Die for Survival —— Structured Thinking on Medical Problems

Desire for Survival, adapted from a true story, has no suspense. The major cinemas in Guangzhou have a very high film arrangement rate and the venues are full. Various articles and comments in the circle of friends are also emerging one after another. It seems that no one wants to miss this national hotspot.

I seldom read articles that were too hot before, but I always felt that some articles were poor and would affect my thinking. Last week, I went to the Southern Weekend Green News Department for an internship, and I came across a report by a reporter in the green edition, "Is it realistic or sensational? After reading the manuscript, I rushed to the cinema decisively.

In the film, the patient's will to survive, the moral role of drug dealers and the commercial pursuit of pharmaceutical companies are all shown in this realistic film. Maybe it's because I read the press release from a more diversified perspective in advance. I didn't cry like some friends, but I felt sad to hear the lines "I don't want to die, I want to live" and "There is only one disease in the world, poor disease". This sense of powerlessness in life is really worrying.

As a form of artistic expression, film's position tendency and emotional rendering are common expressions, so we don't need to criticize objectively and accurately like news. In my opinion, the narrow escape is very successful, because it can arouse people's general concern in the field of medical reform. But as a complex system, our cognition and discussion cannot be limited to the perspective of movies.

At present, there are three main voices in the discussion of medical problems involved in movies on the Internet. The first is to accuse pharmaceutical companies of being mercenary from the standpoint of patients. This position is easy to understand, first of all, because of the guiding role of the film itself, and secondly, most viewers are closest to the patients. The second voice is a cry to pharmaceutical companies, especially people in the pharmaceutical industry think that smuggling generic drugs is destructive to the interests and R&D motivation of pharmaceutical companies. A third sound is also common. When it comes to problems in the public sector, the responsibility is generally attributed to the government.

People's thinking is inert, and when they encounter problems, they will habitually attribute them quickly according to experience to alleviate the anxiety caused by uncertain information. But simple attribution will aggravate our cognitive prejudice, which is not conducive to the communication and solution of problems. Medical malpractice is a complex event, involving multiple stakeholders and needs. A detailed list of different stakeholders and their demands will help us to clarify the events, find out the contradictions among the subjects and put forward more targeted measures. (Refer to the analysis mode mentioned by "Beichen Youth" WeChat official account)

After the demands and obstacles are clearly listed, the contradictions are obvious. Helping all interested parties to reduce obstacles and meet needs is the basis of our solution. The film ends with Yong Cheng getting out of prison early and Glynin entering medical insurance, which seems to be a perfect ending, but the medical problems in reality are far more than that.

At the government level, it is naturally an effective measure to include high-priced drugs in medical insurance assistance, but we must also consider the limited financial allocation in medical insurance. Anticancer drugs are included in medical insurance, will other drugs be squeezed out? Does the scope and management of medical insurance drugs need to be readjusted and improved to maximize the interests of all parties as much as possible? In addition, should the tariffs and value-added tax on imported drugs be readjusted as needed? Does the broader medical system need to be adjusted? In addition, what is the degree of supervision and management of the drug market at the government level? Do you need more effective normative measures?

At the level of pharmaceutical companies, as Nan Zhou's press release said, the image of pharmaceutical companies was excessively demonized in the film. In reality, patient assistance programs launched by Novartis and china charity federation are unique in the world. So what is the specific scope and extent of this initiative? Is it possible to advance?

What is the current situation of generic drugs in China at the level of generic drug enterprises? Is it difficult to guarantee the quality of drugs in China's generic drug market? In the "Southern Zhou Report", some experts also suggested that if people want to use anticancer drugs, they should walk on two legs with innovative drugs and generic drugs. On the basis of improving the supervision of generic drugs, can we achieve the two-legged walking mentioned by the above experts?

I've also been rethinking that my childhood education was to teach how to approach the "standard answer" instead of thinking independently. Recently, I have been learning something to train logical thinking, and gradually found the fun of thinking. It is a painful process to overcome thinking inertia and temper thinking ability, but the day of transformation is worth looking forward to!

Today, I think of a sentence in WeChat official account, a young man of Beichen, "Thinking is not to get an optimal solution, but to better understand the world." * * * Encourage!