Chinese Premier Li Keqiang put forward following requirements for medical reform in the Government Work Report on March 5, 2014.
 “We will deepen medical reform. We will consolidate the national basic medical insurance system and integrate the basic medical insurance system for rural residents with that for non-working urban residents through reform. We will improve the mechanism for the government, employer and employee to share the costs of basic medical insurance. The annual government subsidy for basic medical insurance for rural and non-working urban residents will be increased to RMB320.00 per person. The major disease insurance scheme for rural and non-working urban residents will be introduced nationwide. We will strengthen urban and rural medical assistance and emergency assistance for disease treatment. Trial comprehensive reform of county-level public hospitals will be extended to cover 1,000 counties and 500 million rural residents.
We will expand trial comprehensive reforms of urban public hospitals. We will abolish the practice of compensating for low medical service charges with high drug prices, adjust the prices of medical care and drugs, and create a mechanism for running hospitals by nongovernmental capital. We will consolidate and improve the system of using basic medicines and the new mechanisms for operating community-level clinics. We will improve the system of tiered medical services, strengthen training of general practitioners, and allow doctors to work in more than one medical institution, so that people have easy access to quality medical services. ”
Comparatively speaking, besides “The annual government subsidy for basic medical insurance for rural and non-working urban residents will be increased to RMB320.00 per person”, we think the most notable is “Trial comprehensive reform of county-level public hospitals will be extended to cover 1,000 counties and 500 million rural residents”. The increase of annual government subsidy for basic medical insurance will integrally improve basic medical insurance level, but may not relieve much more urgent contradiction between supply and demand of medical services at present. Trial reform of county-level public hospitals may be a significant breakthrough. It is observed that public hospital reform focuses on form than on content, and is rather difficult. The ones that have made progress are propelled by local government by betting on political future, such as medical reform in Suqian. Public hospital reform involves too many interested parties, which is a systematic problem affecting the whole. However, trial reform of 1,000 county-level public hospitals put forward by Premier Li Keqiang this year may achieve certain progress under the premise of relatively specific numeric targets.    
Other parts are objectives with macro-directions, which are consistent with that put forward in the Decision of the CCCPC on Some Major Issues Concerning Comprehensively Deepening the Reform released at the 3rd Plenary Session of the 18th Central Committee of the Communist Party of China in November 2013, but lack of specific objectives. However, the opportunity of community-level medical services can be observed from “We will consolidate and improve the system of using basic medicines and the new mechanisms for operating community-level clinics. We will improve the system of tiered medical services, strengthen training of general practitioners, and allow doctors to work in more than one medical institution, so that people have easy access to quality medical services.”    
Public hospital reform is of difficulty and high risk in respect of social capital in the short term, except high-end clinics and certain specialist clinics uncovered by medical insurance. The possible opportunity may be in community-level medical service market. On the one hand, an important direction for medical reform by national top officials is to satisfy community-level medical care services; on the other hand, doctors to work in more than one medical institution will provide the possibility for building community-level medical service system with social capital. For example, the community-level medical service system built on the basis of community medical care and with medical information platform by integrating big data with relevant techniques will have great development space in the future.