What do you think will be the direct consequences if the medical establishment is abolished?

Although the abolition of business establishment will reduce the financial burden, it will increase risks in the field of social health and safety!

Let’s talk about the benefits first...

There is no burden on the local finance, the Finance Bureau is happy, the county magistrate is happy, and the mayor is happy.

Equal pay for equal work makes doctors happy, nurses happy, and colleagues all happy.

Pharmaceutical companies are happy, suppliers are happy, middlemen are happy, pharmaceutical departments are happy, and everyone is happy.

The temporary staff are happy, the nursing staff are happy, and the public security department is happy.

Let’s talk about the disadvantages...

First of all, the financial support has been cancelled, and the county-level hospitals have no income. Doctors' salaries can only be paid by themselves, but the medical conditions at the county level are not up to par and cannot attract high-level talents. People do not dare to go to the hospital for some common, serious, and chronic diseases. The hospital's income will go from bad to worse. Where will the doctors' salaries come from? Come on, where do the nurses’ wages come from, and where do the caregivers’ and security guards’ wages come from?

Secondly, it will create a vicious cycle. With the income reduced, the hospital can only reduce expenses, reduce shifts, and reduce personnel. Nurses do the work of nursing staff. The original two people on the night shift were changed to one person on the night shift. There were originally 10 people in the department, but now there are 6 people in the department. There used to be two security guards on each floor, but now there are two on the third floor. The reduction in staff has allowed thieves to steal in a big way. Doctors and nurses have no time to take care of it, and security guards have no time to take care of it. The more bad reviews the hospital's management gets, the reputation becomes worse and worse. Even if you have a headache and a cold, no one will come to see it! Income will be even weaker.

Furthermore, with reduced income, local medical talents will not apply for jobs, and there is no money to purchase new equipment. Without new human resources and new equipment, it is even more difficult and incapable to treat patients. The dean will be greatly unhappy.

Fourth, there is no establishment, resulting in a lack of competent units and a weakened accountability system. The safety of drugs cannot be guaranteed, and the price of drugs cannot be guaranteed. Just relying on the drug regulatory authorities, everyone knows the current situation, refer to the fake vaccine incident. The high prices and beautifully packaged medicines in pharmacies on the market have few ingredients that are urgently needed medicines. A bottle of vitamin tablets can be packaged for 100 yuan, but in public hospitals, small bottles are generally packaged for less than 5 yuan.

Fifth, medical treatment is becoming more and more difficult and expensive. If the hospital's revenue increases, it will be shared equally among the patients. Only through examination fees, outpatient fees, medicine fees, nursing fees and other fees can the hospital's income be increased. The wool comes from the sheep, and of course these must be counted on the patients. The cost of medical care for the general public has undoubtedly increased.

Sixth, just like many private hospitals, hospitals, doctors and nurses can survive by promoting hospitalization and implementing medical insurance card reimbursement. The hospital sends buses to pick up poor people in the marginal mountainous areas every week to be hospitalized, and implements a reimbursement system, which means that medical insurance funds are used, and the people enjoy one-stop service of transportation and medical treatment. The doctors and nurses of the hospital have money, and they have the best of all three. Letting many hard-working taxpayers foot the bill hurts the hearts of taxpayers and puts the national medical insurance policy into crisis.

1. If doctors cancel their professional establishment, the income of top doctors will increase without limit. Bad doctors can only force them to change careers, and the mixed situation can be purified. When you see a doctor, the doctor will look at you very seriously, without even raising an eyelid. The attitude will definitely change, because he hopes that you will be her long-term patient (customer), his friend will have a steady stream of income, and you will have the same disease. If you go to your own outpatient clinic and go to a public outpatient clinic in a hospital, the attitude will definitely be different. She will answer you seriously about everything she knows in her own clinic, but this may not be the case in public hospitals.

2. Today’s private hospitals and public hospitals are just like banks. Look how good the service attitude of commercial banks is, especially China Merchants Bank. The four major state-owned banks are all indifferent to the value of money, but they are much stronger now than before.

3. If the medical establishment is abolished, I think doctors’ service attitude will be better. In fact, the service attitude has improved, they have tried their best, and the pressure has increased. There will also be fewer patients giving red envelopes, because it doesn’t matter whether they give them or not because they look good, so who would give them anyway? Right? !

Whether the establishment of doctors can be abolished has always been a hotly debated topic, and it has not been fully implemented, which shows that this issue is inherently difficult, and from the current point of view there are definitely advantages and disadvantages. In order to prevent the situation from becoming too chaotic, the country must think twice before acting.

The first aspect is the advantageous aspect

1. The establishment of doctors in hospitals is cancelled. For doctors in large hospitals, it is more conducive to their mobility, regardless of whether they are Whether out of considerations of monetary interests or other development interests, you have more room for choice. For example, going to private or private hospitals feels that you can better realize your own value.

2. Eliminating the establishment of doctors will be more conducive to fair competition among hospitals with other investment forms, and is beneficial to breaking some monopolies. These hospitals are more attractive for recruitment and achieve the purpose of attracting more outstanding talents.

3. To a certain extent, it can achieve the effect of dispersing superior medical resources and alleviate the difficulty of medical treatment to a certain extent, especially in the current situation of difficulty in medical treatment in large hospitals.

The second negative aspect

1. Under such circumstances, the hospital may become more commercialized and the corporate interests may become stronger. It makes doctors’ ideology of putting money interests first even more important. Maybe the hospital’s public welfare and social services will be compromised.

2. Exacerbating the brain drain in rural hospitals. Because rural doctors have no financial appeal and no other advantages. If there is no more establishment, it will be like adding insult to injury, and it will be even more disadvantaged in the competition.

3. The government needs to put more thought into doing a good job. If the various unfavorable factors caused by the abolition of the doctor establishment are not considered in advance and the reform is carried out rashly, the current medical reform may become even more embarrassing. The people were dissatisfied.

Therefore, I think that before reform, we can learn more from foreign practices, consider more horizontally and vertically, and adopt different reform efforts for different hospitals. In this way, it is better to retain the positive side and remove the negative side.

Your attention is my source of positive energy! When the medical reform is going on, my creation is going on!

In ancient times, there were no hospitals, only pharmacies, and only traditional Chinese medicine. But now doctors only use machines to treat patients. They can treat dozens or hundreds of minor illnesses, thousands of hospitalizations, and tens of thousands, hundreds of thousands, or millions of surgeries. Looking at how many families around the world can afford medical treatment, one family supports parents, children, and doctors when they are sick. The burden is too heavy. China's population of more than one billion cannot afford to pay for doctors. Why are the pharmacies that are popping up everywhere booming? If hospitals were abolished and doctors were allowed to open their own shops and clinics, how much would medical expenses drop? Medical insurance is also paid and universal across the country. Competent doctors are popular. Let the incompetent business doctors bask in the sun! In this way, there are doctors everywhere in the streets, alleys, communities, and rural areas. This is a blessing for the whole people.

Don’t even think about it. Hospitals and schools have abolished professional services, teachers, doctors, and contract personnel. Then whoever has the money and who is the best will hire the best team of teachers. Then the school will be the most famous and the tuition will be the most expensive. Make-up classes have become normal, and there is no way to control the hospital. Whoever has the money can hire the best doctors. If they become famous, medical treatment will definitely become more and more expensive. Then giving red envelopes will become normal. People are not based on their careers. Who cares about accepting red envelopes? Then bad schools and hospitals will get worse and worse until they close down. The remaining ones will definitely be high-end, so schools and medical treatment will definitely become more and more expensive in the future. Lai Da

Some people say that canceling is a good thing and a general trend. I believe most people support it, but I am firmly opposed to it. Because the existence of staff is the last line of defense to protect the public welfare nature of public hospitals and public schools. Personnel working in public welfare units must be established. People who work in public welfare institutions are unlikely to be rich due to the nature of their institutions, but they must ensure that they live a carefree life. Only in this way can we ensure that they can truly do their jobs with peace of mind. And having a compilation status is the most important guarantee condition. I would like to ask, if they are in a state of precarious existence all the time, can they work with peace of mind? Furthermore, the nature of public welfare must ultimately be guaranteed, promoted and improved through people’s work. If there are no people who can work with peace of mind, the nature of public welfare will be just words on paper, and it will only be in name but not in reality. The lesson now is profound enough.

Some people say that if a hospital cancels its establishment and becomes a for-profit hospital that is responsible for its own profits and losses, and a strong hospital can recruit more good doctors and purchase good equipment, then patients will also need more money. When it comes to medical treatment, patients with little money, that is, poor people, cannot get good medical treatment. This is a fact.

But if you look at the current situation where there is no formalization, isn’t it the same? Rich people can still get better medical care. People without money can borrow money here and there. They can cope with it for a while and then give up, or go to a worse hospital to maintain it. Those with money can continue to stay in tertiary hospitals. The treatment lasts longer, so canceling or not canceling is actually the same. If it is the same, then canceling the establishment of the country will reduce a lot of financial pressure, and also allow people inside and outside the hospital to be treated fairly. Maybe many people know that in many public institutions, there are some people who are paid free money and have a doctor's position, but they don't know how to treat patients. Or they are even named in the hospital, but they have a system because they are relatives of a certain leader. You don’t work, but you still receive your salary. This is basically a phenomenon that occurs in all public institutions. The country is now applying one-size-fits-all policies. In fact, it encourages free competition, hard work and getting rich, and removes those moths that are attached to the state system.

In fact, as early as 2016, the Ministry of Human Resources and Social Security made it clear that it would study and formulate the personnel management transition method after universities and public hospitals are not included in the establishment management. Therefore, the elimination of the professional establishment of doctors should be the first step in the reform of my country’s public hospitals. It's a big trend.

Regarding whether to abolish the professional establishment of doctors, some people on the Internet agree and some oppose it.

The capable are at the top and the mediocre are at the bottom. The current career establishment of doctors is based on salary promotion through professional titles, from attending physician to chief physician. However, one of the drawbacks of professional titles is the limit on the number of positions. Once the number of positions is exhausted, even those with ability cannot be promoted, resulting in many newcomers seeing no room for advancement and lack of motivation. ; The other is the lack of a mechanism for people to move up and down. It takes a lifetime to get a senior professional title, which leads to many elderly people lacking motivation after being hired with a professional title. Eliminating the establishment will allow those who are capable and willing to do things to get more opportunities, and make those who are incompetent and incompetent visible, so as to achieve a better survival of the fittest.

The loss of staff is likely to allow good doctors to be easily poached by private hospitals with high salaries. Public hospitals, on the other hand, have no leverage to attract talents and will gradually lose their competitiveness. The wool comes from the sheep, and the high salaries of doctors in private hospitals are based on high medical expenses, which will increase the cost burden on patients.

As a financial worker, I think the abolition of business establishments is the general trend, and I believe the whole society will agree with it.

As for the direct consequences of abolishing the medical establishment, there may be both favorable and unfavorable consequences.

The beneficial consequences can break the lifetime system of doctors’ professional title evaluation, which is conducive to creating a good competitive situation among doctors in which capable doctors are promoted and mediocre ones are demoted; it is also conducive to the free flow of doctors and promotes the promotion of doctors in the world. A reasonable balance in society is of great benefit. It is helpful to break unreasonable social phenomena such as indiscriminate allocation of hospitals and ranking according to seniority.

The negative consequences may be that some private hospitals poach all high-level doctors with high salaries, which will lead to the loss of talents in public hospitals; and when high-level doctors from private hospitals are concentrated there, the fees may increase. Higher, increasing the financial burden on patients. More people will return to poverty due to illness.

The possible consequences of abolishing the professional establishment of doctors can be divided into two aspects, one is for the doctor group itself, and the other is for society——

For doctors As for the group itself

1. Income may increase

Since establishment has certain restrictions on staff salary and benefits, and the system of public hospitals where establishment is implemented will be more complex, so for There are certain restrictions on the income of doctors, but after the establishment is abolished, the income of some high-quality medical talents should be significantly increased, and they may encounter more high-paying employment opportunities.

2. Increase work enthusiasm and improve overall quality

Since there is no longer the protection of the iron rice bowl of the establishment, some doctors who fish in troubled waters and hang around in the establishment will be in great danger Feelings, and under the unrestricted income standard, doctors may also show enthusiasm that they did not have before.

For society

1. It may be easier for hospitals to absorb medical talents

After all, staffing is something with a quantitative limit. In the past, if a hospital wanted to attract doctors, , you have to wait for the establishment to be vacant. If the establishment is cancelled, the introduction of talents will be more free, flexible and proactive.

2. It may cause differentiation between public and private hospitals

Since public hospitals have lost the inherent advantage of staffing, some high-quality medical talents may be poached by private hospitals with high salaries. Then the medical fees in private hospitals will increase accordingly, causing wealthy people to go to private hospitals for medical treatment, while the general public go to public hospitals that have lost many high-quality talents. It is worth considering whether this difference will have a big impact on social medical care.

The country’s current proposal to cancel the establishment of medical and educational units is also an experimental decision. We hope that we can find a more balanced and stable method and state during the trial process in the future!

Everyone is welcome to express different opinions in the comment area below.