readx;?“ What makes you smile so happily, you can't even take care of eating. Pen @ fun @ pavilion wWw. ｂｉｑUｇE。 At this time, Dr. Xue Lian had already prepared a meal and was about to call Niu Tiangou to eat, when he heard his laughter, he came to the bedroom and looked at him a little inexplicably.

"Come and have a look." Niu Tiangou stood up with a smile and pointed to the computer screen.

Dr. Xue Lian sat down in front of the computer, read the post again, smiled, and said, "It's written quite harshly, thanks to this netizen, but it's a bit extreme...... Uh, seeing that you care so much about the hospital's fees, shouldn't Liu Sisi post her father's treatment on the Internet? ”

"Lian Lian is so smart!" Niu Tiangou smiled and leaned close to the root of her ear and teased.

"Go!" Doctor Xue Lian snorted, and then said half-angrily and half-resentfully, "This Liu Sisi ......"

Having said that, Dr. Xue Lian also seemed to have forgotten about the meal, and nodded the mouse with interest.

After a while, Dr. Xue Lian suddenly shouted, "Look at this post!" ”

Niu Tiangou stretched his head over, only to see a post titled "I Say a Word for the Doctor", which read:

"I can understand the feelings of so many netizens who have been questioned and indignant by 'millions of medical expenses', pointing the finger at hospitals and doctors, because everyone will get sick and be charged to the hospital, and no one wants to face unbearably high medical costs.

"As a doctor, I have some words in my throat, and I want to spit out the 'groove' here, even if I risk the world's condemnation and drown in the spitting voices of netizens.

As netizens said, there are indeed many problems in the hospital, and they should also be exposed, so that the hospital can be reined in, so that the medical expenses gradually tend to be acceptable to the people, but everyone should also be soberly aware that the current hospital is actually in a very embarrassing situation, most of the reasons are caused by the medical system, if everyone sprinkles their grievances on the doctors and nurses, it is also unfair.

Why?

"Because our country now designates hospitals as non-profit enterprises and institutions, which determines that hospitals cannot be for-profit, but on the other hand, the state no longer allocates funds to hospitals or only a small amount of funds, and the construction of hospitals, the introduction of medical equipment, and the salaries and bonuses of hospital staff need to be borne by the hospitals themselves.

"As you can imagine, it is not allowed to make a profit, and there is no financial support from the state, and you have to bear all the expenses yourself. What to feed dozens, hundreds, or even thousands of health workers? What do you rely on to introduce equipment and technology and improve your own medical level? Is it up to the state to pay for it? That can only be 'looking at plums to quench thirst'.

"Therefore, in order to survive and develop, hospitals can only rely on themselves to 'tap potential' from drug rebates, equipment income, and medical income.

"Let's start with drug rebates. Is it because the hospital has increased the drug rebate without authorization that the drug price is too high? Not exactly.

"As we all know, the state has given the medical and health department a "medicine to support medicine" policy, that is, medicine to hospitals, hospitals can increase the price by another 15% to sell to consumers, although a small number of hospitals have secretly increased the price of drugs, more than 15%, is one of the reasons for the high price of drugs, but it will not lead to the price of drugs to this point.

So, what are the other reasons?

"You can see the circulation process of medicines. What are the steps that the medicine has to go through before it reaches the hands of hospitals and doctors? First of all, of course, it is the drug manufacturer, then the drug agent and distributor, and some drugs even have to go through several layers of drug agents, and then go through various management agencies such as the Food and Drug Administration, the Price Bureau, and the Health Bureau, and finally go to the hands of hospitals and doctors.

"Drugs have to go through so many circulation links, one more link will charge one more layer of profit, one more price, one more 'rebate', hospitals and doctors are at the end of the circulation link. Where are the bulk of the drug profits, most of the 'kickbacks'? I believe everyone should understand.

"After such a circle, the antibiotics of a few yuan have soared to more than 100 yuan, and the 'rebates' received by doctors are only two or three yuan, many of which are one or two cents, or even a few cents. Since hospitals and doctors face consumers directly, consumers think that the drug rebates are 'monopolized' by hospitals and doctors, and hospitals and doctors are the main culprits for the extremely high drug prices.

"Let's talk about red envelopes. Receiving red envelopes is disgusting to many people, but how many doctors receive red envelopes? Except for a small number of attending doctors such as surgery, gynecology, and anesthesiologists, the vast majority of grassroots medical workers cannot get it.

"People don't understand and mistakenly think that all doctors will receive red envelopes from patients. In fact, only a small number of surgeons or attending doctors can receive red envelopes, and internists and other medical staff who almost never operate on them are carrying the 'black pot' for this.

"I'm a doctor, and I swear to God, I've never received a red envelope.

"Although I don't approve of doctors receiving red envelopes, because it not only increases the burden on patients, but also easily leads to the decline of doctors' medical ethics, but I am not disgusted, because a small number of qualified patients or family members are willing to give, if they do not accept it, they will worry that doctors will not do their best in the operation, and the red envelope is an affirmation of capable doctors, those who can work more, work more, and get more, which is conducive to widening the difference between doctors, breaking egalitarianism, and promoting academic competition and the improvement of medical standards.

"Of course, I am more in favor of the doctor's practice of quietly returning the red envelope to the patient or family after the fact, such a doctor is the angel in white who deserves the respect of the patients and their families, and is the model of our medical workers.

"Then let's talk about the many tests and repeated inspections that are widely criticized by everyone. It is true that more examinations and repeated examinations have become a chronic disease in hospitals, and everyone thinks that this is entirely for doctors to pursue economic interests, but in fact, there is another reason that everyone may not know, that is, doctors in order to avoid medical risks.

"No matter which hospital the doctor is, what everyone is most afraid of is to see the wrong patient, and they would rather let the patient do more tests than less, because there is no risk in doing more, but there are hidden dangers in doing less.

"If a patient's disease in a certain part is not detected and he becomes ill later, then he is likely to rely on the doctor and affect the doctor's reputation. What's worse is that once there is a medical accident, not only the family will make trouble, but the doctor may not even be able to save his own job.

"So in order to avoid medical malpractice and avoid risks to the greatest extent, doctors can only ask patients to do more examinations to find out the patient's lesions in as much detail as possible. This is really a helpless choice for doctors.

"Some netizens may ask, why do patients have to repeat the examination when they have already done in other hospitals? Isn't this an intention to make patients pay double examination fees? My answer is that the tests done by other hospitals can only be used as a reference, and if they meet me, I have to be tested in order to be responsible for the patient.

"Why?

"If the tests done by other hospitals are accurate, what will happen if the tests done by other hospitals are wrong and cause me to misdiagnose the patient? Can I blame myself for misdiagnosis of patients on the bias of other hospitals?

"At that point, the patient and his family may stop paying for the duplicate examination and may angrily ask, 'If the patient is in your hospital, you are responsible, why don't you check it again when you know that the examination in another hospital is unreliable?' What do you eat? ’

"Therefore, the doctor's multiple examinations and repeated examinations of patients are sometimes not entirely for financial gain. Even if the state invests fully in the medical examination equipment of the hospital in the future, and does not charge a penny for the examination, in order to be responsible for the patient, I will have to examine the patient again, unless I have done the examination myself.

Finally, let's talk about prescribing more medicines, prescribing expensive drugs, dismembering charging items, hanging beds, etc. These problems are reflected by netizens as facts, and they do exist in some hospitals and doctors, and they are worthy of improvement, but this is only the work of some hospitals and some doctors, and it does not represent all of them.

"I don't want to excuse the behavior of some hospitals and some doctors who harm the interests of patients, and I also despise those behaviors that are profit-seeking, but some problems have indeed been magnified by the media, and have been distorted by rumors, all hospitals have been condemned, and all doctors have been degraded as useless, and they have been completely denied.

"The biggest beneficiaries of indiscriminate medical charges are only a very small number of hospital leaders who are hungry for profit and some doctors with unbalanced morals, as well as individual medical personnel who have the right to purchase drugs and medical equipment for hospitals.

"The vast majority of medical workers in most of our hospitals are innocent and innocent, their salaries are low, nurses only have more than 1,000 or 2,000 yuan, and doctors do not exceed 3,000 yuan.

"I remember that our hospital once came to a young child with pneumonia hospitalized, one day the child phlegm coughed up, the little face was red, in a hurry, the director of the pediatric department hurriedly leaned down, and sucked out the child's phlegm with his mouth, so that the child turned the danger into safety, the child's parents were very moved, and I also left an unforgettable impression for a lifetime, this pediatric director has ever received 'sputum suction fees'?

"In our hospital, there are many doctors like the director of pediatrics, and it is the dedication of these thousands of unknown medical workers that has built the great wall of steel for people's health.

Mr. Liu spent millions of medical expenses but died in the intensive care unit of Binhai Hospital, and the Liu brothers and sisters were sad and aggrieved, which is understandable. But the brothers and sisters of the Liu family should also know that medicine is an exploratory and highly risky science, and in the face of difficult diseases or serious patients, even after the doctor's full treatment, they will often be in a situation of powerlessness.

"Some diseases are indeed incurable now, this is an objective fact that has to be admitted.

"If the Liu brothers and sisters question the sky-high fees of the intensive care unit of Binhai Hospital due to grief and grievance, this is understandable, after all, such a high 'medical death fee' is too absurd, and there must be many unreasonable charges. But if this is used as a fuse to trigger or even incite netizens to indiscriminately disgust and criticize all medical workers, this is probably 'a fire at the city gate and a disaster to the pond fish', and it is not the original intention of the Liu family brothers and sisters.

"In short, the problem of unreasonable charges in the medical industry must be solved, the media should objectively and fairly report the problems on the medical front, and netizens should objectively and fairly evaluate medical personnel, and the hard work of the majority of medical workers should not be completely denied because of the existence of a few moths, and their labor should be affirmed by people and respected by society.

Only in this way can it help to increase the understanding between doctors and patients, resolve the contradictions between doctors and patients, build a harmonious and healthy doctor-patient relationship, and form a fair medical consumption environment, and then form a good social atmosphere.

"That's what I, a doctor, would say."

After Niu Tiangou finished reading, Dr. Xue Lian smiled: "Although those netizens in front of me are telling the truth, their words are a little extreme, and even a little paranoid, only what this doctor netizen said is more pertinent." ”

"In fact, the violation of indiscriminate charges not only exists in the medical industry, but also in many industries. There are 100 industries in the society, and there are ** industries; There are a hundred lines in the world, and moths come out of the rows. Addressing institutional loopholes requires a process. ”

After speaking, Dr. Xue Lian turned off the computer and stood up: "Let's eat first, the food is almost cold." ”