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人民网评：破解种牙贵，让群众笑口常开_价格_耗材_我的网站
A | "For decades now, the Pacific Ocean can be fairly described as an American lake, in which the US strategic presence is actively supported by the Australian and to a lesser extent New Zealand economic and security presence," says Joseph Camilleri, emeritus professor at La Trobe University in Melbourne.,However, with the People's Republic of China's (PRC) swift economic rise, it's hardly surprising that Beijing has started to explore new possibilities in the Pacific, according to the academic.,"What has particularly troubled the United States and its principal ally in the South Pacific, Australia, is the fact that China is making inroads into what was until now considered to be an exclusive American sphere of influence," he stresses.,On July 13, Vice President Kamala Harris told the Pacific Islands Forum (PIF) in Suva in a virtual address that US funding for the region would be stepped up to $60 million per year for 10 years. The newly announced endeavor includes more funding for fisheries, extra aid, and offers of new US embassies in the Pacific. In particular, the US is set to ink renewed fishing treaties with Pacific island nations allowing US vessels to fish in their exclusive economic zones (EEZ), and offering greater support for maritime surveillance in the Pacific. In addition to that, the Peace Corps – the United States government's volunteer program – will return to four countries, including Fiji, Tonga, Samoa, and Vanuatu, according to CNN.,Australia Welcomes 'Renewed Commitment' From US Towards Pacific, Willing to Work With China11:38 GMT,"The timing of the pledge has much to do with the strategic competition between the United States and China," Camilleri explains. "In recent years, China has made considerable headway in developing its relations with [the Pacific Island Forum (PIF)] board, including cooperation in political, security and regional affairs, aid and development, COVID response and health, Ocean affairs and climate change, and much else.",The US attempt to assert its presence in the Pacific region also comes on the heels of the Quad IUU Fishing Initiative announced in late May, according to Jay Batongbacal, director of the University of the Philippines Institute for Maritime Affairs and Law of the Sea.,The leaders of the Quad nations — Australia, India, Japan, and the United States – proposed a maritime surveillance initiative to establish a tracking system to combat illegal, unregulated, and unprotected (IUU) fishing. The Quad endeavor may be viewed as an extension of earlier initiatives against China's fishing activities in the South Pacific, according to the academic.,"The South Pacific region is presently one of the richest and most active fishery areas in the world," he highlights.,Why Asia Won't Reject Russia's Hydrocarbons or China's Rare Earths Despite US PressureYesterday, 18:54 GMT,Even if Half of Pacific Islands Ink China Pact, It'll be Beijing's Win,Two months ago, Beijing offered a draft agreement between China and 10 island nations spanning policing, security, fisheries, data, and a free trade zone. Some Pacific leaders have agreed to consider China's trade and security pact, while the others have voiced concerns that their rapprochement with Beijing could antagonize Washington.,"The Chinese proposal to establish a China-Pacific Islands cooperation framework agreement may not yet have won sufficient support but I expect that the Chinese side will persist with its proposal, and that it may be happy to proceed with it, even if only five or six Island states are prepared to sing such an agreement," says Camilleri.,Prior to that, in mid-April, the Chinese and the Solomon Islands governments formally signed a bilateral security agreement regardless of the displeasure voiced by the US, Australia, and New Zealand. Commenting on the pact on June 3, State Councilor and Foreign Minister Wang Yi underscored that its purpose is "to assist the Solomon Islands in maintaining social order." He vehemently denied Western media speculation about China's apparent plans to beef up its military presence in the region.,"China has come to the South Pacific region to build roads and bridges and improve the people’s lives, not to station troops or build military bases," Wang highlighted.,© MANDEL NGANUS President Joe Biden meets with China's President Xi Jinping during a virtual summit from the Roosevelt Room of the White House in Washington, DC, November 15, 2021. US President Joe Biden meets with China's President Xi Jinping during a virtual summit from the Roosevelt Room of the White House in Washington, DC, November 15, 2021. © MANDEL NGAN,US-China Competition for Pacific Islands Region Will Intensify,As the US and China's competition for the resource-rich region unfolds, it all depends on what Washington and Beijing can offer to Pacific island nations, according to Camilleri.,"It is doubtful that the paltry sum of $60 million offered by the United States can even begin to match what China is offering, or that it will greatly impress the Pacific Islands States meeting in Fiji," the professor suggests.,Furthermore, China has made substantial progress in building trade relations with the countries of the region as well as in establishing diplomatic ties with the PIF. The People's Republic was first invited to attend the PIF-related Talk on Establishing Dialogue Partnership held in Suva, Fiji, in 1988. Since 1990, China has attended the Post-Forum Dialogue meetings on a regular basis. In 2003, China announced its willingness to further expand economic ties with PIF member countries as well as to provide funding for the forum's secretariat.,"According to official Chinese figures, from 1992 to 2021, total trade volume between China and Pacific Island Countries (PICs) having diplomatic relations with China grew from $153 million to $5.3 billion, registering an average annual increase of 13% and expanding by over 30 times in 30 years. Similarly, by the end of 2021, China’s direct investment in PICs having diplomatic relations with China had reached $2.72 billion," says Camilleri.,The competition between the United States and its allies on the one hand and China on the other will, if anything, gather pace and intensity in the years to come, the professor says, adding that Beijing's advantage is that "it comes to the table with a much bigger checkbook, and greater opportunities for trade and investment, especially in infrastructure projects."。
原标题：人民网评：破解种牙贵，让群众笑口常开近日，国家医保局网站发布《关于开展口腔种植医疗服务收费和耗材价格专项治理的通知》(以下简称《通知》)，明确指出，开展全面覆盖公立和民营医疗机构的口腔种植价格专项治理工作。“不看牙，牙疼；看完牙，心疼。”“种全口牙，相当于在县城买套房。”说起种植牙，许多人的第一反应就是贵。国家医保局此次发布《通知》，就是瞄准种植牙价格虚高这一百姓痛点，通过科学综合施策，减轻公众支出负担，让人民群众获得高质量、有效率、能负担的缺牙修复服务。同时，引导医疗机构通过透明价格、优质服务、规范管理等有序竞争，促进口腔种植行业健康发展。
B | 理顺价格机制是规范收费与服务的前提。《通知》明确，有序推进口腔种植医疗服务“技耗分离”。技术收费与耗材收费“一码归一码”，让种植牙价格进一步透明，使治理更具针对性。此举一方面旨在令虚高的耗材价格回归产品价值本身，另一方面会使医务人员的劳务价值得到合理体现。聚焦重点事半功倍。种植牙耗材是种牙花销“大头”，自然成为治理焦点。目前，公立医疗机构采购高端品牌种植体价格在4000元至6000元每套。至于民营医疗机构，种植体采购价格更是极不透明。媒体曾报道，高价种植体近一半的成本用于“铺市场”，“流通过程存在价格虚高空间”是不争的事实。巨大的“隐性成本”引发患者强烈质疑，“灰色公关”更引起有关部门高度重视，种植牙耗材的价格“水分”必须好好挤一挤!即将实施的集中带量采购，是医保部门放出的“大招”。《通知》强调，精心组织开展种植牙耗材集中采购，由四川省医疗保障局牵头组建种植牙耗材省际采购联盟，各省份均应参加。“种植牙采购联盟”具有三大特点，一是首次对医保目录外高值医用耗材进行集中带量采购，二是首次明确鼓励要求民营医疗机构参加的集采，三是首个覆盖全国31个省市区在内的最大的医用耗材采购联盟。集中采购有利于发挥规模优势，将对种植牙耗材展开“灵魂砍价”，压缩中间环节和流通成本，惠及更多患者。同时，还将采取多家中选的方式，优化供应链条，更好匹配患者和临床所需，确保口腔种植服务质量稳定、种植体供应充足。优质的种植牙服务更离不开优秀的牙科医生。尊重医务人员的专业付出，是合理规范收费的另一标尺。《通知》明确，三级公立医院种植牙医疗服务价格全流程调控目标为4500元。这一调控目标是有关部门经过认真调研、广泛征求意见后确定的，不仅体现了医生技术的“含金量”、有利于保障医务人员的积极性，而且剑指巧立名目乱收费、体现公立医院公益性。站在患者角度，全流程服务指导价囊括各个诊查、诊疗项目，符合患者降低整体种牙支出的合理预期。公布种植牙全流程调控标准，公开透明收费，更便于社会监督。如何引导和规范民营种植牙机构，同样引人瞩目。民营医疗机构实行自主定价，不意味着其经营不需要监管。
C | 有关部门公布公立医疗机构全流程医疗服务价格，会对民营医疗机构产生直接或间接的传导作用。地方医保局网站还将公布种植牙集采报量率高、中选产品使用率高、主动承诺接受价格全流程调控、评价排名靠前的民营医疗机构，公众会据此理性选择、“用脚投票”。对民营医疗机构来说，要多为患者着想，减少不必要的成本，确保种植牙质量，践行社会责任，才能站稳脚跟。一分部署，九分落实。各级医疗保障部门要坚持以人民为中心理念，高度重视专项治理工作，履行全行业医药价格管理职责，促使种植牙服务价格回归理性，更好保障公众口腔健康，让群众笑口常开。返回搜狐，查看更多责任编辑：
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