A box of imported Tamiflu granules costs more than 100 yuan, and a box of imported mabaloxavir costs more than 200 yuan.
If during an influenza outbreak, this price will at least double, even in 2023, patients without medical insurance will still find the price difficult.
A blood test and a chest CT scan cost more than 300 yuan, plus some flu medicine. This is what patients online are scolding. Damn it, I spent five to six hundred yuan to treat a cold. The hospital is too dark.
Lin Sanqi had already inquired before when collecting nucleic acid specimens that those who dared to come to the hospital to see a doctor were basically families with formal jobs, or at least wealthy households in rural areas.
This group of people cannot be considered poor in the complete sense.
Just like Zou Jinxing's family, Zou Jinxing is the deputy director of the commune, and his wife works in the supply and marketing cooperative. They still have 100 yuan in their pockets. Such people are mentally prepared for the expensive medical treatment.
Even in order to save a life, you can do whatever it takes, even spending a few hundred yuan is not a problem.
Therefore, although the charges of 5 yuan for children and 8 yuan for adults are very expensive, they are within the acceptable range.
The real poor, the families who are so poor that the whole family only has one pair of pants, these people will not go to the hospital when they get sick. They just endure it at home or go to the mountains to collect some herbs.
To put it bluntly, they are self-aware and know that the hospital is not something they can afford, so they simply don’t come to get in trouble.
Domestic people had to wait until 1965 before they dared to take medicine when they were sick. The great man issued the instruction to "focus medical and health work on rural areas", and the cooperative medical system began to be implemented across the country.
After several years of hard work, in 1969 there was an upsurge in rural cooperative medical care across the country.
The method is that each person pays 1 yuan for cooperative medical care every year, and the production team pays another 0.1 yuan from the public welfare fund according to the number of participants.
Except for some elderly diseases that require year-round medication, members only pay a registration fee of 5 cents for each medical visit, and medication is free of charge.
Commune health centers generally have 12 medical staff. Except for two who temporarily receive fixed salaries, the remaining 10 receive work points just like the main cadres of the brigade. Depending on the situation, a monthly cash subsidy of 3 yuan to 5 yuan is provided.
In affluent areas at that time, 99% of the people in the communes participated in the cooperative medical care, which basically solved the problem of people being unable to afford medical treatment and medicine.
Unfortunately, by the end of the 1980s, with the introduction of the household contracting system and the discontinuation of cooperative medical care, most people could no longer afford medical care, and the situation of poverty due to illness and return to poverty due to illness reoccurred.
Back in 1960, most people who went to the hospital had enough money in their pockets to avoid paying bills.
A very small number of people don't have money to see a doctor. If you charge these people with medical expenses, it will actually be free of charge and will not lead to the financial collapse of the hospital. It can be regarded as "robbing the rich and giving to the poor" in another sense.
When Wang Lingshe heard Lin Sanqi's charging plan, he frowned and complained softly:
"Chief Lin, you gave me this medicine. You have a cost to make the medicine. You are asked to pay for the treatment of the patient alone, and the money collected goes to the hospital. Can you bear it? There are hundreds of patients outside now. What will happen later? There are tens of thousands more patients coming, are you stupid?”
Lin Sanqi thought to herself, this is my idea of "exchanging medicine for medicine". What's the use of money? He doesn't love money.
"Sister Wang, don't worry. I know it well. Dean Shen won't let me suffer. It's important for us to save people first."
Seeing that Lin Sanqi didn't listen, Wang Lingshu turned his eyes to Pan Ye and signaled Pan Ye to take care of this prodigal son.
Pan Ye is a good girl, she does whatever her boyfriend says, so she also smiles:
"Sister Wang, I listen to Sanqi."
Wang Lingshu slapped his forehead, thinking that young people are not rich enough to be rich and don't know how expensive firewood and rice are. Men are stupid, and women are even stupider. What will they do with the children they give birth to in the future?
"Okay, I don't care about you anymore. Don't cry when the time comes, hehe."
Lin Sanqi started seeing doctors in the morning, ate steamed buns at noon, and stayed busy until the evening when she got off work. She saw more than 240 patients a day and charged a total of 1,500 yuan.
In 1960, when the average salary was only 30 to 40 yuan, 1,500 yuan was definitely a huge sum of money, and it was a doctor's daily "turnover".
It can be seen from this that how much cash flow does the hospital have?
Therefore, the hospital is really not short of money. The problem is that the use value of the money is too low. It cannot buy food or pork. It can only be used to buy medicinal materials.
Leaders of other units were overjoyed when they saw the hospital's sales soaring, but today, Director Shen was a little gloomy and worried instead of being happy.
Bungalow dormitory area.
Pan Ye brought a bowl of pig offal porridge to his future father-in-law. The patient should eat lightly, and add some pickles, it is delicious.
"Uncle Lin, please drink porridge."
"Okay, okay, thank you, little Yezi, you have to go to work and take care of me, an old man."
Lin Sophora is very satisfied with this future daughter-in-law. She comes from a good family, is a college student, good-looking and filial. She is definitely the "good daughter-in-law of dreams" for the elderly.
Pan Ye brought the second bowl of porridge to Dean Shen. Dean Shen now had sores on the corners of his mouth. He was lying on the pit with a lot of thoughts and seemed very unhappy.
"Dean Shen, please have some porridge." "Oh, okay, just leave this here and I'll eat it later, alas..."
Pan Ye thought the old man was worried about the epidemic, so he didn't think much about it and handed the third bowl of porridge to Lin Sanqi, who was also leaning against the corner motionless.
After working for more than ten hours that day, Lin Sanqi was exhausted, her whole body ached, and she couldn't even lift her hands to hold chopsticks.
Treating a doctor is not only a mental job, but also a physical job, which feels like a cow or a horse.
After get off work, I just want to lie down and close my eyes for a while, or play with my mobile phone for a while. Anyway, I just don’t want to do housework or code.
Seeing that her boyfriend didn't want to move, Pan Ye quietly reminded him: "Look at what's going on with Dean Shen?"
Lin Sanqi stretched out her head and was a little surprised when she saw the old man lying on the kang: "Uncle Shen, what's wrong with you? Are you also infected with the plague?"
Dean Shen rolled his eyes at Lin Sanqi and said to himself:
"It can't be compared. It really can't be compared. Union Hospital's clinical cure rate for this plague is much higher than that of our Traditional Chinese Medicine Hospital. It seems that we are going to lose this duel. I am so angry!"
Lin Sanqi got up a little strangely, thinking something was wrong. The miracle drugs for treating influenza, mabaloxavir and oseltamivir, have not been invented yet.
Similarly, highly effective antipyretic drugs such as ibuprofen, loxoprofen, and diclofenac sodium have not yet been invented.
Even the most common acetaminophen, with the trade name Bili Ling, was only launched in Eagle Country in 1958 and has definitely not been introduced in China.
Lin Sanqi really couldn't think of any other medicines that Union Hospital relies on to fight influenza viruses or reduce fevers? Can you still get good results?
"Uncle Shen, our traditional Chinese medicine hospital mainly uses traditional Chinese medicine, so Union Hospital must use western medicine. Do you know what medicine they use?"
"Well, I don't know about this, and I don't understand Western medicine very well either,"
Suddenly Dean Shen thought of something and suddenly smiled: "Xiaoqi, don't you know Western medicine? Why don't you go and find out?"
It was about the reputation of the traditional Chinese medicine hospital. Lin Sanqi didn’t want to be overtaken by Xiehe, so she steeled herself and stood up:
"Okay, I'm also curious about how they treat it. Let's take a look."
Pan Ye shouted from behind: "Would you like some porridge first? You've been busy all day."
Lin Sanqi waved her hand: "I don't want to eat. I have no appetite. You guys eat first."
When Dean Shen saw Lin Sanqi taking action, his heart dropped. He looked at the bowl of porridge in front of him, and then at Lin Sanqi's bowl of porridge opposite him. He took it over without politeness, and then drank it happily.
Outpatient area
It was already approaching evening, and there was still an endless stream of patients. Lin Sanqi mingled among the crowd, poking around to see how Western medicine treated diseases in this era. This was the curiosity of a time-travelling colleague from the future.
There are obviously more people queuing up at the Union Medical College Hospital than at the Traditional Chinese Medicine Hospital. The patients are very smart. It doesn’t matter whether you are a traditional medicine or an imported medicine. Which medicine is the best?
It's the same as worshiping a Bodhisattva. It doesn't matter which religion you come from, as long as you have the spirit.
The hospital of traditional Chinese medicine has opened 20 outpatient clinics, and Lin Sanqi is just one of them. Even if he uses the magic medicine, it only takes one day, but he still can't see the effect.
On the contrary, Union Hospital has several medicines that can quickly reduce fever. Patients spread the word, and naturally they all ran here.
Lin Sanqi wore a mask, mingled with the crowd, pretending to be a patient, and it was her turn in less than two hours.
Lin Sanqi made an estimate and thought that the efficiency of Chinese medicine was really not as good as that of Western medicine.
Chinese medicine pays attention to looking, smelling, asking, and feeling. When the patient comes in, he will observe your face, look at your tongue coating, and ask questions for a long time. Then he will diagnose your pulse with eyes closed. After diagnosing the left pulse, he will then diagnose the right pulse.
Then, in my mind, I would consider prescribing medicine based on each patient's condition and severity, and I would still use calligraphy when writing.
It takes more than ten minutes for a patient to be seen and he cannot be seen at all. In this way, there can only be more than 10 people in an hour, and 100 patients can be seen continuously in a day.
Western medicine is different, especially when it is clear that there is an epidemic. The most the patient can do when they come in is ask you, how many days have you had a fever? Where do you feel uncomfortable?
Then look at the throat, listen to the lungs, and then write down a prescription with a pen, which can be solved in two or three minutes at most.
Decades later, netizens often complain, saying that they waited in line for 2 hours and saw a doctor for 2 minutes, and they were still talking about what was wrong. Let you go get the medicine directly.
This is the efficiency of Western medicine. Western medicine sees five patients, while Chinese medicine probably only sees one patient slowly.
And from the perspective of economic benefits, Chinese medicine earns one share of the money, while Western medicine has already earned five shares of the money. These are all achievements.
What's there to say? Traditional Chinese medicine hospitals are also desperately buying machines and instruments, vigorously developing Western medicine clinical departments, and then selling them as dog meat, euphemistically claiming that the combination of Chinese and Western medicine has good curative effects.
According to Lin Sanqi's view, traditional Chinese medicine hospitals should not be like Western medicine and only specialize in specialists. They should focus on studying and promoting traditional Chinese medicine. Even if they want to make money, they must make money with traditional Chinese medicine.
Soon, it was Lin Spy Sanqi's turn to seek medical treatment and sat in front of Dr. Union Medical College.
"How many days have you had a fever?" (End of Chapter)