Yang Meng suddenly laughed and said, "If that's the case, buddy, I'll take you to deliver takeaways!" As long as you are willing to work hard, you will definitely earn more than the attending doctor!"

Di Wei smiled bitterly: "Do you think that the labor intensity of a doctor is small? The most important thing that doctors lack is 'work hard'! Let me tell you, in our business, there is no lunch break on weekdays, and there are no weekends on weekends, and those statutory holidays are basically not satisfied. Our country has a population of 1.4 billion, and there are only a little more than 10 million medical personnel, and there is a serious shortage of personnel! The slogan in the hospital is: Women are used as men, and men are used as animals! The labor intensity is really not less than that of food delivery, at least you can control your own time when delivering food food, right?

Yang Meng coughed dryly: "Off topic, off topic, let's talk about income." ”

Di Wei nodded and continued: "The doctor's income is generally the basic salary plus training allowance and overtime pay, scientific research bonuses and the like, and each department is different, for example, cardiology, the price of blood pressure drugs remains high all year round, so the commission and bonus will be higher than the department; They also have relatively high incomes, well, we have the same situation in the emergency department, which uses a lot of consumables, but it is definitely worse than the orthopedic department. ”

"Commission?" Yang Meng heard the concern: "I understand, is it because the media is talking about 'high-priced drugs' now that there is a commission for prescribing these drugs?"

Di Wei spat fiercely: "The reason why the relationship between doctors and patients is tense now is that the media is responsible! They don't do the correct guidance of public opinion! A million successful treatment cases will not be seen, and if there is a medical dispute, the whole country will be stared at! Aren't doctors human beings in their eyes?"

For example, if you have an operation, all the expenses must be approved by the upper supervision, and then the money will be returned to the hospital after making sure that there are no problems! All the expenses for surgery, treatment, and nursing fees are also set by the price bureau, and the hospital says that it is not counted! The hospital then calculates the money and distributes it to the medical staff who did the operation. The hospital still needs to make a profit, and it has to feed the thousands of medical staff in the hospital, and it has to minimize the profit, what should the hospital do?" Di Wei asked rhetorically.

Yang Meng and the others were also stunned, not knowing how to answer this question.

Di Wei continued: "In the early years, the supervision was not so strict, so some hospitals started with drugs. Prescribe more drugs and prescribe those that are more profitable. Doctors earn rebates from here offered by pharmaceutical companies. But now the situation is different! Now the drugs used in hospitals are all managed in a unified manner, and the state bids for them in a unified manner, so that those pharmaceutical companies can provide the lowest prices while ensuring quality, and make profits in the way of 'volume'. The price is also uniformly disclosed, so how can it be possible to make a profit from medicines?"

"And these public hospitals are all operated by differential appropriations, that is to say, most of the funds, including the construction of your hospital, the purchase of diagnosis and treatment instruments and equipment, etc., have to be raised by the hospital itself, how can this money come from? Now the medicinal materials and consumables are all set by unified bidding and pricing, and the hospital does not even have the right to set prices, and even the consumables have begun to have zero price difference! Let me ask you, what does the hospital rely on to make money? How do you feed so many people?"

Looking at the stunned Yang Meng and the others, Di Wei threw another bombshell and said: "And now many hospitals are operating in arrears. ”

"The hospital still owes money?" Yang Meng said curiously: "I see that the hospital is always doing prosperous business!"

"Business is booming?" Di Wei took a puff of cigarette, coughed for a long time and then smiled: "Have you considered medical insurance?"

"What's wrong with medical insurance?" Yang Meng asked puzzled, "Isn't this a good thing?"

Di Wei explained: "The medical model in our country is like this, which is called 'advance payment', what does it mean? That is, the expenses reimbursed by the medical insurance are first paid by the hospital, and then the hospital will apply to the medical insurance bureau for reimbursement, as fast as three months, or as slow as half a year, so that they can get the expenses they have paid in advance! As long as the medical insurance department does not settle in time, the hospital will fall into the problem of difficult capital turnover." Moreover, the medical insurance department has also put on a 'tight spell' for each hospital, giving you a medical insurance quota, and if you exceed the quota, you will not be reimbursed! This is a very good intention, that is, to reduce the burden on patients and reduce medical expenses, but what should the hospitals do? If the medical insurance quota is used up, if you accept medical insurance patients, you will have to pay for it yourself; but if you don't accept it, it will certainly cause public opinion! Now we people have to go to a tertiary hospital if we have a cold and fever, and the more big-name hospitals have, the greater the pressure on medical insurance. ”

Yang Meng was stunned when he heard this: "Do you still want the hospital to pay for it yourself?"

Di Wei said with a smile: "What do you think? Do you think there are fewer people who run away after seeing the disease? Some people are really poor, can you watch them die? Our emergency department is regarded as a 'big escape' in the hospital, and there are often people who run away after being treated." ”

Yang Meng asked curiously, "Okay, how do you deal with those who really can't afford to see a doctor?"

"How to deal with it?" Di Wei shook his head with a wry smile: "I don't understand what is going on with these people's brain circuits. Hospitals are places where doctors and nurses work! If you go to the supermarket and can't afford to buy things, why do you complain about what the supermarket does? If you are really poor, should you go to the government? We have such a fund in our department, and this is the way to deal with this situation! Some people don't pay for medical treatment, or they can't pay for the real poor, and the department pays 80 percent of the treatment costs, and the doctors who receive them pay 20 percent. Generally speaking, we will all the medical staff each contribute a little bit to make up the 20 percent! Who knows if one day I will have such a thing? My dad is ox X, right? He's a big doctor in a city hospital, right? He's only 25 yuan for an expert number! That's not enough money for you to buy a pack of cigarettes! All the people who judge the morality of the hospital or the doctors and nurses in the hospital are hooligans!"

"Talking all day long about the high cost of medical care, saying that doctors and nurses are not 'angels in white,' and that angels are all staying in heaven! If you go to find an angel and go to heaven first! We are also human beings! If you have a debtor and a debtor, you should go to whoever you look for if you look down on the sick, and you should not ask for trouble with our hospitals and medical staff! If you don't have medical insurance, you can ask for help from the civil affairs department, and there are family planning commissions, neighborhood committees, and so on, so why do you want to look for us? This is just a job! What is the meaning of staring at us like this, putting contradictions on us, and causing us to be treated poorly? They jumped high and scolded us one by one, and when they really encountered a problem, they didn't ask us to treat them?

Yang Meng snapped his fingers: "This sentence is on point, it's really boring to stand on the moral high ground and say that others, but there is a shortage of talents in my barbecue restaurant who have nothing to play 'moral trial'." ”

"Hmm, why is that?" Duan Bowen asked curiously.

Yang Meng shrugged: "This still needs to be asked? They are all saints, how can they be troubled by fame and fortune?

"Hahahaha. Long Teng laughed: "I don't think anyone can do that." ”

Yang Meng said with a smile: "These people keep saying that teachers are 'gardeners' and medical staff are 'angels', and to put it bluntly, they are measured by how much they can take advantage of their own money." ”

Di Wei was suddenly a little less interested, and said in a muffled voice: "Actually, we are quite good, and Chinese medicine is even worse." In fact, Chinese medicine is really broad and profound, but the treatment really depends on medicine, but now that the medicine is so transparent, it is even more difficult to make money! I have a classmate who studied Chinese medicine, and he opened a Chinese medicine hall by himself, not to mention that he also goes to the big medical center once a week for consultation, so the monthly income is not more than 10,000 yuan. But there is a saying in our own industry, which is called 'persuading people to study medicine, and the sky thunders and splits'. Many people say that we doctors are slowly boiling, and a good life is coming. But I really want to ask these people: Why does Lao Tzu want to boil? Why do I want to be a cheap laborer? Is it directly proportional to the income that I have earned from my labor after studying for so many years? Hippocratic vows that I will not eat if I carry a melon that is ripe and ripe? Even if I am promoted to the rank of attending doctor, my annual income is more than 100,000 yuan. But if you look at the fact that everyone recruits doctors from Huawei, they all start with an annual salary of one million! I am also a doctor! Why is there such a big gap? If I eat, drink and have fun with Zhou Chun, we will be investigated, who will I reason with?"

Speaking of the back, Di Wei became angry: "Especially in our emergency department, there are all kinds of people who say that medical staff are about to become a high-risk industry, and the emergency department encounters such cases the most! I just wasn't there that day, and if I was there I had to fight those guys!"

"Huh, tell me what's going on?" Yang Meng asked curiously.

Di Wei said indignantly: "A young man came to see a doctor with his family because of a high fever, my tutor checked it and found that it was because this young man had sharp-wet-warts-sharp, originally this disease would not cause fever, but this guy also knew that he was ashamed, and went to a small clinic to treat it with corrosive agents improperly caused by local ulceration and inflammation caused by high fever. My mentor saw the situation and told him the corresponding treatment, but there were so many people on the scene, out of consideration for the patient, they didn't directly tell him what the disease was. ”

"This is a good doctor who thinks about his patients at all times. Yang Meng nodded, and then asked curiously: "Such a good doctor will also be beaten, who can do such a unconscionable thing?"