中国医疗和英国的惊人差异(二)
2024-08-26 熊猫永不为奴 7050
正文翻译
After having some experience with healthcare in China, I decided to make a video drawing some comparisons and differences between the healthcare in the UK and China.

在有了一些亲身经历中国医疗的经验之后,我决定制作一个视频来比较一下英国和中国医疗系统的不同之处。

评论翻译
Darrell Wong
That was a very interesting summary of the differences in medical care in UK and China. I didn’t know how it worked in either country.
I’m pleased to see you looking well Lee. All the best.

这是一个非常有趣的关于英国和中国医疗保健差异的总结。我不知道这两个国家的医疗系统具体是怎么运作的。
但我很高兴看到你气色很好,李。愿一切都好!

Azhar Idris
Chinese people are some of the most health conscious people i know.. not just in China.. go to any parks or any open spaces in Asian cities from Singapore to Thailand you will see dozens of people doing their dancing routine or tai chi exercise.. they just don't want to be a burden to their family if you fall seriously ill.. you should have also mentioned Chinese traditional medicines that play a big part in supporting the modern medicines as we know it.. but i think not to far from now you could get an AI consultation at an instants.. pascal Coppens did a video on AI consultation a whilst back.. worth checking out..

中国人是我所知道的最注重健康的人。不仅仅是在中国…从新加坡到泰国,去亚洲城市的任何公园或空地,你都会看到几十个人在跳舞或打太极。他们只是不想在你重病时成为家人的负担。你还应该提到中国传统医学,正如我们所知,中国传统医学在支持现代医学方面发挥着重要作用。但我认为不久之后,你就可以在线进行人工智能医疗咨询了。pascal Coppens做了一个关于人工智能咨询的视频。值得一看…

Will Lee
Except for majority of ABC ChineseAmerican’s. Many of the senior citizens are overweight. From most of the pics they post on a Facebook, they eat too much and seldom exercise.

除了大多数ABC华裔美国人。许多美国老年人体重超标。从他们发布在Facebook上的大部分照片来看,他们吃得太多,很少锻炼。

Galano Han
The reason I like Lee's video is that his stories and opinions in the videos usually cover three sides, the good part, the bad part, and the neutral part. Unlike some vloggers in China who probably found the wealth code (saying something nice about China then get tons of views, likes and followers real quick), he's always staying modest in every video he made alone or with Oli. Information is truly valuable when it reflects facts in the real world, and that's why Barrett, the channel, stands out. All the best wishes to you, hope you recover real quick!

我喜欢Lee的视频的原因是他的故事和观点通常包括三个方面,好的部分,坏的部分和中立的部分。不像中国的一些视频博主,他们可能发现了财富密码(说一些关于中国的好话,然后很快就获得了大量的点击、赞和粉丝),李总是在自己或和奥利一起制作的每一个视频中保持谦虚。当信息反映真实世界的事实时,它才是真正有价值的,这就是为什么巴雷特频道脱颖而出的原因。向你致以最美好的祝愿,希望你早日康复!

Frankie C
It is Lee's very good and comprehensive comparisons between the health systems of China and the UK. Only one thing he did not say is that the National Insurance contribution and heavy tax systems in the UK although can provide a good health service by the NHS but discourage the people who work hard while encourage the other people who do not want to work. Some people just rely on free health services and social benefits that they do not take care of their health. As a result, the free health system is being abused and keeps causing financial burden to the government. To increase the government's income the only way is to either increase the tax or cut the other spendings in order to save money.

李对中国和英国的医疗系统进行了非常好的、全面的比较。只有一件事他没有说,英国的国民保险缴费和沉重的税收制度,虽然可以提供良好的健康服务的国民免费保障服务,但在鼓励一部分人努力工作时,也鼓励了一部人不愿工作。有些人只是依赖免费医疗服务和社会福利,而不关心自己的健康。其结果是,免费医疗系统被滥用,不断给政府造成财政负担。要增加政府的收入,唯一的办法就是要么增加税收,要么削减其他开支以节省资金。

Joe
The NHS is a bottomless pit

英国医疗保险就是个无底洞

rebeccafoo
My brother in Shanghai, when he was admitted, they served him food, may be has to book 1 day ahead. Otherwise, there is a shop selling all sorts of packed meals, cheap and delicious as I bought some home for dinner.

我的哥哥在上海,当他入院时,他们为他提供食物,可能要提前一天预订。另外,还有一个商店卖各种打包的饭菜,便宜又美味,所以我买了一些回家当晚餐。

Ducatijim
Thanks for the information Lee, which sort of confirms knowledge I had gained previously on extended trips from the UK to China. When I can get a visa I will return to China to get married. Though I am retired, my fiancee seems to think I could pay into the Chinese Social care system, so that is an avenue i must explore in the future. Pleased that you had a good experience in the Chinese medical system and you seem to be making a good recovery. Interesting that you had a Hernia repair in the UK - my doctor told me that he would have to make a case and apply for funds to pay for my treatment - that was over 4 years ago, and I still have not had treatment. I will look into having Hernia treatment in China and pay up front.

感谢李提供的信息,这在某种程度上证实了我之前从英国到中国的长期旅行中获得的知识。当我拿到签证后,我会回到中国结婚。虽然我已经退休了,但我的未婚妻似乎认为我可以加入中国的社保体系,所以这是我未来必须探索的一条途径。很高兴你在中国的医疗系统中有很好的经验,你似乎恢复得很好。有趣的是,你在英国也做过疝气修复手术——不过我的医生告诉我,他必须先提出一个治疗方案,然后申请资金来支付我的治疗费用——那已经是4年前的事了,而我至今还没有接受过任何治疗。我会考虑在中国进行疝气治疗,并预付费用。

Joe ExtraKnow
Here in US, we have to buy health insurance by law. Depending on your company work for. Big companies have better deal with insurance companies. For a couple ( two persons), cost around $400 to $1000 per month in average. Hospital bill is extremely high here in US, 10 days in ICU cost you at least $100,000.00 that is about $10,000 a day. Most hospital charge more than that though. Here doctors make too much though. A common doctor can make half million $ to one million $ per year easily.

在美国,我们必须依法购买健康保险,具体取决于你工作的公司。大公司最好和保险公司打交道。一对夫妇(两人)平均每月花费约400至1000美元。
在美国,住院费用非常高,在ICU住10天至少要花10万美元,也就是每天1万美元。不过其他国家大多数医院的收费也都比这个高。但美国的医生还是赚得太多了。一个普通的医生每年可以轻松地赚50万到100万美元。

Steven X
My father had an accident at his 69 years old in China. He had stayed in ICU for more than 1 month and had a surgery because of hydrocephalus. The total cost (including hospital, ICU, surgery, medicine) was less than 120K rmb (US$20K). Because it's an accident and not covered by medical insurance in China. We had to split the cost with driver's auto insurance, and that's why I know the total cost.

我父亲在他69岁的时候在中国发生了一场事故。在ICU住院1个多月,因脑积水接受手术治疗。总费用(包括住院费、ICU费、手术费、医药费)不到12万元人民币(折合2万美元)。因为这是意外事故,在中国没有医疗保险。我们得和司机的车险分摊费用,所以我知道总费用。

Steven X
Another difference is that China's medical schools are all public schools (pretty much all higher education). The tuition fee for medical school is not different from other majors, it is very cheap and affordable. For example the tuition for Beijing University is less than US$1K a year + dorm fee of US$120 - 200, That's why many students from other developing countries are studying in China's medical schools (Tuition for international students is US$4.6K) . For a US doctor, he/she has to pay super high tuition for their 8 year education. The education cost can make the doctor's service very high

另一个不同的区别是,中国的医学院都是公立学校(几乎都是高等教育)。医学院的学费和其他专业没有什么不同,它是非常便宜,能让人们负担得起。例如,北京大学的学费每年不到1000美元+宿舍费120 - 200美元,这就是为什么许多来自其他发展中国家的学生在中国的医学院学习(国际学生的学费是4.6万美元)。而作为一个美国医生,他/她必须为他们8年的教育支付超高的学费。教育成本过高会让医生的服务成本变的非常高

Joe ExtraKnow
There are good and bad two sides of coin. I lived through both ( US and China). In US, the smartest people go to medical schools, that is opposite to China. Doctors, medical technology and medicines are top of the world, no doubt on this. But cost is skyrocketed. This is why people has to have medical insurance. Without it, one just cannot survive here in US. Also, doctor/hospital bills are way over stated usually. Say for a heart bypass surgery they may send you bill for total $350,000.00 but once go through Insurance company they will adjust the final agreeable cost in according with a market fair value and then they send a so-called “EOB” to both hospital and you. The adjusted cost actually maybe only $20,000.00 in this case. So, Insurence company pays that amount to the hospital and doctors. That’s it. You can imagine if one has no medical insurance in US how life would end up.

每一枚硬币都有好的一面和坏的一面。(美国和中国)我都经历过。在美国,最聪明的人去医学院,这与中国相反。所以美国的医生、医疗技术和医药都是世界一流的,这一点毫无疑问。但美国医疗成本却在飞涨。这就是为什么人们必须要有医疗保险。没有它,一个人就无法在美国生存。
此外,医生/医院的账单通常都是超额的。比方说,一个心脏搭桥手术,他们可能会寄给你共计35万美元的账单,但一旦通过保险公司,他们会根据市场公平价值调整最终商定的成本,然后他们会发送一个所谓的“EOB”给医院和你。在这种情况下,调整后的成本实际上可能只有20,000美元。因此,保险公司支付给医院和医生的金额就是这么多。你可以想象,如果一个人在美国没有医疗保险,生活将会怎样结束。

Carl Eze
@Joe ExtraKnow
Anybody who studies medicine anywhere in the world is smart. You read basically the same text books and cover the same material.
Anatomy which is hella hard, physiology and biochemistry. Anyone who goes through all these and passes the MBBS is smart regardless of which country they come from.
The thing is, all doctors everywhere are book smart, what makes a good doctor is experience especially in the surgery specialty.
However, you are right, the smartest people in china go to engineering. In the USA, they go to medicine.
This is because medicine pays a lot in The USA, engineering pays a lot in china. Especially when we calculate for cost of living.
But anyone who completes a medical degree anywhere in the world is smart. You have to read like crazy to pass medical exams anywhere

世界上任何一个学医的人都很聪明。你们读的基本上都是同样的课本和材料。
解剖学,生理学和生物化学。任何通过这些考试并通过MBBS的人都是聪明人,不管他们来自哪个国家。
问题是,世界各地的医生都很博学,一个好的医生需要的是经验,尤其是在外科专业。
然而,你说的也是对的,中国最聪明的人去学工程学。而在美国,他们去学医。
这是因为在美国医药费高,在中国工程费高。尤其是当我们计算生活成本的时候。
但是任何一个在世界任何地方完成医学学位的人都是聪明的。你得拼命读书才能通过任何地方的医学考试

ABCDE I
A rare but useful insight into the healthcare system in China to inform outsiders and compare with their system at home. I think it's very efficient and is an important factor because nobody wants any agonising long waiting time when they are unwell. The other point I like is that patients bears a small cost and that's sufficient deterrent to abuse and encourages responsible lifestyle. What I don't like is that the very poor without social insurance have been neglected when they need the most help.

这是一个罕见但有用的关于中国医疗体系的见解,可以让外界了解中国的医疗体系,并与中国的医疗体系进行比较。我认为这是非常有效的医疗体系,而且还有一个十分重要的关键原因,因为没有人当他们不舒服时,会想要痛苦的长时间等待。我喜欢中国医疗保障的另一点是,患者承担的成本很小,这足以阻止滥用保障资源,鼓励负责任的生活方式。我不喜欢的是那些没有社会保险的穷人,在他们最需要帮助的时候被忽视掉。

Robert A
It is my understanding that the 90% recovered from social health insurance is only related to hospital treatment, but not for visits to a doctor, which are not covered, but are not expensive,

据我了解,中国社会健康保险中90%的费用只与住院治疗有关,而不是看病,看病不包括在保险范围内,但费用不高,

GFT
yes, it's relevant to treatments include medicines, "only visit a doctor" is very cheap in China usually it cost 1-10 USD (it's called Guahao in Chinese)

是的,报销只与治疗有关,包括药物,“只看医生”在中国非常便宜,通常需要1-10美元(在中文中称为挂号)。

X Z
Even fully out of own pocket, still much cheaper than USA's copay, deductible...

即使完全自掏腰包,仍然比美国的自费、免赔额便宜得多……

Robert A
@Vicky J i believe in most public hospitals it is the responsibility of family to bring all meals. However, in some instances they have like charity organisations that will do it for the poor.

我认为在大多数公立医院,家庭有责任承担所有的膳食。然而,在某些情况下,他们会有慈善组织为穷人做这件事。

Lei Shi
In Beijing the regular doctor consultation service cost 50 yuan , in which 40 yuan could be reimbursed by social insurance. That is you end up paying 10 yuan (1.5 USD) by yourself.

在北京,正规的医生会诊费用是50元,其中40元可以通过社会保险报销。也就是说,你需要自己支付10元(1.5美元)。

Robert A
@Lei Shi is that in a Peoples Hospital?

是在人民医院吗?

Lei Shi
@Robert A that is for any public hospital in Beijing , regular doctor consultation of course, not the expert doctors, they cost more for sure.

这是北京任何一家公立医院的价格,当然是常规医生会诊,而不是专家医生,他们肯定更贵。

Tanc
@Robert A In China, most of top hospitals r the public hospitals (or call peoples hospital). Top universities in China r definitely public school.

在中国,大多数顶级医院都是公立医院(或者叫人民医院)。中国的顶尖大学肯定是公立学校。

Robert A
@Tanc , @Lei Shi there are also many Hospitals of Chinese and Traditional Medicine. I know the costs vary from Province to province, but here in Guangxi, the cost of Doctors in hospitals is very cheap

还有很多中医医院。我知道中国每个省的医院费用都不一样,尤其是在广西,医生在医院的费用很便宜

Kenneth
Hi Lee, Great to see you are recovering well. I was wondering if the doctors in China use a mixture of traditional Chinese treatment as well as Western medication to treat certain conditions? Did they offer you any traditional Chinese treatment such as accupuncture for pain relief etc?

你好,李,很高兴看到你恢复得很好。我想知道中国的医生在治疗某些病症时,是否采用中西医结合的疗法?他们给你提供中医治疗吗?比如用针灸来止痛等等?

David LTM
I know in China, there are hospitals specialized in Chinese medicine and Chinese treatments, such as the Beijing hospital of Traditional Chinese medicine

我知道在中国有专门的中医和中医治疗的医院,比如北京中医医院

Walter Chin
Thanks for the video on comparing healthcare in China between UK. I live in US and my insurance does not cover dental, eye, ear, but do cover up to 90% of surgery and hospital stay. Even though I have Medicare and private insurances, I still have to pay out of pocket. I don't mine paying more tax like in UK & Canada to get free healthcare services. I believe US is run by the rich, of the rich and for the rich, not by the people, of the people, for the people. In short USA is not a democracy, it is a plutocracy.

感谢你的“中英医疗卫生比较”视频。我住在美国,我的保险不包括牙齿、眼睛、耳朵,但涵盖了高达90%的手术和住院费用。即使我有医疗保险和私人保险,我还是得自掏腰包。我不会像在英国和加拿大那样为了获得免费医疗服务而缴纳更多的税。我相信美国是由富人管理,为富人服务,而不是由人民管理,为人民服务。简而言之,美国不是一个民主国家,而是一个富豪国家。
原创翻译:龙腾网 https://www.ltaaa.cn 转载请注明出处


Julien Fabetta
The quality of healthcare for a country that has a GDP per capita of only 12'000$ is incredible, they have an unbelievable system. Great work China keep up the great work!

对于一个人均GDP只有1.2万美元的国家来说,中国的医疗保障的质量是令人难以置信的一件事,他们有一个令人难以置信的系统。干得好,中国继续努力!
原创翻译:龙腾网 https://www.ltaaa.cn 转载请注明出处


Cool-eye
Thank you Lee, and good to see you looking well.
Your video is certainly very useful for people who, like me, had some doubt about the level of health care in China. Of course, my perception is very outdated. It's quite obvious that, with the right attitude, technology and money, nothing is impossible.

谢谢你,李,很高兴看到你气色不错。
您的视频对于像我这样对中国医疗水平有疑问的人来说,无疑是非常有用的。当然,我的看法是非常过时的看法。很明显,只要(中国)有了正确的态度、技术和金钱,就没有什么是不可能的。

Enoch Shen
I would raise one thing about the test result, the hospital system can track your result technically. However, whether the system registers results under the name of a Dr or not is depending on the hospital.
Some very busy hospital might think dealing with hand in paper result rather than searching forever is way more efficient, which is common in general hospital, the big ones.
The specific ones like bone or dentist they can track your tests very easily as they are appointment based and all tests has been categorised. Some renovated hospitals can also do that too. The more modern the hospital the more advanced the system is the current situation in my opinion.

关于测试结果,我想提一点,医院系统可以从技术上跟踪你的结果。但是,系统是否以医生的名义登记结果,取决于医院。
一些非常繁忙的医院可能会认为处理纸质结果比在系统中搜索更有效,这在大型综合性医院很常见。
像骨骼或牙医这样的特定的人,他们可以很容易地跟踪你的测试,因为他们是预约的,所有的测试都是分类的。一些经过改造的医院也可以这样做。在我看来,医院越现代化,系统就越先进。

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