blueteamnovel Chapter 662: The Huge Doctor-Patient Ratio Of One To Fifteen Thousand, Three Meals To Eat And Money
Chapter 662: The Huge Doctor-Patient Ratio Of One To Fifteen Thousand, Three Meals To Eat And Money
Yan Changqing looked down at Zhu Yuanzhang, who was in deep thought, as well as the crown prince Zhu Biao, Zhu Di, Zhu Gang, Zhu Di and other princes, as if he could see their thoughts and reminded them:
"Whether it is a land transportation hub network that reaches all provinces, prefectures, states and counties in the world, or a water transportation hub network that reaches all provinces, prefectures, states and counties in the world, before planning and construction, sufficient advance investigation and preparation must be done!!!"
"Absolutely don't make a decision in a rush!!!"
"Because this transportation hub network that reaches all provinces, prefectures, states and counties in the world, once Once completed, there may not be any changes in the next hundred years, or even hundreds of years, or even during the Ming Dynasty!!!"
"So when planning, we must take into account the changing needs of the next hundred years, or even hundreds of years!!!"
"At least we must reserve room for expansion and transformation of the transportation hub network in the next hundred years, or even hundreds of years!!!"
"Only in this way can the construction of a transportation hub network that reaches provinces, prefectures, states, and counties all over the world not only be beneficial to the current national politics, but also to the good politics of the future generations!!!"
Hearing Yan Changqing's reminder, Zhu Yuanzhang, as well as the crown prince Zhu Biao, Zhu Chong, Zhu Gang, Zhu Di and other princes nodded with serious faces, indicating that they had taken note of it.
As the emperor of the Ming Dynasty and the emperor who is very likely to be the future emperor of the Ming Dynasty, they naturally care more about it than anyone else.
Even if Yan Changqing didn't mention it, they would be very cautious when implementing such national policies involving all parts of the Ming Dynasty.
Seeing this, Yan Changqing's eyes flashed with satisfaction.
Let's not talk about other aspects of the Zhu family, but in terms of listening to people's advice, they are still willing to listen.
But the premise is that the advice is reasonable and beneficial to their Zhu family.
Then Yan Changqing turned around again, and wrote the four words [Medical and Health] next to the four words [Transportation] on the blackboard, and said:
"Second, the industry that the national court will dominate in the future is the medical and health industry!!!"
Seeing the four words [Medical and Health] written by Yan Changqing on the blackboard, Zhu Yuanzhang and the ten princes including the crown prince Zhu Biao, Zhu Chong, Zhu Jiao, and Zhu Di all murmured unconsciously:
"Medical and health industry?!!"
"Is it related to doctors curing diseases and saving lives?!!"
"Does the court also need to intervene in doctors curing diseases and saving lives?!!"
"And it is so important to occupy a dominant position?!!"
"Yes!!! I think this is very necessary. If the court can intervene and occupy a dominant position, the development of medicine in the Ming Dynasty will definitely be greatly accelerated!!"
"Fifth brother, you are standing in the wrong position!!!"
"Yes, you can't strongly support this policy just because you are the vice president of the medical school!!!"
It can be said that for Yan Changqing proposed that the state court should occupy a dominant position in the [medical and health] industry.
Except for Zhou Wang Zhu Su, who loves medicine and is the vice president of Wanmin Medical College, who agrees with it, the other princes are all skeptical.
Of course, they are just skeptical, not questioning Yan Changqing.
Looking at Zhu Yuanzhang, who looked puzzled, and the princes Zhu Biao, Zhu Di, Zhu Gang, Zhu Di and others, Yan Changqing explained:
"Yes, it is the medical and health industry."
"In other words, it is the industry of curing diseases and saving lives."
"Based on the understanding and calculation of the number of doctors in various parts of the Ming Dynasty based on the doctors and doctors in Wanmin Medical College."
"Nowadays, the total number of official officials in the Ming Dynasty and officials in the private sector is about 6,000.
"Now there are 1,024 counties in the Ming Dynasty. On average, there are about five to six doctors in each county."
"When you hear it this way, don't you think there are quite a lot of doctors in various places?!!"
Zhu Yuanzhang below, as well as the princes Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes, heard this and nodded unconsciously.
There are five or six doctors in one county, isn’t that enough?!!
The total number of imperial doctors in the imperial hospital is only a dozen or twenty, and the rest are just medical officials responsible for decoction, retrieval, and guarding of medicinal materials.
Although these medicine bundles add up to a hundred or eighty people, strictly speaking, they are not imperial doctors.
Therefore, in comparison, a county can have one-fifth to one-fourth of the number of doctors in the imperial palace, which should not be too small.
Looking at Zhu Yuanzhang who nodded subconsciously, as well as the princes Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes, Yan Changqing sighed softly and said:
"Since Your Majesty and Your Highnesses feel that the number of five or six doctors in one county is quite large, then let's change the comparison method.
"Now there are at least 60 million people in the Ming Dynasty. Let's take it as a whole 60 million people. Let's also assume that there are 6,000 doctors in the Ming Dynasty today."
"In other words, on average, one doctor has to cover and treat the health problems of 10,000 people!!!"
"Now, Your Majesty and Your Highnesses, do you still think there are a lot of doctors?!!"
After hearing Yan Changqing replace the comparison between the number of doctors and the number of counties with the number of doctors and the number of ordinary people.
Zhu Yuanzhang, who originally thought that there were a lot of doctors in various places, as well as the princes Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes were immediately stunned.
Damn it, one doctor has to cover and treat the health problems of 10,000 people?!!
What a huge gap in doctor-patient ratio!
Even if this doctor treats him to death from overwork, he can't cure ten thousand people, right?!!
Looking at the shocked Zhu Yuanzhang, as well as the princes Zhu Biao, Zhu Xi, Zhu Fan, Zhu Di and other princes, Yan Changqing felt that it was not enough, so he added again:
"Among the six thousand doctors, there are about two doctors who are affiliated with the imperial court."
"More than a thousand of them were specialized obstetrics and gynecology nurses who were barely trained just last year and are dedicated to helping ordinary women deliver babies."
"These specialized obstetrics and gynecology nurses are not capable of treating common people's diseases other than gynecological delivery."
"In addition, the imperial doctors in Tai Hospital are not responsible for treating ordinary people.
"As for the physician lecturers at Wanmin Medical College, their main daily responsibility is to teach future medical students, and they are also rarely responsible for treating ordinary people."
"After excluding the more than a thousand dedicated obstetrics and gynecology nurses, the imperial doctors from Tai Hospital, and the lecturers from Fangmin Medical College."
"Among those 6,000 doctors, there are only about 4,000 to 4,500 doctors left, who are responsible for treating the 60 million people of the Ming Dynasty.
"In other words, on average, a doctor can cover and treat the health problems of 13,000 to 15,000 people!!!"
Hearing this, Zhu Yuanzhang, as well as the princes Zhu Biao, Zhu Chong, Zhu Fan, Zhu Di and other princes were numb and didn't know what to say at all.
Because whether it is a doctor responsible for treating the physical diseases of 10,000 people, or a doctor responsible for the physical diseases of 13,000 to 15,000 people.
To be honest, there is actually not much difference between the two.
Anyway, it is impossible for a doctor alone to treat it!!!
But then King Zhu Zhu of Zhou discovered a problem, raised his hand and asked:
"If according to the data given by Mr., one doctor should cover and treat the physical diseases of at least 10,000 people.
"The huge gap in doctor-patient ratio cannot be cured by the number of doctors today!!!"
"But why have I never heard of the situation where there are not enough doctors, so the people have no way to seek medical treatment?!!"
After hearing the question from Zhou Wang Zhu Ji, Zhu Yuanzhang and the princes Zhu Biao, Zhu Di, Zhu Fan, Zhu Di and other princes also reacted.
Yes, if the gap between doctor-patient ratios was so large, then a large number of people would have been unable to seek medical treatment.
But so far, they have never heard of a situation where a large number of people have no way to seek medical treatment?!
Yan Changqing's eyes fell on Zhou Wang Zhu Ju and explained:
"There are many reasons. For example, a doctor has to cover and treat the physical diseases of at least 10,000 people.
"But under normal circumstances, as long as there is no outbreak of mass infectious plague, such as smallpox and other diseases."
"Then these 10,000 people will not develop physical diseases at the same time."
"This also means that the number of people that doctors need to treat at the same time is not 10,000, but anywhere from dozens to hundreds to hundreds to thousands."
"And among the dozens to hundreds to hundreds of thousands of people, the number of people who are really willing to see a doctor is less than one in a hundred."
"The last number of common people that a doctor needs to face at the same time is as few as three, five, or seven, and as many as ten or twenty. However, such a number of patients can still be treated by a doctor. ”
However, after listening to Yan Changqing's explanation, the faces of the princes Zhu Biao, Zhu Fang, Zhu Fan, Zhu Di and other princes became even more confused.
King Zhu Zhen of Chu frowned and asked:
"Why are there less than one in a hundred people who are really willing to see a doctor?!!"
“If you are sick, shouldn’t you go to a doctor for treatment?!!”
Yan Changqing sighed again and said in a low voice:
“Seeing a doctor costs money!!!”
"Nowadays, for the common people who have not yet completely solved the problem of having three meals a day and enough food and clothing, His Highness King Chu thinks how many people can afford to see a doctor, and how many people are willing to spend money to see a doctor?
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"It is already very difficult for ordinary people to have three meals to eat. It is even more of a luxury to have money to go to the doctor!!!"
"For more than 99% of ordinary people, unless the sick person is the elderly, weak, women and children in the family, then the young and middle-aged people in the family may still grit their teeth and spend money to hire a doctor to come and see a doctor."
"Otherwise, once other people get sick, they basically rely on their own immunity to fight it off."
"If you try hard to get through it, the disease may be cured, or it may leave the root of the disease. If you can't get over it, the person will probably die."
Don't think that there are many doctors in this era. No matter what, being a doctor requires you to know how to read and write.
In this era, there were not many people who knew how to read and write, otherwise the status of scholar-bureaucrats would not be so noble.
As for those who are able to read and write, more than 95% of them choose to take the imperial examination and become officials, and very few are willing to choose to be doctors.
Therefore, in this era, if there is a doctor who truly understands medical skills in the ten miles and eight villages, it means that the medical conditions are very good.
More places rely on goddesses, witch doctors, or often go to the mountains to collect medicine, so they reluctantly
A pharmacist who knows the efficacy of several medicinal herbs is forced to play the role of local doctor.
And let alone the current era, even in the level of living material conditions, which was hundreds of years behind the Ming Dynasty, Yan Changqing's previous life still had a low doctor-patient ratio.
As high as about one to a thousand.
One can imagine how difficult it is to reduce the ratio gap between doctors and patients.
Therefore, under such circumstances, the doctor-patient ratio in this era is one to ten thousand, or even one to fifteen thousand, which is definitely not an exaggerated figure.
In the Ming Dynasty, when the ratio of doctors to patients was more than one to ten thousand, the reason why there was no medical shortage, the number of doctors was seriously insufficient, and the people had no way to seek medical treatment.
The most fundamental reason is actually that a large number of sick people do not go to see a doctor, but rely on themselves to fight the disease.
The reason for the hard resistance is also very simple, no money!!!
In this era where even enough food is not available for the time being, it is impossible for the people at the bottom to have extra money to see a doctor.
At least for ordinary people, unless they encounter the elderly, weak, women and children in their own family who are seriously ill and are life-threatening, ordinary people will not be willing to spend money on ordinary illnesses.
Money to see a doctor.
If there is any extra money, most people will choose to use it to buy food, oil, salt and meat.
Because making yourself full is the prerequisite for everything!!!
If you can't even eat enough, or even starve to death, then what's the use of curing your illness?!!
Do you want to be a starving ghost just to avoid being a sick ghost?!!
If the common people were allowed to choose between the two choices of being a ghost to death from a disease or a ghost to death from starvation, the vast majority of the people would choose to be a ghost to death from a disease.
At least the sick man didn’t starve to death!!!
Rather than getting sick, what people fear more is starvation!!!
And even if people are willing to see a doctor, whether they can afford it and whether they can ultimately be cured are two different things.
For ordinary people in this era, it is normal for a serious illness to directly cost their family more than ten years, or even decades of savings.
And even if a family's life savings are spent, it is still unclear whether the disease can be cured in the end.
Therefore, under such circumstances, once the vast majority of people get sick, they choose to fight silently.
Once you get over it, life will go on.
If you can't resist it, your life will end here.
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