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中国医疗改革的困境和出路

Eight concerns in China's new crown virus infection epidemic, old problems plus new ones, reprinting and supplementing......

Insufficient vaccines and medicines, and reckless withdrawal of all epidemic monitoring and physical epidemic prevention methods, the result is that all responsibility for epidemic prevention and the impact of the epidemic have been placed on front-line medical institutions. We can change the definition of new crown hospitalization and even new crown death, but we cannot change the reality that the medical system is under tremendous pressure. This is a danger and an injustice to all people with medical needs and all medical staff.

The first concern is that we have no idea about the situation of the epidemic. In the transformation of epidemic prevention in early December, China failed to achieve the transformation of epidemic detection, but suddenly abandoned most of the detection without updating the collection method of infected cases. As a result, there is no credible data on infection cases today.

The second worry is that we are not sure about the changes in the virus. The monitoring of the evolution of the virus should not be relaxed when the epidemic is more serious. But how well is China monitoring the mutant strains today? When the overall epidemic detection has become a joke-I believe that some people who know newly infected people may completely exceed the number of new infections reported by the CDC in a certain province. How can effective mutant strain monitoring come about?

Effective mutant strain monitoring needs to be based on scientific sampling of infected cases across the country and region. According to China's new coronavirus strain monitoring plan announced on December 20, each province selects three cities, each city selects a hospital, and each hospital sequences 25 infected cases every week in addition to all deaths. If you think that a province’s weekly testing of 75+ dead patients from three cities can represent the prevalence of virus strains in this province, then you can apply for the Funny Nobel Prize .

The third worry is that we have shifted all responsibility for epidemic prevention to medical staff. In the past three years, the world has accumulated many effective epidemic prevention tools. What do these epidemic prevention tools have in common? Just so that people don't have to go to the hospital. Efficient vaccines can reduce transmission to a certain extent even in the face of Omicron, which has severe immune escape, and greatly reduce the risk of severe illness for a long time. Highly effective oral antiviral drugs such as paxlovid can help high-risk groups further reduce the risk of severe death.

Insufficient vaccines and medicines, and reckless withdrawal of all epidemic monitoring and physical epidemic prevention methods, the result is that all responsibility for epidemic prevention and the impact of the epidemic have been placed on front-line medical institutions. We can change the definition of new crown hospitalization and even new crown death, but we cannot change the reality that the medical system is under tremendous pressure . This is a danger and an injustice to all people with medical needs and all medical staff.

The fourth worry is that although many technocrats come from professional fields, once they enter the bureaucratic system and rise to a certain level, they have essentially lost their professionalism and become part of the power system . In a hospital environment where power overrides professionalism, these technocrats often choose to side with power, causing damage to professionalism.

R0's nonsense may still be regarded as a joke, but other rhetoric of experts is more harmful. For example, the promotion of more than 90% asymptomatic, and the claim that Omicron has no sequelae, these not only conflict with the current international medical consensus, but also directly mislead the public .

The fifth concern is that we may have too many blind spots when we have insufficient information. When our experts say that 80% of the people in Beijing have been infected, what is the situation in small cities, towns, and rural areas? What are the preparations for epidemic prevention in these places?

The sixth worry is that we are fabricating reality and obliterating real memories. Can people who died of the new crown be publicly and clearly recognized as the cause of death? If the new crown is considered to have no sequelae, will those who recover slowly still receive the necessary assistance? If it is said that the Omicron epidemic can eventually pass, it is only a matter of high or low costs. After the cold winter is spring, it may be true for the epidemic. But will this obliteration of reality end in the spring of 2023?

The seventh concern is that the violation of the reasonable rights of both doctors and patients will not be a trivial matter. Regardless of whether it is ancient or modern, China or foreign countries, abuse of power and corruption are all hated by the people. Because humans are different from other animals. Humans are rational and thinking creatures. They need to express their reason, emotion and dignity as human beings through speech expression. Using power to suppress freedom and persecution is completely a kind of attack on the whole society. The hostility of humanity itself .

The eighth concern is that the mission of medicine is to innovate and disseminate knowledge, and to maintain the dignity of life, so it is most necessary to protect and encourage freedom of thought, freedom of speech, and protection of individual rights. While persecuting certain doctors and patients, they also want to build so-called first-class hospitals and train so-called first-class experts. Can these people in power take even a minute to reflect on the absurdity and hypocrisy in it?

In 2017, the Wuhan Municipal Organization Office determined the name of the hospital as "Wuhan Fourth Hospital", and reserved Wuhan Pu'ai Hospital and Wuhan Orthopedic Hospital as the second and third names of the hospital. Including Wusheng Road Campus, Gutian Campus, Changqing Campus and Changqing Garden Community Health Service Center in Dongxihu District.

Secretary of the Party Committee: Dean: Wang Lan

Ding Xiangwu, Department of Gastroenterology, Wuhan No. 4 Hospital, took a large amount of rebates for medicines and equipment. The doctors below came forward to collect the money.

Some leaders of Wuhan Fourth Hospital insisted on harming the interests of some people, regardless of the facts, and blindly suppressed it. Many people know that it is a harmonious society if they dare to be angry but dare not speak out. Why is there no sunshine here?

Let us remember those who lost their lives in the process of medical reform: Chen Jiahui, Li Wenliang, Jiang Qihong , Hu Shuyun, Yang Wen, Liu Chongxian, Guo Hui, Zhao Xinbing, Li Xiaolian, Zhao Weiping, Zhao Junyan, Jiang Shaomo, Wang Ping, Li Guoqing, Song Yingxi, Chen Yuna , Sun Mingyue, Wang Yunjie, Kang Hongqian, Zhu Yufei, Dai Guangqiong, Wang Hao, Xu Guangjun, Peng Lingyun, Dai Chunfu, Sun Dongtao, Chen Zhongwei, Wang Jun, Li Baohua, etc. Deepest condolences to the lost compatriots. Even though these people were officially declared martyrs, they ignored the fundamental problems in the governance structure of the elites in the medical system, and deliberately downplayed the discussion of accountability and the control of freedom of speech. As far as the rights of doctors and patients are concerned, this kind of posthumous seal of "being brave enough to contact patients at close range" has no meaning at all.

Public discussions should not regard the issue of medical reform as a scourge, but admit that economic and technological development is not really based on the fundamental interests of the majority of citizens. Discussions on how to adjust the relationship between supervision and checks and balances can help us build a "comprised of individuals who enjoy human rights." a democratic, self-governing human community". You are welcome to forward this article in your own way, and let us start a small experiment of "refuse to forget, explore together".

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