Is this a delusional reference to the abolition of medicine? Chinese medicine is not like Western medicine, where medicine can be separated. Chinese medicine is based on the four diagnoses and then the dialectic treatment. According to the results of the dialectic final medicine to achieve the cure.

My old man is like that, he only writes prescriptions and collects consultation fees, and buys his own medicine wherever he likes.

Since ancient times, medicine is not separate, separate the consultation fees must be increased, and drug companies must maintain profits, the final result is more expensive, this one, and two, because the doctor does not master the drug, the problem counts on who regardless of the last still have to bear the patient. This proposal is absolutely layman, if not eat shit broken will not have the guts to put forward such a shitty program, may not have eaten shit but certainly a big official.

That's a good reference! And exceptionally clever.

I'll give you a prescription that will make you come up for air and buy all your medicine.

That's an interesting question to ask! Western medicine and western medicine are perfectly capable of doing this. So, can Chinese medicine practitioners do this by just seeing patients and not selling drugs? The following is a breakdown.

Western medicine can do that, only see and prescribe, not sell drugs

At present, among the developed countries, those that have done a good job in medical protection have hospitals that only see patients, do not sell drugs and do not have pharmacies, and the only pharmacies that sell drugs are those in the community. For example, in Japan, see the doctor is hierarchical diagnosis and treatment, can not freely choose the hospital, otherwise, the medical expenses to be self-pay; In addition, in the Japanese hospital, medicine is not out of the door, that is, the hospital's medicines and consumables are only used for patients in the hospital during the period of the use of the hospital, for the outpatient, discharged patients, hospitals only prescribe, do not sell medicines, the patient, with the doctor's prescription, to go to the drugstore to buy medicines.

The implementation of hospitals in China that only see patients and do not sell medicines has been a dream of the national health care reform for many years, but it has never been realized due to the interference of various kinds of resistance.

Can't do it with Chinese herbal prescriptions, only see and prescribe, don't sell drugs

Assuming that Western medicine in China has realized that hospitals only see patients and do not sell medicines, can Chinese medicine be practiced as well?

I don't think herbal remedies can do it for the following reasons:

1. Chinese medicine prescriptions require a Chinese medicine practitioner's examination and diagnosis to prescribe a prescription, it should be one person to one party, or even one party at a time, one diagnosis to one party, and there are different requirements for each herb in each party, and some of them have to be used with Taoist herbs, such as Chinese herbs, the common shellfish, whether it is used with Sichuan shellfish, Anhui shellfish, or Zhejiang shellfish, and if the prescription needs Zhejiang shellfish, and the drugstore only has Sichuan shellfish, Anhui shellfish, what should we do then?

2. Chinese medicine prescriptions are prepared in different ways. Different formulas are either decocted, powdered, taken orally or used externally; even if they are the same kind of decoction, there is the question of decocting first and then decocting later, and there are differences in the number of times they are decocted.

Therefore, as Chinese herbal formulas are too individualized, it is impossible to achieve the goal of only prescribing and not selling medicines.

Adult Chinese medicine can do that, only see and prescribe, not sell drugs

However, proprietary Chinese medicines can be made to see patients and prescribe medicines without selling them. This is because the so-called proprietary Chinese medicines are commonly known as Chinese medicines, most of which are proprietary Chinese medicines with State Drug Approval Number (SDAN) approvals, while a few are prepared by the hospitals themselves, which are also required to have State Approval Number (SAN) approvals.

Since proprietary Chinese medicine is a finished product to be produced through the pharmaceutical process based on the composition of a Chinese medicine prescription, its consistency can be ensured.

In fact, proprietary Chinese medicines are no longer Chinese medicines in the strict sense of the word, but the equivalent of Western medicines, such as six flavors of dihuang pills, Yunnan Baiyao, Shuanghuanglian oral solution and so on.

To summarize: If Chinese medicine practitioners also come to a separation of medicine, only seeing patients and prescribing, not selling drugs, then, proprietary Chinese medicines can be done, but Chinese herbal formulas can not be done.

Do you agree with me?

Daily update on health hotspots, medical pain points; if what I say, is exactly what you think, then please like, retweet, follow Zhu Xiaojun said health!

The separation of medicine was fun, and the next step was the separation of medicine and technology, which spun off the hospital pharmacy and drove the hospital medical technology departments, labs, x-ray imaging, ultrasound, etc., out of the hospital.

Is that actually good? Brain hot ass decided head. Pharmaceutical divestment seems to be very "favorable" to patients, in fact, more harmful to hospitals and patients.

The hospital side must be the major pharmacies: Chinese pharmacy, western pharmacy, emergency pharmacy, central pharmacy ...... site recovery, for other or idle. Chinese pharmacist western pharmacist pharmacist "medicine boy" handyman must be streaming demobilization resettlement, good pity of the talent ladder.

Drugs leave the hospital and push into the market, no competitive advantage no profit value of the drug can then save lives are instantly disappeared! Hospitals a few cents a few cents of rescue drugs quietly raise prices, and even cut off the supply.

Good medicine is gone. For example, the hospital bought 100 expensive life-saving drugs, zero price difference of 10 yuan into 10 yuan to sell, transportation and storage sites refrigerator storage labor costs also have to consider the expiration of the destruction. Pharmaceutical separation, hospitals do not have any medicine.

A certain medicine, the doctor let the patient go out to buy, but also afraid of misunderstanding the patient only said not to write to avoid falling into the mouth of the commission. This is not difficult for doctors to make things difficult for patients? Not to mention Chinese medicine, it is very difficult to let patients go out to buy bismuth subcarbonate, a Western medicine.

The clever woman can't cook without rice, doctors don't have drugs to support, this one doesn't have that one is out of stock. Prescription list outflow drug quality can not guarantee the efficacy of the inevitable can not be controlled. What's more tricky is that the patient has something to do, including a bad mood, including a change in condition, will come back to your doctor to settle the account. That is, open a drug list to give 5 dollars to the doctor's consultation fee "paste service fee" who will risk who dares to take the risk?

Western medicine and western medicine is so bad, Chinese medicine and traditional Chinese medicine is even more troublesome. Doctor-patient conflict is not the problem of drugs, not the cause of the disease, or the main money has not been resolved. Breadwinner doctors have a decent income society as a whole respect, the sick family have medical expenses support not worry about money to renew their lives. So there is no such thing as a conflict.

Everyone still thinks it's the fact that it's still medicine for medicine. Now hospitals don't make money on drugs at all (hospitals don't make money on public accounts). The concept of separating medicine has been mentioned less often because it's not effective and counterproductive, and the kickbacks are even more lucrative now that medicine is out of the hands of hospitals and the health system. As for traditional Chinese medicine, I dare say that the quality of most traditional Chinese medicines bought outside is not as good as that of hospitals. Nowadays, the quality of Chinese medicine is so bad that ordinary people can't even imagine it. Hospital Chinese medicine is supplied by large companies, so it is not good enough to say how good it is, but at least the active ingredients can be guaranteed.

Medicine for medicine is the current

It is impossible to separate medicine from TCM nowadays.

Why were Chinese medicine practitioners able to separate before the liberation? It is not that Chinese medicine practitioners have high morals, but that they are a means of charging fraudulent fees.

TCM practitioners in those days were called Langzhongs.

General Langzhong door-to-door diagnosis is not charged, are the patient's family members take the initiative to send red envelopes.

When a bone-setter writes a prescription for a patient and the patient's family goes to a drug dealer to buy the medicine, the drug dealer charges a fee and then is unsympathetic.

After the drug dealer charges, he offers to send a rebate to the groom based on his signature.

Nowadays, people hate red packets and kickbacks so much that the old-society drug-dealer routine no longer works.

If medicine is separated, Chinese medicine will die even faster.

rotten idea