12月19日，省委宣传部召开"在中国式现代化建设中奋勇争先 奋力谱写新征程新福建建设新篇章"系列 主题新闻发布会（第六场）。三明市主要领导介绍三明"十四五"时期经济社会发展的总体情况和"十五 五"时期的发展思路。 "十四五"期间，三明市持续深化拓展"三争"行动，深入推动"四领一促"工作，全市人均GDP超12.5万 元，在全国20个革命老区重点城市中位居第二，获批全国首个海峡两岸乡村融合发展试验区，三明城市 品牌指数居全国第32位，较2021年前进6位。"风展红旗 如画三明"城市品牌持续唱响，革命老区高质量 发展示范区建设迈出坚实步伐。 培育绿色新动能 作为老工业基地，"十四五"期间，三明全力推动"老树发新枝"。 11条市级特色产业链聚链成群；55个单体投资超10亿元的专精特新项目开工；氟新材料等新兴产业年均 保持两位数增长……三明市委副书记、市长陈岳峰在会上介绍，"十四五"期间，三明三次产业结构呈 现"稳一优二进三"良好态势，产业结构进一步优化。 作为连续4年上榜"中国绿都"的最绿城市，三明把绿色作为高质量发展最鲜亮的底色，着重培育绿色新 动能。 "一方面，产业含绿量更足，推动传统工业'绿色蝶变'，实施节能降 ...

Core Insights - The Sanming model serves as a successful example of healthcare reform in China, emphasizing transparency, restructuring the drug supply chain, and reforming the health insurance distribution mechanism, thus providing a "Chinese solution" for global healthcare reform [1][3][24] Healthcare System Background - China's healthcare system has evolved significantly since 1976, transitioning from rudimentary services to advanced healthcare, but rapid changes have led to increased costs and accessibility issues for ordinary citizens [4][6] - In 2011, Sanming faced a healthcare crisis with a local health fund deficit of $31.5 million, equivalent to 14.4% of the municipal government's revenue, prompting urgent reforms [10][21] Sanming Model Reforms - The Sanming reforms, initiated in 2012, aimed to address the healthcare fund deficit and underlying issues such as high medical costs and drug price inflation, leading to a systemic approach to healthcare delivery [10][11][22] - Key reforms included increasing doctors' salaries, implementing a new bonus system based on treated illnesses, and enhancing transparency through the "Healthy Sanming" website, which disclosed fund usage [11][24] Financial Outcomes - By 2015, the Sanming healthcare fund had turned from a deficit into a surplus of $19.5 million, demonstrating the effectiveness of the reforms [13][24] - The Chinese government has since recognized the Sanming model, encouraging other regions to adopt similar policies, particularly in health insurance innovation [13][24] Drug Supply Chain Transformation - The Sanming model introduced a two-invoice system for drug procurement, significantly reducing drug costs and eliminating excessive mark-ups in the supply chain, which has been replicated nationwide [15][25] - Between 2018 and 2022, the prices of 294 key drugs in China decreased by an average of 53% due to these reforms, while their quality improved [16][25] Broader Implications and Challenges - While the Sanming model has shown success in controlling costs and improving healthcare access, its applicability in larger cities like Shanghai and Beijing remains limited due to different healthcare dynamics [18][26] - Experts suggest that while some elements of the Sanming model can be adapted for densely populated areas, the overall model may not be easily transferable to all regions of China [19][20][26]