If the Chinese leaders were present, they would be very surprised:
First, I'm surprised by how expensive the treatment is. A disease that can be cured for tens or hundreds of yuan in China costs tens of thousands of dollars in the US?
Secondly, I'm surprised that hospitals aren't serving the people. They're telling everyone, "If you have money, you get treatment, but if you don't, you don't get treatment." How come American hospitals and society don't care about human rights?
Sure enough, a very small number of patients at the scene began to curse:
"Fuck, this is not fair. Why can't we poor people get treatment?"
"I am willing to sign the application for social assistance. Please, save me."
"We are willing to pay in installments, sir, can you give us a chance?"
But most patients were calm, having apparently accepted the high cost of tuberculosis treatment. Some noble people were already turning people away:
"Leave now! Tuberculosis is a terminal illness. How can the newly invented medicine be cheap?"
"Stop disturbing the order, police, there are people shouting here, please drive them away!"
The medical systems in the United States and China are different. As long as ordinary Chinese people can borrow a little money, they dare to go to top hospitals such as Peking Union Medical College Hospital, West China Medical University, and Ruijin Hospital.
But in the United States, poor people and ordinary people will not go to top hospitals such as Massachusetts General Hospital, Mayo Clinic, and Cleveland Clinic.
Because only the rich can pay the bills of such top hospitals, the money in the pockets of poor people may not even be enough to pay the registration fee.
Of course, the poor in the United States should not expect family members to hold the patient, run to the hospital door, and kneel there to beg the hospital for help.
This kind of helpless kneeling works in Chinese hospitals, because the hospitals will treat you or at least give you basic treatment measures, either under pressure from public opinion or out of humanitarianism.
This approach doesn't work in the United States, which is a cruel, cold-blooded and ruthless country. If you don't have money, you can only go to public hospitals or church hospitals.
However, there are exceptions. That requires that your disease is extremely rare, has medical research value, and can allow doctors to write papers and become famous, then your medical expenses can be waived.
Therefore, the people queuing on site are basically either rich or noble, and many of them are queued by their secretaries or assistants.
After Professor Anthony saw that the discussion in the crowd had subsided, he said:
"OK, now that everyone has reached a consensus, let's start signing up now. If today's appointments are exhausted, we'll open up tomorrow's appointments. The remaining appointments will be announced on the blackboard next to us every day."
This set of skills was learned from Lin Sanqi.
Lin Sanqi had no choice but to use this registration method, because there were no mobile phone appointments available now.
But in the United States where telephone appointments are very popular, they still use this method. It has to be said that Anthony's team has a sharp eye and sees the advertising effect.
The next day, eight o'clock in the morning.
Many wealthy and prominent patients stood on the roof and looked at the infectious disease area in the southeast corner of the hospital in surprise.
Because there are already crowds of people there, it's as lively as Christmas, which has never happened in the quiet Massachusetts General Hospital.
Professor Anthony is in charge of the outpatient clinic, and Professor Theodore is in charge of the ward, and the day's official reception work begins.
The diagnosis of tuberculosis is already very clear. Doctors in infectious diseases and respiratory departments all understand it, and no additional training is required.
Therefore, clinicians got the hang of it quickly and began to treat patients in an orderly manner.
Doctors from more than 300 hospitals across the United States began to enter internship mode, with doctors from other hospitals sitting nearby and observing the entire diagnosis and treatment process.
There are more than 30 top doctors in the United States sitting in Professor Anthony's clinic.
Fortunately, Massachusetts General Hospital had made preparations in advance and prepared an office for Professor Anthony, which served as an open teaching class.
No one in Anthony's team noticed that what they were doing was exactly what Lin Sanqi had done in the Beijing Infectious Disease Hospital. This group of people were subconsciously influenced by it.
After get off work in the evening, chairmen, general managers, and presidents of more than a thousand hospitals from North and South America gathered together.
How much of the anti-tuberculosis drug iboperidol tablets can be used annually if Massachusetts General Hospital alone relies on it? Therefore, global distribution is necessary to increase the amount of iboperidol used.
Massachusetts General Hospital is just an example.
But to attract all hospitals in the world to use this drug, not only do we have to give red envelopes to the hospital directors and doctors, but public hospitals can do this as well.
However, for the board of directors of private hospitals, which are at the top of the pyramid and have great strength in the Americas, what is important is to create value for the hospital and the boss.
Doctors can make money privately, but hospitals cannot, which is not attractive to private hospitals.
Therefore, Anthony's team invited the directors and chairmen of famous private hospitals in North America and South America to come and give these capitalists a good accounting and attract them to actively use Epyridamole tablets.
Professor Anthony sat on the stage, settling the day's accounts with the hospital administrators:
"Ladies and gentlemen, you all have seen how overwhelmed our Massachusetts General Hospital is today. Perhaps one day's data doesn't mean much, but I still want to do some calculations for you.
Today we received 1,000 patients, of which 100 were admitted to the hospital, accounting for 10%.
Each major hospital can determine its own hospitalization standards. Our Massachusetts General Hospital is relatively strict and we only admit critically ill patients.
If the standards are relaxed, the hospitalization rate could reach as high as 80%.
In other words, almost all tuberculosis patients can be admitted to the hospital, undergo a comprehensive examination before taking medication, and then evaluate side effects and efficacy, etc.
So do you know what this means?
If you admit one more inpatient, you can earn more money.
If we speed up the bed turnover rate, then one bed can treat up to five patients per month, which is a very optimistic figure."
Hospitals all want to make money, but outpatients are not the most profitable because they can undergo fewer tests and prescribe fewer medicines.
At this time, the hospital with a higher hospitalization rate means that it can make more money from patients.
For example, a full set of examinations must be conducted after admission, and the examinations must be continuously improved during hospitalization. Another comprehensive examination must be conducted before discharge to evaluate the treatment effect.
After so many examinations, including blood draws, X-rays, and sputum cultures, the money flowed into the hospital's account.
When the directors sitting below heard that the hospitalization rate of tuberculosis patients could be increased, they all became interested.
Professor Anthony knows what these deans want to hear. If clinicians want to hear professional knowledge, then all the deans need to do is talk about how to make money.
"Even if it's just outpatient care, we can actually do some calculations. For example, the 800 outpatients today are planning to take a six-month course of anti-tuberculosis drugs.
At Massachusetts General Hospital, the standard cost for a course of treatment is $15,000 for medication alone. But do you know how much our anti-tuberculosis drugs cost? $10,000.
That is to say, today we generated $4.5 million for the hospital just from outpatient patients in one day, which means almost $10 million a month and nearly $200 million a year.
And this is just the money earned for the medicine. In addition, there are various examination fees, registration fees, service fees, etc. If you are hospitalized, there are also hospitalization fees. Don’t you think this is a treasure trove? "
Boom~~~The deans below were all excited, with golden light in their eyes.
But there was also an anxious dean who asked:
"Professor, we in Moxi are poor and cannot afford the $15,000 medical bill. What should we do?"
Professor Anthony smiled and replied:
"First, we have to cut a wave of wealthy people's leeks. Tens of thousands of dollars in medical expenses are definitely a small amount for the wealthy.
Just as our country, the United States, has a population of over 200 million, we predict that there are at least 10 million tuberculosis patients.
So even if 10% of them are wealthy people who pay for it themselves, the remaining 60% still have medical insurance to cover the cost.
So let's do the math, is a patient market of around 7 million enough for us to make a huge fortune?
As for the remaining 30% of the poor, or ordinary people without insurance, we can only say sorry.
When we have made enough money and the rich have been cured, we will make money from the poor.
Specifically, all medical expenses will be paid by the government. At that time, the worst that can happen is that the price of anti-tuberculosis drugs will be reduced. A country with millions of poor patients is enough for us to make a fortune.
So my idea is that now we have to maintain high prices and make money from the rich and the insurance industry first.
When we can no longer squeeze out oil, we will start treating the poor. But that day may be decades away.
Because tuberculosis is highly contagious, and the tuberculosis bacteria are constantly spreading and creating patients for us, why should we worry about a lack of patient resources?
As long as there are patients, we can keep making money."
As soon as Professor Anthony finished speaking, the deans present immediately started a heated discussion.
Because this account is very easy to calculate. By calculating the population of a country and the approximate number of tuberculosis patients, you can estimate the size of the market.
I don't know if I'm not counting, the more I count, the more excited I get. (End of this chapter)
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