Ming Dynasty: Teaching The Prince Dragon-Slaying Skills At The Beginning

Chapter 664: Instability, Vulnerability And Marketability Of Not Occupying A Dominant Position [Plea

Zhu Yuanzhang, who was sitting at the back, listened to his sons pointing out one after another that Huimin Pharmacy provided medicines for free to sick poor soldiers and civilians, as well as the shortcomings of providing medicines for free. His face turned green and white with anger.

If Zhu Xiongying, Zhu Jixi, and Zhu Gaochi hadn't been sitting next to him, Zhu Yuanzhang would have been worried about maintaining his image in front of his grandsons.

Otherwise, Zhu Yuanzhang will definitely let Prince Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other sons taste what is called "the belt of father's love"!!!

Standing on the podium, Yan Changqing also shook his head slightly. It is indeed good to provide free medical care to poor military and civilian people!!!

It can be said that this incident alone is enough to prove that Zhu Yuanzhang indeed took the people at heart.

However, no matter how good the policy system is, it does not have to match the current social productivity.

Only in this way can the policy system be implemented normally and for a long time.

Otherwise, even if it can be implemented for a while.

But in the end, it will become a tree without roots and water without a source because it exceeds the current social productivity, and will eventually be gradually stopped and scrapped.

The policy system of providing free medical care to poor military and civilian civilians is obviously a policy system that surpasses the current social productivity of the Ming Dynasty.

Let alone the era of the Ming Dynasty, even in Yan Changqing’s previous life, the motherland where the social productivity was hundreds of years behind the Ming Dynasty, it did not thoroughly implement the comprehensive health care free medical service.

At most, it is to establish a medical security system, and the medical expenses that meet the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses will be paid from the basic medical insurance fund in accordance with national regulations.

It’s not that the country in Yan Changqing’s previous life didn’t want to completely implement free medical care for all, it’s that it couldn’t implement it!!!

Once universal free medical care is fully implemented, the sky-high medical cost pressure caused by the terrifying population of 1.3 billion or even 1.4 billion in Yan Changqing's previous country will be enough to completely overwhelm a country!!!

Even if all the country's fiscal revenue is filled in, it may not be able to fill the deep hole of universal free medical care.

And if all the fiscal revenue of a country is used to invest in free medical care for all.

Then don’t we need to invest in other aspects of people’s livelihood infrastructure, national defense construction, national science and technology, etc. to develop 543?!!

This must be impossible!!!

If we really do this, this country will be destroyed sooner or later!!!

Of course, in Yan Changqing’s previous life, there were no other countries that implemented “universal free medical care.”

But the so-called "free medical care for all", to put it mildly, is nothing more than making people slowly wait to die.

In the "free" hospitals established in those countries, you basically have to make an appointment and queue up to get treatment.

The waiting time for this appointment queue is not calculated in hours, nor in days, but in months, or even in years.

After all, even a small country has a population of at least several million to tens of millions, or even hundreds of millions.

In addition, it is "free", so just make an appointment if you have anything to do, queue up and take a look.

The two factors combined are enough to make a “free” public hospital’s appointment schedule several months in the future.

In this case, if you get sick, you either have to put it off until you rely on your body's immunity to recover.

Either a minor illness will become a serious illness, a serious illness will become a serious illness, and a serious illness will directly lead to death.

Or you can spend money directly to see a doctor in a private hospital, which will provide you with faster treatment and good medical results.

After leaving the hospital, you may find that you have gone bankrupt due to medical treatment without even realizing it.

So in this case, or in other words, under the social productivity of Yan Changqing's previous life.

Any country that says it will thoroughly implement "free medical care for all" is more than 90% of the time a joke that "doesn't live up to its name".

In Yan Changqing's previous life, when social productivity was hundreds of streets behind the Ming Dynasty, it was impossible to achieve free medical care for all in the true sense.

Then Zhu Yuanzhang wants to implement a policy system of providing free medical care to poor military and civilian civilians in this era when even three meals a day cannot be completely guaranteed.

It's just a flower in the mirror and a moon in the water.

In fact, the Huimin Pharmacy in the original history did end like this.

When Zhu Yuanzhang was still there, relying on Zhu Yuanzhang's own prestige, Huimin Pharmacy was reluctantly spread to every province, prefecture, state, and county in the Ming Dynasty.

However, even if Zhu Yuanzhang relied on his personal prestige to establish Huimin Pharmacy, it was limited (bhba) by the fact that the relevant setup and management system of Huimin Pharmacy were not perfect, and there was also the need for continuous financial investment in the future.

Among them, most of the Huimin pharmacies have no medical treatment or medicine for most of the year, or they are completely shut down.

After Zhu Yuanzhang passed away, more than 90% of the local Huimin Pharmacy became a decoration.

There were only a few Huimin Pharmacies left near the capital. Because of their proximity to the capital, the imperial court had more or less dignity to maintain the "respectability" of the "good place" at the feet of the last son.

Therefore, we can still get a little financial allocation from the court from time to time to maintain our daily existence and operation.

But that's all.

What's more, the court was also powerless.

So at this time, it is not an exaggeration to say that Huimin Pharmacy exists in name only.

"The reasons why we cannot implement the policy system of providing free medical care to poor military and civilian people have been basically stated by your highnesses just now, so I won't add any more.

"Continue to talk about the imperial court's desire to occupy a dominant position in the medical and health industry."

"Today, there are about 6,000 doctors in the Ming Dynasty, including more than 1,000 special obstetrics and gynecology nurses who are dedicated to helping common women deliver babies. There are only about 2,000 doctors affiliated with the imperial court."

"This number only accounts for about one-third of the total number of doctors!!!"

"If you exclude the more than a thousand special obstetrics and gynecology nurses who are dedicated to helping ordinary women deliver babies, then the doctors who are actually affiliated with the imperial court only account for a quarter of the total number of doctors, or even eight percent. one."

"The other three-quarters, or even seven-eighths, of doctors are private doctors."

"As for these private doctors, the imperial court is not aware of their relevant situations, and the level of control is relatively low."

"This has led to great instability among these private doctors!!!"

"And this great instability is likely to cause the chain to fall apart at certain critical moments when these private doctors are needed.

"For example, when the smallpox plague broke out before, nearly 90% of the doctors from all over the world, a total of more than 3,000 people, gathered in northern Xinjiang and worked together, and finally managed to suppress the smallpox plague!!! "

"But what if those doctors at that time were worried that they would be infected with the smallpox plague and afraid of death, so they refused to be recruited and did not dare to go?!!"

"After all, the imperial court has limited understanding of these private doctors and has a relatively low degree of control. If these private doctors carry their medicine boxes and run away, or directly declare that they are not good at medical skills and are just quacks, the medical clinic will close down and they will no longer be able to do it in the future. If you practice medicine."

"Then can the imperial court force a 'quack doctor' who announced the closure of the medical clinic and whose own medical skills are not good to treat hundreds of thousands of soldiers in northern Xinjiang?!!"

"Of course this is impossible!!!"

"Regardless of whether it is true that those 'quack doctors' are not good at medical skills, the imperial court sent some 'quack doctors' who declared that they were not good at medical skills to treat the soldiers of the Northern Expedition. This in itself is irresponsible for the lives of the soldiers of the Northern Expedition!!! "

"In addition, maybe there weren't that many private doctors all over the world at that time?!"

"Or maybe those private doctors were unable to attend due to various other reasons, or the number of private doctors attending was greatly reduced?!!"

"These situations are very likely to occur."

"If such a situation of losing control at a critical moment really occurs, what will happen?!!"

"The result is that, whether they are the soldiers of the Northern Expedition or the captured prisoners of the Northern Yuan Dynasty, the number of their deaths due to the smallpox plague will increase dramatically!!!"

"What if only His Royal Highness the King of Zhou and the accompanying dozen imperial doctors from the imperial hospital had gone to inoculate hundreds of thousands of soldiers of the Northern Expedition and more than ten captives surrendered by the Northern Yuan Dynasty with cowpox.

"Then in the end, it is estimated that the most I can do is to inoculate a group of senior Northern Expedition generals with cowpox."

"As for the hundreds of thousands of Northern Expedition troops and the more than 100,000 prisoners of war from the Northern Yuan Dynasty, the smallpox plague broke out before they could be vaccinated against cowpox.'

"At that time, the hundreds of thousands of Northern Expedition troops and the more than 100,000 prisoners of the Northern Yuan Dynasty will have to resign themselves to their fate."

"If you can survive it, you will live; if you cannot survive it, you will die."

"According to the 30% case fatality rate of the smallpox plague, the hundreds of thousands of Northern Expedition troops and the more than 100,000 Northern Yuan prisoners would have died at least 100,000 people!!!

"From the smallpox plague that barely completely suppressed the hundreds of thousands of Northern Expedition troops and more than 100,000 prisoners of the Northern Yuan Dynasty, the number of patients who died of the disease was less than 10,000; to the hundreds of thousands of Northern Expedition troops, and the more than 100,000 prisoners of the Northern Yuan Dynasty. Altogether, more than 100,000 people died.”

"This is because the national court does not occupy a dominant position in the medical and health industry, which makes doctors in the medical and health industry extremely unstable, leading to serious consequences of falling out of line at critical moments!!!"

Yan Changqing said while writing [Instability] under [Medical and Health Industry].

Zhu Yuanzhang below, as well as the princes Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes also looked serious.

At the same time, I also have a deeper understanding of what Yan Changqing said about the serious consequences of the country's failure to occupy a dominant position in the medical and health industry.

After all, the smallpox plague that broke out in northern Xinjiang at that time could be said to be the most serious crisis since the founding of the Ming Dynasty.

If the number of soldiers in the Ming Dynasty's Northern Expedition was really as high as 100,000 and died due to insufficient manpower, then even the Ming Dynasty would have been severely damaged.

If Emperor Tuogusi Timur of Tianyuan successfully leads the elite troops of the Northern Yuan Dynasty to tear apart the border defenses and penetrate directly into the hinterland of the Ming Dynasty, then the Ming Dynasty, which has just been founded for more than ten years, may really be in danger of overthrowing!

Fortunately, none of this happened.

But even if it doesn't happen, it just might happen.

This is enough for Zhu Yuanzhang, as well as the princes Zhu Biao, Zhu Chong, Zhu Fan, Zhu Di and other princes to realize the necessity of the national court to occupy a dominant position in the medical and health industry!!!

After all, if the national court does not occupy a dominant position in the medical and health industry, then most doctors in the medical and health industry will be unstable, and this instability may mean that at any critical moment, they will

The chain is off.

If you slip up at a critical moment involving national affairs, it is not impossible that the country's vitality will be severely damaged at the least, or the country will be destroyed at the worst!!!

This is definitely unacceptable to Zhu Yuanzhang, as well as the princes Zhu Biao, Zhu Cang, Zhu Fan, Zhu Di and other princes.

Yan Changqing on the podium continued to write and said:

"In addition to instability, the second serious drawback caused by the state's failure to occupy a dominant position in the medical and health industry is the fragility of the Ming Dynasty's medical system.

sex!!!"

"Now three-quarters, or even seven-eighths, of the total number of doctors in the Ming Dynasty are private doctors!!!"

"This means that once something happens to three-quarters of all the doctors in the Ming Dynasty, or even seven-eighths of the private doctors, then the entire Ming Dynasty will be affected.

It can be said that the medical system collapsed on the spot!!!”

"According to the calculation, it takes at least five years to train a qualified doctor, up to ten years, or even more than ten years."

"If the Ming Dynasty's medical system collapsed, it would take at least ten or eight years to rebuild it."

"During this long period of time, it can be said that the 60 million people of the Ming Dynasty truly had no way to seek medical treatment.'

"In addition, the third serious drawback caused by the fact that the national court does not occupy a dominant position in the medical and health industry is the marketability of Ming Medical!!!"

"Nowadays, the doctors who dominate the medical and health industry are private doctors, which means that the control of people's medical treatment is completely in the hands of private doctors.

of.

“Whatever the folk doctors say is a disease, that’s what it is; how much money it costs, that’s what it is; when it’s the people’s turn to see it, it’s the time it’s the people’s turn to see it.

"If people who are greedy for profit and those who have medical skills but no medical ethics get together with each other and jointly monopolize the medical and health industry in a place."

"Then these profit-seeking people, as well as those who have medical skills but no medical ethics, are very likely to deliberately increase the cost of diagnosis and treatment to buy medicines in order to squeeze out the money of the sick people.

cost. ’”

"Or they deliberately fail to thoroughly diagnose and treat the sick people, and by exploiting the diseases in the people, they continue to extract money from the people."

"Until the end, the common people were forced to sell their children, their ancestral homes and their fields because of this serious illness, but they still couldn't cure their illnesses and died on the streets!!!"

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