A doctor who travels through two eras

Chapter 441: Domestic Drug Shortage

You could hear a pin drop in the conference room. Everyone stopped writing and looked at the youngest dean in the country.

The TV and newspaper reporters also turned their cameras back to Lin Sanqi. At this time, the reporters were also amazed at how young he was.
Lin Sanqi took out the manuscript, looked around at the two hundred senior officials of the health system present, and cleared his throat.

"Minister Li, leaders, seniors, hello everyone. I am Lin Sanqi, the director of the Capital Infectious Disease Hospital. Our hospital was newly established under the care of Comrade Wu and the advocacy and suggestions of Minister Li. In the words of Minister Li, we started from scratch.

But Minister Li was wrong in one respect. Building a new hospital definitely requires money. For example, our infectious disease hospital borrowed more than 20 yuan in cash from the Chinese medicine hospital to purchase various office supplies and make some renovations to the hospital. "

As soon as these words were spoken, everyone below began to talk about it, and even Minister Li frowned.

Lin Sanqi was not in a hurry and continued his speech:

"Start-up capital is essential, but we paid back the debt after the first month of opening. Why? Because our infectious disease hospital made money and was profitable in the first month."

"Oh~~~"

Everyone below looked as if something suddenly dawned on them, and the old lady's brows relaxed.

"Minister Li said that the country is facing financial difficulties, but the country has a lot of work to do and there is no money to build new hospitals. However, in the twelve years since the founding of New China, people's living standards have been improving, and the demand for medical services has also been growing day by day.

For example, most rural areas do not have health centers, and the problem of farmers having difficulty seeing a doctor has not been solved. In addition, even in cities, such as our Beiping City, there are seven or eight large and small hospitals in the city, which can initially solve the problem of seeing a doctor.

However, everyone has overlooked one point. The Capital Hospital does not provide emergency services at night. If a patient suddenly develops an emergency at night, he or she either has to wait until dawn at home or run to the inpatient department to see a doctor. This back and forth greatly delays the patient's condition.

Therefore, our country still needs to build more hospitals and train more doctors. This is a slogan. How to realize this slogan, I have summarized it in eight words, that is, self-management and self-financing. "

Everyone present could probably understand the meaning of these eight words, but they didn't quite understand them, so they all held their breath and continued to listen:

"In fact, these eight words can be summed up in one sentence: How much a hospital earns is its own business, and the government is not responsible for funding, which puts an end to the big pot system. This forces your doctors to improve their clinical level and medical service attitude to attract more patients.

This may sound like a disadvantage to doctors, but in fact, this system is a disguised way of encouraging doctors to be more active in their work. If you have many patients, your bonus will be high; if you have few patients, your bonus will be low; if you have no patients, you will have no money and no food.

For example, if Doctor A sees 50 patients today, and Doctor B sees 100 patients, the difference in funding is half. If this happens every day, when Doctor A gets paid at the end of the month, Doctor B gets 50 yuan and Doctor A gets 100 yuan, and the gap widens.

Some people may say that this is unfair. Socialism advocates equality for all, so how can we artificially divide people into different classes? Some people get more, some get less. Then aren't those who get less exploited by those who get more?

What we do at our infectious disease hospital is to quantify and publicize the work: the number of patients each doctor sees per month, or the monthly workload of each medical team, is all posted on the wall for everyone to see at a glance, without any behind-the-scenes manipulation.

If you do more, you get more; if you do less, you get less. Is this fair?
I think this is the greatest fairness. The current situation in our country is that there are too few hospitals and too few doctors, so we can only mobilize the enthusiasm of doctors.

Originally, they saw 50 patients a day, but in order to get more bonuses, they saw 100 patients a day. Has the work efficiency doubled? Does it mean that twice as many doctors are available?
At the same time, we also emphasize the principle of voluntariness. Some doctors don’t want to be too tired, so they are willing to see only 50 patients a day and rest more in the remaining time. This idea is not wrong, as long as you are willing to get half the salary of others in a month. "

This is an extremely outrageous statement. Fortunately, this happened in 1961. If it was in 1965+1, I'm afraid the table would have been overturned.

In fact, many leaders attending the meeting were nodding slightly, especially several deans.

But Lin Sanqi's statement of "more work, more pay" is inconsistent with the principle of "equality for all", so everyone can only remain silent.

Lin Sanqi is not afraid of death. He is ready to run away at any time. Naturally, he is not afraid of being held accountable later. Anyway, he does not have Ant Financial to go public.

"In addition to clarifying the allocation system within the hospital, our hospital must also improve its own medical standards and establish special departments to attract people from the surrounding areas to come for medical treatment.

For example, our Infectious Diseases Hospital can conquer tuberculosis, so this is considered a specialty department, right? Now people from all over Beijing, and even the whole country, are rushing to our Capital Infectious Diseases Hospital, and we have to wait until more than half a month to make an appointment.

750 appointments a day. Oh no, a few days ago, some American doctors came and said they wanted to learn tuberculosis treatment from us, so 100 more appointments were added. So 850 appointments a day.

I can give you a calculation. The cost of a patient's registration, examination, prescription, and hospitalization is 50 yuan on average. 850 patients means a daily operating income of 4 yuan, which is 120 million yuan a month.

120 million, even if we earn less, the cost accounts for two-thirds, and there is still a profit of 40 a month. Leaders present, please calculate, how much salary and bonus can I give to employees with so much money a month? How much food can I distribute?

I can not only distribute money and food to motivate the employees, but also other food, daily necessities, various movie tickets, theater tickets, etc. In the future, I can also distribute bicycles and radios to each employee.

Think about it, we have always advocated communism. In the final stage of communism, will everyone be rich? Material and spiritual civilization will reach a very high level. Then think about it, will our infectious disease hospital be the first to achieve communism? "

Boom~~~
The conference hall suddenly exploded. Everyone was drowsy listening to your slogans, but if you calculate the money like this, no one would be sleepy anymore.

According to Lin Sanqi's estimate, the total number of employees at the Capital Infectious Disease Hospital is less than 400. Assuming 400 employees, the monthly profit for each employee is 400 yuan.

At that time, each employee would receive 100 yuan in cash and 100 yuan in food a month, which would leave a surplus of more than yuan. After a year, it would not be an exaggeration to say that the Infectious Diseases Hospital was the richest hospital in the country.

Comparing this with the hardship of the national health system, one can only say that infectious disease hospitals are extremely rich, making money as fast as they print money.

Some people were excited, but in the era of leftism, Lin Sanqi's words still aroused disgust among many people at the meeting.

A local cadre stood up and questioned:

"Comrade Lin Sanqi, the common prosperity you just mentioned only means that your infectious disease hospital is prosperous, but every penny you earn is the hard-earned money of the working people. Is this a different kind of exploitation?"

These words resonated with many people in the audience.

Minister Li was also sweating, thinking that this guy was really good at talking and was very bold in speaking. He should have reviewed his speech earlier.

Lin Sanqi was not annoyed when he heard this, but asked back:

"Leader, may I ask you, how much is your monthly salary?"

The cadre replied loudly: "Why can't we say this? Salaries are public. I am an administrative level 8 worker, and my monthly salary is 230 yuan."

Lin Sanqi smiled and continued to ask:

"Everyone knows that tuberculosis is a terminal illness and nine out of ten patients will die, but everyone also says that life is priceless. Now I use 50 yuan to cure a life, which is equivalent to one-fifth of your annual income. Do you think it is expensive?

This 50 yuan includes registration fees, examination fees, medicine fees, doctors and nurses’ mental labor, service fees, etc. I think our hospital has paid a lot, so how can we say this is exploitation? Who are we exploiting?”

"This……"

At this time, another cadre stood up:
"President Lin, our socialist country emphasizes distribution according to need and implements a planned economy. If you say that we talk about money all the time, then we will become a capitalist country."

Lin Sanqi quietly rolled his eyes when he heard this, but still looked serious on the surface.

"Leader, I don't agree with what you said. Whether it's the people of socialism or capitalism, getting sick is accidental. Does our country also have to plan for medical treatment? How many people are planned to get sick every day?
Or do we only plan how many people can go to the hospital every day? Or even plan how many people will be cured and how many will die every day? Do we have to plan all of these?
So I told Leader Wu and Minister Li that our health system is very special and cannot follow the traditional planning approach. We must adjust according to the number of patients at any time. Otherwise, if the drugs we produce are not used and expire, who will bear the loss? "

Just as Lin Sanqi finished answering, another cadre raised his hand and said:

"Comrade Lin, when it comes to building a new hospital, I understand what you mean. The hospital is on the right track. We need to improve the clinical level of doctors and create special departments to attract more patients. This will generate a lot of income and put the hospital's finances into a virtuous cycle. But there is a problem here. You also said that the start-up funds for your Capital Infectious Disease Hospital were borrowed. If we also want to build a new hospital locally, where will the start-up funds come from? The Ministry of Health or local health bureaus have no money."

Many people agreed with this statement.

Doing business requires capital. Without capital, even if you know which business is profitable, you can only sigh in despair.

It is definitely impossible to count on a poor government agency like the Health Bureau. If the government had money, why would it hold this experience sharing session today?

Lin Sanqi came from later times and felt that this trivial problem was not difficult at all.

"In fact, it is not difficult to solve the problem of starting capital. We have banks in every region and even in every county. What do banks do? Banks serve major enterprises and institutions that are short of funds.

We can all get a loan from the bank. Of course, we need to pay interest to the bank every month, but since we are all state-owned enterprises, the interest rate can be set low. This way, we will have the start-up capital.”

Another question was raised from another corner of the conference room:
"Director Lin, if I apply for a loan from the bank and the hospital's initial operating income does not reach the ideal figure, then we will be burdened with such a huge sum of money, with interest compounding every month. Wouldn't we then become tenants exploited by the landlords?"

Hehehe~~~
Everyone chuckled.

When it comes to owing money, the first things that come to mind are the peasants exploited by landlords and the workers exploited by capitalists in movies and TV dramas. In short, they are all negative impressions.

So before borrowing money, everyone is worried about what will happen if they can't pay it back? Then they will be overwhelmed by the principal and interest.

Read the error-free version at 69shuba! 6=9+shu_ba is the first to publish this novel.

Lin Sanqi thought, these are middle and senior level cadres, and their lack of economic and financial knowledge is really outrageous. After all, they are soldiers and have a low level of education, just like Li Yunlong.

"Everyone, who said that when you pay back the money, you need to pay it back all at once? Our infectious disease hospital is in a special situation. Because we have money, we paid 20 yuan back to the Chinese medicine hospital in one go.

If you want to borrow money, you can pay it back monthly. For example, if you have difficulty paying back 20 yuan, you can pay it back over three years. The principal plus interest is more than 3 yuan a month, which is less than 5000 yuan a day on average. Do you still think you can't pay it back?"

"Yes~~~"

If you say you have to pay back 20 yuan, everyone will be scared, but if you say you have to pay back 20 yuan a day, then everyone will think it's a small amount of money.

What Lin Sanqi was thinking at this time was the advertisement posted in his own elevator in another time and space, which said that if you wanted to buy a luxury car, you only had to pay a loan of a few dozen yuan a day, and then a large number of people would not be able to resist the temptation and would buy the car.

While everyone was discussing this, another local cadre asked:

"President Lin, I have a question. Even if we borrow money to build a new hospital and recruit new doctors, there is a shortage of medicines all over the country. How can we solve this contradiction?"

This question was a bit beyond the scope, and Lin Sanqi began to scratch his head.

Medicine is indeed the foundation of a hospital. Without medicine, no matter how skilled you are as a doctor, it will be useless and you will be helpless.

How do we get medicine? First of all, there must be a pharmaceutical factory to produce the medicine, right?

However, the prerequisite for building a pharmaceutical factory is that you must have a complete industrial system, pharmaceutical research system, biochemistry system, etc.

But if you want to build so many systems, you need talents, right? This involves the issue of university discipline setting and talent training.

How could the "smuggler" Lin Sanqi not feel a headache when he thought about how complicated it was to produce a pill? He couldn't be the only one supplying medicine for the whole country, could he?
Minister Li is obviously also very concerned about this issue.

The health system has already tasted the sweetness of the X-ray production line. Although most of the X-ray machines produced are exported to exchange foreign exchange and food, it is also a good start.

What if Lin Sanqi could bring back some more drug production lines? Wouldn’t that solve the nationwide problem of drug shortages at once?
Lin Sanqi also has his own concerns. He is moving production lines and chemical raw material factories from modern society bit by bit like an ant moving house. Will they all be smashed, burned or destroyed in a few years?
Of course, we have to move some production lines and raw material factories here.

But if the production line is moved here, where should this pharmaceutical factory or drug production base be placed to avoid being affected by the storm?
This is a very difficult problem.

In any case, it is definitely not possible in major cities across the country such as the capital, Shanghai, Tianjin, Wuhan and Chongqing.

According to the information Lin Sanqi found, the bigger the city, the more severe the storm will be. No matter how many pharmaceutical factories you build, they will all be paralyzed in the end.

But the country is so big, there must be a safe place, right? Lin Sanqi had to find a safe place. Of course, this is a later story.

Lin Sanqi lowered his throat and decided to solve the problem at hand first.

"This leader said it well. Not only the local hospitals, but even the Union Hospital is also facing the difficult situation of lack of doctors and medicines. Dean Tu of the Union Hospital was also there. He said that many medical machines in the Union Hospital could not be operated because there were no spare parts to replace them.

Only my former employer, Capital Hospital of Traditional Chinese Medicine, was better, because we used pure Chinese medicine at the beginning. We also set up our own "purchasing department" to buy Chinese medicinal materials from all over the country. I was also one of the purchasers when I first started working.

Later, our infectious disease hospital came up with three solutions to solve the problem of drug shortage.

One is to produce drugs by ourselves, such as anti-tuberculosis drugs, we have our own manufacturers. But it is still in the confidentiality stage. When the time is right, we will promote tuberculosis drugs to the whole country.

Another type is some of the medicines our hospital needs, such as liver and kidney protection, heat clearing and detoxification, which are also produced and sold by ourselves, relying on the prescription support of traditional Chinese medicine hospitals. In this way, the combination of Chinese and Western medicine has preliminarily solved the problem of medicines needed for tuberculosis.

There are also some antibacterial drugs. We obtained them from overseas through special channels. It all depends on your ability. Back then, our party was able to get penicillin in the old revolutionary base areas. There is no reason why we can’t get it now. It all depends on whether we use our heart and soul.”

Minister Li interrupted at this time:

"President Lin, there are thousands of different kinds of medicines. Let's not talk about them for now. Let's talk about penicillin, which is in short supply in China. Do you have any way to help us get a batch of them first? Then help us get a few production lines. We will strive for localization and mass production."

Lin Sanqi thought that the old lady was really cunning. She was waiting for him here?
Moreover, doing this in front of so many people is somewhat like moral kidnapping. You can't just take care of your own hospital and ignore other units, right?
Sure enough, when the leaders of health departments across the country and the directors of major hospitals heard these words, they were all excited.

"Dean Lin, can you get penicillin?"

"Comrade Sanqi, we in western Jiangxi Province are in dire need of penicillin. You have to help us think of a solution!"

"President Lin, if we are talking about shortage, we are in greater shortage in Liaodong Province. We have many factories and workers there, so the demand for penicillin is even greater. Unstable industrial production will affect the overall situation of the country."

Even the presidents of several digital hospitals jumped out:
Liu Shengli took the lead and started to make a fuss:

"Xiao Lin, don't forget that you are an active military officer with two bars and three stars. Don't forget our family."

"That's right, the army-first system still has to prioritize the supply of antibiotics to the troops!"

Except for the directors of traditional Chinese medicine hospitals in various regions who were relatively calm, everyone else started complaining and the meeting room immediately became chaotic.

It really proves the old saying: The world has suffered from the need for antibiotics for a long time.

Lin Sanqi blinked and thought, how come this experience sharing session is about to turn into a product recommendation meeting?
He is a smuggler who trades between the two worlds. Isn't the money he makes from this kind of speculation and profiteering as a middleman? Since others have a need for it, there is no reason for him to refuse, right?
"Everyone, please be quiet. Since everyone has this demand, we will solve it one by one. First, we will solve the problem of penicillin shortage across the country. So, I will find a way to get 200 million bottles of 40 units of penicillin."

Boom~~~
The whole place exploded again. (End of this chapter)

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