Rebirth of the courtyard, the start is 80s

Chapter 254 Is It Difficult To Open A Hospital?

In fact, the idea of ​​recruiting a large number of individual book sellers and cooperating with them to establish a regional newsstand chain group first, and further expand into a nationwide chain bookstand group is just Cao Zhiqiang's idea, and he has not formally held a meeting with anyone discuss.

To be exact, when Cao Zhiqiang went to the department store to buy things before, because he didn't need to do it himself, he just needed to drink tea and rest in the teahouse, so since then, he has been thinking about this matter.

But at that time, although Liu Donghai was also with Cao Zhiqiang as a temporary bodyguard and secretary, it was impossible for Cao Zhiqiang to discuss things like the newsstand chain group with Liu Donghai hastily.

But it is precisely because Cao Zhiqiang has been thinking about this "huge" project, so when he returned to the courtyard and saw his biological sister, he was talking about her future work, but he couldn't help but involve himself. The big project is on.

By the way, Cao Zhiqiang also briefly expressed his not-so-mature thoughts to his own sister Cao Jiajia in the gazebo of the courtyard.

In fact, Cao Zhiqiang didn't ask Cao Jiajia for any good advice, he just wanted to find a reliable, strict-spoken person to talk about, so as to make his thinking clearer.

If you have to make an analogy, it's like having a brainstorming meeting and looking for someone to talk to.

Of course, Cao Jiajia didn't think so much, and she didn't know that Cao Zhiqiang just wanted to find someone to talk to. She just instinctively felt that what Cao Zhiqiang said was too big, a little beyond her imagination.

In other words, limited by knowledge and other factors, Cao Jiajia thought that Cao Zhiqiang was entirely for himself, in order to arrange a good job and a good future for himself, so he came up with such a big battle to recruit thousands of self-employed individuals, and his purpose was to become a medical practitioner So, so that she, Cao Jiajia, can be the director.

This made Cao Jiajia a little panicked.

"Zhiqiang." Cao Jiajia frowned after listening to Cao Zhiqiang's chatter.

"We are doing well now, and I don't demand any leadership. You can find me any hospital, such as a factory-run hospital, and let me continue to be a nurse.

You can't do illegal things for me, that's not okay! "

After listening to Cao Jiajia's words, Cao Zhiqiang, who was still reorganizing his thoughts, was taken aback for a moment, looked at Cao Jiajia who was full of worry, and immediately understood.

Obviously, the other party thought too much, thinking that he was using power for personal gain.

After thinking about it, Cao Zhiqiang decided not to discuss this with his sister.

Anyway, according to my sister's situation, I can arrange her however I want.

In addition, Cao Zhiqiang has also thought about it now. For someone like his own sister, directly making her the leader is indeed too big a step, and it is easy to mess up.

It is better to arrange for her to go to the factory to run a hospital first, to continue working as a nurse for a while, and then think of other ways.

As for the infirmary, this must be done.

It's not for my sister, but this is part of Cao Zhiqiang's whole plan.

In fact, the current Cao Zhiqiang is no longer blinded when he first came here, and he already has some understanding of this era.

Why is everyone envious of employees of state-owned enterprises in this era?

It is not only a question of wages, but also a question of invisible benefits.

This invisible benefit is not just a question of whether there is a bonus or not, or what industrial vouchers are.

But something more tangible - social security!
Of course, the term social security did not exist in this period, but it was called labor insurance, or labor insurance for short!
This labor insurance basically consists of two parts, including pensions and medical benefits.

The specific overall planning unit also has two parts.

The first part refers to the cadres of government agencies and institutions, that is, the part of the people whose files are in the personnel bureau.

The labor insurance for these people is all under the responsibility of the state treasury and distributed by the local finance, and the specific welfare benefits are calculated according to the level.

The other part refers to the employees of the enterprise, that is, those people whose files are in the labor bureau.

The labor insurance of these people is under the responsibility of the trade union at this time.

Specifically, overall planning is generally based on the percentage of income of all domestic workers.

For example, [-]% of the wages of workers are collected every month and deposited into the labor insurance pooling account of the Federation of Trade Unions.

In other words, the labor insurance of enterprises and the labor insurance of government agencies and institutions have been two lines and two pools since the 50s, and they are not the same thing.

The same goes for medical insurance. People in government agencies and public institutions are divided into two pools with enterprise workers, but there is one thing that is the same, that is, discounts are given according to the level of service.

That is, the higher your level of service, the more favorable the discount on medical expenses.

If you reach a certain high level and length of service, the medical expenses are free.

On the surface, government agencies and institutions have higher labor insurance discounts.

But in actual operation it is not like this.

Because since the 50s, companies have always been more popular and their income is higher.

It is precisely because of this that workers had the highest status and the most enviable status in that era.

Without him, the income is higher and the benefits are better.

Therefore, in the actual implementation process, due to the higher income of the enterprise, the labor insurance pool of the enterprise has more funds, which leads to the workers' pension and medical reimbursement, which are higher than those of the government and public institutions in the same period.

The title of Big Brother Worker is not for nothing. At that time, it was really the best treatment and the highest status.

Generally speaking, from the 50s to the early stage of reform and opening up, the national labor insurance was actually the responsibility of the state, which is a typical national social security model.

After all, it does not count the insurance of government agencies and institutions, but enterprise insurance, because enterprises are state-owned enterprises, so it can be regarded as the state giving you the bottom line.

But in [-], the situation changed.

Due to the empty treasury, enterprises around the country have also begun to weaken. Many enterprises have low efficiency and heavy burdens. Therefore, the pension and medical benefits have already caused a heavy financial burden on the country at this time, and reform is imperative.

As early as last year, the state began to pilot labor insurance reforms in Shanghai.

This labor insurance reform, simply put, is to set up an insurance company, and then the insurance company will coordinate the collection of pensions for local enterprise employees.

In the specific implementation process, according to the benefits of the enterprise and the personal intentions of the employees, pension insurance funds will be paid to the insurance company for the employees, and after the employees retire, they can receive pensions from the insurance company.

To put it simply, this is similar to the commercial insurance of later generations. It is to establish a separate pension account, pay more and get more, but pay less and get less, but the plate is much smaller. The risk is shared by the enterprise and the employees, and it is no longer completely covered by the state. .

Of course, this pilot project does not have to be carried out in Shanghai. Other cities and enterprises can also apply for this.

But unless there is pressure from above, the local government is not willing to take the initiative to carry out reforms. After all, the interests involved are huge.

If the history remains unchanged, then by 1986, enterprises all over the country will implement the new labor insurance method, which is commonly known as breaking the iron rice bowl and implementing a floating pension system that pays more and gets more.

To put it bluntly, at that time, the labor insurance of government agencies and public institutions remained unchanged for the time being, and they still paid for finances, but the pensions and medical benefits of enterprise employees were all changed from the original state-funded funds to social overall planning, or enterprises themselves. out of the sheep.

In this way, the reduction of corporate pensions and corporate medical expenses will greatly reduce the country's financial burden.

But this burden is entirely on the enterprise itself.

As for the overall social security system where enterprise labor insurance is completely transformed into social insurance, it will be after the 90s.

But no matter how this labor insurance changes, it is the welfare benefits that government agencies, public institutions and state-owned enterprises can only enjoy.

For the majority of self-employed individuals, I'm sorry, anyway, in this period, you don't even want to enjoy pension benefits and medical reimbursement benefits.

That's right, self-employed people have money, and the current hospitals don't charge much for medicine and treatment, so for wealthy self-employed people, seeing a doctor is really not expensive during this period.

Therefore, for self-employed people to see a doctor, money is not a problem at all at this time. The biggest problem for self-employed people to see a doctor is the vague sense of shame.

Think about it, if you go to the doctor the same way, a person with a formal unit next to you will be reimbursed if you speak directly, and you can speak louder.

But as a self-employed person without a unit, you pay for everything by yourself, even if the cost is not high, compared to other people who can reimburse you, you will feel dwarfed.

Even nurses have different attitudes towards those who have a unit and those who do not.

For those who have a unit, especially those with a better unit and a higher status, the attitude of the nurses is often better.

For self-employed individuals without a unit, nurses are often more perfunctory.

The so-called food and clothing know honor and disgrace.

In the early 80s, most of the self-employed were people who could not get into formal work units. Their original purpose of being self-employed was really to earn a living.

After earning money by being self-employed and achieving the goal of having enough food and clothing, there will naturally be a higher pursuit, and that is respect.

However, in today's country, no matter how rich the self-employed are, they don't get the respect they deserve.

Even if you have a ten thousand yuan household, or even a ten thousand yuan household, as long as you are self-employed, then an ordinary factory worker can still squint at you, or point at your nose and scold you.

It can be said that self-employed people in this period are rich, but they are not popular in various ways.

This situation cannot be changed for the time being, and neither can Cao Zhiqiang, who is a time traveler.

However, Cao Zhiqiang can find another way to incorporate those self-employed.

It would be much better if Cao Zhiqiang, in the name of a state-owned enterprise, incorporated those self-employed individuals and concluded an agreement with them that both parties could accept for mutual benefit.

But there is still a big problem here, that is, Cao Zhiqiang's so-called recruitment can only be recruited in the name of "contract workers" with them.

This kind of contract workers, the company's own recruitment list, is similar to temporary workers.

For this kind of temporary workers, the files can only be owned by the recruiting company itself, and they can neither enter the personnel bureau nor the labor bureau.

Without a formal cadre or worker status, naturally, you cannot go to a regular hospital to enjoy the relevant welfare policies.

Yes, during this period, whether it is a formal hospital like the People's Hospital or a factory-run hospital, medical reimbursement is also very strict, and you must be a real cadre or employee.

As for contract workers, sorry, they are not eligible for reimbursement for the time being.

By the way, today's temporary workers are all called contract workers, and this contract worker is not the same as the so-called interns.

Enterprise interns, that is, the identity of Cao Zhiqiang when he first entered the factory, is that your personal file has been entered into the labor bureau, and it is a worker who has not yet officially become a regular worker.

In other words, for enterprise interns, although their wages are low and their treatment is low, in terms of status, they are proper workers, and they have formal records with the Labor Bureau.

But contract workers are different.

The files of contract workers are only under the jurisdiction of the recruiting company itself, not under the management of the labor bureau. They are not regular workers, and cannot enjoy the benefits that workers can enjoy, such as medical reimbursement and pensions.

That is to say, corporate contract workers can gain face by speaking out to the outside world, and can write letters of introduction to buy train tickets or even air tickets, but they cannot enjoy the pension and medical reimbursement of regular employees.

If you cannot be reimbursed for medical treatment, then once you get sick and go to the hospital, your status as a state-owned enterprise employee will be dismissed immediately, which will still make people feel ashamed.

then what should we do?

The way Cao Zhiqiang came up with was to open a hospital by himself, and then let the contract workers he recruited go to his own hospital for treatment when they were sick.

In this way, these self-recruited contract workers can enjoy the same reimbursement treatment as other formal workers when they seek medical treatment in their own hospitals.

In this way, those self-employed people enjoy benefits in their own hospitals, get respect, and get psychological satisfaction, so they will naturally support themselves more.

Self-employment itself is a mess. To recruit these people into the group, it is necessary to let these people have the cohesion or belief that they yearn for.

In terms of making money, it is not very attractive to these idle self-employed.

Only by making the other party feel respected and feel that joining their team can improve their social status, will they be willing to give up their profits and open up territories for themselves.

Is it difficult to open a hospital?

The answer is, for the state-run units at this time, it is not difficult at all!
At this time, state-run units can establish their own hospitals. The approval procedures are much simpler than those of local government people's hospitals. All they need is the company's own consent and the money to pay.

After all, state-owned enterprises at this time are still a relatively independent system, and local governments are often out of control.

Enterprises run society to find out!
For example, in Beijing, at this time in Beijing, the medical conditions of Shougang Hospital are among the best. Some hardware conditions and salary are better than that of People's Hospital.

Then, it is not difficult to recruit medical staff.

In fact, if you want to say that in the 60s and [-]s, it is true that the country is in short supply of medical personnel.

Then in the 80s, although the country as a whole was still short of medical personnel, relatively speaking, what the country lacked the most at the moment was not medical personnel, but medical places where these medical personnel could show their talents.

In other words, after 20 years of training in China at this time, the number of medical staff trained by various medical colleges is already very large.

But the problem now is that there are very few hospitals in the country and they cannot accommodate so many medical staff at all.

As a result, many medical and nursing students are unable to go to the hospital to engage in the medical and nursing work they are good at.

Perhaps it should be said that there are few hospitals in the city, so you can go to the countryside.

But the reality is, how many medical staff who have studied in the city are willing to go to the countryside?
Isn't it good to be a worker in the city?

That is to say, the domestic hospitals at this time are all state-owned brands, either established by the state finance, or established by state-owned enterprises themselves.

Now the national finances have no money, and there is no money to build more people's hospitals.

As for enterprises, enterprises with good returns already have hospitals, and enterprises with poor returns have no money to build hospitals.

You must know that the hospital is a pure money-losing product at this time, and the so-called reform of supporting doctors with medicine has not yet begun.

Therefore, if Cao Zhiqiang builds his own hospital with his own money, even if it is just a clinic like a community clinic, he will get the green light all the way.

How easy is it for a state-owned enterprise to open a hospital at this time?

Let's put it this way, if Cao Zhiqiang wants to open a hospital, he only needs to say hello to Director Li, and Director Li will agree.

Next, Cao Zhiqiang only needs to get a house, recruit some doctors and nurses, buy some medical equipment and medicines, and then pay the monthly expenses of those doctors and nurses, and of course other expenses such as water and electricity, and then he can list for business.

A hospital, as simple as that!
As for opening a hospital and simply losing money.

Cao Zhiqiang thought about it too.

That's right, opening a hospital now is indeed a pure money-losing product.

But with a hospital of its own, many self-employed people can be gathered together, making them reluctant to leave themselves.

Furthermore, if you make money, you also need to do some public welfare undertakings.

Opening more hospitals is also a public welfare undertaking, which can bring you a good reputation.

With a good reputation, there will be golden light body protection, and the benefits are self-evident.

Cao Zhiqiang didn't want to understand the other hidden benefits for the time being, but the advantages definitely outweigh the disadvantages.

After all, opening a hospital at this time is simple and cheap.

It may not be so easy if we wait for the health care reform.

Compared with these benefits, arranging a job for my elder sister is really just incidental.

However, since my sister is so scared, let's not tell her the truth for now.

It's better to wait until your own clinic is established, and then arrange a job for her directly.

(End of this chapter)