At a press conference on November 5, Shanghai Municipal Government spokesman
Jiao Yang introduced the following issues, and answered reporters' questions
after explaining the recent price increases of cooking oil and other staple and
non-staple food.
Shanghai will issue key policies to enhance the development of social and
private medical facilities, and extend its crackdown on the misuse of official
and special-use vehicles.
Hong Kong Wen Wei Po: Shanghai Mayor Han Zheng led a delegation to visit Hong
Kong recently, reaching agreements with the Hong Kong government in eight
fields. Are there any concrete results now after the visit?
Jiao Yang: During his visit in Hong Kong, Mayor Han Zheng was taking an
active and concrete attitude to communicate and exchange with the Hong Kong
government, reaching bilateral cooperative agreements in eight fields. The great
achievements of the visit have paved a new way for the cooperation between
Shanghai and Hong Kong. The Shanghai Municipal Government is focusing on making
concrete steps after the visit. The day before yesterday, local leaders listened
to the reports of the Shanghai delegation, and studied the issue of cooperating
with Hong Kong in eight fields. Shanghai Party Secretary Chen Liangyu and Mayor
Han Zheng required the government departments to take concrete measures to
launch cooperative projects in related fields. I believe Shanghai can make new
achievements in the near future.
Shanghai Television Station: There are two kinds of private medical
institutes: one is transformed from public hospitals and the other is directly
invested by private firms or institutes. How many private medical institutes in
Shanghai? The system changing of public hospitals involves problems of asset
evaluation and medical insurance. Please give us explanation.
Jiao Yang: Currently, Shanghai is home to 79 private hospitals with about
4,000 beds. The private facilities in the city are mainly mid and small sized
ones, with only nearly 20 having more than 100 beds. The private facilities
mainly provide health care for the elderly and mentally disturbed. Generally
speaking, the private medical institutes are currently in good operation, with
some generating profits. There are a few government-run medical institutes
changing to the private system, but I believe the new policies can largely drive
up that number. As to the medical insurance issue, the privately-held medical
institutes that offer fundamental medical services will be qualified and
evaluated by the medical department with the same requirements and procedures as
the public hospitals. The facilities changed from public ones will enjoy the
same treatment as the public hospitals, and can keep their qualification in the
local medical insurance system after being qualified by the related departments.
Oriental Morning News: Is there any measure taken in response to the state
council call for more attention to grain production and peasant income? Will the
government encourage the medical institutions to become larger? Will the
government offer some kind of help if they do?
Jiao Yang: The answer to the second question is positive. The private medical
institutions coming into being after the reforms will enjoy equal rights and
benefits with the public ones. The scale of such institutions can be determined
by private operators themselves. Factors considered will include the amount of
cash, equipment and human resources. The public-to-private transition should be
administered in line with existing laws and statutes.
For the first question, the local government has placed emphasis on grain
production, cropland reservation and peasant income for years. Shanghai is a
city striding towards modernization, with increasing problems in agriculture,
but quite different from those of other cities. Growing grain doesnĄ¯t produce
high yields and returns here, compared to other crops, but we still work hard to
make sure that there is enough land for ploughing and that the annual output is
satisfactory. Because "what people need most is to eat their fill," (an ancient
Chinese saying. Grain production affects peasants' lives greatly and we'll never
underestimate its significance.
There is a total area of 2 million mu in Shanghai's suburbs for grain
production now, with an annual output of 2 billion jin.
With high-tech input, we have enhanced grain productivity to somewhere above
1,000 jin per mu on average over the past decade, and raised the average to
about 1,100 jin/mu for the last five years.
We plan to construct 1 million mu of high-tech, high-yield and high-benefit
grain fields in three years, with 600,000 mu completed already.
We have preferential policies for major grain production districts and
counties, peasants with huge production volumes and those involved in grain
production only, in an effort to raise their morale.
We protect the tillable land in two ways: reclamation to ensure the quantity;
and herding-farming combination to ensure the quality. We'll encourage the use
of organic and stalk fertilizer to make the land richer.
The government also pays great attention to the peasants' revenue rise. With
the efforts of management at all levels, the peasants are earning more year on
year. The rising rate in their yearly revenue grew from 5.1 percent in 2001 to
6.2 percent in 2002 and is expected to reach 7 percent this year.
More efforts we have made include increased working opportunities and an
improved social insurance system for the peasants. In this way, we reduce their
liabilities and ensure their yearly returns.
Over the past few years, we have created almost 60,000 new jobs, not related
to farming or planting, in the suburbs each year. This year's figure is expected
to top 70,000.
Peasants' income from non-farming jobs accounted for 83 percent of their
total yearly income last year, up considerably from 73 percent in 1999.
We also issued the zero taxation policy at the beginning of the year.
Tax reforms have exempted the peasants from an extra payment of 93 yuan a
year on average.
Other measures taken to restructure the agricultural sector, such as
developing the service sector, uniting the peasants and marketing their products
in a better and orderly way, have also helped the peasants' raise income.
Lianhe Zaobao (Singapore): You mentioned right now that foreign capital can
make inroads in the medicare sector in many ways. How about their application
now? Are there any foreign investors that have applied for the practice, and who
are they? What are their qualifications?
Jiao Yang: We welcome foreign companies' participation in local medical
institutions, especially in those with high technology and advanced management.
Foreign capital can buy stakes into or cooperate with local medical institutions
currently, but are not yet allowed to run an independent hospital wholly owned
by themselves. During the process, foreign investors should obey the rules of
the Ministry of Health of China and the Ministry of Foreign Economics and Trade
of China (now Ministry of Commerce), according to WTO provisions.
The two ministries have jointly issued an interim regulation on the
management of joint-venture and cooperative medical institutions, putting a
lower limit on the total investment volume - 20 million yuan or more - needed to
start business. It also rules that the Chinese cooperator should hold a stake of
higher than 30 percent in all the shares or stocks. These are the qualifications
we've adhered to for long.
Shanghai Dragon TV: Is there any change to the much touted arrangement of
Yang Liwei's visit to the Industrial Fair, together with the returning cabin of
the Shenzhou V? Can you give us any hints?
Jiao Yang: It's of everyone's concern. I've noticed that media coverage about
it has been huge lately. It's really a matter of significance. Yang Liwei is an
aeronautic hero who has excited the whole nation and deserves reverence from
all. As far as I know, Yang will visit Shanghai with his crew soon. I'm looking
forward to their visit as ardently as you, the people of Shanghai. The
government is making arrangements and preparations with haste, but the timetable
is yet to be confirmed and released to the public. We'll inform you in time.
OTV: You've referred to the 79 privately owned medical institutions. My
question is about the overall situation of Shanghai's medical facilities: How
many of them are public and how many private? Is there a clear goal for the
series of policies? For instance, how many private hospitals do you expect to
set up by a certain year? What will be the biggest benefit for local people
after implementation of these policies?
Jiao Yang: Most of Shanghai's existing medical institutions are run by the
state. All the Grade one, two and three hospitals are public institutions. But
I'm unable to provide the detailed figures in this area right now. You may turn
to the officials from Shanghai Public Heath Bureau now present at the
conference. For the timetable you mentioned, as far as I know, there's no such a
schedule. The work is a gradual and natural one. Though the government will make
every effort to push it ahead, the market-oriented mechanism will play a key
role. Local people are the biggest beneficiaries of the policies. In addition to
the current basic medical insurance service, they will enjoy more diversified
medical services, a big advancement from the existing medical service
system.
21st Century Business Herald: What's the background of the government's
unveiling of the policy to encourage private medical institutions? Does it mark
a new breakthrough in Shanghai's medical sector financing?
Jiao Yang: The purpose for encouraging private medical institutions is to
meet the demand for the development of the socialist market. Under the central
government's requirement to make full use of social capital sources, we
introduce social funds to the medical sector and form a more diversified medical
system. The policy is not drafted in one action, but based on a large quantity
of surveys, research and arguments by several government departments, including
the reform committee, public health bureau and medical insurance bureau. As a
result, the policy, based on opinions from various departments, is believed able
to form a diversified medical service system while insuring basic medical
services. Officials from the departments I've mentioned are present. You may
interview them for more information.
The policies, of course, mark breakthroughs in Shanghai's financing system
for the medical sector. Funds, not only from the state, but also from other
non-public channels, are allowed for the sector. As for the detailed operation
regulations, you may refer to the rules in application, registration, operation
and management.
Shanghai Daily: Will people enjoy medical insurance service at the private
hospitals? It's said that Chang Gung Memorial Hospital from Taiwan was planning
to select a site in Shanghai to launch a local facility as early as two years
ago. The plan had been suspended because the Shanghai medical authority, as the
rumor spread, was against the idea out of fear of intense competition in the
local medical market. Another rumor came that the hospital had wished to be
included into Shanghai's medical insurance system but was turned down by the
Shanghai authority. Will the policy announced today help the hospital with its
local plans?
Jiao Yang: I will answer your question. In principle, we welcome private,
overseas and diversified capital to medical facilities. I'm not very clear about
the case you've mentioned. But I've noticed you used the word "rumor". Rumor is
inaccurate. Our unveiling of the policy is aimed at introducing more types of
funding into Shanghai's medical sector and diversifying the local development of
the public health system. As for your question whether the private facilities
are included into the city's medical insurance system, our experts present here
will help you.
(HK) Phoenix TV: Following Shanghai Mayor Han Zheng's visit to Hong Kong,
some Hong Kong experts think his trip is to promote the public relations of
Shanghai rather than make concrete progress. What's your comment?
Jiao Yang: some reporters raised that question at Mayor Han Zheng's last
media conference in Hong Kong before he concluded the trip. I think the key to
the question depends on what agreements have been reached during the trip. A
major fruit of the HK trip is to establish a cooperation mechanism between
Shanghai and Hong Kong, which is to ensure long-term cooperation and sustainable
development. Therefore, we can see the trip enforces the cooperation between us
two rather than simply making a show. The two parties have communicated in eight
areas and reached agreements. In addition to some concrete deals, we have
established a cooperation mechanism, such as an irregular economic and trade
cooperation meeting. Under this mechanism, both parties have a work group to
ensure the full implementation of the deals reached at the meeting. HK's chief
executive Tung Chihwa heads the HK group while Shanghai's Mayor Han Zheng will
lead the local team. Vice mayor Jiang Sixian will assist Han with the work. The
Shanghai-Hong Kong cooperation coordinative group has set up its office in
Shanghai, a body to promote the cooperation. As for the cooperation in the eight
areas, each area government department has named a specific team and a director
to take charge. And the coordinative office will require the departments to
feedback their work and hand in a report every two weeks. In this case, I think
the cooperation between the two are active, concrete and gradual. There are
three characteristics about the Shanghai-Hong Kong cooperation mechanism. First,
the mechanism is government-backed, private-associated, market-oriented and
enterprise-dominated. Mayor Han has said in Hong Kong that Shanghai and Hong
Kong have enjoyed a long-term cooperation. The only probable deficiency is the
support of government. So, this time the local government has made great efforts
to contribute. Secondly, cooperation of the two cities will focus on the
opening-up of the service area. The cooperation agreement signed between the two
parties' airport authorities is an initial fruit of the cooperation. Thirdly, in
a cooperative manner, we will achieve mutual development via substantial
projects. We don't talk air in this trip, but eye the concrete cooperation
programs such as for the airport and human resources. In the human resources
area, we have solid plans for the posts, requirements, payments and
responsibilities. In short, it's incorrect to say the Shanghai-Hong Kong
economic cooperation program is more of a public relations promotion.
Takungpao (Hong Kong): My question is related to the previous one. It's
presumed that there is competition between Shanghai and Hong Kong, and many Hong
Kong people worry that Shanghai will take Hong Kong's place. So, what impression
did Hong Kong leave on the members of the Shanghai visiting delegation?
Jiao Yang: Your question was asked by many Hong Kong reporters during our
visit. It's also a core of concern among the reporters here. Hong Kong is a
globally recognized financial, trade, shipping, tourism and exhibition center.
This is how the world thinks of Hong Kong, and it is also my impression of the
city. Hong Kong has a mature legal system, a close connection with the global
market, experience in management, and abundant professional talents. Our
delegation admires all these advantages, and will take them for reference for
Shanghai's development. As for cooperation between the two cities, we will learn
from Hong Kong's market methods of operation and their management experience in
finance, aviation, and shipping. This is important for Shanghai's development in
the market economy and increasing competitiveness. Therefore, as Shanghai Mayor
Han Zheng emphasized before the visit, the tour aims to learn from Hong Kong and
promote exchange and cooperation. The focus of this trip is not to absorb
investment, or to promote Shanghai's image in Hong Kong.
Youth Daily: Currently non-governmental capital is encouraged to take part in
managing medical institutes in the form of establishing hospital management
companies. In what mode will this company operate? Is there any hospital
management company is Shanghai? Most citizens think privately-run hospitals are
hospitals for rich people because these hospitals all charge high fees. Are
there any rules to regulate fees?
Jiao Yang: To introduce non-governmental force into medical institute
management is a new issue for us. Yet to invest in a hospital and to manage it
are two different concepts. The concerned parties in Shanghai are investigating
and discussing the issue, and will work out corresponding regulations. Surely,
this is a direction, a principal. But the detailed rules need to be brought into
perfection gradually.
To answer your second question, private hospitals are not necessarily
hospitals for the rich. True, some private hospitals charge high fees. But most
privately run medical institutes specialize in senior citizen nursing and mental
recovery assistance. I donĄ¯t think they will charge high. In future, we will
mainly leave it to the market to decide how much a hospital should charge. The
high price will naturally come down if no patients go to these hospitals. While
if there are still many patients going despite the high price, it shows the
hospital's service is worthwhile.
Xinhua News Agency: My concern is not the high fee charged by private
hospitals, but their management. For instance, will the medical authority look
into the problem of hospitals selling lesser-quality drugs? Another question:
Shanghai mainly relies on other provinces for grain supply. Has the city made
any move to guarantee its food supply and storage?
Jiao Yang: To sell lesser-quality drugs is very serious problem as it
directly harms citizen's health and safety. The concerned parties, for instance
the medical and drug supervision administration, have already taken it into
consideration, and will take further measures. If you have interest on this
topic, you may investigate the case more thoroughly. Our principle is clear: The
health and safety of citizens must be guaranteed.
Shanghai is not self-supporting on grain supply for the 16 million people in
the city, that's true. Yet the government is deeply concerned on how suitable
large grain storage is for Shanghai. This is a problem of long-term concern, the
related dejpartment has worked out a detailed plan on this issue; it's not a new
topic. Please don't worry. Shanghai has abundant food storage for its
citizens?demands. The government has also made preparations in case of an
emergency. The agricultural commission and economic commission are fully aware
of this issue.