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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

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一 | MANILA, Philippines -- A Chinese coast guard ship and one of its militia vessels separately bumped a Philippine coast guard ship and a military-run supply boat Sunday off a contested shoal, Philippine officials said, in a serious flareup that could heighten fears of an armed conflict in the disputed South China Sea.A top Philippine security official told The Associated Press there were no injuries among the Filipino crew members and an assessment of the damage to both vessels was underway. The official added that the incidents near the Second Thomas Shoal could have been worse if they were not able to maneuver rapidly away from the Chinese ships. The official spoke on condition of anonymity due to a lack of authority to publicly discuss details of the incidents.The United States, a longtime treaty ally of the Philippines, immediately condemned the actions by China's ships. The Philippine government also condemned the latest confrontations in “the strongest degree” and called them a violation of Manila’s sovereignty.The Chinese coast guard said the Philippine vessels “trespassed” into what it said were Chinese waters “without authorization” despite repeated radio warnings, prompting its ships to stop them. It blamed the Philippine vessels for causing the collisions."The Philippine side’s behavior seriously violates the international rules on avoiding collisions at sea and threatens the navigation safety of our vessels,” the Chinese coast guard said in a statement posted on its website.The U.S. Ambassador to Manila, MaryKay Carlson, said in a post on X, formerly known as Twitter, that “the United States condemns the PRC's latest disruption of a legal Philippine resupply mission to Ayungin shoal, putting the lives of Filipino service members at risk.”She used the initials for China's formal name, the People's Republic of China, and the name the Philippines uses for the Second Thomas Shoal. She added that Washington was standing with its allies to help protect Philippine sovereignty and to support a free and open Indo-Pacific region.A Philippine government task force dealing with the South China Sea disputes said the collisions occurred as two Philippine supply boats escorted by two Philippine coast guard ships were heading to deliver food and other supplies to the atoll in the face of a years-long Chinese blockade.The task force said it “condemns in the strongest degree the latest dangerous, irresponsible, and illegal actions of the Chinese coast guard and the Chinese maritime militia done this morning in violation of Philippine sovereignty, sovereign rights and jurisdiction."The actions by the Chinese ships were “in utter blatant disregard of the United Nations Charter, the United Nations Convention on the Law of the Sea” and international regulations that aim to prevent sea collisions, said the Philippine task force, which includes the country’s defense and foreign affairs departments, the military, national security council and the coast guard.Near-collisions have happened frequently as Philippine vessels regularly deliver supplies to Filipino marines and sailors stationed on the disputed shoal. But this was the first time Philippine officials have reported their country’s vessels being hit by China’s ships.In the first incident that happened Sunday morning, “dangerous blocking maneuvers of China coast guard vessel 5203 caused it to collide with the Armed Forces of the Philippines-contracted indigenous resupply boat Unaiza May 2,” the task force statement said. It said the “provocative, irresponsible, and illegal action” of the Chinese coast guard ship “imperiled the safety of the crew."The Chinese coast guard gave a different version and said the Philippine supply boat deliberately crossed the bow of its ship, which was on a routine law enforcement patrol, “resulting in a slight collision."Separately, Philippine coast guard ship BRP Cabra’s left side “was bumped by Chinese maritime militia vessel 00003 while it was lying to” northeast of the Second Thomas Shoal, the statement said.The Chinese coast guard said the Philippine ship “deliberately provoked trouble” by reversing its direction, causing its stern to collide with the Chinese vessel and “heating up the situation at the scene." In the past, Chinese officials have played down claims that the Chinese vessels were military militia ships meant to look like fishing boats.Despite the Chinese coast guard blockade, one of the two Philippine navy-manned boats managed to maneuver past the Chinese vessels and deliver supplies to the small contingent stationed on board a long-marooned but still actively commissioned warship, the BRP Sierra Madre, the task force said.It was the latest flare-up in long-simmering territorial disputes in the South China Sea, one of the world’s busiest trade routes. The conflicts, which involve China, the Philippines, Vietnam, Malaysia, Taiwan and Brunei, are regarded as a potential flashpoint and have become a delicate fault line in U.S.-China rivalry in the region.In early August, a Chinese coast guard ship used a water cannon against one of two Philippine supply boats to prevent it from approaching Second Thomas Shoal. The move, which was caught on video, outraged President Ferdinand Marcos Jr. and prompted the Department of Foreign Affairs in Manila to summon the Chinese ambassador to convey a strongly worded protest.Washington reacted by renewing a warning that it is obligated to defend the Philippines as a treaty ally.The Chinese Foreign Ministry accused Washington of “threatening China” by raising the possibility of activating the U.S.-Philippine mutual defense treaty. Beijing has repeatedly warned the U.S. not to meddle in regional territorial disputes.Later in August, the Philippines again deployed two boats that got past the Chinese coast guard blockade and delivered supplies to the Filipino forces at Second Thomas Shoal. Two Philippine coast guard ships escorting the supply boats, however, were prevented by Chinese coast guard ships from maneuvering closer to the shoal. A U.S. Navy surveillance aircraft flew in circles in support of the Philippine vessels as the standoff continued for more than three hours.A 2016 arbitration ruling set up under the 1982 U.N. Convention on the Law of the Sea invalidated Beijing’s claims on historical grounds to virtually the entire South China Sea. China refused to participate in the arbitration sought by the Philippines, rejected the decision and continues to defy it.___Associated Press journalist Huizhong Wu contributed to this report from Bangkok.。

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。

二 | 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。

三 | 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”。

四 | 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。

五 | 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。

六 | 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。

七 | 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。