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Second, it exposes the inequity of the health care system

More than 1.3 million yuan in medical expenses is tantamount to sky-high prices for ordinary people!

Mr. Liu and his family can pay such high medical expenses because Mr. Liu not only has enough financial strength in his family, but he also has medical insurance, and those workers and farmers whose families have no economic strength and do not have medical insurance may not be able to get 1.3 million, even 130,000 or even 13,000. Pen, fun, pavilion www. biquge。 info

At present, in urban areas, less than 100 million people are covered by medical insurance, less than half of all urban workers, and employees of non-public units and the vast majority of peasants are excluded.

Statistics show that nearly 50% of patients who need medical treatment and 30% of patients who should be hospitalized every year do not receive treatment due to high medical costs.

Such a medical system is undoubtedly a great injustice to the large number of low-income civilians.

Third, it exposes the confusion of hospital management

The hospital does not do a program for patients, but it does have a fee for the project; or only do one project, but charge multiple fees; or there are charging standards specified by the state, but the hospital stipulates its own charging methods, such as decomposing fees, etc.; Or due to problems such as equipment, operation technology, and negligence in work, resulting in mischarges, writing the wrong date, etc. All these phenomena have exposed the confusion of hospital management.

Mr. Liu had never had a history of diabetes during the "million-dollar medical bills incident", but the checklist showed that Mr. Liu had his blood sugar checked more than 60 times, an average of once a day. The brothers and sisters of the Liu family were puzzled: Who did these blood sugar tests of my father for? No one can explain it clearly.

Also, after Mr. Liu passed away, his family sent his body to the funeral home the next morning, but when they checked out, there was a thoracic hydration acceptance fee for the second day and a blood sampling acceptance fee for the third day! The brothers and sisters of the Liu family were puzzled: their father was sent to the funeral home, how could they still perform pleural fluid test and blood test? This is too bizarre, isn't it?

The hospital's explanation for this was that Mr. Liu had already done a pleural fluid test and a blood test before his death, but the date on the test sheet was written incorrectly, and the laboratory made a mistake.

In addition, during the 64 days that Mr. Liu was hospitalized, he received 1,212 intravenous infusions, and there was no detailed bill for how many times a day, only a general ledger.

What is even more bizarre is that the medical list shows that Mr. Liu was transfused 45 times a day. According to the doctor, the minimum amount of blood transfused by an adult is 100 ml per time, and if there are 45 blood transfusions in a day, then the total amount of blood transfused by him in 24 hours is at least 4500 ml, and the total amount of blood in an adult's whole body is also about 4500 ml, that is, Mr. Liu has completed a full-body 'big exchange transfusion' in one day, is this possible?

The hospital's explanation for this is: it is a fact that Mr. Liu transfused blood 45 times, but this does not mean that these blood are transfused within one day, but because the patient is very weak and often needs blood transfusion, and the treatment that the patient often does is very troublesome if he gives medical orders and settles every day, so often after a period of time, such as the end of the month, the expenses within a month are settled at one time, so the blood transfused in one day is shown on the book, but it is actually the sum of the number of blood transfused in the previous period......

Medical science is a serious, rigorous, rigorous, and rigorous science, and it is more related to the patient's life in the treatment, but the hospital has carried out more than 60 blood sugar "checks" for patients without a history of diabetes, written and typed the dates on the patient's pleural fluid test and blood test sheet incorrectly, and "packaged" the patient's intravenous infusion times and blood transfusion quantities in a general way, which shows the confusion of hospital management.

Doctors and nurses know that in the process of intravenous infusion to patients, they should carry out three checks (before, during, and after infusion), seven pairs (on the bed number, on the name, on the drug sensitivity, on the dose, on the concentration, on the time, on the usage), and one attention (pay attention to the adverse reactions of the drug), after the infusion is completed, the executive nurse must fill in the bed number, infusion time, and sign on the infusion sheet.

People with a little medical knowledge also know that the hospital should establish a blood transfusion file for each patient who needs blood transfusion, and record in detail the patient's blood type, age, case number, date of each blood transfusion (the time of the start and end of the blood transfusion), the blood component and quantity of the transfusion, the changes in the patient's condition during the blood transfusion process, whether there are adverse reactions to blood transfusion and treatment measures, etc., so that when the blood transfusion is transfused again, the blood transfusion file can be consulted to understand the blood transfusion situation, and the blood transfusion and the amount of blood transfusion are decided according to the patient's condition, but the hospital is "afraid of trouble". The total number of 45 blood transfusions a month was calculated in one day.

Infusions and blood transfusions are so unclear that I really can't believe that doctors always observe, judge the patient's condition, and formulate future treatment plans. With such treatment, can patients be assured of hospitalization?

It is also worth mentioning that among the many payment lists presented by the Liu family brothers and sisters, there are 8 financial seals of different modes of charging in the hospital!

With such a chaotic fee management, can patients see a doctor inexpensive?

Fourth, it exposes the lack of medical supervision

In the charge bill of more than 1.3 million yuan disclosed by the Liu family brothers and sisters, it can be seen everywhere that the hospital prescribes more drugs to patients, prescribes expensive drugs, prescribes large prescriptions, raises the charging standards, repeats examinations or uses high-end medical equipment to inspect, dismember the charging items, repeats the charges, "stuffy" fees, excessive treatment and other violations.

These violations have greatly increased the financial burden of patients and their families, and seriously damaged their interests.

Why do these violations occur so frequently?

First, the supervision of the higher-level competent departments is not effective. For various reasons, the higher-level competent authorities often emphasize support and neglect supervision of subordinate medical institutions.

In some localities, the health administration and price departments often turn a blind eye to the illegal charging behavior of the hospitals under their subordinates, and do not effectively investigate and deal with the problems reported by the masses or discovered by themselves, or let them go unchecked, or cover up the ugly, and almost "do little" in improving medical ethics and medical style, so that some hospitals have no fear, are bold and reckless, and have even already bred a series of malpractices such as receiving drug kickbacks and red envelopes.

The second is that the following patients and their families cannot and cannot supervise. Due to the lack of professional medical knowledge, patients and their families do not understand what examinations patients need to do, what drugs to use, and what departments to transfer, and there is no third-party supervision agency, all by the doctor.

The lack of supervision at the top and bottom has led to the loss of control of the hospital's arbitrary charging behavior.

In the final analysis, illegal and arbitrary charges are a kind of behavior.

The problems exposed by the medical expenses of more than 1.3 million yuan once again show that the medical system and hospitals need to be reformed, but there are still many problems to be solved in how to reform, and the problems involved in medical reform cannot be solved by the health department alone.

There is still a long way to go to eliminate the ** on the medical front.

……

Niu Tiangou was calm and calm, and after reading this article in one go, his heart was excited.

As a journalist, he revealed the main problems in the medical field through one thing. Niu Tiangou felt that the problems reflected by the Liu Sisi brothers and sisters would definitely cause a strong response from the society, and the matter was expected to be resolved.