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style="">全国政协常委黄洁夫：今后器官移植可纳入医保</span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2015年03月06日 14:25 | 来源：<a target="_blank">南方都市报</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p> <strong>　谈器官捐献</strong></p> <p> </p> <p> <strong>　　自愿捐献率很低是因为传统文化的制约吗？</strong></p> <p> </p> <p> 　　南都：有人认为我国是公民自愿捐献率很低的国家，主要是受到传统文化的制约，您认为我国的器官捐献工作难在哪里？</p> <p> </p> <p> 　　黄洁夫：一个国家的传统文化都是两面性的。关于器官捐献，一方面，中华民族的传统文化中有死者为大、入土为安等旧观念。但我们的传统文化中也有慈悲、助人、舍生取义、救人一命胜造七级浮屠等这样善与美的一面。在器官捐献这件事上，中华文明的人性光辉也应在这个事业中发扬光大。</p> <p> </p> <p> 　　西方的器官移植技术进入中国后，发展很快。我们成了世界上排名第二的器官移植大国。但多年来，我们国家没有器官捐献的体制。老百姓捐器官怎么捐？怎么办手续？捐了之后怎么办？没有形成这样一个组织，管理非常落后，以至于在相当长的一段时间内，成为唯一一个系统利用和依赖死囚器官的国家。</p> <p> </p> <p> 　　这跟我们的大国地位是不相称的。我们也有国际承诺，遵循世界卫生组织指导原则，器官供体不能强迫性地来自死囚，必须符合伦理准则。</p> <p> </p> <p> <strong>　　全面停用死囚器官，移植供体会严重短缺吗?</strong></p> <p> </p> <p> 　　南都：停止使用死囚器官作为移植供体来源后，中国会不会出现严重的器官短缺情况？</p> <p> </p> <p> 　　黄洁夫：2010年开始，试点的11个省市，在三年里，共有器官捐献个案1441例。但2014年，仅一年就实现了近1700例捐献，成功完成了5000个大器官移植。加上亲体捐献，2014年，我国的80%器官均来自公民自愿捐献。</p> <p> </p> <p> 　　从实际数字上来说，我们已经是亚洲国家中器官移植数最高的了。去年，我们去台湾访问，台湾高雄长庚医院记载的捐献才8例。建立了阳光的、透明的、有生命力的公民自愿捐献体系，我们国家才有可能在三五年之内成为器官移植的大国。世界卫生组织也希望中国成为亚洲国家器官捐献的领头羊。</p> <p> </p> <p> 　　公开透明的行政体系最关键。今年1月1日，我们取消使用死囚器官之后，截至3月4日，仅两个月已经有381例捐献，其中大器官937个，加上角膜接近1000个。虽然现在器官捐献捐体制还没有完善。目前，在全国统一使用的中国人体器官分配与共享系统上，约有2.2万人等待器官移植。但今年，我们的公民捐赠数量一定比去年多。捐献事业已走上阳光大道，正道肯定是宽广的。所以我们要对这个事业有信心。</p> <p> </p> <p> 　　我们的捐献事业现在刚开始，还有很长的路要走。2010年，卫生部和红十字会启动了公民器官捐献工作。但卫生行政部门怎么配合，现在还是有很多不协调的方面，交通部、民政部、公安部都得配合，要把老百姓的利益放在第一位，但我们的事业进行中老是出现部门权益的影子。</p> <p> </p> <p> <strong>　　谈器官移植</strong></p> <p> </p> <p> <strong>　　不是移植手术贵，是获取过程费用多</strong></p> <p> </p> <p> 　　南都：有网友质疑，器官捐献是无偿的，为什么器官移植的手术费却很贵？</p> <p> </p> <p> 　　黄洁夫：我们国家的器官捐献事业还在发展过程中。目前拥有器官移植资质的169家医院，都是大医院。其中，做肝移植的70多家；做肾移植的90多家；做心脏移植的就20家；做肺移植的还不到20家。</p> <p> </p> <p> 　　现阶段，制约器官移植例数的不是器官供体的短缺，而是经济原因。很多人都交不起这个钱，很多穷人难以支付移植费用，未能进到医院里。我们搞了公民捐献以后，器官捐献和移植工作就变成一个阳光的事业。今后，我们的器官移植就可以纳入医保中去，纳入基本医疗中去，是阳光的，是公开透明的，不存在偷偷摸摸的事，所有需移植救治的病人都能真正地获得救治。那就必须做到公开透明，让器官移植进入医保、国家负担这个事情，才会彻底改变这个现象。</p> <p> </p> <p> 　　我相信，如果我们公众捐献推广起来，两三年内国家就会制定政策。</p> <p> </p> <p> 　　器官移植服务太特殊了，它是救命的，比大病救治还迫切得多。如果公民捐献成气候了，器官移植一定是大病救治中的优先者。把道理跟大家讲清楚，生与死，生就是高于一切。民生，器官捐献就是最能体现的。</p> <p> </p> <p> 　　公民自愿捐献成了气候，我们的老百姓就能够得到器官移植。让所有人都公平、正义、阳光。</p> <p> </p> <p> 　　南都：关于器官移植供体的手术费问题，2013年广东卫计委和发改委曾探讨过，器官获取定价的问题现在还停滞不前。据说，国家层面各器官移植中心对收费有不同的意见。下一步，国家会不会推进这个定价机制？</p> <p> </p> <p> 　　黄洁夫：据我所知，你说的问题是我们整个医疗服务体制的问题。不是移植手术收费贵，跟器官移植手术是没有关系的，移植是赚不到钱的。器官获取方面，获取器官的费用每个地区是不一样的。比如，广东和新疆不可能是一样的。器官获取过程中，什么交通费、器官保存费、医生的劳务费、对家属的心理咨询安慰的费用，这个国家没法统一定价。怎么能定呢？</p> <p> </p> <p> <strong>　</strong></p> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> <br /> <a 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