In 1965, ** wrote several articles on medical treatment, he said: "The county medical team thinks that the medical team that makes money is good, and the medical team that does not make money is not good, is this still the people's hospital?" ”
Medical care can't be measured by whether it makes money or not, if it is about making money, everyone is happy when they are sick? A strong laborer is sick, and he doesn't ask for money to cure him, it seems that he has lost money, but because of this, he can carry out agricultural production and industrial production, do you think this is still a profit or a loss? ”
In some hospitals, the doctor just wants to make money, and the patient is not sick or not very sick, and he is asked to see him again and again, which is nothing more than to make money, and even use fake drugs to deceive people, there are two young people of seventeen or eighteen, who say that they have spondylosis, I say don't believe it, they are lying to you. They were asked to go back to recuperate, and when they came back two or three weeks, they still didn't go to work as usual. ”
**This set is to calculate the entire national general ledger, which will not work in the United States, at least one-third of the GDP of the United States today is contributed by medical care, if all Americans are sick every day, medical GDP alone can exceed the total GDP of the whole of China. However, in the opinion of ***, after this kind of money is earned, what is the significance to the country? It's only good for a small group of people, and in the long run, it's not good for the country.
Fortunately, we can still inherit some of the ideas of the general ledger, without this algorithm, many places will not be connected to water and electricity, because just looking at that one place, it is not cost-effective! There is also high-speed rail is also criticized, saying that it does not make money, but high-speed rail has driven the flow of people, money and goods across regions, and cities along the line have developed, you have lost 100 here, and other places have increased by 300 due to high-speed rail, in general, it is still earned!
In the "Instructions for Health Work", it is said, "It is necessary to focus on frequent and common diseases, how to prevent them, and what kind of improvement or **, but at present there is very little power to ignore or let go." A large amount of manpower and material resources should be put into the study of high, deep, and difficult diseases, and cutting-edge problems should not be unimportant, but only a small amount of manpower and material resources should be put into the problems that the masses most need to solve. ”
**The meaning of these words is that in medical treatment, we must also grasp the main contradiction, that is, to prevent the onset of the disease, and to solve the frequent or common diseases, to prevent the onset of the disease, we have carried out many national health campaigns, to eliminate flies, not to wait for the flies to come and then kill the flies, but to clean up the garbage at home. Why concentrate on frequent and common diseases, because after the accumulation of minor diseases, they will become major diseases, and once they reach a major illness, they are almost irreversible, and if you focus on how to overcome the serious diseases, then don't you wait for people to become serious diseases, and then treat people?
I think that when I say these words, we also have to look at the conditions at the time, what is urgently needed at that time is the popularization of medical care, not to study individual cases, so he said: "Medical education to be reformed, there is no need to read so many years of books, medical education does not need high school students, junior high school students, high school graduation and then three years of study can be, the main thing is to learn and improve in practice, such a doctor to the countryside, even if the ability is not big, it is better than a deceitful doctor or witch doctor." ”
The doctors trained now all think that it is for the city, but there are 500 million farmers in China, and the more people read now, the more stupid they become, and that set of tests and methods are not at all in line with the countryside. The current Ministry of Health only works for 15% of the country's population, and these 15% are mainly the masters, the vast number of peasants do not have access to medical care, there are no doctors, and there are no medicines, and the Ministry of Health is not the Ministry of Health of the people, so it is better to change it to the Ministry of Health of the city or the Ministry of Health of the city lord. ”
The reason why doctors were reluctant to go to the countryside at that time was mainly because the conditions were difficult and there was no income, and even if they were charged, it was slightly equal to nothing. Later, there was no way, so he popularized barefoot doctors in the countryside, and these doctors were either out of work, or some slightly educated peasants, helping people to see doctors, and they had to do their own farm work again.
**At that time, I saw through it at a glance, "The city doctor will definitely not be happy when he goes to the countryside, because he is used to living in the city, don't believe what some people say, look at the action, what he says is good, not necessarily." ”
Later, *** demanded the reform of the city hospital, because at that time, the city hospital was actually a small group and was not open to the public. "In a hospital, some people can go to the doctor, and some people are not allowed to go, how is this like words? Isn't this what is the aristocratic old man hospital? We must be open, open to the common people, and don't be afraid of offending people, because this has offended a group of people, but the people are happy. ”
If this group of people is unhappy, let them be unhappy, and they must offend people in everything, and they must see who they offend and who they are happy about, and the people are happy! ”
Let's look back at history, now some people put all the mistakes on *** person, they think he is like an ancient emperor, saying anything, everyone has to listen to him. The ancient emperors couldn't do it, and when it was time to sit on the country, many people didn't want to endure hardships anymore, and felt that they had made meritorious contributions and wanted to enjoy them more, but this kind of thinking was unbearable.
Even if we have endured hardships, it is also the hardships that the people have endured together, and if you get a doctor, it is also divided into three, six, nine, etc., and even some hospitals, only certain people can enter, and ordinary people are not worthy of going to this hospital to see a doctor, isn't this bureaucracy? What is the difference between seeing oneself as superior to the common people and being so detached from the masses and the Kuomintang reactionaries?
**Not only in the medical system does not matter whether you make money or not, sometimes similar things are said in business management, but we still have to look at it from the perspective of development, if the "closed-loop operation", * is right, if it goes to the world, then it can't be said like this.
At that time, he said, "Don't use profit assessment as the only goal in the factory, only consider profits, and in the end it will be made into a capitalist set." Speaking of this, it is a bit philosophical, which means that the common people want to live well, the main thing is to develop production, the more production, the more distribution, money is just a medium of exchange, you have to understand the different factories in the country as barter, it doesn't matter whether there is profit or not, in the end it will be distributed.
Why does today's rich man feel uncomfortable living in China, because no matter how much money he has, his children and working children are still in the same public school, and if he goes to the United States, if he has money, his children will not have to contact the children of poor families from an early age.
Private enterprises want to do everything possible to cut costs and squeeze as much as possible, in order to get more for themselves, why emphasize profits, without profits, they can't open up the income gap. In previous times, if there was more production, then a little more could be distributed. Now the economic model is different, there is more production, if you don't have the money to buy it, then I will fall into the ditch, and I will not give it to you.
Now it seems that the income of the common people is okay, but the invisible welfare is gone, ordinary people only have the income from selling their labor, completely relying on dead wages, and there are no other windfalls, but medical care, education, and housing are marketized, which brings a great burden, if earning money is not for the yearning for a better life, but just for the forced survival, then these laborers will not be creative, he always feels that he is precarious, how can he consider the problem from the national level!
Take medical care as an example, about losing money or making money, if you look at it from the boss's point of view, of course, the more you earn, the better, if you look at the whole country, there is no need for public hospitals to consider profits, what he wants to do is inclusive medical care, and losing money is to make money.
According to the knowledge of the free market school, each unit is an independent individual, and it cannot be done without profit. But learning from the United States, even hospital medicine has become a high-profiteering industry, and economic development depends on the people getting sick, isn't that too ridiculous?