stjorthotic Chapter 665: Privatization But Not Yet Marketization, The Medical Ethics Of Doctors In The Ming Dyna
Chapter 665: Privatization But Not Yet Marketization, The Medical Ethics Of Doctors In The Ming Dyna
When he heard Yan Changqing finally say that those who are greedy for profit and those who have medical skills but no medical ethics collude with each other to monopolize medical care, maliciously raise medical expenses and squeeze people's money, Zhu Yuanzhang immediately frowned and shouted:
"They dare?!!"
After Yan Changqing finished writing the last word, he looked back at Zhu Yuanzhang and said calmly:
“Why don’t they dare?!”
"They don't force people to go to them for medical treatment. It's just that there is no other medical center other than theirs within a radius of 180 miles!!!"
“And is Your Majesty a doctor?!!”
"Do you know what diseases are treated, what medicinal materials are needed, how much it costs, and how much labor costs it is?!!"
“Your Majesty doesn’t even know these!!!”
"Even the cost of collecting and transporting medicinal materials in different regions is different, as well as the severity of the diseases suffered by patients."
"Even I and many doctors and professors from Wanmin Medical College cannot determine the reasonable cost of treating a disease."
"Therefore, His Majesty also cannot stipulate a universally applicable price for medical treatment and medicine sales [to limit those who are greedy for profit and those who have medical skills but do not have medical ethics."
generation. "
"In addition, His Majesty cannot provide another medical clinic with doctors who have conscience, medical ethics, and excellent medical skills for the sick people to choose from."
"So even if these greedy people, as well as those who have medical skills but no medical ethics, are really trying to eat people's lives, Your Majesty can't stop them!"
"This is the same reason as if the country's imperial court does not occupy a dominant position in the grain industry, there will be unscrupulous businessmen who maliciously raise the price of grain, buy low and sell high, and deliberately defraud the people of their money."
"If the national court occupies a dominant position in the medical and health industry, in addition to private doctors, the common people will also have many conscientious people who are affiliated with the national court.
Doctors from Huimin Medical Center who are eminent in medical ethics and have excellent medical skills are available. "
"Then even if those who are greedy for profit and those who have medical skills but no medical ethics want to eat the steamed buns of human life, they can't eat it."
"After all, ordinary people are not stupid. After discovering that private doctors want to eat their lives, they will naturally go to the Huimin Medical Center established by the national court to see a doctor, get treatment and buy medicine.
"This is one of the reasons why I say that the national court will occupy a dominant position in the medical and health industry in the future!!!"
"Because only the national court occupies a dominant position in the medical and health industry, then the common people will have the most basic guarantee for medical treatment and medicine purchase!!!"
At the end, Yan Changqing also sighed lightly.
What he said is that the national court should occupy a dominant position in the medical and health industry. In fact, it means that the medical and health industry must insist on public-owned medical care as the main body.
Because medical consumption is different from other consumption. In general consumption, it is my consumption that I decide. I balance the price and price. I have the dominant power.
But in terms of medical care, medical consumption is decided by doctors. You don’t know what medicine you want to take or what tests you need to do. All these are decided by the doctor for you.
The information between doctors and patients is seriously asymmetric, and both supply and demand lie with the doctor.
Once the medical and health industry is completely privatized and marketized, the fees charged for medical treatment will really depend on the doctor's personal medical ethics and conscience.
If you have medical ethics and conscience, you will be charged for treatment at a clearly marked price.
If you have no medical ethics or conscience, then I will wait until you are on the operating table before negotiating the price with you.
At that time, for the sake of your own life, the doctor really asks you to hand over all your family property for medical expenses, and you will have to hold your nose and admit it.
And this is very detrimental to the common people.
This is also the reason why the country where Yan Changqing lived in his previous life has always insisted on taking public medical care as the main body and supplementing it with private private medical care.
However, the current medical and health industry in Ming Dynasty is mainly based on private medical care and supplemented by public medical care. This is exactly the opposite of the medical system in Yan Changqing's previous life.
However, although the current medical system of the Ming Dynasty is opposite to the medical system of Yan Changqing's previous life, there has not been a large-scale situation where doctors deliberately raised the prices of diagnosis and treatment drugs in order to squeeze money from the sick people, leaving the people with uncured diseases.
Because the medical clinics in this era are basically founded by doctors themselves, and no businessmen take the initiative to get involved.
As long as there are no businessmen actively involved, as long as the doctors who founded the medical clinic continue to uphold the benevolence of doctors and the original intention of saving people, and not for the purpose of profit.
Then there will be no such thing as deliberately raising the price of diagnosis and treatment drugs in order to pursue higher interests, leaving people with uncured diseases.
In other words, although medical clinics in this era are privately owned, they are not market-oriented.
For example, just like some of Yan Changqing's previous games, before capital investment was attracted.
So as long as the original intention of the game producer remains unchanged, players can still play a game that is conscientious and has a good experience.
But after capital investment comes in, if the game producer wants to be conscientious again, it depends on whether the employer is willing to be conscientious.
For the employer, conscience is generally a piece of rubbish that hinders its ability to make money. If you want to be conscientious, you will only be thrown out by it in the end.
The current medical industry in Ming Dynasty is equivalent to the gaming industry that has not yet received the entry of capital. Whether or not medical ethics and conscience are concerned does not depend on other people. It depends on the doctor himself.
And what is the medical ethics of doctors in this era?!!
In Sun Simiao's book "The Sincerity of Great Doctors", the medical ethics requirements for doctors are clearly written:
The first is precision, which requires doctors to have exquisite medical skills. It is believed that medical ethics is "the most refined and subtle thing", and those who practice medicine must "expertise in medical resources and be diligent and tireless".
The second is sincerity, which requires doctors to have noble moral cultivation, empathize with others' sufferings as if they were their own, inspire "a heart of great compassion and compassion", and then vow to "universally save the suffering of souls" ", and are not allowed to "show off one's talents and gain reputation" or "rely on one's own strengths and manage property."
It can be said that these two requirements are what any doctor will tell them when they start practicing medicine as a medicine apprentice, and they will be asked to remember and practice them throughout their lives.
It is not said that all doctors can fully meet the medical ethics requirements mentioned in Sun Simiao's "The Sincerity of Great Doctors", but at least the vast majority of doctors demand themselves according to such medical ethics requirements.
Therefore, based on this situation, although the current medical and health industry in Ming Dynasty is based on private medical care as the main body, supplemented by public medical care.
However, there has not been a large-scale situation where doctors deliberately raise the price of diagnosis and treatment drugs in order to squeeze money from the sick people, leaving the people with uncured diseases.
Just because businessmen are not pouring into the medical and health industry in large numbers now does not mean that businessmen will not be pouring into the medical and health industry in large numbers in the future.
If businessmen flood into the medical and health industry in large numbers in the future, it may not be up to them if private doctors want to continue to uphold their original aspirations, practice medical ethics, and practice conscience.
Once the current private medical clinics are completely transformed from privatization to marketization, it will be the common people who will be injured and suffer in the end.
That's why Yan Changqing now tells them in front of Zhu Yuanzhang, Prince Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes the necessity and importance of the country's imperial court occupying a dominant position in the medical and health industry in the future.
Zhu Yuanzhang, who was originally angry, had to fall silent after hearing what Yan Changqing said.
Because what Yan Changqing said made him unable to refute. He was not a doctor, and he did not know how to treat diseases and save people. He was even more unable to set a reasonable price for diagnosis, treatment and medicine based on the different diseases that ordinary people suffered.
So once people who are greedy for profit really get together with people who have medical skills but no medical ethics, monopolize medical care, maliciously raise medical expenses, and squeeze people's money, he really doesn't have a good solution.
In other words, the best solution is for the imperial court to open numerous Huimin pharmacies that do not pursue profits, but only seek to repay costs, with the purpose of treating diseases and saving people, so that people can have more choices for medical treatment and medicine.
In this case, those who are greedy for profit and those who have medical skills but no medical ethics will not be able to eat much of the human blood buns even if they want to.
However, even if the Huimin Pharmacy's current policy of free diagnosis, treatment and medication for poor military and civilians is changed to low-cost or paid diagnosis, treatment and medication.
However, if you want to open so many pharmacies that do not pursue profits, but only seek to repay the capital, with the purpose of treating diseases and saving people, it is still a huge expense for the country and the court!!!
…………Please give me flowers………………
【Why can’t you spend this money so much?!】
Zhu Yuanzhang silently calculated the cost of building Huimin Medical Center in his mind, and also calculated the salted fish and sea salt hoarded in Haizhou City. The corners of his mouth could not help but twitch slightly.
He has not sold any of the salted fish and sea salt he has hoarded in Haizhou City, but he has spent seven or eighty percent of the "money" from selling salted fish and sea salt in the future!
Looking at Zhu Yuanzhang who was deep in thought, as well as the princes Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes, Yan Changqing did not bother them.
After knowing that the tea time had passed, Yan Changfang spoke leisurely again:
"In addition to the medical and health industry just mentioned that needs to be dominated by the national court, there is also the energy and mineral industry that also needs to be dominated by the national court."
"The so-called energy mineral deposits refer to mineral deposits such as gold, silver, copper, iron ore, and coke ore."
"These energy minerals play a very important role and significance in the development of a country, and they cannot be controlled by people other than the national court."
"However, His Majesty has already made a decree regarding these energy mineral deposits, and clearly stipulates that all energy mineral deposits in the mountains and rivers of the world belong to the national court."
"So the national court currently occupies a dominant position in the energy and mineral resources industry. As long as it does not open up opportunities for private businessmen and others in the field of energy and mineral resources in the future."
“In general, the industries that Ming Dynasty will occupy a dominant position in the industry now and in the future are the industries of ‘food, clothing, housing, transportation and people’s livelihood’, education, transportation, medical care, and energy and mineral resources. "
"As long as Ming Dynasty can firmly occupy the dominant position in these industries and always benefit the people while harming them, then the people of the world will have a minimum guarantee and support."
"As long as the people of the world have a minimum guarantee and support, then the people of the world will not cause chaos on a large scale, let alone be incited to rebel."
"As long as the people of the world do not have large-scale chaos and rebellion, then even if there are problems in the Ming Dynasty, there will be opportunities and time to solve them." 1
Hearing this, Prince Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes all stood up together, bowed towards Yan Changqing and saluted:
"Thank you Mr. Yan for clarifying my doubts!!!"
Zhu Xiongying, Zhu Ji and Zhu Gaochi who were sitting on the side saw their father standing up to salute and thank him, and they quickly jumped down from the chairs they were sitting on and bowed to Yan Changqing as well.
Shili said:
"Thank you sir for your teaching!!!"
Looking at the princes Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes and the grandsons Zhu Xiongying, Zhu Jixi and Zhu Gaochi who were saluting him, Yan Changqing nodded slightly.
Return gift.
Then Yan Changqing thought for a while and reminded again:
"The industries that I just mentioned as 'food, clothing, housing, transportation, and people's basic needs for people's livelihood', education, transportation, medical care, and energy and mineral resources do not need to rush to dominate them all at once.
status. ’
"Today's Ming Dynasty, whether it is national strength, manpower, or other aspects, is not enough to occupy the dominant position in these industries at the same time."
"Once the imperial court wants to occupy a dominant position in these industries at the same time, the final result will be that it takes too many steps and is in trouble."
"So take it step by step and keep the existing energy and mineral industry as it is."
“Then we will start with the common people’s ‘food, clothing, housing, transportation, and basic needs for people’s livelihood’ industries, then the education industry, then the transportation industry, and finally the medical and health industry.
"Now that the problems in these industries have not been exposed, Your Majesty and Your Highnesses can slowly make arrangements.
Prince Zhu Biao, Zhu Xi, Zhu Fan, Zhu Di and other princes, as well as the emperor's grandsons Zhu Xiongying, Zhu Jixi and Zhu Gaochi, all saluted again:
"Thank you sir for your teaching!!!"
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