2020年11月24日星期二

are hemorrhoids dangerous,Why the military and armed police hospitals must not go (partial list of hospitals attached)

    Why military hospitals and armed police hospitals must not go? This is because most military hospitals treat gynecological diseases, andrology, dermatology, infertility, hemorrhoids, liver diseases, dentistry, ophthalmology, plastic surgery, venereal diseases, heightened, etc. The departments in China have been contracted out. What do most of them refer to? Specifically, more than 99% of the military hospitals that are not Grade 3, and these departments in the Armed Police Hospital have been contracted out by Putian hospitals.

    A small number of individual departments of the top three military and armed police hospitals in Beijing, Shanghai, Guangzhou and Shenzhen have also been contracted out. It doesn’t matter if you go to the military hospital or the armed police hospital, but what you want is this kind of effect, thinking that the people’s soldiers will not lie to you, but in fact, the Putian doctors who are waiting in the clinic are the doctors of the Putian department. Their prescriptions, medicines, and all are There are quite a few drugs obtained through my own channels without the approval of the State Food and Drug Administration.

    There are now 11,000 private hospitals nationwide, and there are 8,000 private hospitals in Putian. In Putian, there are four famous families in the private medical department: Chen, Zhan, Lin, and Huang. The resumes of these four people used to be travel doctors, barefoot unlicensed doctors who were born out of selling fake drugs to defraud people and money, but by 2016, hundreds of people in these four major families had personal assets of over 100 million.

    According to the "China Health Yearbook" published by the Ministry of Health, so far, although the number of public hospitals and private hospitals are basically the same, the number of consultations has shown a 15:1 structure. The consumption of private hospitals accounts for 6% of the total hospitals

    This type of liar doctor actually evolved from the barefoot doctors during the Cultural Revolution. What is a barefoot doctor? It was from 1960 to 1970, those rural medical personnel who had not received formal medical education and were part-agricultural and part-medical. China is in great chaos and medical resources are extremely scarce. Chairman Mao called for vigorously developing barefoot doctors, and even encouraged city doctors to learn from barefoot doctors. In that era, barefoot doctors could treat illnesses. I don’t think there is much hope of curing them, but because of the large number of people For example, according to statistics in 1977, there were more than 1.5 million barefoot doctors in the country.

    You see, until 2014, the number of practicing doctors in China was only 2.02 million. At that time, there were 1.5 million barefoot doctors who were unlicensed and had no formal medical education, so the number was still very large. 70% of them have a junior high school degree or less, but they have more experience with common diseases than the average person, and some can even do work such as delivering babies. Although the treatment and diagnosis of diseases basically rely on the traditional Chinese medicine techniques of Yin and Yang and the Five Elements, they do give more One of the patients feels that at least a doctor will take care of them after they are sick, even though the "doctor" is in quotes.

    In this way, the problem of serious imbalance between doctor and patient needs is alleviated. It was not until the end of the Cultural Revolution that China officially ended the name barefoot doctors in 1985, after which they were all renamed "rural doctors". You think it’s not that simple to digest the livelihood of 1.5 million unlicensed doctors. You can’t simply make a cut and say that these people can’t practice medicine anymore, so the management of them is almost just unmanagement and dragged on. It was delayed in 1967. In 2004, nearly 40 years, in fact, many barefoot doctors are no longer alive or the old can’t see the disease. This is the norm. What kind of norm is it? The Regulations on the Management of the Practice of Rural Doctors, which means that all medical personnel in rural areas must be registered. Only after passing the training examination can they start with a formal license.

    The four big families of Putian family came out of the barefoot doctors after the Cultural Revolution. They wandered around the country carrying medical kits and posted advertisements on telephone poles, mainly for venereal diseases, rhinitis, body odor, rheumatism, and skin diseases. They basically don’t understand medical knowledge or the principles of medicine. Most of the medicines in the bag have no medicinal effects. For example, most of the medicines used to treat skin diseases are ointments made from petroleum jelly and calamine, plus some anti-allergic pills. The pills are all homemade. The most commonly used anti-allergic drugs such as chlorpheniramine are first purchased from a special channel, then crushed, and then peanut oil and honey are used to form a dough, just like kneading noodles, knead them into strips, and then knead them. pill.

    Many medicines cost a few cents to a few dollars per catty. If they are sold to patients, they will cost hundreds or thousands of dollars by catty. After taking these medicines, most of them can make you feel that your symptoms are alleviated, but there is no Any therapeutic effect. Because it was a traveler, they lied to a few people somewhere, and they ran away long ago when the patient discovered something was wrong.

    By 1995, this mode of posting small advertisements on telephone poles fell behind. At that time, the country had just opened up the contracting of departments in public hospitals. Once the contracting was out, the department would pay the hospitals monthly money, and the rest was its own. Profit, in fact, at that time, there were courageous doctors in the hospital who contracted them themselves, but as doctors for a lifetime, they lacked market operation experience, so many of them couldn't continue.

    At this time, Putian scam doctors who made a lot of money by posting advertisements went to the second-class hospitals in various places, mainly military, armed police, and fire hospitals. After they contracted departments, they listed any centers, such as the liver disease treatment center of the armed police hospital. , The treatment is still the disease they used to post on the telephone poles. Although it is paying the money internally, it is the normal business of the hospital externally. The hospital is also willing to help them buy medical licenses from the local health department.

    The biggest difference compared to the 1980s is that they were wrapped in a coat of public hospital. At that time, few patients realized that the person who treated them was not the real doctor or the people in this hospital.

    Because of the public hospitals, especially the facades of military hospitals, patient visits are more continuous, so the profitability is much faster than before. Although they do not have medical knowledge, their advertising experience is much better than those of medical background, and they can attract a batch of patients. However, it is not enough if there is no knowledge. It is too inconvenient to deceive, so further development is to hire other doctors to work in the department. These doctors are often of lower level, and they only need a doctor's certificate.

    These contracted departments are very profitable. They will also spend money to buy high-end medical equipment, such as CT machines. After buying them, they will sign contracts with hospitals and share the profits of inspection costs. These machines are too much for many county-level second-class hospitals. It's extravagant, and now it can be bought back by renting out the department, and they are happy to continue working with Putian doctors.

    Relying on this method of renting public hospital departments, the scammers in Putian hospitals accumulated a lot of wealth until the Ministry of Health issued regulations in 2000 to prohibit private contracting of departments in non-profit hospitals, but this did not stop a large number of Putian doctors. Because the Ministry of Health can only manage ordinary public hospitals, and military hospitals and armed police hospitals are directly managed by the PLA General Logistics Department, these Putian doctors are still entrenched in these hospitals.

    But at the same time, the Ministry of Health opened the license for private hospitals in 2002. At this time Putian people can start their own hospitals. You must know that this license is for everyone, but doctors in public hospitals have the skills and knowledge, but they don’t. Starting capital, not to mention market operation experience, it is still difficult for them to leave the teaching, promotion, and welfare model provided by public hospitals. Therefore, the private hospital market has no other types of competitors for Putian people.

    After the establishment of the hospital, the Putian Department has been involved in more fields than before. All areas that are not covered by medical insurance are included. Generally speaking, diseases that are not covered by medical insurance are actually non-fatal and second-level diseases that are harmful to health. Such as andrology, gynecology, infertility, cosmetic surgery.

    Although private hospitals can also set up departments such as pediatrics, internal medicine, and heart surgery, the fees for medicine and surgery involved in these departments must be collected in accordance with national regulations, and no money is made. The most important thing to do in a hospital business is to gain the trust of patients. The first is to have a good name. The more similar the name to a serious public hospital, the better. For example, there are two hospitals in Suqian, Jiangsu that look like public hospitals. One of them is Suqian First Citizen There is also a hospital in Suqian, called Suqian People's Hospital. This is not a public hospital, because Suqian treated all public hospitals in a way of "selling shares first".

    Therefore, Suqian is also the only prefecture-level city in the country where there is no public hospital. It was not until the beginning of 2015 that Suqian had to invest 1.8 billion yuan to build its own municipal public hospital, which filled the previous loopholes (correction content) . After these Putian doctors have their own hospitals, they will return to find the second-class hospitals or even the third-class hospitals that had contracted departments, because at this time their identities are no longer individuals, they can use the shareholding system to settle in.

    These newly opened private hospitals will search for doctors everywhere. In 2002, the monthly income of doctors in public hospitals was very low. The monthly income of doctors in public hospitals was very low. The monthly income of doctors in Beijing and Shanghai was 3,000 yuan, and only 7/800 yuan in second- and third-tier cities. After being poached by Putian hospitals, the monthly income It will be 4 times the previous rate, and the tablet commission will be calculated at 4%. Including the year-end bonus and the like, the income will be 6 times or higher than before, but the work is also tiring, and each doctor needs to complete high sales each month. To get paid.

    Doctors who have gone to Putian hospitals also need to be trained, but the training is mainly about sales skills, and has nothing to do with medical skills. For example, how to see if patients are rich and how to convince them to stay for more than 10 courses of treatment. Which medicines for similar diseases are developed by the hospital itself, how to quote, and what kind of package medicine is used for what kind of disease.

    I have read a report by a doctor in the liver disease department. He said that as long as the patient has liver function problems, there are only 3 packaged medicines. It depends on the patient’s clothes and conversation. If it does not look like a rich person, it will take ten courses. The set of 3,000 yuan, if you are willing to spend the money, it is 50,000 yuan. Those medicines are all capsules, detoxification tablets, and proprietary Chinese medicines that are wholesaled in Siping, Jilin. The only medicine given to patients is the enzyme-lowering drug interleukin -2 is effective. 450 units of Ganlixin will be used only when the patient is very serious. However, many patients are only hepatitis B carriers with normal liver function. The normal treatment method is to take no medicine and pay attention to exercise and rest.

    However, in this hospital, patients are given a large amount of interleukin-2. This is actually killing money. Children under the age of 16, adolescents, hepatitis B virus does not damage the liver. Once a large amount of drugs that improve the immune system are taken, it will activate At the level of immunity, the immune system will overreact, attacking its own liver cells, a large number of liver cells will die, and some people will have early cirrhosis. This hospital has 200,000 units of interleukin-2, the purchase price is 7.6, and it is sold to patients for 236 yuan. It also has to be used for several months, and it costs tens of thousands of dollars to ruin the liver.

    The close cooperation between Putian Hospital and Baidu began in 2003. At that time, Baidu launched a bidding ranking system. Once it went online, it was rejected by many people, because this system would adjust the order of search results and make some people pay for the results. In the front row, for example, 1,000 medicines have purchased Xiaosanyang, some people pay 5 yuan, some people pay 6 yuan, and some people pay up to 10 yuan, and then you fill in the bidding ranking system. link.

    Then click once and hand it to Baidu for 300 yuan. Of course, there are more companies that can’t afford to spend so much money to buy a click. Then go down the list. The bidding rankings of these diseases are basically if you search, the first 2 pages are not The results of natural sorting will appear, all of which are promotion links of Putian hospitals.

    So the wool comes out of the sheep, even if we are free, we can find out the big three yang, small three yang, infertility, body odor, high blood pressure, etc., and click one by one, about 100 times. In fact, Baidu will have more An income of tens of thousands of dollars. Do you think that such a huge advertising fee has to be borne, how can you make it back without slaughtering patients?

    Later, the bidding ranking was renamed Baidu Promotion, which is still the same. The market value of Baidu is 60 billion U.S. dollars, and the corresponding Ali and Tencent are 180 billion and 170 billion U.S. dollars. You see, although BAT is always called together, Baidu is not developing fast after 2013. Following this trend, another year, their BAT B and AT are not the same level of business. On an occasion at the end of October 2015, Li Zheng, the head of Baidu's emerging business external cooperation, said that medical and health accounted for 35% of Baidu's revenue. Another sentence he said was: "Although the previous commercial realization model has been widely criticized, medical care is still an industry that Baidu cannot afford to lose."

    How important are the advertising fees of Putian hospitals to Baidu? I found out that Putian City Party Secretary Liang Jianyong once said that in 2013, Baidu’s annual advertising volume was 26 billion yuan, and Putian private hospitals made 12 billion. So from this scale, after 2 years of development in 2015, it will at least not be low. At 12 billion.

    According to Baidu's 2015 financial report, the revenue in the first three quarters totaled 47.6 billion yuan, which is about 63 billion yuan for the whole year. Therefore, the Putian Hospital of Guangxi contributes one-fifth of Baidu's revenue. Although the country has become more and more stringent in the supervision of medical institutions, this part of the revenue is too concentrated and accounted for too much, so Baidu has to make this money even if it is infamy. Tieba’s influence is so large because of its huge traffic. Tieba accounts for 14% of all Baidu’s traffic, which is the third place after search and music traffic. Search already has a bidding ranking, and music has block ads, but Tieba was in a situation of huge traffic before 2010 and I didn't know how to realize it, so it finally came up with such a trick: selling administrator rights.

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