The Tang Dynasty started from saving Empress Changsun

Chapter 306 Crying Poor
"Now the imperial court is vaccinating the whole country, which requires a large number of people to participate. The imperial court must provide these people with the most basic health care training."

"It would be a pity if these people were given up after being vaccinated, and all the resources invested by the imperial court on them were wasted."

This time the imperial court vaccinated the whole population against smallpox, and the recruits were divided into two parts.Part of it is the medical team affiliated to the imperial court, and they are the main force for vaccination.

There are also some from various places. Whichever state or county the imperial medical team goes to vaccinate, some people must be recruited for cooperation.

Otherwise, relying on the medical team of the imperial court alone will not be able to complete the vaccination work even if the leg is tired and broken.

It is not easy for the local team to work. After all, this is a matter of life and death, and some simple nursing knowledge training must be given to these people.

In the 21st century, these nursing knowledge is the most basic common sense known to every household, but in ancient times it was zero breakthrough.

It would be a great waste to let these people go home after being vaccinated. That's why Chen Jingke encouraged Changsun Wugou to build a medical system.

Just listen to him talking about his overall plan.

"If a hospital is established, these people can immediately be converted into grassroots nursing staff. If some literate people are absorbed from these people and cultivated, they will be good doctors."

"Wait." Changsun Wugou interrupted him, and said, "Just now you said that after the new division of medicine, medical skills are becoming more and more complicated, and it is very troublesome to train doctors."

"These people have never been exposed to medical skills. It is very troublesome to train them from scratch, right? And to train so many doctors at once, the imperial court...how can I get so much money?"

Chen Jingke knew that he was too excited and his speech was a little confused, so he quickly added:

"It's because I didn't make it clear that these people don't need to know too many advanced medical skills, or even medical principles, as long as they can treat some common diseases according to the prescription."

"I've already told Master that he will write a medical book that records the symptoms and treatments of all common diseases."

"When the time comes, use this book to train those people, and then let them go to the countryside to be local doctors and treat people's diseases."

"Their medical skills may be very low, but don't forget that there are no doctors at all among the people, and the people can only wait to die when they get sick."

"We must first solve the problem of availability, and then solve the problem of quality. It is too much to say, only doctors with average medical skills are willing to stay in the countryside to treat people's diseases."

"When people go to high places, everyone wants to go to the county town or even the state capital, where the life is more prosperous and more comfortable. But anyone with better medical skills will find a way to go to the big city instead of staying in the countryside."

"The kind of medical skills are average. They know that their medical skills are not good enough to go to the big cities and they will not be able to stand in the big cities. They will be more comfortable and respected in the countryside...so they stay in the countryside."

This is a very real problem, and it will become even more serious in the 21st century.As long as there is a qualified doctor in a small place, he will be poached away in a short time.

The end result is that large hospitals in big cities monopolize most of the medical resources.

People have to go to a big hospital hundreds or thousands of miles away for a slightly troublesome disease, and it costs several times more money to be cured.

The influx of patients to large hospitals has also brought about a negative result. The beds are tight, and it doesn't matter if you have to wait in line for half a year to get your turn.And the hospitals in small cities are empty, relying on state subsidies to survive.

China is okay, at least these doctors went to big hospitals instead of going abroad. Generally speaking, the country's educational resources are not completely wasted.

Those weaker and poorer countries are more troublesome, and the talents trained by spending huge resources will directly benefit.

For example, this situation has occurred in some relatively well-developed countries in Africa. The country has established high-quality medical schools to train doctors with superb medical skills.

After graduation, these doctors went directly to developed countries in Europe and the United States, and would not stay in their own countries at all.

After reacting, the solution for these African countries is very simple, lower the quality of medical schools, and only teach some common medical skills, which can treat common diseases.

Then the overall medical level of the country has improved.

It seems ridiculous and sad, but that's the reality.

It is an undeniable truth that people go to high places, and no one can deny it.

With Datang's current strength, it is unrealistic to train a large number of doctors with superb medical skills.And even if it is cultivated, it will not solve the problem of lack of doctors among the people.

Because these doctors with superb medical skills will only try their best to go to big cities.

Those local doctors who can only follow the prescription are more suitable for the countryside, for the reasons mentioned above.

As for whether these local men will put people to death, that is for sure, but they will only save more people.

After all, their existence itself is a zero breakthrough, and the medical skills of poor local doctors are better than no doctors, right?

His idea of ​​this local man did not come out of thin air, but the ready-made experience of his previous life.I won’t go into too much detail here about the role of the barefoot doctor and the barefoot doctor’s manual in the early days of the founding of New China.

Chen Jingke's idea stems from this.

"We can take two steps, while cultivating doctors with superb medical skills and letting them work in large hospitals in county or state cities."

"At the same time, a large number of local doctors are trained, and they are sent to the countryside to be rural doctors. Diseases that cannot be cured by local doctors will go to large hospitals in the city to receive better treatment."

"In this way, comprehensive coverage of medical care can be achieved, so that everyone can receive medical services, and resources can be saved for the country as much as possible."

"And the popularization of medical care can greatly improve the living environment of the people and make the population grow faster."

"More people can cultivate more land, produce more food, and provide more soldiers for the country."

"In this way, we can realize the original plan and complete the unification of the world... After all, the land is there, and what we lack is the population."

The eldest grandson Wugou nodded, and suddenly asked: "Is this plan made by the elders of your family?"

Chen Jingke paused and said, "Yes, they made it."

The eldest grandson Wugou showed such an expression as expected, and said: "Then your elders haven't considered how much resources they need to invest to realize their plan?"

"Even with the power of the imperial court, it is difficult to do it, let alone me. Although the few things you gave are huge profits, the imperial court's expenses are also high."

"Foreign wars, the academic and political system, and the construction of the navy...every one is a gold-swallowing beast, and there is also the planned Yellow River governance plan..."

"The national treasury has been almost emptied, and there is not much money left. How can we carry out the construction of the medical system you mentioned?"

Speaking of this, she let out a long sigh and said, "Hey, I can't even get my little son's dowry together now."

Chen Jingke has a black line on his forehead, can he not mention his little son and talk about business.

"The elders have indeed thought about this issue. Both the academic and medical systems need to invest a lot of resources, and it will take decades to see benefits."

"If the court invests recklessly, the country may collapse before seeing any benefits, and good governance will turn into bad governance. This is not our purpose."

"Yeah." Eldest grandson Wugou nodded repeatedly, held back a smile and asked, "Then how will your elders plan to solve this problem?"

Chen Jingke said: "They have many ways, long-term and short-term. In addition to glass and sugar, there are several profitable industries that can see profits in the short term."

Changsun Wugou could no longer control the joy in his heart, and urged with a smile, "Quickly tell me what else is there?"

Can we put away the smile on our face first? Chen Jingke complained endlessly in his heart, but he still said seriously: "There are two things that make the most huge profits, salt and tea."

The eldest grandson Wugou was a little disappointed, and said: "Although the tea trade is very prosperous, the imperial court cannot directly benefit from it. Salt...do you want to say that the salt and iron monopoly?"

"But have you ever thought about the consequences of doing so? After the monopoly of salt and iron, the price of salt soared and the common people suffered. The cruel Emperor Sui Yang didn't implement this policy. How can we not be as good as him?"

Chen Jingke shook his head and said: "You underestimate the profit of the tea trade, let me just say this, its overall profit is no less than that of sugar."

The eldest grandson Wugou said in disbelief: "How is it possible, do you know how much Tang can earn every year?"

Chen Jingke asked back: "Then have you ever thought that the world's demand for tea is the same as the demand for sugar?"

"Because Datang produces tea, people don't think tea is very important. But tea is something unique to Datang, and it doesn't exist in other countries."

"Don't those countries that don't produce tea stop drinking tea? No, they have a great demand for tea. People in many places can live without sugar, but they cannot live without tea."

"For example, herdsmen on the northern grasslands eat more meat and less vegetables. They need tea to relieve greasy and supplement various trace elements."

"Not only the herdsmen in the north, Arabia, Sassan, Rome and even the whole world like to drink tea. Tea is more expensive than gold for them..."

"The reason why you think its profit is small is because the tea trade has only developed less than one percent. That's why I said that tea is as important as sugar."

Changsun Wugou asked in surprise, "Is tea really so important?"

Chen Jingke said affirmatively: "Yes, as long as the imperial court controls the outflow of tea and increases foreign trade at the same time, it will be able to obtain huge benefits immediately."

"If it is inconvenient for the imperial court to come forward to do it, you can unite with big tea merchants in the name of a commercial firm, establish a unified tea industry association, and regulate the tea trade."

The eldest grandson Wugou couldn't help nodding his head and said: "This method is good, lest someone say that the court is competing with the people for profit. Then what about Yan, your parents and elders will not think of other good ideas, right?"

Chen Jingke said: "Yes, there is no doubt that the monopoly of salt and iron is indeed a bad government. Of course, my parents would not do this."

"Their method is actually very simple, which is to increase the production of table salt, and it is still refined salt."

The eldest grandson Wugou immediately became interested and said, "Oh, how to increase? Do you know where salt is produced?"

Chen Jingke said: "There is no need to look for other places at all. The salt in the sea is inexhaustible."

Changsun Wugou frowned first. We all know that there is salt in the sea, but it is difficult to extract it and what you get is poisonous and inferior salt...

No... She suddenly realized that Chen Jingke's elders must also know about this problem. Since they dared to bring up sea salt, there must be a better way.

Thinking of new technologies such as sugar, canned food, glass, artillery, and new steelmaking techniques, she confirmed this guess even more, saying:

"Do you have a better way to make salt?"

Chen Jingke boasted: "Auntie is smart, that's exactly what she is."

So he explained the sun-dried salt method.

The sun-dried salt method was formed in the Song Dynasty. Before that, the sea was boiled for salt.Not only does it consume a lot of wood, but all you get is bitter salt, and if you eat too much, you will be poisoned.

There are many ways to purify salt. Chen Jingke mentioned the simplest one, the saturated salt washing method.

It is to dissolve coarse salt in water, and use the different saturation of water to different elements to obtain relatively pure refined salt.

When he heard that refined salt could be obtained so easily and in such a large quantity, the eldest grandson Wugou couldn't even close his mouth with a smile.

"Okay, okay, as expected of the Chen family, it has never disappointed anyone. You write down this method in detail, and I will send someone to build the salt field right away."

Chen Jingke took out a few pages of paper from his sleeve and said: "It has been written, not only the method of drying salt, but also several places that are more suitable for drying salt."

In the previous life, there were different sayings in China, such as three major salt farms, four major salt farms, and seven major salt farms, but there are three places that are most suitable for drying salt.

One is Laizhou, Shandong, which is the largest industrial salt production base in China.One is the Budai salt field on Taiwan Island, which is the largest salt production base in China.Another is the Yinggehai Salt Field on Hainan Island.

Speaking of Hainan Island, Chen Jingke remembered another thing, saying: "There is a large open-pit iron mine on this island, with iron ore reserves of more than [-] million tons."

Datang did not have a unit called ton, but Chen Jingke often used the word ton, and those who knew him basically knew what it meant.

One ton is two thousand catties, and three hundred million tons is 6000 billion catties of iron ore... Just hearing this number, Changsun Wugou was tempted.

Before Datang, the steel output was only about [-] tons. The new steelmaking technology was obtained from Chen Jingke, and the trial effect in several iron mines was very remarkable.

According to the estimate of the Ministry of Industry, this year Datang's iron production can break through about [-] tons.

Now steel production is completely limited by ore mining. If there is an open-pit iron mine and new steelmaking techniques, Datang's steel production can be doubled several times.

With more iron, more weapons and armor can be built, and the combat effectiveness of the army can be improved.More farm tools can be built, and with enough farm tools, more land can be reclaimed and more people can be fed.

In short, iron is too important, it is a symbol of strength.

Chen Jingke continued: "The grade of this iron mine is very high, generally more than [-]%, and the highest is [-]%. It is easy to mine and refine."

"Moreover, this iron mine is accompanied by a large copper and gold mine. As long as it is mined, many problems of the imperial court can be solved."

"As for the mining workers...there are a lot of local people on the Nanyang Islands, and all those who refuse to accept the king's transformation go to mine."

"Wait, wait." Changsun Wugou stroked his forehead and said, "You talk too much and I'm a little confused."

"You just said that there is a place called Yinggehai in Yazhou that is suitable for drying salt, and there is also a large open-pit iron mine with copper and gold mines, right?"

　"Starting Civil Fortress, Da Ming God of War Is A Little Panic" Recommendation: Da Ming God of War Zhu Qizhen's counterattack road!

　　


(End of this chapter)