I want to be emperor

Chapter 575 Inclusive Medical Care

In the imperial health and medical counselor's meeting, after all parties expressed their opinions, the officials of the Ministry of Civil Affairs began to introduce the medical and health problems within the empire in detail, and complained while introducing.

In short, just want to get more support.

In the report of the Ministry of Civil Affairs, the main focus is on urban sanitation and medical issues.

As for the urban sanitation problem, this has been done a long time ago, not because of medical treatment, but to prevent the outbreak of large-scale infectious diseases.

What's more, except for a few cities, many cities are actually small in scale, and the permanent population inside the city walls is very small.

In an ordinary county, the resident population in the county seat is often only a few thousand, and in a large county it can reach tens of thousands.

In terms of the government, there are tens of thousands of people at least, and no more than tens of thousands at most.

Only some large-scale cities, such as provincial capitals and commercial centers, will have a population of 10,000+ or ​​even several 10.

Such as Jinling City, Suzhou, Hangzhou and other big cities.

As for these large cities, the empire's management of city appearance is very strict, and the urban sanitation problem is not serious.

The medical problem is the shortage of doctors and medicines, which leads to the death of a large number of people.

And these two points can be summed up as the problem of reducing the mortality rate and increasing the average life expectancy of the population.

Officials from the Ministry of Civil Affairs talked about data, presented facts, and acted like they were pleading for the people, which made it difficult for officials from other departments to argue.

Even the military did not wait for Luo Zhixue to open his mouth to post, and he took the initiative to say that he would support the local medical cause, etc., and was willing to send some military doctors to help the local government establish a local medical education system.

The finance department stated that it can coordinate part of the funds to increase the development of the medical industry and use it to train more medical personnel.

Even the Ministry of Civil Affairs said that they could consider including employees of government-run medical institutions into the official system, but teachers in government-run schools, following the example of the new education system, are only given grade-level salary treatment and no political treatment.

The education and medical industries, these two industries are quite special, and there is also a tradition of giving official titles. Traditional government-run schools, such as county schools and government schools in traditional feudal dynasties, are taught by high-ranking officials. Although the teacher has no official status, he is often registered in the register, and receives state money and food just like the six-room officials in the yamen.

As for the doctors, there is an institution like the Tai Hospital, and doctors at all levels in the Tai Hospital are also officials.

The Great Chu Empire also had a Tai Hospital. Although its institutional setup was different from that of the Ming Dynasty, which belonged to the entire medical system, the Tai Hospital of the Great Chu Empire was a purely medical institution.

As for the management agency of the medical industry, it is the Department of Medical and Health of the Ministry of Civil Affairs.

The Imperial Hospital of the Great Chu Empire belongs to the royal family and is under the jurisdiction of the Palace Affairs Department. It mainly provides medical services for members of the royal family. There are more than [-] departments of surgery, internal medicine, pediatrics, gynecology, orthopedics, skin, stomatology, and ophthalmology.

These imperial physicians and imperial physicians.Except for a small number of masters of traditional Chinese medicine selected from across the country, more doctors of new medicine are the best among the new doctors trained by the Army Military Academy over the years.

These doctors are said to be new-style doctors, but in fact these doctors are basically from a family of Chinese medicine. They have received a complete teaching of Chinese medicine since childhood, but they only received training in new medical theory after entering the medical department of the Army Military Academy.

Their diagnosis and treatment are all a combination of the old and the new. They seem to apply new medical theories, but the medicines prescribed are still traditional prescriptions... No way, they don't have modern medicines such as various antibiotics.

The high medical level of modern people is based on the development of modern medicine, and it does not work just by knowing various theories.

It's hard for a clever woman to cook without rice, and doctors are no exception!
Under such circumstances, all kinds of traditional Chinese medicine in traditional empirical medicine still have certain value, but the hospital is also continuing to study, trying to figure out which of the various messy Chinese medicine prescriptions are really useful , those are useless.

Among the various prescriptions that have actually played a therapeutic role, which one of the medicinal materials has the therapeutic effect, and which part of the medicinal material has played a role, and whether the active ingredients can be extracted.

In short, although I don't understand why it can cure the disease, at least I must understand what is curing the disease... You can't be blinded by both eyes. When someone is burned, you still apply it with boy's urine. (Non-fiction, real things that the author has seen).

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The Tai Hospital has a special status, and the doctors in it are naturally official, and most of them are even military doctors... because they are military doctors themselves, and they are only transferred to work in the Tai Hospital to study medicine by the way.

Following the example of Tai Hospital, other government-run medicines established can naturally give practitioners official status.

With the establishment, teachers, and financial support, the new medical system is almost fully implemented, but in Luo Zhixue's opinion, it is still not enough.

Therefore, in the middle of the meeting, Luo Zhixue made a rare statement at such an ordinary internal affairs meeting: "The development of medical reform requires a process. Teachers need to be trained, doctors need to learn and grow, and the cultivation and planting of various medicinal materials also takes time. It's normal to be in a hurry, but human life is at stake. We can't wait for the establishment of a medical school because of objective difficulties, and then spend a few years to train a group of doctors... After five years, ten years How many government-run hospitals can we run, and how many people can we cover?"

"It is necessary and the right way to run a medical school, build a comprehensive large hospital, study various new medical theories, research various new drugs, and study the practical application of traditional empirical medicine in the new era."

"But when doing things, sometimes you can't look too high, you have to lower your head properly and look down!"

"What do we need? Is it an advanced and even epoch-making medical system? Yes, we need it, but before that, what we need more is inclusive primary care!"

"All kinds of medical education, research, and government-run general hospitals that you mentioned before must be carried out. In addition, I have ordered that at least one government-run general hospital should be established in each county, and a government-run clinic should also be established in towns where conditions permit. .”

"In addition, it is necessary to conduct qualification examinations for the vast number of traditional doctors today, clear out some fraudulent doctors from the medical team, and grant officially recognized medical qualification certificates to qualified doctors."

"It is necessary to train a large number of low-level doctors, especially those in rural areas. Even if they only know how to diagnose and treat the most basic typhoid fever and trauma, it can greatly improve the medical conditions in rural areas!"

After speaking, Luo Zhixue looked at the people present, especially the officials from the Ministry of Civil Affairs, and said, "In my opinion, this matter is more important and urgent than running dozens or even hundreds of large medical institutions."

Luo Zhixue heard a lot of what they said, and found that what they said was quite good, but just like what he said at the beginning, the focus was too high...or they focused on the development of medical care itself, to a certain extent Some ignore the nature of medicine.

What is the nature of medical treatment?Save lives and heal the wounded?Yes or no... maybe ordinary people would see it that way.

But from the perspective of Luo Zhixue, what is the essence of medical treatment?Saving lives and healing the wounded is only the most superficial thing, the key is why should we save the dying and heal the wounded?

Well, why do these things, can't bear it?This is one aspect, and another aspect is that the development of medical care can make the industrialization process of the empire smoother and make the empire even greater!
For a normal modern industrialized country, saving lives means increasing the average life expectancy of the population, stabilizing or even increasing the number of working population, and creating more value!
Dead people can't create production value!
At the same time, medical care itself is an industry, even if it is a government-run medical industry, it can still provide a lot of employment and tax revenue.

Regardless of whether it is based on heart or reason, Luo Zhixue believes that the importance of agricultural medical care in recent years is no less than, or even more than, urban medical care and various seemingly high-end medical research and development.

As long as there are enough rural doctors and a large amount of cheap medicinal materials, even if they can only treat the peasants with a common cold or a minor trauma, it is enough to greatly increase the average life expectancy of the empire's population.

That's why he spoke in the meeting and emphasized it.

After Luo Zhixue's emphasis, many courtiers naturally changed their direction quickly, and finally came up with one policy after another.

The military was the first to express its position. The military stated that many grassroots military doctors in the garrisons in various places will go to the countryside in rotation to conduct free consultations and prescribe prescriptions. As for the supply of medicines... this is a difficult issue for the military. All the military supplies of the military , They are all strictly controlled war supplies, whether they want to use them as gifts or sell them at low prices, they are very complicated and even violate the military supplies management regulations.

Therefore, they can only do free inspections and consultations to prescribe prescriptions.

At the same time, the military stated that all field divisions, corps, and group army-level medical battalions, and all garrison headquarters are directly under the medical battalion, and can accept medical personnel sent by the local area for advanced training.

The medical department of the Army Military Academy can mobilize part of the teaching staff to assist the local government in the preparation of the Royal Institute of Technology School of Medicine and the Imperial Academy of Medicine School of Medicine.

There are new barracks for the training of medical soldiers in various places in the military, and some medical instructors will also be transferred to assist in the training of some local medical personnel.

The Ministry of Finance said that the funds can be increased by another 100 million taels on the previous basis, which will be specially used to support rural doctors.

The Ministry of Industry stated that after the meeting, they will promote the development of the medicinal material planting industry through direct investment and mobilize local financial investment, and strive to bloom in more places across the country to ensure the supply and quality of various types, especially commonly used medicinal materials. .

(End of this chapter)