“卫生是福利事业。”这是几十年中对卫生确定的性质;进而“卫生事业是公益性的福利事业”,也还是人为地给它确定的性质。这种确定的性质,以及卫生在这期间的实际作用,与供给制和计划经济体制是吻合的。它与一切都由人为分配的机制是一致的,卫生服务也成为社会产品被“分配”给大家或需要者,其福利性体现在无偿或廉价上。在市场经济下,上述机制就失去了存在的条件,就必须进行改革。这种改革根本的是使“福利性”与卫生服务脱钩。几十年中,之所 “Health is a welfare business.” This is the nature of sanitation that has been established for decades; then “a health service is a public welfare welfare business”, and it is also an artificially determined property. The nature of this determination, as well as the actual role of health during this period, is consistent with the supply system and the planned economic system. It is consistent with the mechanism that everything is allocated by human beings. Health services also become the “allocation” of social products to everyone or need. The welfare is reflected in the free or cheap. Under the market economy, the above-mentioned mechanisms have lost their conditions of existence and must undergo reforms. This kind of reform fundamentally decouples “welfare” from health services. For decades, the place