中国医疗的底层逻辑

《隐入尘烟》是2022年这个盛夏最触动人心的电影，是唯一一部入选柏林电影节的华语影片。当年拍这部电影时，导演李睿珺口袋里只剩2000元，没有融资，没有广告。剧组只有一个专业演员海清带着甘肃的一群朴实无华的农民在甘肃的一个小山村用一年的时间演绎了这部伟大的电影。在这部电影里，才子看见了爱情，农民看见了苦难，而我看清了医疗的本质。桂英的病其实也不是多难治的病，但对两个身处西北农村无比困顿绝望的家庭来说就是难于上青天。有铁还憧憬着带桂英去大医院找好大夫瞧瞧。试想中国至今还有10亿老百姓没有坐过飞机。这部电影让我们看见了中国农民的纯朴，他们即使身处无涯的黑暗，也心怀希望。我们也看清了富人的为富不仁，好处占尽，坏事做绝，没有社会责任感。评价一个国家的富裕不是看人民是否住大平层、用奢侈品、年入百万。中国真正的富裕是任何一个人都有看病的自由，医生有医者仁心的心怀。这才是文明社会该有的样子。中国医疗的底层逻辑其实是要重点发展基层医疗，全民医保。中国即使打造100家巨无霸式的协和医院也不能从根本上解决14亿人民看病难的问题。如果每一个城市、每一个县城、每一个乡村、每一家医院都能把各自医院的学科建设起来，人才培养起来。让方圆百里的老百姓都能放心就近地看好病。这才是中国医疗的伟大创举。

"Return to Dust" is the most touching film in the summer of 2022, and it is the only Chinese film selected for the Berlin International Film Festival. When the film was being made, director Li Ruijun had only 2000 yuan left in her pocket without any financing or advertising. There is only one professional actress in the crew, Hai Qing, who spent a year in a small mountain village in Gansu Province, with a group of local farmers to interpret this great film. From this film, the wits saw love, the peasants saw suffering, whereas I saw the inbeing of healthcare. In fact, Guiying's illness is not that complicated, but it is difficult for two families in the rural northwest who are extremely poor and desperate. Youtie is still longing to take Guiying to see an expert in a large hospital. There are still 1 billion people in China who have never taken a flight. This film allows us to see the simplicity of Chinese farmers, who are hopeful even in the boundless darkness. We also saw the coldheartedness of the cruel rich, who take all the advantages, commit every evil, and have no sense of social responsibility. To evaluate a country's prosperity is not to see whether its people live in a spacious flat, use luxury goods or earn millions a year, it is to see if everyone has the freedom to get proper treatment timely and every doctor have a caring heart. This is what a civilized society should be like. The underlying logic of healthcare in China is to develop the primary care and universal health coverage. Even if China develops 100 top-class hospitals like Peking Union Medical College Hospital. The problem of 1.4 billion people's difficulty in receiving proper treatment cannot be solved. If every single hospital in every village, every town and every city can develop the specialties and cultivate their own talents, which will enable the patients in the neighborhood can receive high-quality treatment timely, this will be a great pioneering work of the healthcare in China.