SOCIAL POLICY AND HEALTH POLICY

In any democratic country, the State's top concern is to ensure social justice. Even though Vietnam has moved from the centralized planning mechanism of the bureaucratic and subsidized period to the market mechanism, the socialist orientation is still valued and is the cross-cutting thought of social policies. have a health policy. Why is social justice necessary?

During the subsidy period, everyone enjoyed roughly the same social services. The gap between rich and poor in society is not large and is not a pressing issue. In the market mechanism, the gap between rich and poor is increasing. People with high incomes easily access and use social services many times more than low-income groups. Therefore, the State has the responsibility to reconcile that gap, reduce the income gap between the rich and the poor by poverty reduction programs, and reduce difficulties in accessing health care services. low-income groups by performing free medical examination and treatment (KCB) for them and a variety of other policies.

Poverty alleviation program and the position of the medical career

The National Target Program (NTP) is one of the solutions to support the poorest population groups in society by supporting employment, economic development, family planning, providing provide clean water and ensure environmental sanitation, support education and training, preserve culture and support in health. Without these programs, poor people, people living in disadvantaged areas, mountainous and remote areas will inevitably lag behind other regions.

In the early 90s of the last century, in addition to the central budget support through additional budget support, the Government set up a series of NTPs, including the poverty reduction and job creation program. do (DEP). The poverty reduction and rehabilitation programs have been effective.

One of the causes of poverty is the burden of health care costs of households, especially poor and near-poor households. Again, when living in poverty one is more susceptible to illness and disease is often more severe. This creates a spiral of poverty. (See diagram on page 185).

There is also talk of the phenomenon of "poverty trap", that is, the situation of becoming poor once sick and incurring certain costs.

To achieve the goals of socialism, fighting against inequality is a long process of struggle and many difficulties and obstacles are difficult to overcome. Achieving equity in health is also a front, in which soldiers are not only health officials but also other ministries, branches, social organizations and the people themselves.