本帖最后由 pan 于 2021-7-30 10:59 编辑
之前是完全没有准备的，和我的朋友（Brit）私聊的时候突然聊到这个话题，随手一写就写成了一个长聊帖。
想和大家分享一下。
Apropos of the lay of the Chinese Healthcare land, it may become a screed (a long, tedious one). But I'll try my best to make it short.
Like wealth distribution and many things in life, the Chinese Medical Care system is also a very polarized one: an overwhelming proportion of medical rescourses (let's say much much larger than "the lion's share") go to big downtown hospitals, leaving small ones in the township level and beyond with very little to survive on, which includes hardware (medical equipment) and software (manpower). Having been in the field for 3 decades myself, I have witnessed our small hospital go through dark and hopeless days when it could barely pay its staff fair and sqaure. For several years grassroots-level hospitals were totally abandoned by the go-v- and left to sink or swim all by themselves. Some chose to rent themselves out to private owners and others sold themselves out. The poli#cy led to alarmingly unfavorable consequences because under the circumstances every clinic/hospital looked to pursue only one thing in their medical practice - money, the love of which is the root of all evil; yeah, tell me about it. Fortunately our Healthcare authorities woke up to this and decided to redress the problem by calling the "renting out" and "selling out" to a halt and introduced the current system, which has lasted to this very day, roughly known as "Public Healthcare System". You'll have to forgive me for not bothering to check its official name out. In a nutshell, the government buys the service from the grassroots hospitals for the vast numbers of farmers/villagers, who will have to buy the government-issured Healthcare Insurance (again, no idea what the official title is) to be eligible for the service, a relatively comprehensive annual physical checkup being one of the service items.
本帖隐藏的内容This was a significant tipping point for township-level and community-level clinics/hospitals. The well-being of grassroots-level medical workers have since been remarkably improved - although it's nothing of a windfall; quite the contrary, actually. As I ranted quite a few times here, the Big Boss that owns us is a relentless taskmaster if there was any (really, it's a case of "the more said, the more tears shed".)
I can only describle it from my humble personal point of view. I have so far tried my best to steer clear of big hospitals like hell because it IS like hell. Especially in Jin Hua Central Hospital, the biggest medical institution in Jin Hua. Every day the complex sees oceans of people/patients, the never-ending medicalcare-starving, desperate-looking, life-clinging huddle. The medical workers pulse, prick, scan and scalpel away till there's little energy left in their body every day. Still, the general public insist they deserve the best medical care there is and will rush to the biggest hospital at the first sign of a slight cough or sneeze.
In their attempt to redress the polarization in patients' distribution, the authorities try their best. The most apparent example is that if an Healthcare Insurance covered patient goes to the Jin Hua Central Hospital as an outpatient, only roughly 25% of his/her medical bill is covered - the figure is 50% at a grassroots hospital and 60% if you are a contracted patient at the (grassroots) institute. But for hospitalized patients at hospitals of both echelons, the insurance coverage rises up to roughly 75%. So it shouldn't come as a shock that at downtown big-name medical juggernauts a bed is as rare as gold dust.
I know my description is still very sketchy but I hope it should be able to give you a picture of the Chinese medicalcare lay of land. Medicalcare is a universal conundrum, to which there's no easy solution, but it's fair to say that our government is giving their best shot. Things have been remarkably improved, despite everything yet to be unsolved.
Pan.
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发表于 2021-7-30 10:00:07
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