I watched Er Chuang’s short video, and everything went numb!

[If a person is sick, what should he do? ]

[Without a doubt, go to the hospital to see a doctor, preferably a hospital designated by the medical insurance. ]

[“I am sick, the state must be responsible for curing me”, this is a very modern concept. ]

……

“?”

Many ancient people in the past dynasties were stunned.

This idea, they really never had.

……

[After all, the emperors in ancient times would not, nor had the ability to take care of the health of all citizens. ]

[In ancient times, the right to health was an extremely rare privilege. ]

[Only the princes and nobles were worthy of the protection of the imperial doctors. ]

[For ordinary people, life, old age, illness and death are all up to fate. ]

[If you are unfortunately sick, you can only pay the full amount yourself and hope that the quack doctor you meet is not a quack. 】

……

Many common people in all dynasties nodded in agreement.

This is indeed the situation they are facing.

At the same time.

Many ancient people thought of the several videos about the miraculous medical skills of later generations that they had seen before, and they couldn't help but envy the later generations for having such good medical care.

In fact, not only these common people envy, but also many emperors in all dynasties envy it.

Although they have imperial doctors to escort them at any time, the medical skills of these imperial doctors are undoubtedly much worse than those doctors in the previous videos.

In terms of the level of medical care they can enjoy, as emperors, they are not as good as ordinary people in later generations.

……

[Such a situation has continued from ancient times to decades ago. 】

[For example, in the Eagle Sauce Country, which claims to attach great importance to medical care, the state pays for the health of citizens, and the right to health has become a right enjoyed by everyone for no more than 60 years. 】

【1965 was an important milestone in the history of the United States. 】

【This year, the United States government launched two major public health insurance programs for the first time: the Medical Care Plan and the Medical Assistance Plan. 】

【From then on, the citizens of the United States finally had their own "medical insurance". 】

【But even if the Medical Care Plan and the Medical Assistance Plan were formulated, it does not mean that all the citizens of the United States can get the medical insurance of the country. 】

【The medical care plan of the United States is aimed at the elderly over 65 years old and the disabled of all ages. If you meet the requirements, then whether you stay in 28 hospitals or 28 outpatient clinics, the state will pay for you. 】

【As for the Medical Assistance Plan, the income of the insured person must be lower than the local poverty standard. 】

【In short, in the United States, only the elderly over 65 years old, the disabled and the low-income people can enjoy the benefits of the national medical insurance, and the rest of the people have to rely on themselves. 】

The barrage flew out:

“Big Brother: This is because we have been here.”

"This is a product of the Cold War."

"..."

Many ancient people from all dynasties looked at the giant screen in the sky and remembered the video about the Cold War that they had watched before.

Big Brother and Eagle Sauce Country, two superpowers, competed in various ways to prove whose system was better.

Many ancient people felt that if Big Brother did not provide free medical care for all people, Eagle Sauce Country might not withdraw from these two welfare policies.

However, compared with Big Brother's coverage of the entire population, the coverage of these two policies in Eagle Sauce Country is undoubtedly much smaller.

……

[Objectively speaking, Eagle Sauce Country has a certain bottom line for vulnerable groups, but this is very different from our impression that medical insurance is the reliance of a country's citizens and the most basic national welfare. ]

[For most countries, universal medical insurance is implemented, that is, you pay a fee to the country every month, and once you get sick and go to the hospital for treatment, the country will reimburse you for a large part of the money. 】

[Many people dream of the "England Dream". They think that the United States also has universal health insurance, and it is more perfect, where everyone can enjoy free medical care. 】

[But in fact, the United States is the only developed country in the world that does not provide universal health insurance for its citizens. According to data from 2021, only 35.7% of all insured people in the United States have public health insurance. 】

The barrage flew out:

"This is really the first time I know it."

"If you are not old, weak, sick or disabled, it is impossible to have public health insurance in the United States."

"America does not support idle people. If you are not old, weak, sick or disabled, don't think about taking advantage of the country, hehe."

"..."

Looking at this content on the giant screen.

Many ancient people in all dynasties were directly shocked.

In previous videos, they knew that Big Brother and the five Nordic countries all provided free medical care for the people.

They just regarded this situation as a special case in these few international countries.

But they didn't expect that there would be a benefit like "universal health insurance" in later generations.

After being shocked.

The ancients of all dynasties were thinking about it in their hearts.

Some people think that "universal health insurance" is very good. If you pay a little money at ordinary times, you can spend a lot less money when you see a doctor, which is more cost-effective.

But some people think that if you don't get sick and don't go to the hospital for treatment, then the money will be paid in vain? Isn't it a loss?

Another part of people is thinking about how much money you pay? How much less can you pay when you see a doctor? You have to calculate this account clearly to know whether it is cost-effective.

In short.

Different ancients have different ideas.

This is also normal.

In modern society, modern people's views on medical insurance are not completely unified, not to mention these ancients who only know some superficial information about medical insurance from the giant screen.

……

The plane of Emperor Taizong of the Tang Dynasty.

Li Shimin was thinking about the issue of "universal medical insurance".

According to his guess, since this is a welfare provided by the state to the people, the money paid by the people is probably much less than the cost of seeing a doctor.

"Can the Tang Dynasty follow suit?"

As soon as this thought came to Li Shimin's mind, he denied it.

The Tang Dynasty does not have such conditions.

And, if the people are asked to pay every month, I am afraid they will not be willing.

Unless they provide free medical care to all the people like Big Brother and the five Nordic countries, then the people will definitely be willing.

However, this requires more money, and the country must have great financial resources.

The Tang Dynasty can't do it even more.

...

[In addition, the composition of medical institutions in the Eagle Sauce Country is also very different. ]

[In the Eagle Sauce Country, hospitals are divided into federal government hospitals, private non-profit hospitals, and private for-profit hospitals. ]

[Among them, federal government hospitals, that is, public hospitals, account for only 18.8%. 】

[This means that the Eagle Sauce government can command less than 20% of public hospitals, so the Eagle Sauce government's ability to provide free medical insurance for its citizens is actually very weak. 】

……

The plane of Emperor Taizong of the Tang Dynasty.

Li Shimin's mind moved.

Free medical care and universal medical insurance cannot be imitated by the Tang Dynasty for the time being.

However, it can learn from later generations to establish the so-called public hospitals, that is, the official hospitals of the court.

This can not only prevent charlatans and quacks from harming people, but also ensure relatively fair and reasonable charges.

The more Li Shimin thought about it, the more he felt that this matter was feasible.

"My dear ministers, I want to establish official hospitals of the court in various places. What do you think?"

Li Shimin asked the ministers of the Tang Dynasty.

"Your Majesty is wise!"

"Your Majesty is kind-hearted and considerate of the people. This is a blessing for the people."

Changsun Wuji and others replied in unison.

"Then this matter is settled."

"Chi Nu, this matter is left to you."

Li Shimin said to Li Zhi.

This is beneficial to the people. Letting Li Zhi take charge can not only train Li Zhi's ability to do things, but more importantly, it can gain a good reputation for Li Zhi among the people.

He is in poor health and must consider paving the way for Li Zhi.

"As ordered."

"Please rest assured, father. I will definitely do a good job of this matter."

Li Zhi replied solemnly.

Hearing this, Li Shimin nodded slightly.

He didn't know.

His decision made the first government-run hospital in China several hundred years earlier than the original time and space.

In the original historical time and space, China's first official government-run hospital, "Taiping Huimin Pharmacy", appeared in the Song Dynasty after Wang Anshi's reform.

……

[In 2007, a reporter from the United States visited hundreds of public medical institutions and found that the medical equipment in public hospitals was almost all old., obsolete machines. 】

[He also found that the quality of medical staff in the public hospitals of the United States was poor, the hygiene of basic medical equipment was worrying, needles were reused, most of the surgical doctors were interns, and the whole ward was in a mess, like a garbage dump. 】

[In addition to poor medical services, difficulty in making appointments is also a big problem. For many diseases, appointments for treatment often have to be made several months later. For patients racing against time, there is no time to wait. 】

[The reporter wrote at the end of the report: The poor can only go to public hospitals, but treatment here will only make the condition worse. 】

……

The Jiajing plane of the Ming Dynasty.

Li Shizhen shook his head.

How can you wait for several months to see a doctor?

If the patient is seriously ill, I am afraid that it is a question whether he can live to that time.

……

[Since public medical care is lame, will private medical care be better? 】

[Indeed, the private hospitals in the United States are equipped with the most advanced medical equipment in the world, and they also have experienced doctors, and the medical environment is also very beautiful and comfortable. 】

[But to enjoy all this, the premise is that you can afford the high costs of private hospitals. 】

[Private hospitals in the United States are independent entities, and the government cannot supervise them. Patients have no bargaining power in front of private hospitals and clinics, but as a result, hospitals charge random fees. 】

[Take CT examinations for example, the price in the United States is $97, but in the United States it is as high as $896. 】

[There are also MRI examinations, which cost $450 in the United States, but as much as $1,420 in the United States. 】

[It is well known that the cost of living in Switzerland is higher than that in the United States, but a heart bypass surgery in Switzerland costs about $32,000, but in the United States it costs $78,000. 】

[A medical documentary in the United States once reported an incident: A woman from the United States trembled all over and burst into tears when she heard that the medicine she used in the United States cost $120, but only 5 cents in Cuba. 】

The bullet screen flew out:

"This is a breakdown."

"The price of a bottle of medicine has increased by more than 200 times. This would break anyone's defense."

"It's normal. The United States allows pharmaceutical companies to set prices freely and the government is not allowed to intervene, which leads to drug prices rising almost every year."

"Reply - Nothing wrong, it's a free market economy. (dog head)"

"..."

Seeing this, many ancient people from all dynasties angrily denounced:

"What a black-hearted hospital!"

Although they don't know what "CT scan" and "heart bypass" are, the price comparison is very clear.

For the same project, the fees in the United States are several times more expensive. Isn't this a shady idea?

And the price of this 5-cent drug has increased by more than 200 times, which is simply outrageous.

……

The Great Ming Taizu plane.

Zhu Biao thought for a moment and said to Zhu Yuanzhang:

"Dad, I heard that there are also random charges in private medical shops. Many people are suffering. The court must restrict it."

"I think the court can set the price of commonly used medicinal materials and not allow it to exceed the price. Anyone who violates it will be severely punished."

Everyone's condition is different, and the prescriptions are different. There is no way to unify the price of treatment prescriptions, but Zhu Biao thinks it is feasible to unify the price of medicinal materials.

"Boss, your idea is very good."

Zhu Yuanzhang praised.

……

[You said there are private non-profit hospitals? They will not charge random fees? ]

[Then you are naive. This is a wolf in sheep's clothing. ]

[Non-profit hospitals do not mean free, but they must ensure that any net income does not benefit shareholders or anyone else. 】

[Non-profit hospitals concentrate most of their profits on doctors' salaries, brand new high-end equipment, various new buildings, and political lobbying. 】

[In 2018, these non-profit hospitals spent more than $100 million on lobbying. 】

[They spent about $30 million on campaign contributions and are usually the largest employers in states and cities in the United States. 】

[Now do you understand? Non-profit hospitals do not make money from patients, but just spend the money they make under other names. 】

……

The plane of Emperor Chengzu of the Ming Dynasty.

117

Zhu Di thought of the charitable organizations in the United States that he had seen in the previous video. Under the name of charity, they had various calculations.

Thinking of this.

Zhu Di suddenly remembered that the previous video seemed to mention that this kind of non-profit hospital also belongs to a charitable organization.

So, it should also be tax-exempt.

In addition, why are these non-profit hospitals so keen on campaign donations?

In order to make the Eagle Sauce government introduce some policies that are more favorable to them?

Zhu Di pondered in his heart.

……

[Seeing this, some people may say, doesn’t Eagle Sauce have commercial medical insurance? ]

[As long as the Eagle Sauce people buy commercial medical insurance, they can enjoy the services of private hospitals without worrying about the high cost. ]

[That’s right. ]

[However, the cost of commercial insurance is very expensive, and not everyone can afford it. ]

[In Eagle Sauce, there are about 48.6 million uninsured people who are neither eligible to buy public medical insurance nor can they buy commercial medical insurance, accounting for 16% of the total population. ]

[These people are very miserable. If they get sick, they either take care of themselves, pay a huge amount of money themselves, or wait to die. 】

……

Thinking of the sky-high fees charged by private hospitals in the United States.

Many ancient people in past dynasties estimated that these uninsured people would most likely just wait to die.

Their guess was right.

In the United States, about 18,000 people die helplessly and painfully every year because they cannot afford medical care without medical insurance.

……

[So, is everything fine with commercial medical insurance? ]

[Not really. ]

[Private commercial insurance companies in the United States are not good people. They want to make money. ]

[Since they want to make money, they have to charge more and pay less. ]

[How to do it? ]

[First of all, there is a limit on the reimbursement amount. If you spend more than that, you have to solve it yourself. ]

[For example, the Smiths were originally middle-class people who had always lived in the dream of the United States. ]

[But unfortunately, the husband had three heart attacks and the wife got cancer, and soon reached the reimbursement limit. ]

[In the end, they had to sell their house. 】

……

“Ah.”

Some people in the past dynasties sighed in their hearts.

Things like falling back into poverty due to illness also happened in ancient China.

Those sighing people are some of the victims.

……

[Mr. and Mrs. Smith at least bought commercial medical insurance, but for some other people, they can’t even buy it. 】

[In order to reduce risks, insurance companies will review the health status of the insured. If there are underlying diseases or they are too old, they will refuse to sell insurance for various reasons. 】

[For example, this kid named Jason, a 1.83-meter-tall boy, only weighs 118 kilograms. The insurance company said he was too thin and refused to sell him insurance. 】

[Another little girl, 1.55 meters tall but weighs 160 kilograms, was also rejected because she was too fat. 】

[So, this group of people became uninsured. 】

……

Emperor Wudi of the Han Dynasty.

Liu Che thought this insurance company was interesting.

It was the first time he heard of a company doing this kind of business, it was very novel. .