Although Niu Tiangou thinks that Dr. Xue Lian's words are very reasonable, and what he said is indeed the actual situation of the current medical system, after all, Dr. Xue Lian has been in the hospital for a long time and knows the "unspoken rules" inside. Pen ~ fun ~ pavilion www.biquge.info

However, he always felt unfair for the Liu family brothers and sisters in his heart.

More than 1.3 million!

And only stayed for 64 days, and he healed people to death!

Nima, medical expenses landed on the moon and went to space, but people went into the underground Yellow Spring!

Grandma's, fortunately, Liu Xinhua is a private entrepreneur, if ordinary people are ordinary people, can they afford such an expensive "medical death fee"?

Don't say that it is ordinary people, but Niu Tiangou is involved in this matter, then I am afraid that I can only sell the house.

If this continues, the doors of hospitals will only be open to the wealthy.

Niu Tiangou knows that the behavior of illegal and arbitrary charges in hospitals, like illegal and arbitrary fees in education and rural housing construction, is essentially a kind of behavior, which involves the interests of many people up and down, and it is difficult to eradicate it.

But in any case, Niu Tiangou is determined to support the Liu family brothers and sisters to fight against the hospital's ** behavior, in order to seek justice for the Liu family brothers and sisters who can pay millions of yuan in medical expenses, and to let ordinary people who can only pay tens of thousands, hundreds, thousands, and tens of thousands of yuan in medical expenses afford to see a doctor.

Although this kind of behavior may be difficult to eliminate in a long time, he understands better that this kind of behavior is like a weed in the field, someone must come forward to eradicate it, otherwise it will spread and grow wildly.

As for weeds, we are not afraid of "getting rid of weeds every year", as long as we "get rid of them every year", we can curb the weeds that breed to the greatest extent, and it is precisely in the struggle against weeds year after year that we maintain a benign balance between weeds and food crops and ensure the normal growth of food crops.

Weeds are not planted every year, and they grow every day without roots.

Where crops grow, weeds grow; Where there are charges, there will be illegal charges.

In the face of the hospital's illegal charges, if you don't fight, he will never have a relatively fair consumption environment, and the problem of difficult and expensive medical treatment will never be solved, and the people who can only suffer are trillions and billions of people at the bottom.

……

A day later, Liu Sisi sent the materials over.

Niu Tiangou carefully read the materials at night. This Liu Sisi writing is really not bad, the material is in order of words, the thinking is clear, from the main to the secondary, to say that it is not annoying, and the problems existing on the list of charges are listed one by one.

After reading it, Niu Tiangou only made a few revisions and sorting, and added a beginning and end, and took the time to send it to Liu Sisi the next day.

After Liu Sisi got the revised materials, she printed two copies on the same day and sent them directly to the Binhai Municipal Health Bureau and the Binhai Evening News.

Two days later, the "Binhai Evening News" sent two reporters to investigate and visit the Liu family brothers and sisters, and checked the list of charges, and then went to Binhai Hospital to do some investigation.

……

A few days later, Niu Tiangou returned home from work in the Xinyuan community, and Dr. Xue Lian was sitting on the sofa in the living room reading a newspaper.

"Yo ho, you're also concerned about national affairs?" Niu Tiangou looked at the deliberately surprised expression, and teased with a smile. In Niu Tiangou's impression, Dr. Xue Lian only reads medical magazines in her spare time, and does not seem to have the habit of reading newspapers.

"Come and see, this Liu Sisi really stabbed her father's treatment to the newspaper office!" Doctor Xue Lian raised her head and pointed to the newspaper and said to Niu Tiangou.

"Oh?" Niu Tiangou was shocked when he heard this, this Liu Sisi was still moving fast enough, but his face didn't show it, "Really? Show me. ”

"Look here."

Dr. Xue Lian handed over the newspaper, which was a copy of the "Binhai Evening News": "At noon today, I heard that the doctors and nurses in the hospital were spreading that our hospital had been sued, and the articles were all on the "Binhai Evening News". ”

Niu Tiangou hurriedly took the newspaper, only to see that there were really two articles written by reporters about "millions of medical expenses".

Sitting on the sofa, Niu Tiangou looked at it seriously.

The previous article is entitled "Investigation of Million Medical Expenses", which details the situation of Liu Sisi's father being hospitalized and being charged by the hospital for millions of dollars, as well as the doubts of the Liu family brothers and sisters.

The other is a review piece titled "What Millions of Medical Bills Expose." The article reads like this:

What the millions of medical bills have exposed

Mr. Liu died of illness after 64 days of treatment in Binhai Hospital, resulting in a huge medical expense of more than 1.3 million yuan. Although this is a special case, the phenomenon reflected is very common, and the problems exposed are very serious.

What does the medical expenses of more than 1.3 million yuan expose?

First, it exposes the shady curtain of "revenue generation" in hospitals

Doctors know that the income of hospitals, in addition to a small amount of financial subsidies, mainly depends on drug income and medical income.

At present, the state financial investment in the medical and health sector is insufficient, and some hospitals can only do everything possible to generate income from drug income and medical income in order to make profits.

Let's start with the hospital's revenue generation in terms of medicines.

It is estimated that if the state wants to fully package all the medical and health departments, it will have to invest 700 billion yuan, which is undoubtedly an astronomical amount for the state, so the state has given the medical and health departments a policy: the medicine is given to the hospital, and the hospital can add another 15% to sell it to consumers.

The specific explanation of this policy of "using medicine to support medicine" is that hospitals can bid for drugs from pharmaceutical companies, reduce the price of drugs and sell them to consumers at a 15% mark.

This policy of "using medicine to support medical treatment" has opened the door for hospitals to charge indiscriminately.

In order to generate income in terms of drugs, some doctors take more drug commissions, prescribe more drugs, prescribe expensive drugs, and prescribe large prescriptions to patients. In the course of Mr. Liu's treatment, he prescribed more than 60 times, prescribed more expensive drugs, and "combined drugs".

Not only that, Binhai Hospital has also increased the price of drugs by between 30% and 40%, far exceeding the national standard of 15%.

Let's talk about the hospital's revenue generation in medical care.

In addition to generating income in medicine, some doctors have also made great efforts in medical treatment, raising the standard of fees, repeating examinations or using high-end medical equipment to check, dismembering charging items, duplicate charges, "stuffy bags" of fees, hanging beds, etc., have become the most commonly used means of generating income.

For example, Binhai Hospital is a tertiary hospital, and the daily charge for the intensive care unit is generally 3,000~5,000 yuan, but the hospital has raised the charging standard without authorization and charged more than 10,000 yuan per day. For this alone, Mr. Liu's family was overcharged more than 30 yuan.

For example, Mr. Liu was hospitalized for 64 days and had 130 kidney function tests, an average of 2 times a day. There were 68 biochemical examinations, with an average of 1.06 examinations per day, 66 coagulation examinations, with an average of 1.03 examinations per day, and 152 bacterial culture and antimicrobial susceptibility examinations, with an average of 2.37 examinations per day...... Such a frequent number of inspections, if not repeated inspections, can only be interpreted as a false statement of the number of inspections.

For another example, according to the regulations, the monitor fee standard in the intensive care unit is generally 240 yuan per day, but the hospital breaks it down into 4 items, charging 1,248 yuan per day; The standard of liquid pump charging is generally 5 yuan per day, but the hospital is divided into hourly charges, and the daily charge is as high as 68 hours, and the daily fee is 340 yuan.

For example, when changing dressings, infusions, and injections for patients, the cost actually includes the cost of materials, but the hospital lists gauze, adhesive strips, disposable infusion sets, disposable injection needles, etc. separately to recharge. In the course of this treatment, Mr. Liu used an average of 43 needles per day for disposable infusion sets and syringes, that is, 1 needle was used in about half an hour, is it possible?

In addition, during the 64 days that Mr. Liu was hospitalized, he received 1,212 intravenous infusions, and how many times a day he was transfused, there was no detailed bill, only a general ledger, and he was beaten "stuffy", which was difficult to convince.

In the end, Mr. Liu passed away after 63 days of treatment in the hospital, and his body was sent to the funeral home by his family on the morning of the 64th day, but the hospital actually paid for 66 days of hospitalization and hung the bed for the dead patient for 2 days......

In this "million medical expenses incident", if it were not for the Liu family brothers and sisters who strongly questioned their father's medical expenses and bravely stood up to report it to the media, the matter might have been sealed forever, and the shady curtain of the hospital's indiscriminate charges would never have been revealed.

This "million-dollar medical bill" incident may be a special case, it reflects only the tip of the iceberg, and under the iceberg, how many similar patients have been, are or will be ruthlessly "slaughtered" by hospitals, hundreds of thousands, tens of thousands, thousands?

In recent years, more and more hospitals have blindly pursued economic interests, deviated from the public welfare nature of medical treatment, and directly linked drug income and medical income with bonuses and commissions of medical staff, and even independently accounted for and contracted by various departments.

Although the Ministry of Health has clear regulations on this, in fact, almost 100% of hospitals are still practicing such methods, resulting in the phenomenon of prescribing more drugs to patients, prescribing expensive drugs, prescribing large prescriptions, raising the charging standards, repeating examinations or using high-grade medical equipment, dismembering charging items, duplicating charges, "stuffy bags", hanging beds, and so on, which directly causes the ordinary people to see a doctor at a high cost and difficulty in seeing a doctor.

It is no accident that there is a "million medical expenses incident" in Binhai Hospital, because under the current medical system of "using medicine to support medicine", almost every hospital is busy "generating income", and of course everyone is not surprised and ugly.

According to an audit by the National Audit Office, 10 hospitals under the Ministry of Health illegally overcharged patients more than 11 million yuan in medical fees in just one year.

In view of the current situation, in order to control the hospital's irregularities and the excessive growth of medical expenses, it is necessary to thoroughly correct the hospital's excessive commercialization and marketization, resolutely punish the violations, and implement the practice of handing over all hospital income and carrying out the management of revenue and expenditure.