Doctors who take rebates do not take rebates for medical reform

Recently, a doctor in a tertiary hospital in Shanxi University revealed that he had received more than 500,000 yuan in rebates for more than ten years as a doctor, and the hospital leaders also participated in this, which caused heated public opinion.

The protagonist of the self-exposure incident was a doctor in a tertiary hospital in his prime, risking ruining his entire career, uncovering the so-called "open secrets" of the industry, setting off a storm of public opinion, and the previous exposure of such doctors withdrawing deductions.
Compared with that, the drama is stronger, and the problematic hospital is almost one-shot.

Accepting kickbacks, major treatments for minor illnesses, over-examinations, and over-treatment.
These scenes that are simultaneously attached to the diagnosis and treatment process have become the norm for Chinese patients when they go to the hospital to see a doctor.
The damage to the trust of doctors and patients is self-evident.
This constitutes a growing conflict between doctors and patients.
Looking back at the violent medical incidents that have been frequently exposed in recent years, it is not difficult to see that money plays a sensitive role in the fragile doctor-patient relationship.

The chaos of drug rebates does not happen overnight, nor is it unique to individual provinces.
In the past year or two, with the implementation of reform measures such as centralized drug procurement and the in-depth advancement of anti-corruption in the medical field, the medical industry has narrowed the room for rebates, but there are still a large number of high-value drugs and consumables, and the concealment of rebates has increased.
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Drug rebates are not new.
The problem is that the value of Chinese doctors' professional labor is not fully marketized and the market environment is immature.
The doctor's income is not enough, and the rebate is often used to make up.
Unlike the relatively standardized management of large hospitals in big cities, in many ordinary local hospitals, doctors' gray income is not shy away.

Those voices defending kickbacks, in addition to performance wages that can hardly reflect the labor value of doctors, also include the income-generating pressure of public hospitals, which is often further transferred to doctors.
Many doctors even believe that the drug rebate is a correction to the depressed salary level of doctors.

The reality is getting more and more rectified.
Regardless of whether these doctors get rebates, lack of favorable treatment, lack of patient trust, lack of a hierarchical diagnosis and treatment system, a responsibility guarantee system, and a lack of specialized physician associations to solve the problem of medical responsibility have become the predicament for the concentration of doctors.

The implementation of the new medical reform policy and the continuous improvement of the medical insurance system are trying to achieve real corrections with a scientific system.
These systems include the advancement of Sunshine Collection, the "relentless face" of soul bargaining, resolutely increasing medical service fees, reshaping the professional dignity of doctors, and at the same time allowing more medical expenses to be included in medical insurance and benefiting more patients.

Over the years, high hopes have been placed on the medical reforms that have continued to tackle tough problems, in order to straighten out the distorted medical relationship, and help doctors to solve some "solvable" problems to the greatest extent, such as increasing the value of labor, obtaining higher income and social status, and allowing Expenses and incomes are infinitely close to the satisfaction of all parties.
After all, doctors have been committed to solving problems that ordinary people "cannot solve", such as fighting every collision between disease and death, unexpected encounters of disease, the uncertainty of treatment, the risks and risks of modern medicine.
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