In the thesis we elucidate the connotation,correlative concept of medical scientific thoughts and the medical moral thoughts,emphasize the direction and method of the two thoughts.Through comparison,we find that the two thoughts have great differences in the direction,motive and manifestation while they have in common in the origin,foundation and destination.

Based on summing up the mainstream opinion of the reasons of the failure of medical health reform and analyzing typical cases,this article promulgates the following content.The medical health reform' s failure are due to the clinical decision-made in seeking interest and the health policy of exuding the commercialization.The forming mechanism is the two reasons work together.The essence is the medical health service is not suited to people's healthy demand which grows day by day and the level of economic development.This refracts the absentation of the government responsibility ethics,which does not present or work.The basic goal of the medical health service to maxi mize the public benefit,which is the dominant value orientation in the medical health service.Certainly it is also the right orientation of the government responsibility ethics in medical health reform.