I am a small factory doctor re-walking my life.

Chapter 430 Medical Treatment
This lecture lasted several hours, and we all had dinner here with the old man.

"Boy Li..."

At around eight o'clock in the evening, when the talk was almost finished, the old man asked with a solemn face: "After complete marketization, will the situation really be as serious as you said?"

"Old man, never overestimate human nature, nor underestimate the power of capital to drive people's hearts. Some people will do anything for profit. You should also know that sentence in Capital, for the sake of [-]% profit, capital will dare to Trampling all human laws, capital would dare to commit any crime if it had [-]% profit, not to mention, what I just mentioned is not illegal.

I heard that at the last meeting, someone proposed that doctors’ salaries should be linked to their performance. "

"Well, I have also heard of this proposal. It is said to be like those private enterprises in the south. The more you do, the more you earn. For example, the higher the revenue the doctor brings to the hospital, the higher his bonus will be. More, to break the situation of doing more and doing less."

The old man nodded, but after he finished speaking, his brows also knitted together. Combined with what Li Tang said before, the more he thought about this method, the more wrong he felt, but for a while he couldn't tell what was wrong. .

"Then you said that this patient's disease could have been cured for one dollar, but in the end it cost ten dollars to cure it. Should the doctor who treated him deserve praise or criticism?"

"Uh..." This question stopped the old man. After thinking for a while, his seemingly dim eyes under the glasses suddenly became brighter. He stared at Li Tang and said: "Bad boy, old man, I am old, and my thinking is different." If you are not as good as you young people, please stop giving me riddles and speak clearly."

"Hey, old man, this involves what I said before, what kind of nature a hospital should be. Logically speaking, it should be established by the state to protect people's rights to health and life."

"Isn't this nonsense?"

"Hmm... But if it is completely introduced to the market, wouldn't it force the hospital to find a way to make money on its own? In addition, the doctor's bonus is linked to the profits he creates, wouldn't it also force him to prescribe unnecessary medicine to patients? If the pricing power of medicines is handed over to the market in the future, the prices of many medicines will be inflated.

Then these increased prices will eventually fall on the common people, and it is very likely that they will not be able to afford the disease in the future, because the common people can no longer afford medical treatment, and the money they earn may not be enough to pay for the hospital, so they have to pay back How to live.

Let me put it more simply. Take our hospital as an example. It is said to be profitable. In fact, this profit is very fictitious because I did not calculate the money for buying the equipment to the hospital at all. The hospital's finances are not independent. In terms of accounting, I have never thought about earning back the tens of millions of dollars worth of equipment by treating patients, so the examination fees in our hospital are set very low.

If medical care is completely market-oriented in the future, and my superiors ask me to separate the hospital from the company, and the hospital is completely responsible for its own profits and losses, then I will definitely have to increase the price of those examinations. When a normal examination costs hundreds of dollars, old man, How many more patients do you think can be treated? "

"Aren't all medical treatments reimbursed now?"

"Yes, the unit will reimburse you, but what if the unit's benefits are not good? If you can't afford the money for the time being, what will happen to you for three to five years? And... what about farmers? Who will reimburse farmers for medical treatment?"

"Isn't this the issue of medical insurance that is being discussed at the top right now? In the future, universal medical insurance will definitely be set up, and of course farmers will be able to afford medical treatment."

"Medical insurance? Haha, old man, how can you protect the law and reimburse the expenses in real terms? What is the difference between that and now? What should I do if the separately established medical insurance fund cannot afford it? Because after the medical market is fully marketized, medical treatment will definitely be expensive, or is it for individuals? Share a part, and the medical insurance fund reimburses a part. What should I do if I still can't share the personal share? Watch this person die at home?" The old man's face became solemn again at this time. He stared at Li Tang and asked: " How do you know that the medical insurance plan being discussed above includes these two?”

The discussed plan is still confidential and is just a discussion. Logically speaking, it is impossible for someone of Li Tang's level to know, but he told it directly, which really surprised the old man.

"Don't think too much, no one leaked the secret to me." Seeing this, Li Tang quickly waved his hand and explained: "I remember there were news reports before that he led a team to Europe and the United States to inspect the standardized medical market and the medical insurance there. Situation, isn’t that what medical insurance in Europe and the United States is like? Old man, my wife is invited to attend academic discussions there almost every year. Also, most of the money our company makes comes from foreign customers. I understand. The situation abroad is also normal.”

After listening to Li Tang's explanation, the old man relaxed again. After thinking for a while, he said: "I am old and retired, and I am not very clear about these policy issues. I will think carefully about what you said today. , I will also give some suggestions if I have the opportunity. In addition, if there is another meeting in this area next time, I will suggest that you also attend it.

You comrades on the front line should have the most say on this kind of thing, not those sitting in offices behind closed doors.Li Xiaozi, thank you for chatting with the old man so much today and wasting up your time for half a day. "

"You're welcome, old man. It's getting late. You should go to bed early."

"Well, don't tell the place that I'm going back."

"You are making things difficult for me. I don't have to tell anyone else. I still have to tell my father-in-law and Director Cao."

"Haha, you kid, let's go, let's go. Oh, that's not right. Where is my medicine? I don't have to take medicine anymore?"

"There is no need to change your medicine. I will explain the follow-up medical instructions to Nurse Wu."

"That's fine."

Li Tang would not ask more about when the old man would leave. He would only report to his father-in-law and Director Cao what happened in the near future.

He didn't care about the old man's change of attitude in the end, because he knew that what he said today had such a huge impact on the old comrade's thoughts and concepts that he couldn't turn around for a while.

Those currently participating in the discussion of medical and medical insurance issues themselves did not expect that the future would be like that. In fact, everyone’s original intentions were good, but they underestimated the speed of the development of the times.

It should be said that the implementation of every policy is actually heading in a good direction, but the human factor is too great.

(End of this chapter)