[Reprint] I said that overmedication is a kind of “ignorance”, who is “ignorant”? Doctors? Patients? The government? Or who? How can we be knowledgeable? In my opinion: first, study, know more; second, criticize, eradicate the cause of the disease; third, develop, benefit the people’s health. Wang Yanzhong, director of the Labor Security Research Center of the Chinese Academy of Social Sciences, pointed out in the interview that public hospitals should be fundamental to public welfare, but in fact most public hospitals, because of insufficient financial investment, derive 90% of their income from their own business income, including examinations, surgery, consumption of raw materials at a markup and drug markups, which both increase the burden on medical staff and consume more drugs. –The implication is very clear to everyone. Cause and effect are intertwined and interdependent. Such a large and complex “adhesions”, surgery is very difficult, not good enough to “die”! The first affiliated hospital of Baotou Medical College orthopedic department Tian Wenping When we discuss the public interest of public hospitals, it is inevitable to talk about the problem of excessive medical treatment. Excessive medical care includes this, excessive examination, excessive use of drugs and excessive treatment. These “excesses” cause far-reaching harm to the nation’s mind and body, and should not be stopped! How to avoid over-testing and over-treatment? Over-testing is common in every country, just more or less, light or heavy, for the following reasons: one is for money, the other is ignorance. For money, we know very well, is to maximize the benefits. “The absolute ignorance is related to technology and the unreasonable demands of patients; the relative ignorance is related to concepts and policies outside the profession, or treating the hospital as a business and foolishly implementing “thin profit and more sales”, or the desecration of the value of medical professionals, where doctors become scapegoats for the ugly medical system, or the excessive inversion of evidence, or the search for self-development in the market. With such a wide range of systemic flaws, over time, “excess” has become the umbrella under which doctors seek protection. To solve the “excessive” behavior of doctors, to rely on the so-called medical ethics education is obviously a manifestation of “ignorance”, especially in our current socialist market economy does not put such a requirement on people, and can not be required, after all, doctors are living in the “everyone for me” environment. After all, doctors live in an “all for me” environment, otherwise it is difficult to survive. Therefore. In my opinion, one is the payment system. The reform of the payment system should be based on single-patient payment based on evidence-based medicine and clinical pathways and payment system based on diagnosis by disease-related groups; second, professional autonomy, who can say clearly the occurrence, development and attribution of diseases? With the progress of medicine and the creation of various new technologies, who can say how effective their treatment is? Only the experts! We should not think from the beginning that experts are “self-interested”, but believe that most of them practice medicine with conscience, and only when the system is corrupted, the conscience is tainted. New technology has not been abused, who will speak? It must be the experts who judge, the experts with conscience and expertise who speak! If our payment system is only what the leaders say and what the health insurance department says, who will guarantee the health rights of the people? Who will guarantee the scientific rigor? Who will guarantee the responsibility of doctors? Therefore, the basic point of a national medical policy that is beneficial to people’s health should be: fair, measured and scientific. Can I go to the hospital for emergency treatment and then pay for it? In most countries, emergency treatment is the responsibility of the government, and there is no question of “can or cannot”, but rather must! But to ask this question in China is unthinkable! Why should this question be left to hospitals to answer? Hospitals are supposed to be “medical doctors without any class”, and saving lives is the natural duty of doctors, which cannot be questioned! At present, most hospitals are so “tolerant” to drive their “vocation”. I would like to use my recent microblogging to tell you a fact: save lives first and pay later, who pays? A motorcycle accident knocked down a person and sent him to the hospital to die, costing several dollars. The perpetrator gets 110,000 from insurance to pay the victim, and neither the victim nor the perpetrator wants to pay for the hospital resuscitation. The lawyer said there was no way. Hospital sues patient’s family? The family says why should I pay for something that shouldn’t have happened? Prosecution of the perpetrator? The perpetrator says I bought full liability insurance. Ask the insurance, we have paid. Hospital loss went? It’s worth thinking about. This also shows that the hospital is only a platform for the provision of medical technology services, the public good is reflected by the government’s “money”, the government’s money is taxpayers’ money, taxpayers’ money is public and reasonable, used in the hospital is the public good. Without the support of money for medical services, where does the public good come from? The above analysis is only from the government’s policy and medical behavior between cause and effect, and is only “point”. In fact, there is a patient side of “medical overkill”. Knowing that it is not possible to force the doctor to do it, said: Why should I trust you? Another example: do not give the red packet patient died that you do not try; give the red packet to cure bad that you red packet bribery. Of course this phenomenon may be a minority, and the influence of a few is great! Another example is the incomprehensible “sewing anus” and “eight hair door”, such patients are not many, such journalists are not many, but the bad image caused is huge! The “cloud” has not yet lifted.