30年來,台灣街頭外科診所全部絕跡,真是世界奇觀!我朋友他老子當年在頭份開外科診所,光病床就有250床,現在整個台灣居然找不到一家?太戲劇性點吧!

早年哪家內兒科沒病床?李登輝去日本就醫,那兒的診所排場,大家還記得嗎?
看看台灣的診所,比起人家簡直算擺攤子!

如果民眾為了大醫院交叉感染,強忍病痛不敢就醫,何不回想當年情況?當病患分散就醫,
院內感染是否輕得多?長年以來,醫界朋友一直警告院內感染始終存在,連美國都很難免,
他們回家有人居然不敢把鞋子穿進家門.

為什麼會演變成這種怪現狀?我想是勞健保設計有問題!
大醫院給付比小診所高得多,很多難症不許小診所操作---台大主任開業被認為沒能力治療,
他的徒子徒孫在大醫院卻可以,荒謬吧!
大醫院一次可開3個月藥,小診所則限三天,叫病患如何選擇?

國民黨幾十年來一直在認真扮演推手,幾十年來民眾也習以為常;張博雅和葉金川當年在健保初辦,
不但設計甲乙丙表,一直在努力搞差別待遇;並且還裝出一副愛民姿態,努力查辦診所超收費用,
離譜的是不收掛號費一樣被處治!他們難道不懂市場機制?只要病患覺得值得,為什麼要干涉加碼?生意太差,要少收費用,又有何不可?

同級醫院一樣給付標準,哪個醫師還想增加設備,改善醫療素質?會想高薪召聘素質好的護士?
不同級醫院不一樣給付標準,小診所還有多少生存發展空間?微薄的給付,不在短時間看大量病患,
哪能賺錢養家?忙著應付白道黑道勒索,外加醫療糾紛,台灣醫師還真歹命!外科一直召不到質優量足的後進,實在是無法開業,只能留在大醫院接受財團予取予求.

終結小診所,改成大醫院於是變成醫界唯一發展之道.秀傳和敏盛都是如此.
但有多少醫師有能力啊?

錯誤的政策是其一。

但台灣醫師的養成卻是最大的問題。專業素養很高，但人文素養卻相對低落。

與他們自己的學養比高下，不是與其他人比。

這個也能扯上「自卑」？難道您身為醫師就該目空一切？
只是要你們多關心人而不是疾病而已。

大病到大醫院
小病到小醫院

還是
小病到大醫院
大病到小醫院

還是
大病隨便看
小病隨便看
都可以看，錢多多，沒關係。

上中學的時候, 有一次老師不知道怎麼搞的說到牙齒, 問班上都去那裡看牙, 當然很多人都是去家附近的牙醫診所看囉! 結果有一位同學說她媽媽都帶她去台大看, 請大家猜老師接下來說什麼?

----->「難怪你的牙齒比較漂亮!!!」

難道其他人的牙齒都很醜嗎? 我們又不常讓老師看到牙齒~~, 這還是健保制度實施以前的事.

上大醫院在很多人心理是一種迷思, 總以為無論什麼毛病去大醫院就會治的比較好, 連帶的也覺得自己好像比去診所的人高一等, 健保制度把這種風氣推波助瀾, 大家心理想既然去大醫院和去診所的錢差不多, 藥又可以拿很多天, 何不如去大醫院?!

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