If the doctor rebels, can the disease of human nature be cured?

Mondo Health Updated on 2024-02-22

We have always circulated a proverb in ancient times: "Show talent rebellion, ten years will not succeed!" ”。

In the old China period, because Mr. Lu Xun and Mr. Sun Wen were both born in medicine, because Mr. Lu Xun claimed that "studying medicine can't save China", there has always been a debate on the Internet in later generations that "doctors rebel and can succeed". The debate in our country is based on "assumptions", because it is difficult for us to imagine that the collective rebellion of doctors took place in reality. But I didn't expect that South Korea, which is only a body of water away from us, has recently fallen into a huge whirlpool of "doctors' collective rebellion".

According to a public statement released by the South Korean medical group, more than 2,700 interns and residents in five hospitals in the capital area of South Korea have submitted their resignations since the 19th to counter Yoon Suk-yeol**'s overall medical reform plan. In addition to the resignation of hospital doctors, more than 10,000 students in major medical schools in South Korea have also publicly issued a statement of "class boycott and suspension", and they want to use collective suspension to oppose Yoon Suk-yeol**'s "medical reform package". Although we have a bad overall impression of Yoon Suk-yeol**, and he does play a bad game in handling balanced diplomacy with China and the United States, South Korea's medical reform has indeed reached the point where "if it doesn't change, it will collapse". South Korea is currently one of the most aging countries in the world, and combined with the world's lowest birth rate and the annual population decline, it is not an exaggeration to say that South Korea is the world's largest "old country".

The more aging a country is, the more dependent it is on medical resources. At present, medical resources are particularly scarce in South Korea, especially the number of doctors to cover the elderly population. According to the current shortage trend and the irreversible process of population decline and aging in South Korea, South Korea has a shortage of doctors of more than 15,000 in five to ten years. Therefore, in South Korea's first medical reform plan, one of the more important measures is that South Korea's medical schools will expand their enrollment from the 2025 academic year, the most basic medical curriculum is five years, and South Korea is ready to expand the enrollment of 2000 medical students per year in 2025 and 2030, after studying, by 2035, the last class of expanded medical students will graduate, which will reduce the shortage of 10,000 clinicians in South Korea ten years later.

With the simple understanding of our Chinese, or from the perspective of the universal value of "patient first", we all think that this policy of expanding the enrollment of medical students is "moral politics". Moreover, 2,000 people a year, it takes ten years to fill the shortage of 10,000 doctors, which is already very flat. However, South Korea's plan to expand the enrollment of medical students has been resisted by all interns and residents in South Korea, including medical students in school. From the perspective of human selfishness, or "love for oneself", the indignation and resistance of these young doctors and medical students are also human. Because of the involution of education in South Korea, the better the job, the higher the cost of education. In South Korea, doctors are a respected and well-paid profession. However, the vast majority of family-supported doctors have to take on huge debts after completing their university and graduate studies, and many doctors only pay off their debts and loans after many years of becoming regular doctors and practicing medicine, demonstrating the advantages of "high-income talents". Today, South Korea's plan to expand the enrollment of medical students is to make young doctors and students who have invested high costs in the early stage face "depreciation" and huge competition from newcomers. At present, South Korea recruits 3,000 new medical students every year, and the annual expansion of 2,000 is equivalent to an increase of 40%. If we only use the economic field as an analogy, the interns who have just graduated and joined the workforce, and the students who have taken huge loans to go to medical school, are like the receivers of the "high-level property market". At this time, in the area where the receiver takes over at a high level and prepares for the realization of second-hand housing, the policy is introduced to increase the number of newly sold residences by 40% every year in the future.

Therefore, only from the economic point of view, only from the perspective of input-output ratio, and the perspective of paying costs to earn benefits, doctors and medical students are also in line with the "most basic human nature" in the end. From the perspective of social psychology, there is an exclusive term for this kind of human psychology, which is called the "ride effect". It is that all human beings who crowd the bus and the subway have something in common. When they are still trying to get into the car outside the car, they will do their best and blame the people in the car for not having enough reserved space. But once he squeezed into the bus, he couldn't wait to close the door immediately, or even weld the door shut, hoping that no one would squeeze into the bus again, which was the "ride effect". The "ride effect" of human nature is not only evident in the "collective rebellion of doctors and medical students" in South Korea, but also in the "illegal immigration" issue in the United States. In the United States, the most fierce anti-immigrant sentiment and the most common hatred of the ethnic group are not the "old white men", but the "legal new immigrants" who have managed to survive through low-end jobs in the past few decades. These legal newcomers are of different races, but they have two most distinctive characteristics, one is that they are very eager to ask the United States to introduce a stricter "immigration restriction policy". The other is that these ethnic groups from all over the world are the most ruthless to the "latecomers" of the same race as him. For example, in the United States, the Chinese who hate "illegal ways to the United States" the most, and demand the vigorous repatriation of new Chinese immigrants, are precisely the "old-school Gao Hua" and the descendants of Chinese workers who have suffered Chinese. Obviously, they are all passengers who "get on the bus with difficulty", and what they are most afraid of is people who have the same strengths and are willing to endure hardships as themselves, compressing their living space. Therefore, whether in the United States or South Korea, the "ride effect" is the basic human nature of "people think of themselves", which is not uncommon in our country. However, the most prominent incident of the "doctors' rebellion" in South Korea is the other end of the scale, and the weight is the right to health, the right to medical treatment and even the right to life of the aging population. In an aging society, we should strive to achieve sufficient medical resources, especially the layout in advance for ten years, which is the core demand of "saving human lives". A large number of young doctors and medical students in South Korea regard their "higher income", "more scarce status" and "more respected professional status" as more important than medical resources related to patients' lives. When the Party's Korean doctors use the mentality of "ride effect" and refuse to fill the shortage of doctors' resources, this is not a "universal human nature, human nature" that can be empathized, but a stubborn disease of human nature. Obviously, South Korea's system and social atmosphere cannot cure the stubborn disease of human nature that "welds the door of the car after welding".

Some friends will feel that the rebellion of Korean doctors is far away from us. With our country's education system and medical system, there will be no incident of "doctors resigning and threatening not to recruit new medical students", which is of no significance to us. I think that on the contrary, China's system and public order and good customs will not cause the tragedy of "doctors are not allowed to add doctors to save lives", but the inferiority of "welding the door of the car after welding" is a common disease of human beings. Our country will not overturn in the field of human life, but what about in the economic field? If "welding the door of the car after welding" is the "original and inferior nature" of human beings, then is "common prosperity" a delusion that violates human nature? The part of the people who got rich first must have paid incomparable hardships, and even the "sunk cost" that we can't see, but is it against human nature to ask them to "selflessly drive the later rich" and create opportunities and environments for others to "live the same life as him"? When some people get rich first, they may encounter an iron fist when they weld the car door to others, but whether it is the truest human nature to set thresholds and obstacles for others so that others cannot distribute and shrink their wealth and resources? Therefore, the ideal of getting rich first and getting rich later, and finally common prosperity, from the moment it was proposed, was in the direction of "human inferiority". We all know that advanced ideas such as selfless dedication, "no self-interest, exclusively benefiting others", communist beliefs, etc., theoretically "can suppress the "inferior origin" of human nature with high pursuits. But today, in the current environment, does anyone think about the inferior "landing plan"?

Related Pages