Excellent general practitioner with a starting salary of 300,000. Why are doctors paid so much?

Excellent general practitioner with a starting salary of 300,000. Why are doctors paid so much?

The benefits of hospitals and departments are different, and the income of doctors is different. For example, there are few patients in Beijing Erjia Hospital, and the annual salary of doctors is about 654.38+10,000 yuan. There are many patients with cardiovascular and cerebrovascular diseases in internal medicine, and they take medicine all the year round, which is higher than pediatrics and traditional Chinese medicine. However, in the environment of "taking medicine to support doctors", in addition to hospital salary, doctors also have hidden income such as kickbacks, red envelopes and "going to acupoints".

"Doctors, whether intentionally or unintentionally, will give kickbacks as long as they prescribe our medicine." Doctors prescribe drugs, which not only generates income for hospitals, but also benefits themselves. According to the relevant regulations of the state, large hospitals can earn 15% drug bonus, while the kickbacks given by pharmaceutical companies to doctors in private usually account for 10%-30% of the drug price. According to statistics, the cost of medicine in large hospitals accounts for 50% of hospital income, while that in small hospitals accounts for about 60%. Therefore, drug rebate has become the main force of gray income for most doctors.

"Physicians rely on kickbacks and surgeons rely on surgery." According to medical representatives, in the past, it was almost a tacit rule that many people performed operations and gave red envelopes to the surgeon, anesthesiologist and operating room nurse. However, many doctors said that "most of the red envelopes are passive and will be paid back afterwards". "There are many small profits that make people look down on themselves and easily get into trouble for themselves."

In addition to kickbacks and red envelopes, doctors also have a source of income called "going to acupoints" (known in the industry as "consultation" and "practicing medicine outside the hospital"), which can earn a lot of income. Although the Physician Law stipulates that doctors can only practice medicine in their own units, in reality, doctors practice medicine outside the hospital all the time, only with the titles of "weekend clinic" and "expert guidance". 20 1 1 In the first half of the year, the Beijing Municipal Health Bureau conducted a thorough investigation on the off-campus part-time jobs of doctors in Beijing. The results show that 12 private hospitals in this city have 174 doctors working part-time, and most of them are from public hospitals.

For kickbacks and red envelopes, we can't simply equate them with evil and greed. Behind them is the scarcity of medical resources, especially high-quality medical resources. Red envelopes are also competitive prices for scarce resources.