中國醫(yī)療和英國的驚人差異
Shocking Differences about Healthcare in China
譯文簡介
中國醫(yī)療
正文翻譯
After having some experience with healthcare in China, I decided to make a video drawing some comparisons and differences between the healthcare in the UK and China.
在有了一些親身經歷中國醫(yī)療的經驗之后，我決定制作一個視頻來比較一下英國和中國醫(yī)療系統(tǒng)的不同之處。
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For reimbursable drugs, China’s policy is centralized government procurement. The government first negotiates with the pharmaceutical companies to buy and deliver to the hospital at the lowest price, and for the companies, access to the government procurement catalogue means a steady stream of sales and revenue (albeit at a low unit price)
對于可報銷藥品，中國的政策是政府集中采購。政府首先與制藥公司談判，以最低價格購買并交付給醫(yī)院，對這些公司來說，獲得政府采購目錄意味著穩(wěn)定的銷售和收入流(盡管單價較低)。
Same as Canada. Of course US is a market economy
和加拿大一樣。當然，美國肯定是市場經濟
Canada does the same! I am SO THANKFUL.
加拿大也一樣！我很感激。
Lee speaks so detail about the health care system in Britain and China, that let me gain more knowledge. Thank Lee, wish you recover soon!
李先生非常詳細地講述了英國和中國的醫(yī)療制度，讓我有了更多的了解。謝謝李，祝你早日康復！
原創(chuàng)翻譯：龍騰網 http://m.flyercoupe.com 轉載請注明出處
Great to see Lee making videos again and hope it continues, with more travelling soon. I've been to hospital 3 times in China. 1st time was with food poisoning and they put me in a bed straight away, at around 4.00a.m and put me on a drip and I was OK next day. Not that great ward, with mosquitoes and primitive toilet, but bearable. 2nd and 3rd time I went to a general hospital and saw a dr straight away, had blood tests and X Rays, with results within a few minutes, then went back to the dr, who gave me a prescxtion to get Chinese medicine-total time there about 45 minutes and cost about ￡3-both times.
很高興看到李再次制作視頻，希望你能繼續(xù)下去，很快有更多的旅行視頻。我在中國去過三次醫(yī)院，第一次是食物中毒，他們在凌晨4點左右把我放在了床上。然后給我打了點滴，第二天就好了。不是什么大病房，有很多煩人的蚊子和簡陋的廁所，但還能忍受。
我第二和第三次去的是大型綜合醫(yī)院，看了一個醫(yī)生，進行了血液測試和X射線，幾十分鐘出結果，然后回到醫(yī)生那里，他給我開了一個處方，去買中成藥，總時間大約花了45分鐘，成本約三英榜左右。
The doctors will get the results through online digital system at the first time. They read your results on computer. At the same time, the departments of different tests informed you to collect the results as well. The hard copy of test results took by patiences, the reason is for keeping a physical document themselves. If they want to consult with different doctors in another hospital, they can bring these material to describe their current health conditions and previous healthcare suggestions with these tests results.
中國綜合醫(yī)院的醫(yī)生會通過在線醫(yī)療系統(tǒng)第一時間獲得結果，他們會在電腦上閱讀你的檢測結果。同時，各檢測部門也會通知您自己拿取結果。測試結果是紙質文件，如果他們想在另一家醫(yī)院咨詢不同的醫(yī)生，他們可以帶著這些材料，根據這些測試結果描述自己目前的健康狀況和以前的醫(yī)療建議。
In China, for the extreme poor people, there are some governmental projects and finance provided specifically. They still are able to get medical care service. Though, the service level might be the corresponding basic treatment to their health issue.
In terms of lower income families, they can live themselves by working hard but don’t a large amount of deposits. For normal sickness or diseases, it is not a big deal. But for severe disease such as cancer, it might bring a financial pressure to this family, though 90% cost is covered by societal insurance. Thus, their quality of life might decline.(I hope these situations will be better in the future.) In previous Covid 19 pandemic period in Wuhan, China, the government knew what will the financial influences mean to majority families. Thus, the gov released new policy about the government will pay for all the Covid 19 treatment costs.
,In terms of a developing country, is a big issue. BTW, it’s good to know people working hard to let things getting better.
在中國，有一些專門針對極端貧困人群的政府項目和資金。他們仍然能夠得到醫(yī)療服務。雖然，服務水平可能只是治療他們的相應基礎健康問題。
對于低收入家庭來說，他們可以通過努力工作來生活，但沒有大量的存款。不過對于正常的疾病，沒有存款也沒什么大不了的。但對于像癌癥這樣的嚴重疾病，它可能會給這個家庭帶來經濟壓力，盡管90%的治療費用會由社會保險支付。因此，他們的生活質量可能會下降。(我希望這些情況在未來會更好。)在之前的中國Covid - 19大流行時期，政府知道經濟影響對大多數家庭意味著什么。因此，政府發(fā)布了有關政府的新政策，將支付所有Covid - 19治療費用。
最后，對于一個發(fā)展中國家來說，財政是一個大問題。順便說一句，很高興知道中國人努力工作讓事情變得更好。
The UK's NHS has gone downhill rapidly. I have 3 relatives in the NHS, 2 pathologists and another I cannot reveal as there are only a few of them in the NHS and easily identified. In pathology, there's chronic understaffing. They are so stressed and pressured that you have to wonder if accurate diagnosis can be asked of them. 2-3mins per slide! It's crazy. It's unpaid overtime most of the time. The NHS pension system is so ridiculous that if you earn over limit, you actually start losing money! So they are resigning and working outside the grade. In fact, they are thinking of working as locums which will take the pressure off, but cost the NHS more. Apparently, it's the same in other specialities. It's so bad they have banned their offsprings from taking up a medical career.
英國的國民醫(yī)療保健服務(NHS)已經迅速走下坡路。我有3個親戚在NHS系統(tǒng)內工作， 2個病理學家和另一個我不能透露的職位，因為我怕說多了被你們猜到身份。在病理學工作崗位，長期存在人員不足的問題。他們的壓力十分巨大，能否問他們準確的診斷結果我都懷疑。每個人只有2-3分鐘的問診時間！這太瘋狂了。而且他們大部分的時間都是無償加班。英國國民健康保險制度是如此荒謬，如果你賺的錢超過限額，你實際上就會開始虧損！所以他們最后辭職去外面工作了。事實上，他們正在考慮作為“臨時代理醫(yī)生”工作，這可以減輕壓力，而且掙的更多。顯然，其他相關的崗位也是類似的情況。而且他們禁止他們的后代從事醫(yī)療事業(yè)，太糟糕了。
Hi Lee, a minor correction. Most Chinese hospitals do have the option to provide meals for hospitalized patients (patients need to pay extra money for the meal plan, unlike in HK or the UK, where as far as I understand the cost of the meals is included in the overall bill of hospitalization). Many hospitals also have canteens that are open to patients as well. There are also professional carers in Chinese hospitals (at least in big ones). The differences are that all these services are optional (e.g., you can opt out of the meal plan, and you can choose not to hire a carer, though in my experience, most families would hire one even if they have someone staying with the patient at the hospital). The carers in Chinese hospitals might not have a full working contract with the hospital and do not count formally as hospital staff. So, sometimes patients who need further care after releasing from the hospital can hire the same person to come and work as hourly carers at home.
你好，李，一個小修正。大多數中國醫(yī)院都可以選擇為住院患者提供膳食(患者需要為膳食計劃支付額外的費用，不像在香港（特區(qū)）或英國，據我所知，在香港（特區(qū)）或英國，膳食費用包含在住院總賬單中)。許多醫(yī)院也有對病人開放的食堂。在中國的醫(yī)院里也有專業(yè)的護理人員(至少在大醫(yī)院里)。不同之處在于，所有這些服務都是可選的(例如，你可以選擇不參加膳食計劃，你可以選擇不雇傭護工，盡管根據我的經驗，大多數家庭即使有人在醫(yī)院陪著病人，也會雇傭護工)。中國醫(yī)院的護理人員可能與醫(yī)院沒有完整的工作合同，也不被正式算作醫(yī)院員工。因此，有時出院后需要進一步護理的患者可以雇傭同一個人來家里做小時護工。
I do prefer the options available.
我更喜歡中國的這種可選擇。
The food in some hospitals are pretty good and affordable . Even after my mother got out of the hospital we still went back to buy food there.
有些醫(yī)院的食物很好，也很便宜。即使在我母親出院后，我們仍然回去那里買食物。
It is very true that China is still developing. I believe that if we develop to the level of developed countries, everyone will be able to get treatment. Of course, I don’t want to develop into free treatment, because we cannot raise lazy people in China, but I still hope that everyone will work hard to improve their lives.
中國還在發(fā)展，這是事實。我相信如果我們發(fā)展到發(fā)達國家的水平，每個人都能得到治療。當然，我不想發(fā)展成免費治療，因為在中國我們養(yǎng)不起懶人，但我還是希望每個人都努力工作，改善自己的生活。
犇羴鱻
有住院治療的一種叫“全面關懷”，這意味著醫(yī)院將充分照顧病人的所有需求，包括食品、服裝、清潔等等，但這是一種醫(yī)療服務費用，不是醫(yī)療費用，所以意味著高成本，通常不受醫(yī)療保險保障，因此，家庭護理意味著更少的成本。
你說的是在中國嗎？
犇羴鱻
@AI Chopper 不然呢
@犇羴鱻 是不是需要買保險才會有這樣的服務?。?br /> 犇羴鱻
@AI Chopper 這應該是屬于服務費，不包含在醫(yī)療保險里的，視頻中說的那需要自己掏錢的10%也屬于服務費，比如掛號費，床位費，衛(wèi)生費什么的。如果交給醫(yī)院全權護理，相當于從醫(yī)院雇一個人幫忙護理，這就需要額外支付了。是不包含在醫(yī)療保險里的
In China, you can also ask a caregiver to take care of you, but most Chinese think that only family care can make the patient feel more comfortable, so normally, patients will be taken care of by a family or a friend. And most hospitals provide food if you want. But most Chinese think the food hospital provides is not delicious or nutritious， so the family will provide food themselves...
在中國，你也可以請一位護理人員來照顧你，但大多數中國人認為只有家庭護理才能讓病人感覺更舒服，所以通常情況下，病人會由家人或朋友來照顧。如果你想的話，大多數醫(yī)院都會提供食物。但是大多數中國人認為醫(yī)院提供的食物既不美味也不營養(yǎng)，所以家庭會自己提供食物…
Totally agree with you. In china, too many many people, and still many issues. but get better and better.
完全同意你的看法。在中國，人太多了，所以雖然問題還是很多，但中國的醫(yī)療會變得越來越好。
Having had some minor medical treatment in China, what you say is very much in line with my experience. I did financially help with cost of treatment of my niece’s daughter when she fell and broke her leg. So good to see her running around when I was next in China
我在中國接受過一些輕微治療，你說的很符合我的經驗。我侄女的女兒摔斷腿的時候，我?guī)退读酥委熧M。所以，我很高興看到她在我下一次去中國的時候能活奔亂跳
When you have tests done, in all hospitals of which i am aware in China,, all results are attached to your computer file, however you need to pick up a hard copy from the relevant department who performed the test, which is usually available after around 2.30 pm in the afternoon. Of course urgent tests can be completed rapidly as directed by the doctor.
我知道在中國所有的醫(yī)院，檢測完成后，結果都是直接連接到電腦上，您需要拿一張二維碼單據，通常下午2.30點左右可以去自助電腦機取檢測報告。當然，緊急檢查可以在醫(yī)生的指導下迅速完成。
你觀察的很準確，表達的也很客觀。中國的醫(yī)療制度和有限的醫(yī)療資源盡量用在治療上，個人護理由家屬照顧降低病人的醫(yī)療費，也更貼心。
There will be differences everywhere. Just be glad you are not in the US. And glad to see you doing well.
到處都會有差異。你應該慶幸你不在美國。很高興看到你過得很好。
My Previous landlord had lymphoma, she went to a local hospital and they scheduled her a second test in 6month LOL... and this happened in Virginia, 20 mins outside of Washington, D.C. and I've been working in Healthcare research field for the last few years, plus my personal hospital experience, just want to say that American Healthcare is completely a joke.
我之前的房東得了淋巴瘤，她去了當地醫(yī)院，他們安排她在6個月后做第二次檢查，哈哈…這發(fā)生在弗吉尼亞州，離華盛頓特區(qū)只有20分鐘的路程，過去幾年我一直在醫(yī)療保障研究領域工作，加上我個人的醫(yī)院就診經驗，我只想說，美國醫(yī)療保障完全是個笑話。
Hi Lee,
That's just the experience I had, when I needed treatment in China for getting knocked off my motorcycle in China.
The speed of getting things done, x-rays, physio, blood tests, all done same day.
To be honest, I would prefer treatment in China than UK.
嗨,李,
下面是我在中國的親身經歷，我在摩托車上摔了下來，需要接受治療。
中國醫(yī)院完成工作的速度，x光，理療，驗血，都是同一天完成的。
老實說，比起英國，我更喜歡在中國的醫(yī)療待遇。
I live in Melbourne, Australia and I had gone to the hospital for serveral times here. Right after I born my baby, they did a surgery on me because some part of my placenta didn't came out. But one month later, i got very heavy bleeding and was sent to the emergency. I lost 2L blood and almost lost my conscious, but they made me wait there for more than an hour because there was no surgeon available. After my second surgery, they said it should be fine now as they took another part of placenta out. But a few hours later, I told them I was bleeding again. At first, the nurse said it's not bleeding a lot, so I had to wait until I bled a lot to get the third surgery. When I woke up, I was in intensive care. The only thing I was glad was I was still alive. They said several experienced specialists attend my surgery and they took out another piece of placenta. After these three surgeries, I got a lot of blood transfer and stayed in hospital for a long time. That was very bad and horrible memory. BTW, this hospital is Australia's first and leading specialist hospital for the health and wellbeing of women and newborn. So I would rather prefer speed and experience.
我住在澳大利亞墨爾本，我在這里去過幾次醫(yī)院。我剛生完孩子，他們就給我做了手術，因為我的胎盤有一部分沒有出來。但一個月后，我大出血，被送進了急診室。我流了2升的血，幾乎失去了意識，但他們讓我在那里等了一個多小時，因為沒有合適的外科醫(yī)生。、在我第二次手術后，他們說現(xiàn)在應該沒事了，因為他們取出了另一部分胎盤。但幾個小時后，我告訴他們我又流血了。一開始，護士說出血不多，所以我不得不等到出血很多才做第三次手術。
當我再次醒來時，我在重癥監(jiān)護室。唯一讓我高興的是我還活著。他們說幾個有經驗的專家參加了我的手術，他們又取出了一塊胎盤。在這三次手術后，我做了大量的血液移植，在醫(yī)院呆了很長時間。那是非常糟糕和可怕的記憶。順便說一下，這家醫(yī)院是澳大利亞第一家領先的婦女和新生兒健康和福利專科醫(yī)院。所以我更喜歡你在中國的速度和經驗。
well. since the scale of the population of Aus and CN are different, Chinese docs see more illness, I dont want to say they are more skilled, but they are experienced,
好吧，由于澳大利亞和中國的人口規(guī)模不同，中國醫(yī)生看的病更多，我不想說中國醫(yī)生更有技術，但他們有經驗，
原創(chuàng)翻譯：龍騰網 http://m.flyercoupe.com 轉載請注明出處
Well exactly, your experience shows that the so called first world healthcare system which is often regarded as first rate and second to none isn't living up to its reputation. Actually, more and more Singapore and Hong Kong are turning out to be on the rise as first rate healthcare and more attention should be paid to what they are doing to improve the healthcare they provide. Many of the issues could be as simple as wrinkling out systemic bottle necks.
是的，你的經驗表明，所謂的第一世界的醫(yī)療體系，通常被認為是一流的和首屈一指，但事實上卻并沒有達到它應有的聲譽。事實上，新加坡和香港（特區(qū)）越來越多的地方正在成為一流的醫(yī)療保障，我們應該更多地關注他們正在做些什么來改善他們提供的醫(yī)療保障。
在米國，醫(yī)療事故死亡率達到19%
In HK, public hospitals come with simple and basic meals when hospitalized, however, private hospitals don't include meals. they will have menu for you to order with extra cost.
在香港（特區(qū)），公立醫(yī)院在住院時提供簡單和基本的膳食，但私立醫(yī)院不提供膳食。他們會給你提供額外收費的菜單。
In 2020 with corvib19, a lot of elective surgeries, tests and procedures were canceled in Canadian hospitals. Now there's a hugh backlog. You need to wait a very long time. In China it's very fast. That's major difference now.
2020年，由于corvib19，加拿大醫(yī)院取消了很多手術、測試和程序。現(xiàn)在積壓的工作很多。你需要等很長時間。在中國，速度非常快。這就是現(xiàn)在的主要區(qū)別。
Great to see you looking better each new video I think that the level of care seems to be better in China at least they seem more on the ball and they don't mind if you want a second opinion and go to another doctor unlike my doctor. I went to my GP/doctor about 2 years ago about blood when I went to the toilet and he examined me and just passed it off as a polyp nothing to worry about, later that year I developed diverticulitis and had to go and have a scan unfortunately I was too ill to have the procedure, I then had to wait nearly 7 months before I could get another scan appointment and when they did the scan they saw the so called harmless polyp and because it was bleeding so much they took a biopsy. It turns out it was cancerous, I had bowel cancer. Thankfully once they diagnosed it as cancer within a couple of weeks I was in hospital and had the operation to remove it and I am cancer free now.
很高興看到你每一個新視頻，所有視頻看起來都很好看，我認為中國的醫(yī)療水平似乎更好，至少他們看起來更精明，他們不介意你想要第二個意見，去看另一個醫(yī)生，不像我的醫(yī)生。大約兩年前，當我去廁所便血時，我去看了我的全科醫(yī)生，他給我做了檢查，把它診斷成息肉，告訴我沒什么好擔心的。
那年晚些時候，我得了憩室炎，不得不去做身體掃描，不幸的是，我病得太嚴重了，不能做這個手術，然后我又等了將近7個月才能再預約一次掃描
當他們做掃描時，他們看到了所謂的無害息肉，因為出血太多，他們做了活檢。
結果是癌癥，我得了腸癌。幸運的是，當他們在幾周內診斷出癌癥后，我住進了醫(yī)院，做了切除手術，現(xiàn)在我的癌癥痊愈了。
I think this is one of the best comparisons I've heard over the healthcare system between China and the UK. Buddy, I wish you a speedy recovery and look forward to seeing you as always
我認為這是我聽到的關于中國和英國醫(yī)療體系的最好的比較之一。兄弟，祝你早日康復
The cost of illness in China is high, but fortunately, the country’s centralized procurement has drastically reduced medical expenses. China has also universalized medical insurance, including rural areas, and only pays 300 RMB (50 US dollars) per year
中國的疾病成本很高，但幸運的是，國家的集中采購大大降低了醫(yī)療費用。中國還普及了醫(yī)療保險，包括農村地區(qū)，每年只支付300元人民幣(50美元)
If the cost of healthcare in China is high then cost of usa must have left the solar system by now
如果中國的醫(yī)療成本高，那么美國的醫(yī)療成本現(xiàn)在肯定已經離開太陽系了
@Ricky Spanish Also a speedy recovery to Mr.Barrett.
This is NOT the US Democratic way for its citizens, but for decades its been is a form of predatory capitalism run by a PLUTOCRATIC Style of governance. Insurance companies have run out of control.
In New Zealand its free. We also have a GP family doctor, a single visit costing NZ$19.50 per adult. Medicines prescribed from doctor at any chemist cost nothing to a few dollars for all of the drugs that the doctor prescribed for you. Public hospital and food and care are all free of charge. Healthcare insurance for private hospital for all of the family (3 adults) is about $1600 per annum full cover, others depending the type of plan. It's worth it. Although the public hospital is really good too for surgeries as they are really up to date with great equipment and staff.
Specialist consultations are expensive at about NZ$350 or so per visit.
Private New Zealand Healthcare Insurance is good for family cost expenditure and assurance.
巴雷特先生也很快康復了。
醫(yī)療保障不是美國民主黨對待公民的方式，幾十年來，它一直是一種掠奪性資本主義的形式，由富豪式的治理方式管理。保險公司早已經失去了控制。
醫(yī)療在新西蘭也是免費的。但我們還有一名家庭醫(yī)生，每個成年人一次就診的費用是19.50新西蘭元。醫(yī)生給你開的藥都不用花多少錢。公立醫(yī)院問診、食物和護理都是免費的，但我們家庭所有成員(3名成年人)的私人醫(yī)院醫(yī)療保險每年大約為1600美元，其他取決于自己醫(yī)療計劃的類型，這些保險是值得的。
雖然公立醫(yī)院也很適合做手術，因為他們有很先進的設備和員工。但是專家咨詢的費用非常昂貴，每次大約350新西蘭元。
新西蘭私人醫(yī)療保險有利于家庭成本支出和保障。
@RamenFit Rural medical insurance did not start in 2013. It used to cost only dozens of yuan, but now the price is rising every year.
農村醫(yī)療保險不是從2013年開始的嗎？以前只要幾十元，但現(xiàn)在價格每年都在上漲。
@loser king 1. Please provide your sources 2. Does the rise of the cost of insurance come with the rise of service? Is the increase of the cost of insurance go along with the increase of income in the region where you are referring to? I’m not trying to argue, nor am I saying you’re wrong, I believe the “rural healthcare” you’re referring to is the New Rural Cooperative Medical System (NRCMS), it has been implementing in rural china since 2003. that a patient can use his/her healthcare from his/her hometown in every city is china as he/she wishes.
1. 請?zhí)峁┠愕南碓础１ｋU費用的增加是伴隨著服務的增加而來的嗎？你所指的地區(qū)，保險費用的增加是否伴隨著收入的增加？我不是想爭辯什么，也不是說你錯了，但我認為你所說的“農村衛(wèi)生醫(yī)療”是指新農村合作醫(yī)療制度，它從2003年開始在中國農村實施。中國每個城市的患者都可以按照自己的意愿在家鄉(xiāng)就醫(yī)。
Thank you for putting out the video. Rest whenever you can and get fully recovered soon. I lived in the US and had few encounters with US hospitals. The costs of the treatments I had to deal with convinced me that the whole thing is an insurance scam.
謝謝你發(fā)布視頻。盡可能的休息，很快就能完全恢復。我住在美國，很少接觸美國的醫(yī)院。我?guī)状尾坏貌惶幚淼闹委熧M用，讓我確信整件事都只是保險騙局。
There is always a chain effect. The more expensive hospitalization and doctor's fees will be the more the insurance fees so the more the insured have to pay. Unless the government can control the system well.
連鎖效應在所有地方都存在。住院和醫(yī)生的費用越貴，保險費用也就越多，所以被保險人要支付的費用也就越多。除非政府能很好地控制制度。
原創(chuàng)翻譯：龍騰網 http://m.flyercoupe.com 轉載請注明出處
Lee, do you realize you were put in fast track? My understanding is that, once doctors found you have cancer, they moved you up the line, make sure you receive timely treatments, minimize any delay and maximize your chance of survival. This is more a general health care policy, rather than some doctor's personal favors toward you.
李，你認為你被安排進了快速治療通道嗎？我個人的理解是，一旦醫(yī)生發(fā)現(xiàn)你患了癌癥，他們就把你轉移到一線，確保你得到及時的治療，最大限度地減少任何延誤，最大限度地提高你的生存機會。這更像是一般的醫(yī)療保障政策，而不是一些醫(yī)生對你的個人偏好。