Health is the foundation of people's happiness and social development, and it is the common pursuit of a better life among the people of the whole country. Subsequently, the Central Committee of the Communist Party of China and the State Council issued and implemented the "Healthy China 2030" Plan Outline (hereinafter referred to as the "Plan Outline"), outlining a beautiful blueprint for building a healthy China. This is an important milestone in the development of China's health and wellness industry, which has significant practical and profound historical significance for comprehensively improving the health quality of the Chinese nation and achieving the "Two Centenary Goals".

1、 Accurately grasp the new situation and further enhance the sense of responsibility and urgency in promoting the construction of a healthy China

The Party and government have always attached great importance to ensuring the health of the people. After the founding of New China, we made great efforts to develop medicine and health care, insisted on focusing on rural areas, created a three-level medical and health service network in urban and rural areas, rural cooperative medical care, barefoot doctors and other primary health care systems with Chinese characteristics, focused on giving play to the unique advantages of traditional Chinese medicine, which is simple and inexpensive, and effectively solved the problem of people's medical treatment. At the same time, with the aim of "developing sports and enhancing the people's physical fitness", mass sports and fitness activities are widely carried out to play their role in promoting health. Under the strong leadership of the Central Committee of the Communist Party of China and the State Council, relying on the hard work of medical personnel and the vigorous patriotic health campaign carried out by the masses, the Chinese nation has rapidly improved its people's health level with the spirit of "paper boats shining brightly and candles burning in the sky", and has taken off the label of "sick man of East Asia" in one fell swoop. It has been hailed as a "model of developing countries" by the World Health Organization. The Chinese nation has begun to stand tall among the nations of the world with a strong posture.

Since the reform and opening up, China's health and wellness industry has accelerated its development and achieved great achievements that have attracted worldwide attention. In 2009, based on summarizing the experience of fighting against SARS, a new round of medical and health system reform was launched and implemented, clarifying the basic principles of ensuring basic health, strengthening grassroots level, and establishing mechanisms, as well as achieving the goal of everyone enjoying basic medical and health services. Promoting the reform of the medical and health system from easy to difficult has gradually broken through, steadily deepening, and achieving significant phased results. The development of China's health and wellness industry has reached a new level.

One is to weave the world's largest national basic medical insurance network. We started with basic insurance, improved the urban employee medical insurance system, expanded the coverage of the New Rural Cooperative Medical Scheme and urban resident medical insurance, established a major illness insurance system, disease emergency treatment system, and improved the medical assistance system, forming a basic medical insurance network covering urban and rural areas, interconnected, and multi-level. The insurance coverage rate of urban and rural residents has remained stable at over 95%, and the level of security has significantly improved. The government subsidy standard has increased from 80 yuan per person per year in 2009 to 450 yuan in 2017. The reimbursement proportion within the scope of residents' hospitalization expenses policy has steadily increased, providing a solid institutional guarantee for achieving medical treatment for everyone.

The second is to improve the medical and health service system that covers both urban and rural areas. We will start from strengthening the grassroots level, strengthen the construction of rural three-level basic medical and health service networks and urban community health service centers, fully implement the national basic drug system, deepen the comprehensive reform of grassroots medical and health institutions, accelerate the training of general practitioners, and orderly promote graded diagnosis and treatment, so that more urban and rural residents have family doctors. Fully launch the comprehensive reform of county-level public hospitals, and comprehensively promote the development of citiesPublic hospital reformPilot, explore the establishment of a new mechanism for maintaining public welfare, mobilizing enthusiasm, and ensuring sustainable operation. Actively promoting social forces to run hospitals, the proportion of private hospitals in the total has exceeded 56%, and a diversified pattern of running hospitals has taken shape. The diverse and diverse health needs of the people are constantly being met.

Thirdly, a rigorous public health and safety prevention and control barrier has been established. We adhere to the principle of prevention first, strengthen our emergency response capabilities for public health emergencies, and have established the world's largest monitoring network for infectious disease outbreaks and public health emergencies. We have formed an emergency prevention and control team that combines peacetime and wartime, responds quickly, and can win battles. We are able to effectively respond to various major outbreaks, especially withstanding the severe test of preventing and controlling the Ebola hemorrhagic fever pandemic in 2015, We have achieved dual victories of "strict prevention and control, zero input" in China and "victory and zero infection" in aiding Africa in the fight against the epidemic. China's overall public health strength and disease prevention and control capabilities have reached a great level, and the level of health emergency rescue is at the forefront of the world.

Fourthly, it has improved the health and well-being of the people. We regard benefiting the people as the ultimate goal of the development of health and wellness, and strive to give the people a greater sense of health. The burden of seeking medical treatment among residents has significantly reduced, and the proportion of personal health expenditure in total health expenses has decreased to less than 30%, the lowest level in nearly 20 years. The equalization level of basic public health service projects has significantly improved, providing 12 types of national basic public health services free of charge to urban and rural residents. Financial investment has increased from 15 yuan per capita in 2009 to 50 yuan this year, and major public health services have benefited millions of households. Fully implement the two child policy and its supporting measures, and strive to ensure that every family can afford and have good children. The average life expectancy in China has increased from 74.8 years in 2009 to 76.3 years in 2015. The maternal mortality rate has decreased from 319/100000 to 20.1/100000, and the infant mortality rate has decreased from 13.8 ‰ to 8.1 ‰. The main health indicators of residents are better than the average level of middle-income countries, achieving the United Nations Millennium Development Goals ahead of schedule. This was achieved over a period of about 8 years at a cost per capita of less than $500, fully demonstrating the superiority of China's basic medical and health system.

In short, the five years since the 18th National Congress of the Communist Party of China have been a period of significant investment, rapid development, significant benefits for the people, and unprecedented increase in domestic and international influence in China's health and wellness industry. It has been another golden period for the development of health and wellness, especially with the effective theoretical, institutional, and practical innovations carried out by the Party Central Committee and the State Council, and a series of milestone new policies and measures introduced, A preliminary institutional framework has been established to ensure that everyone has access to basic medical and health services, and a policy system for the development of health and wellness that is compatible with the level of economic and social development has been established, laying a solid foundation for promoting the construction of a healthy China. International organizations such as the World Bank and the World Health Organization believe that China has achieved remarkable results in achieving universal health coverage in half the time of wealthy countries at an unprecedented pace. Practice has proven that the basic direction, overall approach, and major measures for the reform and development of China's health and wellness industry are correct, with significant results. They have effectively ensured and improved people's livelihoods, promoted economic development, and social equity. Gradually exploring Chinese style solutions to the global challenge of healthcare reform. These are important components of China's significant achievements in reform, opening up, and socialist modernization construction. Achievements are not easy won and should be cherished even more.

In life, there are dangers along the long road between heaven and earth. It is important to be aware that in a developing country with a population of over 1.3 billion, promoting the construction of a healthy China is a long and arduous task, and there are still many difficulties and challenges. Especially, the Central Committee of the Communist Party of China and the State Council have put forward new and higher requirements for the reform and development of health and health services, and the people have new and higher expectations for health services. The field of medicine and health is undergoing unprecedented and profound changes, which require a comprehensive understanding Grasp the new situation faced by building a healthy China.

Promoting the construction of a healthy China is a major decision and deployment to achieve the national development strategy. We are courageously moving forward towards the realization of the "Two Centenary Goals", the construction of a socialist modernized country, and the realization of the Chinese Dream of the great rejuvenation of the Chinese nation. The health dream is an important component of the Chinese Dream, especially the goal of building a moderately prosperous society in all respects by 2020, with the establishment of a basic medical and health system that covers the entire population and an increase in per capita life expectancy by one year on top of the original level as important indicators. The realization of these goals faces a complex situation of multiple factors interweaving and overlapping, with industrialization, urbanization, and population aging accelerating, and disease spectrum, ecological environment, and lifestyle constantly changing. The population aged 60 and above in China has reached 230 million, which will reach 370 million by 2030 and 487 million by 2050. The aging population not only brings about support issues, but also health issues in medical, care, and spiritual life. In China, there are more than 250 million patients with hypertension, more than 97 million patients with diabetes, and about 85% of the total deaths are caused by chronic non communicable diseases such as cardiovascular and cerebrovascular diseases and cancer, becoming the first "killer" endangering people's health. We are also facing a severe situation of ecological environment pollution and destruction, with food and drug safety, drinking water safety, and occupational safety hazards still present. Safety production accidents in coal mines, transportation, and other fields have occurred frequently, all of which seriously threaten the physical health of the people. We need to take decisive and effective measures to actively solve them.

Promoting the construction of a healthy China is a major decision and deployment to achieve the national development strategy. We are courageously moving forward towards the realization of the "Two Centenary Goals", the construction of a socialist modernized country, and the realization of the Chinese Dream of the great rejuvenation of the Chinese nation. The health dream is an important component of the Chinese Dream, especially the goal of building a moderately prosperous society in all respects by 2020, with the establishment of a basic medical and health system that covers the entire population and an increase in per capita life expectancy by one year on top of the original level as important indicators. The realization of these goals faces a complex situation of multiple factors interweaving and overlapping, with industrialization, urbanization, and population aging accelerating, and disease spectrum, ecological environment, and lifestyle constantly changing. The population aged 60 and above in China has reached 230 million, which will reach 370 million by 2030 and 487 million by 2050. The aging population not only brings about support issues, but also health issues in medical, care, and spiritual life. In China, there are more than 250 million patients with hypertension, more than 97 million patients with diabetes, and about 85% of the total deaths are caused by chronic non communicable diseases such as cardiovascular and cerebrovascular diseases and cancer, becoming the first "killer" endangering people's health. We are also facing a severe situation of ecological environment pollution and destruction, with food and drug safety, drinking water safety, and occupational safety hazards still present. Safety production accidents in coal mines, transportation, and other fields have occurred frequently, all of which seriously threaten the physical health of the people. We need to take decisive and effective measures to actively solve them.

Promoting the construction of a healthy China is an inherent requirement for deepening medical reform and promoting the coordinated development of health and wellness. China's health and wellness sector is facing a complex situation where old problems overlap with new situations, development issues intertwine with reform tasks, and both consolidating existing reform achievements and expanding and deepening new field reforms are emphasized. There are still many shortcomings in the development of the medical and health industry, such as low quality of supply services, insufficient total resources, unreasonable resource allocation, imbalanced personnel structure, weak grassroots service capabilities, and lagging development in old, young, border, and poor areas. Deepening medical reform has entered a deep water zone and a period of tackling difficulties, touching upon more deep-seated contradictions and problems, and facing more difficult "hard bones" to gnaw at. The profit seeking mechanism of public hospitals has not yet been eliminated, and problems such as large prescriptions and excessive examinations still exist. The financing standards for medical insurance for urban and rural residents are relatively low, and it is urgent to improve the effectiveness of medical insurance in controlling costs and exerting effective incentives and constraints on medical behavior. The order of drug circulation is not standardized, and the problem of inflated drug prices is prominent. We must adhere to problem-oriented approach, face challenges directly, dare to take responsibility, and spare no effort to solve these problems.

Promoting the construction of a healthy China is an inherent requirement for deepening medical reform and promoting the coordinated development of health and wellness. China's health and wellness sector is facing a complex situation where old problems overlap with new situations, development issues intertwine with reform tasks, and both consolidating existing reform achievements and expanding and deepening new field reforms are emphasized. There are still many shortcomings in the development of the medical and health industry, such as low quality of supply services, insufficient total resources, unreasonable resource allocation, imbalanced personnel structure, weak grassroots service capabilities, and lagging development in old, young, border, and poor areas. Deepening medical reform has entered a deep water zone and a period of tackling difficulties, touching upon more deep-seated contradictions and problems, and facing more difficult "hard bones" to gnaw at. The profit seeking mechanism of public hospitals has not yet been eliminated, and problems such as large prescriptions and excessive examinations still exist. The financing standards for medical insurance for urban and rural residents are relatively low, and it is urgent to improve the effectiveness of medical insurance in controlling costs and exerting effective incentives and constraints on medical behavior. The order of drug circulation is not standardized, and the problem of inflated drug prices is prominent. We must adhere to problem-oriented approach, face challenges directly, dare to take responsibility, and spare no effort to solve these problems.

In short, the reform and development of health and wellness have reached a critical period of overcoming difficulties, and there is also a significant opportunity to open a new chapter.

2、 Further consolidate consensus and scientifically grasp the basic ideas and requirements for promoting the construction of a healthy China

         Promoting the construction of a healthy China is a major task for building a moderately prosperous society in all respects and achieving socialist modernization.

        Firstly, we must prioritize the development of people's health as a strategic priority. The Fifth Plenary Session of the 18th Central Committee of the Communist Party of China proposed to adhere to the development concept of putting the people at the center, and to take enhancing the well-being of the people and promoting comprehensive human development as the starting point and foothold of development. Health is the starting point of happiness in life, a person's health is the foundation of their own existence, and the health of the people is the foundation of their country. To promote the construction of a healthy China, it is necessary to prioritize the protection of the basic health rights and interests of the people, and make more effective institutional arrangements in accordance with the requirements of everyone's participation, effort, and enjoyment. We must not only ensure the basic health rights and interests of the people, adhere to the bottom line of people's livelihood, enhance the fairness and inclusiveness of national health, but also stimulate the enthusiasm and creativity of billions of people, and improve the quality and level of national health, The new achievements of the reform and development of health and wellness are more reflected in enhancing the health and well-being of the people.

         Secondly, adhere to the correct policy of hygiene and health work. The policy of hygiene and health work is an important guiding ideology for our party to comprehensively carry out hygiene and health work in various historical periods. At the beginning of the founding of New China, the primary task of health work was to prevent and eliminate major infectious diseases that threatened the health of the people. The party and government proposed the policy of "facing workers, farmers, and soldiers, putting prevention first, uniting traditional Chinese and Western medicine, and combining health work with mass movements". In 1996, in response to the requirements of reform and opening up, our party proposed the policy of "focusing on rural areas, putting prevention first, emphasizing both traditional Chinese and Western medicine, relying on technology and education, mobilizing the participation of the whole society, serving the people's health, and socialist modernization construction", focusing on solving prominent problems such as the shortage of medical supplies in rural areas, the overall level of health development lagging behind, and weak vitality. In the new situation, the policy of "focusing on the grassroots level, driven by reform and innovation, prevention first, emphasizing both traditional Chinese and Western medicine, integrating health into all policies, and promoting common development and sharing among the people" has been put forward, emphasizing "focusing on the grassroots level", "integrating health into all policies", and "promoting common development and sharing among the people". The new policy on health and hygiene work not only embodies the inheritance of tradition, but also enriches and expands new connotations. It is formed on the basis of a profound summary of experience and analysis of the development trend at home and abroad. It is proposed under the guidance of the development concept of innovation, coordination, green, openness, and sharing, and reflects our party's understanding of the laws of health and hygiene development in the new era. All regions and departments should unify their ideas and concepts into new policies, and continuously explore new prospects for the development of health and hygiene with Chinese characteristics.

         Thirdly, adhere to the development concept of "great health". Health is not only the absence of physical illness, but also the comprehensive health of psychology, spirit, and society, involving various aspects such as medicine and health, social services, environmental construction, publicity and advocacy, greatly surpassing the traditional scope of disease prevention and control. The development of health and wellness should comply with the requirements of the new era, establish the concept of "big health" and "big health", accelerate the transformation of the development mode of health and wellness, shift from "treating diseases as the center" to "health as the center", emphasize prevention as the main focus, adhere to the joint participation of the government, society, and individuals, actively create a good ecological production and living environment, promote the integration of health policies into the overall situation, the integration of health services throughout the entire process, and the benefits of health and well-being for the whole people.

Fourthly, adhere to the public welfare of health and wellness. Human life is the heaviest, with precious treasures. The most precious thing for a person is life. The cause of health and hygiene involves the safety of everyone's life and the happiness and well-being of thousands of households. It undertakes the glorious mission of treating diseases, saving people, and protecting lives, and is a noble and special great cause. In the new era, adhering to the public welfare of health and hygiene is a concrete manifestation of our party's purpose of serving the people wholeheartedly, and a concrete practice of providing basic medical and health systems as public goods to the whole people. We must unwaveringly place public welfare on the banner of basic medical and health services, firmly hold onto this bottom line, and run through the entire process of reform and development.

Fifth, adhere to the principle of ensuring basic needs, supplementing weaknesses, and covering the bottom line. There is a distinction between basic and non basic health needs. The main responsibility of the government in developing health and wellness is to ensure that basic needs are met, the bottom line is covered, and everyone enjoys basic medical security, basic medical services, and public health services. At present, there are still over 85 million people with disabilities and nearly 40 million disabled elderly people in China. Among the 55 million impoverished population, the proportion of people returning to poverty due to illness is not small. These are all the "weaknesses" in the development of health and wellness. We need to make greater efforts to accelerate basic and critical reforms, weave the bottom line of basic health and wellness services tightly, and strive to make the sunshine of social fairness and development shine on everyone.

Sixth, adhere to reform and innovation as the fundamental driving force. Reform and innovation are the driving force for leading the healthcare and health industry to achieve new breakthroughs and solving the global challenge of healthcare reform with a Chinese style approach. At present, the supply of resources in the field of health and wellness in China is insufficient, and the allocation structure is still imbalanced. High quality resources are mostly concentrated in large cities and hospitals, and many high-end medical devices, high-value medical consumables, and drugs heavily rely on imports. To solve these problems, it is necessary to innovate institutional mechanisms, correctly handle the relationship between the government and the market, vigorously promote supply side structural reform in the field of health and health, use reform methods to promote structural adjustment, enhance innovation capabilities, and appropriately introduce market competition mechanisms to improve adaptability and flexibility to changes in health supply demand, providing people with higher quality, more inclusive, and more efficient health services.

3、 Focusing on key tasks and links, creating a new situation in the construction of a healthy China

        The "Outline of the Plan" proposes the goal of building a "three step" healthy China, which is to establish a basic medical and health system with Chinese characteristics that covers urban and rural residents by 2020, with the main health indicators ranking among the top in middle-income and high-income countries; By 2030, the institutional system for promoting universal health will be further improved, and the main health indicators will enter the ranks of high-income countries; By 2050, build a healthy country that is compatible with socialist modernization. These goals are highly compatible with building a moderately prosperous society in all respects and achieving socialist modernization. We must fully implement the series of deployments made by the Central Committee of the Communist Party of China and the State Council regarding the construction of a healthy China, closely follow the strategic goals and concepts proposed in the "Outline of the Plan", highlight the dual orientation of goals and problems, pay attention to foresight, comprehensiveness, and innovation, persevere and contribute for a long time, and strive to promote the comprehensive development of health and health undertakings.

       Firstly, strengthen preventive healthcare and build a comprehensive health promotion system.

         There are many factors that affect human health from birth to the end of life. The health formula released by the World Health Organization shows that 100% health is equivalent to 60% lifestyle, 17% environment, 15% genetics, and 8% health services. To build a healthy China, we need to rely not only on the "small prescription" of medical and health services, but also on the "big prescription" of overall social linkage. We need to increase intervention efforts targeting the entire population and around the entire life cycle, integrating health into all policies and people's lives.

       Firstly, we need to prioritize prevention. To build a healthy China, the word 'prevention' should be at the forefront and the key should be moved forward. The basic concept of traditional Chinese medicine is "to use labor to treat diseases before they occur, and not to treat existing diseases". Western medicine emphasizes that "one ounce of prevention is better than one pound of treatment". Nowadays, many people lack the basic medical and health knowledge necessary to protect their health. Many people have unhealthy habits such as smoking, drinking, sitting, and lack of exercise, which have become the main risk factors for inducing diseases and even sudden death. According to reports released by the World Health Organization and the United Nations Development Programme, more than 1 million people in China die from smoking related diseases each year, resulting in economic losses exceeding 350 billion yuan. We should vigorously promote health knowledge and skills, hand over the "golden key" to maintaining health to the masses, and make them the masters of their own health. We need to implement the National Nutrition Plan, actively carry out the "three reductions and three health" actions of reducing oil, salt, and sugar, promoting healthy weight, healthy bones, and healthy oral health, vigorously promote smoking control in public places, vigorously carry out health education, and use ways and methods that the public can hear, understand, and improve, as well as health knowledge and skills, to tell good and exciting health stories, and to subtly implant health knowledge into people's hearts, Forming a healthy new ecosystem throughout society.

       Secondly, we need to strengthen the prevention and control of major diseases. This is a key link in solving the current national health problems. China is facing the dual threat of major infectious diseases and various chronic diseases. In 2016, there were 45 types of infectious diseases reported nationwide, with over 6.9 million cases. The situation of chronic disease prevention and control is very serious. The burden of cardiovascular disease, tumor, diabetes, and respiratory disease has accounted for more than 70% of the total disease burden, and has become a major public health problem affecting the economic and social development of the country. We should formulate and implement plans for the prevention and control of major diseases, strengthen monitoring and early warning, strengthen vaccination, strengthen joint prevention and control, and strive to resolutely eliminate schistosomiasis, malaria, leprosy and other infectious diseases, as well as key endemic disease diseases such as Keshan disease and Kashin Beck disease in 5-15 years, resolutely curb the prevalence of major infectious diseases such as AIDS, tuberculosis and echinococcosis, and resolutely control major diseases such as hypertension, diabetes and severe mental disorders, Strive to keep the general public away from diseases and live a healthy and happy life.

Thirdly, we need to strengthen the hygiene and health work of key populations. Enabling everyone to enjoy health is the ultimate goal of building a healthy China. The United Nations 2030 Agenda for Sustainable Development clearly proposes to "ensure that people of all ages enjoy a healthy life and promote healthy well-being". Targeted intervention measures should be taken around the health needs of key populations. We need to strengthen the health management of the elderly, strengthen health guidance and comprehensive intervention for common and chronic diseases in the elderly. Pay attention to maintaining the health of disabled people, improve the rehabilitation service system, increase medical and rehabilitation assistance for low-income disabled people, and strive to achieve the goal of "everyone enjoying rehabilitation services" for disabled people. We need to effectively solve the health problems of "300 million people", strengthen policy coordination and institutional coordination, dismantle barriers, bridge gaps, and achieve equal and full coverage of basic medical and health services. Implementing the Healthy Poverty Alleviation Project, targeting households, individuals, and diseases with precision, and providing timely assistance, we must not let the masses fall behind in the journey of building a moderately prosperous society in all respects due to health issues. This is a major political task.

Fourth, we need to strengthen the patriotic health movement. A good ecological environment is the foundation for human survival and health. At present, garbage and sewage in many rural areas of China have not been treated, and some urban and rural areas are characterized by dirty, disorderly, and poor conditions, seriously affecting the health of the people. The patriotic health movement is a great initiative of the Party and government to apply the mass line to maintain people's health. This year marks the 65th anniversary of the Patriotic Health Movement. We need to seize the opportunity, innovatively use this "tool", launch the urban and rural environmental sanitation and cleanliness action, strengthen the treatment of rural garbage and domestic sewage, deepen the "toilet revolution", implement the consolidation and improvement project of drinking water safety, and make a determination to build rural areas into beautiful homes with clean and tidy living environments suitable for residents' living and elderly care. We should actively promote the construction of healthy cities and healthy villages and towns, introduce the concept of health into communities, units, and families, cultivate and develop millions of "healthy cells", and build a strong "epidemic prevention embankment" to ensure the health of the people.

Fifth, we need to strengthen the nationwide fitness campaign. Sports are not only a physical activity, but also a way of life. It is an effective way to cultivate a healthy physique, shape a healthy personality, promote comprehensive development, and improve the quality of life. Comrade Deng Xiaoping pointed out that "whether sports are done well or not, the impact is too great, and it is a manifestation of a country's economy and civilization." We need to popularize scientific fitness knowledge and methods, improve the national sports and fitness service system, develop mass fitness and leisure projects, build health trails, health squares, health theme parks, etc., promote the popularization of national fitness and make sports and fitness an important part of people's lives, Becoming an important support for improving people's health quality. We need to implement a youth sports promotion plan, carry out beneficial physical and mental activities such as campus football, and ensure that students have no less than one hour of physical activity time per day in school. Promote the implementation of sports and health intervention plans for special groups such as the elderly, occupational groups, and people with disabilities. Promote the opening up of public sports facilities, encourage the opening up of sports facilities in communities, schools, government agencies, and enterprises to the public, and let a healthy China "move".

Secondly, we should focus on the reform of the "three medical" linkage and fully promote the construction of the five systems.

Institutional construction is more fundamental, holistic, stable, and long-term. In 2009, the central government proposed an overall framework of "four beams and eight pillars" for deepening medical reform. Medical treatment is fundamental and the "forefront" of deepening medical reform. More than 80% of drugs in China are used in medical institutions, and medical reform to some extent determines the direction of the development of the pharmaceutical industry. Medical insurance is the foundation, connecting the "demand side" at one end and the "supplier" at the other. The reform of medical insurance can not only regulate medical service behavior, but also regulate drug prices, promote the reform of drug circulation order, and play a role of "one child falls, all markets are alive". Medicine is the key and an important "breakthrough" in deepening medical reform. At present, the inflated drug prices and unreasonable use of drugs have diluted the effectiveness of medical insurance, affected the sustainability of medical insurance funds, and increased the burden on patients. If the reform of medical prices is not in place, there is no room for price adjustment of medical services, and it is also difficult to increase the income of doctors. To successfully fight the battle of medical reform, it is necessary to combine the "three medical" linkage reform with the construction of the five systems, strengthen the foundation, pillars, and beams, and make the basic medical and health system with Chinese characteristics more mature and standardized.

One is to promote the construction of a graded diagnosis and treatment system. China's urban-rural and regional development is imbalanced. High quality medical and health resources are concentrated in cities, while rural, grassroots, and remote areas are relatively scarce. About half of the patients go to tertiary hospitals in cities, resulting in a "wartime state" and overcrowding of large hospitals in cities. Some grassroots medical institutions have contracted their businesses, which not only affects the optimal efficiency of high-quality medical resources but also affects the overall efficiency of the service system, pushing up medical costs, Increased burden on patients. The graded diagnosis and treatment system is a major measure to optimize the order of medical treatment and promote the structural reform of the supply side of medical and health services, which is related to the success or failure of the entire medical reform. We should actively and orderly promote the principle of "voluntary participation of the masses, first consultation at the grassroots level, policy guidance, and innovative mechanisms", and form a new medical order of "first consultation at the grassroots level, two-way referral, urgent and slow treatment, and linkage between upper and lower levels". The establishment of a hierarchical diagnosis and treatment system with Chinese characteristics aims to ensure the basic level, and the key is to strengthen the grassroots level and ensure the mechanism under construction, which is the expansion and deepening of the reform of basic level, grassroots level, and mechanism. We need to take multiple measures to attract more talent and technology to the grassroots level, invest financial and material resources in the grassroots level, and tilt preferential policies towards the grassroots level, promoting the dual improvement of "software" and "hardware" at the grassroots level, and the dual sinking of the focus of health work and high-quality medical resources. At present, we need to focus on achieving both hands. Grasp the construction of medical consortia with one hand. This is an important measure to promote the adjustment of the structure and layout of medical resources in the region, leverage the radiating and driving role of large public hospitals, and sink medical resources. We need to deepen the reform of institutional mechanisms, break down barriers such as administrative divisions, medical insurance payments, personnel management, and financial investment, and explore the establishment of urban medical groups, county-level medical communities, and regional specialized alliances Telemedicine Medical consortia in various forms such as collaboration. We need to clarify the functional positioning of various levels and types of medical and health institutions, and fully mobilize the enthusiasm of various levels and types of medical and health institutions at the central, local, military, and social levels. This year, we will comprehensively launch pilot projects for the construction of various forms of medical consortia, with all tertiary public hospitals participating and playing a leading role. Medical and health institutions at all levels and types should establish a division of labor and cooperation mechanism to provide integrated and continuous health management and basic medical services for residents. Grasp the signing service system for family doctors. Family doctor signing services have the advantages of being close to the masses, families, and grassroots. They are not only the first line of defense to protect the health of the masses, but also a bridge and "window" for the Party and government to closely connect with the masses. Some local practices have proven that the construction of this system plays an important role in alleviating the difficulty and high cost of medical treatment, and promoting harmonious doctor-patient relationships. Priority should be given to the elderly, pregnant and lying in women, children, disabled people and other groups, as well as patients with chronic diseases and serious mental disorders such as hypertension, diabetes, tuberculosis. Signing services should be guided by health needs, strengthen the connection between hospitals and grassroots medical institutions, and establish a family doctor signing team. We need to improve the mechanism for fundraising, payment, and distribution of contracted services, and mobilize the enthusiasm of medical personnel for contracted services. This year, the contracted services of family doctors will cover over 85% of cities and regions, and a hierarchical diagnosis and treatment system framework will be initially established in 2018.

The second is to establish a modern hospital management system with Chinese characteristics. The ultimate goal of deepening the reform of various levels and types of hospitals, including public hospitals, is to establish a modern hospital management system. This is also the most difficult "hard nut" to crack in the current global challenge of healthcare reform. After more than 60 years of development, China has established a medical and health service system led by public hospitals. At present, the number of public hospitals exceeds 13000, undertaking major tasks such as national emergency rescue, diagnosis and treatment of critical and difficult diseases, medical talent training, and leading China's medical technology level. They play a major role in improving and enhancing the health of the people. The reform of public hospitals is not to weaken their status and role, but to enhance their governance capabilities and levels, promote their better adaptation to the new situation of the information age, medical technology progress, and increasingly complex professional structure and organizational division of labor, and better meet people's new expectations for higher medical service quality and efficiency.

We must adhere to the principle of "four benefits": it is conducive to breaking the profit seeking mechanism of public hospitals and effectively maintaining the public welfare of public hospitals; It is conducive to achieving patient-centered and providing safe, effective, convenient and affordable services for the people; It is conducive to mobilizing the enthusiasm of medical personnel and achieving democratic management and scientific decision-making in public hospitals; It is conducive to giving full play to the leading and driving role of public hospitals, and improving the overall quality and efficiency of the medical service system. Focus on three aspects of work: first, strengthen the construction of hospital management systems. Hospitals of all levels and types should formulate regulations to clarify the purpose and direction of hospital operation. We need to improve the system of hospital decision-making, democratic management, human resource development, performance evaluation, talent cultivation and training, scientific research management, etc., to stimulate the enthusiasm and initiative of medical personnel to participate in hospital management, serve people's health, and promote the development of the medical industry. We need to strengthen medical quality and safety, information technology construction, hospital culture construction, and measures to facilitate and benefit the people, so that the people can quickly feel the new changes and achievements of deepening medical reform. Secondly, we need to implement the government's responsibility for handling medical services. Deepen the reform of "delegating powers, managing and serving", promote the separation of government affairs and management, further clarify the government's responsibilities for medical services, strengthen supervision and management, and implement the autonomy of public hospital management. Thirdly, we need to strengthen hospital party building, fully leverage the core role of public hospital party committee leadership, comprehensively strengthen grassroots party building work, closely integrate hospital party building with various institutional construction, strengthen political, ideological, and organizational leadership of hospital work, ensure the direction of reform and development, and build a modern hospital management system that patients can rest assured and the people are satisfied with.

The third is to reform the universal medical insurance system. Universal medical insurance is the foundation of the basic medical and health system, as well as a basic socio-economic system. More than 130 countries around the world have established medical insurance systems. China has established a basic and fully covered universal medical insurance system framework, but still faces problems such as incomplete financing mechanisms, low management and operation efficiency, and weakened ability to ensure basic coverage. Especially, the lagging reform of payment methods has restricted the role of medical insurance in guiding medical service behavior, rationalizing medical prices, controlling medical expenses, and improving medical quality. We must do a good job in reforming the payment methods of medical insurance to promote the transformation of the universal medical insurance system from expanding coverage and improving standards to improving quality and efficiency. By seizing this' bull's nose ', we can leverage various reforms such as medical services, graded diagnosis and treatment, medical consortium construction, and drug circulation. This year, pilot cities for the reform of public hospitals will comprehensively implement payment by disease, with no less than 100 disease types implemented. Provinces in the pilot of comprehensive medical reform should choose 1-2 cities to fully implement payment method reform. We need to synchronously promote clinical pathway management to ensure that we not only control the rapid growth of medical expenses, but also ensure good service quality. At the same time, it is necessary to accelerate the improvement of the medical insurance financing and treatment adjustment mechanism, continue to increase financial investment, and strengthen personal awareness of insurance participation. We need to implement the "six unifications" policy for basic medical insurance for urban and rural residents, streamline the medical insurance management mechanism, and encourage the pilot establishment of medical insurance fund management centers. We need to accelerate the establishment of a direct settlement mechanism for medical treatment in different regions, and by the end of this year, we will achieve the nationwide networking of basic medical insurance and direct settlement for medical treatment in different regions, making it convenient for the public to settle medical treatment. We need to fully implement commercial insurance institutions to undertake major illness insurance, encourage and support their participation in basic medical insurance handling services, and promote the formation of a diversified competitive pattern.

The fourth is to implement the reform of the drug supply guarantee system. At present, the pharmaceutical industry involves multiple stakeholders, complex production and circulation processes, low overall development level, key technologies being subject to human constraints, and the problem of low-level duplication is prominent, presenting a situation of "multiple small scattered". There are over 4700 production enterprises, 13000 wholesale enterprises, and over 160000 drug approval numbers in the country. Some drugs are produced by hundreds of manufacturers, making it difficult to eliminate vicious competition. Wholesale enterprises are in chaos, and some wholesale enterprises do not sell drugs but only resell tickets, leading to inflated drug prices and exacerbating the high cost of medical treatment. To thoroughly rectify various chaotic situations in the pharmaceutical field, efforts must be made from the entire process of drug production, circulation, and use, and three checkpoints must be strictly enforced: first, supply guarantee must be strictly enforced. Reform and improve the review and approval system, promote the consistency evaluation of generic drug quality, and ensure the safety and effectiveness of drugs. Ensuring the supply of scarce drugs is related to the health and well-being of the people. We need to strengthen government responsibility, improve monitoring, warning, and inventory management systems, take measures such as designated production, coordinate emergency production and import, and improve the drug reserve system to effectively ensure the medication needs of the people. Secondly, we need to rationalize drug prices. We need to improve drug bidding and procurement, actively promote price negotiations for patented drugs and exclusive production drugs, expand the variety and quantity of negotiated procurement, squeeze out inflated drug prices, and expand the scope of benefits for the public. We should use the "two ticket system" as a starting point to promote the reform of the circulation process. This year, all public medical institutions in pilot provinces for comprehensive medical reform and the first four batches of 200 pilot cities for comprehensive public hospital reform should fully implement the "two ticket system". Other regions should also accelerate the promotion, expand the implementation scope, reduce circulation costs, and control inflated prices. To rationalize drug prices, it is necessary to address both the root cause and root cause, gradually improve institutional mechanisms, and strictly implement relevant laws and regulations. For drugs with inflated prices, relevant personnel and institutions must be severely punished in accordance with the law and regulations. Thirdly, we need to strengthen full process supervision. Strictly crack down on illegal and criminal activities related to the production and sale of counterfeit and substandard drugs, and ensure the quality of drugs. Establish and improve a drug information traceability system, striving to ensure that every step of the drug process from the factory to the patient is traceable and traceable. At the same time, it is necessary to strengthen the clinical use management of drugs, especially antibacterial drugs, strictly control "large prescriptions", and standardize medication behavior. In short, it is necessary to have a full estimate of the complexity and difficulty of the reform in the field of drug circulation, and make up our minds to fight this battle well, so that the people can use safe, effective, high-quality, and affordable drugs.

The fifth is to improve the comprehensive regulatory system. The healthcare industry is crucial to the safety of people's lives and must be strictly regulated at all times. Many of the problems that have arisen in the medical reform are caused by inadequate supervision. Some departments are accustomed to administrative approval, but neglect supervision during and after the process. They do not manage, do not want to manage, or dare not manage, resulting in some policies being "idle" or even deformed. To achieve sound and rapid development of the medical and health industry, it is necessary to establish a diversified comprehensive regulatory system with government leadership, third-party participation, self-management of medical and health institutions, and social supervision as supplements. In accordance with the requirements of streamlining administration and delegating powers, combining decentralization with management, and optimizing services, we should shift the focus of supervision from focusing on administrative approval to strengthening supervision during and after the event, crack down on illegal and irregular behaviors, block loopholes, and eliminate hidden dangers. We should guide and standardize the establishment of an internal audit system in medical and health institutions, and strengthen self inspection and self correction. We need to strengthen information disclosure, maximize the protection of the people's right to information and supervision, and actively accept the supervision of social organizations and individuals. Accelerate the promotion of health legislation, improve the standard system for access to various industries, technical specifications, quality control, and other aspects, strengthen the awareness of the rule of law in the whole society, strengthen the legal practice of medical personnel, patients seeking medical treatment in accordance with the law, and the handling of medical disputes in accordance with the law, resolutely crack down on illegal and criminal activities related to medicine, have zero tolerance for medical disputes and violent injuries, and promote doctor-patient harmony.

Thirdly, we should strengthen the construction of talent teams and focus on creating loyal guardians to safeguard the health of the people.

Strengthening the construction of medical talent team is a fundamental project to improve the level of medical services and an important guarantee for promoting the construction of a healthy China. Currently, the overall supply of medical and health services in China is insufficient, mainly due to a shortage of high-quality medical resources, especially outstanding medical personnel. In 2016, there were 2.2 practicing (including assistant) physicians, 2.4 registered nurses, and 1.4 general practitioners per 10000 people per 1000 population, compared to 3.3, 9.1, and 7.1 in OECD countries. In addition, with the vigorous development of emerging industries such as the integration of medical care and elderly care, medical tourism, rehabilitation care, and sports fitness, it is urgent to cultivate and train specialized composite talents and management talents in the "big health" related fields such as elderly care, rehabilitation treatment, psychological counseling, sports guidance, food and drug regulation, and environmental governance. We need to strengthen the collaboration between medical and educational institutions, formulate and implement a plan for cultivating and training health talents, improve the standardized training and continuing education system for resident physicians, strengthen the cultivation of scarce talents in general practice, pediatrics, obstetrics, psychiatry, nursing, and other fields, and strive to increase the number of practicing (including assistant) doctors per thousand population to 2.5, nurses per thousand population to 3.14, and general practitioners per ten thousand population to 2.0 by 2020. To meet the needs of the development of the health industry, efforts should be made to increase the cultivation and training of composite talents such as rehabilitation care, psychological counseling, and fitness guidance, providing important support for the development of the health industry. We need to promote the reform of the salary system in the healthcare industry, reflect the characteristics of the healthcare industry, and be guided by knowledge value, so that medical personnel can receive reasonable and legal compensation based on their intelligence, intelligence, and hard work. We need to reform the methods of talent utilization and evaluation, improve policies that are conducive to the transfer of talents to the grassroots level, ensure reasonable treatment for rural doctors, and build a stage that can be retained, developed, and guaranteed. We need to strengthen the construction of medical ethics and style. Medicine is the art of benevolence. The majority of medical personnel are the guardians of people's health. They should not only practice their internal skills, improve their professional skills, and enhance their ability to serve the people, but also pay more attention to medical ethics cultivation, promote the excellent medical ethics of great medical integrity and boundless love, consciously cherish professional values, create a clean and healthy atmosphere in the industry, and wholeheartedly look after the disease and serve the people well.

Fourthly, we should pay equal attention to both Chinese and Western medicine, and accelerate the healthy development of traditional Chinese medicine.

Traditional Chinese medicine is a medical science that has been gradually formed and continuously enriched and developed by people of all ethnic groups in China over thousands of years of production and life, as well as in the struggle against diseases. It is a system with unique theories and technical methods. Since the establishment of the People's Republic of China, generations of traditional Chinese medicine practitioners have diligently studied and promoted the development of traditional Chinese medicine through their benevolence and benevolence. Chinese scientist Tu Youyou extracted artemisinin based on research on traditional Chinese medicine formulas, saving millions of lives and making important contributions to the well-being of all humanity. In 2015, she won the Nobel Prize in Physiology or Medicine, which has made traditional Chinese medicine more widely recognized internationally. At present, the revitalization and development of traditional Chinese medicine is facing a great opportunity with favorable weather, location, and human harmony. We have the responsibility to protect, inherit, and develop the treasure trove of traditional Chinese medicine left by our ancestors, and further stimulate the potential and vitality of traditional Chinese medicine.

We need to build a good TCM medical service system, increase investment, implement the grassroots TCM service capacity improvement project and the TCM "pre treatment" health project, improve the service network, and strive to have TCM service capabilities in all community health service institutions, township health centers, and 70% of village clinics by 2020. We need to strengthen policy support, incorporate more cost-effective traditional Chinese medicine service projects into basic public health services, and better leverage the unique role of traditional Chinese medicine in prevention, treatment, and rehabilitation. To inherit and innovate traditional Chinese medicine, establish a multidisciplinary and cross departmental collaborative innovation system and innovation cooperation platform for traditional Chinese medicine, increase the implementation of traditional Chinese medicine inheritance projects, strengthen the protection, rescue, and organization of traditional knowledge and diagnosis and treatment technologies, and establish a database and knowledge base of ancient Chinese medicine books. We need to establish and improve the management system, evaluation system, and standard system of traditional Chinese medicine, use modern technology to strengthen the research on the mechanism of traditional Chinese medicine, strengthen the prevention and treatment technology of major difficult and chronic diseases, and research and development of new drugs, striving to produce a batch of original and iconic new drug products similar to "artemisinin". To explore the formation of a healthy culture with Chinese characteristics. Traditional Chinese medicine embodies profound philosophical wisdom and thousands of years of health preservation concepts and practical experience of the Chinese nation. We must adhere to the principle of making the past serve the present, and strive to achieve the creative transformation and innovative development of traditional Chinese medicine health preservation culture, so as to integrate it with modern health concepts and form a health culture with Chinese characteristics. We need to accelerate the promotion of the "going global" strategy of traditional Chinese medicine, expand international cooperation in the field of traditional medicine, promote the integration of traditional Chinese and Western medicine and the development of traditional Chinese medicine overseas, and promote the service of traditional Chinese medicine to the health of all mankind.

Fifth, based on meeting the diverse health needs of the masses, accelerate the development of the health industry.

With the improvement of living standards and the enhancement of health concepts, the demand for health products and services among the people continues to grow, presenting multi-level, diversified, and personalized characteristics. In most developed countries, the health industry has become a pillar industry of the national economy. According to the prediction of the World Health Organization, the health industry will become the world's largest industry by 2020. China has the largest population in the world and has entered the ranks of middle-income and high-income countries. With vast market space, it is entirely possible to cultivate the world's largest health industry. The development of the health industry requires the coordinated efforts of the government and the market. The main responsibility of the government is to maintain basic and bottom line health needs. Non basic diversified health needs should fully play the role of market mechanisms, mobilize social forces to increase the enthusiasm for the supply of health products and services, and strengthen supervision and control to provide more diverse, safe, and high-quality health products for the masses. We need to vigorously develop advanced manufacturing industries such as pharmaceuticals and medical equipment, and through mergers and acquisitions, expand and strengthen a group of large enterprises with strong international competitiveness, and create a pharmaceutical industry system with strong core competitiveness. We should lead the development of the health industry with innovation, promote mass entrepreneurship and innovation in the health field, implement the "Internet plus+Health Action", promote the integrated development of health and pension, tourism, the Internet, fitness and leisure, food and other industries, and promote the growth of new health industries, new formats, and new models.

        Sixth, strengthen international exchanges and cooperation, and coordinate the overall domestic and international situations.

       Globalization is an unstoppable trend in the development process of human society. China has made important progress in fulfilling its international obligations and participating in global health governance. Since the 1960s, older leaders such as Mao Zedong and Zhou Enlai have made decisions to dispatch medical teams in response to the demands of third world countries, taking into account the overall diplomatic strategy of China. Over the past half century, more than 20000 medical personnel have been dispatched to 67 countries and regions, treating over 260 million patients. This is a remarkable achievement, comprehensively showcasing China's image as an international humanitarian and responsible major country. We need to fully understand and leverage the mission of health and health diplomacy in building a new type of major country diplomatic strategy from a new perspective. Firstly, we need to strengthen mutual learning and mutual learning with other countries. Actively absorb and draw on advanced international concepts, experiences, and management, introduce funds, talents, and technologies, and build cooperation platforms for talent cultivation, scientific research research, and policy exchange. We should strengthen health and hygiene cooperation with countries along the "the Belt and Road", deepen people to people and cultural exchanges between China and foreign countries, and give play to the unique role of health and hygiene in serving the overall diplomatic situation. Secondly, we need to effectively prevent the import of major infectious diseases. Strengthen cooperation with the World Health Organization and overseas epidemic outbreak areas, improve joint prevention and control mechanisms, and build a solid defense line for the import of the epidemic. Third, actively participate in global health governance. Actively participate in the research and development of international standards, norms, guidelines, and protocols in the field of health, and enhance China's influence and voice in the field of global health diplomacy. According to the policy concept of "sincerity, sincerity, and sincerity" towards Africa, implement the China Africa Public Health Cooperation Plan, participate in the public health prevention and control system and capacity building, and make health and health cooperation benefit more developing countries.

      A hundred boats compete for the flow, and those who strive for the boat are the first. Promoting the construction of a healthy China is a major historical mission before us. All regions and departments should firmly establish the "Four Consciousnesses", prioritize health and health reform and development, and improve the leadership system and working mechanism. Leaders and cadres at all levels should have the courage to take on responsibilities, act personally, strengthen research, use innovative thinking, solid measures, and in-depth work style to vigorously promote the implementation, and ensure that policies are implemented and effective. We should encourage all regions to explore and innovate, especially in the provinces where the national comprehensive medical reform pilot is being carried out. We should be brave enough to take the initiative, serve as the "pathfinder" and "vanguard" of reform, and strive to explore new ways to promote the reform and development of health and wellness. We need to strengthen public opinion guidance and supervision, vigorously promote mass health movements, mobilize the active participation of the whole society, and make every effort to build a healthy China.

      Promoting the construction of a healthy China is a great cause that benefits over 1.3 billion people.