Core Points - The establishment of the "Debt Management Division" by the Ministry of Finance aims to enhance the management and monitoring of government domestic debt, addressing hidden debt risks [2][3][5] - The upcoming "15th Five-Year Plan" emphasizes the importance of proactive fiscal policies and the prevention of local government debt risks, with a commitment to not increase hidden debts [5][6] - The focus on optimizing fiscal expenditure and improving the efficiency of financial policies is highlighted, with a strategy to support key national strategic tasks [6][7] Group 1: Debt Management - The newly created Debt Management Division will draft and implement domestic debt management policies, oversee government debt issuance and repayment, and enhance monitoring to mitigate hidden debt risks [3][5] - The leadership of the Debt Management Division includes Director Li Dawei, who has prior experience in budget management and debt research [3] Group 2: Fiscal Policy and Local Government Debt - The Ministry of Finance plans to prevent and resolve local government debt risks over the next five years, establishing a long-term regulatory system for local government debt [5][6] - The commitment to not create new hidden debts is described as a "strict discipline," with serious accountability measures for violations [5][6] Group 3: Healthcare Funding - The "15th Five-Year Plan" suggests increasing fiscal support for county and grassroots healthcare institutions to maintain their public welfare nature [8][9] - The plan includes specific measures to enhance funding for public hospitals and grassroots medical institutions, focusing on basic public health services and addressing operational costs [9][10] Group 4: Investment in Public Services - The government aims to optimize fiscal spending by focusing on areas with high social benefits and addressing market failures, while minimizing direct intervention in microeconomic activities [7][8] - There is a clear intention to support sectors that require financial assistance, particularly in healthcare, to ensure the sustainability of public services [10][11]

Core Viewpoint - The article emphasizes the need to strengthen the operational support for county and grassroots medical institutions, highlighting the government's commitment to enhancing fiscal support for these facilities to maintain their public welfare nature [1][2]. Group 1: Financial Support Policies - The article outlines the importance of refining the fiscal responsibilities between central and local governments to improve financial support policies for county and grassroots medical institutions [2]. - It suggests increasing government investment in public hospitals, including funding for infrastructure, equipment purchases, and subsidies for public health tasks [2]. - The article advocates for a gradual increase in government subsidies to cover operational costs that service fees cannot meet for grassroots medical institutions [2]. Group 2: Personnel Funding - The article proposes implementing a certain percentage of basic salary subsidies for qualified personnel in county public hospitals and grassroots medical institutions [2]. - It emphasizes the need for financial support for medical personnel training and capacity building, as well as exploring special positions in grassroots institutions to attract healthcare talent [2][3]. Group 3: Support for Underfunded Services - The article highlights the necessity of providing financial support to medical institutions and departments that serve social needs but have low charging capabilities, such as mental health, pediatrics, and emergency services [3]. - It stresses the importance of maintaining the public welfare aspect of these services by ensuring basic operational funding [3].