First of all, all kinds of examination fees are getting more and more expensive. Although it is said that a variety of examination programs, is the basis for medical diagnosis, the results of the various tests for the doctor's diagnosis provides real and effective data, but now many doctors are dependent on the examination - the original can be judged by experience, have to go to let you do the examination. Nowadays, the means of medical examination, whether it is imaging, or testing are more and more advanced, but as the function of the examination instrument is more advanced, the patient needs to bear more and more high cost. Doctors let patients to do various tests, but also responsible for the patient, but also can collect some commission from it (do CT have commission).
, 1, the cost of basic medicines is growing fast, high, such as Sikolin before a few dollars a, and now more than thirty, listening to the hospital management of drugs, the pharmaceutical company to eventually rise to more than two hundred, but all out-of-pocket, there are other basic medicines on the not to cite an example, just to show that the price of medicines are hospitals can not be booked, who tL control the price of the heart of everyone understands that, 2, the one-time consumables, most of them do not account for the cost of or pay for The proportion is high, who is pricing? Who is in the management of 3, grass-roots doctors with low fixed wages I, for example, ten years of service, primary, fixed salary plus fixed performance of two thousand six or so, its to do more to get more, we can think of can not brain more to earn a little, how to raise a family. 4, private hospitals, most of them can not pay or pay less hospitalization, as long as the medical insurance to put the hospital on the line to take health insurance funds, and less health insurance funds and the public hospitals to report the hard card! Proportion, we all know why no matter private hospitals and card public hospitals. 5, why through the government procurement of equipment and drug prices are going up exponentially? Through the above points to show the point of view is 1, the doctor has the right to drug pricing, equipment pricing rights do not have? 2, the doctor has the right to purchase drugs and equipment do not have? 3, the doctor can set the proportion of drug reimbursement rights? 4 to the national standard salary can feed a family? Doctors are human beings who also need to live! For example, last year, the size of the country reported wage increases, and really up a few money may only teachers, doctors only know, up eight hundred deductions six hundred to the hands of two or three hundred.
Secondly, a variety of drugs, from manufacturers to sell out, through layers of links into the hospital, only through the doctor issued a prescription, the drugs ultimately flow into the hands of patients, or be used in patients. In this manufacturers to hospitals in the layers of links, the price of drugs is getting higher and higher (all layers of the environment have a markup) - hospitals use or sell drugs, can be much more expensive than the factory price of drugs, or even doubled several times. However, with the openness and transparency of hospital drug purchasing, there are many fewer intermediate links in the purchase of drugs, and the price of drugs is a little cheaper than it used to be.
Thirdly, some doctors are driven by profit to give patients large prescriptions at the drop of a hat. Originally can use cheap drugs to cure the disease, have to give you a good drug and new drugs. The price of good and new drugs is relatively high, but the doctor can get a large amount of kickbacks. Behind every doctor, there are a few "medical representatives", and the doctor's personal income, part of the rebates from the drugs. Now, the larger the rebate, the larger the profit margin of the drug, the more favored by the hospital (or pharmacy). And there is no more market for those inexpensive drugs (drugs that can cure the disease and are still cheap). However, with the health care reform process, the phenomenon of doctors taking big kickbacks on medicines has changed from earlier.
Fourth, in order to provide patients with an elegant and comfortable environment, hospitals have carried out different levels of renovation and expansion, remodeling and construction of new outpatient and inpatient buildings, and even relocated to a new site. In order to provide patients with scientific and perfect medical services, it has also appointed and recruited experts, scholars and medical talents, and purchased advanced scientific instruments and medical equipment. But every investment in hospitals costs money, and the wool comes off the sheep's back, no matter how much the hospital spends, it is ultimately apportioned to the patients (hospitalization fees, heating costs, nursing costs).
Fifth, by the impact of the social environment, prices in all walks of life are rising, and hospitals are also ah. This is with the general market, and the boat rises. Hospitals are not charitable organizations, hospitals also have income-generating goals - in some hospitals, are given to doctors in various departments to set income-generating goals, to be a doctor is not an easy thing.
First of all, in the area of emergency care, the behavior of not paying the fee and not saving lives is absolutely forbidden. Push the emergency room patients are certainly the first time to rescue, will not wait for you to pay the fee and then save. However, in the process of saving, someone will go to remind the family to pay the fee. Generally the family will go to pay, happen to have no money will certainly also be accommodating, and wait for him to fetch and then pay. If encountered deliberately do not pay, the emergency room will contact the medical department, someone will go to the patient's unit or the local social security department to ask for money. Really can not get it back, that can not be helped, the hospital itself to bear. However, the emergency room's free aid is limited to saving the life and stabilizing vital signs, after which further treatment will be suspended if there is no money!
After the emergency is stabilized, if further treatment is needed, it is usually assigned to various departments. At this time, the department will require the family to pay a deposit, and the cost of the next treatment will be deducted from the deposit. If the deposit is not paid, the department will not admit the patient.
Is it the medical bills that make the difference between life and death? Not really, a Ferrari driver who hits a bridge abutment has to die too. Diseases and disasters come, the money on the desperate smash, no money on the less smash a little, but can not save life is really not to see the money. This world is inherently unfair, hospitals and medical costs are just a reflection of this unfairness, rather than the cause of the unfairness. Maybe you think it's unsympathetic for doctors to be like that, and I can't deny it, but it's really not sympathy that saves lives when it counts.
Funding is indispensable for any organization to operate, especially in a country where public hospitals are self-financing; but doctors don't save lives by not paying up as some media have smeared them with, and we do assess, at least to maintain vital signs and give people time and opportunity to turn around, but as for more advanced treatments, there's really nothing we can do.
There are a lot of people out there who perhaps believe, as the subject does, that there is a contradiction between saving lives and charging for them! But I'm wondering how the two are necessarily related! If you think doctors are noble, then you have to ask yourself: are you putting them in a noble position in your heart? Scientists are noble, so why can't they do their job without a salary? Museums are popular among the public, why do they still charge admission fees? High-speed rail service for travelers why still charge money for tickets? Why do property companies still charge property fees when they are serving property owners? This is why all walks of life have, I just want to ask: Why can't hospitals charge for saving lives and helping people?
At least now, in regular hospitals in provincial capitals, doctors are doing their best to maintain the vital signs of emergency patients first, and then seeking solutions to the problem of cost, which is already very humane. In the medical process, even if doctors are willing to contribute their manpower for free, the cost of medicines and instruments is not falling from the sky, and if this cost cannot be solved by the society, the health insurance cannot be solved, and the patients themselves cannot be solved, then why should the doctor who saved your life bear the burden of solving it?
Hospitals are becoming more expensive this essence is the increase in medical costs, and the increase in medical costs is undoubtedly normal, because modern medicine is based on the Western health care system, we often say that science and technology technology, what is science and technology we all feel that science and technology is a high level of things, from small to the daily cell phone to the astronautics to fly, within the genes to the chemical, and so on, the essence of its undoubtedly based on the impact of the Western privatization, so science and technology is the profit, as opposed to research, a huge amount of research. It's all about profit, don't the researchers need to recoup their profits as opposed to the huge investment in research? Don't talk to me about what doctors, only the ancient Chinese medicine only have the concept of doctors, because for modern medicine in terms of doctors is just an excessive occupation, if the means of examination enough to cover the needs of the acquisition of enough information, then the identification of scientific and technological means to solve the diagnosis and treatment of diseases and prescribe medication, why now the hospital doctors need to know more and more to you less and less to play more than a few words to go through the motions, mainly open a bunch of checkups? Because the doctor then add modern technology can not yet do the part of the examination to play the last most of the disease which even an ordinary just graduated from the small doctor can give you a prescription based on the results of the examination report. All of this is to tell you that all of us have to pay for the expensive investment in modern medicine.