"At the time I was being consulted and my wife was dispensing medicine. When I am the busiest, I will call my cousin to take care of them. Many people in the village come here to see a doctor. "
Speaking of which, Dr. Li's hand in the clinic shook slightly. But the white coat and hair still maintain the rigor of the past, meticulous.

The plaque after the unified reconstruction of the streets has faded, and the outer walls are covered with medical notices and aftertastes of Chinese medicine and disinfection water. All the decorations are the same as the older Dr. Li and his wife: traditional, stubborn, and deadly.

This is a typical small self-employed clinic with a couple of "1 doctor + 1 pharmacist", which is what most medical "couple shops" look like.

"Now that the nurse has resigned, you must clean and disinfect yourself. You can get full every month." Dr. Li took off his glasses, drank strong tea, and took a long breath.

In the half-day of the interview, there was indeed only one guest in the pharmacy in front of us to buy Band-Aid. In addition, most of the time, Dr. Li and his wife Jiang Yaoji are studying how to use the latest online purchase software. As far as the two old doctors are concerned, the learning process is not simple. Finally, they still had to embarrassingly choose to call the service staff of the original pharmaceutical company.

However, once started, the sales staff will follow the software introduction and "enthusiastically" recommend Dr. Li to participate in the clinic upgrade project, and encourage: "Several clinics in your area have joined, and your traditional clinic is outdated. No, It doesn’t matter, we can come over to help you personally."

In response, Dr. Li refused without thinking. He hung up the phone, turned back to "the theory of relativity intelligence," and asked: "I don't understand. In the hospital, our old doctors are also somewhat famous, and the registration fee is a few yuan more expensive. Now that the Internet is coming, should we damn it? "

"Dare you dare to see a doctor on the Internet?"

Before opening his own clinic, Dr. Li was an orthodox medical student of that era and the successor dean of a township hospital.

“After I took office in 2005, the hospital was sold. I couldn’t do anything except seeing a doctor, so I rented a house and opened a clinic. I was in charge of injections, and my wife became a pharmacist. Whenever It is very busy at noon, often eating cold meals or not eating at all. There is no way, once the patient enters the door, we must receive him immediately."

But with this desperate hard work and excellent medical skills, this small clinic of only a few tens of square meters became famous locally in only one year. In 2010, Dr. Li simply bought a facade and expanded the clinic on "his own place".

"He looks fierce. In fact, he has always been an idealist. Those who do not need injections only need oral medicine. In the past SARS, this medicine was very expensive. If you give him more money, he still gets angry. There are six to seven clinics on this street, familiar (people) come often (Dr. Li's clinic), and people who often come from nearby cities..." Li's neighbor quietly asked "Intelligent Relativity".

However, when a company is doing too well, the capital that exudes "fishy smell" will always squeeze into this field and start to compete. In the eyes of capitalists, even life-saving medical treatment is nothing but "business."

Data from the China Health Statistics Yearbook show that between 2010 and 2017, the number of clinics in non-public grassroots medical and health institutions increased from 173,434 to 211,572, an increase of about 22%. The proportion of the total number of institutions rose from 41% to 54%.

Also at that time, Dr. Li and his wife felt that the (clinic) became more and more difficult to do.

Especially in June 2015, "Several Policies and Measures for Promoting the Rapid Development of Social Medical Treatment" (hereinafter referred to as "Measures") was issued. The state proposed to insist on opening medical treatment and implemented "non-prohibited entry" for social capital After the gradual progress, the feeling becomes more obvious.

The "solution" divides qualified social medical institutions into the scope of medical insurance fixed points and implements the same policies as public medical institutions. This solves the medical insurance problem, and also allows the Internet operation model to explode rapidly after the capital officially enters the market, making medical "self-employed" even more difficult to chase.