Shi Bufan has an idea, but in fact, it is very simple to solve this problem between the two sides. Pen %Fun %Pavilion www.biquge.info This illness is certainly terrible, and it is impossible for people not to get sick in their lives, but the high cost of medical treatment is also a huge problem. Because of the fear of getting sick, many people dare not spend casually, and even accumulate desperately. However, it often takes as little as a year to accumulate for a single visit, and for slightly larger diseases, it often takes years or even a lifetime to accumulate. Because you need to borrow money to see a serious illness, but borrowing money from ancient usury, some people can't even change it for generations, and some even prefer to commit suicide themselves rather than drag down their families, because ancient usury is too terrible. This kind of news will be there in later generations, but in ancient times it would definitely be more serious, not easier. Therefore, at this time, a person cannot bear such a major illness, so it is inevitable to establish a medical mutual aid in this way.

"Actually, I think you can take out one stone of your annual harvest, so that each family can take out one stone of harvest and use it as a fund for mutual aid. We have 6,000 households in Wannian County, which is 6,000 stone per year. When the time comes, he will take out 200 stone of grain out of the 6,000 stone of grain as his daily salary for the doctor every month. In the future, this doctor will not charge additional consultation fees for daily medical treatment. And the two Baishi grains every year, that is also the most basic guarantee, and every time the people of our Wannian County household registration see a doctor, he can get some rewards according to the difficulty of the condition. However, no matter how many patients there are every month, no matter how difficult it is, the most basic 200 stone of grain is indispensable. As the basis for maintaining the survival of him and his family, and in the future, you will treat the people without charging consultation fees, what do you think? Shi Bufan said.

Hearing about the fixed income of Erbaishi grain every year, and one for each doctor, you can also get a bonus, so that the doctor immediately nodded and agreed. In this way, he has a fixed income of Erbaishi grain every year, then he can solve his worries, and there is no need to pin all his life and his family on a certain patient. With a stable income, there is no need for him to be that kind of "black-hearted doctor". Of course, there is not much commercialization of medical care in this era, and doctors themselves survive. In this way, he doesn't need much extra profit, as long as he can meet the needs of himself and his family, he is still willing to be people-oriented. It's not like those pharmaceutical businessmen, who take profit as the foundation and often do a lot of excessive things. So after satisfying the doctor's basic and stable income, he doesn't mind being willing to treat the people for free.

What's more, the income given by Shi Bufan is definitely not low, just the annual fixed grain income is 200 stones, which is almost the income of a nine-grade official. It is much higher than many government scribes, not to mention that there are other bonuses, so it is definitely not a loss. Therefore, it is not impossible for him to treat the people for free.

The doctor agreed, but the rest of the people didn't quite understand.

"Why do we have to hand over this grain? Is this another excesses in taxes? Someone said unhappily.

Shi Bufan had to explain: "This is not a harsh tax, but for you to provide medical insurance, and you can see a doctor free of charge if you are sick." And this is the rest of the wealth, and I won't swallow it. Rather, it will be given to you as a medical expense. For example, the expenditure of medicines, ordinary minor diseases can be spent from this medicine, and the remaining half of the money for medicinal materials will be paid by yourself. For serious illness, eighty percent of the expenses can be paid from this, but there is a certain limit. In the future, when you see a doctor, not only will the consultation fee be free, but also the medicine can be reimbursed from us. Well, reimbursement means that you take the doctor's bill and come to us, and you can make half of the mutual aid fund fund, and as for the rest of the money, it will depend on your money. ”

After hearing this method, everyone immediately began to settle accounts in their hearts. If you can reimburse half of it, then you only need to pay half of the money. And everyone understands in their hearts that a small illness will delay and become a major illness, and a major illness will become a terminal illness. Treatment is the best when you have a minor illness, not to mention a doctor, even ordinary people will "become a good doctor after a long illness". Therefore, treatment for minor illnesses is the least costly, the least expensive, and the least risk of physical damage. Even if some serious illnesses are cured, the sequelae are very miserable, so it is the best way to treat minor illnesses and treat them in time when the symptoms are mild.

However, in the previous case of the "doctor-patient relationship", this method is called extravagance. The doctor needs a patient to sustain him for a few months, and the patient thinks it is too expensive to see a doctor. This is bound to be a vicious circle, and if the medical consultation fee is free, and the drug fee is only half of the cost, and the drug cost for minor illnesses is probably still within the range that everyone can afford. If you look at it in the past, a wind chill averages one-third of the annual harvest. After such a set of rectifications, the medical expenses are free, and the cost of medicinal materials is only half, which is at most less than one-fifteenth of the annual income on average. Although this is still a bit expensive, it is completely within the acceptable range.

And eighty percent of the reimbursement for serious illness can at least alleviate a lot of things, at least it will not make a family despair due to illness. I dare not say that there is no harm in the slightest, but it will not collapse and lose hope.

"But, can I not pay it! One stone of grain per year is almost three percent of the imperial court tax. Someone said quite painfully.

Shi Bufan said: "It's okay if you don't pay, as long as you can ensure that you and your family won't get sick in this life, then you can not pay!" ”

As soon as Shi Bufan said this, that person was also embarrassed, because who can guarantee that he and his family will never get sick in this life? This is impossible, it is impossible for the emperor not to be sick for the rest of his life, let alone you and you are a small common man? However, if you don't pay for this mutual medical assistance, I am afraid that you will end up in a slump.

Everyone began to be silent, this medical insurance is actually a lot, one stone of grain per year. Because of the rent adjustment in the early days of the Tang Dynasty, even if the practice of full-time service is now adopted, then these grains are about one-third of the annual imperial court tax, which is definitely not low. So everyone is still a little hesitant.

But on the other hand, they are also worried that once they don't pay, then once they get sick, they will completely rely on themselves, and it is possible that they will not be bankrupt. If you don't get sick, isn't it a loss? Because if you don't get sick, then the money will be used by others, so I feel like I'm losing money, and I feel that I'm being taken advantage of. Therefore, under this complicated thinking, the balance of the two sides is swinging, whether to pay this medical mutual aid or not. If you can't get sick if you pay it, you feel at a loss. If you don't pay it, then you are not afraid of 10,000, just in case!

Just when everyone was hesitating, an old man in his fifties took the initiative to say: "I am willing to pay, I will let my son pay." I have lived for so many years, and it is the first time I have seen such a good official who can work for the welfare of the people! Shi Xiancheng is the best official I have ever met in half a century, not only does he not have official authority, he does not put on a show in front of our people, and even takes the initiative to seek benefits for us. I believe that Shi Xiancheng will not harm us, so I am willing to pay. Isn't it just one stone of grain a year? In exchange for the hope of the whole family, in exchange for our family not to be burdened with debts for generations, I think it is worth it. If it weren't for Shi Xiancheng, where would we have today's benefits? ”

"Our two children also said that the increase in production this year is equivalent to an increase of at least 50% compared with the past, or even higher, not lower. If the output has increased by fifty percent, can't one stone of grain be taken out to pay? The production increased by fifty percent, which was exchanged for the county at this time. If I can't trust him, what have become of us? Who gave us the life we have today, who gave us such a prosperous life? If there is no Shi Xiancheng, then I don't know how many years later, I don't know if we can see such a good day in our lives, are we still not satisfied? ”

"As for some people who think it's a loss, I think it's ridiculous. Although maybe you don't get sick because you feel like you're being taken advantage of? But can you guarantee that you will never get sick in this life? When the time comes, you will be sick, and you will be ruined at every turn. Although it costs one stone of food a year, I think it's worth it. It's really worth it, it's worth exchanging one stone of grain a year for a hundred generations of health! Otherwise, once we get sick, then we will inevitably have to borrow money, and after we can't pay it back, we will have to sell the land, how can we survive after the land is sold? Are we even going to leave our descendants a debt that will never be replaced? When the time comes, we will never be able to turn over for generations. ”

"So, don't look at one stone a year, but what you get is far more than just the money for medical treatment, but also the hope of health for generations! I've lived for half a hundred, and it's the first time I've seen such a good method. Over the past 50 years, I have seen a lot of things that have been caused by illness, become poor due to illness, and have been unable to turn over for generations due to illness. So don't look at this stone of grain and heartache, but it means that you can be healthy for a hundred generations, isn't it worth it? Do you want to gamble with the lives of your family members, and with the lives of your whole family? Haha, is your family's life worth this stone of food? Then your life is too cheap, right? ”

This made everyone blush, and Shi Bufan finally thought: "It seems that in ancient times, it was not without understanding people, and the essence of this social insurance was explained thoroughly." Social insurance is not meant to make you completely dependent, it just allows you to get a guarantee in times of danger and does not let you sink into the trough completely. This health insurance only allows you to avoid bankruptcy due to illness, and you do not have to be completely unable to turn over for generations because of illness. Some people may think that they are not sick because they are at a loss, but what you get is far from being reimbursed by insurance, but by giving your family hope for generations. “

"If you don't have these reimbursements, I'm afraid that once you get a slightly more serious illness, maybe you won't be able to turn over for generations. This is not just a matter of money, but the hope of generations! If you gamble on that thing with the lives of yourself and your family, isn't that your own life flattened, and your own life is also that value? A person who values his life so cheaply, what future can he have in this life? This is also to do big things alive and cherish your life, and forget your life when you see small profits! ”

Soon, everyone also took the initiative to promise to be willing to pay for this mutual medical aid. Of course, this is also based on the fact that Shi Bufan adopted new management methods, which increased grain production and even reduced unwarranted consumption, in fact, the result of increasing the people's output by more than 50 percent. If it had been in the past, they might still be reluctant to contribute this wealth! But in fact, the increase in production by 50% has made them willing to pay this money.

"Alright, I'm going to announce these charters. In the future, this medical insurance can be paid separately when paying rent to the imperial court every year. And this mutual medical aid is not under the jurisdiction of the government, but is uniformly deposited into the Qin family's money bank, an additional account is opened for storage, and then most of the grain is exchanged for money and then deposited into the account. And the local doctor with household registration in Wannian County prescribes a doctor, and marks the price of each drug, etc., and then takes this prescription to Qin's Qianzhuang to apply for half of the funds on the prescription, you can get half of the funds, and then you can raise the remaining half of the prescription funds yourself. Remember, only the prescriptions of the local doctors with household registration in Wannian County, as well as the people with local household registration in Wannian County, can be qualified, and the prescriptions prescribed by doctors in other places and the people with other household registrations are not eligible for this status. After all, who knows if those foreign doctors will casually prescribe and prescribe expensive drugs for profit? However, in the case of a particularly fatal emergency, that can be an exception. ”

"Also, this one can be included in the vast majority of injuries. However, we will not reimburse injuries and illnesses caused by suicide, self-harm, alcoholism, fights, etc., which violate the laws of the Tang Dynasty or violate public morality. Because if that's the case, then it's encouraging people to commit suicide, self-harm or even break the law, understand? ”

Everyone also nodded, and the doctors in other places may hear that there is a reimbursement here, and the people will dare to see a doctor, and they may come over to prescribe a big prescription, so that it will be terrible to shout the price at that time, and everyone will suffer at that time. As for the local doctors, everyone here also knows the roots, and as local household registration people, they don't dare to fool around. Especially in this era, a county has a small population, that is, thousands of households, maybe it is better to be a small community, everyone looks up and does not look down, once the local doctor dares to prescribe a big prescription, then the surrounding people dare to beat him. Of course, if it is a particularly urgent emergency, it is not impossible to consider exceptions, and it is important to save people.

"Moreover, the Qin family will not be greedy for your money, and when the time comes, it will send you a statement every month, how much you spend every month, and who you spend it on, there will also be a reconciliation. Even how much interest you get on this money is for you to reconcile. If you are interested, you can even go to the government to sue him. Of course, if you can't believe me, then you can go to the Criminal Department, Dali Temple, Jingzhao Mansion, etc. to complain. Shi Bufan said.

"We may not be trustworthy to others, but we can trust you when we are outdated!" Someone said.

Shi Bufan smiled, this can be regarded as finally finalizing a policy again, and it can be regarded as solving many difficulties for the people. (To be continued.) )