The Central Plains, because of the problem of insufficient food. In some poor families, if they give birth to extra children, those who can't support them will die.

Why not contraception? There was no contraception at that time.

Why do a lot of things like that? There was no television, no internet, no entertainment. Just do what you love to do.

Ahem, these are not the point, the point is that you can't feed and can't afford it.

The five counties of Liaodong are rich, and the people have enough food and clothing, so they want to have more children. Unfilial piety has three nos! However, infant mortality is very high.

In this era, there is a shortage of medical treatment, coupled with years of war, and people are displaced. At the end of the Han Dynasty, the average life expectancy was 30 years!

The topic of today's meeting is the establishment of the health care system.

At present, the two major miracle doctors recognized in Liaodong are An Daoquan and Hua Tuo.

Last time before Zhen Jiang gave birth to a child, Gongsun Kang sent someone to start looking for Hua Tuo. After two years of unremitting efforts, he finally found Hua Tuo and brought him back to Liaodong.

Regardless of whether Hua Tuo came to Liaodong actively or passively, he has been living and practicing medicine in Liaodong for more than a year anyway.

Liaodong is rich in many medicinal materials unique to the cold zone, such as: ginseng, deer antler, deer whip, Cordyceps militaris (Cordyceps militaris), Liaoxixin, Haijinsha, Northern Gentian, Guan Huangbai, Parsnip, Schisandra, Eleutherococcus, Lycium barbarum, etc. The main medicine of Ma boiling powder, mandala flowers, can also grow happily in Liaodong.

Hua Tuo found a new world, so he stayed at ease.

This time to discuss the establishment of the medical system in Liaodong, of course, An Daoquan and Hua Tuo were also invited to the scene.

Guo Jia first solemnly introduced the two great doctors of Liaodong. If you are not famous, you are a miracle doctor. The miracle doctor of this era still has a very high status. In Liaodong, the people spontaneously established a shrine for An Daoquan and Hua Tuo, and some people went to worship incense every day.

Everyone applauded, including the great Confucians, who also learned this new etiquette.

An Daoquan and Hua Tuo looked at the Quartet calmly, and then sat down peacefully. They have become accustomed to being the center of attention. It's very star-like.

Guo Jia presided over the meeting, and he said: "After eight years of development in Liaodong, the people of Liaodong have enough food and clothing, and live and work in peace and contentment. The government's fiscal revenue has also increased greatly, and it has the spare energy and money to consider the establishment of a medical system in eastern Liaodong. Now I give the floor to the divine doctor Hua Yuanhua. ”

Hua Tuo (born about 145 A.D.), a native of Peiguo (now Bo County, Anhui) in the late Han Dynasty, was a medical scientist in the late Eastern Han Dynasty, and Dong Feng and Zhang Zhongjing were called "the three divine doctors of Jian'an".

Hua Tuo is now in his 50s. The old gentleman has a delicate appearance and strange bones, just like a fairy among the gods.

He said: "I am a doctor, I know how to treat diseases and save people, and I am not good at participating in politics." But I thought: the medicine used to treat the disease needs to be bought from the person who collects it, and the doctor who treats the disease has to support the family. Is this money paid by the patient or by the government? ”

Hua Tuo's speech hit the nail on the head. In the final analysis, the so-called pharmaceutical system is still a money word. If it is a patient, then what kind of medical system do you need your government to establish? If it is from the government, then there is a lot of knowledge in it, and there are too many places where you can do your hands and feet. Can the government afford to pay for it?

Gongsun Kang groaned a little, if you go to the government for major and minor illnesses, the burden of the government is too heavy, and it is easy to produce a lot of corruption, internal and external collusion, and the like; If you want to apportionment to the people and collect some medical tax, it will be a disguised tax increase, and the people will not enjoy the benefits! The government will only become more corrupt.

But he raised this issue with a purpose. It's not decided by patting your head.

Guo Jia said: "We don't consider ordinary diseases. The medical system we propose has two meanings: one is the cultivation of medical talents. In this society now, the status of doctors is too low, it is called a lowly profession, and not many people are willing to do it. As a result, scammers and witches are rampant, which makes the industry even more discriminatory.

The second is to establish a system for the prevention and treatment of epidemics such as plague and malaria to prevent large-scale deaths of the population. ”

Hua Tuo nodded, indicating that he understood.

Guo Jia explained the purpose of establishing a medical system, but he still did not answer the question of who paid for it. So Xun You added: "We are going to establish a medical school, and two divine doctors will serve as the president and vice president. And the teacher who teaches is ready to call in a military doctor from the army. "Over the years, An Daoquan has trained a large number of military doctors for the army, both men and women, and there are many talents, and many people can be diverted.

Hua Tuo and An Dao both smiled and nodded to accept the appointment.

Xi Zhicai went on to speak, saying: "The prevention and treatment of infectious diseases is led by the government. The two miracle doctors proposed preventive measures, such as burying corpses, building public toilets, cleaning up environmental sanitation, etc., all of which require the participation and efforts of the whole people. The cost of propaganda is paid by the government, but the specific implementation still requires the efforts of the people themselves, and this is not a question of money, but something that must be completed that is beneficial to others and themselves. ”

An Daoquan is actually a semi-official figure, and he is the leader of the military doctors. "As far as I know, Champion Hou has an annual allocation for cleaning up the environment, which is probably part of the health care system," he said. ”

Gongsun Kang nodded with a smile and replied, "Yes." The health care system is an integrated system, and we come up with the concept and contribute some of the money. The common people themselves take the village as a unit, and they also have to solve part of it. For example, every village has a garbage station, and every day people go to clean up the garbage and burn it for burial. As for whether each household takes turns to do it for free, or whether the villagers raise funds and spend money to hire someone to do it. We don't care. We only ask for results. ”

The example given by Gongsun Kang is a health problem, and if it is a later generation, it has nothing to do with medical treatment. But in the Han Dynasty, it was not so clearly divided, it was all drawn together.

All the great Confucians also spoke one after another and participated in the discussion. They have always been very enthusiastic about this kind of public welfare undertaking that is beneficial to the people.

As a result, the plan to establish a medical system in eastern Liaodong with medical officers in the army as the backbone gradually took shape. It was also the first universal healthcare system in history. It is of epoch-making significance.

Although it is only a prototype, there are many imperfections. But at least there is a consensus: only with the participation of all people and joint efforts. in order to reduce the incidence of disease and strengthen the health of the people; Only under the leadership of the government can this system be upheld and perfected in an organized and planned manner.

The medical security system of later generations is also a mess, and there is nothing to copy directly. Therefore, Gongsun Kang only proposed a direction, and did not formulate detailed rules.

It must be beneficial to the people, and it must be able to prevent and control epidemics such as plague and malaria, and it must not add too much burden to the government. It is also necessary to avoid corruption.

He still has that attitude: do it first, gather the wisdom of everyone, and do it, summarize it at the same time, and revise it at the same time. After a few years or more than ten years, a complete medical system suitable for the feudal society of the late Eastern Han Dynasty can be formed.

(End of chapter)