Free medical care can certainly break the tension between doctors and patients this problem. Because the hospital doctors do not have to equipment, drug prices, and commission income. Only for the patient to find ways to cure the patient's disease. Of course, the state should also regulate the doctor's medical skills and medical ethics, according to the number of medical skills and good patients to pay. Let the good doctors stay, not competent layoff and retraining. With a good mechanism, both doctors and patients get a good feeling and will even become friends.
It can. Now there are many doctors hospitals are to earn money for the purpose of small illnesses, big disease treatment, big disease treatment. This is the main cause of medical disputes. Now Sichuan Panzhihua College Hospital assistant director in charge of medical disputes or a violent hit to him to respond to the problem of the patient. Hospitals are now violence against violence, so that the hospital to earn big money, according to social legends, a nurse a month more than 10,000, a chief physician a month 30,000 to 50,000, the treatment of doctors is not bad, the higher the treatment to the old people's lives to earn more and more big. The higher the treatment, the more money the people make with their lives. The people's refusal of medical treatment is a refusal of life. The hospital's money is in exchange for life. y
There is only one consequence of free medical care, that is, the contradiction between the doctor and the patient will be greater, which is the dialectical view of the problem.
What would be the result of free healthcare?
We can imagine what the consequences of free rides are, free rides, anyway, the car does not cost money, all right, just sit to go, sit the more often the more advantageous, the same thing, all right, go to the hospital to see the doctor, regardless of whether it has a disease or not, anyway, to see the doctor does not pay, this is the inevitable result.
We are now so expensive hospital fees, hospitals are still overcrowded, you can imagine, if free, the results will be hot into what, there is an example is a small holiday highway free of charge, how many high-speed traffic jam into the dog, save the high-speed money, ride on the cost of time, and those who really have the need to travel, followed by the bad luck of hospitals will also be so much more than the sick people to go to consume a limited number of medical resources, while the sick may not be able to see a doctor. The first thing you need to do is to get the money for the highway, and the cost of time.
There is a saying in economics that the free ones are the most expensive ones.
Why is it that the conflict between doctors and patients will increase because there are more people enjoying free healthcare and there are only a limited number of doctors, so the contradiction between supply and demand will increase, and then those who don't enjoy the service will inevitably be angry at the hospitals and there will be more and more of them, so the conflict between doctors and patients will grow bigger and bigger.
First of all, free medical care is not possible, now how many times a year do you know? A seven-year 10 billion times a year, a year if the medical care is free, at least the country to come up with tens of trillions of dollars to millions of dollars of money health care, now the reason why hospitals can survive, the country this piece is not invested in the hospitals rely on their own earning money, earning money by a drug two equipment three buy equipment to check the return of the capital, and then profit, now the drug cut the equipment cut the immediate check this piece of basically in addition to feed the machine and mechanic also left a lot of money. Machine and technicians also left a lot, some people say that this feed the machine also spend money ah, this is big money not move tens of thousands of hundreds of thousands of a c-arm bad accessories on the millions of dollars, you think that a c t a nuclear magnetic that light is earning money ah, a day bad, which is also a means of earning money in China's foreign countries, this can't be China's inability to produce, and then all levels of the department are in the hospital to get money, health epidemics, food and drugs, fire this is the big head, and then the medical insurance and healthcare services. are the big head, and then is the health insurance agricultural cooperation, you see the doctor, the money is the hospital advances, the results of people do not give, a word of no money, it's over, we have a county hospital a year light this can be compensated for a few million, plus the maintenance of the equipment at least 10 million thrown out of the turnover of a year, how much white one point six hundred million, which is the income, profits minus the throw out and the doctors and nurses wages, before you can still have a surplus, and now they are all in the Lose money, a hospital if you want to maintain normal, almost a year to tens of millions of dollars, this is just to maintain, can survive, to develop, no 100 million you can not maintain, China has more than 100,000 hospitals, three A has not yet said that the second A can not afford, three a year without a billion or eight hundred million simply can not be, this is still just to maintain, and now frankly speaking, the money is the people to take, the doctor in fact, is sandwiched in the middle of the dry work suffered exhaustion also The doctor is actually caught in the middle, doing the work and getting tired, but also not a person inside and outside. The country simply can not afford, and then the doctor-patient conflict, this can not be resolved, I am a clinical doctor, I do not say who to blame, first of all, a patient's family members of the degree of understanding of the disease is too low, and thus there will be a number of nonsense, for example, advanced lung cancer, people said that the three hospitals can not go back to go to it, went to the two hospitals, and the results did not take long to die, and then under normal circumstances died on the death, but the reality is not like this, that will certainly be a lively, and the doctor will not be able to do anything to help. The reality is not like this, that will certainly make trouble, scolding the doctor this is light, smash a hospital to pay for the end, this shows what, the quality, the national quality is too low, whether it is the spiritual level or the knowledge level, this is one, and the second, to see a doctor can not spend money? For example, an acute heart attack surgery symptoms no longer, safe discharge, spent tens of thousands of dollars, the family you think will say, will say really black, and let the hospital slaughter, you do not say save your life, your life is not worth tens of thousands of dollars? In the outpatient clinic often encountered to see the doctor does not register, we register a dollar, so do not hang, do not hang do not say do not give to see the alarm, and then hit the doctor, and then complained, you more what by virtue of what do not register, the doctor is not obliged to give you a look, three always think that the doctor is a god, this is wrong, the doctor is just a human being in the U.S., a doctor a day to look at the two or three patients in China, China several hundred, people's income is China's two hundred times, China is tired! Low income, this is the reality, there are a lot of bad media malicious smear hospitals, China has only three million doctors, far lower than the Asian countries, the national quality does not improve, doctor-patient conflicts can not be resolved, and then the old rogue rampant, how much owes the fee ran away, more to go, a year a county hospitals in this regard have to be hundreds of thousands of millions. Doctor-patient conflicts are just a microcosm of social conflicts, only to improve the quality of the national, give him a belief in a moral bottom line, a goal to strive for, the establishment of the correct values of the world outlook, the problem can be solved, and now people do whatever they can to make money, and everything is fake, do you know this? Now drugs are counterfeiting, the future of low-generic drugs into the market, it will be a very scary thing, to see a doctor when it is impossible, now health care reform has a great or a great power, right, is to promote the disintegration of public hospitals, first of all do not allow to earn money, can live? Now all hospitals are losing money, this is to see who is thick, the government is not invested a penny, you live or die on their own, low imitation drugs are mandatory, this is even more heavy contradiction, the disease is not curable, the doctor can not, the drug is low imitation, no efficacy, and finally the doctor has to take the blame, the doctor will be resigned on a wide scale, so that hospitals are bound to disintegrate, so that these doctors into the private sector hospitals, private sector hospitals, the water rises, prices, not many people can afford to see a doctor, but also to see the doctor, and to see the doctor. The price of private hospitals will go up, and not many people will be able to afford to see a doctor. It won't take too long, but it will happen in five years, or maybe next year. For example, you will understand the difference between private hospitals and public hospitals, private birth of a child by birth three hundred thousand, in Beijing on this price, public hospitals, Beijing do not know, our county one thousand dollars enough, you can afford to see?
I'm going to tell you a story about it.
A few years ago, a childless and unattended widow came to the hospital. The old man's condition was serious, abdominal distension, with symptoms of gastrointestinal bleeding, but the specific cause has not been found. Moreover, the old man was not accompanied by anyone and had not paid enough money for treatment, so some tests could not be done. However, the gastroenterologist still wanted to take the risk of doing a gastroscopy on the old man to see the condition of the stomach (the cost of which they controlled themselves). If it was a simple blood vessel bleeding to see if they could do embolization or clamping to stop the bleeding. The old man also signed off on the treatment plan. The gastroenterology department wanted me to do painless anesthesia for the old man, but after checking the old man's body, I informed the gastroenterologist that anesthesia for the old man was too risky and not suitable for painless operation. The patient then underwent a normal gastroscopy, but during the operation the patient suffered severe vomiting and aspiration, and soon went into cardiac arrest. Although I managed to resuscitate the patient, he died the next day due to various complicated complications. In fact, the patient was hospitalized only paid a very small part of the fee, the amount owed is relatively large. The next day, the patient's nephews, nieces, what brothers and sisters, what seven aunts and eight aunts all flocked to the hospital. They said that the hospital had killed the patient and wanted to pay a huge amount of compensation to the hospital. In the end, these relatives reached a compensation agreement with the hospital, but no one cared about the old man's funeral. The last cremation of the old man or the hospital advanced money.
From this patient's point of view, money is not the subject of the doctor-patient conflict. The patient's hospitalization almost did not spend money, basically the hospital advances, but in the end still happened to siege the hospital situation.
This is the first time I've ever seen a patient in a hospital, and I've never seen one.
The word "free" is one of the biggest mockeries of today's society. Open the web page, all over the world are free words, free meals, free hotels, free car, free fortune-telling, free games ...... the world really have a free lunch! After clicking in to realize that the business of a variety of routes, spend more money, really not as good as the price tag spend frankly.
So free medical care can crack the doctor-patient relationship this problem seems to be reliable, in fact, special unreliable. Nowadays, although it is difficult to see the doctor, the doctor is expensive, the relationship between the doctor and the patient is tense, but at least the doctor is still realized. Once free, many people may not be able to see the disease, the doctor-patient relationship will only be more tense. The first time I saw this, I was able to see it in the back of my head.
Not long ago a short video broke the Internet media, the video content is very simple is a woman crying, this woman is called Marilyn, 33 years old, from Canada. She directly disliked the premier of the province at the beginning of the video, wiping tears while accusing. "Premier of Nova Scotia, don't you dare come face to face with me. Look me in the eye and tell me that this place is not in the midst of a healthcare system crisis? Dare you? I am a 33-year-old mom. For two whole years, my cancer went undiagnosed because I couldn't get an appointment with my family doctor!"
"When I went to the emergency room for help, I was swept away by the staff. But that's all okay, right? Because eventually they checked it out. When I was in stage 3 cancer, they finally checked it out."
"I was fighting a lonely battle to stay alive. It took three years before I finally had a doctor who would listen to me. 30 pelvic radiation treatments had rendered me sterile for life. I'm only 33 and I'm already going through menopause because I couldn't get an appointment with my family doctor when my tumors kept growing, and there wasn't really anyone in the emergency room who would help me."
We've been seeing a lot of people praising Canada's universal free healthcare, especially comparing it to their home country, which makes it easier and more favorable to air grievances about current healthcare. But this video's millions of plays worldwide should tear away the veneer of this free healthcare glitz. Statistics Canada says 15.8 percent of Canadians aged 12 and older did not have routine health care in 2016. Nearly 5 million people did not have a doctor. This is nothing like what we think, we all go to the hospital to register for a doctor's appointment, whereas in Canada you have to make an appointment with a family doctor before you can do that, it's the only way the average citizen can afford to see a doctor, but of course, those who are rich will never be like that, they don't care about the money, they all have a private doctor and have access to high quality health care.
Some people say that's because there are fewer doctors in Canada, and there is no shortage of doctors in China. Is there really no shortage of doctors in China? "
There are currently more than 85,000 anesthesiologists in the country, with a shortage of about 300,000."
Children's influenza peak period in Shanghai was exploded "has been more than half of the hospital emergency pediatrics outpatient," Guangdong, Guangdong has been exploded a number of hospitals to suspend pediatrics night emergency, Beijing Haidian Hospital Pediatrics issued a notice, declaring that for some reason will be stopped pediatrics after the night emergency, Guangzhou, a tertiary hospital to adjust the emergency pediatrics clinic opening hours, by the original 24 hours to 7:50 to 7:50 to 7:50, and then the pediatrics clinic. Changed to 7:50-23:00 ......
There are about 100,000 pediatricians in the country, with a shortage of about 200,000 people.
The world average is 1 psychiatrist per 10,000 people, China has only 0.149 psychiatrists per 10,000 people, China's existing psychiatrists more than 20,000, the gap may be as high as 400,000 people. The shortage of psychiatrists is more serious than pediatrics!
The shortage of emergency medicine doctors reached one-third.
According to the National Health Planning Commission, China's pathology registered doctors in the 10,000 or so, according to the standard of 1 to 2 pathologists for every 100 beds, the national shortage of pathologists may reach 30,000 to 40,000 people.
......
So free healthcare sounds beautiful, and in the current social situation, once it's free, you may not be able to afford to see and be seen, like Marilyn above.
The tension between doctors and patients is not only caused by the high cost of healthcare. It is caused by a number of factors.
First of all, not except some medical staff service attitude is not good, lack of patient communication with patients. It is also possible that the patients and their families are not very clear explanation of the disease, causing them to misunderstand. There is also the possibility of negligence, treatment negligence.
On the other hand, patients and their families in the process of treatment, anxious treatment, a variety of checkups time-consuming and troublesome, the patient's pain is not resolved. The lack of medical knowledge, that to the hospital to spend money, it should be quickly diagnosed clearly, the medicine to the disease.
There is also a part of the people, the medical process spent a lot of money, the results of the people also died. That is, often referred to as the people and money, the general public will be very difficult, especially for poor families is even worse. If the patient's death is a gradual progression of the disease over a period of time, this situation is still acceptable to most families. However, if the disease is of very short duration and the patient dies suddenly, it is usually difficult for the family to accept. A part of the people, in the case of medical fault can not be found, will be through various means, by all means, hope to obtain compensation.
If the medical treatment is free, this problem may be relatively reduced. Because, at best, the person is gone, but the money is not lost, and there is not much impact on the living.
Having said that, I don't mean to say that we should tolerate and accept this as an unspecified problem if we are not satisfied. The doctor-patient dispute can not be completely eradicated under any circumstances. I hope that everyone, whether they are dissatisfied with the service attitude of the medical staff, or on the treatment of the existence of doubt, should be reflected through the normal channels to solve.
No great man like Chairman Mao's talent, the doctor-patient relationship can never be resolved, this is not a doctor hospital whole patient is a patient to kill the doctor's business, long time soon to be repeated
If the real realization of free health care, then the new form of conflict between doctors and patients will be: a bunch of people queuing up in the hospital line to the end of the world, hospitals overcrowded, the doctor refused to patients admitted to a group of patients and their families who can not afford to live in private hospitals shouting abuse! A group of patients and their families who cannot afford to stay in private hospitals shouted at the doctors for their lack of medical ethics! Those who have been hospitalized patients, asked for a full body checkup, ct MRI have to go all over the request for imported drugs to taste the sky-high prices of drugs to meet the needs of patients, doctors, was shouted at no medical ethics 。。。。