Prof. Hua Baojin of Guang’anmen Hospital of the Chinese Academy of Traditional Chinese Medicine is so popular among patients because of his expertise in treating tumors that it is hard to get one. However, Professor Hua is not happy, he said, “I have been practicing medicine for decades, and I have been desperately trying to see patients every day. As a result, instead of fewer patients, more and more are being treated. As a doctor, there is no sense of accomplishment at all.” Professor Hua is a sober physician who sees the hidden worries behind the apparent “prosperity. From a doctor’s point of view, the increasing number of patients means that he or she is highly skilled, has a good reputation and is recognized by patients. However, in the country as a whole, the increasing number of patients indicates that the development of medicine has gone astray, with emphasis on treatment rather than prevention, and that doctors are “treating without prevention, and getting busier with treatment. As the old saying goes, the best doctors treat the untreated. This means that the most skillful doctor is not the one who is good at treating diseases, but the one who is good at preventing them. Unfortunately, many doctors mistakenly believe that the more patients they have, the greater their skills. In recent years, many hospitals have been expanding blindly, with some hospitals having more than 6,000 beds, making them a rare “juggernaut” in the world. While expanding the scale, they also introduce a lot of “high precision” equipment. As a result, large hospitals have created a “siphon effect,” siphoning off the best talent at the grassroots level, making it difficult to divert patients from the over-concentration, and making the expansion of hospitals outpaced by the growth of patients. As a result, doctors in large hospitals are so busy treating the sick that they have no energy to treat the sick. Medical technology is getting more and more advanced, and the team of doctors is getting bigger and bigger, while the number of patients is getting bigger and bigger, which is the sadness of doctors and the failure of medicine, and deserves serious reflection. The American Heart Association once made a vivid analogy: doctors today are gathered in the lower reaches of a flooded river, spending large sums of money on advanced tools to salvage fallen people, and practicing their skills to do so. As a result, most of the fallen were dead, and those who were recovered were dying. To make matters worse, the number of people who fell into the water was increasing day by day. In fact, it is better to build a strong dam upstream to stop the river from flooding than to salvage the fallen downstream. As a doctor, you can’t just sit back and wait for people to get sick, but you should prevent them from falling into the water. Prevention is the guiding principle of health work in China. However, due to the lack of a strong institutional guarantee, this approach has been reduced to a slogan. Experts predict a “blowout” of chronic diseases in China in the next decade or so. In 2010, chronic diseases accounted for 70 percent of China’s total health care costs, and most of these diseases could have been prevented through Most of these diseases can be avoided through interventions. Therefore, the future of the Chinese nation is at stake if we can stop the “spurt” of chronic diseases. Public hospitals are the mainstay of China’s health care system. Recently, the Ministry of Health has proposed exploring the establishment of medical service consortia, so that large public hospitals and primary health care institutions can become a community of interest and provide seamless health management for residents through two-way referrals. At the same time, we are promoting the establishment of general medicine departments in large hospitals and encouraging doctors in large hospitals to be the leaders of general medicine. This is not only in line with the direction of medical development, but also reflects the public interest of public hospitals. In the future, large public hospitals should shift from simply treating diseases to focusing on both prevention and treatment, changing from “end-of-pipe treatment” to “source of treatment. In terms of top-level design, the government should provide policy support for the implementation of the “prevention-oriented” policy. For example, it is important to turn “health insurance” into “health insurance”, as most developed countries in the world have done. The government should not only purchase disease treatment services from hospitals, but also disease and health management services, which should be “paid for” by universal health insurance. The change from “health insurance” to “health insurance” is a huge step forward in medical philosophy, although the difference is only one word. Medical consumption is infinitely high, and even the greatest amount of wealth will be swallowed up by this “bottomless pit”. Therefore, to solve the health problems of 1.3 billion people, we must not rely on injections and medicines, but on prevention. Only when the number of patients is decreasing does it mean that doctors are getting better and better and that medicine is more and more promising.