The people say that medicine is really getting harder and harder, and that it’s really getting more and more expensive to see a doctor! Doctors say, medicine is really getting harder and harder, doctors are really getting tired! The zf says, we want to improve the quality of medical care, improve the people’s living standards, to solve the difficult and expensive problems of medical care, can not cause poverty due to illness! People will not think there is any contradiction among them? Yesterday, I reprinted an article by Tang Jinling from the School of Public Health and Primary Care of the Chinese University of Hong Kong, “Progress and Reflection in Medicine”, which made me feel deeply. A few words from Diana Law reflect the root of the problem – medical care, in fact, is a bottomless pit that never ends. The human instinct to survive is not limited by poverty. In the case of food and clothing are difficult to meet, the demand for health, just live, will not yet think about how long to live, how good to live the problem. And after the problem of food and clothing is solved, poverty and affluence become relative concepts; there is no longer absolute poverty, and there is no longer absolute affluence. There are poor people above the subsistence level who feel they are “rich”, and there are many people with a lot of money who feel they are “very poor”. When the country had just solved the problem of food and clothing, the first thought was to let people live longer, so public health was developed, infectious diseases, epidemics, and chronic diseases that led to the death of a large part of the population were controlled, and the per capita life expectancy was instantly increased by decades, and the medical reform was successful and effective at that time. When the public health business came to an end and the improvement of medical care turned to clinical medicine, the road gradually went into a bottomless pit, the people’s health level seemed to become more and more difficult to improve, the people’s health needs seemed to become more and more difficult to meet, and medical reform became more and more difficult to see results. This is the case in China, and in developed countries such as Europe and the United States, which claim to have “good welfare” and “good health care”. Health, we advocate to achieve a comprehensive improvement in the health of the people, the so-called “health level” in the end is a level? Is there an objective standard? Or is there a way to develop an objective standard? We may define what “primary care” is through our health insurance policy, and use this as a marker for our standard of improving people’s health. The so-called “health level” is a concept that can never be defined. In the last one or two hundred years of medical development, breakthroughs have been made in the understanding of bacteria, in sanitation and epidemic prevention, and in basic drug research. In a short period of time, mankind has attacked the causes of mass death and mass disability of the population. And relying on just some very simple, inexpensive and efficient measures, such as, for example, building sanitary latrines, building chimneys, building dry wells, chlorinating tap water, vaccines, antibiotics, etc. Epidemiology has a term for those factors that can lead to increased morbidity in a population, called “epidemic”, but does not like to call it “disease”. And for simple “diseases,” clinical scholars discovered years ago that we have too little to overcome or control. “Sometimes curing, often helping, always comforting!” This is the true side of clinical medicine, as medical experts have concluded 100 years ago. But human wisdom is really beyond our own imagination. “There is nothing that can’t be done, only imagined!” Humans are really good at practicing this phrase. On the road to survival, humans have gone further and further, when Qin Shi Huang wanted to do things, we have never given up. The liver can be replaced, the kidney can be replaced, the heart can be replaced, the uterus can be transplanted, the brain transplant is in the planning …… network buzzword “Why do not you go to heaven?” We learned this from God, right? Medicine is becoming more and more developed, as long as the disease, as long as you want to cure, we can take the means to cure you. And medicine is actually very backward, the method I give you is very high, very expensive and cutting-edge, what kind of expectations do you think you can achieve? The result is really not as good as you think! For example, cancer, most of the early stage can be cured, but there is a small part of where to go? In the late stage, we have various means to extend the survival period, a few also live for many years, the question is whether you belong to this small part of it? For example, uremia, kidney transplantation can treat uremia, but anti-rejection is also very expensive, complications can also be fatal, successful transplantation can get a better survival, but also at any time hidden crisis. Tuberculosis, for example, is an infectious disease, but when it comes to common non-drug-resistant ones, it’s okay, but when it comes to drug-resistant strains and happens to be a serious disease, death is a matter of minutes! Ginseng can save lives, radish can also save lives, the key depends on the scene! Sometimes a person is very weak, stew a bowl of ginseng soup, the spirit of life! It sounds amazing, but it was a matter for the rich and famous at that time, not much to do with us. If the person is weak because of hunger for a long time, perhaps radish is more useful than ginseng. I have friends in the sale of insurance, two years ago, friends dinner, talking about insurance, he said: “Why do not you buy yourself a copy of it? The younger you buy it, the lower the premium and the higher the coverage!” “I can do this, I’ll die as a contribution to society, to relieve population pressure, and the country can save food rations to help other poor people!” He saw such a calm look in my eyes, he was speechless! The pursuit of longevity, the pursuit of health, is the need for capital. Every day to see friends circle of chicken soup “what is 0, only health is 1, no 1, more 0 are equal to 0.” “Young sacrifice health to make money, and then the money earned to take to the hospital to see a doctor. “No more money, you can’t buy health!” Just looking at this makes me feel so ridiculous! Why don’t you tell this to African refugees? If I really have the ability to pursue this, who the hell doesn’t want to learn from Qin Shi Huang? “Without ginseng, what can save my life?” I think rice, cabbage, mineral water will do! “What if it can’t be saved?” Heaven’s destiny! No regrets in death! One never knows where the ceiling of one’s expectations is, and one is even more reluctant to pull down the ceiling of one’s expectations of one’s own accord. On this ceiling issue, doctors are actually not sure, each person is so different, who knows which one you are. Sometimes, even if someone knows, if they are not willing to face, those who know may not say. The entanglement of science, medicine and economic interests, is never involved. The standard set for you by doctors, by the zf, by anyone may not be suitable for you. The so-called self-knowledge is clear, smart people that is because he is smart, and other people’s smart not half related. The road to health care reform is still long, if you want to set an expectation for this length, I estimate that it is 10,000 years. So, rely on who is better than rely on yourself, find yourself a suitable position!