The Surgeon's Guide to Survival in the Royal Palace, Section 186
The shopkeeper's face was a little unbearable, but there was no way:
"I'm also a small business, and I've given you up twice before, if everyone comes to beg me to give up medicine, how can I open this store?"
Dark Xuan also understood what was going on:
"Shopkeeper, what is the child's mother's illness? I'll pay for the medicine in advance. ”
"It's a summer convulsion, you have to use the soup to quench the wind in the liver, and the keel and ginseng in this soup are not cheap."
Dark Xuan Mat paid for the medicinal herbs, and the child kowtowed to him several times:
"Thank you, thank you."
Dark Xuan pulled the child up and gave the shopkeeper some more silver:
"This money is put here, and if this medicine is not enough, it will come out of it."
The shopkeeper is also a discerning person, and he can see that the identity of the dark mystery is not ordinary, so he also agreed.
When Dark Xuan went back, he replied:
"Lord Wang, Master Hou, the child's mother is suffering from heat syncope, which should be caused by working outside when it was very hot a few days ago.
The shopkeeper said that many people have suffered from similar diseases recently, and the disease is urgent, and ordinary mung bean soup does not work, and more serious people will not be able to survive. ”
Ning Qi frowned slightly, knowing that most of the symptoms of heat stroke in Chinese medicine are what is called heat stroke in modern times, but it is more serious than heat stroke, which will cause spasms and convulsions in the limbs, which is somewhat similar to heat stroke.
He remembered that the other day was very hot for a few days, and it was raining and unsheltered on this grassland, and once it was hot, the temperature would be higher than the temperature.
"Can those who are sick have money to be cured?"
Dark Xuan shook his head slightly:
"The shopkeeper said that most of them prescribed some ordinary prescriptions, and those who could survive survived survived had survived, and there was no way to survive it, among the medicines for summer syncope, the price of scutellariae and keel was high, and many people could not afford to use it, so I just took a look at the price, and the other medicines in this store were also much more expensive than before in Zhou County."
Yan Yunzhou was not too surprised by this result:
"Gyeongju is surrounded by grasslands, and there are very few herbs produced by itself, and the herbs in the pharmacies here are all imported from outside, and the price is naturally much more expensive than Zhou County, which is rich in herbs, and there is no way."
Ning Yi was slightly silent, the truth is indeed this truth, the transportation cost of this era can only be higher than that of modern times, manpower and material resources, the rations consumed during the journey must be counted in the price of this traditional Chinese medicine, and finally the wool is out of the sheep, which is naturally borne by the people who buy medicine.
Yan Yunzhou spoke:
"Dark Xuan, in a while, you go and allocate a sum of money to several large pharmacies in this city, if there is someone who comes to grab the medicine, he will withdraw it from the silver first, and in another month, Gyeongju will not be so hot, and it is good to respond to emergencies."
Ning Zhi has been a little silent during lunch dinner:
"Yu'an, are you still thinking about Fang Cai?"
The weather was hot, and Ning Ning didn't have much appetite, so he put down his chopsticks and sighed and said:
"As the saying goes, emergency relief is not poverty relief, it is indeed true, the palace's silver is enough to respond to emergencies for those patients with summer syncope this month, but after all, it is a symptom rather than a cure."
He smiled a little bitterly in his heart, but he didn't expect that this difficult problem of seeing a doctor, whether ancient or modern, had not been solved.
Yan Yunzhou naturally understood what he was worried about, but there was really no good way to do it, so he couldn't help but ask curiously:
"You guys, when you get sick, will there be anyone who looks down on the sick?"
Ning Ji raised his eyes, and many faces he saw in the hospital flashed in his mind, and he smiled bitterly with embarrassed faces:
"Naturally, there is, but there is a difference between looking down on the disease."
"What's the difference?"
"We generally have diseases like flu, cold, pneumonia or this kind of summer fever and other diseases where most people do not have any pressure to see a doctor, because there is medical insurance, but if it is a serious illness that requires surgery, or needs to use very expensive drugs and cannot be reimbursed by medical insurance, it is a burden on many families."
Yan Yunzhou was a little confused when he heard it:
"What is Medicare? Reimbursement? ”
Ning Ji turned around and explained to him seriously:
"To put it simply, medical insurance is the resident, well, the people, the people who have jobs are in their wages, ah, a part of the monthly money will be deducted and handed over to the state, and the people who do not have a job can also pay the state every month.
This part of the money is not much, but when they get sick in the future, people who have paid medical insurance can enjoy a certain degree of reimbursement for drug costs and treatment costs, and the proportions are different, some are high and some are low. ”
Yan Yunzhou tried to understand his words, and straightened it out several times in his heart before he spoke:
"So that means that the people use a little money every month to buy a power to get sick reimbursement, right?"
Ning Qi nodded:
"There's nothing wrong with saying that."
"Is there a cap on this reimbursement?"
"Yes, but the upper limit is relatively high, and general diseases cannot reach the upper limit."
"Is the money you pay enough for your annual expenses?"
Ning Ji shook his head:
"Nature is not enough, every year the state has to post money on this, our medical level there is much higher than the current level, the research and development costs of some drugs are very high, resulting in the price of drugs is also very high, and there are some inspection items, there is a lot of money, it is not enough to collect it."
When he said this, an idea popped up in Ning Qi's heart, and it was obvious that Yan Yunzhou also had this idea in his heart, if this kind of medical insurance could also be implemented here, would it be possible to solve the problem of some people not being able to afford to see a doctor?
Ning Ji looked at Yan Yunzhou's lowered eyebrows and patted his arm:
"What are you thinking?"
Yan Yunzhou glanced at him, and would rather ask knowingly:
"What else could I think? Your method is not a bad way. ”
Ning Qi took a sip of tea:
"In fact, the implementation of such medical insurance here may be more effective than ours."
Yan Yunzhou was willing to hear it and spoke:
"How?"
Rather careful analysis:
"The traditional Chinese medicine you use to see a doctor here, almost all of this traditional Chinese medicine is produced in the ground, or it is from animals, and the treatment of some ordinary diseases is just a different combination of drugs, a prescription problem, compared with some of our drugs there, there is no high cost of research and development, no cost of building a pharmaceutical factory in the early stage, and no cost of drug production.
The biggest cost we need to face is actually the cost of transportation, the more remote the transportation cost, the more the place where medicinal materials are not abundant, the higher the cost, as long as the cost of transportation can be effectively reduced, in fact, the price of drugs will be reduced.
If you want to meet the daily diseases of the people, you can't use too much money, so that in addition to the money handed over by the people every year, the court doesn't have to make up too much silver. ”
But in the end, Ning Yi added a sentence very sensibly:
"However, what I said is the most ideal state, as for whether the people are willing to pay this money, whether there are profiteers making profits in the middle, and officials are corrupt, this is not something I can control."
Yan Yunzhou nodded, understanding what he meant, he naturally knew how much a government decree would be hindered if it wanted to be promoted throughout the country, not to mention that the vast majority of the courtiers who were to blame for the so-called "medical insurance" might not be able to fully understand, and the people were more likely to regard the money handed over as a harsh government of the imperial court.
Yan Yunzhou sighed and patted Ning Jiao's arm:
"We can go back and talk to Your Majesty about this, but as for whether we can do it or not, and how far we can do it, it's not up to us to control it."
In the bottom of his heart, Ning blame naturally hopes that everyone can see a doctor with peace of mind and no worries, but he also knows that such a utopia is very difficult to achieve.
When Yan Yunzhou started the second acupuncture, Ning Qi's heart was also raised again, but Yan Yunzhou was already mentally prepared, but he was the most relaxed one, he saw that Ning Qi collapsed too tightly, so he spoke:
"In the evening, let's make some hot pot from last time, I want to eat it."
"Okay, then you can sleep for a while."
This second acupuncture, the reaction was not inferior to the first time, the familiar soreness and cough hit again, but more than the last time was the heat on the body, he specially asked Huang Qiusheng:
"The prince feels that it is normal for the body to be hot, this is not a fever, but the blood and qi in the body that is lifted, the tonic during this period of time has finally had some effect, and it is normal to feel that there is a burning sensation in the heart and mouth these days, and after a few days, the qi and blood will be opened, and it will be much better."
Yan Yunzhou nodded, Huang Qiusheng once again added soothing to his medicine, Yan Yunzhou was almost groggy and asleep during this day, and the cough at night came as scheduled, but this time Ning Jiao did not move out again, and warned the people around him:
"For fifteen days, I can sleep with you when you sleep during the day, and if you can't sleep me, don't say anything about what you don't have."
Yan Yunzhou didn't say much when he saw that he insisted, the night was the hardest, he couldn't sleep with a cough, Ning Yi also accompanied him, and the two of them chatted with each other:
"Down... Ahem... Next month, the weather here will be cold at the end of the month, so let's go back to Beijing at that time. ”
Rather blame is naturally no opinion:
"Okay, it's early for the New Year this year, so it's good to go back to the house to prepare."
Ning Yi is actually a person with a strong family concept, and has a unique sense of ritual for traditional festivals, even if his parents die later, he will prepare carefully for the Spring Festival every year.
Yan Yunzhou remembered something, turned sideways, and subconsciously hugged his waist, knowing that he must be uncomfortable in his waist after lying down for a day, so he pressed it for him:
"By the way, a few days ago, my sister-in-law wrote a letter saying that after this year, Cheng'er will be fifteen, and it is time to discuss marriage, saying, cough cough, saying that let's go back and help see each other."
Ning Yi also came over:
"Married at the age of fifteen? Is it too early? ”
Yan Yunzhou heard him say that they were still in school in their twenties, and they got married late, so they coughed sideways a few times and said:
"It's not too early, it will take some time from meeting to meeting and then getting married, according to the custom of Daliang, it will take two to three years to officially get married, and Cheng'er will be eighteen or nineteen years old at that time, which is not small."
In fact, a man from Daliang can get married at the age of fifteen, but Yan Yunzhou doesn't want Cheng'er to get married too early, the man should start a business first, and the fifteen-year-old hair has not grown, so it is not beneficial to get married.
Ning Qi nodded, but asked with some curiosity:
"Aren't the marriage of your children here all the words of the parents and the matchmaker? Cheng'er's marriage sister-in-law is fine, why do you deliberately wait for you to go back? ”
Yan Yunzhou's eyebrows and eyes had two smiles, and he raised his hand and flicked on Ning Qi's eyebrows:
"Where's all the previous cleverness? Cheng'er is not just a sister-in-law's child, cough cough... is still the prince of the palace, this palace will be handed over to him sooner or later in the future, and his marriage is not only a marriage between children, but even the attitude of the palace. ”
Ning Zhi also turned this corner, Prince Yan is the Prince of Yipin, although Yan Yunzhou has now handed over the military power and has faded out of the court, but no one in the government and the opposition still dares to underestimate the palace, how to choose the in-laws of this palace, naturally I have to ask the person in charge of the palace now, that is, Yan Yunzhou.
"So what's your attitude? How do you want to choose this one? ”
Generally, in order to prevent the emperor from being suspicious, the most taboo marriage between the powerful ministers and the important ministers, but if you choose a low-ranking one, it may not be good-looking, and it is really a troublesome thing to choose relatives in ancient times.
Yan Yunzhou closed his eyes slightly, and seemed to be a little distressed:
"It's the first time I've dealt with something like this, and I don't have much experience."
Ning Yi snorted and laughed, and Yan Yunzhou opened his eyes:
"What are you laughing at?"
Yan Yunzhou was inexplicably laughed by him, and Ning Ji held back a smile and said:
"I laugh at you, you said that we are also the same age, in our place we are still the age of being urged to marry by our parents, and you have already begun to worry about the marriage of the younger generation, which makes me feel that I have suddenly risen to middle age."