First of all, the country's small and medium-sized cities and low-level hospitals are generally flooded with the emergence of "protective medicine", "defensive medicine", that is to say, some of the difficult and risky diseases do not dare to go to the treatment, or to avoid going to the treatment of the development of medical care has been artificially stifled, medical treatment can be cured. The development of medical treatment is artificially stifled, and the "blind spot" of medical treatment is expanding. In China's medical industry, in order to avoid medical disputes and accidents under the harsh medical laws, hospitals all over the country are generally trying to eliminate medical disputes and accidents, and some advanced but risky programs are blocked by hospital leaders. For example, I know of a hospital, the director of the five diagnostic and therapeutic programs to be introduced this year, deleted three, because of the low success rate of these three programs, the risk is high, easy to cause medical disputes. As a result, the technical level of these local hospitals will become lower and lower, and medical technicians will not be able to exercise, and even some diseases that could have been treated but are risky are often transferred to higher-level hospitals, costing higher medical fees.
The development of medical technology in China has begun to polarize, the phenomenon is becoming more and more serious, there is a "big temple" more red-hot, overcrowded; "small temple" is difficult to walk in front of the door of the cold, it will be more difficult to see a doctor! Some provinces, municipalities directly under the Central Government and other large and medium-sized cities of high-level hospitals, because the hospital is large, high level, strength, the medical dispute "resistance" and "tolerance" is naturally strong, often do not care much about the medical risk, the level of medical technology in accordance with the foreign countries do not differ significantly. On the other hand, some hospitals in small and medium-sized cities have poor tolerance to medical disputes, and in order to avoid trouble, some surgeries with high medical risks are cautiously or selectively "avoided". Therefore, the level of medical care is polarized according to the administrative level of the city. Some large hospitals are overcrowded with patients, charging higher fees, and the level of technology is getting higher and higher, so that there will be a monopoly of technology in the future, while some small and medium-sized hospitals are cold, and the level of technology is declining year by year.
These directly lead to China's highly sophisticated level of medical technology, more and more to the municipalities, provincial capitals and other large and medium-sized cities, accounting for less than 10% of China's medical concentration of three hospitals to transfer in the national periphery or provinces and cities, small and medium-sized cities (accounting for 80% of the workload of China's medical care, more than 80% of the workload) hospitals disappeared. I predict that if China's medical environment does not change, these small and medium-sized hospitals in ten years to treat what?
(ii) The decline in medical technology in China is a man-made disaster, not a natural one, so why isn't anyone paying attention?These hospitals, which account for more than 80% of China's healthcare resources, are lagging behind, and it's hard not to say that China's medical technology is continuing to lag behind! The funny thing is that hospitals are afraid of corruption lawsuits and appear "protective medicine" and "defensive medicine", do not dare to engage in high-risk disciplines of research, China's medical treatment of the blind spot in the increase in the "high-precision and sophisticated" technology artificially to the large and medium-sized hospitals, the hospitals are not the only ones that have the right to use the technology. The blind spots of Chinese medicine are increasing, and "highly sophisticated" technologies are being artificially transferred to hospitals in large and medium-sized cities, but the people will not be prevented from suffering from these diseases because they are not widely available in China and have to be transferred to high-level hospitals in large cities to bear higher costs, or have to wait for their deaths. Who is responsible for the lives of those future sick people?
The doctor's vocation should have been to treat the sick to save people, but China's current doctors are afraid of treating patients, these high-level hospitals in the provinces, municipalities directly under the central government and other high-level hospitals are not obvious, the more to the grass-roots hospitals, the more prominent the performance. In the past, the doctor is even if the critical patient only 1% of the hope of rescue, should be 100% to work, now the doctor does not have 100% certainty will not dare to rescue the patient. China's even more brilliant doctors must know the medical law, because a doctor can treat 100 million people in his life, but can not make a mistake once, otherwise he will be difficult to practice medicine for life.
First of all, this stems from the government's "well-intentioned" and almost "stupid" approach to health care during the health care reform period, when the country's politically-motivated government tried to avoid health care risks by imposing draconian laws and 'sky-high compensation' for patients. We, a nation with a strong legacy of political dominance, want to avoid the risky nature of healthcare by imposing harsh penalties, and avoiding 'undesirable outcomes' of healthcare through 'astronomical compensation',? It is true that some of these undesirable medical outcomes are medical errors caused by human malpractice, while others are medical problems that have not yet been solved by mankind and cannot be prevented or avoided. Strict penalties can of course reduce the occurrence of medical liability accidents caused by human malpractice, but it is impossible to eliminate the scope of human medical development blind spots, and even more so, it is impossible to avoid some unforeseen medical accidents. These even highly developed American medicine can not do, it is as to "man to win".
Some officials who are well versed in dialectical materialism certainly understand that medical treatment is a high-risk experimental science, and they know that "perfect medical treatment" is based on "highly sophisticated" facilities and equipment, and that medical technicians should be constantly updated and improved. The hardware of medical technology should be constantly updated and improved to gradually achieve it. However, some medical officials still do so, on the one hand, they do not take into account the national conditions, on the other hand, under the premise of the state's non-investment or low investment, on the other hand, they minimize the cost of medical care, on the one hand, it is rare for Chinese doctors to have the opportunity to go abroad for further study since their graduation, and on the other hand, under the premise of the many local hospitals using the most primitive medical equipments in the world - only want to use harsh and severe laws and regulations to prevent the development of the medical system.
In a way, protecting doctors is the best way to protect 'vulnerable people'. In a society where the slogan 'only keep the famous doctors, kill the quacks' is in vogue, the reality is that those involved in medical disputes are often not quacks,