stjorthotic Chapter 663: Free Medical Care Across The Ages, Free Medical Care Out Of Time [Please Subscribe, Ple
Chapter 663: Free Medical Care Across The Ages, Free Medical Care Out Of Time [Please Subscribe, Ple
After hearing Yan Changqing say that the vast majority of the people in the Ming Dynasty were sick and did not go to see a doctor because they had no money and relied on their own resistance, the princes Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes all fell silent.
At this moment, Prince Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes discovered that they originally thought that they had personally gone to the place and served as the county magistrate for three years, which could be regarded as a deep understanding of the sufferings of the people.
However, Yan Changqing's words now made them realize that the sufferings of people's livelihood that they had learned about in the past were still far inferior to the sufferings that ordinary people actually faced!!!
However, this incident cannot be blamed on Prince Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes.
Because once they came, although the princes Zhu Biao, Zhu Xi, Zhu Fan, Zhu Di and other princes were demoted to their places by Zhu Yuanzhang.
However, Zhu Yuanzhang still attached great importance to their personal health. By the side of each prince, Zhu Yuanzhang arranged for a corresponding imperial doctor to accompany him, who was responsible for daily diagnosis and treatment and protecting the health of each prince, as well as his concubine and his grandson. healthy.
Therefore, in the past three years, although Prince Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes, as well as the imperial concubines and imperial grandsons, have also experienced physical discomfort from time to time, but when accompanied by imperial doctors, , and basically can get diagnosis, treatment and cure at any time.
Therefore, after such things happen too many times and a long time passes.
Prince Zhu Biao, Zhu Xi, Zhu Fan, Zhu Di and other princes were all accustomed to being able to receive medical treatment from doctors anytime and anywhere, and even subconsciously thought that other people had the same good medical conditions as them.
Secondly, even if most people are sick, as long as it is not so serious that they can hardly move, they will still force themselves to continue working.
If you don't pay special attention to this kind of abnormality, you won't be able to tell that there is much of a problem.
At most, the sick people are regarded as tired after a day of farming.
So he seems to be in a bad mental state, which is normal.
Therefore, when the princes Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes often went to towns and villages to understand the situation in order to better formulate plans to lead the development of local counties.
What I saw was that the people, whether they were sick or not, were working hard in the fields.
And those people who are so sick that they can't move their bodies and can only lie in bed to recuperate will not go out.
Although the princes Zhu Biao, Zhu Xi, Zhu Fan, Zhu Di and other princes often had a deep understanding of the people's livelihood under their rule.
However, the princes Zhu Biao, Zhu Xi, Zhu Fan, Zhu Di and other princes did not have a deep understanding of the family life of every household under their rule.
Therefore, the common people who were lying silently at home recuperating, and the princes such as Prince Zhu Biao, Zhu Di, Zhu Fan, Zhu Di, etc. were naturally invisible.
This situation is equivalent to a reporter standing on a train and asking who has not bought a train ticket to go home!!!
People who cannot buy tickets will not be visible to reporters.
People who are also sick, including Prince Zhu Biao, Zhu Xi, Zhu Fan, Zhu Di and other princes, are also invisible.
Thirdly, under normal circumstances, as long as you do not encounter infectious diseases, the number of people who get sick at the same time will still be a small number after all.
And the common people who happened to be encountered by the princes Zhu Biao, Zhu Xi, Zhu Fan, Zhu Di and other princes and found to be sick were only a handful of common people among the minority.
Therefore, even if the common people who occasionally saw illness and did not go to the doctor and chose to fight on their own, the princes Zhu Biao, Zhu Xi, Zhu Fan, Zhu Di and other princes would only regard it as an accidental phenomenon.
After all, the Ming Dynasty is so big and there are so many people in the world, there will always be people who are so poor that they can't even afford to get sick.
This is understandable. They are not arrogant enough to think that the Ming Dynasty has been governed by them to a prosperous stage where there are no longer poor people in the world.
So when encountering this kind of situation, they usually take the initiative to pay some money themselves, and then let the people take the money to get a good medical treatment and that's the end of it.
This does not lead to the thought that most people in the world despise the disease after getting sick, and then silently choose to fight against it.
However, although they understand the sufferings of the common people, they do not understand the sufferings of the common people thoroughly because they are good at wealth and status.
Zhu Yuanzhang truly belongs to the kind of person who has endured and endured all the hardships of the common people!!!
For him, he does not need to understand the sufferings of the people.
Because in the first half of his life, the sufferings of the people never left him!!!
To put it even slightly exaggeratedly, 99% of the people in the world may not be as miserable as he was in the first half of his life!!!
Therefore, Zhu Yuanzhang knew that for those people at the bottom who could not afford to see a doctor when they were sick and had no choice but to fight hard, and in order to solve this problem, he made real efforts and implemented some measures.
So after hearing this, Zhu Yuanzhang, who was sitting at the back, raised his chin slightly, looked at Yan Changqing on the podium, and said with a touch of pride and contentment in his tone:
"We also know what you said about ordinary people who have no money, can't afford medical treatment, and are unwilling to go to see a doctor!!~||!"
"So after three years in Hongwu, we have ordered the establishment of Huimin Pharmacy in every prefecture and county!!!"
"He also ordered a medical doctor and a surgical doctor to be selected from the medical office to specialize in medicine and bait to benefit the poor and sick soldiers and civilians. He cannot be blamed!!!"
In Zhu Yuanzhang's view, since poor people cannot afford medical treatment because they have no money.
It would be easy to set up the Huimin Medical Bureau to solve this problem.
Beginning in the third year of Hongwu, Zhu Yuanzhang ordered the establishment of Huimin Pharmacies in all prefectures and counties, specifically responsible for the diagnosis and treatment of sick poor soldiers and civilians, and the provision of free medicines.
This is free medical care for all poor military and civilian people!!!
Such a social welfare system was established in the third year of Hongwu, that is, 1370. It is not an exaggeration to say that it is a feat that surpasses the current social productivity!!!
However, since it is a policy that goes beyond the current social productivity, various problems will naturally arise.
Yan Changqing did not even need to take the initiative to raise these questions. The ten princes, including Prince Zhu Biao, Zhu Di, Zhu Nan, and Zhu Di, who were sitting next to Zhu Yuanzhang, had already thought of them.
"If I remember correctly, the number of Huimin Pharmacies from the third year of Hongwu to the present is probably more than 300, covering only a quarter of the prefectures and counties in the Ming Dynasty!!!"
Prince Zhu Biao pinched his eyebrows and carefully recalled the recorded information about Huimin Pharmacy in various year-end reports of Ming Dynasty that he had seen before, and then he spoke.
Although his father did indeed create a policy system such as the "Huimin Pharmacy", it is obvious that after his father established this system in recent years, he did not particularly vigorously promote this policy system.
Or maybe the government and local governments don't have a lot of fiscal revenue, and their budgets aren't that sufficient.
Therefore, from the time when the policy system of "Huimin Pharmacy" was established in Hongwu three years until now, the progress of its promotion and implementation can only be considered average.
"And if we follow what Mr. Yan did before, the medical plan for this part of Wanmin Medical College will be implemented."
"The fastest we have to wait until the first batch of medical students recruited by Wanmin Medical College this year graduates in five years and return to their respective prefectures and counties can we fully establish Huimin Pharmacy in all prefectures and counties of the Ming Dynasty!!!"
King Qin Zhu Qian tapped his index finger on the table and said in a gentle tone.
Naturally, they also knew a thing or two about the rough five-year plans for Wanmin Agricultural College and Wanmin Medical College that Yan Changqing had made previously.
If we look at the five-year plan of Wanmin Medical College and Medical College made by Yan Changqing, it will take five years at the earliest before Ming Dynasty can truly establish corresponding Huimin Pharmacies in every corner of the country.
"And even if Huimin Pharmacies are really established in every county across the country, the Huimin Pharmacies in the future will definitely not be able to continue to provide free diagnosis, treatment and medication to all poor military and civilian people!!!"
"In other words, it is okay to provide free diagnosis and treatment, but it is not okay to provide free medicine!!!"
"Because the imperial court needs to spend money to purchase medicines, no matter how low the price is, once it is multiplied by the number of medicines needed by the 60 million people of the Ming Dynasty in their daily lives,
That’s also an astronomical figure!!!”
"And today's imperial court is far from being able to afford such financial expenses for medical drugs!!!"
Jin Wang Zhu Fan couldn't help but sigh and said, although he didn't remember the affairs of Huimin Pharmacy very clearly.
But he only needs to know that Huimin Pharmacy is currently providing free diagnosis and treatment to sick poor soldiers and civilians, and providing medicines free of charge.
As long as it is free, it means that the financial expenses in this area are a bottomless pit.
And once such a bottomless pit is multiplied by a number of 60 million, it will directly become a sinkhole that can bring down the Ming Dynasty's finances!!!
Therefore, it is not advisable to directly provide free diagnosis and treatment to sick and poor soldiers and civilians, as well as to provide medicines free of charge.
"Perhaps Huimin Pharmacy is not yet large in scale and quantity, and the imperial government's tax revenue can still afford it!!!"
“But as time goes by, the number of ordinary people will increase in the future, and the financial expenditure on medical drugs will also become larger and larger!!!
"Until one day, the imperial court's fiscal and tax revenue can no longer afford this steady stream of astronomical medical and drug expenditures!!!
"In the end, either the imperial court will cut the medical and drug budget of Huimin Pharmacy, which will reduce the number of people in Fuze of Huimin Pharmacy!!!"
"Either the imperial court directly changes its policy and switches from free to paid!!!"
"Otherwise, the imperial court should directly cancel the existence of Huimin Pharmacy!!!"
"No matter what the situation is, ordinary people who have experienced free diagnosis and treatment, as well as free medicines, will inevitably feel resentful and dissatisfied!!!"
"At that time, maybe they will complain about the court in turn!!!"
"I don't recommend doing something like this that will be thankless in the future!!!"
"If we really want to do it, then at least as the third brother said, we can provide free diagnosis and treatment, but we will not provide free medicine!!!"
King Yan Zhu Di also frowned and said that he also disapproved of Huimin Pharmacy's free diagnosis and treatment and the free provision of medicines.
The human heart is always greedy.
Perhaps now the imperial court can support Huimin Pharmacy's free diagnosis and treatment, as well as the free provision of medicines.
But in the future, the imperial court will no longer be able to support Huimin Pharmacy's free diagnosis and treatment, as well as the free provision of medicines, and the budget will need to be reduced, or it will be changed from free to paid.
Can the people who have enjoyed free diagnosis and treatment and medicines provided free of charge in the past still accept it?!!
I can't accept it, no matter how reasonable it is, what the common people see is their "."welfare" in reality
decreased.
At that time, it is extremely normal and common for people to feel dissatisfied and complain!!
Therefore, in the view of King Yan Zhu Di, instead of making the people dissatisfied and complaining in the future, it is better to cancel this policy system now and cut off the root cause of the people's dissatisfaction in the future.
The possibility of dissatisfaction and complaints.
Or we should revise this policy system, at least change the free provision of medicines into a paid provision of medicines.
"Although there are more than 300 Huimin pharmacies in the Ming Dynasty, about one-half of them have medicines but no medicines all year round!!!"
"Every year, the free medicines distributed by the imperial court will be used up every time after they are delivered to Huimin Pharmacy!!!"
"Afterwards, I submitted Huimin Medicine and applied to the court for a memorial to allocate supplementary medicines. Unless I happened to see it, I would hardly get any reply!!!"
“The remaining half of Huimin Pharmacy is either in name only or in dilapidated condition!!!’”
"Similarly, unless I happen to see it and then order and allocate funds to implement and repair it, otherwise the people below will basically let it be abandoned like this!!!"
Zhou Wang Zhu Zhu also sighed deeply.
Compared with other princes, Zhou Wang Zhu Ru was more interested in medical skills, and in addition to serving as a supervising country and assisting the government for the past two years, he had a collective sentiment towards the current situation of Huikang Medicine Store.
The situation needs to be clearer.
Before he came to supervise the country and assist the government, the more than 300 pharmacies that benefited the people either had medical treatment but no medicine, were in name only, or were in ruins.
The whole thing can only be described by two words: Lagao!!!
However, this is also related to the fact that the setup and management of Huimin Pharmacy are very imperfect!!!
It was not until the past two years when he was supervising the country (Li Haozhao) to assist the government that the situation of Huimin Pharmacy became slightly better.
At least he saw that all the memorials submitted by Huimin Pharmacy were approved, and the appropriation was implemented and the allocation of medicinal materials was replenished.
"Huimin Pharmacy can provide free diagnosis and treatment in the future, and then provide corresponding medicines at low prices to poor soldiers and civilians who are sick while ensuring that the court will not lose money!!!"
"If you really can't afford medicines, the doctors at the local Huimin Pharmacy can guide the families of the poor soldiers and civilians who are sick to go to the mountains to collect raw medicinal materials and bring them back!!!"
"Finally, the doctors will make the original medicinal materials into qualified medicines and give them to the poor soldiers and civilians who are sick!!!"
"If you don't have enough time, Huimin Pharmacy can provide medicines for the sick poor soldiers and civilians to treat their illnesses first!!!"
"After that, the relevant poor military and civilian people "went to the mountains to Jikang station forest to replenish Mianhuiliang Pharmacy!!!"
"In this way, there is no need to increase the extra burden on the government's medical and drug budget, and at the same time, there is no need for the poor soldiers and civilians who are sick to contribute money. All that is required is to contribute!!!"
After Chu King Zhu Zhen thought carefully about it, he also put forward his own ideas and opinions on luck.
"In addition, there are issues such as the jurisdiction of Huimin Pharmacy, the daily management system, and where future related budgetary expenditures will go. These issues also need to be further discussed.
Let’s discuss and improve it in one step!!!”
“The current policy and system of Huimin Pharmacy is too crude!!!”
Qi King Zhu Shu also shook his head and said.
Thanks to the fact that he had done local county policy planning for the past three years, now Qi King Zhu Bo looks back at the policy system of Huimin Pharmacy established by his father, and he only feels that there is nothing wrong with it.
There are omissions everywhere.
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