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Since China\'s Reform and Opening-up to the Outside World, medical technology and medical treatment have been greatly improved, but at present, some unhealthy tendency appears in the medical trade, which hinders the further development of medical trade. According to media reports, about 70% persons are not satisfied with medical status, especially with the increasing medical expenses. The following is to talk about the reasons of high medical expenses in China and also countermeasures to control the medical expenses.
1 Reasons for high medical expenses
1.1 In China, the number of new drugs, which are invented by the enterprises themselves, is limited. [1]Enterprises often develop “Ëœnew drugs’ through changing medicament form, casing, and complex prescription. “ËœNew drugs’ entitle the enterprises to fix prices on their own. [2]The enterprises always fix a high price, so that they can promote “Ëœnew drugs’ through high high medicine rebate to doctors. [3]This is one reason why the medical expenses are always high. At the same time, some doctors are not very familiar with drugs’ components within short time after drugs are renamed, so this may cause some “Ëœrepeated administration’. This not only increases economic burden of patients, but also leads to adverse reaction because of overdose.
1.2 Economic accounting of hospitals stimulates the increase in medical expenses. In China, the government doesn’tput enough capital to the hospitals, so the hospitals have to increase business income for the development, and this causes the allocation mechanism of the hospital always connected with the business income. [4]Under this situation, bonus distribution system is the most effective method. All kinds of economic indicators of the hospitals are associated with business income. Compared with cutting expenditure, the hospital always put increasing income in the first place. Each department has the business income task appointed by the hospital. To complete the task, departments always charge a little higher medical cost or the cost of consumed materials from the patients. That’s say, regardless of patients’ illness state or economic condition, doctors first let patients do a lot of examinations (of course including some unnecessary examinations), and then start to treat.
For some illness, either cheap drug or expensive drug has the same effects on the patients, but some doctors usually choose the expensive one, because the bonus distribution system works. Such phenomenon is caused by the imperfection of the management measures. Even the supervision department of the government regards the business income as an evaluation indicator for the hospitals.
The system of bonus linked to income contributes significantly to increases in hospital revenue. On the one hand, it resolves the capital problem of hospitals, and on the other hand, it increases the utilization of equipments. But for the society, it implies adverse results, because such increase of revenue implies waste. [5]In the recent years, the system of bonus linked to income has been regarded as an effective method in increasing hospitals’ revenue. This is the subconscious guide of the government, and this causes the high medical expenses.
1.3 The phenomenon of ultra-conventional medication exists. As we all know, doctors are regarded as angels, and their job is holy and adoring, but some doctors lose professional ethics because they submit to the “Ëœmoney’. [6]During the treatment, they usually choose the drugs with high medicine rebate, so the phenomenon of large prescription of high-price drugs is very common, and cheap antibiotics don’tsell well. This causes over-dose and high medical expenses.
2 Countermeasures
In the drug market, there’re lots of new drugs, but the pharmacological mechanism of some new drugs is similar. To solve this problem, first the relevant department of the government shouldn’tapprove such kind new drugs with the same pharmacological mechanism. Second, the relevant department of the government should strictly control the price of new drug through checking the real cost of new drug, but not passively assent to the price provided by the enterprises. Third, sales price should be fixed based on ex-factory price plus markup ratio. Of course, the sales price also includes transport cost, drug loss, custody fees, loss cost, and various taxes. Fourth, [7]the government procurement through public tendering can effectively reduce the drug price. If these measures could be carried out, the drug price could be obviously decreased, so that the masses burden of the medical care expenses can be reduced.
The abuse of the medical examination is very common and is difficult to be solved. Patients know nothing about the medicine, so some doctors always let patients do a lot of unnecessary medical examination to gain more bonuses. The business income from the all kinds of medical examination is usually higher than that from drug.
To solve this problem, we can take the following measures. First, Government porocurement of medical equipment can reduce the medical examination fee. Second, with the production levels improved, standardize prices of medical equipment reduce. This on the one hand can reduce the medical care expenses of patients, on the other hand can solve such problems as medical equipments’ waste and unnecessary examination. Third, the relevant department of the government set up medical norms. According to general rules for medical treatment, the government department can formulate the medical norms for different kinds of diseases to control the medical care fee. Fourth, hospitals with the same grade should avoid the repeated medical examination for patients.
Every year, patients will pay a lot of unnecessary money, which inpours into the pockets of some hospital’s administrators and doctors through improper channels. Such unhealthy tendency of medical trade should be punished.
To solve such problem, the government should on the one hand carry out ethics education for the medical personnel, and on the other hand set up related system with force of law to control medical conduct, and [8]strengthen in the supervision of medical corruption. For example, the evaluation index for hospitals should not only include the business income, but also include the medical treatment quality and social effect, and the latter two are more important. Hospital leaders can establish a medical audits team, composing health care workers, pharmacists, finance staff. The task of the team is to audit the rationality of the prescription and the medical examination. The audit results about each medical care personnel can be associated with the promotion.

Reference
1. Xiao YQ, Zheng DX. Reasons and counter measures for drugs with high price . Chinese Pharmaceutical Affairs, 2008,22(9): 751.
2. Tang J, Xiong Y. Analysis over the situation inaccessible to the reduction of medicine prices. Prices Monthly, 2002, 4:5-6.
3. Zhu XG,Zheng BZ. The analysis of outpatient irrational drug use in 2007 in our hospital. Chinese Journal of Hospital Pharmacy. 2008, 28 (17):1512-1514.
4. Yao Y, Rui J. The practice of bonus distribution system in hostipals. Chinese Hospitals,2008, 12(8):23-25.
5. Guo D. The study on the value chain of hospitals. Chinese Rural Health Service Administration,2005,25(5):36-37.
6. Ruan YM. The Analysis of drug use in March in our hospital. Chinese Journal of Modern Drug Application,2008, 2 (16):111-113.
7. Tan HY. Th study on the administration of fixed asset in the hosptials. Hospital Admin, 2008, 6(6):49-51.
8. Gao YL. An criminal law perspective on high medicine rebate. Chinese Health Service Management, 2007,23(11):757-758.

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Publishing articles to different sites as well as taking free reprint articles from article directories are being looked at with scare by a lot, just because they fear the search engine penalization myth. There are popular websites that contain duplicate content and are not penalized for it news aggregators, forums, community blogs, etc... and the list goes on and on. News sites are a prime example of how complicated the process is for search engines ““ add to that the fact that a lot of people prefer reposting articles from other websites and you’ll realize what search engines already know ““ duplicate content in itself is not bad. Ofcourse sites may get penalzed, if the site only contains scraped content or is an exact replica of another site in every aspect. But copied content mixed with originals in entirely different presentation is visible on prominent and successful sites. Our free article directory provides clear reviews and articles about general interest life issues. Through comparisons, recommendations, case studies and useful news, select articles allows nonprofits to take the best decisions that will help them be more effective. Our vision is to centralize all of this information into a website that provides authoritative and comprehensive information.

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Imagine moving mountains to make money in real estate. Selling land, selling houses, listing houses for sale and determining the value of homes are a sampling of the exciting professions available in real estate. Distance learning courses are offered online in several areas of the real estate profession, such as

Real Estate salesperson or brokers license.

To sell houses, land or other real property, you need a real estate license. This course will prepare you for the licensing exam with courses in forms of ownership, recordation, rights and interests in land, license law, agency, rules and regulations, contracts, closings and closing costs, sellers net, leases, title transfer, finance, appraisal, Fair Housing and taxes. At the end of the required course, you can take the final exam with a proctor, such as a librarian. A student who passes the final exam is qualified to take the State Real Estate Licensing Examination to work in real estate sales. Students may also pursue a brokers license after performed as a salesperson. A real estate broker is allowed to transact business for their own company and employ other people who hold a real estate license.

Real Estate courses to prepare for exams.

If you are anxious about taking state examinations to become a real estate salesperson or a real estate broker, you can take preparation courses online prior to the big test. Preparation courses traditionally offer practice questions, activities to help you remember the material covered in the course, a list of relevant real estate terms and basic tips for taking an exam. These courses are not a requirement to take the real estate examination but they help to put many students at ease about taking the test.

Real Estate courses to meet continuing education requirements.

When you earn you real estate license, continuing education is required to maintain the license and qualify for renewal. Distance learning gives busy real estate professionals a chance to fulfill these necessary continuing education requirements while they continue to earn money.

Real Estate courses in home inspection

Real estate inspectors educate buyers about the physical condition of a perspective home to assist them in making a wise decision. Inspectors ensure a home is suitable to reside in and does not violate local laws according to the guidelines of the National Association of Home Inspectors NAHITM. The online course in real estate inspection teaches you the basic standards of performance for a residential home inspection written report.

Real Estate courses in appraisal.

Requirements for appraisers vary from state to state but all students basically have to complete certain courses and pass a state licensing examination. Real estate appraisers decide the value of a home based on its condition, amenities and the current market value of similar homes in the area.

About the Author

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My first experience with truth began on a cold winter morning, when I was late in reaching my school. I was required to take a slip from the headmaster, for being permitted to enter my classroom. I was asked why I was late. I answered truthfully that I got up late from bed, because it was cold. The headmaster wrote on the slip, “Not excused“. I showed the slip to the class teacher and received the punishment to remain after school-hours and write one hundred times, “I shall get up early from bed“. My classmate gave me a friendly advice on what excuse I should give in future for avoiding punishment.

After a few days I was again late, but this time I decided to let “Ëœtruth’ take a back seat. I made a sullen face and told the headmaster, “Sir, my bicycle was punctured on the way. I had to walk to school pushing the bicycle, as there were no repair shops available.“ This time the headmaster was sympathetic and wrote, “Excused“, on the slip. I escaped the punishment.

On another occasion, I completely forgot about the assignment, which I was to submit for correction on that day. It was given to us one week earlier, by our class teacher. I decided to follow the scriptures and told the truth. I was asked to kneel down in front of the whole class, as punishment. My classmate had also forgotten about the assignment, but he told the class teacher, in a voice choked with emotions, that he had to perform all the household chores during the week, as his mother was bed-ridden with high fever. He could not get any time to do the homework. The teacher not only consoled him, but also appreciated his efforts in helping his ailing mother!

After completing my post graduation I found a job for myself. A month later, I got the tragic news about the sudden demise of my father, due to a massive heart-attack. He was very happy when I informed him about my job and had expressed a keen desire to visit me. I had taken a spacious house, so that he could come and stay with me. I felt very depressed and wanted to take a few days off after the religious rites were over, so that I could meditate. I requested my boss for a week’s leave, but he rejected it disdainfully on the pretext that a lot of work was pending and my presence in office was absolutely necessary. I had no option but to try for medical leave, as psychologically, I was not in a frame of mind to work.

I approached a doctor with the story that I am having severe stomach-ache and loose motion. He prescribed some medicines and wrote a certificate, “Suffering from acute diarrhea. Advised rest and medication for one week.“ Armed with this certificate, I once again requested my boss for leave. This time he showed no hesitation in granting me permission and I left for a resort to drown my grief and rejuvenate myself.

I had a five-year old two-wheeler which I wanted to sell. I calculated its depreciated value and advertised it in the local newspaper. The vehicle was in excellent condition. I imagined that it would be easy to sell it in that price. I was shocked in disbelief when several customers expressed their apprehensions about its condition and felt the price I put for it, was too high. I posed this problem to my friend.

He said, “ People are generally distrustful of others. So when you fixed a low price for the vehicle, they jumped to the conclusion that it must be defective and that is why you want to dispose it off.“

The next day he brought a few customers and quoted a much higher price, than what I had fixed. He told them, “This is an excellent vehicle and my friend has no desire of selling it. He was offered a higher price, but he refused to part with it. He wants to buy an apartment and is short of funds. I suggested that he sell his vehicle and he has reluctantly agreed. If he changes his mind you’ll miss a bargain!“

One of the customers appeared to have swallowed his story and wanted the price to be lowered a bit. My friend expressed annoyance and said, “OK, for you I am quoting a little less, as a special case, but no further haggling. This is final. Take it or leave it.“

These words had a miraculous effect on the customer and he readily agreed to buy it at the quoted price, which was much higher than what I had initially fixed. My truthful assessment of the price of the vehicle was no match to the quoted price offered by my friend, based on falsehood. In the end, I benefited and that is all that matters!

As I spend the evening of my life ruminating about the numerous experiences with truth, I am inclined to believe the saying, “A truth-teller finds the door closed against him.“ All around me I see “Ëœfalsehood’ thrive on the podium of success, while the edifice of “Ëœtruth’ is crumbling down. Is there any chance for the survival of “Ëœtruth’ in today’s environment?

END
963 words

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