Why are there no barefoot doctors in the countryside now?

I can personally answer this question, because my aunt and uncle used to be so-called "barefoot doctors" and now they both quit.

Quit, which means nothing. We want to know why there are no barefoot doctors now. We must first know why there were barefoot doctors in the first place, and then we can say that there are no barefoot doctors now.

In the past, the living conditions in the countryside were not good, and they didn't have the conditions to go to the city quickly when they got sick, so one or two barefoot doctors appeared in the village at the right time. They don't necessarily have any academic qualifications, and they don't necessarily graduate from a medical college. More often, they learn skills directly from adults at home.

Yes, it's technology. At that time, barefoot doctors were more a skill. Farmer female barefoot doctors know a lot, from taking a few pills for a cold to delivering a baby, basically everything.

At that time, children in rural areas were delivered directly by barefoot doctors. When I was young, I watched a delivery with my aunt, alas! That's too dangerous and painful. I won't elaborate here.

There are many such things. Now that conditions are developed, barefoot doctors are no longer suitable for existence.

For example, when we are going to have a baby now, we have been going to the hospital for examination a few days ago for fear of any sudden danger, and some even went to the hospital directly a few days in advance. In this case, dare to let the barefoot doctor in the village deliver the baby? This is an obvious thing.

In addition, the conditions are better now, and it takes less than half an hour for people to drive to the city hospital to see a doctor if they have any diseases.

Of course, there are still doctors in the countryside, but they are no longer barefoot doctors. They all have medical licenses and take up their posts after formal examinations. Moreover, the state subsidizes such people, and they are qualified to practice medicine. However, all the diseases they see are headaches and brain fever. In case of other diseases, they still suggest visiting the city.

Conclusion: The appearance and disappearance of barefoot doctors have certain times. In the past, the conditions were not good, and the existence of barefoot doctors was necessary. With the development and development, barefoot doctors are no longer suitable for this era, and their disappearance is inevitable. But we don't need to belittle them. In the former countryside, they did give some benefits to farmers.

Once a barefoot doctor, now he is a country doctor.

Let's talk about barefoot doctors first

In the sixties and seventies of last century, I saw a movie "Red Rain". The hero of the film is a young farmer with a certain education. Carrying a medicine box, he went to the west to provide medical care for the villagers.

They get work points like rural members. Barefoot doctors know all about which family lives where, how many people there are and their physical condition.

Barefoot doctors in rural areas played an extremely important role in that era when medical care and medicines were scarce and transportation and communication were very backward. They are contributors to society.

After the reform and opening up, due to the implementation of household production quotas in rural areas, those barefoot doctors were also assigned to contracted areas. They returned home from the brigade or village clinics and continued to provide medical and health services to the villagers while farming, charging only low injection fees or medicine fees.

I know a doctor, Zhou, who started to be a barefoot doctor in the 1960s and 1970s until he stopped working in 2000. He did an account for me. The local poor households and the elderly with five guarantees owe him at least 200,000 yuan in medical expenses, and they have never asked the patients for it.

Let's talk about country doctors.

Around 20 10, China began to build village clinics. Some doctors in village clinics are original barefoot doctors. Generally, the county provides them with simple training and physical examination through township hospitals, and then reports to the county, uniformly issues rural doctor qualification certificates, and gives them certain financial subsidies every year.

The main job of these rural doctors is to provide health services and basic medical services for farmers.

For example, these rural doctors have established residents' health records for villagers, and the health records of some villages have reached 100%, which means that every family and everyone in the village has a health record.

Another example is to carry out rural health education. In the process of providing medical services for farmers, rural doctors pay attention to explaining some common knowledge of disease prevention and control, so as to improve farmers' health awareness and disease prevention ability.

For example, if a farmer is ill, these village doctors are the first to know. After the village doctor passed the initial diagnosis and treatment, he was recommended to go to the higher medical unit for treatment. When farmers come back from higher medical institutions, rural doctors will continue to provide follow-up medical care services for farmers.

The qualification certificate of village doctors in village clinics is different from that of practicing doctors, and it is limited to medical services in rural areas. Rural doctors are the first stop for farmers to treat diseases, and they are the bridge and link between rural patients and hospitals at all levels.

Because there is no living environment, it used to be a people's commune and a production team. Barefoot doctors only care about saving lives and studying business, and their lives and all treatments are in the charge of the production team. When the commune production team was dissolved, they lost their source of livelihood and had to farm their own land or sell medicines for a living, so the earliest sale of counterfeit drugs began in the countryside.

I am a beautiful woman in the countryside.

With the improvement of people's living standards, the rural economic situation has improved, and the state's management of rural medical care, the former barefoot doctors have no market and no living space, and naturally slowly disappear.

I remember that twenty years ago, many people in our village got a slight illness and went to a barefoot doctor named Chen in his fifties and sixties to get medicine and injections.

At that time, we never thought about whether Dr. Chen, who was seeing a doctor in the village, had a medical qualification certificate or graduated from a serious medical university.

At that time, as long as the family had a cold and cough, they would go to Dr. Chen to hang water and take medicine. I don't see anything wrong.

Later, when Dr. Chen was getting older and older, he couldn't find blood vessels from time to time when hanging water and wearing reading glasses to find blood vessels. Plus there was a young and regular village doctor in the village neighborhood Committee at that time. Slowly, fewer people went to see Dr. Chen, and Dr. Chen, a barefoot doctor, slowly closed down.

In fact, barefoot doctors in rural areas have been replaced by regular rural doctors, which is the inevitable result of the development and progress of the times.

In the early 1970s, the barefoot doctor in our team, the nephew of the old secretary, got sick in his own pig. He gave himself an injection, put people in pigs with anti-inflammatory drugs, and died an hour later. At that time, all the expenses for the Chinese New Year were on this pig, and I dare not say. I only secretly pushed pig hair behind closed doors at home. ...

I mean, why do you say barefoot doctors are gone? Wasn't the community clinic a barefoot doctor? Just changed the name; Nowadays, many people say that barefoot doctors are cheap, and now community medical stations are waiting for business. Why don't ordinary people go to medical stations with cheap treatment to save lives? But when you get sick, you go to a big black-hearted hospital with poor service, no medical ethics, indiscriminate prescription of drugs, excessive examination and high cost? I really don't understand! ! !

My father is a barefoot doctor and a traditional Chinese medicine practitioner. I am 77 years old. I have a Chinese medicine clinic at home and work in a township hospital. Let's just say that the graduate students in the College of Traditional Chinese Medicine are not as good as my dad. Traditional Chinese medicine, such as Zhouyi, Yin-Yang and Five Elements, has four diagnoses: sight, hearing, questioning and pulse-taking. Medical drugs include typhoid fever, miscellaneous diseases and combination of traditional Chinese and western medicine. Solid theory and rich experience. However, because the rural news was blocked, the doctor's practice certificate was forgotten for annual inspection and was invalid. Now it has become disease-free medical care. Last year, someone reported it on the Internet, but the people just admitted it without certification. Believers are doctors, worshipers are buddhas. Hey! I can't help it!

At that time, the countryside was called barefoot doctors, and everyone should know what the streets of the city were called. General illness, there is no need to go to the hospital for injections, medicine, acupuncture and massage. At that time, my first mother was one of the people in this street (* * * has two streets). The hospital needs an injection after seeing the disease, so there is no need to go to the hospital to prescribe medicine. You can call at home, you can see simple diseases without spending money, and acupuncture is the same. You can go to acupuncture every day. Simple medicine will be sent to the hospital regularly, and the salary is as high as that of other women working in the street. Even if it's too late to give birth, you don't have to go to the hospital. You can deliver the baby at home. In the 1970s, whenever my face turned bad, my mother would say that you were going to get sick and give me some injections (I bought medical equipment at home). Now these are gone. If I had a stomachache a few days ago, it wouldn't cost me dozens of dollars. Rural people's communes are gone, and urban neighborhood committees are gone, so naturally we can't see today. It takes time and money to go to the hospital.

I am from Gaozhou, Maoming. I used to be a barefoot doctor in this place, but now I am a village doctor. It used to be a barefoot doctor, but now there are clinics. Like a small hospital, all the children and daughters-in-law have gone out, and the home visits left behind have been sent out. It is booming. A son and a daughter-in-law are on the scene, and two sons and two daughters-in-law are on the scene. There are buildings and real estate everywhere in the city, town and village. A family of barefoot doctors now has many advantages over families of retired cadres of the same age and generation.

There used to be barefoot doctors, but why not now?

Barefoot doctor is a specific concept of the times, and its connotation is: first, it comes from farmers. Barefoot doctors, mostly farmers, are recommended by the brigade to train in the health department for a period of time and return to the production brigade to engage in primary medical work. Second, barefoot doctors do not leave farmers, jobs (rural labor force) and production brigades. Third, barefoot doctors get work points instead of wages, just like farmers. But the work points earn more than the laborers.

Now the social foundation on which barefoot doctors depend for survival has disappeared. First of all, the original people's commune production brigade disappeared. Secondly, farmers have contracted, and there is no collective economy to give them work points. They have lost their organizational and economic basis for survival. Third, the national administrative certification will kick barefoot doctors without diplomas, academic qualifications and certificates out of the historical stage and will not allow them to practice medicine. The law also stipulates that barefoot doctors without academic qualifications and certificates are illegal to practice medicine, so a large number of barefoot doctors have disappeared because they have no certificates.

Village doctors are now semi-institutionalized, and the state provides them with unified housing and equipment, with a monthly salary of 3,000 yuan per person. These people have few certificates, that is, they graduated from ordinary secondary health schools and are managed by county-level health organs instead of village management. So they are not barefoot doctors now. The monthly salary of 3,000 yuan is also paid by the state, not by the village. Therefore, their organizational nature and the way of obtaining remuneration are very different from the knowledge structure of barefoot doctors.

Although the barefoot doctor has disappeared in the countryside, his epitome still exists, that is, the village clinic in reality, which evolved from the original barefoot doctor, but his essential significance is to retain the original barefoot doctor's true colors and treat farmers at low fees, which is welcomed by farmers.

At present, although the country has implemented the medical insurance reimbursement policy for farmers, there is a reason for the high fees charged by public hospitals, and farmers are even regarded as cash cows to scrape their hard-earned money. Although after reimbursement in public hospitals, they haven't gone to the village clinic to save money, so now farmers are willing to give up reimbursement in public hospitals and prefer to go to the village clinic for treatment.

I think village clinics are still related to the positive energy education in the country at that time, because most of the village clinics are still barefoot doctors at that time to treat the masses. Therefore, no matter what hospital, there are not many humanitarian positive energy theories that really save lives, all for higher income. It is the village clinic that really makes farmers afford the disease and is welcomed by farmers.