When patients go to the hospital for medical treatment, it costs money. This is the same all over the world, and the medical expenses abroad are even more expensive.

Some people will say that you are farting. Foreigners don’t have to pay for medical treatment, and they will not return to poverty due to illness. It is because your Chinese doctors are too black-hearted and will not save you.

This is actually a misunderstanding.

People in the United States don’t have to spend money to see a doctor?

Just to give a few examples, it costs tens of dollars for American patients to register with a community doctor; if you want to be more advanced, it costs several hundred dollars to register with a specialist.

Is it expensive?

This is not expensive. If you take an ordinary X-ray, it will cost you one thousand dollars;

You say you feel uncomfortable coughing, and the doctor gives you auscultation and doesn’t prescribe any medicine. When the bill comes, it’s thousands of dollars.

For another example, a child is dislocated.

This is a very common problem in China. Go to the hospital and see an orthopedic doctor. If you are lucky, you may not pay a penny. If you are not lucky, you will have to pay a registration fee, which can cost dozens of yuan.

In the United States, if a child's dislocated joint is treated, you can't leave without ten or twenty thousand dollars. When you receive the bill, you can vomit blood directly.

There is also the simplest case of appendicitis, which can cost you tens of thousands of dollars.

Let’s give another example:

Calling the 120 emergency ambulance in China costs 1,200, but everyone thinks it is too expensive. They think it should be free and public welfare.

But if a 911 ambulance is called for you in the United States, the average cost is about 1,200 US dollars, and a little further away is 3,000 US dollars. I wonder if you accept it?

Many Chinese international students who just went to the United States, before they fainted on the street, their last words were "Don't call 911" because they couldn't afford it.

As for more serious diseases, such as the "big belly" old lady Jin mentioned earlier, multi-disciplinary surgery to remove a huge abdominal tumor and radical ovarian cancer surgery, it is impossible to get it without more than ten or two hundred thousand dollars.

If you have any more radiotherapy or chemotherapy in the future, the entire treatment process will cost at least more than 300,000 US dollars.

If it were in China, the patient's family would probably ask reporters to expose it immediately and make it appear on "Focus Interview" about some unscrupulous hospital that accepts unscrupulous money.

Of course, in China, it is entirely possible to "return to poverty due to illness".

Some readers will say, according to you, how can the American people afford so much medical expenses? Are the American people too rich, or are the American doctors so compassionate that they don’t charge money?

That's because people have national health insurance, and most of it is paid by the insurance company, and the patient only needs to spend a small amount of money.

(Some people do not have medical insurance, are either illegal households, or do not have a job, but if you do not have a job, you can apply for charity benefits, provided that you will be restricted from high consumption from now on)

Another thing is that in almost all countries around the world, medical treatment for children and the elderly over 65 years old is free of charge. It is either borne by the state or covered by medical insurance. This is a matter of principle.

Here comes the important point. Please note that all medical expenses have nothing to do with hospitals or doctors.

The bounden duty of doctors is to only see patients. Their purpose is to cure your disease. As for the cost of medical treatment, it is your patient's business.

Of course, whether the insurance will reimburse the patient or the state will pay for it afterwards is another matter. Anyway, it is impossible for the patient to pay so much.

This also creates an illusion for Chinese people that medical treatment in foreign hospitals is free of charge.

Okay, American imperialism is too far away, so let me give you a closer example. Xiangjiang in our country is a representative of the welfare system.

When citizens in Xiangjiang go to see a doctor, the emergency room charges 180 yuan per consultation, the hospitalization fee is 100 yuan per day, and the general outpatient consultation fee is 50 yuan. Those living in poverty can also receive free treatment.

Apart from this, there is no additional payment required.

In other words, no matter what your illness is, if you are hospitalized for 10 days, you only need to pay 1,000 Hong Kong dollars when you are discharged, which is only a few hundred yuan in RMB.

Some people in China are scolding again. Look at the hospitals in Xiangjiang. Look at the doctors in Xiangjiang. They are so ethical and medical treatment is so cheap. Compare this to the hospitals in your country. They are simply terrible.

Please, think about it with your brain. Could it be that simple?

That's because their medical expenses are borne by the medical insurance fund led by the Xiangjiang government. If the patient doesn't pay, someone will pay for you.

Here’s the point again. The money you spend for medical treatment has nothing to do with the hospital or the doctor. It’s a matter for the medical insurance center.

Doctor's visits, various examination fees, medicine fees, surgical fees, etc. all have to be billed as usual, and the fees are high.

After giving so many examples, the central idea is actually one: seeing a doctor costs money, and the difference lies in who pays for you.

Don’t believe it? If you don’t believe it, why don’t you, a mainlander, go to Xiangjiang to get medical treatment at your own expense?

Ordinary general practitioner consultation fees are generally around HK$600-1,000, while specialist fees will be higher, usually above HK$1,000.

Ordinary B-ultrasound usually costs 600-1,000 Hong Kong dollars per time, and X-ray electrocardiogram costs more, usually starting from 1,000 Hong Kong dollars.

The bed fee for a night in an ordinary ward is about HK$1,000, the charge for a semi-private ward is about HK$2,300, and the charge for a private ward ranges from HK$4,000 to HK$6,000.

That's all, and it doesn't include prescribing medicine. If the disease is not cured, your money will have been spent like running water.

Come on, dear readers, do you still think it is cheaper to go to Xiangjiang, my country, to see a doctor abroad?

When it comes to hospital charges, there is another thing that people in China criticize the most, and that is "emergency care".

The media often publishes stories about a person who was unable to pay for an acute illness, and then the hospital refused to treat him and watched him die.

Putting aside whether this is true or not, you can think about it again: why does the hospital refuse to treat patients? Because the hospital cannot receive the money, right?

So why don’t you think about it a little more deeply? Who should bear the rescue costs for emergency patients, or patients who are in a coma and cannot provide identification?

In foreign countries, it is the responsibility of the state or welfare institutions. Even if your hospital saves you, someone will pay the bill, so that your doctor has no worries.

But in China, the hospital or doctor personally pays the bill.

It's like rescuing you for a long time and incurring a lot of expenses. In the end, the doctor not only has to save your life, but also has to pay personally. Which doctor do you think has so much money and pays for strangers all day long?

So this means that foreign doctors are of high moral character, but domestic doctors are too dark-hearted?

Of course, foreign medical systems also have a very important and unsolvable drawback, that is, they are not efficient.

It is impossible for a patient in China to have the courage to go to a tertiary hospital with a common cold or to go to the emergency room at night for a common cold.

If you go to a big hospital without an appointment, no one will treat you badly.

Some people will say, nnd, I already have a fever, how dare your big hospital not let me see you? Be careful, I will smash your doctor’s head and destroy your hospital.

The consequence of doing this is that you will be jailed, there will be huge fines, and your credit will be stained for life, and no one will hire you to work again in the future.

When seeing a doctor abroad, you only need one word: "wait"!

Unless it is an emergency, you generally have to contact your family doctor or community doctor in advance for any illness. This can take as short as one or two days, or as long as a week before they can see you.

If the community doctor thinks he can handle it, he will handle it. If he thinks he can't handle it, he will issue a transfer order for you. Then you go to a specialized hospital for examination and treatment. The process is still "waiting"!

It can be as short as a week or as long as several months. Anyway, just wait slowly.

If you just have a minor illness such as a common cold, by the time your appointment date arrives, you may have already recovered on your own.

Furthermore, if your family doctor has close cooperation with the insurance company, you think I don’t have to pay much anyway. I want to do a blood test, take a X-ray, and get a full set of examinations.

I'm sorry, but the doctor refuses, or even refuses to give you medicine, and tells you that a cold will heal on its own.

What should you do if you can't get angry or can't wait? As long as you have money, you can go to a private hospital. A case of pneumonia can send you a bill of tens of thousands of dollars. Do you dare to go?

In China, it is very common for a doctor to have more than 100 outpatient visits a day, but it will never happen abroad.

Doctors abroad drink coffee and chat at work. They may only have a few or a dozen outpatients in a day, and they are by appointment. They will never add patients temporarily.

Of course, when you go to see a doctor, the doctor's attitude is very good and careful, and he will take the trouble to ask questions, because he has plenty of time, and it is normal for him to spend an hour seeing a doctor.

In China, your doctor dares to spend an hour seeing a patient in the clinic???

Do you believe that the patient waiting in line behind you can blow your doctor’s head off? Or just yell and complain!

Foreign doctors don’t worry about income at all. The registration fee for a patient’s treatment is one hundred or even hundreds of dollars. After the diagnosis and treatment is completed, the bill sent to the patient’s home is thousands or tens of thousands of dollars.

That’s why doctors can work with peace of mind, see patients with peace of mind, conduct scientific research with peace of mind, and then have a lot of Nobel Prize winners.

Back to Chen Qi in 1984, what can Chen Qi do?

As the executive vice president in charge of clinical and business affairs, whether the hospital can survive and whether the medical staff can receive normal wages and subsidies, all of this must be earned by yourself.

The country is facing financial difficulties without allocating funds, and there are no insurance companies to pay for patients, so the wool can only come from the sheep.

Patients are always the ones who suffer the most, because most of them can only pay for themselves, medical insurance is only available to a few people, and a serious illness can push the whole family back into poverty.

Similarly, domestic doctors are also the most tired.

Foreign colleagues expect that once the medical bills are sent, they will have nothing to do, just drink coffee and wait for the number on the salary card to increase.

However, doctors in China have to keep selling business just like doing business, trying their best to make more money from patients, and also guarding against sudden attacks from patients' families. In the end, white knives go in and red knives come out.

What Chen Qi can do is to help patients spend money while curing their illnesses as soon as possible and resolving their pain, making the money well spent.

At the same time, we must also create a good learning atmosphere in the whole hospital, and no longer muddle along like before, and do things half-heartedly when seeing a doctor.

While Dean Chen was still busy with his business here, at this time in the distant Third Hospital of Beijing Medical University in the capital, there was also a professor holding an invitation.
Chapter completed!