You could hear a pin drop in the conference room. Everyone stopped writing and looked at the youngest dean in the country.
The TV and newspaper reporters also turned their cameras back to Lin Sanqi. At this time, the reporters were also amazed. Young, too young.
Lin Sanqi took out the manuscript, looked around at the two hundred senior officials from the health system present, and cleared his throat.
"Minister Li, leaders, and seniors, hello everyone. I am Lin Sanqi, the director of the Capital Infectious Disease Hospital. Our hospital was recently established under the care of Comrade Wu and the advocacy and suggestions of Minister Li. In Minister Li's words, we started from scratch.
But Minister Li is wrong on one point. Building a new hospital definitely requires money. For example, our Infectious Disease Hospital borrowed over 200,000 yuan in cash from the Traditional Chinese Medicine Hospital to purchase various office supplies and make some renovations to the hospital.
As soon as these words were spoken, everyone below started talking about it, and even Minister Li frowned.
Lin Sanqi remained calm and continued his speech:
"Start-up capital is essential, but we paid it back after the first month of operation. Why? Because our infectious disease hospital was profitable and turned a profit in the first month."
“Oh~~~”
Everyone below looked as if they had suddenly understood something, and the old lady's brows relaxed.
"Minister Li said that the country is facing financial difficulties right now, but there is so much work to be done and so little money to build new hospitals. However, in the twelve years since the founding of New China, people's living standards have been improving, and the demand for medical services has also been growing.
For example, the majority of rural areas lack health centers, and farmers' difficulty in accessing medical care remains unresolved. Even in cities like Beijing, there are seven or eight hospitals, large and small, which can initially address the problem of medical care.
However, everyone has overlooked one point. The Capital Hospital does not provide emergency services at night. If a patient suddenly develops an emergency at night, he or she either has to wait until dawn at home or run to the inpatient department to see a doctor. This back and forth greatly delays the patient's condition.
Therefore, our country still needs to build more hospitals and train more doctors. This is the slogan. How to realize this slogan, I have summarized it in eight words: independent operation and self-responsibility for profits and losses.
Everyone present could probably understand the meaning of these eight words, but not quite, so they all held their breath and continued to listen:
"In fact, these eight words can be summed up in one sentence: How much profit a hospital makes is its own business, and the government is not responsible for funding it. This puts an end to the "big pot" system. This forces your doctors to improve their clinical skills and medical service attitudes to attract more patients.
This might sound like it's putting doctors at a disadvantage, but in reality, this system is a disguised way of encouraging doctors to be more proactive. If you have many patients, your bonus will be higher; if you have fewer patients, your bonus will be lower; and if you have no patients, you won't get paid and won't have food to eat.
For example, if Doctor A sees 50 patients today and Doctor B sees 100, the difference in funding is 50%. If this continues every day, at the end of the month, Doctor A will receive 50 yuan and Doctor B will receive 100 yuan, widening the gap.
Some people may say that this is unfair. Socialism advocates equality for all. How can we artificially divide people into different classes? Some people get more, some get less. Then aren't those who get less exploited by those who get more?
What we do at our infectious disease hospital is to quantify and publicize the work: how many patients each doctor sees in a month, or how much workload each medical team has in a month, are all posted on the wall for everyone to see at a glance, without any behind-the-scenes operations.
If you do more, you get more; if you do less, you get less. Is this fair?
I think this is the greatest fairness. The current situation in our country is that there are too few hospitals and too few doctors, so we can only mobilize the enthusiasm of doctors.
If someone originally saw 50 patients a day, but now sees 100 patients to earn a bonus, has their work efficiency doubled? Doesn't that mean they have twice as many doctors on the job?
At the same time, we also emphasize the principle of voluntariness. Some doctors don't want to be too tired and are willing to see only 50 patients a day so they can rest more the rest of the time. This idea is also correct, as long as you are willing to take half the monthly salary of others.
This statement was extremely outrageous. Fortunately, it was in 1961. If it was in 1965+1, I'm afraid the tables would have been turned over.
In fact, many leaders attending the meeting nodded slightly, especially several deans.
But Lin Sanqi's statement of "the more you work, the more you earn" is inconsistent with the principle of "equality for all", so everyone can only remain silent.
Lin Sanqi is not afraid of death. He is ready to run away at any time. Naturally, he is not afraid of being held accountable later for his words. Anyway, he does not have Ant Financial to go public.
"In addition to clarifying the allocation system within the hospital, our hospital must also improve its medical standards and establish specialized departments to attract local residents to seek medical treatment.
For example, our Infectious Diseases Hospital specializes in combating tuberculosis. Isn't that considered a specialty department? Now, people from all over Beijing, and even the entire country, flock to our Capital Infectious Diseases Hospital. Our appointments are already booked more than two weeks out.
750 appointments a day. Oh no, a few days ago, some American doctors came and said they wanted to learn tuberculosis treatment from us, so they added 100 appointments. So, 850 appointments a day.
I can do the math for you: the cost of a patient's registration, examination, prescription, and hospitalization is an average of 50 yuan. 850 patients brings in 40,000 yuan in revenue per day, or 1.2 million yuan per month.
1.2 million. Even if we make less, with costs covering two-thirds, we still have a profit of 400,000 a month. Leaders, please do the math. With this much money, how much salary and bonus can I give to my employees? How much food can I distribute?
Not only can I distribute money and food to motivate employees, but I can also provide other food, daily necessities, movie tickets, and so on. In the future, I can also provide bicycles and radios to every employee.
Think about it, everyone. We've always advocated for communism. Isn't the ultimate stage of communism one where everyone is prosperous? Material and spiritual civilization reach a very high level. So, think about it, haven't our infectious disease hospital been the first to achieve communism?
Boom~~~
The venue suddenly exploded with activity. Everyone was drowsy listening to your slogans, but if you calculated the money like this, no one would be sleepy anymore.
According to Lin Sanqi's estimate, the total number of employees at the Capital Infectious Disease Hospital is less than 400. Assuming 400 employees, the monthly profit for each employee is equivalent to 400 yuan.
At that time, each employee would receive 100 yuan in cash and 100 yuan in grain per month, leaving a surplus of more than 200 yuan. At the end of the year, it would not be an exaggeration to say that the Infectious Diseases Hospital was the richest hospital in the country.
Comparing this with the hardship of the national health system, we can only say that infectious disease hospitals are extremely rich, making money as fast as they print money.
Some people were excited, but in this left-wing era, Lin Sanqi's words still aroused the disgust of many people at the meeting.
A local official stood up and questioned:
"Comrade Lin Sanqi, the common prosperity you just mentioned only benefits your Infectious Disease Hospital. However, every penny you earn is the hard-earned money of the working people. Isn't this a form of exploitation?"
These words resonated with many people in the audience.
Minister Li was also sweating in his heart, thinking that this kid was really good at talking and was really bold in speaking. He should have reviewed his speech earlier.
Lin Sanqi was not annoyed when he heard this, but instead asked:
"Leader, may I ask you, how much is your monthly salary?"
The official shouted back, "Why shouldn't I tell you? Salaries are public. I'm an administrative level 8 employee, and my monthly salary is 230 yuan."
Lin Sanqi continued to ask with a smile:
"Everyone knows that tuberculosis is a terminal illness, with nine out of ten patients dying. But everyone also says that life is priceless. Now I use 50 yuan to cure a life, which is equivalent to one-fifth of your annual income. Do you think it is expensive?
This 50 yuan includes registration fees, examination fees, medication, the mental effort of doctors and nurses, service fees, and so on. I believe our hospital has paid a lot, so how can we say this is exploitation? Who are we exploiting?
"this……"
At this time, another cadre stood up:
"President Lin, our socialist country emphasizes distribution according to need and practices a planned economy. If you were to follow your words and talk about money all the time, wouldn't we be a capitalist country?"
Lin Sanqi rolled his eyes quietly when he heard this, but still looked serious on the surface.
"Leader, I don't agree with what you're saying. Whether it's socialist or capitalist people, getting sick is accidental. Does our country also require planning for medical care? How many people are planned to get sick every day?
Or should we only plan how many people can get into the hospital each day? Or even how many people will recover and how many will die each day? Do we need to plan for all of this?
That's why I initially told Leader Wu and Minister Li that our health system is unique and can't follow the traditional planned approach. We must constantly adjust according to the number of patients. Otherwise, if we produce drugs that no one uses and they expire, who will bear the loss?
Just as Lin Sanqi finished answering, another cadre raised his hand and said:
"Comrade Lin, when it comes to building a new hospital, I understand what you mean. You want the hospital to be on the right track. You need to improve the clinical skills of doctors and create specialized departments. This will attract more patients, generate a lot of revenue, and put the hospital's finances on a virtuous cycle.
But there's a problem here. You also mentioned that the start-up capital for your Capital Infectious Disease Hospital was borrowed. If we want to build a new hospital locally, where will the start-up capital come from? The Ministry of Health and local health bureaus don't have the money."
Many people agreed with this statement.
Doing business requires capital. Without capital, even if you know which business is profitable, you can only sigh in despair.
It is definitely impossible to rely on a poor government agency like the Health Bureau. If the government had money, why would it hold this experience sharing meeting today?
Lin Sanqi came from later generations and felt that this trivial problem was not difficult at all.
"It's actually not difficult to find start-up capital. We have banks in every region, even in every county. What do banks do? They serve large enterprises and institutions that are short of funds.
We can definitely get a bank loan. Of course, we'll have to pay interest every month, but since we're all state-owned enterprises, the interest rate can be kept low. That way, we'll have some start-up capital."
Another question came from another corner of the conference room:
"Director Lin, if I apply for a bank loan and the hospital's initial operating income doesn't reach the ideal figure, wouldn't we be burdened with such a huge sum of money, with the interest compounding every month, and then become tenants exploited by the landlord?"
Hehehe~~~
Everyone chuckled.
When it comes to owing money, the first thing that comes to mind are the farmers exploited by landlords and the workers exploited by capitalists in movies and TV dramas. In short, they are all negative impressions.
So before borrowing money, everyone is worried about what will happen if they can't pay it back? Then they will be overwhelmed by the principal and interest.
Lin Sanqi thought, these are middle and senior level cadres, their lack of economic and financial knowledge is really outrageous. After all, they are soldiers, and their cultural level is not high like Li Yunlong.
"Everyone, who said that repayment needs to be paid all at once? Our infectious disease hospital is in a special situation. Because we have money, we are able to repay 200,000 yuan to the Chinese medicine hospital in one lump sum.
If you want to borrow money, you can repay it monthly. For example, if you have difficulty repaying 200,000 yuan, you can repay it over three years. The monthly principal plus interest is more than 5,000 yuan, which is less than 20 yuan per day on average. Do you still think you can't afford it?"
"Oh, that's right~~~"
If you say you have to pay back 200,000 yuan, everyone will be scared, but if you say you have to pay back 20 yuan a day, everyone will think it's a small amount of money.
What Lin Sanqi was thinking about at this time was the advertisement posted in his own elevator in another time and space, saying that if you wanted to buy a luxury car, you only had to pay a few dozen yuan in loan repayment every day, and then a large number of people would not be able to resist the temptation and buy the car.
While everyone was discussing this, a local cadre asked:
"Director Lin, I have a question. Even if we borrow money to build a new hospital and hire new doctors, there's still a shortage of medicines across the country. How can we resolve this contradiction?"
This question was a bit beyond the scope, and Lin Sanqi started to scratch his head.
Medicine is indeed the foundation of a hospital. Without medicine, no matter how skilled you are as a doctor, it will be useless and you will be at a loss.
How do we get medicine? First, there must be a pharmaceutical factory producing the medicine, right?
However, the prerequisite for building a pharmaceutical factory is that you must have a complete industrial system, pharmaceutical research system, biochemical system, etc.
But if you want to establish so many systems, you need talent, right? This involves the issue of university discipline establishment and talent training.
The thought of how complex it was to produce a single pill was a headache for the smuggler Lin Sanqi. He couldn't possibly be the sole supplier of all the medicines in the country, could he?
Minister Li is obviously also very concerned about this issue.
The health system has already tasted the sweetness of the X-ray production line. Although most of the X-ray machines produced are exported to exchange for foreign currency and food, it is also a good start.
What if Lin Sanqi could bring back some more drug production lines? Wouldn’t that solve the nationwide problem of drug shortages at once?
Lin Sanqi also has his own concerns. He is moving production lines and chemical raw material factories from modern society bit by bit like an ant moving house. Will they all be smashed, burned, or destroyed in a few years?
If we move, we will definitely have to move some production lines and raw material factories here.
But if the production line is moved here, where should this pharmaceutical factory or drug production base be placed to avoid being affected by the storm?
This is a very difficult problem.
In any case, it is definitely not possible in major cities across the country such as the capital, Shanghai, Tianjin, Wuhan, and Chongqing.
According to the information Lin Sanqi found, the bigger the city, the more severe the storm will be. No matter how many pharmaceutical factories you build, they will all be paralyzed in the end.
But the country is so big, there must be a safe place, right? Lin Sanqi had to find a safe place. Of course, this is a story for later.
Lin Sanqi lowered his throat and decided to solve the problem at hand first.
"This leader is right. Not only are local hospitals in the region, but even Union Hospital is facing the same difficult situation of a shortage of doctors and medicines. Union Hospital President Tu was there, and he said that many of the medical machines at Union Hospital wouldn't work because there were no replacement parts.
Only my former employer, Capital Hospital of Traditional Chinese Medicine, was better because we used pure Chinese medicine at the beginning. We also set up our own "purchasing department" to buy Chinese medicinal materials from all over the country. I was also one of the purchasers when I first started working.
Later, our infectious disease hospital came up with three solutions to solve the problem of drug shortage.
One is to produce our own drugs, such as anti-tuberculosis drugs, which we have our own manufacturers. However, this is still under confidentiality. When the time is right, we will promote TB drugs nationwide.
Another type of medicine our hospital needs, such as those for protecting the liver and kidneys, clearing away heat and detoxifying, is also produced and sold by ourselves, relying on the prescription support of traditional Chinese medicine hospitals. In this way, the combination of Chinese and Western medicine has preliminarily solved the problem of medicines needed for tuberculosis.
We also have some antibacterial drugs, which we obtained from overseas through special channels. It all depends on your ability. Back then, our Party was able to obtain penicillin in the old revolutionary base areas, so there's no reason we can't get it now. It all depends on how diligently we use it."
Minister Li interrupted at this time:
"President Lin, there are thousands of different types of medicines. Let's not discuss them for now, let's just talk about penicillin, which is in short supply in China. Do you have any ideas for us to first secure a batch? Then, can you help us secure a few production lines? We'll strive for domestic production and mass production."
Lin Sanqi thought that the old lady was really cunning. She was waiting for him here?
Moreover, in front of so many people, it feels a bit like moral kidnapping. You can't just take care of your own hospital and ignore other units, right?
Sure enough, after hearing what the boss in the system said, the heads of health departments across the country and the presidents of major hospitals were all excited.
"Dean Lin, can you get penicillin?"
"Comrade Sanqi, we in western Gan Province are desperately short of penicillin. You have to help us find a solution!"
"Dean Lin, if we're talking about a shortage, we're in Liaodong Province, where we have more factories and workers, and the demand for penicillin is even greater. Unstable industrial production has an impact on the overall national situation."
Even the presidents of several digital hospitals jumped out:
Liu Shengli took the lead and started to make trouble:
"Xiao Lin, don't forget that you are an active-duty soldier with two bars and three stars. You can't forget our family."
"That's right, the army-first system still has to prioritize ensuring the supply of antibiotics to the troops!"
Except for the directors of traditional Chinese medicine hospitals in various regions who were relatively calm, everyone else started complaining and the meeting room immediately became chaotic.
It really proves the old saying: The world has suffered from the shortage of antibiotics for a long time.
Lin Sanqi blinked and thought to himself, how come this experience sharing session is about to turn into a product recommendation meeting?
He is a smuggler who trades between two worlds. Isn't the money he makes as a middleman through speculation? Since others have needs, there is no reason for him to refuse, right?
"Everyone, please be quiet. Since everyone has this demand, let's address it one by one. First, we need to address the severe shortage of penicillin across the country. So, I'll try to get two million bottles of 400,000 units of penicillin."
Boom~~~
The whole place exploded again. (End of this chapter)
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