At present，China is promoting the reform of medical care system and educational system，which is the inevitable result of social development and progress. Without doubt，the plan，route and promoting strategy etc. for the reform haven’t reached an agreement. As far as the paper is concerned，the reform should focus on the present striking conflict and at the same time on the re-establishment of development mechanism of social programs. This paper will take the reform of Shenzhen’s public institutions for example and discuss the major issue.