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Anonymous
Going anonymous on this one, as the industry is competitive in Indonesia, and I'm a foreigner. Don't know if my boss, or my colleagues are on Quora, so I need to be careful.
I'm on 20,000,000 Rp ($1475US) per month, as a consultant. I'm not even in a dedicated managerial role, and I spend most of my time at home. I live in a smaller city, in the centre of Java, where most things are considerably cheaper, than in Jakarta, or Bali.
My work consists of design, consultancy, and manufacturing, and my latest project, will help small, remote farming villages, all over Indonesia, empowering them to increase harvests and reduce wastage, thus increasing their profits, which should provide a slightly higher standard of living for them.
I do love my job, and it's the most relaxed job I've ever had. My boss isn't the easiest of people to work with, but he is one of the most hospitable boss’, I've ever had.
It's not the highest salary I've received, as I took a 50% pay cut, in my birth country.
But the salary in Indonesia, puts me in a higher class, than in my birth country. I was in the lower of middle class back there, and this salary puts me into the higher part of middle class, in Indonesia.

我之所以不愿意透露姓名，是因为我现在从事的这个行业在印度尼西亚竞争非常激烈，而我又是个外国人，所以我不得不匿名了。我不知道我的老板或者同事会不会看Quora，所以我必须要小心。作为一个顾问，我每个月的收入大概有2千万卢比（也就是1475美元）。我大部分时间都待在家里工作。我住在爪哇中心，这是一个比较小的城市，这里的东西大部分都比雅加达或巴厘岛便宜很多。
我的工作主要包括设计、咨询和制造，而我最近的项目，主要是帮助印度尼西亚的偏远小村庄，帮助他们增加收成，减少收成不好的情况发生，从而增加他们的利润，帮助他们提高自己的生活水平。我热爱我的工作，这是我到目前为止做过的最轻松的工作了。
虽然我的老板不是个很好相处的人，但他是我遇到过的最热情好客的老板之一了。
虽然这份工作并不是我有史以来拿到的最高工资，但是相比于在我的出生地工作，这份在印度尼西亚的薪水，比我出生地的薪水已经高50%了。我当时是中产阶级的下层，但这份工资让我成功跻身印度尼西亚的中产阶级上层。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处

I live comfortably, in a place where poor people live around me. I pay an old guy 100,000 Rp, once a week, to clean my garden, and take my trash. I basically give him 2 days salary, for 2 hours work.
My mother built a house, but resides in my birth country, so I have the run of a two-story, three bedroom house, which is quite large, in comparison to her house, back in my home town. The house here, has many modern conveniences, such as sit down toilets, high power input (2,400w), air conditioning in all the bedrooms, a 40″ LCD TV, Broadband Internet, Microwave, Chilled and Hot water dispenser, and top-loading washing machine - considered basics, in my birth country.
I don't pay rent, just electricity, community security, and land tax.
It also make me sad, when I found out my indonesian colleague, only earns 12,000,000 Rp, and has a wife and three children to feed. Although, I do feel like he is a king in his neighbourhood, where his neighbours, probably don't earn half what he does.

我住在一个周围全是穷人的地方，所以我生活得很舒适。我付给一个老人10万卢比，让他每周都来打扫一次我的花园，并带走我的垃圾。我一般两天一次给他结工资，每天工作两小时。
我的母亲在我的出生地给我建了一所房子，所以我现在有一栋两层，三居室的房子。在我的家乡，那个房子看起来比这里的房子要大很多。这里的房子，有许多现代化的生活设施，比如蹲便，大功率的输入性空调（2400w），所有的卧室都有空调，还有一台40寸的液晶电视，以及宽带，互联网，微波炉，冰水和热水饮水机，以及能超高负荷工作的洗衣机。但这些电器在我的出生地，都是生活的基本必需品。
我不用交房租，我只需要交电费、社区治安费和土地税就可以了。所以当我发现我的印尼同事，一个月只挣1200万卢比，还要养活一个妻子和三个孩子的时候，我为他感到很悲伤。不过，我觉得他的内心应该感到很骄傲，因为他的邻居可能赚的连他的一半都没有。

Anonymous
Let’s see… [I was not planning to write anonymously initially, but the details of my reasoning might get me in trouble, so…]
I’m in Turkey, working in healthcare (physician). I make approximately 6200 TL in the beginning of the year, but because of the tax system, the income tax I pay in January (15%) gradually increases to 35%. And because of the method I’m getting paid is a little complex, I think I end up with 5400 TL in the 12th month.
I mentioned the tax system, because I learnt that the football players in Turkey have 15% income tax fixed. Yep, those who make millions have lower taxes than those who barely make thousands (I’m not just talking about myself, millions of people have to be magicians and make it work with just 1600 TL/month). This makes me mad.
Okaaay… Now… Let’s round the numbers and say I make 6000 TL/month, which is 72000 TL/year. Big number, right? That’s actually 19000–19500 USD/year depending on how Turkish Lira performs.

让我想想怎么说，刚开始的时候，我并不打算匿名，但是我等会要说的细节可能会给我带来麻烦，所以，我还是匿名了吧。
我在土耳其，从事医疗保健（医生）工作。我在年初的时候大约赚了6200里拉，但是由于税收制度，我在一月份交的所得税从15%的税率逐渐增加到了35% 。而且因为我拿薪水的方法有点复杂，所以我估计我在年末的时候可能最终只能拿到5400里拉。
我之所以提到税收制度，是因为我了解到土耳其的足球运动员只有15%的固定收入所得税。所以，是的，那些赚了几百万的人的税率比那些只赚几千块钱的人的税率还要低（我不仅仅是在说我自己，而是说在这个税收制度下，那些数百万的人必须要成为魔术师，才能够在一个月仅赚1600里拉的情况下，还能养家糊口）。我对这种情况非常生气。
那现在就让我们一起来算一下，假设我每个月赚6000里拉，那么我一年也就是赚7.2万里拉。这个数字看起来很庞大,对吧？但实际上我每年只能拿到1.9万到1.95万美元，而这主要取决于土耳其执行的税率。

Am I happy? No. I am vocal about this, and people often tell me that I look greedy for that. But, am I really?
It may sound so when you think of millions of people who make 1/4 of my salary, but the people who think I’m greedy do not know the details. For instance, any specialist makes the doubleof what I earn. That sounds natural, but they make that much, because I somehow am not entitled to the circulating capital even though I make significant contribution to it. Why? BecauseI could not beat the average ‘performance point’.
This is about to turn into a rant, but that’s my reason behind my unhappiness with my salary.
Yes dear Turkish reader, your physician is under pressure of scoring points while he’s trying to cure you. That is why some of the doctors get mad when you tell them they earn much - They do not. Simple as that. So what’s this ‘circulating capital’ and why is the doctor you love so much not getting anything from it? Let’s examine this situation, okay? Basically every procedure is appointed a price, and sometimes a point. For instance, my examination costs 15 TL and it has 20 points.

所以我真的感到很快乐吗？当然不快乐了。我对此直言不讳，人们常常告诉我，我这样做真的看起来很贪婪。但是，我是真的贪婪吗？当你看到数百万的人只能拿到我的四分之一的薪水时，可能会觉得我赚这么多还不知足，但是那些认为我贪婪的人并不知道这其中的细节。如果我说，任何专家都能赚到我两倍的收入，这听起来好像很正常，但是为什么他们可以赚那么多，而我就不行呢？即使我为这个国家做出了巨大的贡献，我也没有资格获得“流动资金”的足够评分。这到底为什么呢？所以，这就是我对我的薪水不满意的原因。
是的，我亲爱的土耳其读者，当你的医生在为你们治病的时候，他们也正在承受着评分的压力。这就是为什么当你告诉医生你觉得他们赚了很多钱的时候，他们会生气的原因，因为他们并没有赚到钱，就这么简单。那什么是“流动资金”呢？为什么你深爱的医生从中得不到一点好处呢？我们来看看目前的情况，好吗？
基本上每个程序都会有一个价格，有时还会有相对应的得分。比如，我的检查费用是15里拉，那这个程序就有20分的得分。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处

Case 1: I examine you, I don’t get the money, but I get the point. I order some bloodwork, they have their price, but not the point. Nurse sometimes opens an IV route while taking blood, because you might need some IV fluids. IV route has its price, but not the point. Your bloodwork indicates something is wrong with you, but it’s not definitive. So I order an ultrasound. An ultrasound has its price and its point, but the point is not added to my chart, it is added to the radiologist’s. Fair, because he’s the one who does the ultrasound. Okay moving on. He says you have appendicitis. Now that I have my diagnosis, I can give you some painkillers. An IV treatment has its price, but not points. Then I have to consult with general surgeon. From that point, all the points (if the procedure has one, of course) goes to the general surgeon as expected. I, an ER doctor, got only 20 points by examining you and telling that you have appendicitis, general surgeon got approximately 150–200 depending on the actual point of the appendectomy (I don’t know that). You ended up with a 600 TL bill, which you don’t pay so you don’t care. I and the poor general surgeon ended up only with points as if we played Mario Bros or Tetris, and we don’t know yet if those points will be converted to something useful in real world, like cash. Because we aren’t sure if we can beat the average of the hospital that month.

情况1:我给你做检查，但我明白我是拿不到钱的。所有我会要求你去做血检，因为他们有他们对应的价格，但这没有得分。护士有时候会在抽血的时候打开静脉导管，因为你可能需要静脉输液，IV路线有它的价格，但这也没有得分。如果你的血检结果显示你的身体有问题，但还不能确定是什么问题的时候，我就会为你预约一个超声波检查。一个超声波检查有它自己的价格和相对应的得分，但这个得分不是添加到我的名下，而是被添加到放射科医生的那里。这样做很公平，因为超声波检查是他做的。好了，那我们现在继续。他说你得了阑尾炎，我现在也确诊了，所以我会给你开一些止痛药以及静脉注射，而静脉注射治疗是有价格的，但没有得分。那么，遇到这种情况我就要去和外科医生商量一下。从这时候开始，所有的得分（如果每个程序都有一个得分的话）就会如预期的那样去了普通外科医生那里。因为我是一个急诊医生，只给你做了检查，确诊你得了阑尾炎，所有我只有20分的得分，而最后普通外科医生大约有150到200分的得分，但这也主要取决于阑尾切除手术中阑尾的具体位置（我不知道）。最后，你拿到了600里拉的账单，但你不用付钱，所以你并不在乎。而我和我可怜的外科医生最终只获得了像《超级玛丽》或《俄罗斯方块》那样的分数，而且我们还不知道这些分数最终是否能转换成现实世界中的有用的东西，比如现金。因为我们不确定我们是否能超过当月医院的平均水平。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处

Case 2: You somehow managed to be in the right place when a rock fell from the sky and hit on your foot (THAT happened). It hurt as hell, so you go to an ER and you met me. I checked your foot. That’s 20 points for me, again. I order an X-ray (has price, no points). I examine the X-ray, found out you have a broken bone. I reduce it (reducing has points and price, but wait), then I put your foot into a splint so it doesn’t move (splint also has points and price, but again, wait). You thank me, I tell you to get it checked to an orthopedist. You leave. I go to my computer so I can document what I did to you. I put examination (20 points, yey!), X-ray (cost you money, nothing to me), bone reduction but what’s that? System told me that I can’t get points from it because I, an ER doctor, am not qualified for it! That’s fair, that’s what orthopedists are for. But system also charges you for it. You don’t pay, so neither you nor I care. I add splint (I don’t remember the exact point, but it’s something like 100), but I am warned that I’m not qualified by the system. I get points. Because I’m good at Mario Bros.

情况2:当一块石头从天而降，正好砸到你的脚，你觉得自己真是太倒霉了，怎么就正好砸到你了，但这种倒霉事还是发生了。
你疼的要命，所以你不得不去急诊室见了我。我检查了你的脚，这对我来说又得到了20 分。我为你预约了x光片（有价格，但没有积分）。我检查了x光片，发现你骨折了。然后我把你的脚放进了夹板里，这样它就不会动了（夹板也有积分和价格，但是，要等一段时间才能恢复）。最后你过来谢我，我让你再去骨科医生那里看一下。等你走了以后，我再用电脑记录一下我的治疗过程。我为你做了检查，赚了20分，这真是太棒了！你照了x光片，但这是花你的钱，所以对我来说并没有什么影响。当你的骨头复位了，系统告诉我，我不能从中获得积分，因为我是急诊室医生，没有获得积分的资格！这很公平，因为这就是骨科医生的工作。但系统还是会向你收费。你不用付钱，所以你和我都不在乎。我为你加了一个夹板项目（我不记得具体会加几分，但是大概会加100分），但我被警告说我不符合这个系统的要求。但最后我还是获得了积分，因为我很擅长玩《超级玛丽》。

Case 3: You, again, somehow managed to cut yourself. You check it, you are not sure if it needs stitching so you come to the ER and here I am, sitting on 140 points and no cash. AGAIN, I check you (20 points to me), I decide that no imaging is needed because I don’t think anything left in the wound. I stitch your wound, dress it, and tell you to come tomorrow to renew the dressing. I prescribe an antibiotic and maybe a painkiller. You go to the pharmacy, you find out that you have to pay an examination fee and a prescxtion fee, and a fraction of the price of the drugs I prescribed. You think “That bastard got the money.” You still get the medication because you don’t want to die from an infection. Meanwhile, I received 20 points from examining you, 50 points from stitching you, but system warned me that I’m not qualified to stitch you up. YES, THE SAME SYSTEM WHICH PUT ME TO WORK IN THE ER THINKS I’M NOT QUALIFIED FOR THE SIMPLE PROCEDURES LIKE THAT. GODDAMN SYSTEM HAS NO PROBLEM LEAVING CRITICALLY ILL PEOPLE TO THE HANDS OF A ‘DOCTOR’ WHO CAN’T EVEN STITCH ACCORDING TO THE SYSTEM ITSELF. I am awarded pretty 5 points for medical dressing I just did. Lucky for all of us, I was qualified to do that so system does not warn me about it. Prescxtion doesn’t have a price or point in the system (But you PAID).

情况3:你又一次不知怎么的就割伤了自己。你自己检查了一下，不确定它是否需要缝合，所以你来到了急诊室找我看，此时我已经有140分了，但还是没有赚到任何现金。然后我再一次为你检查，我又获得了20分，但这次我决定不需要再拍片子了，因为我认为伤口那里并没有留下什么不好的东西。我给你缝合伤口，包扎好，并叫你明天再过来换药。我给你开了点抗生素，可能还会再开点止痛药。然后你去了药店，发现你要付检查费和处方费，还要付买药的钱。你觉得是那个混蛋拿了你的钱，但你最后还是买了药，因为你不想死于感染。与此同时，我给你做了检查得了20分，给你缝合伤口得了50分，但系统警告我，我没有资格给你缝合伤口。是的，就是那个让我在急诊室工作的系统，认为我没有资格做这么简单的手术。把一个重病患者交给一个连针都不会缝的“医生”，这个该死的系统完全没有任何问题。但我刚刚的医疗包扎，得了5分。幸运的是，我有资格这样做，所以系统没有警告我。虽然你付了钱，但是系统中的处方并没有显示价格或者分数。

So what’s going on here? You paid money in a free healthcare system. You also have big bills to be paid by your government. You naturally think that your doctor is a greedy bastard because you goddamn PAID in a FREE healthcare system. He is THAT greedy. Meanwhile your not-so-competent but greedy doctor is left with some points. Nothing but some points. Because he did not examine patients, he played Tetris. At the end of the month, the profit of the hospital and the points the doctors accumulated by PLAYING MARIO BROS. or TETRIS - no judgement, are calculated. Majority of the profit goes to the government (and maybe to someone’s shoe boxes?). Management (not chief physician but the manager of the hospital and his staff) get their share from this profit. IF anything remains, this is to be distributed to the physicians who played Mario Bros good enough to accumulate more than the calculated average point. At this point, in order to ensure specialists get more than general practitioners, their points are multiplied by a modifier (2,4 I guess). Meanwhile general practitioners have their points multiplied by a modifier as well (1.6 I guess), because why not? Then the money is distributed but that’s also capped. Meaning after a certain point, it doesn’t even matter how much you scored, you get the same money. But you have to score more than the average. Below average gets nothing. Not even a pat on the back for the points he made. BUT THAT’S NOT IT. Because of the cap, if the hospital made big profits, sometimes there’s still money to be distributed. If you are thinking the below average physicians (The doctor who diagnosed you 3 times, and the general surgeon who operated on your appendicitis) are going to get their pats on their back, you are wrong. We forgot the most crucial part of the healthcare system, and let’s be honest, you did not notice until now: Nurses. If there is still money left, they also get their share from ‘circulating capital’, but as you can imagine it’s so little sometimes they don’t even notice if someone did not tell them. At least that’s the case for my hospital. So if anybody disrespects to any of the nurses I work with, they have a problem with me.

所以这到底是怎么回事呢？你在一个免费的医疗系统里花了钱，但您的政府还需要为此支付大笔的账单。你很自然的会认为你的医生是个贪婪的混蛋，因为你已经在免费的医疗系统里付了钱。你觉得他就是那么贪婪。但与此同时，你那个不太称职但贪婪的医生也遇到了一些问题，他们只获得了一些分数。到了月底，医院和医生“玩马里奥兄弟和俄罗斯方块获得的积分”将被计算出来，这个过程不存在任何的评判。最后大部分的利润都流进了政府里面（也许还流进了某个人的口袋里）。管理人员（不是主任医师，而是医院的头和他的员工）还要从这笔利润中分得一杯羹。如果还有剩余的话，才会分给那些玩过《超级玛丽》的医生，会分给那些积分超过计算平均分的医生。在这一点上，为了确保专科医生比全科医生分的更多，他们的分数会被乘以一个修正值（我猜是2.4）。与此同时，全科医生的分数也会被乘以一个修正值（我猜是1.6）。然后再根据积分分配资金，但这也是有上限的。也就是说，过了某个分数，不管你得了多少分，你得到的钱都是一样的。但你的得分必须要比平均分高，低于平均分的人什么也得不到，甚至连句表扬都没有。因为上限，所以如果医院赚了很多钱，如果还有剩余的钱可以分配，如果你认为这些钱会分给那些低于平均分的医生（给你做了3次诊断的医生，还有给你做阑尾手术的普通外科医生），那你就错了。我们忘记了医疗体系中最重要的部分，也就是你们直到现在才注意到的：护士。如果还有剩余的钱，他们也可以从“流动资金”中获得自己的份额，但你可以想象，如果没有人告诉他们，他们甚至都不会注意到这一点。至少我的医院是这样的。所以如果有人不尊重我的护士，那他们就是在找我的麻烦。

That’s the system. That’s the system you are diagnosed in. The people who you see the most gets paid the least. The management staff gets their share from the circulating capital no matter what. If we leave the money issues aside, there are other issues with this system, you should have noticed - they are in bold font. I am a physician who graduated from a university which the system accredited. That system trusts my university that it will graduate only competent physicians. Yet, it does not trust the person it graduated with simple procedures. So don’t be surprised when your doctor tells you he’s not qualified to remove the foreign obxt which is clearly visible from your skin, which even you can remove easily. He can do it, but the system thinks he can’t. He says he can’t, because he does not want to get into trouble by simply helping you. It doesn’t matter if you file a complaint about him removing the obxt or not. If he did, and someone notices he did, he’s potentially in trouble. Most of the times, you don’t file a complaint or a lawsuit, because you are just grateful, but the system is not. So the doctor who just risked to look like an incompetent idiot to you and all the other patients probably had trouble for doing something similar in the past, so now he just does not do it.

这就是系统。这就是你看病的系统。这就是为什么那些医生天天忙得要死，但薪水最少。那些管理层无论如何都能从流动资金中得到他们的份额。如果我们把钱的问题放在一边，这个系统还存在其他的问题。我是一名医生，毕业于该系统认可的大学。这个系统相信我的大学，他只会让合格的医生毕业。然而，它并不相信通过简单程序毕业的人。所以当你的医生告诉你，他没有资格去除你皮肤上清晰可见的异物时，不要对此感到惊讶，因为即使是你都可以很轻松的去除，医生当然也能做到，但系统认为他做不到。他之所以说他不能，是因为他不想因为帮助你而惹上麻烦。如果他这么做了，而且被人发现了，那么他可能会遇到麻烦。大多数时候，你不会因为医生帮你去除了异物而提出投诉，因为你心存感激，但系统不是这样的。所以那些在你和其他病人眼中看起来像是无能白痴的医生，他过去可能做过类似的事情，但他遇到了麻烦，所以他现在就不做了。

Back to money issues, I can hear you saying “just score more, play more Mario Bros you dumb fool”. That’s not how any of it works. The points I accumulate are audited, because system allows me to enter basically anything (it allows me to enter “liver transplant” to a patient who has a runny nose), but it warns me. You remember the procedures system warned me about? Their points are subtracted from my points (If you think they are subtracted from the bill, you are naive). And according to the system, I’m not qualified to perform basically anything that could save your life, and I work in the ER. Reducing a bone? Relocating a dislocated joint? Stitching? Removing foreign obxt from your skin, throat, ear or eye (I admit, I should not remove obxts from your eye - and some of the obxts from your throat and ear)? Intubation? Unqualified. I have done every single procedure that I knew I can, for which I was considered unqualified. I have done, am doing, and am going to keep doing those until I get in trouble for it. I am not judging a single physician for not doing those.
And if one day I get in trouble for relocating your shoulder or intubating you, I’ll never do it again. Not even if you hold a gun to my head, not even with your written consent. Because like I said, it’s not you, it’s the system.
There… I said it.
That’s why I am unhappy about my pay and my damn job.

回到金钱的问题上来，我知道你会说“那你就多赚一点分，多玩点《超级玛丽》就行啦”。但事实不是这样的。我所积累的分数都是要经过审核的，因为系统允许我往里面输入任何东西（它允许我在系统里将流鼻涕的患者输成“肝移植”患者），但会它警告我。你还记得系统警告过我的程序吗？根据系统，我根本就没有任何资格做可以挽救你生命的事情。而且我在急诊室工作，哪怕是帮你脱臼的关节复位，一些简单的缝合手术，清除皮肤、喉咙、耳朵或眼睛里的异物（虽然我承认，我不应该清除眼睛里的异物，还有喉咙和耳朵里的异物），以及插管，这些都是不合格的。所以，我不会因为一个医生不做这些事就去指责他。
如果有一天我因为帮你活动肩膀或者是给你插管而遇到了麻烦，那我以后也不会再这么做了。即使你拿枪指着我的头，我也不会帮你做了。因为就像我说的，这不是你的问题，这是体制的问题。
我终于把这一切都说出来了。
这就是为什么我对我的薪水和我的工作不满意的原因。

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