The greatness of primary health care

美国GDP的19.7％用于医疗卫生支出，美国的医疗费用排名全球笫一，美国的医疗是全世界最没有效率的体系，哪家医院哪个医生还叫着要向美国学习医疗，他们脑子一定是进水了。他们不懂什么才是真正的医疗。古巴长达半个世纪被美国封锁，但古巴真正建立了一个保障人民健康的医疗卫生体系。他们还为全世界培养医生。古巴巨大的医疗资源全部都扑在基层医院。他们的基层医院24小时为人民服务。中国1949年人均预期寿命只有35岁，改革开放后人均预期寿命提高到了68岁，2021年已提高到78.2岁，这是人类医学史上的重大奇迹。中国从50年代到70年代重点发展了基层医疗，每个单位都有医院和医务室。乡下有赤脚医生。正是基层医疗解决了人民各种疾病，方便快捷，保障了人民健康。1978年中国医疗费用支出100亿，当时中国10亿人口，平均每人花费才10元。这就是基层医疗的伟大之处。

The U.S. spends 19.7% of gross domestic product (GDP) on healthcare, more than any other country, but not with a better outcome. This is the least efficient healthcare system worldwide. Something must go wrong with the doctors or hospital executives who want to learn from the U.S. system. They do not have their own understanding of healthcare. The U.S. has been implementing sanctions on Cuba for more than 60 years. But Cuba is a country which really establish a healthcare system that prioritizes and guarantees people's health. They train medical students from all over the world for free. Most of the medical resources go to the primary healthcare institutions. The primary care clinics open 24/7. Before 1949, the life expectancy was 35, after that, the life expectancy rose to 68. In 2021, it is 78.2. This is a significant milestone in the history of medicine. From the 1950s to the 1970s, China focused on developing primary medical care, equipping each organization a hospital or a paramedical room. In rural areas, there are village doctors offering basic medical service. It is these primary healthcare providers who guarantee the health of the people efficiently. In 1978, the total health expenditure in China was 10 billion yuan. With a population of 1 billion, per capita health spending was only 10 yuan in China. This explains the greatness of primary health care.