At the imperial health and medical affairs meeting, after all parties expressed their opinions, officials from the Ministry of Civil Affairs began to introduce in detail the medical and health issues within the empire, complaining while introducing them.
In short, I just want to get more support.
In the report of the Ministry of Civil Affairs, urban health issues and medical issues were mainly mentioned.
As for urban sanitation issues, this has been done for a long time. It is not because of medical treatment or anything, but to prevent the outbreak of large-scale infectious diseases.
Furthermore, except for a few cities, many cities are actually not large in size, and the permanent population within the city walls is very small.
An ordinary county usually has only a few thousand permanent residents in the county, and a large county may have tens of thousands of people.
In terms of government, there are only tens of thousands of people at least, and only tens of thousands at most.
Only some large-scale cities, such as provincial capitals and important commercial areas, would have a population of hundreds of thousands or even hundreds of thousands.
Such as Jinling City, Suzhou, Hangzhou and other big cities.
For these big cities, the empire's management of city appearance is very strict, and urban sanitation problems are not serious.
The medical problem is a shortage of doctors and medicines, leading to a large number of deaths.
These two points can be summarized into the issue of reducing mortality and increasing the average life span of the population.
Officials from the Ministry of Civil Affairs talked about data, presented facts, and acted like they were asking for orders for the people, making it difficult for officials from other departments to argue.
Even the military did not wait for Luo Zhixue to open his mouth before he took the initiative to say that he would support local medical undertakings and that he was willing to deploy a number of military doctors to assist the local area in establishing a local medical education system.
The Finance Department stated that it could coordinate part of the funds to increase the development of the medical industry and use it to train more medical personnel.
Even the Ministry of Civil Affairs has stated that employees from government-run medical institutions can be considered to be included in the official system, but teachers in government-run schools following the example of the new education system will only be given grade-level salary packages and no political treatment.
The education and medical industries are relatively special, and there is a tradition of giving official status. Traditional government-run schools, such as county schools and government schools in the traditional feudal dynasty, have teachers who are high-ranking officials, and some ordinary Although teachers do not have official status, they are often registered and receive state money and food just like the six-room officials in the yamen.
As for the doctors, there is an institution like the Taiyuan Hospital, and the doctors at all levels in the Taiyuan Hospital also have official status.
The Dachu Empire also had a Taiyuan Hospital. Although its organizational structure was different from the Taiyuan Hospital in the Ming Dynasty, which was a management agency of the entire medical system. The Taiyuan Hospital in the Dachu Empire was a purely medical institution.
As for the management agency of the medical industry, it is the Medical and Health Department of the Ministry of Civil Affairs.
The Da Chu Empire Imperial Hospital directly belongs to the royal family and is under the jurisdiction of the Palace Affairs Department. It mainly provides medical services to members of the royal family. It has one person in charge of the third-level hospital, two people in the third-level associate hospital, one imperial doctor from each department, and several imperial doctors. There are more than 20 departments including surgery, internal medicine, pediatrics, gynecology, orthopedics, dermatology, dentistry, and ophthalmology.
These imperial doctors and imperial physicians. In addition to a small number of experts in traditional Chinese medicine selected from across the country, many more are doctors of new medicine, all of whom are the best among the new doctors trained by the Army Officer Academy over the past few years.
These doctors are said to be new-style doctors, but in fact these doctors are basically from a family of traditional Chinese medicine. They have received complete teaching of traditional Chinese medicine since childhood. They only received training in new medical theories after entering the medical department of the Army Officer Academy.
Their diagnosis and treatment are a combination of old and new. They seem to apply new medical theories, but the medicines they prescribe are still traditional medicines... There is no way, they don't have modern medicines such as antibiotics.
The high medical level of modern people is based on the development of modern medicine. It does not mean knowing various theories will work.
It’s hard for a clever woman to make a meal without rice, and doctors are no exception!
Under such circumstances, traditional empirical medicine and various traditional Chinese medicines still have a certain value, but the hospital is also continuing to conduct research, trying to figure out which of the various Chinese medicine prescriptions are really useful. , those are of little use.
Among the various prescriptions that have actual therapeutic effects, which medicinal material has the therapeutic effect, and which part of the medicinal material plays the role, and whether the effective ingredients can be extracted.
In short, although I don’t understand why it can cure a disease, at least I have to understand what is curing the disease... You can’t just blind your eyes. If someone is burned and you use child urine to apply it to him, you can make as much nonsense as you want. Nonsense (non-fiction, a real thing that the author has seen).
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Tai Hospital has a special status. The doctors there naturally have official status, and most of them even have military positions... because they are military doctors themselves, and they are just transferred to Tai Hospital to work and study medicine.
Following the example of Taiyuan Hospital, other established government-run medicines will naturally be able to give their practitioners official status.
With establishment, teaching staff, and financial support, this new medical system has almost been implemented, but in Luo Zhixue's view, it is still not enough.
Therefore, during the meeting, Luo Zhixue made a rare statement in such an ordinary internal affairs meeting: "Medical reform and development requires a process. Teachers need to be trained, doctors need to learn and grow, and the cultivation and planting of various medicinal materials also takes time. It's normal to be in a hurry, but human lives are at stake. We can't just wait for the establishment of a medical school because of objective difficulties, and then spend a few years training a group of doctors... In this way, five years later, ten years later How many government-run hospitals can we build and how many people can we cover?”
"It is necessary and the right path to establish medical schools, build large comprehensive hospitals, study various new medical theories, study various new drugs, and study the practical application of traditional empirical medicine in the new era."
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"But when doing things, sometimes you can't look too high, but you should also lower your head appropriately and look down!"
"What do we need? Is it an advanced or even epoch-making medical system? Yes, we need it, but before that, what we need more is universal primary care!"
"All kinds of medical education, research, and government-run general hospitals that you mentioned before must be carried out. In addition, I have one more instruction, that is, at least one government-run general hospital should be built in each county, and a government-run clinic should be opened in towns where conditions permit. ."
"In addition, the qualifications of today's traditional doctors should be reviewed, some fraudulent doctors should be purged from the medical team, and qualified doctors should be awarded officially recognized medical qualification certificates."
"We need to train a large number of grassroots doctors, especially doctors in rural areas. Even if they only know how to diagnose and treat the most basic typhoid fever and trauma, they can greatly improve the medical conditions in rural areas!"
After saying that, Luo Zhixue looked at everyone present, especially the officials from the Ministry of Civil Affairs, and said: "In my opinion, this matter is more important and more urgent than running dozens or even hundreds of large medical schools."
Luo Zhixue listened to a lot of what they said, and found that what they said was very good, but as he said at the beginning, their focus was too high...or maybe they were focused on developing medical care itself, to a certain extent. Some ignore the essence of medical treatment.
What is the essence of medical treatment? To save lives and heal the wounded? Yes and no... maybe ordinary people would see it this way.
But from Luo Zhixue’s perspective, what is the essence of medical care? Saving lives and healing the wounded is just the most superficial thing. The key question is why should we save lives and heal the wounded?
Well, why do you have to do these things? You can't bear it? This is one aspect, and another aspect is that the development of medical treatment can make the empire's industrialization process smoother and make the empire greater!
For a normal modern industrialized country, saving lives and healing the wounded can increase the average life span of the population, stabilize or even increase the number of working people, and thus create more value!
Dead people can't create production value!
At the same time, medical care itself is also an industry. Even the government-run medical industry can still provide a large number of jobs and tax revenue.
Regardless of whether it is based on heart or reason, Luo Zhixue believes that in recent years, agricultural medical care has been as important as, or even more important than, urban medical care and various seemingly high-level medical research and developments.
As long as there are enough rural doctors and a large amount of cheap medicinal materials, even if they can only treat common colds and common trauma ailments for farmers, it will be enough to greatly increase the average life span of the empire's population.
That's why he spoke at the meeting and emphasized it.
After Luo Zhixue's emphasis, many ministers naturally changed their direction quickly, and finally came up with one policy after another.
The military was the first to express its stance. The military stated that many grassroots military doctors stationed in various places will rotate to the countryside for free consultation and prescription. As for drug supply... this is more difficult for the military to handle. All the military supplies are , are all strictly controlled war preparation materials. It is very complicated and even violates the military supplies management regulations to use them as gifts or sell them at low prices.
Therefore, they can only do free rounds, consultations and prescriptions.
At the same time, the military stated that field division, corps, and group military-level medical battalions, as well as medical battalions directly under each garrison headquarters, can accept medical personnel sent by local governments for further training.
The Medical Department of the Army Officers College can allocate part of its teaching staff to assist local governments in preparing for the establishment of the Royal Institute of Technology Medical School and the Imperial College Medical School.
The military has military training camps for medical recruits in various places, and will also dispatch some medical instructors to assist in the training of certain local medical personnel.
The Ministry of Finance said that funds can be increased by another one million taels on the previous basis to be used specifically to support rural doctors.
The Ministry of Industry stated that after the meeting, they will promote the development of the medicinal material planting industry through direct investment, mobilizing local financial investment and other methods, and strive to achieve more blooms across the country to ensure the supply and quality of all types of medicinal materials, especially commonly used medicinal materials. .
