Most of the village health centers do public health and little basic medical care. Village doctors are not paid. There is no insurance, and they receive post subsidies, subsidies for basic medicines, and funds for purchasing public health services, all of which have to be assessed before they can be paid. Some health centers are insurance-proof, only doing public health, no medical treatment, so they close down, in fact, they all go to the countryside to do public health. How can you get money if you don't work, the state's money is not that good.

Your village is too small to support 2 village doctors, and besides, village doctors are farmers, they don't get paid, and paying health insurance doesn't mean they have to serve you at your doorstep. You can choose not to pay the medical insurance, or whoever you pay the money to.

This is indeed the case with many village health clinics, where the State has subsidized village doctors, and there are certain work requirements for them. For example, they are required to provide public health services, manage the health of the population, and treat minor injuries and illnesses on an outpatient basis. Villagers who seek medical treatment in village health units are reimbursed a certain amount of money each year, and the village doctor can make a profit accordingly. However, if the number of clients served by the village health office is too small, the income will not be enough to support their living, and it will be difficult for them to specialize in health office services, so they must find another way out. If they go out to work, this will seriously affect the work of the health office service. There must be such a phenomenon of name without reality. It is possible to respond to the higher-level health committee and coordinate a solution.

I don't know which village doctor you're talking about.

I'm the village doctor of my village.

I've worked in our village for 28 years

The beginning of a few years of medical care, village doctors can indeed participate, specifically from that year onwards, I can not remember, medical insurance this piece does not allow village doctors to touch, that is to say, village doctors open the door or not, the villagers in the village to see a doctor, the village doctor does not have the power to participate in medical insurance.

Now the state strongly advocates that those who are sick and can be treated with medication should not be given injections, and those who can be treated with injections should not be given infusions.

Now the village doctors are also afraid of ah, you know what the patient is allergic to, it may be a shot down the person is dead, infusion of fluids to the patient's death, we can not afford to accompany ah, hundreds of thousands of ah.

Getting paid for not working, we don't have that tradition in our village. If you don't open the door to work, wait for the northwest wind.

Go to the health center with a fever? You're kidding me!

Patients with fever in our village go to the fever clinic in the county, and with the epidemic so severe, who dares to treat fever now.

In my 28 years as a village doctor, I once went to bed at 11:00 p.m. and got up at dawn ah eight times for a midnight visit.

You don't know what it's like to have to go to the clinic when you're not feeling well.

That winter, there was an epidemic of influenza and the patient had a fever and was told to go over and give an injection.

This was 20 years ago, when I was not feeling well and had a fever, but I still had to go, what to do what to yell, that's what we do as village doctors.

I remember when the roads in the village had not yet been repaired, and it was snowing outside, and I was alone on a road, carrying a medicine box, arriving at the patient's house, and going home after treating the patient and giving him an injection.

There are no holidays and you are on duty 24 hours a day. Whenever a patient calls you, there is no excuse for you not to go.

It was then that I thought I couldn't let my own children study medicine.

If you do study medicine, you especially can't work as a village doctor.

Now that farmers pay for medical insurance, it is only beneficial and guaranteed for farmers to treat their own ailments, while it has nothing to do with rural doctors, but rather affects their earnings.

In the past, farmers did not have health insurance, and when they were sick, they went to the village medical clinic for treatment, and these proceeds went to the village doctor.

In the first few years after farmers were enrolled in health insurance, hospital outpatient services were not reimbursed, but only hospitalized patients were reimbursed. Farmers could easily go to the village doctor to see the doctor and get medicines with their health insurance cards, and there were personal expenses in the individual account of the card, and the village doctor would keep the account and then go to the health insurance center to get the money out.

The system has changed in the last few years. First, hospital outpatient visits can be reimbursed, but not village doctors. Secondly, all rural cooperative medical insurance premiums have been paid into the account of the insurance center, and there is not a cent left in the individual account.

As a result, there are almost no more farmers who go back to the village doctors when they fall ill, and the village doctors are now in dire straits. Basically, they are considered unemployed.

So the farmers take the card again and they refuse to see the doctor, unless the patient pays cash, they will heal.

The lack of medical care in the countryside itself, and the fact that the current agricultural insurance system excludes village doctors from providing medical care to farmers, is already a major problem in China, and it is hoped that the national level will solve this major problem, which is related to the health of hundreds of millions of farmers.

I am a village doctor, I answer you, let's say, I give you an infusion, the medicine is ready, but no infusion dish, Chinese medicine prescription is ready, can be short of two major drugs, Western medicine prescription is ready, and short of several major drugs, want to go elsewhere into the drug, but the health center does not allow, only let into the health center of the drug, the clever woman can not cook without rice, had to do the more the more out of business. In said reimbursement, omeprazole health center into the price of 23 yuan, reimbursement of 9.2 yuan out of pocket, but to the town pharmacy to buy only 1.5 yuan, you say how to reimburse you.

It shows that you still don't understand the health care reform policy ahahaha, have time to search down, the state let the village doctors do what? How to do? The state regulations, not his personal want that ah? I don't know who is not to blame huh?

Farmers pay medical insurance, according to the provisions of the village health clinic above the medical unit, are able to reimburse the villagers the proportion of medical expenses, why the village doctors are reluctant to reimburse the villagers medical expenses, there are many reasons here!

First, the village doctor must purchase drugs through the net procurement, that is, from the health center to purchase drugs, and reimbursement of drugs to the villagers must also be the net procurement of drugs, can not increase the price, the procedures are cumbersome, if you enter the drugs from other channels can not be reimbursed, and if you prescribe drugs and net procurement of drugs do not match, you must also be fined!

Secondly, there are many village doctors who are around 60 years old, and computerized verification is too cumbersome and time-consuming!

I hope the state to simplify the reimbursement procedures for villagers, such as whether the card can be used to swipe, the abolition of the net procurement procurement of drugs, to reduce the rules and regulations, more benefits to the villagers, but also for the village doctors to reduce the pressure, and better popularization of the New Rural Cooperative!

Calculate the village doctor income, my village has three village doctors, the population of about 1600 people, village doctor income has public health, basic medicine subsidies, rural health insurance, rural hospitals often meet. Public health according to the number of people to manage the number of services to calculate the money, the basic medicine to receive the number of money into the medicine compensation, rural health insurance according to see the compensation, back to the money is not rely on the time, the money of the fourth quarter of 2019 to the present is not issued. Expenditures are utility costs, medical waste disposal fees, medical waste fines, health insurance network user fees, drug supervision fines, and finally to the village doctor's hand how much money, it should be known why young people do not do village doctors!

It is not that village doctors do not serve the villagers, but they have some difficult things to say.

(i) In order to control the amount of reimbursement to patients, the Health Insurance Bureau has decided that villagers cannot spend the personal portion of their money at the health centers. Villagers can only use the small amount of money under their ID card if they go to the township or county hospital to buy medicine. As a result, villagers go to township hospitals to buy some medicines, and no one buys the medicines in village health centers, which cost electricity to store for a long period of time, and are useless once their expiration dates expire.

(b) With the development of urban-rural integration, most people have moved to towns and cities, and the vast majority of chronically ill people have outpatient clinics to enjoy reimbursement, so who will come to the village health clinic to buy medicines? Even if there are medicines in the clinic, they will be left unused, and who will report the expiration date?