February** Dynamic Incentive Program
Is it really as simple as seeing a doctor and taking medicine in the hospital?
In fact, although this is a general process, not all regions and all hospitals will have such a process.
Generally, we choose to go to a public hospital because the fees in public hospitals are relatively affordable.
This data is also compared to private hospitals, but now everyone knows the hospital fees around us.
If you ask us about American hospitals, how much do you know about this fee?
Normally, for American hospitals, we only know that there are very few patients, but the salaries of doctors in American hospitals are ridiculously high, so why is this happening? The main reasons are as follows:
In daily news reports, we have all heard that when doctors prescribe medical advice to patients, they will deliberately choose some products with higher rebates and higher **.
In fact, for American doctors, this is one of the components of their salary.
Especially in the private hospitals of the United StatesAs the name suggests, private hospitals in the United States are actually basically commercial medical institutions.
The people who can see a doctor in it are either doctors with strong professional knowledge or wealthy families worth hundreds of millions of dollars.
In such a working environment, eating rebates has become one of the main ones for them to earn wages.
So how do they get kickbacks from these drug orders?
In fact, in the United States, whether in private or public hospitals, there is no such thing as overcrowding in our public and private hospitals.
On the American hospital side, it's the opposite, they have a strange number of people on their side!
Is it really the American people who are physically better? Or is their medical service so thoughtful that everyone doesn't have to queue up in the hospital to diagnose and treat diseases at home?
But the fact is not, just because of the phenomenon of arbitrary charges in American hospitals, most patients are afraid to come to the hospital for treatment.
We can only choose some small local clinics for diagnosis**, which is not difficult to cause us to ask, why are doctors in the United States so high in terms of salaries when there are so few patients?
According to the data comparison, the median salary of all doctors in the United States has reached 193415 US dollars, what is this concept?
If we compare our domestic doctors, we will find that the $193,415 is equivalent to 20 times the salary of Chinese doctorsIn terms of purchasing power, the salary of American doctors turned out to be 13.5 times that of Chinese doctors.
How did such a big wage gap come about? And why is this behavior not regulated and controlled? Let's talk about the details!
First of all, we need to make it clear that such a high salary is the explicit salary of American doctors, what does this mean? That is to say, at a shallow level, the salary of doctors in the United States is at this level.
But the gray income in American hospitals is outrageous. Seeing through the truth, we can only say that we are glad that we live in China.
In a private hospital in the United States, if you do an ordinary simple **, consultation, or even just touch the disease, you will receive a bill of nearly six or seven hundred dollars, which we can convertThis is equivalent to the need for more than 5,000 yuan in our Chinese hospitals.
However, this fee is only for the initial diagnosis and **, and for the later stage** and the required drugs, you need to pay again.
Such a charge, put in our country, will inevitably cause an uproar, commercial private hospitals, eat kickbacks, are patients' life-saving money.
And why there are few patients in the hospital, this is also one of the main reasons, so why is this behavior not effectively managed and controlled by the relevant units, and even a little suspicious of turning a blind eye?
This is mainly because most doctors in the United States work in private hospitals. Such hospitals are not subject to federal** management and control
As a result, no institution is willing to fight for the last life money for those who are unfortunate enough to fall ill.
Without a strong agency to do the job of supervision, it is natural to start misbehaving, indiscriminately quoting, and filling your pockets with ill-gotten gains.
Another aspect is that their accounting system is also very opaque.
Most of our doctors are still using paper bills, because they record the amount they prescribe through paper bills, and they are not afraid of big data background monitoring and backup.
In this way, as long as you receive the money, you don't have to worry about any trouble in the future, and there are not many hospitals in the United States that can use the electronic billing system.
In such a commercial hospital, how many patients can be treated fairly and sincerely, all for the purpose of making money.
Although there is still work to be done in the United States, for example, the relevant departments in the United States have also encouraged local doctors in the United States to use electronic billing as much as possible.
But superficial efforts can only be regarded as superficial efforts after all, and have no substantive effect at allThose who already use paper bills will not give up the opportunity to benefit themselves in every way because of this slogan, or those who use electronic bills with a conscience will not completely abandon paper bills because of this sentence.
According to the data, less than four percent of doctors still use and persist in using e-billing as a payment method for a long time.
Some e-bills are not even sent from the doctor's official address.
It is very likely that the bill will be transmitted through a private mailbox, so that the content of such a private email cannot be checked at all.
And it is precisely because of the lax management that these bad behaviors continue again and again.
However, in recent years, medical care has been over-commercialized, and it is the pharmaceutical companies that have taken advantage of this opportunity to make a lot of money.
The increase in medical costs has made the benefits they can reap even more staggering.
According to the data analysis, the investment of the US department and the public in medical care has reached 20% of the total local GDP, accounting for one-fifth of the entire total。The amount of money is really more than we imagined.
Because at the same time, we only spent 5.4% of the total amount on medical care.
This comparison does not illustrate our stinginess in medical investment, but it is precisely because of such a stark contrast that we can see the darkest side of the American medical industry.
And this is far beyond the normal range of investment, and in the end, I don't want to know, most of the money goes to the directors of private hospitals or the business owners of R&D pharmaceutical companies.
When it comes to medical insurance, although the United States has so much money invested in medical care, the cost of their medical insurance is not low.
This leads to the worse information, once the patient does not have health insurance, then it is very likely that the patient will have to pay a huge amount of money to support his own medical processSo, it's not that the American people are in good health, it's that they really don't have that much money to support them in these hospitals. That's really sad!
Isn't it a surprise to see this title! Why are there guided people to buy medicines?
Because of the fact that some people with special needs are similar, doctors will push the pills to those who need them as much as possible according to the pills that the pharmaceutical company needs to sell.
According to relevant reports, doctors will prescribe some unusual drugs to patients, and even worse, doctors in the United States will also promote some drugs that change their gender, and encourage patients to buy more such drugs.
It is clear that the demand for this class of drugs has been abnormal from the beginning, and if anyone really needs it, there is no way to do it.
But encouraging people who don't have the need to use these drugs is simply terrifying!
Every patient's diagnosis is a profit opportunity in the eyes of doctors. If you really meet these doctors, it will be very sad!
When the appointment is made at the doctor's side in the United States, the patient must do a good job of examination in advance, especially some physical examination lists.
From this first step, the doctors' journey to gold has already begun. Once the physical examination is complete, the doctors will begin the consultation.
During the consultation, the first fee will be charged according to the severity of the patient's condition, and the difference between this one is still relatively large, even the cold and fever cost dozens of dollars, which is really outrageous!
For some people who don't have much savings in the first place, it's a bottomless pit! It is simply impossible and impossible to afford!
If it is a person with a serious illness, then the cost may reach thousands of dollars, and the commission that can be earned in the later stage of taking medicine, infusion, and reporting is really exaggerated!
The occurrence of medical chaos is indeed irresponsible for some patients!
The essence of doctors should be to save lives, not to see the benefits of getting money!
When the purest doctor's work becomes a tool for making money, this is the most dangerous point.
This kind of behavior not only makes some relatively poor patients reluctant to go to the hospital to obtain reasonable medical services, but even makes some patients lose the most precious time for treatment, and finally lose their lives.
As a doctor, he is indifferent to fame and fortune, quiet and far-reaching. At the critical juncture, the patient can be freed from the clutches of the disease, so that the patient can be freed from this painful stage.
I believe that every doctor should treat this job with such a mentality.
I also hope that the relevant departments in the United States can really consider the patients. I hope that one day sooner, we will be able to restore the most essential appearance of hospitals and doctors!