Medicine is free and paid: a look at the problem

What medicine is better - paid or free? This reflection on this topic is divided by the author of this article.

Content

- In our country have long been a firm course for commercial medicine. Back in perestroika times the slogan was launched: «To be treated for free, it means to be treated». This is true, but you need to remember that commercial medicine is a stick about two ends. On the one hand, for your money you can get any help. On the other hand, the patient is constantly falling into a situation when it is shoved. Just because the system is so arranged: the main task of any commercial organization is to earn the maximum amount of money. Healing is just a means for earning. There is a master who pays a wage doctor. Naturally, he requires the doctor to pay himself and brought profit.

I worked for my long medical life in psychoneurology, and in urology, and in dermatovenerology, now I have been working in a dentist... Everywhere one and the same. In the paw doctors only fall! It's like in a car service - the pads came to change, and you will immediately find a bunch of details that require immediate replacement. A person comes to a urologist with some small challenge, he immediately detects prostatitis, urethritis... «You need to make a bunning, massage...» «And if not to do?» - Asks naughty patient. Then he is spoken by a sacramental phrase: «It can end impotence». And just tell me about impotence! He will immediately think, on the nervous soil he will begin symptoms... Any money will pay!

Good «Sold» Syphilis, Gonorrhea... In one leather, the professor argued with a young employee: «The patient came to you, and what did you appoint him? Only physiotherapy and antibiotics. Why so little?» He answers: «Yes sick health!» And Professor to him: «No healthy people! There are bad doctors! Find and register!»

I knew one clinic, where, after passing tests for pregnancy, all women said the magnificently saying that they were pregnant, and prescribed «One progress» To initiate miscarriage. Pretty expensive, I must say. But guaranteed to get rid of pregnancy. And everyone agreed!

But most of the people «bred for money» Stomatologists. Sometimes it just perturbs me. One thing, if you see how the guy arrives at the clinic «Mercedes» - God himself ordered to pinch. And completely different when the lonely pensioner undress. I recently had a case. Different to her grandmother tooth - the only mouth. She came to the doctor. Movable tooth, which is supposed to delete, the doctor begins «treat» - removes all nerves from the channels, puts the expensive seal... All this was worth a grandmother 3000 rubles. And she has a pension - 1500 rubles. Grandma squeezed near the neighbors, paid. And then came to me in the district clinic and asked what to do with the tooth, which rushes and prevents. I removed her tooth for free. And then called the doctor and expressed everything about him about him.

Sometimes it happens

- Once I was invited to work in chief physician in a very expensive Moscow clinic. Security, Japanese equipment, disposable bootings... Hold this clinic Diaspora Dagestan Jews. They look like Dagestanis, only on the chest and rings - David's stars. And led the clinic not the owner himself, but, as usual from Caucasians, some kind of relative of the owner - a man of a closer mind. He walked hands in his pockets, with doctors I turned badly - Hamil them constantly. I tried to explain to him: here you are dear, came to Moscow, thanks to the relative, they got well, became the boss on doctors. But Moscow doctors are people who know and know how to dozen times more than you. Accordingly, they have a high sense of self-esteem. Work in the mouth, my miley, is not tomatoes on the market to trade. The doctor is a thin tool, and you can break it with your behavior.

As a result, the following. The lion's share of patients with this clinic was from the diaspora. And all the work in the mouth of the doctors did clients badly, no matter how repent of their boss. But in dentistry, subtleties are very important: for example, the doctor casually removes the nerve - not completely. Then this tooth put metal ceramics. The year-another tooth of man does not bother, and then on the top of the root begins Granuloma - inflammation. And the tooth remains only to remove.

So, after some time, Dagestan Jews of the city of Moscow began a friendly teeth. They naturally ran with claims to the clinic. And there have already changed the doctors three times. And for all its money, the owner of the clinic answered.

Closed Medical Casta

- In many ways it comes from the caste closure of the community of dentists. All doctors as doctors are cheating slowly, and dentists consider themselves elite and work in large. They do not let other doctors in their clan. How it's done?.. There are several faculties in medical universities. Faculty of Pediatrics. There are mainly girls - men do not like to mess with children... Therapeutic faculty that produces gynecologists, surgeons, therapists... And finally, the dental is the most though, because the money.

So, if you finish any faculty, except for the dental, you can then change the specialization, rearing in the ordinacy. You are the therapist and want to be a pediatrician? Excellent!.. But if the therapist or surgeon wanted to become a dentist - Dudbs!.. No, you, of course, you can edit the reinforcement, then go back to retraining, even get a job in a dentist. But what happens that - your dental colleagues will disstain from you. I myself hurt therapeutic, so I know what I say.

And inside the dentistry, there are also many parasitic steps, the purpose of which is to pump money dentists, that is, people actually working in the mouth, officials from dentistry. Methods such... From the thirties, we have narrow specializations and the corresponding rates in clinics - a dentist surgeon, a dentist's therapist, an orthopedic dentist... While one doctor makes all the work in the West - heals, deletes, prosthesis. It is convenient - you can not fall apart, remember, like Raykin: «To the buttons there are complaints?..»

So, at one time, Professor Giller organized the Department of General Practice at the Institute of Semashko. So that we produce universal specialists - as in a civilized world. And what happened? Mass of doctors comes to this department in the ordinance, learn two years, and then... can not get a job. Mock until finally guess to ask: what else is needed? As a rule, you need to pay another 1,500 dollars officials to pass «Retraining» - Now at a narrow profile specialist. And this is in addition to the ordict, in addition to the dental faculty, which is worth several thousand dollars for a student per year... Lasts «retraining» Three and a half months. And during «Learning» All the time prepare money. With me, for example, officials, at the Academy of Postplomal Education demanded, in addition to the money held at the cashier, another 500 dollars.

Where to go with toothpacity

- Why wonder that the spent thousands of dollars the dentist will then return «from mouth». It is done in different ways. For example, the patient will persuade to put a light centered seal to a tooth, which will close the crown. And in this situation, it's absolutely anyway, what a seal to put, and expensive - it is simply inappropriate.

Or comes a man in a dental clinic, says: I periodically clicks the jaw joint. It is sent to make a panoramic picture for 700 rubles. Then they check the same teeth on sensitivity with the help of equipment - as if the snapshot is not enough! - 90 rubles for each tooth. Ten teeth - 900 rubles, the whole procedure takes five minutes. Then a person is sent to the dentonymologist. He will take 300 rubles for the reception, will say that diseases of the nervous system are not detected. Then, for 500 rubles, the patient will look a professor, a specialist in the joints, which will give advice: «And you do not wide open mouth. And when you eat, chew on the other side». The same advice man could get for free in the district clinic.

Another example. What happens when a person with acute pain comes to the nearest clinic? In general, acute pain should take any polyclinic for free. But the person does not inform about this and ask: you like, with money or with a card? He has no cards in this clinic, so a person says that with money. Well, since with money, whatever the tooth - even if it absolutely requires removal, - the therapist begins it «save». He drills, picks up, puts the seal, after which he says: «I saved you this tooth. With you 150 dollars in the cashier. And you can immediately, then - 140 dollars. I give this to tooth a warranty for 6 months». The patient is pleased: he was saved tooth! And after 7 months or in a year - how lucky - the tooth falls apart.

- That is, better patient say that he is with a card? Then I would have pulled out and all.


- If with a card, then there is a possibility that you will remove the tooth that can be cured. Do not guess here. Why do the doctor mess around with your free tooth, if he has two more, from which you can get money from? The principle of this: paid patient will be engaged in need, free to do not be done at all.

- What to do? Where to go?

- I live in a house near Moscow and prefer that all construction and repair work on this house did one person. I have known it for a long time, I checked it in business. The same applies to my car - one master is offended. What then talk about the most expensive - own health! I do not understand people who walking down the street and seeing the sign «dentist» or «venereologist», appeal to help... It is necessary to thoughtfully spend a part of life, to start familiar doctors - it was called «Blat» - and walk only to them. Lose the doctor - it's like losing a good job. I, for example, not any doctor let me work in my mouth. Because the doctors are a lot, and one's mouth.