TCM Gaoyuan

Chapter 363 New Era

In the evening, the Zhangzhuang guest house, now the guest house has also been contracted out, will sell food to outsiders, and this one can still eat at night.In the morning, there will also be a few people who push the cart to sell breakfast and start a small business by themselves.

They set up a small table outside and cooked two very simple dishes. Gao Yuan, Li Shengli and Zhao Huanzhang drank here, and the others did not come.

Zhao Huanzhang kept his head silent and poured himself alcohol.

Li Shengli saw that Zhao Huanzhang had poured his third cup, and seeing that the fourth cup was also picked up, he quickly snatched it down, and hurriedly said, "Stop drinking, is it over?"

Zhao Huanzhang said drunkenly, "Leave me alone, don't feel sorry for me."

Li Shengli said in pain: "Who loves you, I love the wine, I just brought this little, we didn't drink a sip, you finished it for me!"

"You!" Zhao Huanzhang was choked with anger.

Gao Yuan took the jug and poured a glass each. He said, "Drink the wine slowly and talk slowly. Li Shengli, don't be so stingy. I'll bring you a bottle next time."

"Okay." Li Shengli generously agreed.

Zhao Huanzhang slowly lowered his head, he said a little discouraged: "Did I fail?"

Li Shengli didn't know what to say, he just looked at Gao Yuan.

Gao Yuan asked: "Why is the hospital's financial situation so poor? Our health center is obviously a regional hospital, and the serious patients from several nearby townships are sent to us. The business should be very good."

"Alas..." Li Shengli said: "Actually, it is precisely because of this that our pressure will be even greater. First of all, our hospital has the most staff, and the salaries, benefits and bonuses of these people are now all paid by the hospital."

"In addition, the purchase and maintenance of various equipment and medicines is also a considerable expenditure, so our expenditure is also the largest. But the current subsidy amount is fixed, which is not enough."

"But the cost of other medicinal materials is rising, and now there is no cooperative medical care, and there is no subsidy from the public welfare fund and provident fund. The gaps in it all have to be filled by the patients themselves."

"How many people's food and clothing problems have not been solved yet, and how many people can afford so much money? Then what can we do? Force them to borrow money for medical treatment? Or do half the surgery and ask them to pay the money back?" Do you sew it up again?"

"We can only choose the most economical way to treat their diseases, but the more this happens, the less money the hospital has. In the end, it's all like this, and there are still many people who evade fees, saying that we charge high fees and ask for more money. , There is a lot of money that cannot be recovered. There are also barefoot doctors in some villages who have disappeared, and they would rather come to our hospital to see a doctor than go to other villages."

"When there were barefoot doctors in the past, people in the village rarely went out of the village to see a doctor, unless they were really seriously ill. Because seeing a doctor in the village is free, and you still need to pay a little money to go to the health center. .”

"But now in the village, you have to pay for the doctor yourself. When you come to the hospital, you also pay for it. And we have to find ways to save some money for the patients, so more patients are willing to come to our hospital. The more patients, the more doctors. Tired, the thinner the profit, the gap gradually widens.”

"So in the past two years, everyone has demanded an increase in fees, and the gap between fees in health centers and village clinics must be widened. Otherwise, everyone will be exhausted, and the salary will only be a few dollars."

After listening, Gao Yuan was also silent.

Zhao Huanzhang poured himself the fourth glass of wine, his face was already flushed red, he said: "I just don't understand, how to save patients money and mistakes? Isn't this what a doctor should do? "

"You say...you say..." Zhao Huanzhang looked at the two old friends with red eyes, and said, "Three years of extreme poverty, we have survived such a difficult situation. Simplified and decentralized, no one cares about us, we are hungry My stomach is also recovering. Why... why is life getting better and better now, but we... can't go on?"

Li Shengli also felt uncomfortable when he heard it, and he didn't know if he was afraid that the wine would be drunk, so he also poured himself a big glass.

Gao Yuan leaned on the back of the chair, recalling the hardships and hardships of the past, he said: "It was poor at that time, and it was bitter at that time, but everyone was poor and bitter, so they didn't feel bitter anymore. But once you eat sweets, you will I know what suffering is."

"We used to be very happy when we had a piece of rotten sweet potato, but now we let you eat rotten sweet potato, would you still eat it? Now we want to eat white rice, white steamed buns, eggs, and even meat. "

"Everyone wants to live a better life. Doctors are human beings, not saints. But now that the state subsidizes them, it seems that the number is increasing, but now the money has become less and less valuable, and the prices are getting higher and higher. People are becoming less and less human. We used to put our mission above everything else, but now our life is above everything else.”

"The proportion of national medical investment is decreasing every year. For this gap, hospitals can only reach out and ask patients for what they want. Doctors' desire for a better life can only be satisfied by patients. Doctors and patients should work together to fight against the disease, but now But you have to go to the opposite side.”

Both Zhao Huanzhang and Li Shengli were silent, and even stopped drinking.

"Then... what should we do then?" Li Shengli asked Gao Yuan nervously.

Gao Yuan also thought about this issue for a long time. He said: "Of course it won't work without reform, but it certainly won't work with excessive marketization. The only thing that can take the middle value is cooperative medical care."

Li Shengli and Zhao Huanzhang looked at each other, Li Shengli asked again: "But now is not the time for collectivization, how can we engage in cooperative medical care?"

Gao Yuan said: "After subcontracting to households, the cooperative medical care in rural areas has collapsed, but there are still a few places that are still maintained. The cooperative medical care is to raise funds to see a doctor, which is a guarantee for the income of the hospital and for future patients. A guarantee. I will go to Wang Hanzhang tomorrow, talk to him, and see if we can do a pilot project.”

After listening to Li Shengli, he was a little excited.

Gao Yuan looked at Zhao Huanzhang again, hesitant to speak: "Huanzhang..."

Zhao Huanzhang poured himself a fifth glass of wine, and said with red eyes, "Gao Yuan, Lao Gao...I'm sorry..."

Li Shengli looked at Zhao Huanzhang in astonishment: "You...why do you say that, what do you want?"

Gao Yuan's expression also slowly froze.

Zhao Huanzhang wiped the wine stains from his mouth, but repeated: "I'm sorry."

Li Shengli asked: "You don't want to do it, do you? Is it because of those two boys? I'm going to beat them now to vent your anger."

However, Zhao Huanzhang stopped the angry Li Shengli: "Then tell me, what did they do wrong?"

Li Shengli, who was about to run away, froze in place.

Zhao Huanzhang slowly raised his hand, looking at his clean and tidy nails, he whispered: "They didn't do anything wrong, it was me who was wrong, I started practicing medicine at the age of 17. No matter how dirty or tired, I I have to wash my hands more than ten times a day, and I have to trim my nails at night. I can't tolerate any dirt. So a person like me cannot be a leader. Gao Yuan, I have failed your expectations."

Zhao Huanzhang burst into tears.

Li Shengli couldn't say a word.

Gao Yuan was very blocked.

Zhao Huanzhang kept wiping away his inexhaustible tears.

Gao Yuan sat beside him and patted his shoulder.

Zhao Huanzhang put his head on Gao Yuan's chest, and he asked with tears, "Am I useless?"

"No." Gao Yuan shook his head.

Zhao Huanzhang asked again: "I used to dare not treat diseases, but you said I was a giant thief. Now I dare not be the dean, am I still a giant thief?"

Gao Yuan replied seriously: "You are a great doctor of the common people."

After listening, the gray-haired Zhao Huanzhang burst into tears.

……

The next day, Zhao Huanzhang handed in his resignation, and he resigned from the hospital.Gao Yuan wanted to invite him to the Chinese Medicine Hospital, but Zhao Huanzhang refused, and he stayed in Zhangzhuang. As he said, he was born here, grew up here, grew old here, and wanted to die here.

He opened his own business in Zhangzhuang and opened a small Chinese medicine clinic, which was at the location of their original joint clinic. He is using his own way to practice what he thinks is the road to great medicine, and to complete his childhood. The great wish issued by the general to save the suffering of the soul.

And Zhangzhuang Health Center has also embarked on a new era of employee contracting.

(End of this chapter)