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Chapter 1644 Medical Insurance and Medical Policy

In the main hall.$().(w)(x).()

Zhao Kai was sitting on the dragon chair with a proud look on his face, apparently still in the joy of having twins.

But he did not mention the matter of establishing a heir again. Obviously, he finally chose to establish a virtuous son as his son, and did not want to follow tradition. He considered things more from the Song Dynasty. He hoped that the empire he established could be continued. Although

He loved the queen very much, but he still suppressed his selfish thoughts. He even hoped to choose a suitable candidate as his successor.

Another point is that regarding this matter, he has not had any communication with the Second House. This is his protection of the imperial power, because once you pass the Second House, it will inevitably cause a confrontation between the law and the imperial power, which is self-defeating.

Already.

Li Qi knew it in his heart, Qin Hui knew it in his heart, and the dean of the Second Hospital also knew it in his heart. You must know that Zhao Kai has made enough concessions before the law. If you continue to press forward and anger Zhao Kai, the consequences will be disastrous.

Not that they could afford it. Li Gang and Mao Shu were also very sensible and pretended not to know, deliberately letting the Second House avoid this topic.

Of course Qin Hui hopes to see this situation. If the power of the Second House is too great, it will not be a good thing for him. Moreover, Zhao Kai is not in a hurry to establish the throne, which is obviously more beneficial to him. Of course, he is pretending to be confused because he understands

, when others ask him, he just doesn’t know.

"I recently said that the Taishi Hospital built by Taishi Cai has been an unprecedented success and has achieved very good results. This is really gratifying and congratulatory." Zhao Kai said very happily.

A man named Liang stood up and said: "Your Majesty, I think that Taishi Hospital is putting the cart before the horse and should be punished."

Literary ministers love to pour cold water on others, which is difficult to change.

Zhao Kai asked curiously: "How do you say this?"

"The bounden duty of a doctor should be to save lives and heal the wounded. Medical ethics comes first, and profit comes second. This is especially true for hospitals. However, Taishi Hospital is full of rights and interests. The price of medical treatment is surprisingly expensive, and it is not something that ordinary people can afford.

There is no medical ethics at all, so Wei Chen suggested that the imperial court should correct the mistakes of Taishi Hospital and let Taishi Hospital set a good example like Taishi College."

Zhao Kai hummed thoughtfully, turned around and asked: "Privy Councilor, I heard that you also contributed a lot to this Taishi Hospital. I wonder if Liang Aiqing's statement is true?"

Li Qi stood up and said: "Reporting to the emperor, what Liang Gai said about this matter is absolutely true, every word is true. And this idea came from Wei Chen."

Zhao Kai looked slightly surprised and said, "Why did you do this?"

Li Qidao: "Your Majesty, this Taishi Hospital is built by the private sector and has passed the review of the imperial court. There are no problems. Just now, Liang Guishi said that this was detrimental to medical ethics, but Wei Chen did not agree. There is no free lunch in this world.

Let’s take Taishi College. Although it does not charge any tuition fees, the remuneration earned by Taishi College through the talent draft system is far better than the tuition fee system.

Similarly, since the imperial court encourages people to open private hospitals, first of all, you must ensure that the hospital is profitable. If a hospital is only opened to save lives and heal the wounded, then the hospital will not be open for long, and it will not be long before private hospitals will close one after another.

This is putting the cart before the horse."

Liang Guishi immediately said: "But the price of Taishi Hospital is too expensive, and most people simply look down on it."

Li Qi smiled and said: "Before Taishi Hospital came out, many people could not afford medical treatment. For this penny, only a penny, Taishi Hospital provided the best medicinal materials, the most complete supporting equipment, and the most humane

If everyone thinks the service is expensive, they won't go there. Since some people go, it proves that the price is reasonable.

Just like the same piece of cooked meat, if you eat it at my Zuixianju or at an ordinary foot shop, the prices are completely different. Taishi Hospital has Taishi Hospital’s considerations, and others have other people’s strategies. This is originally the same thing.

As long as the business is not illegal, why should the imperial court interfere in other people's business? If this is the case, the imperial court would simply make all the official shops in the world as expensive as foot shops, and eating is much more important than medical treatment."

Liang Ji was robbed by Li Qi's attack, and he choked with disgrace. He opened his mouth, but he didn't know how to refute.

Zhao Kai nodded and said: "What the Privy Council said makes sense. As long as it is not illegal, the imperial court cannot interfere at will in what Taishi Hospital does. Moreover, recently the imperial court is vigorously encouraging the private sector to set up hospitals and colleges to help the imperial court share some responsibilities. If

If the court intervenes in everything, it will cause bad repercussions."

Li Qi added: "Your Majesty, in fact, as long as the People's Hospital opens, this phenomenon will naturally break down, because the imperial court's hospitals are exempted from many taxes, and the prices in all aspects are much lower than those of Taishi Hospital. Ordinary people

Naturally, I will choose the People's Hospital, which will ensure that everyone can receive medical treatment. In order to congratulate the People's Hospital for its upcoming opening, Weichen is willing to send a generous gift."

Li Qi was the first person to openly bribe the emperor in the main hall!

What kind of gifts can you, a profiteer, give? Zhao Kai asked curiously: "Oh? I wonder what kind of gifts the Privy Council has prepared?"

"Wei Chen is now so poor that all he has left is money. Apart from money, he has nothing to give away."

Li Qi shook his head and sighed. He really didn't know how many people's hearts were broken by his sigh. He then said: "Your Majesty, colleagues, you should all know that I, Zuixianju, have thousands of employees, but everyone will get sick. I, Zuixianju, have thousands of employees.

The employees of Juju are no exception. They have worked hard for most of their lives for Zuixianju. In return for their kindness, they are willing to save a sum of money for them to the People's Hospital. If they get sick in the future, they can go directly to the People's Hospital for medical treatment.

You only need to pay a little money, and Wei Chen will submit a memorial for the specific operations later."

"That's quite interesting."

Zhao Kai really felt a little surprised and said excitedly: "Others say that you, Li Qi, love money as much as your life. I didn't expect that you are so generous to your employees."

Li Qidao: "It is true that Wei Chen loves money as much as his life. It should be money that belongs to Wei Chen. Wei Chen will not give in a penny, but Wei Chen will not blink an eye at the money that should be spent. A gentleman loves money.

, it should be used wisely.”

Qin Hui asked curiously: "Privy Councilor, you could actually give more money to your subordinates. Why do you want to do this?"

Li Qi smiled and said: "Qin Shaozai asked this question well. This is because I found that many people are reluctant to go to the doctor, especially for some minor illnesses. They thought that they would be gone if they tolerated them. I never thought that these minor illnesses would accumulate and become serious."

It has become a serious illness, which means that I am going to lose a talent in Zuixianju. If I hand over the money directly to the People's Hospital, it will be wasted if they don't see it. Then they will definitely go to the doctor as soon as they get sick. If

They can all be healthy and devote themselves to their work. In fact, after all calculations, I still make a profit. What I do is forcing them to seek medical treatment. Don't be stingy and just endure it. This is not advisable.

"

Everyone nodded frequently and felt that what Li Qi said made sense.

But he nodded his head. This is really not something that ordinary people can do. Li Qi is very wealthy and does not take this little money seriously, but the other businessmen are very careful with their calculations and care about your life and death. After all, you have to do it after taking the money.

Enough life.

In comparison, the former's vision is obviously higher than the latter's.

Zhao Kai's eyes lit up and he smiled: "Okay! This is a good idea!"

After a pause, he added: "If Zuixianju does this, then the other merchants will have to do it even if they are reluctant. Otherwise, the talents in their stores will go to Zuixianju, and this will

It's just like the popular year-end bonuses. The difference is just a certain amount. But in this way, people who didn't know how to see a doctor before will go to see a doctor, which will also make the people's hospital more prosperous. It can develop more sustainably. This accumulation

A little can make a big difference. I believe that the People's Hospital will be better than the Taishi Hospital. The Privy Councilor is worthy of being a businessman, and he helped the court solve many problems with a single sum of money."

Having said this, he smiled again and said: "You have a close relationship with Taishi Cai. I believe that such benefits are indispensable to Taishi Hospital, right?"

Li Qi said truthfully: "In business, the remuneration of our Zuixianju employees also varies, so there must be differences in treatment in this area. For example, my Zuixianju chef Wu Xiaoliu, Zuixian Group

Xiaoyu, Tian Qi, and the veteran Wu Furong, I invested their medical funds in Taishi Hospital, especially for these people, I not only invested in their medical funds, but also insured their families. I am a businessman,

I cannot treat everyone equally. You will be paid as much as you have the ability. In fact, this is not what the imperial court does. The remuneration of this prime minister is much more than that of the Privy Councilor."

Qin Hui just wanted to curse when he heard this. This reward is my main income, and for you, there is no difference at all whether you have it or not.

This guy is really annoying. When he should tell the truth, he just talks nonsense. When he can be more tactful, he becomes extremely upright. Zhao Kai didn't know how to answer this. What if he nodded and said yes?

Isn't it to say that Li Qi, Zheng Yi, Li Gang and others are inferior to Qin Hui? Isn't this to bring hatred to Qin Hui? He just said: "I don't blame you, you don't need to explain so much."

Bai Qiannuo suddenly stood up and said: "Your Majesty, hospitals are being built all over the country. However, it is not difficult to build a hospital. The difficulty lies in whether the hospital can truly save lives and heal the wounded. There are many people who deceive the world and steal their reputation.

Counterfeit medicines are used to defraud money, but this medicine is different from ordinary commodities and may directly lead to the patient's death. In the past, the court has lacked control over this. Now why not use the hospital to integrate the current medicinal materials and prescriptions to try to avoid this happening."

"That's a question." Zhao Kai nodded, his face became solemn, and he said to Mao Shu: "Dean Mao, can you hear me?"

Mao Shu replied: "I have heard this. It is not difficult to legislate against people who sell counterfeit medicines. But first, the court must control it. Otherwise, many cases cannot be investigated. Most of these medicines are sold in prescriptions, and the prescriptions are ever-changing."

It is no better than gold and silver. There is no special standard for what is true or false. If a patient dies without treatment, then it is because he took the wrong medicine, the doctor was helpless, or it was the patient himself. If there is no reasonable standard,

If everyone fails to receive medical treatment and dies because of the prescription, then who in the world would dare to practice medicine?"

"That's true."

Zhao Kai turned to Bai Qiannuo and asked, "Economic envoy, do you have any good ideas?"

Bai Qiannuo said: "Wei Chen suggested that the imperial court could establish a medicinal materials supervision bureau to be responsible for the control of medicinal materials."

"Medicinal Materials Supervision Bureau?" Zhao Kai showed a thoughtful expression.

Bai Qiannuo continued: "Wei Chen once visited the goddess doctor Liu Shiniang and several senior doctors from Taishi Hospital. According to them, some medicinal materials are very special. The same disease, the same prescription, but it can be used in two

On an individual, it may cause two completely opposite effects, and some may even lead to death. However, in the past, the imperial court rarely paid attention to this aspect. Every year, countless people died due to mistakenly taking fake medicines or misuse of medicines. This is my opinion.

The imperial court should control Song's losses.

As the name suggests, the Drug Supervision Bureau specializes in controlling medicinal materials. It integrates the prescriptions on the market, tests each prescription, and formulates detailed prescription effects and contraindications. In this way, people can intuitively know which medicines are not allowed and which medicines should be taken.

Okay, what kind of prescriptions are needed to treat some common diseases? This will also prevent them from spending a lot of money to hire a doctor for medical treatment."

Hu Yidao: "There are countless prescriptions in the world. How many years and months do you have to test them? What should you do if there are no tested prescriptions?"

When Li Qi saw Hu Yi, he felt even more cordial, as if he had seen Cai You before, and hehehe said: "I say Hu Shangshu, the Great Wall was not built in a day. If you didn't build it, where would the Great Wall come from?"

, Everything is difficult at the beginning. If you don’t do it, it will never be completed! If Taizu Sheng thought that it would take a long time to establish the Song Dynasty and didn’t work hard, then there wouldn’t even be a Song Dynasty now.”

Zhao Kai felt unhappy when he heard that he had brought out Taizu again. He frowned and said, "Privy Councilor, when will you get rid of this habit of speaking without restraint? I really hope there is a medicine to cure this disease."

If I didn't say that, why would I scare the timid little Hu? Li Qi hurriedly said: "Yes, I am guilty."

Even though the emperor spoke out, Hu Yi looked at Li Qi and realized that he had suffered too much and did not dare to jump around in front of Li Qi anymore. He pretended not to hear it and said: "Even so, the prescription that has not been tested is

How to deal with it?”

Bai Qiannuo said: "Of course it is not available, but if you do it at the beginning, I am afraid it will cause dissatisfaction among many people. Some people's prescriptions are not wrong, but they are forced to stop because they have not been tested.

This is also unfair to them, but the imperial court can make secret preparations first, integrate some medicinal materials for common diseases, select the most effective and widely applicable medicinal materials as a common medicine, and popularize it to the people."

Qin Hui suddenly shook his head and said: "No, no, this prescription is the foundation of the doctor's life. How could they hand it over easily? If the court forces them to hand over the secret recipe, what is the difference between this and banditry? It will bring bad reputation to the court."

It will have an extremely negative impact.”

Bai Qiannuo seemed to have been prepared for it, and said calmly: "What Shaozai said is very good. This point must be prevented, so I suggest that the Legislative Yuan grant the Medical Materials Supervision Bureau an absolute confidentiality law. All officials who enter the Medical Materials Supervision Bureau must sign a contract.

A confidentiality contract is bound by law. Once the prescription is leaked, the Judicial Yuan will be able to intervene in the investigation. Those who violate the law will not only have to compensate the parties for their losses, but also have to serve criminal law, be removed from official positions, and be demoted to common people."

Mao Shu stood up and said: "Weichen agrees with the economic envoy. There are endless prescriptions in the world today, but there may be very few that are really useful. Most of them are used to defraud money. When Weichen was the magistrate of Tanzhou, he

I have encountered many incidents where patients died due to the doctor's misuse of drugs, but it was difficult to determine whether it was murder, manslaughter, or death, which was extremely unfair to the patient."

Qin Hui glanced at Mao Shu and said to himself, of course you agree. The wider the scope of the Legislative Yuan, the greater the power of the Second Chamber.

Bai Qiannuo added: "The other issue is the price of medicines that Liang Ji mentioned beforehand. In fact, among the people, many doctors take advantage of the patients' illness to deliberately raise the prices of medicines in order to squeeze money from the patients. This situation is

This was not uncommon in the Song Dynasty. Wei Chen suggested that the court should implement mandatory pricing for some commonly used prescriptions. If the price is higher than the set price, it may be considered a violation of the criminal law. As for some special prescriptions or some precious medicinal materials, the court can be a little more relaxed.

, after all, there are very few people who can use these prescriptions, so no matter how expensive they are, the impact will not be too great."

Zheng Yi stood up and said: "Your Majesty, Wei Chen also agrees with the Economic Envoy. What the Medicinal Materials Supervision Bureau brings is not only the safe use of medicinal materials, but also promotes the progress and standardization of our Song Dynasty's medical skills. This is our country's current policy.

Coincidentally, just as the Privy Council usually talks about the relationship between supply and demand, our Song Dynasty now needs a medicinal materials inspection bureau."

Zhao Kai nodded slightly and asked, "I wonder what the other lovers think?"

Qin Hui said: "Reporting to the emperor, the premise of Wei Chen's approval is that the Medicinal Materials Supervision Bureau does not leak other people's secret recipes. Once the control is not strict, the reputation of the imperial court will surely suffer, so Wei Chen feels that we must be cautious."

"This is what it should be. Regardless of any government office, it is the most disgusting thing for me to have law enforcement officers break the law, but I cannot stop working hard because of this."

Zhao Kai suddenly pondered for a moment as he spoke, and then said: "I have given the Second Court enough power. If the control in this area is not strict and the punishment is careless, I will take the Second Court to task."

Li Gang and Mao Shu immediately stood up and said in unison: "We must fulfill our mission."

"very good."

Zhao Kai smiled and said: "Economic envoy."

"Wei Chen is here."

"Now the hospital is under construction. Since I have decided to set up the Medicinal Materials Supervision Bureau, I will leave this matter to your Commerce Bureau sooner rather than later."

The implication is that the Medicinal Materials Supervision Bureau will be placed under the Commerce Bureau.

Qin Hui frowned when he heard this, and was about to speak, but Bai Qiannuo said first, "I would like to inform the emperor that this move is absolutely inappropriate. Please take back the order."

Zhao Kai made a sound and said: "How do you say this?"

Bai Qiannuo said: "Our Commerce Bureau has always been in charge of economic matters, while the Medicinal Materials Supervision Bureau is responsible for supervision matters and should be assigned to the Yushitai."

Zhao Kai nodded and said: "I know this too. But you just talked about the price of medicines, and it was you who came up with this idea. That's why I want to set up the Medicinal Materials Supervision Bureau under your Commerce Bureau.

"

Bai Qiannuo replied: "Your Majesty, in fact, medicinal material monitoring and drug price regulation are two completely different events. They should not be managed by one yamen, but should be controlled separately."

Zhao Kai asked: "In your opinion, what should we do?"

Bai Qiannuo replied: "Weichen suggested setting up a medicinal materials supervision bureau and a medicine price supervision bureau. The medicinal materials supervision bureau would be under Yushitai's door, and the medicine price supervision bureau would be under the commerce bureau. The three departments would be jointly managed. Each would perform its own duties.

Strive to work together to complete the integration of medicine."

The medicinal materials come from Sansi, and you can't avoid Sansi.

Zhao Kai nodded frequently when he heard this. This emperor likes to refine his power and his own control. Therefore, Bai Qiannuo's suggestion was exactly what he wanted, and he said: "That's good. This matter is settled."

Working together?

Qin Hui felt extremely aggrieved. Looking at this matter, he had nothing to do with him. That's not how it works. These three giants, no, now the Second Academy is also considered a giant. The four giants are all involved, but not

What are the three provinces and five departments? This is really too much.

This medicinal material is an oil and water department, and the profits are astonishingly large. Moreover, the imperial court has implemented a monopoly on many medicinal materials, and its coverage is very wide. He also wanted to take advantage of the characteristics of the Commerce Bureau to bring the Medicinal Materials Supervision Bureau under his jurisdiction.

Unexpectedly, Bai Qiannuo took the initiative and exposed the flaw himself, asking Zhao Kai to return the Medicinal Materials Supervision Bureau to Yushitai.

This made Qin Hui extremely depressed. He glanced at Bai Qiannuo out of the corner of his eye and said to himself, this hateful woman is always against me. If she falls into my hands, I will definitely not be able to spare you.

During the whole process, Li Qidu interjected that he was so excited when he saw the lovely Hu Shangshu. It can be said that he was not involved in it from beginning to end. He glanced at Qin Hui with a smile in his eyes.

, seeing Qin Hui's livid face, he smiled secretly, "You Xiao Qin, you have tried so hard to establish a heir apparent, excluding me and Zheng Er, and now I want you to have a taste of it."

Zhao Kai urged him again and then announced his withdrawal from the court.

Qin Hui was the first to walk out of the hall. It had been a commotion for a long time, and such a big thing had nothing to do with his three provinces and five ministries. The money was small, but the face was big. I couldn't afford to embarrass this person.

"Gee, husband, what do you think Qin Shaozai is thinking about?"

Bai Qiannuo, who came out later, looked at Qin Hui's angrily back, her heart bursting with joy, and she smiled at Li Qi who was standing aside.

Li Qi smiled and said: "I don't know what it is exactly, but it must not be a good thing. However, he is not a good person. Just wait and see, he will have to get involved in this matter."

Bai Qiannuo asked doubtfully: "The Third Department, the Commerce Bureau, the Yushitai, and the Second Academy are not under his control, so how can he stretch his legs?"

Li Qidao: "Have you forgotten that he still has a treasure?"

Bai Qiannuo frowned and pondered for a moment, then said, "Could it be that your husband is talking about the staff department?"

Li Qi nodded and said: "In the capital, it must be your Commerce Bureau and the Third Division that have the final say, but what about the local areas? We do not have an organization to dispatch personnel, and the emperor cannot go to every state or county.

Assigning personnel can only be done by officials. The profits in these two new departments are huge. Coupled with the sales channel of the hospital, the profits can be imagined. If not, Qin Hui would not be much.

I think, but now that we have it, even if he doesn't make a profit, he won't be able to let us get what we want, so he will definitely try his best to get in."

As soon as he finished speaking, someone behind him suddenly laughed and said, "What are you two going to say?"

The two of them turned around and saw that the person coming was none other than Zheng Yi.

Li Qi said dissatisfied: "Hey, Zheng Er, you are still a gentleman and you actually eavesdropped on our conversation."

Zheng Yi said hurriedly: "I swear to God, I will never listen to a word." At this point, he suddenly laughed a few times and said: "But I can also guess what you are talking about?"

Li Qi had no doubts about this and said with a smile: "Then I wonder what the third commander is thinking?"

Zheng Yi smiled softly and said: "If I don't move, the enemy won't move."

Li Qi chuckled and said, "I can't tell you are quite shady."

Zheng Yi coughed lightly and said, "I have one more step to take beforehand. Say goodbye." After that, he left quickly without saying anything more.

Bai Qiannuo was shocked and said: "Husband, what do you mean by this?"

Li Qi smiled and said: "The medicinal materials supervision bureau has not much power. It only manages medicinal materials, but it contains huge profits. This is the key. Qin Hui uses the heart of a villain to judge the heart of a gentleman."

, he thought that we set up this Supervisory Bureau to seek benefits, but this time he guessed wrong. Yes, he could use the official department to intervene in the Medical Materials Bureau, but if we did not do anything illegal, he would not dare to act rashly.

.

Don’t forget that we still have the Second Court among us. Once he reaches out to blackmail, we can put pressure on the Second Court and force the Second Court to deal with Qin Hui, and vice versa. This game of chess has been played so far, and no one can do it.

We must all be careful to inflict heavy damage on our opponents. The Second House may seem neutral, but once one party makes a mistake, the Second House will become a sharp weapon in the hands of the other party."

"That's it." Bai Qiannuo nodded, then smiled and said, "Isn't this Chu-He-Han world exactly what you want, my husband?"

"That's true." Li Qi chuckled, with a hint of pride in his laughter, and suddenly sighed softly, saying: "The inside is going in the direction I expected. The key is the pressure from the outside. Then

It is the most uneasy factor in my entire plan. It would be great if God gave me an aura of victory."

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