Reborn in 2010, the AI ​​in my mind is too powerful.

Chapter 289 A Double Bloom Between China and the US

In 2013, although China's economy had soared and was incomparable to what it was decades ago, as a late-developing country, it still faced many problems with infrastructure development.

Chen Yiran went through all the National Health Commission's reports from 2012 and identified what he considered the most serious issue as a starting point.

In short, there are three directions: screening, diagnosis, and treatment. The ultimate solution is to improve grassroots infrastructure.

According to the 2012 "China Birth Defects Prevention and Control Report" published by the National Health Commission, approximately 12 children in China are born with congenital heart disease each year, with an incidence rate of 0.6%-0.8%, accounting for 28% of all congenital birth defects and making it the most common congenital malformation.

Reports from some hospitals and universities suggest that this number is even higher. For example, Shanghai Jiao Tong University estimates that approximately 15 children are born with congenital heart disease in China each year, with an incidence rate of 0.7-0.8%.

However, the first China Pediatric Congenital Heart Disease Academic Forum in 2012 revealed that less than 50% of children with congenital heart disease receive treatment each year. Nationwide, only 12.5% ​​of children receive interventional treatment for congenital heart disease, meaning only 1 children receive interventional treatment from specialist physicians annually.

This means that 7.5 to 8 children with congenital heart disease fail to receive timely diagnosis and treatment each year due to economic reasons or insufficient awareness among primary care physicians.

The hardest-hit areas are rural children. In most rural areas with poor medical and health conditions, many children are unable to be diagnosed and treated in time, which delays the best time for treatment. As a result, their condition worsens and most of them die within weeks or months after birth.

However, for simple congenital heart disease, the success rate of interventional closure treatment has reached 98.4%. Domestically produced closure devices are very mature and have begun to be exported to the Middle East, Latin America and even Europe. The cost of a single interventional treatment can be controlled at 20,000 to 30,000 RMB.

These children only need a little help to survive.

Chen Yiran established the Ping An Future Health Foundation in China, with plans to first provide assistance in the construction of health stations in some key areas.

To give an example from Gansu, in 2012, the rural maternal and child health stations in Gansu had already experienced a systemic collapse.

全省75.5%的妇幼保健机构在编人员数低于1986年规定标準的下线,7个地市级妇幼保健机构在编人员不足61人,67个县区级妇幼保健机构在编人数不足41人。个别县如临夏州广河县仅占33%,在岗24人,卫技人员只有8人。

The western region suffers from insufficient geographical equity in resource allocation. In healthcare, the HRAD value is often used as a core indicator to measure the degree of concentration and equity in the allocation of health resources within the region, and to assess the efficiency of the geographical distribution of medical resources.

The figure for the western region is 0.44, while it reaches 3.83 in the eastern region, which is more than a difference of one or two times.

The gap is even greater in terms of equipment. Among county-level maternal and child health care institutions, less than 10% possess 8 out of 16 commonly used health care equipment.

In reality, the number of maternal and child health technicians per 10,000 people nationwide is only 1.74, and there is a shortage of nearly 300,000 personnel in grassroots maternal and child health care institutions.

Although different countries use different statistical methods, if we consider the broader category of nurses and midwives, our data is even lower than Mongolia's 3.82.

This time, the Ping An Future Health Fund plans to use US$1 billion directly to help build these inadequate facilities, with US$300 million used to make up for various missing equipment and another US$300 million used to recruit and fill the gaps in personnel.

The final $4 million is the most basic funding, used to help children with congenital heart disease identified through screening at the grassroots level and to subsidize surgeries for impoverished families.

This was the largest individual cash donation in Chinese history, and the donation was directed towards children's health issues that are of great concern to the public, causing a huge sensation in China on the same day.

Although Chen Yiran hired some staff for this donation, he still sought help from Shougang Group for many government-related liaison tasks.

Shougang Group was very excited. Not only did they contact all parties as quickly as possible, but they also injected another 500 million RMB into Ping An Future Fund in Shougang's name.

The money was well spent. The evening news program that day devoted a full three minutes to discussing this problem in China and highly praised the Shougang Group's son for remaining concerned about China's medical predicament even after starting his business.

The subsequent Focus Interview program also featured a special segment on this topic. It affirmed Chen Yiran and Shougang's kindness, while also acknowledging that the government wasn't neglecting these newborns, but rather that local policy implementation was inadequate.

In fact, China provides subsidies for many medical expenses for newborns. For example, the New Rural Cooperative Medical Scheme directly reimburses 7% of the costs, and provincial medical assistance can reimburse 2%, leaving individuals to pay only 1% out of pocket.

However, when CCTV reporters randomly interviewed the parents of five child patients, none of them knew about the provincial medical subsidy, and they also talked about many difficulties. Even if they were reimbursed an additional 20%, it would still be very difficult.

Because 10% of the cost is only for the surgery, and a lot of medical support is still needed afterward. Moreover, the patients are all children, and at least one person in the family needs to accompany them. This reduces the number of laborers and also means they have to bear the high cost of living in the county or even the provincial capital.

Adding that up, it comes to twenty or thirty thousand yuan, which is still very difficult for rural areas in western China.

The director of Xinghai County People's Hospital in Qinghai tearfully told reporters that the hospital had worked very hard to apply to higher authorities and finally obtained two relatively new color Doppler ultrasound machines. However, the hospital only had one ultrasound technician, and he did not know how to use them to diagnose congenital heart disease.

They simply lack the capacity to screen for this disease, and their efforts to recruit more personnel have been unsuccessful.

Finally, Focus Interview made an unprecedented move by conducting a live interview with Chen Yiran.

Bai Yansong first offered his congratulations: "Mr. Chen, first of all, I want to congratulate you on becoming a father."

Chen Yiran very cooperatively pointed the camera at Chen Ping'an in the crib. Fortunately, the little guy was very cooperative and slept soundly without crying.

Then Bai Yansong asked a crucial question: "What an adorable baby! I believe he will be successful in the future. Let's get back to the main topic. I want to ask a question that many people are concerned about: Is the billion-dollar donation you announced, which is over six billion RMB, a cash donation?"

"Yes, the money has already reached the foundation's account. The next step is to contact all parties involved. I have written the general allocation goals on Weibo, but we still need to do some work on the specifics at each level."

I also hope that local governments can pay more attention to this work. I want to mention that Qinghai has been contacting us very actively, and they have promised to provide some matching funds.

The main reason for asking this question is that there have been too many people in China who make empty promises in recent years. In 2012, Huang Nubo promised 50 billion yuan and Wang Wenbiao promised 10 billion yuan on the list of the top 100 people, but they both said it was a promise for the next ten years.

To put it bluntly, it's just bragging.

Bai Yansong then asked about the region: "Okay, my second question is: Why did you choose the Western Women and Children's Hospital? Why did you choose the three areas of congenital heart disease, maternal and child health stations, and newborn screening?"

This is clearly a gesture of respect and cooperation. These are all things that Chen Yiran has said on Weibo, and now they are letting Chen Yiran say them again on a bigger stage.

After a period of tacit understanding, Bai Yansong asked a rather pointed question, which CCTV and Chen Yiran had discussed beforehand.

"Mr. Chen, you are a Chinese citizen and run a business in the United States. Now that your child has been born, you have been involved in charitable activities in both China and the United States. In China, you donated one billion US dollars, which we are of course very grateful for. But in the United States, the news says that you are going to donate hundreds of billions of US dollars."

To be honest, it's hard for Chinese people to accept emotionally.

Chen Yiran smiled: "I'm very happy that you raised this question, which allows me to discuss it in detail with everyone. The issues between China and the United States are completely different, so the solutions are also different."

The news reports you've seen saying I donated so much money are incorrect. I actually only donated one billion US dollars in the US, but the US solution was debt-based, which has a certain financial aspect, so the final impact appears to be larger.

"But even with financial attributes, you can't leverage tens or hundreds of billions with just a billion dollars, right?"

Chen Yiran shook his head: "You know what, although it doesn't seem feasible now, it could actually potentially unlock hundreds of billions in the future. Of course, it's not feasible now, mainly because my partners are all vying to celebrate my child's birthday, and there's nothing I can do about it."

When Apple and Oracle heard that I had a baby, they both offered to donate money to do good deeds. I couldn't do anything about it.

I started my business in the US, and I don't know many companies in China. Only Shougang Group, as a family member, supported me and we did this charity work together. I hope some Chinese companies can contact me to do charity work together.

That concludes the interview; it was essentially a brief overview.

In fact, Chen Yiran's actions in the United States have already caused an exaggerated reaction, with various economists and politicians from both parties frantically assessing the feasibility and the impact on the future.

Of course, on the American internet, Chen Yiran has become a saint on the spot, and even Apple's sales have seen an incredible surge.

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