Xu Yi hung up the phone and pouted secretly, the matter of regulation has just begun, and it is not clear what kind of changes will be brought in the future. Pen "Fun" Pavilion www.biquge.info

Assuming that he doesn't get space, he may be like his classmates, gritting his teeth and going back to the Chinese medicine hospital in three years.

Although time has passed, if you want to go back, it shouldn't be too much of a problem.

First of all, after three years, it is still during the term of office of the dean, and the director may also be rehired.

It is not that the internal medicine department of traditional Chinese medicine cannot be placed, and there is no position in other departments, and the impact of regular training on me may only be reported to a few years. For myself, regular training should be regarded as a good thing, at least the money solves my urgent needs, and also breaks off the idea of going to the Chinese medicine hospital, which is also an absolute worry.

There is such a space, as long as you are careful enough, even if you hide in the deep mountains and old forests, you will definitely have no worries about food and clothing in this life, and going home directly will definitely bring more direct benefits than staying in the traditional Chinese medicine hospital.

As for staying in the provincial capital, this is not because he is greedy for the prosperity and modernization of the provincial capital, nor is it against his own heart.

really gritted his teeth and sold this building, presumably eighteen million is not a problem, with this money, he will be rich and expensive in his life, but it is certain that he will have no worries about food and clothing.

It's just that this kind of one-shot deal, looking at the huge income, is not as high as the income of opening your own store.

After all, the materials that you can grow are basically not costly, except for seeds and seedlings, and at most you are tired.

In addition to dreaming, if you want to make money, why don't you work hard?

As long as you don't pump your brain too hard, you can basically make a profit without losing money.

This kind of cash flow is obviously more cost-effective than selling this store.

In particular, the agriculture that I want to get involved in is originally a low-yield basic industry, especially after joining the WTO, the basic planting industry is becoming more and more difficult, and with the asymmetry of information, it is not surprising that what is planted is worthless. It can be said that the industrial upgrading of agriculture is also an imminent and indispensable thing.

It's easy to talk about it, but if you really want to upgrade, you're afraid of facing more unknown factors and conditions, no matter what you do, money is always indispensable. What's more, I don't know where to open the upgrading industry, even the most basic planting industry, what I see in front of me is almost a bottomless pit.

All I can think of at the moment is only in that Qingyuan Mountain, and there are only a few acres of thin fields under the mountain.

If it was just a few acres of land, it would be simple, at most it would be cultivated in protected land or something, but thinking about Qingyuan Mountain, Xu Yi really felt that the pressure was great.

The whole Qingyuan Mountain is close to two thousand meters from east to west, and the widest place is almost four or five hundred meters, with a total area of nearly four thousand acres.

This is the number on the forest right certificate, according to the practice of the village, the real area should still have a lot of error, and it must be only big and not small.

Qingyuan Mountain did not escape the catastrophe of the original steelmaking, which also made the soil erosion situation very serious, the most serious north slope, many places of the rocks are exposed, even if the south slope is better, the thickest soil layer on the mountain is less than half a meter deep, it is impossible to plant big trees and not move to renovate.

Either forcibly transform and plant trees, or plant grass according to local conditions, but such a large area, let alone planting trees, even if there are places where grass is planted, it still has to be covered with soil and transformed.

In these years, what is the cost of labor, seeds, fertilizers, etc.?

Assuming that this building is really sold, if it is counted as 20 million, it is estimated that the average acre of land on this hill is three or four hundred yuan. Although it is not a drop in the bucket, if you want to transform this mountain to the extent that you are satisfied, it is estimated that the difference is not less than a star and a half.

If there was no space before, I am afraid that it would be enough to be proud to be able to transform it to the extent that it can be seen, but now that there is such a space, is it too much to ask for yourself?

In these years, what is sold cheaply, and what is expensive has become a basic routine.

If you do the math carefully, such a small amount of money may not be enough to buy saplings.

In particular, agriculture and forestry are long-term investments, and not only the entire production cycle may have various natural disasters such as hail, heavy snow, pests and diseases, but also various human factors such as market changes and policy adjustments.

If you want to avoid risks, you can either increase the added value of the product, or you can only find ways to shorten the production cycle and obtain benefits as soon as possible.

The former, not to mention how much money you want, and even the idea itself is not too brilliant, so you can only rely on the latter.

For example, do not consider too small seedlings, do big trees or grafted seedlings transplanting, so that after planting and surviving, you can see the benefits of maintenance for a year and a half.

Of course, if you have such a space, it is definitely not difficult to do the seedlings, and if you want a big tree, it is just a matter of watering a scoop of water more than a small tree.

For space, not to mention common tree species, even if it is small-leaved red sandalwood, zhennan or something, there is no problem.

If you really plant the rare tree species on the list of protected species in these countries or on the list of the World Trade Convention, you can only plant them in the dark and play in your own space. If you really go all over the mountains and fields to transplant trees, you will either fall into the eyes of those who have a heart, or you will block the way of other people's money, and you can't explain the consequences of the source......

This is also the reason why Xu Yi, who has had space for so long and lacks money and has green eyes, did not put his mind on scarce medicinal materials such as ginseng and dendrobium.

After all, it's not fruits and vegetables, no matter how much it changes, eggplant is still eggplant, at most, the texture and taste are better, and the original flavor of eggplant is stronger. I can't taste the cucumber, let alone the meat. After digestion, it is a bubble of, no different from ordinary ingredients.

But replacing the ingredients with medicinal materials to cure diseases and save people, the first thing Xu Yi cares about is what grows in this space, what are the ingredients and curative effects?

Different from the modern medical system, most of the Chinese medicinal materials used in traditional Chinese medicine are naturally grown, taken from natural animal and plant materials, and after long-term repeated exploration, a set of treatment standards is finally formed.

The selection of medicinal materials pays attention to authentic medicinal materials, and the surviving medical books of the past dynasties all regard this as a guideline. Modern studies have found that the natural variation of the chemical composition of Chinese herbal medicines caused by different geographical environments can lead to huge differences in the content of the same chemical components contained in the same herbal medicine. It is not impossible for the same medicinal materials to vary by dozens of times in the content of active ingredients from different origins.

If the active ingredient content is low, it may have little effect and will undoubtedly not benefit the patient. After all, the use of ineffective drugs is likely to delay the disease, and if the disease progresses, it may cause adverse consequences.

But if the content of active ingredients or toxic and harmful ingredients is too high, it is also not a good thing. After all, traditional Chinese medicine is empirical medicine, and the dosage has changed, but there is also a general range, and the difference in content is really dozens of times, far exceeding the adjustment range of medication, and even the medicinal materials that may have been processed cannot fully guarantee the safety of medication.

Xu Yi also wondered if such medicinal materials should be classified as poison. It's not impossible to really give people food, and it's not impossible to eat people's lives!

Moreover, a hundred-year-old ginseng on the market is millions of pieces, which is just a hype caused by scarcity.

How many people will buy these and how many can afford them?

The wild ginseng and understory ginseng that can be used in ordinary times are slightly more expensive, but they are also affordable by the general public.

If you really plant and sell valuable medicinal materials in the space, you will definitely not be able to solve the fundamental problem with a little bit of a star, and if you really sell them in large quantities, you are afraid of planting countless curses for yourself.

In addition to the problem of not being able to explain the source, I am afraid that I will enter the eyes of those powerful people who have eyes and hands, after all, "there is no medicine to cure the poor, and it is difficult to buy life with money"

The rich and powerful have more attachment to life than ordinary people, and the real good things naturally want to be in their pockets.

Money is something outside the body, but it's always right to have things that matter to life.

If it is really these people who take medicine and have no effect or have problems with eating, they are the ones who are unlucky.

Selling those, no matter how I think it's no different from looking for skin with a tiger.

Even if there are no such problems, Xu Yi can't even pass this level himself, what is the difference between only caring about money and not paying attention to medical ethics and trying to kill people for money?

So, when it comes to transplanting large trees, common tree species are still the first choice, and the only first choice. Even if it is transplanted, there must be a suitable way to cover it up.

Doing business is always more flexible than working hours, and there are more people you can come into contact with, and there are definitely more ways to do it.

If you work hard and develop steadily for a few years, no matter whether there is still this space or not, your goal will definitely be achieved.

Looking at it this way, according to the idealistic point of view, it is that I really have no chance with the Chinese medicine hospital......

However, such a miraculous thing cannot happen to everyone.

For the vast majority of people in his generation, it is more likely to be like falling into a nightmare.

It's not easy to find a job, and it's even more difficult to get into a good unit, I'm afraid that if I miss it this time, I really won't have a chance to go in again, and the impact on him is only difficult to estimate, and it may really affect him for a lifetime.

Such a tragic thing, there are a few people in my class alone. For them, a horseshoe nailed down an empire really happened.

After all, maybe there was just a chance to enter the top three, but now it was regulated and the agreement was invalidated, and this opportunity may be completely lost.

There is even a young man in his class, who originally signed a provincial hospital, and now he gritted his teeth and decided to go back to the county hospital in his hometown, his hometown has not yet implemented the training, so he can still go to work.

He said that his family is not wealthy, and he has a younger brother who is in high school, and the burden on his parents is too heavy for another three years.

But his girlfriend felt that he had made the wrong choice, and persuaded him to grit his teeth in the provincial city for three years, and he could also help one or two, so that after the training, how could he find a better job than the county hospital, and the final income would definitely be stronger than in the county hospital.

But this guy can't be hard-hearted, and he thinks that spending a woman's money without a name or share is eating soft rice, and he can't raise his head. After seeing the subsidy standard for regular training, he resolutely signed an employment agreement and sent it back to the county hospital in his hometown.

The contradiction between the two has intensified, and they quarreled several times for this, and finally had to break up helplessly.

I don't blame the girl for being realistic, if she drinks water and eats a full meal to lose weight, if she drinks water every day to get hungry, and even the northwest wind can't afford to drink, then she still loves Nimabi?

Although this training has a great impact on employment, Xu Yi also feels that he is a little taken for granted when Song Benli pins his hopes on social recruitment.

Social recruitment is indeed a way, and the introduction of urgently needed talents can definitely solve the problem of establishment and treatment.

However, this can only be said that there is a little hope, but all counting on this, the hope is quite slim.

Despite the liberalization of the medical market in recent years, the state has encouraged private capital to enter the medical industry for the purpose of improving the health level of the whole people. In this context, the advertisements of private hospitals in the Putian system are overwhelming in various ways.

However, while the Putian system has injected vitality into the medical market, it has also brought more problems.

If private hospitals want to have a real future, it is obviously not something that can be achieved by taking a vote and leaving.

After all, it is a health problem that affects thousands of households

For a long time now, the public health care system is still the most important system to ensure social health care.

Many of the current medical problems are not medical problems per se.

It can be said that to a considerable extent, the improvement of living standards, the extension of the life expectancy of the population, coupled with the change of health concepts, have highlighted the contradiction between medical supply and demand.

For example, a few decades ago, you might have had a headache and brain fever and gritted your teeth and endured it, of course, if you were unlucky, this person would be gone.

But today, many people choose to go to the hospital.

In the past, if you have a chronic disease, you may only be able to struggle slowly in hopelessness, waiting for the end to come.

Now, no matter what the effect and outcome of the treatment is, whenever there is a glimmer of hope, there is always a way to seek medical advice.

In the past, maybe these three hospitals in the county could almost meet the medical needs of the people in the county.

However, now, this contradiction between supply and demand has emerged and has been rapidly magnified.

Of course, the lack of medical insurance coverage, insufficient health resources, and the rapid growth of medical prices have caused tension between doctors and patients, and even led to the emergence of various medical contradictions.

However, as an industry insider, Xu Yi still has to say that in terms of the same level of economic development alone, the domestic health security industry has done quite well.

As long as the state continues to increase investment in subsequent development, expand the scope of beneficiary groups, improve the level of social security for ordinary people, and reduce the difficulty of seeking medical treatment. Then the current problems may be solved little by little in the course of development.

Of course, it's good not to always make these moths like regular training, after all, in the long run, it seems to have opened up the last hurdle from the academy to the clinic, but from another point of view, the impact of this regular training is far less beautiful than it seems.

It is difficult to study medicine, even if it is an undergraduate, it is one year more than other industries, plus three years of regular training, adding up to eight years, and the subsidies of several regular training bases in the province have come out, even if it is the highest second hospital, it is not more than 1,000 yuan a month.

This amount of money, I'm afraid that the salaries of the cleaners hired by the hospital are higher than this, which should be regarded as a kind of blood sucking in disguise.

In addition, the relationship between doctors and patients is tense, and I am afraid that if I am willing to study medicine, there will be fewer and fewer people who are willing to become doctors.

The cost of studying in a university, changing to a medical school, and studying for a bachelor's degree in eight years is no longer affordable for ordinary people.

If you are employed, the salary income is higher than that of other industries, but in fact, the income of the medical industry is not high.

Looking at it this way, it is not surprising that some medical staff accept red envelopes or something.

It can be said that the introduction of regulation and training will have a great impact on the entire medical industry.

The salary of the personnel of public medical units has always been set by the financial department, and if the salary of hospitals of the same level in the same region is only counted, the difference is not too big.

The real difference in income is mainly in the performance bonus.

If the performance meets the targets of the financial department, then no amount of work is done, and it is not allowed to be distributed.

Under such a premise, there is no difference in performance among all hospitals.

However, this is only theoretical, and in practice, performance is closely related to department income, etc.

In addition to regional differences, from tertiary to first-class hospitals, doctors with the same education, the same type of work and the same length of service have a decreasing salary level.

The reason for this result is not entirely a simple problem as the greater business volume of tertiary hospitals.

The fees charged by public medical institutions are set by the Ministry of Finance and are adjusted according to different hospital levels.

For the same examination and treatment, the charging standards of tertiary hospitals and secondary hospitals are much higher than those of the latter. If you do the same amount of work, the performance of the tertiary hospital may exceed the upper limit, and the performance of the secondary hospital will be much worse.

In addition, the number of patients in tertiary hospitals is more, so it is natural to get the upper limit, but in the following hospitals, many departments are facing a shortage of patients, so naturally they can't get so much performance.

Therefore, as long as they are practitioners, not many people will take the initiative to run from a large hospital to a small hospital unless there are reasons other than work.

After all, except for a few departments such as pediatrics, the performance income of most of their departments is much higher than the indicators of the financial department, and the bonus payment is no problem.

Even in pediatrics, the income of pediatricians in large hospitals is definitely higher than that of pediatricians in small hospitals.

Under the premise of comprehensive training, many tertiary hospitals have training bases, with a large number of cheap labor, and there is no urgency for recruitment, even if there is also a demand for recruitment, it can also be solved by social recruitment and talent introduction.

However, the following first- and second-level hospitals, it may not be easy to recruit originally, but now they are suddenly carrying out three-year training in a straight manner, and I am afraid that the recruitment in the past few years will be even more difficult.

In fact, what kind of work a person chooses and where to work is also conditioned by other social factors, in addition to personal factors such as knowledge.

For example, the degree of economic development of the place where you are looking for a job, such as the local medical conditions.

Objectively speaking, the medical resources in the county are obviously insufficient, or compared to some more remote and backward areas, which is quite good, but on the whole, the medical conditions are not particularly good.

There are several major medical institutions in the county: the county hospital, the traditional Chinese medicine hospital, and the women's hospital, the county hospital is a second-class general hospital, the traditional Chinese medicine hospital is a second-class Chinese medicine hospital, and the women's hospital is a second-class B specialized hospital.

The remaining smaller health units are mainly community health centers formed by the disintegration and restructuring of the original town hospitals.

This looks good, but it is far from meeting the needs of local medical care.

If this is still the case in the county, the medical conditions below are even worse.

In addition to a few scattered private clinics and dentist clinics, the villages are also like Xu Yi's hometown. At most, there is a village health post, and there are no permanent medical personnel - this thing is more meaningful to deal with the examination.

After all, not every village has Xu Yi like this, providing medical services to villagers without establishment and salary.

Xu Yi's previous TCM practice certificate was registered in a traditional Chinese medicine hospital, not at the village health station.

Even earlier, he didn't even have a TCM license.

In this regard, he has actually violated the Medical Practitioners Act and is suspected of illegally practicing medicine.

However, who cares, the Health Bureau really doesn't know that Xu Yi is helping the villagers at home or something?

It hasn't been a year and a half since this happened, and the people in the village have signed Xu Yi's prescriptions to buy medicines at county hospitals, traditional Chinese medicine hospitals, or pharmacies - of course, some over-the-counter drugs really don't need a prescription.

In recent years, illegal medical practice and unlicensed medical practice have been arrested everywhere.

If the Health Bureau really wants to say that it does not know anything about such a situation, then it has to say that the leadership is incompetent or blind and deaf?

It's just a matter of turning a blind eye.

After all, a health station that was originally just for political achievements, at most, can be used for medical medical examinations in the countryside once a year, without increasing financial expenditure, and improving the health service level of the local people, which leader would be stupid enough to ask for dissatisfaction in all aspects and come to Xu Yi for trouble, isn't this self-inflicted?

Of course, there are also prerequisites for maintaining this fragile balance, which can only be built on the basis that there have been no medical accidents in the health station for several years, and Xu Yi has not done anything too far beyond his scope of practice.

If something really happened, the Health Bureau would be the first to lead the team down to trouble Xu Yi, and he couldn't run away.

This is the case with the health stations in the villages, and the health centers in the villages are not much better. Some townships may have part-time laboratory technicians, but as for full-time laboratory technicians, where will they get the money to pay their salaries, and where will they recruit people?

Even if it is carried out, there are often not many examination items in these health centers, at most they are the three major routines to do, and the better ones can check blood sugar or something, as for biochemistry and immunity, there is no need to think about them. Radiology, ultrasound, and electrocardiogram (ECG) projects have basically not been carried out, and there are two townships with ECGs, and they are all part-time internal medicine or general practitioners in health centers.

Compared with the provincial capital, the gap between such a medical configuration is even more obvious.

There are several provincial and municipal tertiary hospitals in the provincial capital, such as the Provincial Hospital, the Provincial Hospital of Traditional Chinese Medicine, and the Municipal First Hospital, as well as the Red Cross Hospital, post and telecommunications, and construction engineering enterprise hospitals, which are also tertiary general hospitals. There are no less than ten tertiary specialized hospitals such as skin hospitals, provincial psychiatric hospitals, provincial cancer hospitals, and infectious disease hospitals. Each district also has its own district hospital, maternal and child health hospital and traditional Chinese medicine hospital, all of which are second-level hospitals.

Community health in the provincial capital has covered the provincial capital and the towns and villages below.

There are even some community health service centers with observation beds, and the medical equipment is much better than the community health service centers in the county that cover the residents of the whole county. These community health service centers are basically equipped with radiology, ultrasound and laboratory departments, and even some of the better communities can even do biochemical series.

Such conditions, in terms of department configuration alone, are not much worse than those of traditional Chinese medicine hospitals more than ten years ago.

However, compared with the cities at the provincial capital level, such medical conditions are already very ordinary, and the provincial capitals are about the same, and there is a considerable gap compared with Beijing, Shanghai and Guangzhou. Even more than half of the top 100 hospitals are clustered in Beijing and Shanghai.

This is true for health care, this is true for education, and the same is true for social welfare.

It's not hard to imagine why first-tier cities are crowded and housing prices are becoming more and more difficult to control.

When I went out to exercise the night before yesterday, Xu Yi also heard Xiao Li say that the old house in her family is located next to a key primary school in the magic capital, and now the house price is almost 180,001 square meters.

In Xu Yi's hometown, with so much money, a smaller house is almost enough to buy half a set.

Xu Yi asked her why she didn't sell the house if it was so expensive, but Xiao Li didn't say anything.

Even if she doesn't go back in the future, she refuses to sell this house and refuses to rent it.

I don't know if I can get better from this disease, even if I have more money, it's useless, not to mention that the house is full of memories.

In larger cities, all conditions are good, except that they can't find a job, why should people run down?

Even if there is a real reason to come to the county, why do you have to choose a hospital?

The TCM Hospital is just a second-class TCM hospital.

After decades of development in Western medicine, coupled with the poor management of traditional Chinese medicine hospitals for decades, except for some older people, there are not many people who really believe in the level of traditional Chinese medicine hospitals.

Whenever there is something wrong, those who have money will choose to go to the city and province to see it, even if they can't go out to see a doctor due to economic conditions and other reasons, the first choice is to go to the county hospital.

Although it is also a second-class hospital, it is also the largest general hospital in the county, and it is much stronger than the traditional Chinese medicine hospital in terms of department configuration and medical facilities, and the comprehensive strength is still there.

In the past few years, the hospital has worked hard to make progress, and what about the county hospital?

In recent years, the development and investment of the county hospital have also been quite large, and the traditional Chinese medicine hospital is just a plan, but the county hospital has built a new inpatient building and introduced a lot of advanced medical equipment.

Last year, the county hospital also conducted the grade evaluation of the third-class general hospital for the first time, but there may be some deficiencies and did not pass the evaluation. However, the private statement is that it will apply for the grade review again in two years, and there is no problem with entering the third.

The treatment that can be given by traditional Chinese medicine hospitals is not very attractive, and the attraction of county hospitals is in front.

What's more, hospitals in the city, and even hospitals in provincial capitals, may have a large number of vacancies anywhere because of the policy, and it is necessary to ask how much more attractive they are than traditional Chinese medicine hospitals?

Isn't it possible that in the past two years, there have been a lot of job-hopping people in the hospital, and even the unlucky ones may have people left, and they still count on social recruitment?

In the words of the fat man, it is - pattern!

Not to mention this year, if it is not good, before the end of this training, there is no good way to solve the problem of personnel gap.

If the leader makes some stupid moves, I am afraid that the loss of talent will not be possible, but 100% certain.

Just thinking about making people dedicate but not giving enough attractive and retaining treatment and policies, where is there such a good thing!

Therefore, this full-staff training has little impact on real large hospitals, but county-level health institutions such as traditional Chinese medicine hospitals are more likely to suffer from the catastrophe.

If you expand it a little further, it will be said that this regulation will be unlucky in the end, but I am afraid that it is still the following people.

It's really similar to the sentence "the people are bitter when they are rejuvenated, and the people are bitter when they die".

No matter how you change it, the unlucky ones are all the grassroots, and they are all poor people who have problems with medical treatment.

Moreover, there is a serious problem in this way, students from poor families really don't want to study medicine, let alone study medicine; as for the Yin Shi family, how many people are willing to let their children study medicine at a time when the relationship between doctors and patients is becoming increasingly tense?

I am afraid that this dilemma of doctor-patient contradiction and difficulty in seeking medical treatment will affect this ancient but long-suffering country for a long time.