Chapter 603: Someone Else
As soon as he entered the realm of Yunhai, Zeng Yi's phone rang, and when he picked it up, he saw that it was Huang Can calling.
"Hello Huang Lao!" Zeng Yi quickly picked up the phone and said hello to Huang Can.
Huang Can's voice came from the phone, and he asked lightly: "Xiao Zeng, are you busy?" ”
"Huang Lao has something, just tell him." Zeng Yi said.
Huang Can directly singled out the intention of calling today, and said: "The pilot measures for medical reform introduced by Fengqing County this time are very controversial, and many colleagues in the Chinese medicine industry have come to me to put forward their views in the past two days. If you're not busy, I'd like to talk to you about it. ”
Zeng Yi pondered for a moment, and then said, "I'm in the sea of clouds now, why don't I go to visit Huang Lao?" ”
When Huang Can heard this, he said happily: "This is the best, I am at home, you can come over." ”
After hanging up the phone, Zeng Yi told Huang Can's address to the driver, and then the car turned around and drove towards Huang Can's house. Zeng Yi originally planned to meet Lin Anning, director of the Department of Health, but now that he received a call from Huang Can, he decided to go to Huang Lao to inquire about some news first.
When he arrived at Huang Lao's house, Huang Lao was already waiting, he and Zeng Yi had an old relationship, so he didn't be polite to Zeng Yi, and directly led Zeng Yi into the study.
"Xiao Zeng, your Fengqing County's medical reform pilot this time is a little impulsive!" When Zeng Yi sat down, Huang Can said straight to the point.
Zeng Yi smiled and said, "Since it is a pilot, it is an attempt in itself. However, this medical reform pilot policy was not launched on the spur of the moment, but after careful consideration. ”
Huang Can stretched out his hand and flicked the cigarette ash, then looked directly at Zeng Yi, and said: "Yesterday, when Director Bai of the Provincial Administration of Traditional Chinese Medicine came to see me, he also mentioned the medical reform measures launched by your Fengqing County, especially for the outpatient fee standard starting at ten yuan, Director Bai's opinion seems to be very big, and he can't understand it. He even spoke heavily. ”
Zeng Yi still smiled and said, "Director Bai will definitely say that if I do this, I will push traditional Chinese medicine to the brink of extinction......"
Huang Can showed a slightly surprised look, Zeng Yi guessed correctly. Even what Director Bai said was even more serious than this, but to say that Zeng Yi was suppressing traditional Chinese medicine by launching this policy, Huang Can didn't believe it, if Zeng Yi wanted to do this, he would not have established a Chinese medicine college in Nanjiang Province in the first place.
It's just that Huang Lao doesn't understand a little, since Zeng Yi understands the truth. Why is such a policy being introduced?
At present, traditional Chinese medicine has declined to the extreme, and the vast majority of traditional Chinese medicine hospitals in the pure sense of the word are only empty shelves, and the traditional Chinese medicine department set up in the general hospital is also cold, only charging a registration fee of two yuan, and there are not necessarily patients who come to seek treatment, but now Zeng Yi has forcibly asked to increase the outpatient registration fee of traditional Chinese medicine to ten yuan. Isn't this artificially raising the threshold for seeing Chinese medicine?
The cost of seeing Chinese medicine is several times higher than that of Western medicine, and patients are naturally more reluctant to choose to see Chinese medicine, this policy. Isn't it a kind of encirclement and suppression of traditional Chinese medicine?
Huang Can believed that Zeng Yi was not trying to suppress Zeng Yi, but he couldn't understand the truth in this, so he pondered for a while and said, "What do you think about it?" ”
Zeng Yi opened the briefcase, took out a document from it, and said, "This is a summary of the data provided by the County Health Bureau, please take a look at it." ”
Huang Can took it and looked at it, with a thick puzzled look on his face, there was nothing special about this document itself, it was just a hospital's fee standard.
Zeng Yi said at this time: "According to this data. At present, there are 3,966 charges in general hospitals, of which the proportion of traditional Chinese medicine is only 2%......"
Huang Can flipped through this fee standard, and what he saw was basically all the fees of Western medicine. After turning the pages for two pages in a row, I didn't see the charging items of traditional Chinese medicine, so I said "hmm", indicating that what Zeng Yi said was true.
Zeng Yi continued: "Taking orthopedics as an example, Western medicine has more than 200 charging standards, and tendon surgery down to a small finger has specific standards, while traditional Chinese medicine only has two charging items: fracture and dislocation. In terms of the treatment of fractures, traditional Chinese medicine only has one charging item, fracture reduction, while Western medicine has as many as 50 or 60 charging items in the surgical treatment of traumatic fractures. ”
Huang Can bowed slightly, but still didn't understand what Zeng Yi meant.
"At present, the hospital implements a unified outpatient registration standard for traditional Chinese and Western medicine, which is actually very unfair to traditional Chinese medicine. Western doctors don't need to earn this outpatient fee, because they still have various fees waiting for patients to pay, which is the key point of seeing a doctor; However, the traditional diagnosis method of traditional Chinese medicine does not require a lot of examination equipment, and there are not enough fees for traditional Chinese medicine, so if you only rely on outpatient fees, you will inevitably be in a state of loss, not only the doctor's income is low, but also naturally rejected by the hospital......
Huang Can said "ah", hearing this, he suddenly realized, he has devoted a lot of effort to the education of Chinese medicine in this life, he thinks that this is the top priority to save Chinese medicine, but he has never pondered other reasons, Zeng Yi said this, he felt that Zeng Yi's thinking is very necessary.
In fact, to a large extent, the hospital's charging standard has already "stifled" the future of traditional Chinese medicine, and the hospital does not set up any charging items for traditional Chinese medicine, and the outpatient registration fee is extremely cheap, and the doctor of traditional Chinese medicine is naturally unable to create benefits. For the sake of profit, the hospital will only have two choices, the first is to abolish Chinese medicine; The second is to force TCM doctors to create benefits.
The world is big, but it's not as big as eating!
If the TCM doctor can't even support himself, and he may even be kicked out of the hospital at any time, and his job is in jeopardy, how can you let them carry forward the "humanitarian spirit of saving lives and helping the wounded"?
The first thing they have to think about is their own survival, so it is not surprising that a large number of Chinese medicine doctors abandon learning from the West, and even Chinese medicine doctors prescribe a lot of Western medicine checklists for patients.
Huang Lao didn't think about this aspect before, but now that Zeng Yi said it, he felt a cold sweat on his back, he didn't expect that the commonplace charging standards in the hospital would be a legal weapon to eliminate traditional Chinese medicine, this weapon is not only extremely powerful, but also makes himself a hardcore Chinese medicine doctor unaware for decades.
"Huang Lao has devoted his life to the cultivation of talents of the younger generations of Chinese medicine, which can be called the peach and plum all over the world, but I don't know that among these juniors. How many people can still insist on making a living from traditional Chinese medicine? Zeng Yi asked again.
Huang Lao was stunned, at this time, he not only felt cold sweat on his back, but even his head began to become cold. During his tenure as the dean of Dongjiang College of Traditional Chinese Medicine, he trained tens of thousands of Chinese medicine students, but now these students can still adhere to traditional Chinese medicine, but there is no one in a hundred.
Could it be that most of my life's persistence and hard work are wrong?
Huang Can doesn't think he's wrong. But the facts are in front of you, and at least this sad ending does not prove that he succeeded.
"Western medicine focuses on objective data, often a cold, patients need to spend hundreds of yuan to do examinations, the hospital's charging standards are actually tailored for Western medicine; The characteristics of traditional Chinese medicine are simple, inexpensive and effective, and the unique diagnosis method of 'looking, hearing and asking' also determines that there are no superfluous charges for traditional Chinese medicine. The registration fee is the only source of income for many doctors. If they can't increase their income, the medicine they prescribe will inevitably not be simple, cheap, and effective. It is complicated, expensive, and slow, and their diagnosis method will inevitably not be a matter of looking at and hearing. Zeng Yi said this, sighed deeply, and said: "Abandon simplicity, inexpensiveness, and efficiency, and then abandon the hope and hearing, even if Chinese medicine is still there, it is no longer Chinese medicine." ”
Huang Can had to admit that Zeng Yi's considerations were more practical than his own, and he was thinking about how to cultivate the successors of traditional Chinese medicine. What Zeng Yi is thinking about is how to let these successors survive.
"Traditional Chinese medicine has never been eliminated and will never be eliminated, only Chinese medicine talents have been eliminated." Zeng Yi's tone was full of emotion, and he said a meaningful word.
Huang Can was greatly moved, and he was deeply moved. He felt that Zeng Yi's words had a deep truth, why could ordinary people still hope in Chinese medicine when they were sick and desperate, and when they were declared incurable by Western medicine? In addition to the instinctive survival**, it is because traditional Chinese medicine has become a root culture of the Chinese nation to a certain extent, unless our national character is gone, unless we forget our ancestors, otherwise traditional Chinese medicine will not disappear, because it has been integrated into the blood of all the descendants of Yan and Huang.
Without the dragon totem, without Chinese characters, if there is no more traditional Chinese medicine, what will we have at that time, can we prove that it is the continuation of the Chinese nation?
Therefore, Chinese medicine will never disappear, and what will disappear is only the people of Chinese medicine.
From this point of view, the direction he is working towards is not wrong, but Zeng Yi is more pragmatic.
You blow Chinese medicine to the sky in class, and describe Chinese medicine as the most noble cause in the world, but in reality, if this cause brings Chinese medicine people can only be poor, then who can always stick to it?
"Xiao Zeng, I understand your good intentions......" Huang Lao said with a heavy expression, and then sat in the desk without saying a word for half a sound.
Zeng Yi said: "With Huang Lao's words, I will definitely stick to it." ”
Huang Lao sighed and said, "It's a pity that there are very few people who can really understand like you......"
Zeng Yi had a wry smile on his face, not only that most people can't understand it, but also the Chinese medicine people themselves, I'm afraid that not many people can understand this.
Most people will have a misunderstanding of thinking, which is the same as the truth of reducing the price of drugs to solve the difficulty of seeing a doctor.
On the surface, the threshold for patients to seek medical treatment seems to have been lowered, but other fees have risen again and again, and when patients enter the hospital, they will find that the so-called low threshold is just to facilitate "closing the door and beating the dog".
For hundreds of dollars of medicine, many patients buy it without blinking, and even indicate that they want to buy imported drugs and expensive drugs, and if you prescribe cheap drugs to him, he will even feel that the effect is not enough; However, if the doctor charges 10 yuan for the consultation, they find it unacceptable, thinking that it increases their own medical costs.
This is also a kind of thinking misunderstanding of sacrificing the basics and losing the big because of the small. It is a medicine that is three parts poisonous, and the final result of blindly worshipping drugs can only be incurable.
Clearly knowing what state your body is in, which is more important than binge-eating those unknown medicines?
For only 10 yuan, you can know what condition your body is in and what aspects of conditioning you need to do, which can not only prevent problems before they occur, but also improve your physical state and strengthen your body without medication. Isn't this more cost-effective than hanging a few bottles of potion in the hospital and buying a thousand pieces of medicine?
Therefore, Zeng Yi is very resolute in his attitude towards increasing the outpatient fees of traditional Chinese medicine, others think that ten yuan is too high, but Zeng Yi thinks it is too low.
And this is not contrary to the original intention of the medical reform pilot, the ultimate goal of medical reform, is to solve the problem of difficult and expensive medical treatment for patients, in this matter, relying on medical security, relying on cheap services, are far less than relying on "both traditional Chinese and Western medicine".
Western medicine dominates the market, and patients can only passively accept it, change from east to west, and eventually return to the old way; But if there is another kind of medical technology that competes with Western medicine and also provides patients with high-quality medical security services, then this problem will be solved.
The implementation of different outpatient fee systems that separate traditional Chinese and Western medicine is the first step for Zeng Yi to solve the survival dilemma of traditional Chinese medicine doctors and highlight the characteristics of traditional Chinese medicine treatment.
Huang Can returned to the topic at this time and said, "I heard that the Department of Health stopped your pilot policy? ”
Zeng Yi nodded heavily and said, "I came to the sea of clouds for this matter, I don't know if Huang Lao knows the reason?" ”
Huang Can bowed slightly, and said: "I just learned about this matter, I went to ask, and the reply of the Department of Health was that it received a lot of feedback from representatives of traditional Chinese medicine in the province, thinking that your policy is suppressing traditional Chinese medicine, taking into account the unique feelings of the people for traditional Chinese medicine, as well as the opinions of colleagues in the Chinese medicine industry, so the implementation is suspended." ”
Zeng Yi said in his heart that it would be easy to do so, and said: "I will communicate with the leaders in the hall about this matter, and I believe they will understand." ”
"I'll help you explain this question, and I'm sure they'll still value my opinion." Huang Can took the initiative to take over the matter, and said: "However, according to the news I heard, it is not the attitude of the Department of Health that suspends the pilot work in Fengqing County this time, but the request of Secretary Dequn of the Provincial Party Committee. ”
I stayed up late again today, and 4,000 words were sent! (。 If you like this work, () vote for recommendation, monthly pass, your support is my biggest motivation. )