A doctor who travels through two eras

If the Chinese leaders were present, they would be very surprised:

First, I was surprised that the treatment cost was so high? A disease that can be cured with tens or hundreds of RMB in China costs tens of thousands of dollars in the United States?

Second, I was surprised that hospitals are not serving the people. They told everyone that if you have money, you can get treatment, but if you don’t have money, you can’t get treatment. How come American hospitals and society don’t care about human rights?
Sure enough, a very small number of patients at the scene began to curse:
"Fuck, this is not fair, why can't we poor people get treatment?"

"I am willing to sign the application for social assistance. Please, save me."

"We are willing to pay in installments, sir, can you give us a chance?"

But most patients were calm, obviously accepting the high cost of tuberculosis treatment, and some noble people were already driving people away:
"Leave now. Tuberculosis is a terminal disease. How can the newly invented medicine be cheap?"

"Stop disturbing the order, police, there are people shouting here, please drive them away!"

The medical systems in the United States and China are different. As long as ordinary Chinese people can borrow a little money, they dare to go to top hospitals such as Union Medical College Hospital, Peking University Health Science Center, West China Medical University, and Ruijin Hospital.

But in the United States, the poor and ordinary people will not go to top hospitals like Massachusetts General Hospital, Mayo Clinic, and Cleveland Clinic.

Because only the rich can pay the bills of such top hospitals, the money in the pockets of the poor may not even be enough to pay the registration fee.

Of course, the poor in the United States should not expect family members to hold the patient, run to the hospital entrance, and kneel there to beg the hospital for help.

This kind of helpless kneeling works in Chinese hospitals, because the hospitals will treat you, or at least give you basic treatment measures, either due to pressure from public opinion or humanitarianism.

This approach doesn't work in the United States, which is a cruel and cold-blooded country. If you don't have money, you can only go to public hospitals or church hospitals.

However, there are exceptions. That requires that your disease is extremely rare, has medical research value, and can allow doctors to write papers and become famous, then your medical expenses can be waived.

Therefore, the people queuing on site are basically either rich or noble, and many of them are queued by their secretaries or assistants.

After Professor Anthony saw that the discussion among the crowd had subsided, he said:
"OK, since everyone has reached a consensus, let's start signing up now. If today's appointments are exhausted, we will open up tomorrow's appointments. The remaining appointments will be announced on the blackboard next to it every day."

This set of skills was learned from Lin Sanqi.

Lin Sanqi had no choice but to use this registration method, since there were no mobile phone appointment services available nowadays.

But in the United States where telephone reservations are very popular, they still use this method. It has to be said that Anthony's team has a sharp eye and sees the advertising effect.

The next day, eight o'clock in the morning.

Many wealthy and prominent patients stood on the roof and looked at the infectious disease area in the southeast corner of the hospital in surprise.

Because there are already crowds of people there, it's as lively as Christmas, which has never happened in the quiet Massachusetts General Hospital.

Professor Anthony is in charge of the outpatient clinic and Professor Theodore is in charge of the ward, and the day's official reception work begins.

The diagnosis of tuberculosis is already very clear. Doctors in infectious diseases and respiratory departments all understand it and no additional training is needed.

Therefore, clinicians got the hang of it quickly and started treating patients in an orderly manner.

Doctors from more than 300 hospitals across the United States began to enter internship mode, with doctors from other hospitals sitting nearby and observing the entire diagnosis and treatment process.

More than 30 of the top doctors in the United States sat in Professor Anthony's clinic.

Fortunately, Massachusetts General Hospital had made preparations in advance and prepared an office for Professor Anthony, which served as an open teaching class.

No one on Anthony's team noticed that what they were doing was exactly what Lin Sanqi had done at the Beijing Infectious Disease Hospital, and this group of people were subconsciously influenced.

After get off work in the evening, chairmen, general managers and deans of more than a thousand hospitals from North America and South America gathered together.

How much of the anti-tuberculosis drug iboperitone tablets can be used in a year if Massachusetts General Hospital alone is the only one? Therefore, it must be rolled out all over the world so that the quantity can be increased.

Massachusetts General Hospital is just an example.

But to attract all hospitals in the world to use this drug, not only do we have to give red envelopes to the hospital directors and doctors, but public hospitals can do this as well.

However, for the board of directors of private hospitals, which are at the top of the pyramid and have strong power in America, what is important is to create value for the hospital and the boss.

Doctors can make money privately, but hospitals cannot, which is not attractive to private hospitals. So Anthony's team invited the presidents and chairmen of famous private hospitals in North America and South America to come here to settle accounts with these capitalists and attract them to take the initiative to use Epyridamole tablets.

Professor Anthony sat on the stage and settled accounts with the hospital managers for the day:
“Ladies and gentlemen, you have all seen how crowded our Massachusetts General Hospital is today. Perhaps the data from one day does not represent anything, but I still want to do the math for you.

Today we received 1000 patients, of which 100 were admitted to the hospital, accounting for 10%.

Each hospital can determine its own hospitalization standards. Our Massachusetts General Hospital is relatively strict and we only admit critically ill patients.

If the standards are relaxed, the hospitalization rate could reach as high as 80%.

In other words, almost all tuberculosis patients can be admitted to the hospital, receive comprehensive examinations before taking medication, and then have their side effects and efficacy evaluated, etc.

So do you know what this means?
If you admit one more inpatient, you can earn more money.

If we speed up the bed turnover rate, then one bed can treat up to five patients a month, which is a very optimistic figure.”

Hospitals all want to make money, but outpatient clinics are not the most profitable because they can perform fewer tests and prescribe fewer medicines.

At this time, the hospital with a higher hospitalization rate means that it can earn more money from patients.

For example, a full set of examinations must be done after admission, and the examinations must be continuously improved during hospitalization. Before discharge, another comprehensive examination must be done to evaluate the treatment effect.

After so many examinations, including blood draws, X-rays, and sputum cultures, the money flowed into the hospital's account.

When the directors sitting below heard that the hospitalization rate of tuberculosis patients could be increased, they all became interested.

Professor Anthony knows what these deans want to hear. If clinicians want to hear professional knowledge, then all the deans need to do is talk about how to make money.

"Even if it's just outpatient care, we can actually do some calculations. For example, today's 800 outpatients are planning to take a six-month course of anti-tuberculosis drugs.

The standard for our Massachusetts General Hospital is that the drug cost for one course of treatment is $1.5, but do you know how much our anti-tuberculosis drugs cost? $1.

That is to say, today we generated $450 million for the hospital just from outpatient patients in one day, which means almost $ million a month and nearly $ million a year.

And this is just the money earned from the medicine. In addition, there are various examination fees, registration fees, service fees, etc. If you are hospitalized, there are also hospitalization fees. Don’t you think this is a treasure?"

Boom~~~The deans below were all excited, with golden light in their eyes.

But there was also an anxious dean who asked:
"Mr. Professor, there are many poor people in our Moxi. We can't afford the $1.5 medical expenses. What should we do?"

Professor Anthony smiled and replied:
"First, we need to take advantage of the wealthy. A few tens of thousands of dollars in medical expenses is definitely a small amount for the wealthy.

Just as our country, the United States, has a population of more than 2 million, we predict that there are at least million tuberculosis patients.

So even if 10% of them are wealthy people who pay for their own expenses, the remaining 60% still have medical insurance to cover reimbursement.

So let's do the math, is a patient market of around 700 million enough for us to make a huge amount of wealth?

As for the remaining 30% of the poor, or ordinary people who have no insurance, we can only say sorry.

One day when we have made enough money and the rich have been cured, we will make money from the poor.

Specifically, all medical expenses will be paid by the government. At that time, the worst that can happen is that the price of anti-tuberculosis drugs will be reduced. A country has millions of poor patients, which is enough for us to make a fortune.

So my idea is that now we have to maintain high prices and make money from the rich and the insurance industry first.

When we can no longer squeeze out oil and water, we will treat the poor. But this day may be decades later.

Because tuberculosis is highly contagious and the tuberculosis bacteria continue to spread and create patients for us, why should we worry about a lack of patient resources?
As long as there are patients, we can keep making money.”

As soon as Professor Anthony finished speaking, the deans present immediately started a heated discussion.

Because this account is very easy to calculate. By looking at the population of a country and the approximate number of tuberculosis patients, we can estimate the size of the market.
I don't know if I don't count, the more I count, the more excited I get. (End of this chapter)