Zhou's father has been in the hospital for half a month, and his body has returned to normal.

Of course, the physical trauma caused by diabetes can never be cured for now. But as long as you do what the doctor asks, you can ensure a healthy life for a long time, and it is completely no different from a normal person.

The family of four in the next bed was discharged from the hospital about a week after Zhou's father was admitted to the hospital, and until they left, they didn't talk to Zhou Fangyuan about going to work in the Yuanfang Group, mainly because there were too many people who came to visit Zhou's father after he was hospitalized, and there were many executives and giants, their families were ordinary people, and after seeing such a scene, they really didn't dare to talk to Zhou Fangyuan's family.

After Zhou's father was discharged from the hospital, he was immediately monitored by his mother, basically wherever he went, his mother followed, and he took every precaution, just because he was afraid that Zhou's father would not pay attention again, and then be hospitalized again.

In fact, after this hospitalization experience, Zhou's father can be regarded as waking up, according to his own words, he is not a child, and he still uses people to keep an eye on it? Unfortunately, my mother didn't listen, and my father didn't have anything to do.

Dad was discharged from the hospital, and Zhou Fangyuan was liberated.

When he returned to the company, many people were concerned about Zhou's father's condition, and some people said why he didn't live in the special care ward? The environment there was good, the service was good, and it was not that he couldn't afford to live there.

Zhou Fangyuan said that domestic medical resources are tight, and since it is not a serious illness, it should not occupy the quota of the special care ward.

In fact, medical resources have always been in a state of tension from ancient times to the present.

If you don't talk about China, let's talk about the United States.

As the most developed economy in the world, the United States has the most advanced medical technology, the most cutting-edge diagnosis and treatment programs, the best quality medical personnel, etc., and the national strength is also the strongest in the world. But few people know that the medical performance of the United States has been criticized for a long time, the medical cost is the highest in the world, the total health expenditure has reached 18% of GDP, and at the same time, there are still about 15% of the population without any medical security, and the average life expectancy is the second lowest among OECD countries.

The Guanhai Medical Reform Act passed 10 years ago was committed to solving the medical protection of the uninsured population, and when it was implemented before Zhou Fangyuan's rebirth, although the uninsured population was reduced, it did not achieve the expected goals in controlling medical costs and improving the quality of medical care, and it is likely to be abolished.

As a developing economy, China has implemented universal medical insurance, which is really not an easy thing. In fact, the rapid growth of medical expenses has eroded the level of protection that should be provided by universal medical insurance, and many regional medical insurance funds are on the verge of bottoming out, and at the same time bring a heavy burden to the financial and urban and rural residents.

Among advanced economies, the country's healthcare system is a special case. Unlike developed economies such as European countries, Canada, and Fuso, which generally establish social health insurance systems that cover the whole population,

The government-led social medical insurance focuses on protecting the elderly and vulnerable groups, while the medical insurance for the working population is provided by commercial insurance institutions.

A popular belief is that the country's total health costs are as high as 18% of GDP because the government does not provide social health insurance for the whole population, and the commercial health insurance-led system will inevitably lead to high costs due to profit-seeking.

However, the evidence for this statement itself is very insufficient.

Whether the government provides compulsory social medical insurance and the public institutions to run the medical insurance can reduce the cost requires empirical testing and scientific analysis, and the high medical costs in the United States come from commercial medical insurance institutions, and even from the entire demand-side system and the supply-side system, which needs to be clarified one by one.

Whether from an economic point of view or from a social point of view, the medical and pharmaceutical industry occupies an important position in the country.

In 2014, the total health expenditure of the United States was 3 trillion US dollars, accounting for 18% of GDP.

If the United States were to consider the healthcare sector as an independent economy, it would be the fifth largest economy in the world, behind Germany and ahead of France, the United Kingdom, Russia and Brazil. Of the $3 trillion, hospitals account for the highest share of revenue, at 32 percent, and doctors account for 20 percent, which together account for more than half of the total health expenditure. In fact, hospital and doctor services are the two largest sectors in the country's economy, surpassing construction, broadcasting and telecommunications, mining and petrochemicals, and computers and electronics.

Medical insurance accounts for 5.6% of the total health expenditure, and drugs account for 10%, which is very different from the proportion of drugs in China that exceeds 40% all year round, which reflects that hospital operations and medical human resources have a higher market value in the country. On the other hand, it also shows that although the country has been criticized for its high drug prices, the cost of medicine is not the main reason for the high medical costs in the country.

Correspondingly, the medical industry has also become the industry with the largest number of employees in the country, with 15.5 million people, accounting for 10.3% of the total employed population. Among them, outpatient business accounted for the largest proportion of employment, reaching 4.5% of the total employed population, while hospitals accounted for only 3.5%, indicating that hospitals are technology-intensive, and the remaining 2.3% are in the field of home care and long-term care.

There are about 967,000 doctors, 175,000 nurses, 3.9 million nurses, and 784626 medical institutions. Of these, about 630,000 doctors are practicing doctors in clinics and only 110,000 are hospital employees. Forty-one per cent of the clinic's practitioners provide primary care.

Family doctors account for 21.4% of the total number of doctors, but only 13.1% of the medical expenses incurred by doctors, followed by internal medicine doctors, accounting for about 13.2%, and other cardiology, oncology and other specialties, accounting for 1%-5%. Cardiologists account for 3.3% of the total number of people and incur about 12.8% of doctors' fees, which is also the highest proportion of doctors' fees.

Doctors' clinics are the cornerstone of the entire service system, and also address most common and frequent diseases.

Unlike almost all surgical operations in China, which are performed in secondary and tertiary hospitals, 68% of surgical operations in the United States are performed by clinics.

Patients with more acute or serious conditions are generally treated in outpatient centers, emergency centers, etc., and more serious patients are treated in acute hospitals, but the services provided by such hospitals are mainly inpatient and the length of stay is shorter, with an average of 5 to 6 days, and they may also be transferred to rehabilitation hospitals and long-term care hospitals after discharge. It is worth pointing out that there is no such distinction between hospitals in China, and the vast majority of hospitals mix these three types of services.

Doctors have full autonomy in choosing where they practice.

As a result of the self-selection, 84 per cent of community doctors practice in only one location, but 25 per cent of clinics are joint clinics of specialists, numbering about 270,000. 51% of clinics have only one doctor, and the number of doctors in such clinics accounts for 18% of the total number of doctors, and 38% have 2-5 doctors. In other words, close to 90% of community doctors practice in clinics with no more than 20 people.

Insurance payments are the main source of income for doctors and medical institutions, and the payment standards and payment methods are regularly negotiated by both parties. Among them, the government-run public medical insurance adopts the method of administrative pricing, and doctors and medical institutions can only choose to accept or not accept, if they do not accept, they cannot accept patients covered by public medical insurance. Commercial insurance institutions negotiate with doctors and medical institutions based on the payment standards of public medical insurance.

The standard of payment for this type of health insurance is uniform across the United States.

The Medical Association of the United States has set up a 5-digit code for all possible treatments, diagnoses, surgical procedures, etc., called "special codes for modern diagnosis and treatment", involving a total of more than 7,000 medical services. Each code has a weighted value, called a "relative value unit". The unit of relative value reflects the relative resources required to provide a medical service, and the higher the weighted value, the greater the amount of work required for the medical service, the higher the operating costs, and the higher the cost of purchasing medical negligence insurance.

The value of the relative value unit is also adjusted according to the regional operating cost index in different regions according to the above three elements. The rate for a particular medical service is calculated by multiplying the units of relative value by the conversion index, which is calculated based on a statutory equation given by the actuarial office of the Medicare & Medicaid Services Center.

It should be noted that, unlike in China, doctors in the United States negotiate with the medical insurance department separately as independent service providers, and the same is true for doctors practicing in hospitals.

As a bargaining party, medical institutions have more bargaining power than doctors, as exemplified by the fact that hospitals with high quality services may receive more insurance payments, similar to "merit-based pay", where doctors negotiate with commercial insurance companies on the basis of only homogeneous project-based payments. Unlike medical institutions, it is difficult for doctors to obtain differentiated payments due to differences in the quality of services. As a result, outpatient services in hospitals tend to receive higher insurance payments than outpatient services in clinics.

However, this does not mean that the income of outpatient doctors in hospitals is necessarily higher than that of clinic doctors, because hospital operating costs are higher.

In fact, doctors in private practice earn more on average than employed doctors. Doctors in private practice earn an average of $281,000 per year, while employed doctors earn $228,000. The ownership of medical institutions is not of concern in the country, and institutions and doctors only need to provide compliant medical services under a unified quality regulatory framework.

According to the National Hospital Association, in 2014, the number of non-profit hospitals accounted for 51% of the total number of hospitals in the country, 18.7% of for-profit hospitals, only 3.8% of public hospitals run by the federal government, and 17.8% of state hospitals. In terms of bed occupancy, non-profit hospitals have remained at about 59% in recent years, for-profit hospitals have been increasing year by year, reaching 14.7% in 2012, and public hospitals run by the federal and state governments have been declining year by year, reaching only 17.2% in 2012.

It can be seen that the medical resources of the United States are very tight, which directly leads to the result, that is, it is difficult and expensive to see a doctor.

So in the United States, what kind of medical treatment is difficult and expensive?

As far as Zhou Fangyuan knows, it is a domestic mother, her son is just having a high fever abroad, and going to the hospital to see a doctor is not only expensive, but also the procedures are super complicated. And for the locals of the United States, a small illness can bring them back to the pre-liberation period. Therefore, it is really expensive to see a doctor in the United States, and a minor illness not only spends all the savings, but even the hospital bed in the United States is ridiculed by netizens as "the most luxurious bed".

There is a very interesting phenomenon of seeing a doctor in the United States, that is, it costs a lot of money to see a minor illness.

I don't remember where I saw it, but an American kid swallowed a coin and took him to the hospital, and it only took the doctor about 5 minutes to get it done. However, the medical fees charged by the hospital are as high as 17,000 US dollars, which is equivalent to 70,000 or 80,000 yuan. In China, this cost is generally the cost of a major surgery. And even if you don't calculate the exchange rate, just say the number 17,000, put it in China, and pay with soft sister currency, this price can be regarded as very high.

And to see a serious illness, it costs a lot more money.

The person in the car accident was sent to the hospital for treatment, and stayed in the hospital for a month, and the medical expenses were as high as 730,000 US dollars, equivalent to more than 4 million yuan.

The main reason for the high cost of medical care is the high labor cost of medical staff.

For example, to train a doctor in the United States, a doctor must go through four years of undergraduate study, four years of medical school, four years of doctor training in a hospital, and two years of internship. In the United States, it takes a total of 26 years to train a qualified doctor. A postdoctoral degree is required for doctors who specialize in a certain field, at least 32 years.

In addition, the tuition fees for medical majors are ridiculously high. It is impossible to become a doctor without spending $1.5 million. If you don't have money, you can go to the bank for a loan. What is your student loan interest rate?10%!

The interest rate on a 20-year mortgage is only 4.9%.

After 14 years as a medical student, the house was largely gone. How can these doctors earn their tuition back? The wool comes out of the sheep, and the patients pay.

In fact, to put it bluntly, it is still the fault of the shortage of medical resources.

Because of the shortage of medical resources, it is impossible to see a doctor in time, and making an appointment is the most common. Rich people can be an exception, but how many such rich people are? In the final analysis, the most common people are the most. If you want to become a doctor, you have to consume a lot of money, and this money is not something that anyone can come up with, so many civilian children have already owed a lot of debt before becoming doctors, and after becoming doctors, they will naturally have to make crazy money, otherwise he will not even be able to pay off the loan.

Tight medical resources, doctors waiting to be fed, have long been the traditional "difficult to see a doctor, expensive to see".

Many people think that it is difficult and expensive to see a doctor in China, but compared with the United States, it is actually a small problem. Not to mention anything else, a cold makes you make an appointment a week in advance, and when the appointment period is finally reached, the cold will be cured a long time ago.

But what if it's not a cold, if it's cancer, if it's some other dangerous disease? A few days, or even a month or even a month, can really make a good person a sick person, and boil the patient to death.

This is still the most developed country in the world. In our country, it is really a miracle under the leadership of the government to be able to universalize medical insurance, you must know that China's population is several times that of the United States. In the case of such a huge population disparity, what else is there to blame for popularizing universal medical insurance one step ahead of the other party? For this, Zhou Fangyuan, as a person of sound mind, will certainly not casually seize the already small amount of medical resources.

It is not easy for the country to do this, Zhou Fangyuan can't influence others to be like him, but he and his family can make the right choice by themselves, and that's enough.