Basic Medical Pathology: Neoplasis I
Xu Hao like thatThere already was nominal apathetic time to rising in price in, ordinarily compatriots is right " rise in price " this word ought not to so sensitive, can be in " see a doctor it is expensive, difficult to see a doctor " this long-standing problem had be notted solve, have a lot of urban and rural dwellers still " send deficient due to illness " today, any " against the wind " and those who move rise in price behavior, will naturally be cast by the public the look that oppugns with height. Recently, bureau of Jiangsu province prices is fair showed a medical services to serve the program that move price, in the project of service of 137 medical services that moves price in preparation, those who have 125 rise in price, controller of relevant medical establishment thinks, this plan serves the medical services with low deflect the price to restore reasonable, reduce the deficit of the hospital. However the intense dissatisfaction that this plan caused the public, think such " rise in price plan " solve with whole society " see a doctor expensive " hard direction runs in the opposite direction, the medical services burden him accentuation.
Let us see this so-called " what already brewed 5 years is long, 50 will medical services line of business is the biggest collect fees for years reform " rise in price reason is, rise the labor value that cure protects personnel and technical content, fall the checks charge and medicines and chemical reagents price of large facility, " raise cure with medicine " become " raise cure with ability " . How the moving reason of high-sounding, but this cries " deficient " reason lets a person be accepted hard really, the industry of sudden huge profits of forestall of this kind of height calls even medical services trade deficient, can then an industry call our where have a deficit? If reflect the best means of value to rise in price namely, so should educational industry also rise in price? Because they are the engineers of human soul, environmental sanitation worker also should ask to rise in price, because they are urban beautician, their labor value is inferior to a doctor, want than the doctor to social contribution little?
We know, a patient is in the process that see a doctor and treats, want to pay two fee, it is the artificial service fee that pays cure to protect personnel, 2 it is to pay the material of medicines and chemical reagents, equipment to use fee, former also call medical services charge, latter also calls medicine charge. Ought to admit, long-term since the labor value that cure protects personnel and technical content did not get enough attention really, latter charge held the big head of all patient expenditure, but the fault that this is not a patient, the medical services system that misshapes however makes like that, come for years abnormal " raise cure with medicine " the crux of the problem that is this problem. Patient besides bear the torment of ailment, facing bill of high specified number even suffer, and no less than the rises to be used than medical expenses price house of medical services charge is tall returning " firm " , because of its under cover " wish to hit wish to endure " robber is logistic: Medical services charge has the tall forestall sex that have no alternative, to the medicines and chemical reagents with high price, we can find the substitute of other, cannot find in the hospital, the drug-store that can go up to the ave goes searching, but we always cannot give or take an injection to the ave, go becoming an operation, this also is because of,an incessant depth is moved.
Still have, is patient value undeserved to show are doctors so called nowadays " skill " buy sheet? As a result of " raise cure with medicine " bad-mouth, considered the medical personnel that is in normal large hospital early also to be become " medicaments " and " equipment " relier, on their body " skill " changing attenuation infirmly, we go seeing outpatient service, prescription odd carelessly has been taken to leave after doctor in a way enquires two give almost machine-made " formulary " or " checklist " , often be on the prescription of the patient of dig down oneself a few expensive unusual medicaments. Besides the surgeon of palm knife, of average doctor have the aid of is the might of medicines and chemical reagents and appliance or effect, not hesitate even abusive antibiotic, and surgeons had been passed go who is little below regulation not red bag was solved " skill " the problem of fill a vacancy. Besides, medical services expenses rose, can you bring the progress of doctor medical skill? The answer of the problem is afraid also should sell at a discount greatly, because look in a lot of doctors, originally the patient owes them this.
Retreat 10 thousand paces to tell again, ground of of course of even if patient should be a doctor " skill " buy sheet, can how many gift should buy appropriate? The patient is a kind of of medical industry special consumer, according to our country " consumer rights and interests protects a law " , patient of course should enjoy right of know the inside story to offers product or service, but always of medical services industry has one to plant " the cat sells inside the pocket " inertial thinking, message is completely wrong between doctors and patients wait, will tell according to the word that preachs the controller of some medical establishment that rise in price, fix a price according to current medical services, the price of partial project is cost only 7, most probably, many hospitals can‘t bear heavy burden. Good, even if if really so, why some of price goes up be about to go up to before of 17 times? For example " immunity is fixed electrophoresis " from adjust 20 yuan formerly every time reach 360 yuan, and " art of small intestine transplanting " also go up to from 1000 yuan 5000 yuan, be necessary to go up really so much? We should suspect, does medical establishment think these year come are all losses seized? So patient so much year the charge of medical services of a huge sum that will suffer, who to go searching to make up for again? No matter be medical services price,still be house price actually, most the no more than of dissatisfaction letting a person is transparent 2 words, "Raise cure with medicine " cannot solve a problem, be so " raise cure with ability " be to solve the good plan that at present cure changes a problem really?
Of course, hospital interior also has really allocate unjust issue, "Open prescription " outpatient service doctor and " move small knife " surgeon, it is the gainer with this the biggest industry, but the allocation of medical establishment interior is unjust, should be coordinated by medical establishment oneself take as a whole, is not to rely on the means that stretchs his hand with the patient to create a profit balanced, the patient cannot accept medical services industry to enjoying the profit of rake-off of medicines and chemical reagents of a huge sum on one hand, return on the other hand " got cheap show off cleverness " . In it is with the person this today, what we say " it is with the person this " , it is the patient with great majority is this, is not the person that wait for industry profit with the doctor is this, but from " raise cure with ability " rise in price in light of reason, we see less than allowing why " heart art develops simultaneously, it is with the patient this " the meaning comes, so, this plan still wants careful travel really.
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