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The reporter learned from official sources that the newly revised medical reform plan, following a period of public consultation and adjustments, is expected to be officially announced in January next year. Alongside this major policy, five supporting programs—covering medical insurance, essential medicines, primary healthcare services, equitable public health services, and public hospital reforms—will also be released simultaneously. On November 15, members of the Medical Reform Coordination Group and the National Development and Reform Commission confirmed that the public consultation for the new medical reform proposal ended on November 14 after a one-month period (from October 14 to November 14). Feedback was collected through multiple channels, including online submissions, fax, and postal mail. A total of over 35,000 comments were received, reflecting widespread public interest and engagement. Public input focused mainly on strengthening the healthcare service system, improving the medical security framework, and reforming the drug supply and distribution mechanisms. In addition to these formal feedback channels, the coordination group also gathered opinions from grassroots communities through seminars, surveys, and discussions with various democratic parties. These inputs were carefully reviewed, and the draft was further refined accordingly. According to sources close to the coordination group, the revisions to the original proposal were not extensive. The core guiding principles of the reform remained unchanged, with only minor content adjustments made. It is expected that the final version will maintain the original vision while incorporating practical improvements based on public and expert feedback. Alongside the revised medical reform plan, the five supporting implementation strategies will also be unveiled. These include enhancing the medical insurance system, establishing a national essential medicines program, improving basic healthcare services, promoting equitable public health services, and piloting reforms in public hospitals. “The first four areas focus on fairness, while the fifth addresses efficiency,” said an informed source. These four pillars are seen as the main priorities in the health care reform, emphasizing investment in public health, grassroots services, and rural development. Each of the five supporting programs will be led by different government departments. For instance, the Ministry of Human Resources and Social Security will oversee the medical insurance system, the Ministry of Health will handle the essential medicines program, the National Development and Reform Commission will manage the basic healthcare services, and the Ministry of Health and Ministry of Finance will work together on public health equity. Public hospital reforms will also be led by the Ministry of Health. Sources indicated that among the five supporting plans, the essential medicines system and public hospital reforms are considered the most challenging and critical parts of the overall strategy. Local governments will play a key role in implementing these initiatives. In terms of the essential medicines system, the reform plan emphasizes the need for the government to establish and publish a national list of essential drugs. This will determine the types and quantities of medicines available, ensuring their production and accessibility. To achieve this, the state will regulate pricing, implement centralized procurement, and ensure direct distribution to hospitals at specific percentages. Regarding public hospital reforms, the draft outlines general guiding principles, such as the separation of administrative and operational functions. However, the specific path for reform remains less detailed. “This is a pilot-oriented approach, allowing local governments to explore and adapt solutions according to their own circumstances,” noted one official. Indeed, some provinces have already begun experimenting. Recently, Guangdong announced it would launch a pilot program in Shenzhen, Shaoguan, and Zhanjiang before the end of the year. One of the key measures includes eliminating the 15% drug markup in public hospitals, signaling a shift toward more affordable and transparent healthcare services.

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