Xie Zuoshi: Regulating medical care is the problem

Xie Zuoshi believes that it is not immoral for doctors to pursue income maximization, and that they do not practice the best medical technology. Even if he does not receive money every day for medical treatment, it is also unethical.

According to the requirements of the National Health and Family Planning Commission, since May of this year, hospitalized patients at grade two or above hospitals must sign an agreement with the resident doctor about whether the doctor or the patient does not receive or send the “red envelopes” when they are admitted to the hospital. Media surveys found that half of the doctors did not approve of this approach, and most patients believed that the signing contract was not effective.

Xie Zuoshi reminded, why not let the doctors receive red envelopes? Is it true that there is no professional ethics when they receive red envelopes?

You don't have to look at the red envelope so special. It's different. It's just a price.

All valuable services are pricey. This price is not stipulated by which person, nor is it determined by which agency or department, but is determined by market supply and demand. The doctor's medical price is also determined by the market supply and demand. The relationship between supply and demand does not change, so the price will not change. If you depress the legitimate, legitimate income, then illegal, illegal red packets will appear. The emergence of red envelopes can only illustrate one problem, that is, the legitimate income of doctors was artificially suppressed.

He said: It is not necessary to say that life is priceless. Patients and their families do not have bargaining power in front of doctors. I thank poetry for red envelopes, but if Zhang Zuo Shi competes with me, he will not receive red envelopes. Didn't you all go to where he was?

Therefore, the reason why patients and their families do not have bargaining power is because the medical industry is controlled by the government and cannot freely open clinics to practice medicine and the medical market lacks competition. Why don't you give the chef, the tailor's red envelope for cooking? Do you dare to bet on me? If anyone is allowed to practise medicine, God can do it. Then the phenomenon of red envelopes will disappear.

There is no need to give me clichés: Medical care has a high technical threshold. If you do not control anyone, you can practice medicine. Then medical accidents are inevitable. I am not saying that there will be no medical malpractice, and even deception may be possible. But isn't the patient going to screen hospitals and doctors? Is it that controlled officials care that the patient exceeds the patient's concern for himself? Who can cure the disease in traditional agricultural society? Who is good at treating diseases, these are public information and are transmitted by people in tens of miles and hundreds of miles. Of course, in today's cities, there is a social society, but this does not mean that the relevant information cannot be transmitted. Where there is a possible market failure, there will be opportunities for profit. Industry associations will emerge. The industry association judges the grade of the hospital, and the hospital will also have its own doctor's professional title appraisal and take the initiative to signal to the patient. It can be said that as long as there is competition, information is not a problem.

The market is not perfect, but even if it is regulated by the government, it will cause medical accidents. If we think that the market will fail, then we have more reason to believe that the control will fail. After all, without regulation, there will be entrants to restrain the behavior of hospitals and doctors. But regulators, is it easier to find alternative regulators? Where are the regulators' competitors?

Given the government's regulation of medical care, is it really a good thing for doctors not to receive red envelopes? The skill of seeing a doctor requires a huge investment, so the medical school system is the longest. If you can't get the rewards you deserve, then who will study medical technology assiduously, and you think that everyone is Huolei Feng. There is time to eat and drink cards to accompany a girlfriend, OK? This is not difficult to understand, the hospital's biggest bonus is definitely the best medical technology. Otherwise, why don’t people give me red envelopes? If we are calm and objective and rational, then we must admit that under the control of China’s medical technology, there has been great progress. Red envelopes have contributed.

Private hospitals should let them freely decide whether to allow doctors to receive red envelopes. Some hospitals will allow doctors to collect, some will not allow it. Do not accept, then you increase the doctor's salary. Those doctors who want to receive red envelopes can choose to go to work in hospitals that accept red packets, or simply start their own clinics. In public hospitals, because the construction of the hospital cost the taxpayer, doctors are not allowed to accept red envelopes. But the only feasible way to prevent doctors from public hospitals from collecting red packets is to open up the medical market and anyone can practise medicine. Here, what kind of agreement to use to put an end to the red envelope, it is foolish to say a lie.

Doctors can't accept red envelopes and have nothing to do with professional ethics. It is not immoral for doctors to pursue income maximization. The best medical technology is not practiced. Even if he does not receive money every day for medical treatment, it is also immoral. We cannot expect doctors to pursue technological maximization instead of pursuing income maximization. At the very least, we cannot expect that all doctors are not pursuing income maximization but are pursuing the best technology.