradiction between economic base and superstructure, that is, the contradiction between man and nature, is the basic contradiction of any social form, not the main contradiction of a specific social form and its different historical stages. The study of the principal contradiction of society should be linked with the basic contradiction of society, but the principal contradiction of society and the basic contradiction of society are essentially different, and they often have different manifestations in different historical stages of the same social form. For example, in the stage of China’s new-democratic revolution, there are differences between the Agrarian Revolution, War of Resistance against Japanese Aggression and the War of Liberation. During the agrarian revolution, the main contradiction was the contradiction between the masses of the people and imperialism, feudalism and bureaucratic bourgeoisie, and the contradiction between Chiang Kai-shek’s encirclement and suppression of the Red Army and the Red Army’s attempt to break the encirclement and suppression. And "seven"After the "7" Incident broke out, the contradiction between the Chinese nation and the Japanese invaders rose to the main contradiction, and communist party, Chiang Kai-shek clique and feudal enlightened gentry should form the broadest patriotic United front. After the Japanese invaders surrendered, with the Chiang Kai-shek clique’s all-round attack on the liberated areas, the main contradictions faced by communist party changed again. All kinds of contradictions and their situations and relationships in any society are not fixed. In normal times, the basic contradiction and principal contradiction are generally unified by relative stability and relative change; During the period of social revolution and drastic social changes, major social contradictions often undergo major fundamental historical changes. In the social contradiction system, the main contradiction and the secondary contradiction interact and influence each other. The main contradiction determines and affects the existence and development of the secondary contradiction, but the secondary contradiction is not a passive factor, but also affects and restricts the main contradiction, and the two will transform each other under certain historical conditions.

　　 Third, the historical retrospect of the expression of the main social contradictions in China after the founding of New China.

　　After the founding of New China, the principal contradiction in our society has undergone major changes, and our party’s understanding of the principal contradiction has also experienced repeated twists and turns.

　　Understanding of the transitional period. The founding of New China in 1949 marked the victory of the new-democratic revolution, and China entered a historical period of transition to socialism. In September 1948, Mao Zedong pointed out at the the Political Bureau of the Communist Party of China (CPC) Central Committee Conference: "Now let’s make it clear that after the completion of the bourgeois democratic revolution, the main contradiction in China is the contradiction between the proletariat and the bourgeoisie, and the external contradiction is the contradiction with imperialism." ("Collected Works of Mao Zedong", Volume 5, People’s Publishing House, 1996, pp. 145— Page 146) On March 5, 1949, Mao Zedong pointed out in his report at the Second Plenary Session of the Seventh Central Committee: From now on, "the focus of the party’s work has moved from the countryside to the cities"; After "the rule of the Kuomintang has been overthrown, the rule of the people has been established, and the land problem has been fundamentally solved", "the central task of the Party here is to mobilize all forces to restore and develop production, which is the focus of all work". (Selected Works of Mao Zedong, Volume 4, People’s Publishing House, 1991, p. 1427) "After the victory of the China Revolution in the whole country and the settlement of the land problem, there are still two basic contradictions in China. The first is domestic, that is, the contradiction between the working class and the bourgeoisie. The second is foreign, that is, the contradiction between China and imperialist countries. ". (Selected Works of Mao Zedong, Volume 4, People’s Publishing House, 1991, p. 1433) in the context of Mao Zedong at this time, it is used to distinguish the basic contradiction (that is, the main contradiction) of a society from the focus, central task and work focus.

　　On June 6, 1952, Mao Zedong pointed out in the comment on the Central Committee of the Communist Party of China’s Decision on the Work of Democratic Parties (Draft): "After the overthrow of the landlord class and the bureaucratic bourgeoisie, the main contradiction within China is the contradiction between the working class and the national bourgeoisie, so the national bourgeoisie should no longer be called the middle class." (Collected Works of Mao Zedong, Volume 6, People’s Publishing House, June 1999, p. 231) Based on the understanding of the main social contradictions in the transitional period, the CPC Central Committee formulated the general line for the transitional period in 1952 and successfully guided the whole country to basically complete the socialist transformation in 1956.

　　Understanding before and after the Eighth National Congress of the Communist Party of China. After the establishment of China’s basic socialist system, what are the main social contradictions? This is a major issue related to the determination of the basic line, fundamental tasks and work centers of the whole party and the whole country in the future. At this turning point in history, the Eighth National Congress of the Communist Party of China held in September 1956 answered this question in time.

　　The Resolution on Political Report of the Eighth National Congress of communist party, China, which was adopted on September 27th, 1956, clearly pointed out: "The main contradiction in our country is already the contradiction between the people’s demand for establishing an advanced industrial country and the backward agricultural country, and the contradiction between the people’s demand for rapid economic and cultural development and the current situation that the economy and culture can’t meet the people’s needs. The essence of this contradiction is the contradiction between the advanced socialist system and the backward social productive forces when China’s socialist system has been established. "

　　The basic spirit of the Party’s Eighth Congress’s exposition on major social contradictions is to emphasize that class struggle is no longer the major social contradiction, and put forward that the major contradiction is that backward social productive forces cannot meet people’s material and cultural needs, and the main task is to concentrate on developing social productive forces.

　　The mistake of expanding the anti-rightist struggle in 1957 led to a change in Mao Zedong’s understanding of the main social contradictions. On October 9, 1957, Mao Zedong put forward at the closing meeting of the Third Plenary Session of the Eighth Central Committee: "The contradiction between the proletariat and the bourgeoisie and the contradiction between the socialist road and the capitalist road is undoubtedly the main contradiction in our society at present." (ibid., pp. 223— Page 224) The document of the second meeting of the Eighth National Congress of the Communist Party of China confirmed Mao Zedong’s judgment: "The experience of the rectification movement and the anti-rightist struggle once again shows that during the whole transitional period, that is, before the establishment of the socialist society, the struggle between the proletariat and the bourgeoisie and the struggle between the socialist road and the capitalist road have always been the main contradictions within our country." This argument deviates from the judgment of the first meeting of the Eighth National Congress on the main contradictions in our society. In October 1962, the Tenth Plenary Session of the Eighth Central Committee of the Communist Party of China revived the class struggle, and further extended the argument that the contradiction between the proletariat and the bourgeoisie in the "whole transitional period" was always the main contradiction of society to the "whole socialist historical stage". Later, a line of "taking class struggle as the key link" was gradually formed, and when it developed to the extreme, it was a global and long-term ‘ Left ’Pour serious mistakes. "

　　Understanding after the reform and opening up. The first thing to bring order out of chaos at the Third Plenary Session of the Eleventh Central Committee of the Party is to stop mentioning the basic line of "taking class struggle as the key link" and decide to shift the focus of the whole party’s work to socialist modernization. In 1979, Deng Xiaoping answered the main contradiction in our society by contacting the central task at the theoretical retreat: "As for what is the main contradiction at present, that is, the main problem or central task that the whole party and the people of the whole country must solve at present, because the Third Plenary Session decided to shift the focus of work to socialist modernization, it has actually been solved. Our productivity development level is very low, which is far from meeting the needs of the people and the country. This is the main contradiction in our current period, and solving this main contradiction is our central task. " (Selected Works of Deng Xiaoping, Volume 2, People’s Publishing House, 2nd edition, 1994, p. 182nd).

　　The historical resolution adopted by the Sixth Plenary Session of the Eleventh Central Committee of the Party in 1981, on the basis of reaffirming the line of the Eighth National Congress of the Party and its exposition on the change of contradictions, put forward: "After the socialist transformation is basically completed, the main contradiction to be solved in China is the contradiction between the people’s growing material and cultural needs and backward social production. The focus of the work of the party and the state must shift to socialist modernization centered on economic construction, greatly develop social productive forces, and gradually improve people’s material and cultural life on this basis. " It is worth pointing out that the expression of "backward social productive forces" in the original eight resolutions was changed to "backward social production" in the resolution. Social production includes both productive forces and relations of production. This statement is more accurate and GAI.

　　The 12th National Congress of the Communist Party of China confirmed the formulation of the resolution, which was included in party constitution’s general program, and the 13th and 14th National Congresses of the Communist Party of China continued to confirm this formulation.

　　The 15th National Congress of the Communist Party of China, held in September 1997, gave a more complete and systematic description of the principal contradictions in our society, and made a new summary of the status, function, historical period and scope of the principal contradictions. It is pointed out: "There are various contradictions in China’s economic, political, cultural and social life, and class contradictions will persist in a certain range for a long time due to international and domestic factors, but the main contradiction in society is the contradiction between the people’s growing material and cultural needs and backward social production."

　　The 16th and 17th National Congress of the Communist Party of China basically followed the above formulation about the stage of social development, principal contradictions and central tasks in China.

　　Based on the basic understanding that "China is in the primary stage of socialism and will be in it for a long time", the 18th National Congress of the Communist Party of China put forward that "three things have not changed", that is, "the basic national conditions that China is still in the primary stage of socialism and will be in it for a long time have not changed, the contradiction between people’s growing material and cultural needs and backward social production, the main social contradiction, and China’s international status as the largest developing country in the world has not changed". At the Third, Fifth and Sixth Plenary Sessions of the 18th CPC Central Committee, the basic judgment of "three things have not changed" was adhered to.

　　However, invariance is relative and change is absolute. On December 18th, 1992, Deng Xiaoping clearly pointed out: "When China develops to a certain extent, we must consider the issue of distribution. In other words, we should consider the gap between backward areas and developed areas. There will always be a certain gap between different regions. This gap is too small, nor is it too big. If only a few people are rich, it will fall into capitalism. It is necessary to study the issue of distribution and its significance. " (The Chronicle of Deng Xiaoping (1975— 1997), edited by the Central Committee of the Communist Party of China Literature Research Office, pp. 1356— Page 1357) At the end of the 20th century, Deng Xiaoping grasped the outstanding contradictions and problems that we are facing today. Solving this problem is our central task, which is the main social contradiction at present.

　　?Never appear ‘ The rich are tired of millions, while the poor eat chaff ’ The phenomenon. He stressed: "To deepen reform in an all-round way, we must focus on creating a fairer and more just social environment, constantly overcome various phenomena that violate fairness and justice, and make the fruits of reform and development more fair and benefit all the people. If we can’t bring tangible benefits to the people, if we can’t create a fairer social environment, and even lead to more unfairness, the reform will lose its meaning and it will not last. " "Sharing" is the core essence and foothold of the "new development concept" put forward by the CPC Central Committee with the Supreme Leader as the core.

　　General Secretary of the Supreme Leader’s expositions on sharing and common prosperity abound. From this series of related expositions, we can see that the new expression of the main social contradictions in our country at the 19th National Congress of the Communist Party of China has emerged.

　　Fourth, scientifically grasp the main social contradictions in Socialism with Chinese characteristics in the new era.

　　1. To solve the major social contradictions, we must take Socialism with Chinese characteristics Thought of the Supreme Leader in the new era as the guide, adhere to the party’s leadership over all work as the most fundamental political principle, and make top-level design and comprehensive solution. The wholeness, relevance and coordination of the strategic deployment of the party and state undertakings in the 19th National Congress of the Communist Party of China are all unified in the Supreme Leader’s Socialism with Chinese characteristics Thought in the new era. To solve the major social contradictions, we can’t solve the major contradictions, but we must take the supreme leader’s Socialism with Chinese characteristics Thought in the new era as the guide, grasp the overall situation and make overall consideration.

　　In the economic field, we must adhere to the basic economic system with public ownership as the main body and multiple ownership economies developing together; Actively and steadily solve the gap between wealth possession and income distribution, and constantly move towards common prosperity. Only in this way can we directly and fundamentally reflect the socialist nature of our country and the fundamental interests of the overwhelming majority of the people economically, and our party, country and nation will have a bright future.

　　In the political field, we must adhere to the socialist fundamental system that "China is a socialist country under the people’s democratic dictatorship led by the working class and based on the alliance of workers and peasants, and all state power belongs to the people". It also organically combines the basic political systems such as the people’s congress, the multi-party cooperation and political consultation system led by the Communist Party of China (CPC), the regional ethnic autonomy system and the grass-roots mass autonomy system, as well as various specific systems, and insists on closely and organically combining the party’s leadership, the people being the masters of the country and the rule of law, so as to gradually solve the major social contradictions and provide effective institutional guarantee for the development of Socialism with Chinese characteristics.

　　In the field of culture, we must adhere to the guidance of Marxism, carry forward the socialist core values, carry forward the national spirit with patriotism as the core and the spirit of the times with reform and innovation as the core, build a socialist ideology with strong cohesion and leading power, and continuously enhance the spiritual strength of the whole party and people of all nationalities.

　　2. We must firmly adhere to the party’s basic line and promote the continuous resolution of major social contradictions. The report of the 19th National Congress of the Communist Party of China clearly pointed out: "It must be recognized that the changes in the main contradictions in our society have not changed our judgment on the historical stage of socialism in China, the basic national conditions that China is still in the primary stage of socialism for a long time have not changed, and China’s international status as the largest developing country in the world has not changed." This is a very important prerequisite for correctly grasping the main social contradictions in Socialism with Chinese characteristics in the new era. We should be soberly aware that although the main social contradictions in our country have changed, our country is still in the primary stage of socialism and will be in it for a long time, and it is the largest developing country in the world. The main social contradictions in our country have changed, but the primary stage of socialism has shown new stage characteristics in the development process. This basic national condition determines that the party’s basic line is still not outdated, so the report of the 19th National Congress of the Communist Party of China emphasizes that "the whole party should firmly grasp the basic national condition of the primary stage of socialism, firmly base itself on the greatest reality of the primary stage of socialism, and firmly adhere to the party’s basic line, the lifeline of the party and the country, and the happiness line of the people".

　　But at the same time, we must also see that Socialism with Chinese characteristics has entered a new era and put forward new requirements for all our work. We should correctly handle the relationship between adhering to the "one center" centered on economic construction and the "two basic points" of the four cardinal principles and reform and opening up, and at the same time adhere to the spirit of "self-reliance and hard work" as required by the party’s basic line. Nearly 70 years after the founding of New China, the practice of 40 years of reform and opening up tells us that if we want to stand on our own feet among the nations of the world, we must stand on our own feet and work hard. Self-improvement and self-reliance can provide preconditions for win-win cooperation with all countries in the world. Some people just take economic construction as the center, and even focus on attracting investment, and fundamentally forget the spirit of self-reliance and hard work. Some people think that reform and opening up is everything, and there is no purpose. They even think that the Four Cardinal Principles are the fetters of reform and opening up in an attempt to deny the party’s leadership and China’s socialist system. Others deny the correct direction of reform and opening up, and even take the old road of being closed and rigid. All these will not only help to solve the main social contradictions, but also lead to the emergence of new, bigger and more social contradictions.

　　Everything is for the people and everything depends on the people, which is the starting point and destination of the party’s basic line. In the process of promoting the settlement of major social contradictions, we must firmly grasp the starting point and end result of adhering to the people-centered principle at any time and under any circumstances.

　　3. Be alert to the problem of abnormal mutual transformation between major social contradictions and non-major social contradictions, and prevent non-major social contradictions from affecting the solution of major social contradictions. Mao Zedong pointed out in "On Contradiction": "The study of various unbalanced situations of contradictions, major and non-major contradictions, major and non-major contradictions has become one of the important ways for revolutionary parties to correctly determine their political and military strategic and tactical policies, and all communist party people should pay attention to it." (Selected Works of Mao Zedong, Volume 1, People’s Publishing House, 1991, p. 326) "In all kinds of contradictions", "The main and non-main aspects of contradictions are transformed with each other, and the nature of things changes accordingly". (ibid., p. 322) There are complicated contradictions in China’s economy, politics, culture, society and ecology. While firmly grasping the contradiction between the people’s growing needs for a better life and the unbalanced development, which is the main contradiction in our society at this stage, we should also face up to and handle other non-main contradictions, that is, secondary contradictions, to prevent some secondary contradictions from interfering with and affecting the solution of major social contradictions under certain conditions.

　　4. We should always cling to the main social contradictions in our country, and strive to solve the problem of insufficient development imbalance on the basis of continuing to promote development. The contradiction between the people’s growing needs for a better life and the unbalanced development is by no means easy to solve in the short term. Since the principal social contradiction plays the role of leadership and decision, it must run through all aspects of economic and social development and all aspects of the work of the party and the state. We should identify the relevant manifestations of the "five-in-one construction" and insufficient development in different fields of party building. On the basis of fully affirming the achievements, the report of the 19th National Congress of the Communist Party of China also clearly pointed out: "We must be soberly aware that there are still many shortcomings in our work and we are also facing many difficulties and challenges."

　　For example, in the economic field: "the quality and efficiency of development are still not high, the innovation ability is not strong enough, and the level of the real economy needs to be improved"; The gap between urban and rural regional development and income distribution is still large. Political field: "The task of comprehensively administering the country according to law is still arduous, and the national governance system and governance capacity need to be strengthened; Some reform arrangements and major policy measures need to be further implemented; National security is facing a new situation. " Cultural field: "The struggle in the ideological field is still complicated." Social field: "The task of getting rid of poverty is arduous"; "The masses face many difficulties in employment, education, medical care, housing and old-age care"; "The level of social civilization needs to be improved"; "Social contradictions and problems are intertwined." Ecological field: "Ecological environmental protection has a long way to go." The field of party building: "There are still many weak links in party building" and so on. These difficulties and challenges are exactly the problems that we need to know and solve urgently in different fields. Only by grasping the different manifestations of major social contradictions in various fields and work in our country at present, and adopting different methods to solve them in a targeted manner, will our great cause of reform and opening up open up a brand-new world and create a brand-new situation.

　　5. Be firm in confidence and be prepared for danger in times of peace. The spirit of strengthening confidence and being prepared for danger in times of peace runs through the report of the 19th National Congress of the Communist Party of China. The report pointed out: "At present, the situation at home and abroad is undergoing profound and complex changes, and China’s development is still in an important period of strategic opportunities, with bright prospects and severe challenges." It is very important to deeply understand the connotation of the above "two tenths" and their dialectical relationship. The prospect is bright because we have not only made great achievements and rich experience, but also a magnificent blueprint that is very practical. More importantly, because we have the CPC Central Committee with the Supreme Leader as the core and the guidance of the Supreme Leader’s Socialism with Chinese characteristics Thought in the new era, today we are closer, more confident and capable of realizing the goal of the great rejuvenation of the Chinese nation than at any time in history.

　　"The great rejuvenation of the Chinese nation is by no means easy and can be achieved by beating gongs and drums." Similarly, solving the major social contradictions can never be easily achieved by beating drums and beating drums. We must not only strengthen our confidence, but also be prepared to deal with many major challenges, major risks, major obstacles and major contradictions, and maintain the style of hard struggle, so we will surely win the great victory of Socialism with Chinese characteristics in the new era under the strong leadership of the CPC Central Committee with the Supreme Leader as the core.

　　(Author: Li Shenming, deputy director of the 12th National People’s Congress Internal Affairs Judicial Committee, former vice president of China Academy of Social Sciences)

[car home Shantou Preferential Promotion Channel] At present, preferential activities are being carried out in Shantou market, with the highest preferential amount reaching an astonishing 140,000 yuan, which reduces the minimum starting price to 346,000 yuan. This substantial profit has brought unprecedented opportunities for consumers to buy cars. If you are interested in buying this luxury electric SUV, you may wish to click "Check the price of the car" in the quotation form to get a higher discount.

Mercedes-Benz EQE SUV adopts a brand-new design language, the front face design is more concise and dynamic, and the unique air intake grille is integrated with the headlights to create a sense of future technology. The overall style is fashionable and atmospheric, and the lines are smooth and powerful, showing the perfect combination of luxury and sports.

Mercedes-Benz EQE SUV has a body size of 4880mm long, 2032mm wide and 1679mm high, and a wheelbase of 3030mm, providing spacious seating space and excellent driving stability. The lines on the side of the car are smooth and dynamic, which shows the perfect combination of luxury and sports. Its tyre size is unified as 235/55 R19, and it is equipped with rims that sometimes have high grip, which further improves the handling performance and visual effect of the vehicle.

The interior design of Mercedes-Benz EQE SUV shows the perfect combination of luxury and technology. The center console is equipped with a 12.8-inch high-resolution screen, which provides a rich multimedia experience for drivers and passengers. The steering wheel is made of high-quality leather, with electric up-and-down and forward-and-backward adjustment functions, ensuring the best driving posture. The car is equipped with advanced speech recognition control system, which can control multimedia, navigation, telephone, air conditioning and skylight. There are USB and Type-C interfaces in the front and rear rows to meet the daily charging needs, and the front row is also equipped with wireless charging function. The seat is made of imitation leather, and the front and rear, backrest, height, leg rest and waist support can be adjusted in the main and co-pilot positions, which supports heating and ventilation functions and improves the riding comfort. The memory function of the electric seat provides convenience for the driver’s seat and the co-pilot’s seat, while the rear seat supports proportional tilting, which increases the flexibility of storage space.

Mercedes-Benz EQE SUV is equipped with an efficient and powerful electric engine with a maximum power of 300 kW and a maximum torque of 858 Nm, which provides excellent power performance and excellent acceleration experience for the vehicle.

After the test drive of Mercedes-Benz EQE SUV, the owner of car home said that although the power performance of the model was acceptable, the low-profile version lacked the function of rear wheel steering, resulting in insufficient flexibility. Compared with his previous BMW 3 Series, the handling of Mercedes-Benz EQE SUV is inferior. In addition, when he encountered a big pothole, he found that the car body was shaking obviously and the suspension system felt soft.

　 　 Movie network news On November 17th, the popular rock troupe appeared at Roppongi Theater in Tokyo, Japan, to promote the 3D movie starring them, and also appeared on the same stage with the Japanese rock band "flumpool" who sang the theme song with Mayday in the hot movie.

　 　 Mayday began to hold the "Noah’s Ark" global tour in 2011. It took two years to hold 71 concerts in 40 cities in China, with a total of 2.48 million fans attending the rebirth carnival. Among them, the Bird’s Nest in Beijing set a super-high box office record of 200,000 people for two consecutive days, laying its reputation as the first group in the world. On the same day, at the Tokyo movie scene, the audience was full of enthusiastic fans of Mayday, and the atmosphere was very high.

　 　 Ryuta Yamamura, a member of "mortal spectrum", said, "Mayday and I met the year before last. We love music and have dreams, and we have established a sense of respect and existence between us. Beyond countries, cultures and languages, we connect people’s hearts with songs. They are really developing in Japan now. As friends, we are really happy for them. " The Mayday member monster said in fluent Japanese, "Thank you! We believe that with the power of music, we can convey the positive energy of lyrics to more people. "

　 　 It is understood that Mayday’s first Japanese album "Mayday × Mayday the Best of 1999-2013" ranked eighth in Japan’s national music disc sales list released on November 13th. On January 11th and 12th, 2014, May Day will hold a concert called "Mayday Special LIVE 2014" in Osaka and Tokyo respectively.
The film Noah’s Ark in May is expected to be released in Japan in the spring of 2014.

When our career is stable and our income is gradually "well-off", our originally poor life has also changed a lot, and the car we once yearned for is no longer out of reach. What I brought to my riders today is. Let’s take a good look at it.

Let’s look at the appearance of Yuan UP first. The front face of Yuan UP has taken a fierce route as a whole, which looks more concise. The headlights are domineering and look quite elegant. The car is equipped with LED daytime running lights, automatic opening and closing, delayed closing and so on. Coming to the side of the car, the body size of the car is 4310MM*1830MM*1675MM. The car adopts cold lines, and the side circumference looks very deep. With large-sized thick-walled tires, the overall visual effect is very unique. In the rear part, the overall shape of the Yuan UP rear echoes the front of the car, and the taillights give people a very elegant feeling, which is relatively capable overall.

In terms of interiors, the front face of Yuan UP looks very round and full of fighting atmosphere. The steering wheel of the car is very simple in shape, equipped with functions such as manual steering wheel up and down+front and rear adjustment, and the visual effect is good. Let’s take a look at the central control, decorated with a 12.8-inch central control screen, which makes the interior design quite layered and looks domineering. Let’s take a look at the dashboard and seats again. The dashboard design is remarkable and the design is deep and elegant. The car uses leather seats, which are wrapped in place and are very comfortable to ride.

Yuan UP is equipped with a motor with a total power of 130KW and a total torque of 290N.m It has good acceleration, excellent cruising range and good power performance.

The car is equipped with driving mode selection, remote control key, Bluetooth key, NFC/RFID key, rear wiper, interior ambient light, traction control (ASR/TCS, etc.) and other configurations. The configuration performance is quite good, bringing drivers and passengers a comfortable car experience.

OK！ Next, let’s sum up. This class of cars can often give consideration to both cost performance and practicality, and is often considered by most consumers as the first choice when buying a car.

　　Shanghai Pentium Group Co., Ltd., namely Shanghai Pentium Enterprise (Group) Co., Ltd., is a comprehensive high-tech enterprise integrating R&D, manufacturing and sales of household appliances. Products include a series of small kitchen appliances mainly based on induction cookers, rice cookers and water dispensers, and a series of personal care products mainly based on razors and hair dryers. With strategic vision and unremitting efforts, after more than ten years of steady development, Pentium has now developed into a first-class professional brand operator of small household appliances in China. POVOS Pentium has successively won the honorary titles of "Shanghai Famous Trademark", "Shanghai Famous Brand", "China Well-known Trademark", "National Inspection Exemption for Product Quality" and "2008 National Customer Satisfaction Enterprise". Pentium induction cooker, Pentium rice cooker, Pentium electric pressure cooker and Pentium water dispenser were recognized by China Industry Enterprise Information Publishing Center as the top three in the country in 2009, and Pentium shaver ranked fourth in the country in 2009.

Enterprise strength

Focus on independent research and development

　　Paying attention to the improvement of independent products, Pentium has established three of the most advanced research and development centers for small household appliances in the world, and set up a "special award fund for scientific and technological innovation" to commend outstanding scientific and technological research and development projects. At present, there are more than 170 international and domestic invention patents, utility model patents and appearance patents. Pioneering the technology of 4D floating structure of shaver, filling the gap in the industry and being at the leading level in the world.

National distribution of marketing network

　　Pentium adheres to the three-arrow market development strategy of "brand building through terminal channels, sales through circulation channels and market grabbing through emerging channels", and has an excellent marketing team, innovative marketing ideas and a nationwide marketing network.

Offline marketing network

　　Offline market products have covered nearly 30 provinces, cities and autonomous regions in China. At present, nine direct and joint-venture sales companies, including Shanghai Pentium, Beijing Pentium, Guangzhou Pentium, Henan Pentium, Liaoning Pentium, Yunnan Pentium, Fujian Pentium, Wenzhou Pentium and Jiaxing Pentium, have been established, and 33 commercial offices in six major marketing regions have been established, with more than 200 first-class agents, more than 5,500 retail terminals and more than 3,000 after-sales service outlets. At the same time, it has reached a strategic alliance and cooperation relationship with well-known home appliance chain enterprises and commercial supermarket systems at home and abroad. These include RT Mart, Wal-Mart, Carrefour, Metro, Gome, Suning Appliance, Lotus at the beginning of the month, Century Lianhua and so on. Excellent channel resources and terminal networks all over the country provide a strong market foundation for the expansion of Pentium.

Online marketing network (e-commerce)

　　From the second half of 2011, the online market launched e-commerce, completed the whole network layout, successively established a big Taobao system, deeply cultivated B2C platforms such as JD.COM, Yixun, Amazon, No.1 Store and Suning.cn, integrated mobile e-commerce such as Juhua, Vipshop, Meituan and Jumei, vigorously expanded O2O pan-e-commerce systems such as 2688 and Bank, operated through multiple channels, and established strategic cooperation relations with mainstream platforms of the whole network. In 2012, Pentium took e-commerce as its enterprise transformation and upgrading strategy, and relied on innovative marketing concepts to build a flexible supply chain oriented to market demand. The online market was linked with the whole network, and refined operation was promoted, with an annual growth rate of 500%. It won the Tmall Most Growing Brand Award and became the fastest growing brand in the personal care industry. In the same year, the strategic layout of POVOS international brand was completed by laying out POVOS overseas, building multinational e-commerce, and inciting the global market with low-cost and low-risk e-commerce trading. At present, the products have been exported to more than 40 countries overseas.

Gift marketing network

　　In view of the characteristics of personal care products suitable for group purchase gift channels, Pentium has made great efforts to develop and attach importance to group purchase gift channels, gradually planned and explored a new way for group purchase gift, implemented professional group purchase expansion, customized product mix and suit customization according to customers’ specialized needs, and created new sales growth points flexibly and orderly, becoming strategic partners of well-known domestic enterprises such as China Mobile Communications, China Unicom, China Telecom, China Merchants Bank, China Ping An, Shanghai Pudong Development Bank and Spring Airlines.

Television shopping marketing network

　　Emerging channel TV shopping, from the only three shopping platforms, namely Happy Shopping, Yangguang Shopping and Oriental Shopping, has developed into cooperation with nearly 40 stations across the country, and it is broadcasted 24 hours a day, covering the national TV audience.

Overseas marketing network

　　Realizing the synchronous growth of domestic and foreign sales is Pentium’s strategic development goal. Since its establishment three years ago, overseas offline markets have spread all over the world on seven continents, with 94 customers, and have become strategic partners with many well-known international brands and retailers, such as CONAIR,SEB,METRO,carrefour, tesco and auchan. Sales performance has doubled year by year, and in 2012 and 2013, it was recognized as "AAA credit rating enterprise" by China Chamber of Commerce for Import and Export of Mechanical and Electrical Appliances for two consecutive years. It was awarded as "2012 Shanghai Export Famous Brand" by Shanghai Commercial Committee.

Strong production base

　　Pentium has the first most advanced personal care electrical appliance industrial park in China, with complete self-production supporting capacity and the introduction of world-class leading fully automatic production equipment. Among them, the Japanese fully automatic Fanuc injection molding machine, ABB and An Chuan robot hand spraying equipment, man-machine separated central feeding system, high-precision stamping system and ultra-precision cutter head grinding equipment have all reached the international leading level.

　　Adhering to the concept of improving the quality of life through technological innovation, Pentium Group put forward the corporate slogan of "Let technology know you better", so as to make product technology closer to consumers, better serve consumers and better understand their needs. In terms of product research and development, Pentium Group has established a three-level R&D system. Enterprise research institute, technology center and quality research center, as well as production technology department constitute a complete enterprise R&D system of Pentium Group from cutting-edge research in the industry to research on brand-new applied technology and product development, and then to research on manufacturing technology.

　　In order to improve the management level and build an all-round competitive advantage, Pentium Group has built an enterprise information management platform in an all-round way, and successfully implemented ERP enterprise resource management system, PDM product research and development management system, CRM customer relationship management system, PCP collaborative office platform system and HR human resource management system. Informatization construction has made the management methods and means of enterprises achieve a qualitative leap, and promoted the scientific and modern decision-making of enterprises.

　　In the future, Pentium will rely on innovative product design and advanced marketing concepts to realize the common value-added with the upstream and downstream value chains, and at the same time, the management team and enterprise employees can reflect their self-value and have expected reasonable returns. Pentium will rely on the three core capabilities of brand, team and product to continuously promote the rapid growth of enterprises and brands, create fashionable and healthy small household appliances for consumers around the world, and run towards a better life together.

The Porsche Taycan is a new all-electric model launched by Porsche. Its name is pronounced/te?k?n/, where "tay" is pronounced the same as the English word "taxi", while "can" is pronounced similar to "kan".

The exterior design of this model is very unique, featuring the Porsche family-style "flying wing" front face design, which is somewhat similar to the Porsche 911 model.

The body is smooth and dynamic, especially the design of the rear is even more impressive. At the same time, the Taycan also adopts Porsche’s latest electric technology, with strong power performance and excellent battery life, making it a model worth looking forward to.

Porsche is a world-famous luxury car brand under the Volkswagen Group, also translated as Porsche, headquartered in Stuttgart, Germany, and is one of the main representatives of European and American cars. The main models are the classic rear sports car 911, the middle two-seat sports car 718 (including Boxster and Cayman), the sports luxury four-door coupe Panamera, the luxury sports SUV sports car Cayenne, the compact SUV sports car Macan, and the pure electric four-door coupe Taycan.

　　① Lai Jinzhi, a doctor from Peking Union Medical College Hospital, diagnosed and treated patients online. Photo courtesy of Peking Union Medical College Hospital

　　② The doctor of Peking Union Medical College Hospital is writing the patient’s medical record. Photo courtesy of Peking Union Medical College Hospital

　　③ Doctor Liu Yongtai of Peking Union Medical College Hospital has video communication with patients’ families. Photo courtesy of Peking Union Medical College Hospital

　　④ The staff of jiangsu province hospital Internet Hospital Office showed the mobile phone Internet hospital platform. Xinhua news agency

　　The concept of Internet hospital sprouted in 2011, and by the end of 2015, the first Internet hospital in China — — Wuzhen Internet Hospital was established. In April 2018, the General Office of the State Council issued the Opinions on Promoting the Development of "Internet+Medical Health", which put forward the concept of Internet hospital for the first time in the document, and made it clear that Internet hospitals must rely on physical medical institutions.

　　Different from the online consultation in the past — — Taking advantage of doctors’ fragmented time for consultation, it provides services of registration, payment and report inquiry. Internet hospital refers to a one-stop service platform that relies on physical hospitals, focuses on online follow-up and routine consultation, and integrates consultation, prescription, payment and drug distribution.

　　"The Internet diagnosis and treatment of Union Medical College Hospital is not the earliest, but we strive to do our best." Qin Mingwei, director of the telemedicine center of Peking Union Medical College Hospital, said that the hospital can provide follow-up services for some patients with common diseases and chronic diseases. At present, 27 departments including cardiology, endocrinology and dermatology have been opened to support in-hospital case review, online consultation, inspection and prescription.

　　Because of the epidemic, Internet diagnosis and treatment has "fired" from the small public’s field of vision to the public’s demand. According to incomplete statistics, there are now more than 1,100 Internet hospitals in China. From online consultation, appointment and registration to providing high-quality online diagnosis and treatment services, after experiencing "more doctors" and "faster prescription", how can Internet hospitals move towards "good curative effect" and "low cost", so that ordinary people can really see the disease, see it well and afford it? Obviously, there are still several unsolved problems in front of the Internet hospital.

　　1. Can it alleviate the difficulty of seeking medical treatment?

　　"Hello, Dr. Chai, I have been eating metformin, and my blood sugar is somewhat repeated. The control is not ideal. What should I do?"

　　"Your islet function is OK. You should keep taking metformin. I’ll give you another medicine to eat with."

　　"I’m quite fond of eating, including some sweets. Can I eat fruit?"

　　"You can eat some northern fruits in moderation. Diabetes still needs to be shut up, ‘ Sugarcane is not as sweet as both ends ’ If you want to be healthy, you must learn to avoid eating, which is indeed a ‘ Pain ’ The process of … …”

　　This is the scene where Chai Xiaofeng, the attending physician of endocrinology department of Peking Union Medical College Hospital, makes a follow-up visit to Mr. Bai in Jinzhong City, Shanxi Province through the network. Mr. Bai told the reporter that with the help of his family, he hung up the number of his previous doctor by using the "Peking Union Medical College Hospital" App and successfully completed the follow-up visit. "Very patient and responsible, and the advice given is very professional!"

　　How to operate the mobile phone follow-up visit? Hospital staff clicked on the "Peking Union Medical College Hospital" App to demonstrate to reporters: before the appointment time on the day of the visit, on the home page, "I" — — Check in the "consultation record". According to the registration order, the doctor initiates the consultation invitation in the form of short message, voice or video, and the patient can reply to the information or click answer to start the consultation. The whole process is easy to operate, even for elderly patients who can’t surf the Internet, they can easily complete it with the help of their families.

　　"The speed of the development of Internet medical care first depends on the development of products." Chen Qiulin, deputy director of Health Industry Development Research Center of China Academy of Social Sciences, pointed out that this is an interactive process, and product innovation and model innovation can promote system innovation.

　　"Online doctors are mostly young and middle-aged doctors, and offline clinics are still occupied by senior professors. In this way, regular follow-up patients can no longer occupy the source of offline clinics and leave the source to those patients with incurable diseases. This is also the optimal allocation of medical resources." Qin Mingwei said that 60% of the patients in Peking Union Medical College Hospital came from outside Beijing, and the online follow-up visit also greatly saved the time cost and round-trip expenses of patients.

　　"We have also opened the online and offline outpatient service conversion appointment function." According to Qin Mingwei, the patient’s condition of online follow-up is relatively stable, and there is no need for complicated medical examination or treatment. However, if the patient’s condition is found to have changed significantly and is no longer suitable for online diagnosis and treatment, he can directly arrange an appointment for an offline clinic to avoid the trouble for patients to make appointments through other channels.

　　How to get medicine in an Internet hospital? It is understood that in September last year, the Internet medical drug distribution service of Peking Union Medical College Hospital was officially launched. In order to make the express delivery arrive more accurately, the hospital selects high-quality drug delivery contractors and signs long-term cooperation agreements. National non-medical insurance patients can enjoy the "peer-to-peer" delivery service of drugs to their homes after returning to Peking Union Medical College Hospital online, and can inquire about prescriptions and medication guidance on the mobile phone client of Peking Union Medical College Hospital. If in doubt, they can also consult with Concord pharmacists online.

　　There are hundreds of millions of patients with chronic diseases in China. The diseases are incurable and have many complications, which need long-term medication and health management to control. "I saw 25 patients in the morning according to the regulations. In fact, I often saw more than 40 patients. Half of them may be unnecessary to see. " Sun Xiaodong, deputy director of the Department of Ophthalmology of Shanghai First People’s Hospital, said that 70% ~ 80% of chronic diseases can be consulted in Internet hospitals.

　　According to Lu Qingjun, director of the Office of National Health Commission Primary Telemedicine Development Guidance Center, large hospitals have the ability of technological innovation and academic leadership. After establishing an Internet hospital and forming a mature platform, they can be shared and transferred to the primary level. "In the future, I believe that all medical institutions have the opportunity and ability to use the Internet platform to carry out Internet medical care."

　　Mao Ying, dean of Huashan Hospital of Fudan University, hopes to further rationalize the relationship between public hospitals and Internet hospitals such as third-party medical institutions, and at the same time, open the scope of practice and the autonomy of subjects and prices of Internet hospitals in public hospitals. "At present, online follow-up dispensing in public hospitals is limited to ordinary clinics, and expert clinics and special needs clinics have not been liberalized."

　　"The positioning of our Internet hospital is very clear from the beginning, that is, to achieve graded diagnosis and treatment, to leave patients at the grassroots level, and to sink high-quality medical resources to the end, to send medicines to the people at the grassroots level, to standardize management, to implement education, and to minimize medical expenses." Li Guanming, deputy secretary of the Party Committee and vice president of the Second People’s Hospital of Guangdong Province, said.

　　2. Can you achieve the effect of offline diagnosis and treatment?

　　Behind the rapid development of Internet medical care is the rigid demand for people’s livelihood. In the face of Internet hospitals, many people have questions: Can remote video see the symptoms clearly? If you don’t take a film and check your blood, can you diagnose it?

　　In fact, Internet hospitals at this stage are not "cloud consultation" but "cloud follow-up". "Many patients have already seen a doctor in a physical hospital, and all the tests that should be done have been done. On the one hand, online follow-up is to understand the progress of the disease, on the other hand, it is to prescribe drugs and adjust drugs. More patients go to ‘ Cloud ’ It is to consult a doctor’s professional opinion. If further examination or surgery is needed, the doctor will inform the patient to transfer to a physical hospital for treatment. If it is impossible to see a doctor, how to deal with it temporarily. " Shu Yongqian, director of jiangsu province hospital Cancer Center, pointed out that this kind of consultation is more like the pre-examination and triage of primary medical institutions, focusing on judging the severity of patients’ symptoms, and forming a service order of graded diagnosis and treatment with offline entity hospitals. On the Internet hospital platform, you can directly return to the clinic and issue an electronic prescription to buy drugs.

　　At present, the technical means of online diagnosis and treatment are relatively mature. Internet hospitals have made great progress in mobile ward rounds, mobile nursing, full link of monitoring equipment, remote first aid, remote consultation, medical teaching, surgical robots and remote surgery.

　　In April last year, sir run run shaw hospital cooperated with Zhejiang Unicom and Huawei Company to set up a 5G Innovation Center. By sorting out more than 2.5 million electronic medical records in the hospital, it led the development of a general clinical intelligent decision-making system, and built a medical knowledge map covering more than 600,000 ontological logical logical associations. Based on the current medical knowledge base and reasoning model, this AI reasoning engine can infer and push the symptoms, signs, medical history and examination results of patients with an accuracy rate of 90%.

　　"Now there are no technical problems in the development of Internet hospitals. The real bottleneck is how doctors really devote themselves to Internet hospitals. Internet hospitals are not ‘ Light consultation ’ Upgrade and revision. " Zhang Qiang, a well-known vascular surgery expert, suggested the establishment of internet diagnosis and treatment, from fragmented services to exclusive customized services, from no standard to full quality control.

　　Cui Yong, vice president of the China-Japan Friendship Hospital, said: "To ensure a high degree of consistency between online and offline, this also puts high demands on doctors. It is necessary to learn to use Internet technology to carry out diagnosis and treatment. " In this regard, Zhao Chengsong suggested that doctors should be trained on the Internet to improve their online diagnosis and communication skills. "Internet medical care is not exclusive to young doctors. Experienced experts should take the lead in embracing the Internet so that more patients can enjoy quality medical resources." Zhao Chengsong said.

　　National Health Commission explicitly requested that Internet diagnosis and treatment activities should not be carried out for the first-time patients, which was based on medical safety considerations. In the future, which projects can be "tested" for initial diagnosis?

　　Cui Yong believes that we can "test the water" from the field of skin diseases. "Most skin diseases can get good diagnostic information through naked eyes or simple equipment (such as dermatoscope). At present, ‘ Skin image application framework network ’ It can also achieve information exchange well and can be used for telemedicine and Internet diagnosis and treatment. " Cui Yong said.

　　"In the future, diseases that can be accurately diagnosed through intuitive information collection may be considered for online initial diagnosis." Cui Yong pointed out, however, critical illness and incurable diseases are definitely not suitable for online initial diagnosis, and diseases that need to be examined and tested generally need to go to medical institutions or third-party service institutions (provided that a mutual recognition system for examination and test results is established).

　　In this regard, Yuan Li, director of the wuhan union hospital Clinic Office, also agreed. She said that online consultation and offline consultation are not a substitute, but more are extended services before and after the hospital to reduce the economic and time burden of patients and timely inform patients of the most authoritative and most suitable popular science knowledge. At present, online consultation in wuhan union hospital is divided into two categories: health consultation and follow-up consultation. Doctors will give corresponding suggestions according to the information provided by patients, but the diagnosis, diagnosis and treatment of diseases still need offline consultation and examination.

　　3. Can online medical insurance settlement be popularized?

　　0.02 seconds to extract historical medication information, and 2 minutes to complete identity verification and medical insurance binding … … In April last year, Shandong Province’s Internet medical insurance big health service platform was launched, and key links such as medical insurance certification, follow-up check-up, online prescription, and drug delivery to home were seamlessly connected. Shandong became the first province in China to fully open and support online medical insurance settlement for Internet diagnosis and treatment.

　　Mr. Zhang from lanshan district, Linyi City became the first beneficiary. "As long as in ‘ Shandong Medical Insurance Great Health ’ After completing the medical insurance identity verification and medical insurance binding in WeChat official account, you can use medical insurance payment by choosing an Internet hospital for treatment. " Mr. Zhang is 54 years old and suffers from coronary heart disease. He usually needs to make regular follow-up visits to get medicine. "It’s so convenient now! Seeing a doctor at home can also be settled by medical insurance and delivered to the door. "

　　According to incomplete statistics, since 2015, the state and local governments have issued more than 100 policies and regulations on Internet medical care, which have gradually covered "medical — Medicine — Risk "field. In response to the issue of medical insurance reimbursement in Internet hospitals, the relevant person in charge of the National Medical Insurance Bureau said that it will improve the price formation mechanism of "Internet+medical care" services, adhere to the basic principle of reasonable price comparison between online and offline similar services, incorporate medical expenses into medical insurance, and implement online direct settlement.

　　"The insured person is designated in this overall planning area ‘ Internet plus & rsquo; The medical and drug expenses incurred by the prescription issued by the medical service follow-up visit can be paid according to the existing treatment policy of offline medical insurance. With the prescription of designated medical institutions, you can also take medicine at local designated pharmacies. " Xiong Xianjun, director of the Medical Service Management Department of the National Medical Insurance Bureau, said.

　　Lu Qingjun believes that the "internet plus" medical insurance payment policy clarifies that the "internet plus" medical service is included in the specific content of medical insurance payment, online and offline medical services are treated fairly, and priority is given to ensuring the demand for follow-up visits for chronic diseases and special diseases, and supporting the circulation of purchased prescriptions, which not only facilitates patients, but also reduces the pressure on hospitals.

　　"Internet hospitals need links of various elements. Under the premise of high-quality diagnosis and treatment services, medical services, medicines, insurance, etc., the real Internet diagnosis and treatment will appear in the cooperation and exploration between doctors and third parties. With the enhancement of patients’ willingness to pay at their own expense and the intervention of commercial insurance, Internet hospitals will have a stronger ‘ Vitality ’ 。” Zhang Qiang said.

　　Although Internet hospitals provide many conveniences for patients to seek medical treatment, the difficulty of supervision has also become a major pain point that hinders its development. The reporter noted that the third-party Internet hospital platform is characterized by "e-commerce", and the use of traffic to sell drugs has become a common model, and Internet hospitals have become Internet medicine.

　　Yinchuan is the "pioneer area" of Internet medical exploration in China. During the two sessions this year, Commissioner Ma Xiuzhen, director of Ningxia Health and Health Commission, pointed out in his proposal that drug sales revenue is an important source of profit for some commercial Internet hospitals. Due to the lack of motivation to supervise over-medication, doctors may be encouraged to prescribe more drugs, or even collude with pharmaceutical companies to promote online drug sales, leading to over-medication. At present, the regulatory authorities have not yet established a regulatory system for excessive drug use for online diagnosis and treatment, and violations have an upward trend. Therefore, it is suggested to implement "separation of medicine" online.

　　To this end, Chen Qiulin reminded that in the future, the Internet hospital supervision platform should dynamically monitor online diagnosis and treatment services, and carry out medical technology evaluation and health economics evaluation, especially for services to be included in medical insurance payment, it should monitor the changing trend of online and offline medical care and analyze its substitution and complementarity.

　　 　 　(Reporter Cui Xingyi)

　　"There are hundreds of households in the whole building, and there are only some FRP residues on the ground. We are going door to door to investigate and collect evidence." At 8: 50 pm on the 17th, a bloody case of falling objects occurred in Changhong Century City, Mianyang, Sichuan. When Tong Mou, the owner of the community, passed by 37 buildings with his son, he was hit on the head by falling glass. Despite emergency rescue by medical staff, the injured eventually died.

　　After the falling object incident, Mianyang Public Security Bureau Fucheng Public Security Bureau immediately began to investigate and look for witnesses at the scene of the incident, hoping to find the specific position of the glass before falling as soon as possible. On the afternoon of 18th, Liao Jingwen, secretary of the Youth League Committee of Fucheng Public Security Bureau, told the reporter of Huaxi Dushi Bao that the police had inspected the nearest building with falling glass for three times, and the source of the glass had not been found yet.

　　Walking in the owner’s community, falling glass hits the head.

　　"Too bad, it’s just unexpected trouble." When the reporter from Huaxi Dushi Bao came to Mianyang Gaoshui Changhong Century City, the owners in the community could not help but sigh when they talked about the incident of falling glass and killing the passing owners on the evening of 17th.

　　The community is a closed community, and the incident occurred in 37 buildings, with a total of 30 floors. At 8: 50 pm on the 17th, Tong Mou, the owner of the community, took his 13-year-old son for a walk in the community. When he reached the 37th building, a piece of glass suddenly fell from the sky, hitting Tong Mou’s head. "The owner who was smashed suddenly fell to the ground and his head was bloody." Ms. Zhong, the owner of the community, said that the nearby owners immediately called the police after seeing this situation. The 120 medical staff who arrived later immediately rescued him, but the man eventually died. "The doctor said that skull fracture, the man who was smashed, was bleeding openly." Ms. Zhong said.

　　Regarding the falling glass in the community, the community owner reported that a similar incident occurred in 27 buildings in the first phase of the community the day before the incident. "The bedroom window glass of a resident was blown off to the ground by the strong wind." The owner said, fortunately, there was no one downstairs at that time, otherwise there would be a tragedy in advance. "Unexpectedly, this tragedy finally happened."

　　At noon on the 18th, Fucheng police reported that at about 20:50 on June 17th, 2016, Tong XX (male, 43 years old, from xinqiao town, Youxian District, Mianyang), the owner of Changhong Century City Phase II, and his son XX (male, 13 years old) were walking through the first floor of Building 37 in the community and were hit on the head by falling glass. They died after being rescued at 10 o’clock that night.

　　From that night to the early morning, the police conducted three door-to-door investigations.

　　Liao Jingwen, secretary of the Youth League Committee of Fucheng Public Security Bureau, said that after receiving the alarm, the branch immediately organized the criminal investigation department and the police station in the jurisdiction to investigate the glass drop. "The houses of hundreds of households upstairs have been inspected three times, but the specific drop point of glass has not been found." Liao Jingwen told reporters that when the police investigated the source of the falling glass, the sub-district offices and property management companies in the jurisdiction also began to investigate and rectify potential safety hazards.

　　According to reports, when the police handling the case rushed to the scene of the incident, there was only some glass residue on the ground, and it was still uncertain whether it was a natural fall or a man-made throwing that caused casualties. At present, in addition to door-to-door investigation of the building, the police also use technical means to investigate. "Because the building has 30 floors and hundreds of households, and some owners are not at home during the household inspection process." Liao Jingwen said that the police handling the case were still on the scene, and when the owners who had not returned home returned home, they did not check the houses and entered the household for investigation. "Strive to learn the truth about falling glass in the shortest time."

　　"We checked it once at 10 o’clock that night; Then, at 3 am on the 18th, it was checked for the second time; At 6 o’clock on the morning of the 18 th, it was investigated for the third time. " The relevant person in charge of the suburban police station said that when entering the house for investigation, cameras are used to collect evidence. If there is no one at home or the owner is in the field, the relatives and friends nearby will be entrusted to the scene to carry out technical unlocking and enter the house for investigation.

　　The person in charge said that at the same time, in order to prevent the residents who had fallen glass from buying glass again and installing it, after the incident, the police arranged for the police to guard the exits of the building.

　　[Lawyer’s statement]

　　If it is difficult to identify the perpetrator, most of the owners of the whole building will be responsible

　　Then, should residents be held criminally or civilly liable for falling glass and killing them? If you can’t find the place where the glass fell, who will be responsible for the compensation?

　　In this regard, jiang bo, a lawyer of Sichuan Shuren Law Firm, said that if a clear perpetrator is identified, the perpetrator may bear criminal responsibility for the crime of negligent death and civil liability for compensation. If it is difficult to determine the specific infringer, in addition to being able to prove that he is not an infringer, the user of the building who may harm will be compensated. Generally speaking, except for the low-rise living outdoors, the residents of the whole building may bear civil tort liability. Huaxi Dushi Bao reporter Yao Maoqiang Zhou Hongpan Picture provided by netizens