Chapter 10 March 11

General Motors is going out of business.The stock price fell to $1.27, the lowest point in the company's seventy-five-year history. It would be strange if GM didn't go out of business, it's normal to go out of business.The average hourly wage for Canadian workers is just over $22 an hour, while UAW workers earn $62 an hour.Cars of this kind of cost are not competitive in all countries in the world. However, one of the analysis of the reasons for the collapse of GM touched me deeply: the average GM company in the United States has to spend 2,000 U.S. dollars to pay employees' medical expenses for every car it produces. Lose competitiveness in global competition".

My classmate works in GM Shanghai. I called her and asked her if GM’s bankruptcy would have a big impact on them and whether it would cause layoffs. She said, “It’s not a big deal at all. It doesn’t affect us at all. As a whole, we are the only ones who make money. It’s 1 yuan. But those who don’t pay bonuses are all taken away by the American one who is about to die.” Why is China's trade surplus with the United States and the world so large?I don't know if you have thought about this problem. No matter how cheap the order is, how low the profit is, small factories in coastal Jiangsu and Zhejiang can do it.The most important reason is low labor cost.What is meant by low labor costs involves many sacrifices: no overtime wages, no pensions, no medical insurance, no necessary job security protection, nothing.If everything is standardized.Double wages for overtime work, protection at work, and necessary safety guarantees.Pensions and medical insurance are added, and the result is immediate: a considerable number of factories are closed and do not do business.

If China can do it, each car will contain 2,000 RMB in medical expenses.Each toothpaste contains 20 cents of medical investment, and everyone’s salary includes a part of compulsory medical insurance. Is it still so difficult and expensive for Chinese people to see a doctor? Is it expensive to see a doctor in China? I don't think it's expensive at all.The cheapest thing in China is labor.Ordinary registration is 2.5 yuan, and expert outpatient service is 14 yuan. The former is the value of a doctor who has worked for ten years, and the latter is the value of a doctor who has worked for a lifetime.And this part of the money will be taken away by the hospital, and it will fall into our own pockets.

We do a surgery, from the nurse's handling to the nurse's preparation, to the anesthetist's detection, to the assistant doctor's craniotomy and suture, to the main surgeon's tumor removal, the whole process takes at least three hours, and it is hard to say how long it is. Yes, how much is the manual charge for a surgery?Less than one thousand yuan.In the future, the nurses will not charge for hospital care.That part is called buy one get one free.Most of the thousand yuan was taken away by the hospital.We admit this is reasonable.Doesn’t every investment cost money for the buildings built by the hospital, the land purchased, the equipment used, and the loans repaid?In this area of ​​Shanghai, parking in our courtyard costs 10 yuan an hour and 80 yuan a day. The place where a meal of curry beef rice in the tea restaurant opposite our door costs 35 yuan is the cheapest. It's us.Mei Xiaohu was expressing her feelings that day. Her mother was ill and she had no time to take care of her, so she was responsible for paying the money and not working hard. The nanny hired by the family was considered to have received general nursing training. Earn a lot. "What kind of training, even changing the urinal is not professional, and the flat toilet will leak! I guess I have received less than a month of training at most, and I have a junior high school education. Such a person can get more than I have worked for more than ten years. People are tall!"

The cost of an operation ranges from 30,000 to 80,000 to the final settlement, and the equipment cost is much higher than the labor cost.Surgery is worthless.If there is no commission for the equipment fee, the doctor will die.Of course, it is not our turn to mention it.Now it’s all about sustainable development. I also hope that patients and comrades can think about it in another way. In Shanghai, the average price of a house per square meter is 25,000, and the house at this price is in the outer ring.The house near our hospital is 80,000 yuan per square meter in Yashiyuan, 65,000 yuan in Shuixiexuan, and even the cheapest husband’s house costs over 40,000 yuan. How can we survive?It is very difficult for us to survive, so how can we talk about sustainable development?We are not developed anymore, who do you turn to for medical treatment?

Seeing a doctor is expensive, and the main reason is that the money is taken out of the patient's personal pocket.The Chinese people work so hard to live frugally, spend half of a penny, save their life savings, and throw them into the hospital when they grow old. Of course they feel distressed.Is it expensive to see a doctor in the United States?Is medical treatment expensive in France?I believe that with their labor, plus the time of drug development and the difficulty of getting FDA approval and marketing, every drug is gold.If you do not have medical insurance in the United States, it is so expensive that you dare not enter the door.Why are their contradictions less prominent?

The key is to invest.I think. The United States spends 15% of its GDP on medical care every year. According to the data of 2003, the investment in that year was 1679 billion US dollars. On January 21 this year, the executive meeting of the State Council passed the On the resolution passed, the country gritted its teeth and stomped its feet, and the governments at all levels are expected to invest 850 billion yuan within three years. In order to stimulate domestic demand, the national rescue plan is 4 trillion yuan.Among the 4 trillion yuan, infrastructure such as railways, airports, and power stations will benefit the most. The investment of this part of the money will yield results, and the returns will be visible, real, and can be recouped; Part of the funds will be invested in areas of people's livelihood such as energy conservation and environmental protection, while supporting small and medium-sized enterprises and mobilizing private capital investment.This part of the money invested may not see benefits in the short term, but it will pay off in the long run.

But how much of this money goes to healthcare?Medical care is a bottomless pit. You can't even hear a sound when you throw it in. No matter how big a hole is, it can't be filled. Without investment, the money has to be taken out of the pockets of ordinary people, and medical treatment must be difficult and expensive.Everyone can afford medical care, I think it's a dream.As Martin Luther King said, I have a dream (I have a dream)... Troublemaker: Liuliu, looking at it, I suddenly feel very desperate. For the real but helpless world you are about to unfold, tell yourself that you must hold your breath and continue watching.

six six: It's okay, tea bags. The hospital is a place where conflicts are most intense.All of us don't face life and death decisions every day, and hospitals do it every day. But you know, the vast majority of people recover and come out of the hospital, which is why this industry still attracts people to join. You are willing to watch them change from bad to good, as if you appreciate children growing up.Many doctors have told me that despite complaints of one kind or another, they love the profession.