In 1895, the Huntelaar Medical Group, which included the Huntelaar Medical School, Heinz General Hospital, Heinz Pharmaceuticals and Heinz Medical Devices, was barely a conglomerate, and was definitely the most important medical-related institution in the United States.

The United States in this era is not the United States that will spend two or three trillion dollars in medical expenses in the next year!

Like any poor country in the 21st century, American lives at the end of the 19th century were worthless, and the influx of immigrants every year was not entitled to scientific research in the eyes of those in power, so workers lived in airtight pigeon cages, depended on a salary of four or five dollars a week to feed their families, six or seven-year-old children worked in factories for more than ten hours a day, food stuffed with rotten beef, and poisoned milk was rampant in New York City......

In the primitive accumulation stage, the United States was also full of shadows and darkness.

So it is conceivable that at the end of the 19th century in New York, the medical environment of Americans can be said to be quite poor. The number of physicians is far from meeting the demand, and the more important thing is that the quality is amazingly poor, not to mention the doctors trained by those small workshop-style medical schools, even the medical students of famous universities such as Harvard and Pennsylvania are also terribly poor, and they are far from those famous universities in Europe; In the case that most of them can only rely on minerals, plant medicines, or alcohol, yapian and other miracle medicines, it is difficult for doctors to gain the trust of patients, especially surgeons, if they do not really master anesthesia, disinfection and other techniques, they can be called "killers".

For most people in this era, they were more moved by the small flyers distributed on the streets, or the advertisements for miracle drugs in the newspapers. Therefore, a bottle of fairy water, which can cure all diseases for one or two dollars, is very popular in the vast countryside of the North American continent, and there is also a large market in some cities.

Therefore, in New York in 1895, the Huntelaar Medical Group stood out from the crowd!

Heinz General Hospital, which has a small number of students and has a small number of students, has become a well-deserved number one in the city, and has surpassed the sum of the second to fifth places in the city! During the validity period of the patent, Heinz Pharmaceutical's sulfonamides, local anesthetics and antitoxin serums monopolized the entire American market, and many of Heinz's medical device products also accounted for more than 30% of the share!

Unconsciously, the surname Huntelaar has even become synonymous with medical treatment in a sense!

Hospitals, pharmaceutical companies and medical device companies, all bearing the surname Huntelaar, are now starting to play a powerful rallying role. Drugs such as sulfonamides and aspirin produced by pharmaceutical companies worked so well that they helped promote the hospital's reputation at once; Many physicians who came to the hospital for study and further study have brought the products of medical device companies to all parts of the United States, forming a complete circle......

……

"But what we have to see is that the cost of treatment in the hospital is still too high!"

After the first graduation ceremony, John called a meeting of the school's big four and said in a deep voice: "Not counting the cost of treatment and medicine, it's just that the registration fee of the doctors has now risen to one dollar!" And if you need to use drugs, or even surgery, all the costs can be as low as a dozen dollars or as many as hundreds of dollars, which is undoubtedly a very heavy burden for ordinary people! ”

"Yes, sir."

After taking a deep breath, Howard? Kelly nodded for the first time and said, "The cost of our hospital is huge, such as maintaining a quiet environment in the hospital complex, and for example, the salaries of the doctors...... Of course, they deserve such a high salary, but this leads to a high hospital fee, which is too much of a burden for the average person! “

Speaking of this, Kelly's face was full of worry.

When he was working in Philadelphia before, Kelly built a maternity hospital for the poor, and although he had a better working environment and the opportunity to realize his medical dreams in New York, he was very uncomfortable to see that the poor people looked down on the doctor, or barely scraped up the consultation fees. But he also knew that John paid the doctors well enough because they were good enough to say more.

"Well, I get that, too."

Giving Kelly an appreciative look, John nodded. In an age when scientists and physicians are looking for money, Howard? Doctors like Kelly were quite rare, and John had always admired him. It's just that solving this kind of problem can't be solved by reducing salaries or reducing hospital costs.

"That's why I decided to open two branches in New York City!"

After a slight pause, John suddenly spoke: "For now, the location is still on Manhattan Island, one north and one south, what do you think?" ”

"Branches?"

Hearing John's suggestion, Osler's brow furrowed.

"Yes, the Sort!"

Taking a deep breath, John said in a deep voice: "Recently, I bought some land in Manhattan, some of which have been built on them, although they are a little old, but they should still be qualified as a branch house if they are cleaned up." “

"This ......"

Osler, Kelly and the others looked at each other, and after a while, Kelly asked suspiciously, "I don't quite understand, what is the purpose of our branch building?" In terms of the current outpatient volume, there is no shortage of staff or wards in the hospital. ”

"No, no, you're mistaken."

Shaking his head, John patiently explained, "The purpose of my branch hospital is not to expand the scale, but to reduce the medical expenses of patients!" The conditions of the branch hospital are poorer, but the fees will be reduced accordingly, and if the patients are really difficult, they can also be appropriately reduced...... And most importantly, the branch receives outside charitable funding, and does not rely solely on medical fees to maintain its operations! ”

John had been thinking about it for a long time.

In Europe and the United States in the 19th century, many hospitals were operated by charitable donations, just like orphanages, so when the British exposed the children in the orphanages for medical experiments, many people even gave support: What happened to the society paying for you and using you for medical experiments? But as the most important property in John's heart, Huntelaar General Hospital has never accepted any donations, nor has it accepted any injection of external funds!

To get, you have to give.

This is a rule that cannot be changed in any era, and once funding or external funding is accepted, the operation of the hospital will inevitably be affected. So when Heinz General Hospital made breakthroughs in many aspects, there were originally many rich people who were ready to donate, such as the rich Morgan, but they were all rejected by John. Therefore, in order to maintain the operation of the hospital, high fees have become inevitable, but fortunately, there is no shortage of wealthy people in New York, and the middle class group is also expanding day by day, but there is no shortage of disease sources.

So before going to Europe, John made the decision to open a branch!

Accept charitable donations, receive support from outside funds, and at the same time reduce various fees, and reduce the medical expenses of the truly poor as appropriate!

"As for doctors and nurses, they can also find a way to solve it!"

Facing the skeptical eyes of everyone, John smiled slightly: "First, Heinz General Hospital provides support, and each physician spends a fixed percentage of time to work every year, of course, the salary is still supported by Heinz General Hospital; Second, the residents of the hospital have to work full-time in the branch for half a year in the second year; The third is, of course, open recruitment......"

It took a lot of thought to come up with ideas, and the enforceability is naturally great.

Osler and the others were not stupid, and quickly understood John's thoughts, but Thomas frowned and asked; "John, the problem of doctors and nurses is really not difficult to solve, but ...... If you want to reduce costs, the branch hospital may not be able to meet the hardware level of our hospital, I'm afraid it will ......"

"Yes, that's the second thing I'm going to talk about today."

Nodding, John smiled slightly: "I plan to implement a referral system between our hospital and the branch, if the branch hospital receives a patient who is seriously ill or needs major surgery, and the conditions of this hospital cannot be met temporarily, it can be transferred to Heinz General Hospital through certain procedures for more standardized treatment ......" (To be continued.) )