Doctor: I picked up attributes in the hospital

Chapter 442 The Winter is Coming
"Doctor Zhao, so it's settled? I can deal with the funding issue now."

Wang Yaoqing said to Zhao Heng while the iron was hot.

"Doctor Zhao, in fact, I am also concerned about the current situation of the hospital you mentioned. Although the squeeze on the medical staff in the Dongfang Hospital you are currently in is not so serious, in terms of the current situation in all aspects, the commercialization of the hospital is a big problem. It is an unavoidable general trend. Rather than being controlled by others at that time, it is better to make plans now."

After a pause, Wang Yaoqing persuaded Zhao Hengdao again.

As a hospital, it should be a place to cure diseases and save lives. Medical workers are angels in white clothes who save lives and heal the wounded. No one wants others to get sick, let alone come to the hospital. Hope that others come to the hospital is a despicable act of cursing others, but this despicable act is true. Existing in hospitals and medical workers, the main culprit is the commercialization of hospitals.

The commercialization of hospitals is to entrust the benefits of hospitals to patients, which completely opposes both doctors and patients. Hospitals pursue the maximization of benefits, and various charges emerge in an endless stream. Sky-high prices of drugs come into being.Under this phenomenon, patients often spend tens of thousands, hundreds of thousands, or even millions of dollars in medical treatment. The sky-high medical expenses are not affordable for ordinary people. Although there are subsidies for medical insurance, those subsidies are a drop in the bucket, and they are of no help in the face of serious illnesses. .

Since childhood, the author has always believed that the hospital is a place to save lives and heal the wounded, and the hospital is very sacred.

I don’t know when, going to the hospital to see a small cold is at least over a hundred dollars. To see a minor illness, the doctor will prescribe all kinds of examinations, some of which are not checked, and everything that I used to see and hear has changed. From the cold machine to the examination reports one by one, it is better to go to the machine for a checkup than to go to the doctor.Finally, the doctor will look at the list and tell you according to the test results in the list.

When we went to the doctor, we didn't even finish the symptoms you wanted to express, and the doctor had already finished the inspection list and called for the next one.I can understand that doctors have to see many patients every day. Maybe the information expressed by patients is complicated, and the important information for doctors is less, but if you don’t listen in time, how can you convince patients?
Compared with the past, the current doctor-patient relationship is indeed more tense. In order to avoid the risks of doctors, many unnecessary things have been added. From a certain point of view, this explains some problems, of course, except for some extremes.

We went for a walk on the street, and it is no exaggeration to say that there is a pharmacy about ten meters away. These pharmacies are growing like mushrooms after rain. Why do we need so many pharmacies?Why are there so many pharmacies?What is it that makes drugstores so hot?There will be a drive for profit. It should be that pharmacies are very profitable, right?So why is there such a high demand for the drug?
In the past, it was "I hope that people in the world are free from disease, so why bother to put medicine on the shelf to cause dust", now it is XX Member's Day, there are many discounts, welcome to enter the store to buy, this is a pharmacy, why do you feel that buying medicine is the same as buying food?

What exactly changed us?

Human greed?

The drive of profit blinded his eyes!

"For the time being, the situation in the medical industry is relatively stable. Let's wait and see for a while."

Zhao Heng thought about it seriously and said.

He had just become the deputy director of the Anesthesia and Perioperative Center of Dongfang Hospital, and he was in high spirits when he wanted to start a career. At this time, Zhao Heng did not consider leaving Dongfang Hospital to go out on his own.

As for opening a hospital or something, Zhao Heng's consideration is to do cutting-edge medical treatment, not because the current hospital can't survive, and go out and do it alone. These are completely different things.

"Doctor Zhao, take a look at this Weibo, I don't know if it's true because I'm not in the hospital."

Hearing Zhao Heng's words, Wang Yaoqing adjusted the phone to a screen, and then handed the phone to Zhao Heng.

"Weibo?"

Zhao Heng was a little puzzled and didn't know what Wang Yaoqing was going to show him, but he still took the phone and looked at it carefully. Xu Manni, who was sitting by the side, was also very curious, and looked at the phone screen together.

"Ask for help on Weibo? Or was it sent by a doctor?"

When Xu Manni saw it, she was puzzled.

[Hi everyone, I am a doctor in the emergency department. I have been working in the emergency department for 15 years. The salary of the emergency department has been greatly reduced since March, but the workload has not decreased at all. It has been reduced every month. From 3 yuan to 6550 yuan , to 5324 yuan now, a drop of more than 4210%, but the mortgage is not missing at all, a little bit of collapse, the busier you are, the poorer you are, the salary is getting less, and the family is not harmonious.My wife kept nagging me every day, asking me to do a part-time job, saying that other doctors can earn 35 a month selling sausages, and you are so incompetent.To be honest, not only am I very anxious now, but I also have a stomach problem. Whenever my wife talks about it, I want to jump off the stairs and try to clean up...]

Looking at the comments below, some people are also complaining.

[I am a doctor who just graduated in the past two years. I am really confused now. I really can’t keep up with everything when I come to Beishi. There is no staffing. Last year, because I entered the job late, I didn’t have a year-end bonus. This year, I don’t have a half-year bonus. , the year-end bonus has also been cancelled, and the rent and housing prices are also high. If you plan to come to a first-tier city like Beishi in the future, please think twice! 】

"I didn't expect you, Lao Wang, to be so concerned about the current situation of the medical industry."

Zhao Heng looked at Wang Yaoqing in surprise and said.

After watching the phone with Xu Manni, Zhao Heng handed the phone back to Wang Yaoqing, and said with an unchanged expression, it is impossible to say that he has not touched this Weibo after reading it. After all, if there is no system around him, he will The situation of the emergency doctor who spoke on Weibo may be much worse.

"I am now working on medical software with you, Dr. Zhao. Of course, we need to pay more attention to the medical industry. In fact, during this period of time, I went to the hospital to do business every day and heard a lot about it. I have a relative who works in obstetrics and gynecology. She It is said that the population of newborns this year may fall below 800 million, and their departments are already very busy now."

Wang Yaoqing said slowly.

"800?"

Zhao Heng was a little surprised.

How can 800 million newborns be enough? !
You should know that there are 3032 maternity hospitals nationwide, including 26 at the provincial level, 377 at the prefecture and city level, and 2554 at the county and district level.In addition to specialized obstetrics and gynecology hospitals, almost every hospital also has an obstetrics and gynecology department.

If the number of births is less than 800 million, even if the maximum amount of 800 million is allocated, 800 million ÷ 365 days ÷ 3032 = 7, that is to say, each specialized maternity hospital can only allocate 7 newborns per day. All hospitals, every hospital can be assigned a newborn every day, it is very lucky.

However, there are many big hospitals, and all the mothers go to the big hospitals. Can the low-level hospitals still get newborns?

A specialized obstetrics and gynecology hospital is well-equipped for delivering babies. Now, in such a large hospital, there are only 7 newborns a day. Who can accept it?Can you still not cut salary?

"Yeah, I was a little shocked when I heard about it. As for my relative, she said that her income has dropped by almost 40% this year, and the year-end bonus and performance are about to stop. Now I can only get it for a month. It’s 6000 yuan a month, and I still have a mortgage of [-] yuan a month, my child is in elementary school, and the elderly are living with me, so there is no shortage of places to spend money.”

Wang Yaoqing said with a sigh.

"Dr. Zhao, the annual salary of executives has dropped from 400 million to 200 million, and the exquisite life is still going on. Ordinary part-time jobs will be disrupted when the salary drops from 6000 to 5000. If it drops to 4000, it is basically impossible to live. Living expenses and mortgages are unshakable. , if you drop 2000 all at once, it will kill people.”

After a pause, Wang Yaoqing said again.

"If this is done, the development of high-end medical care will be very rapid."

Xu Manni thought about it, but saw a different effect.

It's very simple. If the salaries of doctors and nurses are greatly reduced, the existing hospitals will not be able to retain high-end medical talents. Then these high-end medical technical talents will naturally be diverted to private hospitals to serve high-end medical services.

In the medical industry, those with a high level of technology don't have to worry about leaving home at all. The reason why most people stay in big hospitals is just for stability, and the treatment given by these big hospitals is not as good as that of private hospitals.

If there is another cut in the income that is already far lower than that of private hospitals, then these high-level talents will definitely have to leave.

In this case, the average level of the medical staff who stayed in the original hospital must have plummeted.

In the foreseeable future, rich people will go to private hospitals to enjoy high-end medical services, while those without money can only enjoy cheap medical services in large hospitals [Indian style].

So, what is the [Indian-style free medical care] that some people have been advocating?

Just this year, a video of rats running up and down oxygen pipes in an intensive care unit of an Indian hospital sparked controversy, The Times of India reported.According to reports, the hospital in the video is a specialized hospital in Salem, Tamil Nadu.The video showed that many mice were running up and down along the oxygen pipeline in the ward, while the patients were resting on the hospital beds beside them.

According to the report, some family members of patients said that these rats entered the ward through holes in the wall and ceiling. They saw more than 20 rats walking freely in the ward, and some rats tried to bite the oxygen tube.Some family members of the patients said that the government hospital did not even have water or clean toilets, which made them feel very uncomfortable. "Doctors and nurses have been called in to help with the matter, but they have taken no action."

In response to this matter, the director of the hospital stated that he had seen the videos but "didn't know when this happened."He said that after finding mice running around in the ICU ward at night, bait and mousetraps had been set up, and at least 10 mice were caught on October 20.

Think about it a little bit, there are more than 15 of these [giant mice] with an average length of 20-20 centimeters in these videos. Can those fragile and soft medical equipment rubber tubes and power cords hold up?Infusion of a fluid may turn into spraying mice, and whether the electrocardiogram monitoring can be turned on is another matter.

Then there is the problem of bacteria and viruses. According to the number and size of the mice in the video, in the environment of India, I don’t know what they eat, and they may also be full of medical waste full of viruses. There should be countless viruses and bacteria. up.

ICUs with such hygienic conditions may come and die one by one. . .

The words are better than the words, and this sentence is perfect to describe India's free medical policy.

In the 21st century, the Indian government has indeed formulated and announced a nationwide free medical system.

But this system has great limitations. First, only public hospitals implement free medical care. Second, only some medicines and treatments are free.For example, the medication for some basic diseases and the treatment of minor diseases can be reduced or exempted.

Some people may say: That's not bad, you can save a lot of money if you catch a cold and have a fever. After all, there are not many people who are seriously ill!

The result was quite the opposite.

According to a survey released by the World Health Organization, the proportion of Indian people paying for medical treatment at their own expense is as high as 60%. If someone in an ordinary family suffers from a relatively serious disease, more than 90% of the family will have to borrow money and loans to get the medicine. fee.

Didn't it mean free medical care? Why do you have to spend so much money to see a doctor?

That's because in the Indian medical system, public hospitals only account for 20%, and the remaining 80% are private hospitals, and there is no free system for private hospitals to see a doctor.

If the private hospital is not free, then can the treatment be done in the public hospital?

In India, public hospitals are very backward in all aspects due to lack of financial support.Outdated equipment, shortage of doctors, rampant counterfeit medicines, only minor ailments such as colds and fevers can be seen, and intractable diseases cannot be treated at all, and serious medical accidents often occur, which discourages many people.

In 2018, a public hospital in India was unable to purchase oxygen due to insufficient funds, which led to the interruption of the hospital's oxygen arrears. In addition to the shortage of medical staff, the detection was not timely, resulting in the death of hundreds of infants and young children.

Therefore, in India, if you want to really see a good doctor, you still have to go to a private hospital with better medical conditions and high treatment costs. This is why after the implementation of so-called free medical care in India, people have to spend more money to see a doctor.

In the eyes of the Indian people, free medical care is just a gimmick, useless.

"In this case, high-end medical care is developing rapidly, but the quality of medical care enjoyed by the vast majority of people will decline rapidly. Regarding this, just look at the current medical situation in India."

Zhao Heng shook his head slightly and said, as a doctor, he absolutely does not want to see the medical status quo in India.

Some things are extremely difficult to develop, but if they want to slide down, then the speed may exceed everyone's imagination.

The development of the medical industry, in any country in the world, is actually only related to the bottom of the general public. For the rich in this world, there are ways to enjoy the most high-end medical services. This is beyond doubt of.

The gravitational force of reality is so strong and heavy, Zhao Heng had to face the problem of survival before he had time to draw the blueprint in his heart.

Although Dongfang Hospital is the top hospital in the country, the more the top hospital and the larger the scale of this kind of thing, the more serious the impact will be.

For a super-large hospital like Dongfang Hospital, the daily maintenance cost is an astronomical figure. If these costs are not supported, it will only fall on the patients in the end. Basically, this is a completely predictable fact .

(End of this chapter)