Drugs commodity goods, from the factory to the hospital layers of price increases, involving the complexity of the relationship between the interests of the wool in the sheep, although the farmers have the new rural insurance but in addition to hospitalization in order to have a little bit of major illnesses to report elimination, the people's health is a long term maintenance of the usual minor illnesses is the root of the fatal, the reason is that the farmers can not afford to look at the farmers, once less than a few hundred more than thousands of thousands of dollars, only to drag and drag and a major illness, the chances of family breakage is getting bigger and bigger, the farmers can not afford to look at the hospitals, but also like the hospitals to save lives, but also two or three times. 8 ⃣ ️ nineties a cold more than a piece, now it's good not a hundred yuan to see, and also two or three times, the hospital is to save lives and help the injured, but a little like going to five-star hotels to consume, I hope that the country to strengthen the rectification of hospitals for the people to serve the purpose of the first ❤️.

I do not know what it means to be perfect, I just want to say that not long ago I went to the hospital to see a doctor, and hung up a, said the chief physician's number, into the room and sat down. Asked me, what's wrong? I said wherever and wherever uncomfortable, the director said that okay, opened four lists to check it. I didn't pay the 1,200 yuan at the billing office, I went to the director, I said according to your director's experience to see what's going on with me, he said I can't give you a judgment without the test results, you'd better go and pay the bill! I said what kind of director are you? No instrument, you are not a doctor, I tore the sheet I left.

Is the healthcare system perfect now? It is not perfect! The national authorities, are actively and effectively revising, formulating and improving specific new programs. Why is it difficult to see a doctor, expensive to see a doctor, doctor-patient tensions? It is because the current health care system is not perfect, resulting in difficult to see a doctor, see a doctor expensive, doctor-patient tension. Now the greatest wish of the general public is, hopefully, to get a solution as soon as possible.

Now the hospital to see a doctor is to maximize the benefits, no money not to see a doctor, Mao Zedong era requires doctors to save lives and heal the sick to save people's lives of the concept of medical practice, and now see a doctor is expensive not in how much medicine you eat, but a variety of examination fees, surgical fees, medical fees and so on account for the majority of the cost of the cost.

Hospitals see patients on the principle of income, as to how the condition how to cure can be cured is a secondary issue. No money to immediately stop the drug is irresponsible attitude, so it leads to tensions between doctors and patients.

So far, China's medical system is still in the process of improvement, and it is difficult and expensive for the people to see a doctor, and conflicts between doctors and patients still exist.

However, with the in-depth reform of the health care system, the problems of difficult and expensive access to health care will be gradually resolved.

Big changes are coming to healthcare payments in 2020.

There are new changes to the health care system, from itemized fees to "packaged package" fees, which will be piloted in 30 cities in six provinces in 2020 and fully implemented in 2021.

The main element is that patients are divided into groups of patients according to the severity of their illnesses, treatment options, complexity, consumption of treatment resources and comorbidities, complications, age, reasons for hospitalization, etc., and are priced and paid for as a group.

The "package" model is also forcing hospitals to reform, compressing the cost of treatment and improving the efficiency of treatment.

If we compare the process of seeing a doctor to dining in a set meal hall, the current mode of charging by item is implemented, you want a cup of Coke, a packet of fries, a hamburger, and one item is added up, that is, all the costs of your meal, and there is no upper limit.

After the implementation of packages, a packaged payment mode, burger package 50 yuan, rice package 70 yuan, after the fixed price, the store in the quality of providing package content on the basis of the initiative to control the operating costs, saving about the money goes to the store.

In short, a sound, fair and scientific health care system is gradually taking shape.

What do you mean by difficult? What do you mean by expensive? What is called the doctor-patient relationship, in fact, the main reason is that the medical system is not perfect problem, the same doctor and nurse, why the monthly salary is not the same, what is the reason and motivation to stimulate the upward movement of wages? Is the workload or for the hospital to generate profits to assess, such as profit-making what reason doctors do not prescribe expensive drugs for patients,,...

The problems of difficult and expensive access to medical care that have arisen now are not due to the problems of the health care system, but lie in the people, and are entirely man-made. The root cause is one word - money. A close friend of mine is 73 years old, and his illness is mainly chronic obstructive pulmonary disease because he did not adhere well enough to his maintenance treatment, thus affecting the muscle pain in his feet and hands. He went to the hospital and had seven CTs and five MRIs in two months. One of the tertiary care hospitals had five CTs and three MRIs in two months. The queuing aisles for CTs are not overly described as waterlogged at peak hours, indicating the large number of people getting CTs. I also went for a CT once and waited in line all afternoon on the first day before it was my turn on the second day. Not to mention the fact that my buddy spent more than $6,000 on so many CTs and MRIs, and the harm done to the human body. According to an old retired doctor, one CT is as harmful to the body as twenty chest X-rays. Whether this statement is correct or not, laymen we can not test, but the general doctors say is harmful to the human body.

I am a patient with prostate hyperplasia, taking tamsulosin hydrochloride extended-release capsules for almost three years, every time I go to prescribe medication, the amount is prescribed for two courses of treatment, but in December 2020 went to prescribe this medication, only allowed to prescribe a 10-day amount (a combination of), I asked the doctor why, she said that there are regulations, and pointed to a printout posted on the wall and asked me to look at it. I didn't look at it because I know that all pharmacies out there sell this drug and you can buy as much as you want. This question is still puzzling until now. Why does an 80-year-old man have to make three trips to the hospital to take a one-month course of medicine? What benefit do they really get? It is just a few more times of registration fee. Under the spell of "money makes the devil work", some medical institutions are gradually diluting their mission of "saving lives and helping the sick". Nowadays, the reputation of medical institutions is not as good as it used to be. Now people love and hate hospitals, love is to see a good doctor, the right medicine as soon as possible to eliminate the pain. Hate is to run into a money-loving doctors, but also pretend to serve a good attitude, from CT to MRI and photos, but also to draw blood, comprehensive, pick up the end of the investigation to prescribe some medicine to send off the matter. One account counts down to more than a thousand dollars. Think of the 50's and 60's got a cold, as long as there is no other disease, the doctor will prescribe a few cents of medicine. At that time, there was a jingle: "headache and fever, aspirin three packets, drink more boiled water, eat less chili," and now a cold at least spend several hundred dollars in stark contrast.

We look forward to the day when it will not be difficult or expensive to see a doctor.

When you say it's hard to get to the doctor, what's your frame of reference?

If you compare the U.S. health care, not to mention other things, take this anti-epidemic, the U.S. has nearly 1.4 million people diagnosed, while our country 80,000, do you think it is difficult for us to see a doctor or them to see a doctor? And the United Kingdom infected with the new crown of the elderly over 60 years of age to pull out the ventilator in China if not their own children have this requirement, will happen the government asked to pull out the ventilator of the matter? In my country, even a small disease, you can see a doctor, but do you know the United States, an appendicitis waiting 2 months to do not do the operation abound, in my country exists? It would have gone septic and perforated long ago. What do you mean by access to doctors? You can't talk about good or bad without comparison.

When you say it's expensive to go to the doctor, what's your frame of reference?

My teacher studied in the United States, he just went to the first thing, is to rush to buy health insurance, his colleagues let him buy, because he did not know, the United States of America's emergency centers, emergency registration fee of 100 U.S. dollars, an ambulance called 500 U.S. dollars, emergency detention bed fee, just the bed fee, 1,000 U.S. dollars, and with the doctor to ask about the condition of a single charge of 100 U.S. dollars, it is possible to just receive the doctor a "hmm" words. The doctor's word "hmmm" is all it takes to get a doctor's answer. How much does an emergency ambulance cost in China? My city of Zhengzhou, within the jurisdiction of the area, out of the car out of the clinic 50 yuan, if farther away, plus 2 yuan per kilometer, emergency bed fee of 50 yuan, cheaper than you stay overnight hotel. What do you mean by expensive? How can you talk about good or bad without comparison?

People talk about free healthcare in Europe and America and all that sort of thing, people see it too one sided. Some countries in Europe have free healthcare, why is the UK government unplugging people over 60 from ventilators because he won't tell you if you can't afford to see them, why doesn't Trump quarantine all the people as well as test them for nucleic acid, and why don't hospitals treat the newly crowned ones who are dying by the tens of thousands? Because those who can't afford it have to wait to die, and hospitals won't look at them without money. Also, do you realize how high their taxes are? Where do you get free stuff if you don't pay taxes? No money is not eligible for medical care, in our country, life and death must be resuscitated, regardless of whether there is money or not; the state has a reimbursement policy for major diseases, which can save a large portion of the cost. And this new crown, diagnosed infected, free of charge, the state to bear, you know a serious new crown patients, a cost can be over 1 million, how many families can afford to move? You still dare to say that our country is expensive?

Let's talk about the much-criticized problem of doctor-patient conflicts.

Please remember that as long as people exist, there will always be contradictions, no matter how good or perfect a system you say you have. Because there are always people who do not understand you, there are always you do not understand people. Each group, there are always people who steal chickens and dogs, there are also righteous people, if you use one or two cases to discredit a group, or amplify a concept, no matter from which point of view is not appropriate. In any industry or individual, as long as there is a lack of understanding, there is bound to be conflicts. Will a customer have a conflict with a store owner? Will a property owner have a conflict with a property owner? Will a passenger have a conflict with a steward? Do employees and bosses have conflicts?

All walks of life, no matter what kind of identity relationship we all have, conflicts will always exist, and anything has to be separated and looked at specifically: such as doctors receiving red packets, we all hate and fight such scum; but patients have too high medical expectations, and if they can't be cured, they will beat and kill, and we can't tolerate that either.

Express in one sentence my advice on the doctor-patient relationship:Anyone and everything, both sides do not demand too much, expectations are not too high, the conflict is much less, do not take themselves too much as a person, do not take themselves not a person.

The main thing is that all the people are deluded, all go to see Western medicine, Western medicine does not cure the disease, out of your money, to kill you. If they all go to Chinese medicine, curing all the pneumonia in Wuhan in January, spending very little money, playing tai chi, spending no more than ten thousand dollars, what other medical problems are there?

Opinions vary, problems abound, the people can not afford to make, look at the expert number of thousands of dollars, the expert is the people raised out of the people and the people can afford to see the expert number? It is for the rich and the establishment of the expert number, today why will be out of the rich (rather than special contributions to the motherland)? Is it more than the people's power to produce? Why not open two kinds of hospitals, one specialized for the rich and one for the people ......

Therefore, the establishment of community hospitals should be strengthened, and all people, no matter how rich or poor they are, should start their initial diagnosis from the community, fail to recommend through the community again, and when there is a problem of people's complaints, the community should bear the responsibility of recommending.