A Taiwanese girl and a Shanghai woman have caused a major medical dispute across the Taiwan Strait.

Tan Zhuo , a 39-year-old Taiwanese girl and Shanghai-based daughter-in-law, has lived in Shanghai for ten years.
, who rarely returns to Taiwan, chose the meeting place at a coffee shop opened by Taiwan's well-known singing group, May Day Axin.
small objects on display in the store are Axin's collection, with a full Taiwan imprint.
and she also appeared seven years younger than her Shanghai husband, he and Wang Wei on the network is a pair of net red, with "Taiwan sister PK" and "Shanghai tud rat" name, appeared in a network video about the lives of couples on both sides of the Taiwan Strait.
videos are mostly hilarious and hilarious, but a serious video they recently released that doesn't fit their style has set off an online conversation.
A week ago, on October 6, 2020, Wang Wei posted on the Internet the bill and the final out-of-payment amount for her uterine fibroid surgery at a Sanjia hospital in Shanghai.
In April this year to participate in Shanghai health insurance, she was surprised to find that the operation cost nearly 20,000 yuan of medical expenses, deducted from the medical insurance co-ordination, personal account payments (65%) and the company to help buy commercial supplementary insurance, the out-of-pocket cost is only 2,500 yuan, which also includes the cost of individual single ward - if you do not choose a single ward, live in the general ward, her hospital surgery, equivalent to no money.
she didn't expect the reaction to the topic, which has attracted the most attention in her million-dollar online experience in recent years - more than a million views in less than a week.
the biggest controversy over cross-strait health care caused by a video was Wang's use of the video's title, "Once again, China's health care is better than Taiwan's."
, which she stopped paying in 2018, is a model of health care that Nobel Prize-winning economist Paul Krugman hailed as "the model of the world."
health insurance, which in the impression of many mainland netizens is almost synound for universal health care that "can be treated without spending money".
was established in 1995, Taiwan Health Insurance is known for its low premiums and high-quality medical services.
In Taiwan, even the poorest people pay hundreds of Taiwan dollars a month (minimum less than 200 yuan) to enjoy medical care as small as a cold, tooth washing, as large as uremia dialysis, cancer treatment and other medical services in the United States.
but since 2012, the fear that Taiwan's health care system is about to go through the bottom has more than once enveloped Taiwanese citizens, including Mr. Wang.
And Taiwan's health insurance contributions are graded by income, but the costs are treated equally, and all are put into the co-ordination account "big pot of rice" use, and its test of human nature - many Taiwanese people are afraid of "losing money", become a drug hoarding "drug bug."
that while they are panicking about health care, they are becoming over-consumers of the medical resources that contribute to "bottom-wearing".
feel particularly unfair to people who have not lived in Taiwan for a long time, such as Wang Wei, but who have been paying for health care for the past few years.
Land health insurance" earn more and pay more, enjoy more health care" feeling, so that she feels more fair, and not Taiwan health insurance gives people the kind of "I make more money, I should live to suffer" feeling of deprivation.
In the online message, divided into two camps: from Shanghai and other major cities of netizens, they are proud to reveal their own or relatives' personal experience of Shanghai, Wuhan, Shenzhen and other major cities and other medical insurance hospital reimbursement in 80% or more.
But some netizens from Taiwan, with a slight sense of superiority, questioned the veracity of Wang's description of the facts, and the most extreme remark was "get her out of Taiwan", which caused anger among Wang and some mainland netizens.
network tends to exacerbate differences and amplify emotions, while in reality Wang Wei is more rational, "I'm not denying Taiwan's health care, it's just so many years without progress." the
interview has been conducted in May Day singing, talking about Taiwan's medical treatment, she has regrets, regret Taiwan's health care initially designed the perfect system, but also can not resist the erosion of human nature, once Taiwan's medical institutions convenience, with the development of mainland medical institutions, also become unstoppable;
" from afraid to see a doctor on the mainland, to began to enjoy the mainland medical taxi on the elevated bridge to Shanghai, the place is desolate.
Hongquan Road in The People's Bank of China has not yet had that future kaka Holy Land Korea Street, the elevated bridge on both sides of the high-rise has not yet up.
it was 2010, when Wang Wei first came to Shanghai.
old colleague who worked as an e-commerce company in Taiwan wanted to expand the mainland market, she came to fight.
those years in Taiwan, like being trapped on an island, unable to breathe and empty.
she thought of a bigger, more open environment.
, which is known by Taiwanese as the most Taipei-like place, but Wang's first impression of it was disappointing.
a month and a half of living expenses, almost 30,000 yuan (6,000 yuan), according to her budget for living in Taipei.
half a month is not over, the money is not enough to spend.
adapting to the environment is an interesting process, like a bystander in it.
she had to adapt to a city dialect, food, culture, and medical care.
his first medical experience on the mainland, as if to confirm the inherent impression of the mainland by countless Taiwanese in the past - backwardness and barbarism.
that was a few years earlier, Wang Wei was on a business trip in Dongguan when he suddenly had an acute urethritis attack.
she was sitting on a bus from Guangzhou to Dongguan, and for two hours, she felt anxious but couldn't urinate, forcing her to go to a clinic or pharmacy.
got out of the car, next to a fly shop, she found a pharmacy with a small face, a small wall, and dust on the medicine counter.
pharmacist asked briefly and came up with an anti-inflammatory drug.
returned to Taiwan, jaundice began to appear on her body and her skin itched.
went to the emergency department and found that the amount of antibiotics left in the body was very high.
she showed the doctor the anti-inflammatory drugs she had bought on the mainland, and the doctor was startled.
" pharmacist gave me a sexually ill drug with a powerful antibiotic.
" in the first four years to Shanghai, and many Taiwanese in the mainland, Wang Wei to the public hospital, but do not know where to register, registration to pay, and then have to go to line up, queue for a long time, see the doctor, sit down to say two words, the doctor opened a single, and then go to pay, and then go to line up, "a whole day toss down feel very annoying."
they're messy and noisy, like a vegetable market.
" in Taiwan, the medical environment is undoubtedly comfortable, clinics everywhere, these have private space, service and professional, intimate clinics are the first choice for Taiwanese when they are unwell.
noisy, crowded and dilapidated, and that was all she felt about the mainland hospital at the time.
, who couldn't stand the environment of the mainland's public hospitals in those years, had chosen a private hospital with Taiwan.
their environment is very good, there is the same as the Taiwan clinic call system, everyone on the sofa equivalent, will not crowd in the doctor's office door, will not sometimes line up people.
But the good feeling of medical treatment in the bill when it came to a halt: because of a common cold, Wang Wei spent 1800 yuan in a Taiwan-funded hospital, including 500 yuan registration fees, infusion ward fees and so on.
the bill made her silly - almost 20 times the number of doctors in Taiwan.
taiwan health insurance, each time only about 150 Taiwan dollars (35 yuan) registration fee, a cold patient's subsequent examination and medicine is almost free.
change in her impression of Shanghai's health care system came after meeting her now-husband, "The Rat," three years ago.
in the home-made 80-year-old Shanghainite "earth rat" world view, sick to go to public hospitals is a normal thing.
he tried to persuade Wang to admit to a public hospital.
her first reaction and resistance: too many people in public hospitals, complicated processes, poor service.
In the years she resisted public hospitals, Shanghai's health care system has also under changed, the city has sufficient financial subsidies, but also the policy tilt of ground gas, whether it is the triple-A hospital, or community hospitals, in hardware, software improvement efforts, in management, processes, services and other aspects of efforts to international standards.
the last flu attack, the groundhog took Wang Wei to a hospital.
"She's afraid of more people, so go to a hospital with fewer people."
" this time there is no queue for medical treatment, direct medical treatment, pay, the whole process in less than an hour to end.
the hospital has just been renovated, the environment is very good, Wang Qi began to gradually change the impression of mainland medical institutions.
the beginning of 2020, because of acute appendicitis, Wang Qi had another medical experience in Sanjia Hospital.
found it convenient to visit an overcrowded public hospital this time.
in front of the hospital's registered machine, there are volunteers who guide patients who don't know how to operate the machine.
patients just swipe the health insurance card in front of the machine, pay the money can take a list to the clinic door waiting for the call.
the former clinic, called a name to go in one, everyone crowded at the door.
now has an electronic big screen and a system similar to that of Taiwan's medical institutions.
these changes, not only refresh Wang Wei's understanding, even shanghai's indigenous "groundhogs", are surprised.
moved to Changning District, Tudy Rat found a community hospital behind the district.
, the earth rat has hardly ever been to a community hospital, the parents have been stressed that the birth of a disease must go to sanjia hospital.
But because of a gastroenteritis, the groundhog went to the community hospital - decoration is very warm, doctors do not rush time, service attitude is better than triple-A hospital, patients are not so much.
a new world: "Community hospital environment is so good, why go to the big hospital?" "Later, Wang also liked to go to community hospitals.
Then, even though she didn't have a Shanghai health insurance card, a cold at a community hospital cost only a few tens of yuan, didn't put pressure on her to spend, and the medical environment was good, feeling like a private clinic in Taiwan.
taiwan's once-world-leading health care system is in crisis? At the beginning of 2020, the mainland introduced a policy that Taiwan nationals could join the mainland's social security system.
, Wang did not hesitate to handle it.
after joining Shanghai Health Insurance, Wang Wei found that, different from Taiwan Health Insurance, which has only one "national health insurance", mainland health insurance is divided into three categories according to different groups of people: urban workers, urban residents and new farmers.
can also buy commercial supplementary medical insurance if an individual has a special medical need.
wang's company, he bought commercial supplementary insurance for his employees.
, in addition to co-ordinating accounts, a percentage of the amount goes into individual accounts.
in Taiwan, a person is forced to pay for health care from the moment he falls.
adults, each person pays a different fee according to their income ratio.
the working poor, they also have to pay, the minimum monthly premium is 750 Taiwan dollars, or 176 yuan.
who have a job, the amount paid according to the proportion of income is divided into 10 groups, the monthly compulsory payment of RMB from 211 yuan to 1500 yuan.
A Taiwanese with income pays monthly health insurance fees as a percentage of their income Note: the amount of the distance is the amount of health care you need to pay each month" in the mainland what kind of health care you want to enjoy, what kind of insurance you can choose, and personal income linked to the demand for medical resources.
" Wang feels that Taiwan's health insurance is more like charity or welfare, with working people paying hundreds of times the premiums of the poor, but all the premiums go into a co-ordination account, no matter how much money they pay, and they spend together and enjoy the same health care.
's health-care policies are most popular with the poor.
most supportive of health care in Taiwan are low-income households with serious and rare diseases who have access to the world's top medical resources for a small amount of money.
but for higher-income groups, there is often a sense of dispossessed unfairness.
, taiwan's health care design framework was once extremely advanced, even now, there are many to learn from.
health insurance, which has been in place since 1995, has all but completed an innogenously irreconculable contradiction between health care and health care: the purchase of high-quality, convenient medical services at low prices.
The reason for this is widely believed to be the introduction of a "government, health care and doctors' group negotiation mechanism", given the total amount of health insurance up payment each year, to give full play to the autonomy of the doctors' group, doctors to set their own payment standards and responsible for professional review.
, DRGS, which is used in hospital, is also an important method to carry out many pilot projects in the reform of mainland health care in recent years.
In Taiwan's health care at its most glorious moment, the public to the average monthly premium of about 140 yuan, each visit to pay the registration fee of 28 yuan to 70 yuan, you can go to any hospital, to see any doctor.
the implementation of the health care policy, when health care funds are abundant, the people of Taiwan did enjoy the convenience of medical care, very popular.
health care, which has been in place for many years, is gradually taking shape under the grip of the human, political and economic environment.
A Taiwanese carer, in Wang Wei's post under the message, said her mother is uremia, her father is diabetic, her own shoulder often sore, they as long as the registration fee of tens of yuan, by the doctor issued a diagnosis of chronic diseases, you can free treatment and take a few months of medicine.
Taiwan Health Insurance does not have a personal account, which maximizes the size of the co-ordinatable health insurance fund, there is no large amount of money deposited in the individual account that cannot be used.
this also led to another problem, no personal account, people feel that the money handed out is not their own, do not spend it disappeared.
This inevitably induces greed in human nature, "don't spend it on loss" mentality makes many Taiwanese go to the hospital like going to the supermarket: the first day to go to the otolaryngology department, say cough, open a little.