Trump complains that medical care is too complicated. Media response: What do you think?

Sister

was thinking when she was editing the news today, will there be an editor like her sister on the other side of the ocean who is collecting medical information in China. After all, the Economist regards China as a “model student” in digital medical innovation. Up.

A few days ago, this veteran British publishing and think tank organization released a report analyzing global digital health innovation. The report mentioned six major digital health innovation centers, namely the United States, Belgium, Finland, Israel, Singapore and China. China is not only the only developing country among them, but also the practical example with the most attention in the report. In the eyes of foreigners, China has become one of the innovation centers of global digital health. Not only that, but the domestic digital medical innovation companies are nothing short of precious. (Healthy point)

girls can go to the editor of "The Economist" to discuss and discuss.

【Special Article】

Today, Donald Trump successfully made the headlines of major medical media because he talked about the "Affordable Care Act" again.

On February 27th, US time, Donald Trump convened a number of health insurance company executives to discuss alternatives to the Affordable Care Act, but still did not come up with specific policies. In the end, Trump admitted: "Who would have thought that the medical and health system was so complicated." Some American media responded to this: "What do you think? Anyone who has studied the medical system a bit knows it!"

, you know, October 2016 During the month’s election campaign, he also uttered a rhetoric: “You only need to spend a small amount of money to enjoy terrific medical services. It’s simply too easy.” Not only that, after taking over as president, he also said, An alternative plan can be made in a week! What a face! (China News Network & MedCity News)

Actually, the abolition of the Affordable Care Act has been raging for some time, but every time there is thunder and rain. Trump signed a presidential executive order on the first day he took office, but legal experts say that its actual impact is very limited because there are many legal and administrative restrictions in the United States. This is exactly what Trump said: "The medical and health system is really complicated." ("New England Journal of Medicine")

[Sanjing]

Recently, major medical institutions in the United States have announced their harvests last year. , How should I say, a few happy and sad.

Caesars Medical’s non-profit hospitals had revenue of approximately US$64.6 billion in 2016, an increase of 6.4% over the previous year. Excluding expenses, Caesars made a profit of US$1.9 billion in 2016, up from US$1.8 billion in the previous year. (Caesars Medical Official Website)

Of course, Caesars Medical Group not only provides medical services, it also operates insurance business. Regarding medical insurance, Richard Daniels, Chief Information Officer of Caesars Medical, believes that by 2025, 60% of Americans will enjoy government-subsidized medical insurance, and medical insurance companies have to reassess their own profit model. It seems that it is not easy to keep making money like this. Although

is also a famous medical institution, the income of Mayo clinic is not so high. In 2016, the income was about 10.9 billion US dollars, an increase of 6.6% over the previous year. The profit was 475 million US dollars, which was lower than the previous year’s 526 million US dollars. . (Mayo Clinic official website)

Although Mayo's profit was not as high as last year, it was still profitable. Tenet Healthcare was miserable. The 2016 financial report showed that it had a net loss of approximately US$192 million. Tenet Healthcare’s 2016 revenue was US$19.6 billion, an increase of 5.3% over the previous year. But including investment, operations, interest, tax and other expenses, the net loss was US$192 million. (Tenet Healthcare official website)

[ antidote ]

Some people are busy counting the harvest, some people are thinking about the future. Peter Pronovoster, senior vice chairman of patient safety and quality at Johns Hopkins Hospital, said that in order to improve quality and reduce risks, a peer evaluation system should be established between different hospitals to allow managers and medical staff to form evaluations. Team, inter-academic evaluation. (Wall Street Journal) How difficult is it to establish the

inter-academic evaluation? Can it help each other? My sister doesn't know. But for some problems, you can learn from other hospitals, such as medical violence.

In the 1980s, in order to reduce medical violence, the United StatesThe Department of Veterans Affairs (VA) records patients who have been violently injured by doctors in the past 2 years, adding special marks to the electronic medical records. For high-risk patients, the hospital will additionally strengthen security, including deploying manpower, searching for weapons, and restricting their personal freedom in the hospital. Thanks to this, the number of cases of patients attacking doctors has been reduced by 90%. (JAMA)

[eyes open]

local time on February 27, World Health Organization released 's first antibiotic-resistant "key pathogens" list , listing the 12 bacterial races that pose the greatest threat to human health. To guide and promote the research and development of new antibiotics. Among them, the bacterial species that most urgently need to develop new antibiotics are Acinetobacter, Pseudomonas and various Enterobacteriaceae. (International Online)

Seeing the following news, my sister is not so happy, because the American Cancer Research Association announced a new study from the University of Minnesota at the annual meeting, saying that men with long legs suffer from colorectal disease than men with short legs. The risk of cancer is high.

University of Minnesota researchers analyzed the total height, torso height and leg length of 14,500 people, and checked how many participants had developed colorectal cancer in the past 20 years. It was found that men with the longest legs (average leg length of 90 cm) had a 91% higher risk of cancer than men with the shortest legs (average of 79 cm).

However, experts from many hospitals in China said that this result has yet to be further verified and may not be applicable to China. (Zhejiang Online)

[Humanities]

The workplace is like a river and a lake. Some people are fighting to beat their heads and others are friends of life and death, such as Brian Dunn and Colleen Coleman. Brian Dunn is an anesthesiologist in California. He was diagnosed with kidney cancer at the age of 16, but did not give up. After that, he was admitted to medical school and practiced medicine for many years. As a colleague of Dunn for more than ten years, surgeon Colleen Coleman donated one of his kidneys to Dunn after successful testing and matching. The most touching friendship in the world is that part of my body grows on you. (Becker’s Hospital Review)

​​Brian Dunn (left) accepted the kidney donated by colleague Colleen Coleman (right).

Brian Dunn gained a new life from the profession of a doctor, but Emmet Hirsch almost lost his life as a doctor. When he participated in the residency training in 1999, he worked 36 hours continuously, so that he fell asleep on the steering wheel while driving home. In order to forcibly cheer up, Hirsch has tried to sing loudly, open the window to blow the cold wind, and even forced one hand to open his eyelid, freeing the other to drive. (Health Affairs Blog)

Just think about it and know how dangerous it is. My sister reminds medical staff to pay more attention to your own health while treating patients.

Daniel Thomason Smith (Daniel Thomason Smith), owner of American medical supplies supplier DTS Medical Supply, was sentenced to 27 years in jail and fined USD 3.3 million for participating in medical fraud. (U.S. Department of Justice)

This is the end of today's newspaper reading. The international girl wishes you good night.