Chapter 441: Winter is coming

"Doctor Zhao, is that what happened? I can now move on to the issue of funding. Wang Yaoqing said to Zhao Heng while the iron was hot.

"Doctor Zhao, in fact, I also have concerns about the current situation of the hospital you mentioned, although the pressure on medical staff in the East Hospital you are currently in is not so serious, but in terms of the current situation in all aspects, the commercialization of hospitals is an inevitable trend. Rather than be controlled by others at that time, it is better to plan for it now. After a pause, Wang Yaoqing persuaded Zhao Hengdao again.

As a hospital should be a place to treat the sick and save people, medical workers are angels in white who save lives and help the wounded, no one wants others to get sick, let alone others to come to the hospital, hoping that others come to the hospital is to curse others despicable behavior, but this despicable behavior really exists in hospitals and medical workers, the reason for this is the commercialization of hospitals.

The commercialization of the hospital is to pin the benefits of the hospital on the patient, which completely opposes the doctor and the patient, the hospital pursues the maximization of interests, the various charges emerge in an endless stream, and the sky-high price of drugs comes into being.

Under this phenomenon, patients are often treated by tens of thousands, hundreds of thousands, or even millions, and the sky-high medical expenses are not affordable by ordinary people.

Growing up, the author has always believed that hospitals are places that save lives and help the wounded, and hospitals are very sacred.

I don't know when it began, entering the hospital to see a small cold is at least a hundred dollars, to see a small illness, the doctor is all kinds of examinations, some are not checked, the previous look and smell have been changed to a cold machine, a piece of examination report, not so much to see a doctor, but to find a machine to diagnose again.

At the end, the doctor will look at the list and tell you the results of the checklist. When we went to the doctor, we didn't even finish the symptoms you wanted to say, and the doctor had already finished the checklist and called for the next one.

I can understand that doctors have to see a lot of patients every day, maybe the information expressed by the patients is complicated, and there is less important information for the doctors, but how can you convince the patients if you don't listen in time?

The doctor-patient relationship is indeed more tense than before, and in order to avoid the risk of doctors, a lot of unnecessary things have been added, which in a way shows some problems, except for some extremes, of course.

We walked around the streets, and it is no exaggeration to say that there is a pharmacy about ten meters away, and these pharmacies are growing like mushrooms, where are there so many pharmacies?

Why are there so many pharmacies? What is it that makes pharmacies so popular? There will be a drive only if there is a profit, it should be that the pharmacy is very profitable, right?

So why is there such a high demand for medicine? It used to be

"I hope that people in the world are disease-free, why not pity the shelf medicine dust", now is a certain member of the day with a lot of discounts, welcome to buy in the store, this is a pharmacy, how do you feel that buying medicine is the same as buying food?

What is it that changes us? The greed of human nature? Blinded by the drive of profit!

"For the time being, the situation in the medical industry is still relatively stable, let's observe it for a while." Zhao Heng thought about it very seriously and said.

He had just become the deputy director of the Anesthesia and Perioperative Center of Dongfang Hospital, and it was when he was high-spirited and wanted to make a big career, at this time, Zhao Heng did not consider leaving Dongfang Hospital to go out and work alone.

As for opening a hospital or something, Zhao Heng's consideration is to do cutting-edge medical treatment, not because the current hospital can't survive and go out on his own, these are completely different things.

"Doctor Zhao, take a look at this Weibo, I don't know if it's true if I'm not in the hospital." Hearing Zhao Heng's words, Wang Yaoqing adjusted the phone to a screen, and then handed the phone to Zhao Heng.

"Weibo" Zhao Heng was a little puzzled, he didn't know what Wang Yaoqing was going to show him, but he still took the phone and looked at it carefully, Xu Manni, who was sitting on the side, was also very curious, and looked at the phone screen together.

"Asking for help from Weibo? Or was it sent by a doctor? Xu Manni looked at it and wondered. [Hello everyone, I am a doctor in the emergency department, I have been practicing for 15 years, and the emergency department has been greatly reduced since March, but the workload is not less at all, it is really down every month, from 6550 yuan, 5324 yuan, to 4210 yuan now, a decrease of more than 35%, but the mortgage is not less at all, a little collapsed, the busier the poorer, the salary is less, and the family is not harmonious.

My wife talked every day, let me go to a part-time job, saying that other doctors can earn 10,000 yuan a month by selling grilled sausages, but you are so incompetent.

Seriously, not only am I very anxious now, but I also have gastrointestinal problems, and as soon as my wife thinks about it, I want to jump down from the upstairs and get a clean ......] Looking at the comments below, there are also people complaining about bitterness.

[I am a doctor who just graduated in the past two years, and now I am really a little confused, I really can't catch up with anything in North City, and there is no establishment, because of the late entry last year, there is no year-end bonus, and there is no half-year bonus this year, and now I say that I am going to cut my salary, and the year-end bonus has been canceled, and the rental price is also high.

"I can't imagine that Lao Wang, you are so concerned about the current situation of the medical industry." Zhao Heng looked at Wang Yaoqing with some surprise and said.

After reading the mobile phone with Xu Manni, Zhao Heng handed the mobile phone back to Wang Yaoqing, and said with an unchanged expression, this Weibo, it is impossible to say that he was not touched after reading it, after all, if there is no system to be around, his current situation may be much worse than that of the emergency doctor who spoke out on Weibo.

"I'm working with Dr. Zhao on medical software now, and of course I have to pay more attention to the medical industry. In fact, during this time, I went to the hospital every day to run business, and I heard a lot of things in this regard, I have a relative who is in the obstetrics and gynecology department, and she said that this year's newborn population may fall below 8 million, and their department is now very idle now. Wang Yaoqing said slowly.

"8 million?" Zhao Heng was a little surprised. 8 million newborns, how can they be divided?!

You must know that there are 3,032 obstetrics and gynecology hospitals in the country, including 26 at the provincial level, 377 at the prefectural and municipal levels, and 2,554 at the county and district levels.

In addition to specialized maternity hospitals, almost every hospital also has an obstetrics and gynaecology department. If the number of births is less than 8 million, even if it is distributed according to the maximum amount of 8 million, 8 million ÷365 days÷ 3032=7, that is to say, each specialized maternity hospital can only allocate 7 newborns per day, and if you count all the hospitals, each hospital will be lucky to get one newborn per day.

However, there are many big hospitals, and the mothers are running to the big hospitals, can the bottom hospitals still get newborns?

A specialized maternity hospital is well-equipped to specialize in delivering babies, and now, who can accept such a large hospital with only 7 newborns a day?

Can you still not take a pay cut?

"Yes, I was a little shocked when I heard it, as far as my relative was concerned, she said that her income has decreased by almost 40% since the beginning of this year, and the year-end bonus and performance are about to be stopped, and now I can only get five or six thousand yuan a month, and I have a mortgage of four thousand a month, and my children are also in elementary school, and the elderly also live with them, and there is no shortage of money at all." Wang Yaoqing said with some sighs.

"Dr. Zhao, the annual salary of senior executives has been reduced from 4 million to 2 million, and the exquisite life is still the same. Ordinary part-time jobs are disrupted when they drop from 6,000 to 5,000, and there is basically no way to live when they drop to 4,000. After a pause, Wang Yaoqing said again.

"In this way, the development of high-end medical care will be very rapid." Xu Manni thought about it, but saw a different impact.

This is very simple, if the salary of medical staff is greatly reduced, the existing hospitals will not be able to retain high-end medical talents at all, so these high-end medical and technical talents will naturally be diverted to private hospitals, specializing in high-end medical services.

In the medical industry, those with a high level of technology do not worry about leaving home at all, and the reason why most people stay in large hospitals is just to try for stability, and the treatment given by these large hospitals is not as good as that of private hospitals.

If the income of private hospitals is cut again, then these high-level talents will definitely have to go.

In this case, the average level of medical staff who remain in the original hospital will definitely plummet. In the foreseeable future, those who have money will go to private hospitals to enjoy high-end medical services, and those who do not have money will have to enjoy the low-cost medical services of large hospitals [Indian-style].

So, what does the "Indian-style free medical care" that some people have been advocating look like? Just this year, a video of rats running up and down oxygen pipes in an intensive care unit at an Indian hospital sparked controversy, according to The Times of India.

According to the report, the hospital in the video is a specialist hospital in the city of Salem, Tamil Nadu. The video shows rats running up and down oxygen pipes in the ward, while the patients rest in the beds nearby.

According to the report, some family members of patients said that the rats entered the ward through holes in the wall and ceiling, and they saw more than 20 rats walking freely in the ward, and some of the rats tried to bite oxygen tubes.

Other family members of patients said they felt very uncomfortable that there was not even water or clean toilets in the government hospital.

"Doctors and nurses have been called in to help with the matter, but they have not taken any action". In response to this, the director of the hospital said that he had seen the videos, but

"I don't know when this happened". He said bait and traps had been set up after rats were spotted running around the ICU at night, and at least 100 rats were caught on Oct. 20.

Think about it for a while, the average length of [giant mice] in these videos is 15-20 cm, and there are more than 20 such mice, and those fragile and soft rubber tubes and power cords of medical equipment can hold up?

An infusion may become a drug for mice, and whether the ECG monitoring can be turned on or not is a matter of everything.

Then there is the problem of bacteria and viruses, according to the number and size of the rat in the video, in the environment of India, I don't know what they have eaten, and it is possible to eat those medical waste full of viruses, and there should be countless viruses and germs.

With such hygienic conditions, I'm afraid that one will die another. It's better to say than to sing, and it's a fitting phrase to describe India's free healthcare policy.

In the 21st century, the Indian government has indeed formulated and promulgated a nationwide free medical system. However, this system has great limitations, firstly, only public hospitals provide free medical care, and secondly, only some medicines and treatments are free.

For example, only the medication for some underlying diseases and the treatment of minor diseases can be waived. Some people may say: That's not bad, you can save a lot of money by watching a cold and fever, after all, there are not many people who are seriously ill!

The result was the opposite. According to a survey data released by the WHO, the proportion of Indian people who pay for medical treatment is as high as 60%, and if someone in an ordinary family has a relatively serious disease, more than 90% of the family has to borrow money and loans to meet the medical expenses.

Isn't it said that medical care is free, why does it cost so much money to see a doctor? That's because in the Indian healthcare system, only 20% of the hospitals are public hospitals, and the remaining 80% are private hospitals, and there is no free system for private hospitals.

Private hospitals are not free, so why not be treated in public hospitals? In India, public hospitals are very backward in all aspects due to the lack of financial support.

The equipment is outdated, there is a shortage of doctors, counterfeit medicines are rampant, and only some minor illnesses with colds and fevers can be seen, which cannot treat incurable diseases at all, and serious medical accidents often occur, which discourages many people.

In 2018, a public hospital in India was unable to purchase oxygen due to insufficient funds, resulting in the interruption of the hospital's oxygen arrears, coupled with a shortage of medical staff, which caused hundreds of infants and young children to die in a timely manner.

Therefore, in India, if you want to really see a good doctor, you still have to go to a private hospital with better medical conditions and high treatment costs, which is why after the implementation of the so-called free medical care in India, people have to spend more money to see a doctor.

In the eyes of the Indian people, free medical care is a gimmick and a virtual reality.

"In this way, high-end medical care is developing rapidly, but the quality of medical care enjoyed by the vast majority of people will decline rapidly, and about this, just look at the current medical situation in India." Zhao Heng shook his head slightly and said, as a doctor, the current medical situation in India is something he definitely doesn't want to see.

Some things are very difficult to develop, but if they are to slide down, then the speed may be beyond everyone's imagination.

How the medical industry is developing, in any country in this world, in fact, is only related to the bottom of the general public, for the rich people in this world, there is a way to enjoy the most high-end medical services, this is beyond doubt.

The gravitational pull of reality is so strong and heavy, Zhao Heng has not had time to draw the blueprint in his heart, and he has to face the problem of survival.

Although Dongfang Hospital is the top hospital in China, the more top-notch the hospital, the larger the scale, and the more serious the impact.

In a super-large hospital like Oriental Hospital, the maintenance cost every day is an astronomical amount, and if these costs are not supported, then it will only fall on the patient in the end, which is basically a completely predictable fact.