120 yuan/year, which means the basic salary is 10 yuan per month.
For a barefoot doctor in a rural area, even if he has no other income, he can survive on just 10 yuan.
After all, barefoot doctors are farmers themselves and can also grow crops and vegetables, so their daily expenses are not high.
It can even be described this way: at that time, the vast majority of farmers in the country worked hard for a year, and the dividends distributed to their teams at the end of the year might be less than 120 yuan for the whole family.
There are about 3.5 million villages in the country, which means Bao'an County has to subsidize about 400 million yuan every year, which is less than 200 million US dollars.
This amount of money is an unbearable burden for the local finances, but for Bao'an County, which is about to make a fortune from antibiotics, it is just a small amount of money.
Dean Shan calculated silently in his mind for a long time, and his eyes suddenly lit up.
"Minister Lin, if you follow your way, how can I be the director of a county hospital? My monthly salary plus subsidies is only 25 yuan.
If I were to become a village doctor in the countryside, I'd definitely have plenty of patients given my skills. With the cost of registration, medication, and a 10 yuan subsidy, I'd earn at least 50 yuan a month."
50 yuan is definitely a huge sum of money for a poor county.
Lin Sanqi smiled and said:
"Yes, we need to increase the income of barefoot doctors. The higher the better, so that others will envy them more. This way, more people will join the barefoot doctor team, and even attract professional doctors to join.
I am very opposed to egalitarianism. If a doctor works in the office and is treated the same regardless of how much he works, this will only cultivate lazy doctors, and their service attitude will not be very good.
I once ate at a restaurant in the capital, and some of them had signs on the walls: "No assault on innocent customers." Listen to that, isn't it scary?
When you go out to eat and the food doesn't taste good, there are bugs and hair in it, or the waiter has a bad attitude, and the waiters and chefs in the restaurant are ready to come out with knives to scare you at any time, what kind of service attitude can you talk about?
Similarly, when we go to a supply and marketing cooperative or a department store to buy something, if we ask the salesperson three questions and they can answer us once, we are lucky. But the salesperson usually just looks down on us and ignores us.
The same is true in hospitals. Doctors are there to serve the people. Patients are already suffering from their illnesses and feeling down. If they encounter a doctor who is cold and abusive, won't their condition worsen?
At this time, any ideological and moral education for doctors, or any criticism and self-criticism within the organization, are all empty talk. They say one thing at the meeting, but continue to do their own thing after the meeting.
Therefore, the only way to improve doctors' service attitudes, encourage them to take the initiative to learn medical knowledge, and make them cherish their jobs is to motivate them with money.
If you have the money, everything is easy. But if you have no money, if you are so poor that you can't even have enough to eat, how many people can be kind to others?
Pang Donglai is the best example, of course you don’t need to care what Pang Donglai is.
Let me give you another example. Barefoot doctors work in rural areas all year round and actually need to be on duty 24 hours a day. Who knows which villager may suddenly fall ill in the middle of the night and knock on the barefoot doctor's door.
If barefoot doctors are on call 24 hours a day for years, they will be tired and their spirits will be tense. How can you expect them to be in a good mood and willing to serve the villagers?
Well, as long as you have the money, it's all right. How much money can you make from each visit as a barefoot doctor? Isn't that a happy feeling? You don't have to worry about the wind and rain, or traveling day and night, because the more work you do, the higher your income.
At this time, they don’t need guidance from their superiors, nor do they need urging from the people. Barefoot doctors have plenty of motivation to serve the people around the clock.”
County Magistrate Jin and Dean Shan looked at each other and saw shock and confusion in each other's eyes.
Dean Shan swallowed his saliva and then spoke:
"Lin, Minister Lin, I understand what you mean. I also like money. If you can increase my salary and income, I will certainly be very happy and will be more motivated to work.
But this is inconsistent with the current propaganda.
Doctors are said to be hardworking and dedicated, and they are even told not to retaliate when patients insult them or hit them, and to keep any grievances to themselves.
Now you're suddenly talking to the barefoot doctors about money, saying that the more work they do, the more money they earn, and that all the money they earn is theirs. Isn't this blatantly putting money first? It's inconsistent with the spirit of your superiors."
Lin Sanqi said indifferently:
"Why can't doctors have money? This concept itself is wrong. They say life is priceless, so why do you have to haggle over the price of treating a disease? Are you reluctant to spend a few taels of silver?
I will not reform urban hospitals. The thinking of urban doctors has long been fixed, and it is difficult to reform the thinking of people in large hospitals.
Just like you, Dean Shan, when you hear about letting doctors make money, you get terrified and afraid of making mistakes.
But barefoot doctors are a new thing, and it is easier for me to think about it.
If someone objects, that's easy. The person who objects, or your local government, can bear the income of all barefoot doctors. You are the one who pays the money, so of course they have to listen to you.
If you are not willing to take your own responsibilities but want to point fingers at the barefoot doctors and interfere in their affairs, I think you are not qualified to do so.
My attitude towards barefoot doctors is that local governments only need to supervise and provide business guidance, and should not interfere too much in other matters. The more local governments interfere, the more likely they will die.
It would be best to let the barefoot doctors manage themselves.”
Lin Sanqi had looked up relevant information and had himself experienced the development of barefoot doctors.
For example, his biological father is actually a barefoot doctor in the village, and he has a "rural doctor certificate" in his hand.
In history, starting from the 1980s, the rural cooperative medical system went bankrupt and stopped after the distribution of property to households.
But at that time, hospitals were still concentrated in cities, especially big cities.
However, the large hospitals were not expanded that year and had limited capacity, so they had no way of supporting the sudden influx of traffic.
It is still quite inconvenient to see a doctor in rural areas, and this has not changed at all.
Therefore, the domestic medical market in the 1980s and 1990s was actually supported entirely by barefoot doctors.
The reason why barefoot doctors can maintain the health of more than 700 million farmers across the country is that policies have been relaxed. Barefoot doctors can make money by treating illnesses, and how much they earn depends entirely on their own efforts.
In the 1980s and 1990s, barefoot doctors made a lot of money. Although there were many problems, such as drug abuse and irregular use of drugs, overall the benefits outweighed the disadvantages.
After entering the 21st century, the country began to promote the community health service center system, and a large number of barefoot doctors were eliminated.
The barefoot doctors who were not eliminated were also recruited as rural doctors and received a fixed salary.
What is one consequence of this?
The barefoot doctors were back to eating from the same pot, and it didn't matter how much they worked. They were just as good as just a cup of tea and a newspaper to get by. They were even unwilling to visit patients at their homes, and had no intention of improving their medical skills.
As a result, all the minor illnesses that could have been treated by barefoot doctors were pushed to large hospitals.
This has led to overcrowding in large hospitals, and the problems of difficulty in registering, seeing a doctor, and getting examinations have become more prominent.
However, the community health service stations at the village level and the health centers at the township level are empty and have few patients.
Later, the health center simply gave up its focus on clinical treatment and instead provided social welfare services such as rural physical examinations and vaccinations. This approach has serious problems.
The emergence of giant hospitals like the First Affiliated Hospital of Zhengzhou University, the largest hospital in Asia, is actually abnormal.
A picture was leaked online, showing a meeting of leaders of the First Affiliated Hospital of Zhengzhou University, in which they directly and bluntly demanded a certain amount of business growth and profit for all departments next year.
So the patient could have cured his cold by spending 100 yuan at a barefoot doctor's.
As a result, after going to a big hospital, they gave you blood tests, X-rays, and a bunch of medicine. For a common cold, you can't leave the hospital without 1,000 yuan.
Because hospitals need to make money, and they need to make a lot of money to maintain the normal operation of the hospital and to purchase advanced equipment, and this money can only be paid by patients.
Another example is when XX was sick.
All the major hospitals are full, and the hospitals are packed with people, as crowded as the subway during rush hour.
This phenomenon is very scary, because as long as there are one or two XX infected people in the crowd, all the patients and their families crowded together will be infected.
There were even reports in the news that patients lined up outside the hospital, circling the hospital several times, waiting in the cold wind for a chance to see medical treatment.
In fact, this is a tragedy.
If there had been a large number of barefoot doctors at that time, and all the patients had been dispersed, and then large doses of hormones were used to treat the diseases, many lives could actually have been saved.
This is also one of the reasons why the mortality rate of rural people is actually lower than that of urban people.
Because there are still rural doctors in rural areas, when people have a fever or cough, they tend to give them injections of hormones. This is an accidental result, but it actually works wonders.
You go to a big hospital, what can they do?
There is no specific medicine for XX disease, and doctors in large hospitals basically do not use hormones easily because of prescription quality control management.
In addition, the sudden outbreak of the epidemic has caused all medicines to be in short supply, and only one or two days' supply can be provided, or there is even no medicine available.
So many patients are just like this... Alas... (End of this chapter)
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