Original Bajiuling Wu Xiaobo Channel

It may be difficult for pharmaceutical companies to embark on the road of OEM, but it is not a long-term solution after all.

Text/Ba Jiuling (WeChat WeChat official account: Wu Xiaobo Channel)

01

These things you bought online are probably branded products.

Have you bought scar cream, hair tonic, warm palace stickers, diet pills and other health care products online? If these products come from well-known pharmaceutical companies such as Renhe, Tongrentang and Xiuzheng, will you have more trust, even if its price is higher than similar products, will you pay for them?

But in fact, the products you bought are probably not from the pharmaceutical companies’ own factories, but are OEM products.

For example, Tmall’s "Medicine Capital Renhe Flagship Store" has a monthly sales of 10,000+and more than 7,000 comments. According to the product details page, this product is from Renhe Pharmaceutical, but it does not appear in the product list of Renhe Pharmaceutical official website.

According to the approval number of this product "G20180064", minibus found the registration information of this product in official website of the Food and Drug Administration, which showed that the manufacturer was "Guangzhou Aifuyi Biotechnology Co., Ltd.", and the last remark information also stated that its actual manufacturer was: Guangzhou Tengyu Cosmetics Co., Ltd.

Enterprise investigation shows that Guangzhou Aifuyi and Guangzhou Tengyu have no equity relationship with Renhe Pharmaceutical. This is a typical OEM product.

On the platform of investor interaction, many investors have raised a similar topic to Renhe Pharmaceutical, such as "What is the relationship between anti-alopecia lotion and Renhe Pharmaceutical", and they are concerned about the actual relationship between such branded products and Renhe Pharmaceutical.

02

The OEM model has spread to the medical field.

Today, the OEM model has been very popular in all walks of life. The most typical is the Antarctic people. Open a shopping platform, there will be many shops related to Antarctic people, and the products are countless, from shoes and clothing to bedding, from electric irons to gas stoves.

Antarctic people were originally a company that started from making underwear. Since 2008, Antarctic people have closed all the production lines of their own factories, and since then they have changed from "selling products" to "brand authorization", earning a lot of money. In 2019, Antarctic people earned 1.3 billion yuan through brand authorization. In 2020, the gross profit margin of Antarctic OEM service will reach 93.26%.

In recent years, the OEM model has spread to the medical and health care industries. Renhe, Tongrentang, Xiuzheng, Sunflower and many other well-known pharmaceutical companies increase their income through brand authorization.

Taking Renhe Pharmaceutical as an example, according to its 2020 annual report, the company achieved a total operating income of 4.106 billion yuan. The company’s products are divided into self-owned products and OEM products. From the perspective of income, self-owned products and OEM products basically account for half.

The OEM model supports half of the revenue of an old pharmaceutical company, which is enough to prove the dependence of well-known pharmaceutical companies on the OEM model.

Compared with R&D, OEM is obviously an easier shortcut. Accustomed to taking shortcuts, they are even more reluctant to take the difficult but correct path.

According to the third quarterly report of 2021 disclosed by Renhe Pharmaceutical, in the first three quarters, the company’s R&D expenses were 42.76 million yuan, and its revenue was about 3.659 billion yuan. The proportion of R&D expenses in revenue was only 1.1%. According to the annual report of Renhe Pharmaceutical for nearly 4 years, its annual sales expenses are 14-26 times as much as R&D expenses. Renhe’s characteristics of "emphasizing marketing and neglecting research and development" are often criticized by the outside world.

However, this is not the problem of Renhe. According to the survey report of the consulting industry in China, the R&D expenditure of large international pharmaceutical companies generally accounts for 15%-20% of the total sales, while the R&D investment of domestic pharmaceutical companies accounts for only 2%-3% of the sales revenue on average.

03

Want to win by branding? I’m afraid not.

Although the road to OEM is easy, it is not once and for all.

Just like Antarctic people, they thought they could "win" by brand authorization, but these two years have not been easy.

Since July last year, the share price of Antarctic e-commerce has dropped from the highest point of 24.41 yuan to around 7 yuan today, and its market value has evaporated by nearly 40 billion yuan. According to its 2021 semi-annual report, in the first half of 2021, the net profit of Antarctic e-commerce attributable to shareholders of listed companies was 246 million yuan, down 42.85% year-on-year.

The OEM model is like a double-edged sword, which not only contributes a lot of profit to the enterprise, but also brings various negative problems to the brand, such as product quality, word of mouth and even false propaganda.

There are many complaints about branded products of pharmaceutical companies on the websites of Black Cat Complaint and 315 Consumer Protection Complaint. Most of the complaints revolve around "invalid products", "fake goods", "no refund" and "false propaganda".

Minibus searched Pinduoduo for a wound care ointment. According to the industry details page, this product comes from a national brand-Amendment. Its function is "scar removal without leaving any trace", and it has been put on record by the Drug Administration, with good safety effect.

The actual manufacturer of this ointment is "Jiangxi Bingshuangjiefu Industrial Co., Ltd.", which has no equity relationship with Xiuzheng Pharmaceutical and belongs to OEM products.

According to the record number "Ganzhang Machinery Equipment No.20190083" provided by it, the minibus made an inquiry on the website of National Medical Products Administration, and the record information showed: "This product is ointment. The contained components have no pharmacological effects. The ingredients contained cannot be absorbed by the human body. Non-sterile. "

The "intended use" item is blank.

The minibus inquired about other brands of scar-removing ointment of the same type, and the column of "expected use" said "suitable for inhibiting and relieving hyperplastic scars caused by burns, trauma, surgery and other reasons".

In other words, this ointment probably has no scar removal effect. If so, then this product has the problem of false propaganda.

04

How can you post it? Who is responsible for the problem?

Who should be responsible for the quality problems of OEM products? The minibus consulted Chang Dongyue, the director of Shanghai Law and Craftsman Law Firm, and he thought that once the branded goods had quality problems, the brand supplier was the direct responsible person, and the processor was also liable under normal circumstances. Moreover, this is based on the quality problems of legally produced products, and it is necessary to bear civil liability.

However, more and more enterprises don’t talk about "martial arts", and many enterprises alienate OEM into pure lending brands, which is very problematic without any quality supervision on quality. In this case, if the illegal production leads to extremely bad social consequences, the brand and producer of OEM products not only need to bear civil liability, but also need to bear administrative responsibility and even criminal responsibility.

Chang Dongyue also said that the safety of food and drugs is related to people’s right to health and even life. Quality problems may cause irreversible damage to the body, and no matter how strict the quality supervision of food and drugs is. Regrettably, although China’s Food Safety Law, Drug Administration Law and Product Quality Law all stipulate product quality responsibility, the sanctions for violating food and drug safety are still too light, so that the food and drug field in China is still not safe enough. In this regard, the United States and Japan’s practice of using heavy codes to control food and drug safety is quite good and worth learning.

Relying on legal sanctions is the last step. As an enterprise, it should be its duty to abide by the rules. How can have no martial ethics, a post it?

According to Shi Lichen, the founder and strategic marketing expert of Beijing Dingchen Management Consulting Co., Ltd., OEM is not illegal, and the key is how to continue to control quality while authorizing. Whether you are OEM or OEM, consumers only know that they are buying your brand. Pharmaceutical companies should pay special attention to quality, otherwise, as the authorized products become more and more miscellaneous, the quality can not be controlled, and finally the reputation of the main business will be affected, which will not be worth the candle.

05

Difficulties and new ways for pharmaceutical companies

The advantages and disadvantages of OEM mode are very clear, and it can easily make money, but it is difficult to control the quality and the brand is easily damaged. The reason is very simple. The question is, those old pharmaceutical companies that have spent a hundred years settling down should have cherished their feathers. Why are they addicted to OEM?

Shi Lichen explained the reasons behind it: in recent years, the competition in the pharmaceutical industry has been fierce, and the operating pressure of pharmaceutical companies has increased. The old pharmaceutical companies have to find a way out. First, solve the fundamental problems and increase investment in research and development; Second, based on its own cost advantage, to achieve economies of scale. But these two roads are not easy to walk.

"In contrast, the OEM business has almost no cost and high net profit, so those pharmaceutical companies with brand awareness and strong premium ability naturally embarked on this road."

From this point of view, it is difficult for the old pharmaceutical companies to embark on the road of OEM, but this is not a long-term solution after all. Is it possible to open up a new road?

There is indeed a new road that has emerged-the field of cross-border beauty cosmetics and daily chemicals for pharmaceutical companies.

With the strong growth of functional skin care products, pharmaceutical companies such as Renhe, Pien Tze Huang, Tongrentang, Ma Yinglong, Yunnan Baiyao, Panlong Yunhai, Dong ‘e Ejiao and Xiuzheng Pharmaceutical have all set foot in the cosmetic and daily chemical industry.

Pien Tze Huang disclosed the 2020 financial report, and the company achieved operating income of 6.511 billion yuan, a year-on-year increase of 13.78%; The net profit was 1.672 billion yuan, a year-on-year increase of 21.62%. Behind the growth, the cosmetics sector contributed a bit. Its holding subsidiary Fujian Pien Tze Huang Cosmetics Co., Ltd. achieved revenue of 611 million yuan, up 42.01% year-on-year, and net profit of 114 million yuan, up 41.23% year-on-year.

In July this year, Renhe Pharmaceutical announced that it planned to acquire 80% equity of seven cosmetics companies for 719 million yuan. One of them, Shenzhen Miura Natural Cosmetics, has been independently producing Renhe brand cosmetics, and some of the products distributed by the other six target companies come from this company.

In this regard, Shi Lichen analyzed that there is a huge Japanese industry called cosmeceuticals, which is not available in China, but we can make some functional cosmetics. Well-known pharmaceutical companies have natural advantages in making cosmetics across borders. For example, if brands can support the premium of products, they can get higher profit points. In addition, pharmaceutical companies themselves already have strong management teams, marketing teams and capital levels, which are not available to ordinary enterprises.

"The difference is nothing more than that some pharmaceutical companies, such as Renhe, have cultivated Renhe brand cosmetics related products through OEM before, and some products already have a certain market share, brand awareness and user base. At this time, it is logical to conduct mergers and acquisitions. Some pharmaceutical companies have had less involvement in this area before, so they may have to do it from scratch. "

In this way, pharmaceutical companies cross-border to make beauty cosmetics and daily chemical products. Originally, they just wanted to be a sideline through brand authorization. In the future, they may become one of their main businesses and gain new profit growth points by creating explosive IP products.

Author | Li Mengqing | Duty Editor | Zhang Wenlong

Editor | He Mengfei | Editor | Zheng Yuanmei | Tuyuan | vision china

Original title: "Old pharmaceutical companies learn from online celebrity brand. Have you ever bought such branded products? 》

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　　CCTV News:During the Ming and Qing Dynasties, the maritime industry flourished, and colored gems and jade from various countries entered China with merchant ships. In the jewelry category exhibition being exhibited in Changsha Museum, about 300 pieces of collected treasures show the beauty of the blending of Chinese and Western cultures.

　　With the continuous development of navigation and trade, China is rich in precious stones and stored in by going up one flight of stairs. Jewelry inlay technology developed rapidly in the Ming and Qing Dynasties. This Ming Dynasty’s "gold inlaid with precious silk and five phoenix crowns" is very rich in decorative elements, including the flower shape of peony, dragons, phoenixes, butterflies and other forms of decoration, using a variety of complex techniques such as tired silk and hammering.

　　The continuous export of China’s artworks has also made westerners know and understand China culture. These two French cosmetic boxes, dating from about 1920, are rich in China elements in design.

　　Bronze decoration embodies the cultural characteristics of Shang and Zhou Dynasties.

　　At the special exhibition of Shang and Zhou cultural relics on display in Tianjin Museum, more than 150 pieces (sets) of Oracle bones, bronzes and other cultural relics provide important clues for studying the origin of Chinese civilization.

　　The typical animal face pattern in Shang bronzes is the reorganization and deformation of many animals based on people’s imagination. All kinds of animal-faced tripod in the exhibition reflect the reverence and worship of nature by the ancestors of Shang and Zhou Dynasties.

　　Cicada pattern is also a common animal pattern decoration on bronzes, which means it is high in food and dew, clean and valuable. This cicada-patterned tripod in the late Shang Dynasty has a complicated craft, which embodies the exquisite skills of ancient craftsmen.

　　Zhaoji civilization sees the origin of Chinese characters from cultural relics

　　Through this special exhibition, we can learn about the history and culture of that period from the Oracle bones and bronzes with inscriptions.

　　The word "China" combined together first appeared on the bronze ware "He Zun" more than 3,000 years ago. In fact, the earliest Chinese characters "Zhong" and "Guo" can also be found in Oracle Bone Inscriptions in Shang Dynasty.

　　Oracle Bone Inscriptions can not only reflect the political and military situation at that time, but also reflect the ecological environment at that time. From the Oracle inscriptions carved on this piece of Oracle bones, we can see that the Central Plains at that time had traces of elephant survival and reproduction.

　　In Shang dynasty, people not only carved words on Oracle bones, but also wrote on wooden slips and silks with brush. Although it is no longer possible to see the Shang dynasty classics written with a brush, the inscriptions on bronzes basically retain the form of brush writing. In the inscription of Xin Ding, the father of the Shang Dynasty, we can intuitively see the trace of the writing of the word "father" with a brush.

Text/Zhang Xinmeng

It took only one year for the industry’s TOP3 threshold to soar from 200 billion to 300 billion.

In 2016, China’s real estate turnover increased by nearly 30%. What is this concept? "The automobile industry grew by 9%, e-commerce by 20%, and express delivery by 50%. The only thing that exceeded the real estate growth rate in China was express delivery. However, the express base is too small, which is nothing compared with real estate. " Chen Jinsong, chairman of World Bank, made a comparison in the recent Midtown Alliance Forum, which made the 10 trillion real estate plate more specific.

The TOP20 threshold increased by 81% year-on-year

Real estate rivers and lakes, a year of melee, Evergrande surpassed Vanke with sales of 373.15 billion, becoming the first real estate enterprise. Vanke and Country Garden ranked second and third with 363.3 billion and 309.03 billion respectively. Time went back to a year ago, when the leaders were Vanke, Evergrande and Greenland, and the record of the top three remained at 200 billion+.

Sales amount of China real estate enterprises in 2016 TOP20

According to Kerry data, the threshold of TOP20 housing enterprises has increased from 35.8 billion yuan to 64.67 billion yuan, a substantial increase of 81% year-on-year. The total sales of TOP20 increased from 2012.28 billion yuan to 2967.32 billion yuan. The threshold for entering the top 100 has also increased from 10.38 billion yuan to 15.68 billion yuan, up 51% year-on-year.

In terms of sales area, the entry threshold of TOP100 housing enterprises has also improved, from 900,000 square meters in 2015 to 1.29 million square meters, up 43% year-on-year. The biggest increase was the TOP50 threshold, which increased from 1.63 million cubic meters in 15 years to 2.38 million cubic meters, up 46% year-on-year.

According to the data of the National Bureau of Statistics, from January to November 2016, the national sales of commercial housing reached 10,250.3 billion yuan, a year-on-year increase of 37.5%. According to the forecast of the growth rate in the first 11 months, the national commercial housing sales will exceed 11 trillion yuan in 2016.

According to the growth rate of commercial housing sales in the first 11 months, in 2016, the total sales concentration of the top 200 real estate enterprises has exceeded 50%, accounting for half of the real estate market in China. It is expected that the concentration of housing enterprises will further increase in the future, and the situation of "strong and strong" will be further intensified.

Billion clubs expanded to 12.

In the TOP20 list, there are four new housing enterprises, namely Xincheng Holding, Shoukai, Xuhui and Luneng.

The market development momentum is strong, and its significance to medium-sized housing enterprises may exceed that of giants such as Vanke. As Peng Kong, the helm of Xuhui Beijing, who just broke 10 billion yuan, said in an interview with Netease Real Estate, "At least Xuhui Beijing is a 10 billion-dollar organization, just like an Olympic champion. It is not won every day, but there is an essential difference between winning and not winning." Team combat capability may be able to reach a higher level with the experience of scale.

Country Garden, the "King of Suburbs", jumped from the seventh place to the third place, and its annual performance increased by 121%, reaching the threshold of 300 billion yuan, successfully achieving the screaming goal of the group. Earlier, Mo Bin, president of Country Garden Group, talked about this year’s performance and admitted that the market played a great role. It is worth mentioning that in the land market, Country Garden is even more fruitful. In the whole year, 74,461,800 cubic meters of land was added, which not only ranked first among 30 typical housing enterprises, but also set the largest land acquisition area in Country Garden over the years, with an increase of 95% compared with 2015.

In addition to the established 700 billion housing enterprises, in 2016, Sunac, Huaxia Happiness, Greentown, China Resources and Jindi also entered the threshold of 100 billion for the first time, and the number of 100 billion clubs expanded to 12. Excluding the factors of rising house prices, mergers and acquisitions have become a booster for these housing enterprises to rapidly increase their scale. In particular, Sunac’s acquisition in the industry has provided it with a large number of low-cost saleable values. Take Sunac’s acquisition of seven projects of Lemon International in 2016 as an example, with a total price of 4.394 billion yuan and an average unit price of only 2,751 yuan. More importantly, Sunac successfully completed the layout of all first-tier cities with this acquisition.

With its strong expansion, Evergrande finally realized its "One Brother Dream". The data shows that from the listing of Evergrande in 2009 to 2016, the compound annual growth rate of sales is as high as 43.6%, the compound annual growth rate of turnover is also 69%, and the average core net profit rate is about 10.45%. Just as the industry generally believes that 2017 is the year of real estate adjustment, Evergrande announced on January 2 that the expected sales from 2017 to 2019 are about 450 billion yuan, 500 billion yuan and 550 billion yuan respectively.

Wanda, which has been committed to de-real estate, fell from the fourth place in the rankings to the tenth place. During the annual period of the industry, the sales amount of Wanda actually showed negative growth, down by 41.24 billion yuan. At the beginning of 2015, Wang Jianlin announced that the real estate sales target would be lowered by 40%, from 164.08 billion yuan in 2015 to 100 billion yuan. Previously, Wang Jianlin had repeatedly stated that by the end of 2016, Wanda would no longer be a real estate enterprise. In the process of transformation, traditional real estate investment and sales will inevitably be squeezed.

TOP10 local housing enterprises in Beijing account for six seats.

In the first eleven months of this year, the total supply of new commercial housing in four first-tier cities in the north, Guangzhou and Shenzhen reached 28.15 million square meters. It decreased by 22% year-on-year, of which the supply of commercial housing in Beijing was 6.38 million square meters, with a turnover of 12.56 million square meters, up by 14% year-on-year. Although the supply of housing in first-tier cities has declined, house prices have risen rapidly. Taking Beijing as an example, the sales of TOP10 housing enterprises have all exceeded 10 billion.

Beijing sales amount TOP10 housing enterprises

According to the ranking of sales amount of Kerui real estate enterprises, the total sales amount of TOP10 real estate enterprises in Beijing market in 2016 was 216.9 billion yuan. Among them, the first one ranked seventeenth in the country, occupying the first place in the Beijing market in terms of sales amount and sales area.

In the first sales share of 65.41 billion yuan, the Beijing market accounted for 52.5%, reaching 34.364 billion yuan. The old state-owned enterprises that have been deeply involved in Beijing for 36 years, at the brand launch conference in 2015, the first figures announced were 29 projects that were on sale and about to enter the market. In the Beijing market, where land is scarce, the "big landlord" first put forward the strategy of "urban revitalization officer" and turned his attention to shed reform, old community reform and other fields.

In the Beijing market in 2016, Sunac was the biggest dark horse. The annual sales performance reached 26.993 billion yuan, 17.192 billion yuan higher than the previous year, and jumped from the eighth place in 2015 to the second place.

In fact, Sunac won the sales crown in Beijing in 2013, and its performance at that time was 12 billion, which was basically close to the sales of the tenth financial street this year. However, with the rapid development of its projects, the prolonged digestion cycle of high-end projects and the tight policies, Sunac’s performance in the Beijing market was average in 2014 and 2015, and even its performance fell below 10 billion in 2014. With the loose policy, Dinghao’s market performance is extremely outstanding, and the "No.1 Hospital" products laid out by Sunac have finally ushered in spring.

In 2016, the real estate industry experienced an upward-downward curve, and the indicators of sales, investment and start-up showed an anticlimactic trend. With the continuous tightening of policies, many executives of real estate enterprises have made it clear that the market in 2017 is definitely not as good as that in 2016, and the market target will be lowered.

This article comes from WeChat WeChat official account:Gu San Gu Si (ID: GH _ A68D56C34119), Author: Gu Yuan, the first picture from: vision china.

There are not so many things in this world, but there are always some people who create various theories to create various problems. Medical impossible trinity is such a stupid theory.

There is a Mundell impossible trinity in financial theory. It is said that the financial system can only choose two of the three: free capital flow, exchange rate stability and monetary policy independence, and it is impossible to have all three, otherwise it will lead to financial collapse. In this financial theory, there is actually a premise, and that is legal tender.

Someone made up another theory with this theory, which is called impossible trinity’s theory of medical system. Cheap, efficient and good service. You can’t have both, otherwise it will lead to collapse.

At first glance, does this theory make sense? It seems to make sense.

Let me discuss the common views of this theory first. For example, the United States has chosen high efficiency and good service, which leads to extremely high medical costs. It’s so expensive that ordinary families can go bankrupt by getting a rabies vaccine and calling an ambulance. The United States is efficient and has good service, but it is expensive.

Many people praise American medical care and find it particularly humanized. Doctors and nurses are patient and smiling because they choose high efficiency and good service. Since efficiency and good service are satisfied in impossible trinity, the cost can never be cheap.

American nuclear magnetic resonance imaging costs $1,100, appendicitis surgery costs about $15,000, and hospitalization costs $5,000 a day. A federal survey in 2012 found that the average cost per ambulance ride was $224.(about 1485 yuan)To $2204(about 14610 RMB)Between

For another example, Commonwealth countries and Europe choose cheap and good service, and as a result, it is difficult to see a doctor and queue up to death. Make an appointment with a dentist for one month, an ophthalmologist for seven months, and a B-ultrasound for three months. As long as it’s not a dying disease that needs emergency treatment, you have to queue up slowly. In the case of limited medical resources, low price and good service are required, and the result is extremely low efficiency.

Similarly, the medical systems in impossible trinity, the Commonwealth and Europe chose cheap and good service. The reason is simple. Good service requires doctors to listen patiently to every patient and give them time to talk. It takes at least half an hour to see a patient like this. Every doctor can see 16 patients in an eight-hour working day.

The limited number of doctors leads to the limited number of patients you can see every day, so you need to queue up in advance to make an appointment. As long as it’s not a dying disease, it’s not unusual to wait for three to five months before it’s your turn. The Canadian documentary "You are Dead" is about the problem of long queues in the medical systems of Commonwealth countries.

Choice determines efficiency, which is the case in all Commonwealth and European countries. The inefficiency of medical system is everywhere. In order to prevent patients from waiting too long, there is even a law that 90% of patients should be treated by a specialist within 13 weeks, and the rest must be treated within 26 weeks. The waiting time for surgery should not exceed 18 months.

China, with its large population and tight per capita expenses, chose cheap and efficient.The price is high-intensity work of doctors, high turnover of beds and high turnover of outpatient clinics, so that everyone can see a doctor.

Because of the large population and limited medical resources, and I hope everyone can see a doctor, we can only choose cheap and efficient. Choosing cheap and efficient means that it is normal to see a person for three minutes and ask two sentences to diagnose the disease.

If you register in the public top three, you shouldn’t queue up. Doctors need to serve smiles and have patience to listen. Is it possible? How many patients are there in a big hospital a day? Really want to engage in patient service, every patient has to talk about his illness for half an hour, and the efficiency is simply not allowed.

It is also the best hospital in China and America. The Mayo Clinic has 15 times as many medical staff as Concord, but only half the number of patients. 15 times the number of medical staff and 1/2 of the number of patients, which means that the efficiency of Concord is 30 times that of Mayo Clinic.

The outpatient fee of Mayo Clinic started at $500, but after the outpatient fee increased in Beijing, it was 50 Qian Qi.

Do you think Concord is tired enough? In fact, compared with Beijing Children’s Hospital, Concord is already relaxed. The average daily attendance of Beijing Children’s Hospital in winter is 12,000, with a peak of 16,000. In other words, 360,000 people will be treated every month in winter.

But now the first-and second-level hospitals and community clinics can basically be on call. Except for some top hospitals, most tertiary hospitals can also go to the hospital on the same day, see a doctor on the same day, and get the results within the same day or a few days. If this is all difficult to see a doctor, it is hard to imagine that Canada, where the average waiting time for emergency treatment is six to eight hours, and Britain and the United States, where appointments are made for several months.

It is difficult to see a doctor in people’s mouth now. In fact, it is difficult to find the top three famous experts in the region.It is actually not difficult to find the top three directors in the region to see a doctor, because many hospitals are not limited to the number, and they will finish reading it on the same day. Patients are crowded into the top three, which also causes a structural shortage of hospital bed resources. Judging from the number of inpatients undertaken by hospitals at all levels, the trend is very obvious. Low-level hospitals are getting empty, but high-level hospitals are getting crowded.

The beds in the top three are overcrowded. Let’s take a look at the first-and second-level hospitals and community hospitals below. Except for the old people who prescribe drugs for chronic hypertension for a long time, they are basically empty. Why? Because patients simply don’t believe that they can cure the disease.

Ok, is there a problem with the above discussion? Is it the actual situation?The reality discussed above is true, but the theory is wrong.What’s wrong with that?

The first big mistake: the definition of inefficiency, free and high quality in the Commonwealth system is wrong

If you don’t talk about other countries, say Britain. In Britain, the annual per capita absolute medical cost is 3327 pounds.($4,356). However, in recent years, the average life expectancy in Britain has remained basically unchanged, while in other countries, it has improved significantly. For example, in Singapore, the average life expectancy is 82.7 years, and medical expenditure only accounts for 4.3% of GDP.

Health care in the UK has increased from 21 in 2014.(A total of 56 countries participated in the ranking)It fell to 35 places in 2015, down 14 places, and currently lags behind Chile, Algeria and the Czech Republic. This change means that it has fallen to the bottom half of the Bloomberg list, and it is now behind Mexico, which is equivalent to Slovakia and Peru. The NHS is notorious for frequent accidents, insufficient supply and low efficiency.

It can be seen that the medical system of the Commonwealth system is expensive, poor in quality and inefficient. Medical impossible trinity theory,Mistreating welfare medical care as free medical care and giving him a cheap label is actually just medical care implemented by taxation.The cost is very high,Per capita expenditure is close to half that of the United States.

Secondly, medical impossible trinity theory.Completely ignoring people’s needs, and actually treating queuing for medical treatment as a good service.It takes months to see a doctor. Is this called service? Is there only one dimension of good attitude as the standard of medical service quality?

I won’t see a doctor. I’m not a doctor. If you are sick, you can spend 10 thousand yuan to find me. I will accompany you with a smile all day. Is it called service? Helping patients to solve their pain is the first dimension of medical service quality, and even seeing a doctor in time can’t be done. How can this be called good service?

The second big mistake: the definition of the most special American medical care in the world is wrong.

Impossible trinity Theory defines the United States as expensive, good in service and efficient.

Consumers are pursuing cost performance when they consume any commodity.

If you spend 30 yuan to press a foot in a street foot bath shop, you won’t pursue a luxurious hall and beautiful welcome. As long as you press it comfortably, you will say that the service is really good because of its high cost performance. On the contrary, you spend 500 yuan to press a foot in a high-end club. If a stingy man brings you tea and water, you will turn around and leave, because you will calculate your input-output ratio, and you spend more money in the hope of enjoying better service.

That ambulance will cost 1200 dollars for a trip. Is this called service? Just like if you order a fast food, you get 1000 yuan RMB. Who will say that this is good service? I can’t afford to get sick. You told me that this service is efficient and good? What kind of dog theory is this?

Let’s look at what is efficient.Whether efficiency only refers to speed depends on the result.Barefoot doctors in China used to see a doctor very quickly. Most patients came to prescribe some anti-inflammatory drugs and painkillers and sent them away. There was no inspection equipment, so the speed was certainly fast.

Efficiency depends on what the result is. What is an important criterion for the quality of medical services? It is the index of life expectancy and the calculation of input cost. Americans spend an average of tens of thousands of dollars a year on medical care, but the average life expectancy of Americans is the lowest in developed countries, and it often drops in some years. What kind of efficiency and good service is this?　

The third mistake: take medical service for granted as a pot of rice.

According to impossible trinity’s definition, a good doctor’s service attitude means a good service. Hurry up and see that a doctor is called efficient and a low fee means cheap. He also made a big mistake. He ignored people’s different needs.

Does the catering market exist in impossible trinity? If you have a big dining hall that everyone must go to, there will be impossible trinity:

Ma Yun came to dinner and ate the dishes of migrant workers, which is called poor service.

It is not expensive for middle-class people to eat, but they have to queue up, which is called inefficiency.

When the poor go to eat, they find that the price is more expensive than the roadside stalls. This is called the price is not cheap.

But didn’t the multi-level catering market completely solve this problem? Isn’t it cheap, efficient and good service for everyone to eat in a place that suits them?You mix all the people at all levels of consumption. Isn’t this an artificial contradiction?As a result, no one is satisfied. Is this the inevitable impossible trinity of the medical market?

More market-oriented medical care is that the needs of the poor will also be met, and it will be efficient and cheap.

India, which we despise, will show the world a model of medical marketization in 20 or 30 years. Private hospitals in India have innovated ophthalmic cataract surgery. One doctor performed cataract surgery for five or six patients at the same time. The doctor only did the key parts, while the rest were all operated by nurses. Low cost, low charge, high efficiency and good effect.

There is a private hospital in India that needs only $1,200 for heart surgery, which is a few tenths of the price of such surgery in the United States, but the level of surgery has surpassed that of ordinary hospitals in the United States. Just because other fields in India have not developed and people’s consumption power is insufficient, the results of medical marketization in India are not eye-catching.

The fourth mistake: misjudgment of China medical care.

If we just compare the United States, Commonwealth countries and China, my point is,Compared with medical care in these countries, medical care in China is efficient, good in service and cheap.

The per capita medical expenditure in China is about 10,000 yuan, but the average life expectancy in China is close to that in the United States. That is to say, it is close to that in the United States at one sixth of the medical expenses of Americans. Isn’t this efficient? When Chinese is ill, he can see a doctor at any time. Even if he goes to see an expert, he doesn’t have to wait for months. As long as you go to the queue, even if you buy a number from a scalper, you can always see him.

If you have to wait a month to meet experts in Beijing, how can 700 thousand people go to Beijing every day? In other words, you can quickly see experts who are equal to the severity of the disease, which is good service. Because the first dimension of medical service is not a good attitude, but that the other party can solve your problems.

Then it’s cheaper, the total expenditure is less, and of course it’s cheaper. The total expenditure of Chinese is lower than that of the United States or the United Kingdom. Once again, this is a comparison, and the bar is fine.

Then why? There’s actually only one reason,The degree of marketization of medical care in China is higher than that in Europe and America.

Nani, what are you talking about? It’s acceptable to say that all medical services in Britain are public, while hospitals and insurance companies in the United States are mainly private, while hospitals in China are mainly public. What makes you conclude that medical services in China are more market-oriented?

The world is often so strange, and the name is easy to deceive people. American hospitals are playing a private name, as if they were the product of marketization. Is this true? No, you have to look at the essence through the phenomenon. What is medical marketization? To put it more popularly, it isHospitals and doctors aim at making money, and the process of making money is less interfered.The less intervention, the higher the degree of marketization.

Do you think hospitals and doctors in China aim at making money? Of course it is. Because hospitals in China are not like public hospitals in Britain, which are fully funded, but hospitals in China have very little financial allocation.The main income of the hospital comes from the fees paid by patients.

Zhu Hongbiao, inspector of the Department of Physical Reform of the National Health and Wellness Commission, said that the direct subsidies from all levels of finance to public hospitals nationwide increased from 84.9 billion yuan in 2010 to 270.5 billion yuan in 2018. There are 50,000 public hospitals and health centers, with an average allocation of more than 5 million a year. Even the money for buying equipment is not enough, let alone paying salaries.

Therefore, hospitals in Britain do not aim at making money. They are the same as civil servants, and they are fully funded units. They do not need to cater to the needs of consumers, so they have a fixed source of income.

What is the difference between a fully funded hospital and a hospital that relies on patients to pay for medical treatment? The difference is,If you want to earn money, you must cater to consumers.Otherwise, consumers will not come to see you.

Although public hospitals are subject to various controls,But doctors in China have the motivation to improve their medical skills and to form a good reputation in the local society.Because skills and reputation can be exchanged for money, which can make more consumers come here.

Why can so many doctors operate for more than ten hours from day to night? What are they for? Because medical skills need practice, contact with various cases and repeated operations. Such doctors will become scarce resources, and thus get higher income.

If doctors are managed according to the civil service system, why should doctors improve their medical level? Why are you working so hard? Can’t you see fewer patients? Can’t you do a few less operations? Don’t I get the same salary? Under real public ownership, doctors have no incentive to improve efficiency.

Therefore, for a long time, doctors in public hospitals in China have been working hard, because efforts will have results, and efforts can increase income. At present, the level of treatment and operation of doctors in China is not inferior to that of developed countries, and even leads the world in many fields. The treatment level is high and the fees are not high, which is called good service.

It’s just that Dr. China’s income is limited, so he can’t raise the operation fee, so he can replace it with a red envelope, but he can’t raise the outpatient fee, so he can replace it with drug commission and inspection commission. Of course, these methods are not good, but they still constitute an incentive for doctors, and finally they have not blocked the way for doctors to make money.

Therefore, China hospitals have the motivation to continuously expand their scale, increase equipment and wards, and doctors have the motivation to continuously improve their level. Because they can make money, although they are restricted, they still have access.

At present, the scale of well-known top-three hospitals in various places is often very large, and some of them have operating income as high as several billion yuan. Is this entirely funded by the government? No. It is brought by the rush of consumers. There are always endless queues at the entrance of the top three hospitals, and the bustling crowds come to the door on their own initiative, and they vote with banknotes.

Many people say that private hospitals in China are terrible, and there is nothing wrong. Except ophthalmology and dentistry, other private medical services are really not so good, and they are full of fraud and low quality. Why is this? Because the marketization of public hospitals is not low. If it was a fully funded unit, the doctor would have finished running.

This makes it more difficult for private hospitals and public hospitals to compete. Many doctors don’t want to leave the public to go private for the simple reason.There are many public patients, and consumers have voted with their feet to prove that public hospitals in China can partially satisfy consumers.

Going back to American medical care, American medical care is completely private. Why is it so expensive? American medical care is subject to a lot of government control. Although it is nominally private, it must be handled according to various government regulations, which is called insufficient marketization. Give a few examples and you will understand.

Private hospitals in the United States need to apply to the government to increase beds. Is this called marketization?

Doctors in the United States need to apply to the government for interstate practice. Is this called marketization?

The number of doctors in the United States is controlled by doctors’ unions, and the supply quantity is artificially controlled. Is this called marketization?

The profit rate of medical insurance companies in the United States is set by the government. Is this called marketization?

How many restrictions are there like this? There are hundreds of them, and it takes tens of thousands of words to make them clear, so I won’t expand them here.

Then I’ll tell you again, even if all the medical enterprises in China are private enterprises now, it can’t be called marketization. Because in today’s China, the government-run medical insurance is dominant, and the government becomes the consumer of medical care, and he sets the rules. Even if you are a private medical service, your customers are also the government.

Under the current medical insurance control means, private medical care will also become an inefficient service organization, because it no longer serves consumers, but caters to and obeys the rules of government-run medical insurance.

It doesn’t matter whether the medical institution is public or private. What matters is whether it is market-oriented enough. As long as there are more market-oriented factors, so that consumers can choose with their feet and medical service providers can only make money by satisfying consumers, then medical care can be cheap, good and efficient.

The so-called medical impossible trinity theory is a stupid theory, and it is an argument for the specialization of medical services. In fact, medical care and eating are the same thing, both of which are service industries. How should medical care be done?Would you be satisfied with running a public canteen now?

This article comes from WeChat WeChat official account:Gu San Gu Si (ID: GH _ A68D56C34119), author: Gu Yuan

　　The reference news network reported on July 24. Spain’s "Fun" monthly magazine published an article in May, saying that smiling is healthier. Why do some funny things make some people laugh while others are indifferent? "I think humor is a way of looking at life and an immune mechanism at the same time," said Javier Cansado, a Spanish comedian. "I always think my children are funny, but they are not humorous. I may be able to teach them how to taste wine, but a sense of humor is innate. "

　　According to the article, laughter is a widely studied behavior in the scientific community for decades, and humor shows more about what we think and feel about our relationship with others. Humor is an emotion, so it is difficult to measure.

　　Capture the funny dance of neurons

　　With the help of advanced neuroimaging technology, we know that humor originates from the misidentification area in the center of the brain, which is located directly above the corpus callosum connecting the left and right hemispheres. From this position, you can "supervise" all other areas of the brain that perform their duties.

　　When we are listening to a joke, the sound waves emitted by words will be transmitted to the brain through electrical pulses. How can I hide an elephant in a cherry tree? Faced with such a brain teaser, the left hemisphere will immediately start sorting out information and try to guess the logical ending. At the same time, a small active area in the right hemisphere will help us imagine this narrative from a very absurd angle. In addition, we also need the help of a brain region related to processing language and memory in a short time. When the answer "dye its hooves red" appeared, the surprise broke our expectations. The error recognition area is responsible for synchronizing the logical and illogical parts of the narrative. Once an error is detected, the brain will get compensation by releasing dopamine called "happiness hormone", which will trigger laughter. "A sense of humor requires a flexible brain, because the processes of understanding a joke, finding the interesting part and laughing are highly synchronized." Natalia Lopez Moratalla, an expert in biochemistry at Navarra University, pointed out.

　　According to the article, humor can stimulate positive emotions, but it may not necessarily eliminate negative emotions. In fact, in a sad atmosphere such as a funeral, sometimes we can’t help laughing. Although it seems very rude, it is just a way to deal with existing emotions. Humor can even help us get closer to others in tense moments.

　　The same effect as doing exercise.

　　Lisa Rosenberg, a researcher at Rush University Medical Center in Chicago, analyzed how humor can help in jobs that require quick and accurate decisions. "Joking often can relax our brains and increase our objectivity in the face of great pressure." Rosenberg said. Humor and its most common expression, laughter, are not only very useful to us as a psychological defense mechanism, but also bring benefits to our bodies. First of all, laughter is an aerobic exercise, and the exercise effect achieved by laughing for 100 times is equivalent to riding a bicycle for 15 minutes. In addition, the health of laughter lies in "accelerating the heart rate and supplying oxygen to the brain", Moratalla said, "People with a sense of humor have healthier immune mechanisms, the probability of myocardial infarction will be reduced by about 40%, and the average life expectancy will be increased by four and a half years".

　　According to the article, many scientists suggest laughing for at least 15 minutes every day, because laughter may even have the effect of "painkiller". A scientific team at Allegheny College in Pennsylvania, USA, found in the experiment that if people happened to watch a drama before being shocked, the pain they felt would be less intense. The reason is that laughter can promote the production of endorphins, which are considered to be the natural "morphine" secreted by the body.

　　"Obviously, laughter and humor can’t cure the pain by themselves, but they can bring benefits to diseases with low pain, such as fibromyalgia, and can also relieve emotional disorders, anxiety and depression." Manuel Arias Gomez, an expert from the Spanish Society of Neurology, said.

　　Laughter therapy

　　Therefore, the so-called "laughter therapy" has appeared as an auxiliary method in the treatment of some diseases. More and more hospitals have recruited volunteers, usually artists, to bring warmth to the cold hospital environment. At present, a number of organizations have sprung up in Spain, such as Smile Doctor of theodora Foundation, Clowns Without Borders, and Smile Medicine, which are dedicated to promoting the laughter therapy.

　　Madrid psychologist Begonia Cabello has devoted herself to studying the relationship between health and humor and how it can be used by medical staff for many years. "I don’t think enough attention is paid to the way to help patients relieve their pain through emotions." She pointed out.

　　"It turns out to be really effective: when the patient is refreshed, the recovery situation can be more ideal. This has been verified not only in children and patients, but also in adults and the elderly. " Cabello said. Humor, like exercise, is our best "tonic", a healthy living habit and the most accessible "medicine". (Compile/Han Chao)

Hot hitIn the worldIt is worthy of being a drama of Wang Fried released by CCTV during the Spring Festival. Even with the strong impact of the Winter Olympics, it can be at the climax of the plot developmentGet a good rating of 2.

With the growth of the characters, the timeline of this drama came to the 1980s. Although it lacked a lot of helplessness in the social background of the last decade, the material world was extremely rich.It has prompted people’s desire for other things, which has led to more dramatic conflicts.

The key word in the 1980s was "reform". Since it is reform, it means change. The most popular and sought-after iron rice bowl no longer exists, and all the adults are clearly married, but they have to face the distress of being laid off. Faced with such a situation,Zhou Bingkun’s personality characteristics can be particularly highlighted.It is worth talking about, because no matter from all aspects of performance, family, friendship and love, he can be called a model of a good man.

Can call him a good man,The first aspect is filial piety to parents.

My father, as an eighth-class mechanic, has been out all the year round building railways in China, leaving only their mother and son to guard the home. This little son of Zhou, who was not watched by his father, had to wait until his father came home and nodded in person to get married when his father didn’t know his relationship with "widow" Zheng Juan. For a father who has not seen each other for a long time,He gave great respect.

Filial piety is certainly not enough for a father who is away from home all the year round. His filial piety,Especially in his attitude towards his mother.. Zhou Jiaming has three children. He doesn’t behave like a spoiled little son, unlike the settings in other traditional novels. He is a "little son" who always talks sweet words. Instead, he’s like a big brother,All I care about is to let my mother live a good life.Hearing the teacher’s discussion on raising the mouth and mind, he told his mother firmly and calmly that he must do both things for her.

When the audience saw that her mother was so excited that she collapsed after a cerebral hemorrhage that she obviously became a vegetable, he didn’t give up, just tried to find someone to take care of her all over the world first. By the way,Even in today’s extremely developed modern medical conditions.And which children can wait for a full two years in a vegetative mother who is paralyzed in bed and motionless?

The second aspect is love, that is, devotion to his wife Zheng Juan.

How frustrating Zheng Juan’s past is.That is, how unacceptable it is to people around you, especially in an era like that at that time. To tell the truth, what happened to her was not at that time,Even today, it is difficult for most people to accept it.. First, I met a fraudulent marriage. In the process, I was raped by his good friend and broke a rib. Immediately after the rape, I lost my fruit. After having that person’s child, in the end, she has not yet obtained the certificate. Unmarried girls run with the ball. To put it bluntly, the appearance of Zhou Bingkun will be ridiculed by many people as "the catcher".

However, once Zhou Bingkun is identified, it will not be easily changed. He knows that Zheng Juan is a good girl, and what she has suffered is nothing but a disaster brought by fate.Regardless of Zheng Juan’s past.Treat her children as their own;Look at their present with a normal heartEven if Zheng Juan doesn’t know a few big words, he accepted them all in the past and now.Zheng Juan’s future has the greatest reliance.

What is particularly rare for female audiences is that Zhou Bingkun does what he says.Said to buy a car for Zheng Juan.Although it was a bicycle, it was also the most fashionable permanent brand 28 bicycle at that time.

Coupled with the good acting skills of Lei Jiayin and Yin Tao, they abruptly turned the drama of the Age into a film of pure desire.

The third aspect shows friendship. No matter when, where and where he is, he never forgets his friends’ old feelings.

At that time, the six gentlemen of the "Northeast Guangzi Film",For various reasons, the two people are separated from this group of former friends.. The remaining three people, who were frustrated in middle age, heard that Zhou Bingkun was about to become a full member, and they felt that Zhou Bingkun’s life would be farther and farther away from them. My heart is weak and weary through illness, and what I say is not pleasant to hear. When a person is at the lowest point, it is very likely that his inner dark side will be exposed.

At this time, a Chinese New Year dinner was arranged, and the three brothers just talked about it. Of course, they can’t be in front of Zhou Bingkun, so Zhou Bingkun doesn’t know how his friends view his increasingly smooth life. Just, coincidentally, when Zhou Bingkun walked in the door,But I heard them arguing over some trivial matters at home.. Zhou Bingkun didn’t pretend to brag and draw a pie at that time, but afterwards, he was sure that things could be done.Without saying anything, I helped two friends solve their family difficulties directly.. There is no so-called insincerity,Prove yourself directly with actions.Helping a friend solve the worst problem in front of him is a true friend.

At present, the development of the plot makes Zhou Bingkun’s personnel design perfect, and the audience who follow the drama only hope that he will not suddenly fall off the chain at the back.

　　Safe disposal of medical waste is an important measure to cut off the route of virus transmission and prevent secondary pollution. Since the outbreak of the COVID-19 epidemic, the wastes produced by designated medical institutions in Hubei Province have been classified, collected and treated harmlessly in strict accordance with the standards, and the whole process of disposal has been regularly supervised and enforced, keeping the last pass of epidemic prevention.

　　"Combination boxing" improves disposal ability

　　In order to ensure the timely, orderly, efficient and harmless disposal of medical wastes, according to the requirements of the Ministry of Ecology and Environment, Hubei has achieved "one special class, one capacity, one scheme and one temporary storage" to strengthen the emergency reception and disposal capacity of medical wastes.

　　While the existing disposal companies are operating at full capacity, Hubei Province has upgraded and upgraded a number of factories and facilities, which can be used as emergency disposal units at any time. Huanggang Hongyuan Pharmaceutical Co., Ltd. and Huaxin Environmental Protection Company have completed the trial operation of emergency disposal, and the incineration facilities of Shiyan Dongfeng Environmental Protection Company have been maintained and overhauled, with emergency capability.

　　In the process of medical waste transportation, it is managed by special personnel, collected in time, recorded, classified and stored, and transported by special vehicle, and special transportation tools for preventing leakage and spillage are used. Provide personal protective materials and conduct daily temperature monitoring for relevant front-line operators to ensure safety.

　　In addition, the eco-environmental system of Hubei Province regularly supervises and enforces the whole disposal process to ensure the full coverage and treatment of medical wastes. Shiyan City has carried out several rounds of special law enforcement inspections on medical wastes; Huanggang City checks the sewage treatment facilities and medical waste storage rooms of township hospitals and other medical institutions every day to block the secondary transmission.

　　According to the emergency disposal requirements of the Ministry of Ecology and Environment, all cities and states in Hubei Province have built emergency storage warehouses for medical wastes, with an emergency storage capacity of 1,552.6 tons. Seventeen temporary storage warehouses for medical wastes have been built in Wuhan, with a total storage capacity of 1,118.6 tons. The province has put into operation 35 medical waste (emergency) disposal units, with a total of 1391 front-line staff. At the same time, we actively strive to bring the support policy for medical waste disposal enterprises into the scope of the provincial government’s support for small and medium-sized enterprises to tide over the difficulties, and coordinate Xiangyang Zhongyou Youyi Company to invest 35 medical waste transport vehicles and huaxin cement Company to invest 4 vehicles to support Wuhan’s medical waste transfer work free of charge.

The staff transferred the medical waste from the tongji hospital Sino-French New Town affiliated to Huazhong University of Science and Technology. Chu Huan photo (Zhongjing vision)

　　Strictly observe the last link of epidemic prevention

　　Collection, handling and loading … … Unlike the hospital linens collected in the past, Luo Jun collected linens infected by COVID-19 virus in dozens of hospitals in Wuhan these days. Luo Jun is the head of the logistics department of Hubei Renfu Medical Service Co., Ltd., a subsidiary of Renfu Pharmaceutical Group, which mainly provides services such as washing, disinfection and distribution of medical fabrics.

　　After the linen was transported back to the company, according to the standard operation flow, Luo Jun drove the truck to the designated isolation area, unloaded it with his colleagues and sorted it, and then the colleagues pulled the sorted linen into the isolation area for sorting, washing and disinfection, and finally disinfected the vehicle.

　　In Wuhan Jiangxia First People’s Hospital, medical waste was put into the yellow trash can marked with "Medical Waste", and then transported out of the hospital’s garbage outlet and sent to the medical waste emergency treatment system. "All medical waste barrels are disinfected before leaving the hospital, and then disinfected after being shipped out." According to Zhao Yanni, the person in charge of the medical waste emergency treatment point, the medical waste collected from the ward at ordinary times will be sent to the hospital’s temporary storage, which has a disposal center and will be transported to the disposal point by a professional team. However, Wuhan’s current transportation capacity and terminal disposal capacity are tight. In this case, the medical waste collected in the ward is treated harmlessly on the spot through the medical waste emergency treatment system.

　　Disinfected medical waste barrels are placed in the temporary storage area of medical waste, and emergency treatment is carried out in batches. The medical waste emergency treatment system includes six links: feeding, sterilization, discharging, transportation and unloading. It takes about 80 minutes to load and unload. The staff pushes one barrel of medical waste to the feeding station at a time. After automatic control, lifting and tipping, the waste is poured into the sterilization trolley and enters the high-temperature sterilization chamber.

　　Sterilization is the core link of the whole system. The reporter saw in the First People’s Hospital of Jiangxia, Wuhan that the medical waste emergency treatment system entered the hospital in a whole vehicle and was disposed of at a fixed point. Wei Bin, general manager of Qidi Environmental Solid Waste and Renewable Resources Center, the provider of the system, introduced that the temperature in the sterilization chamber is above 135℃, the working pressure is 0.23 MPa, and the high-temperature steam sterilization is required to last for more than 45 minutes. After the waste is treated up to standard, it is discharged, transferred to the transportation station, placed in a sealed plastic bag, and translated to the unloading station. The treated medical waste, like domestic waste, is removed by the sanitation system and sent to the nearest waste incineration site.

　　During the epidemic period, the amount of medical waste produced in Wuhan is several times higher than before, and a number of new technologies and products for disinfection have become the main force of medical waste treatment. The "medical waste virus killing device" jointly developed by Hubei Guanghui Energy Saving Technology Co., Ltd. and Institute of Electronics, China Academy of Engineering Physics uses microwaves to irradiate the medical waste in the container, so that the medical waste can automatically heat up, which can effectively kill bacteria and viruses. The "Environmental Protection Medical Waste Incinerator" developed by Hubei Weitian Environmental Protection Technology Co., Ltd. covers an area of less than 10 square meters. It can complete desulfurization and denitrification of flue gas while burning medical waste, and can handle 2 tons to 4 tons of medical waste every day.

The staff of Huanggang Environmental Protection Bureau inspected the medical waste disposal records. Chu Huan photo (Zhongjing vision)

　　Basically realize Nissan Nissin.

　　In other cities and prefectures in Hubei, the capacity of medical waste disposal has been continuously enhanced, and the daily production has basically been achieved.

　　"At present, the daily disposal of medical waste is about 20 tons." Xu Yang, director of Xiangyang Hazardous Solid Waste Management Center, introduced that Hubei Zhongyou Youyi Environmental Protection Technology Co., Ltd. was urgently approved by the city to start the emergency disposal of medical waste. This company is a hazardous waste disposal enterprise adopting rotary kiln incineration disposal technology, with a daily disposal capacity of 30 tons to 40 tons. Together with two other disposal enterprises, it can fully meet the needs of harmless disposal of wastes generated by designated diagnosis and treatment hospitals and centralized medical observation points in the city at present, and all medical wastes can be collected, transported and disposed daily.

　　On February 14th, huaxin cement (Yichang) Co., Ltd. successfully put the second cement kiln collaborative medical waste disposal system into trial operation. So far, the emergency collaborative disposal capacity of medical waste in huaxin cement has reached 10 tons/day. Together with the original medical waste disposal capacity of Sander Company and Qiduoyun Company of 21 tons/day, Yichang has formed a disposal capacity of 31 tons/day, and all medical wastes can be collected separately, transported safely and disposed harmlessly.

　　On February 26th, Yichang started the action of cleaning and rectifying rural domestic garbage. At present, the competent departments of counties and cities in Yichang have set up special working groups, focusing on four key points: cleaning and cleaning, garbage removal, disinfection of facilities and equipment, and collection and disposal of discarded masks. According to the working mechanism of "household classification, group cleaning, village collection, town transfer and county treatment", the village environmental sanitation and cleaning operations are carried out, and the rural "combat unit" for epidemic prevention and control is strictly adhered to.

　　Wang Sihai, deputy general manager of Huanggang Longzhong Environmental Protection Co., Ltd. said that the average daily medical waste collected, transported and disposed in the city is about 15 tons, which is twice the normal disposal amount (7 tons/day) and more than three times the usual volume. "The company strictly operates the process and tries its best to maximize the disposal capacity."

　　"Although the medical waste received every day is more than usual, the company is running well, ensuring the daily production of medical waste." As the only qualified hazardous waste disposal enterprise in Xianning City, Chen Zhou, manager of the production department of Hubei Huichu Hazardous Waste Disposal Co., Ltd., told the reporter that they will definitely hold the "last link" of the epidemic prevention work of medical waste disposal. (Economic Daily-China Economic Net reporter Liu Jie correspondent Xiong Xi’ an)

On March 6th, HarmonyOS Zhixing’s two high-profile models, the 2025 model and the official opening of the pre-sale, set off a boom in the automobile market. Among them, in 2025, the pre-sale price of the M9 for the border is 478,000 yuan, and that of the M8 for the border is 368,000 yuan. It is reported that the 2025 M9 will be listed in shock this month, and the M8 is scheduled to officially meet with consumers in April.

Wenjie M8 is positioned as "flagship SUV of family wisdom", with a wheelbase of 3105mm, which is only 5mm shorter than Wenjie M9, the same as the wheelbase, and the body size is close to it. It is available in two versions, 5-seat version and 6-seat version, to meet the travel needs of different families. Judging from the pre-sale price, the M-8 card in Wenjie fills the gap between the M-9 card and the M-9 card in Wenjie, further improves the product matrix of HarmonyOS Zhixing, and enters the high-end SUV market of new energy together with the M-9 card in 2025. In terms of power, M8 will simultaneously introduce two power forms: extended range and pure electricity. The extended range version is equipped with a range extender with a power of 1.5T and 118kW, and uses a driving motor with the front 165kW and the rear 227kW. The maximum speed is 200km/h, and its strength cannot be underestimated.

The 2025 model M9 was declared in February this year, including plug-in extended range and pure electric power, and equipped with Contemporary Amperex Technology Co., Limited ternary lithium-ion battery. This change has been upgraded in terms of intelligent driving hardware, which further enhances the intelligent driving ability and brings users a more advanced travel experience. It is worth mentioning that HarmonyOS Zhixing also provides optional original hardware upgrade scheme for the owners of the current M9 model, and at the same time, the current model will continue to upgrade the software features of OTA, so that the old car owners can also enjoy the constantly upgraded service. Externally, the 2025 model M9 adds the color of Jinrui red, which is more unique and distinguished. In terms of seats, 5-seat version and 6-seat version are available for consumers to choose freely. In addition, the new car is also equipped with ten black technologies, such as Huawei’s advanced intelligent driving, Xuanwu hard-core body, Huawei Turing platform and intelligent privacy windows, etc., to improve the performance and quality of vehicles in all directions.

After the pre-sale was opened, the market response of the two models was extremely enthusiastic. Wen Jie M9 2025 pre-sale 6 hours small order over 11000 units; The pre-sale price of the M8 started from 368,000 yuan, and the small order exceeded 21,000 units in 6 hours, and the small order exceeded 7,500 units in 1 hour after the opening of the reservation, showing consumers’ high recognition and expectation for these two new cars.

Yu Chengdong, managing director of Huawei, chairman of BG, and chairman of BU, a smart car solution, said that the launch of the M8 and the M9 in 2025 is another important layout of HarmonyOS Zhixing in the field of new energy vehicles. With the advantages of Huawei’s full-stack technology, ever-changing luxury space, all-dimensional safety and more personalized selection, these two models are expected to stand out in the highly competitive new energy vehicle market and bring consumers better and smarter travel choices.

Judging from the market competition pattern, there are relatively few participants in the 400,000-class hybrid SUV market, and the external competing products of M8 are mainly L9. According to the analysis of Ping An Securities Research Report, the expansion trend of the extended-range market is clear, and the customer M8 is expected to replicate the successful experience of the customer M9, accept the sinking market bonus of the customer M9, and become an explosion-proof vehicle of 400,000 yuan. It is estimated that the steady-state monthly sales of the customer M8 will reach about 15,000 vehicles. In the 500,000-class SUV market in 2025, with its continuous product upgrade and technical advantages, it is expected to continue the brilliant achievement of the 500,000-class sales champion for 11 consecutive months.

With the opening of the pre-sale of the 2025 model, the layout of HarmonyOS Zhixing in the new energy vehicle market is more perfect and the product matrix is more abundant. The listing of these two new cars will bring more quality choices to consumers, and their performance in the market in the future is worth looking forward to.

　　When she was discharged from the hospital, she took a picture at the gate of the hospital.

　　Her husband records the changes of her illness on the desk calendar every day, and the photos are provided by Piao Piao Sao.

　　Oral speaker: 53-year-old female, Piaopiaosa (net name), emergency doctor of Wuhan Eighth Hospital.

　　On February 16th, the doctor named Piao Piao Sao was discharged from the hospital and went home for 6 days. Half a month ago, she thought she would never come back.

　　Recalling the 20 days from illness to critical illness to recovery, Piao Piao sighed that "the disease developed rapidly beyond imagination". As a medical worker, she wants to remind all the patients who are being treated with her own experience that COVID-19’s clinical manifestations are diverse, with different degrees of severity, and her condition changes quite quickly, sometimes within a few hours. Early detection, early diagnosis and early treatment are the key. Especially when there is any discomfort in your body, don’t bear it. You must inform the doctor at the first time, which is probably the key point to decide life and death.

　　For hours, I was so asymptomatic that I couldn’t walk

　　I have been sitting there since the emergency department was changed into a fever clinic.

　　On the morning of January 23rd, I took my temperature as usual: normal. I ate a bowl of egg noodles and rushed to the hospital. On that day, there were still many patients.

　　At 9 o’clock in the morning, I received a notice from the hospital, asking us to take time to do a CT scan. I usually have the habit of fitness, and my health has always been very good. My colleagues call me Iron Man. But I took the CT as required. "There is something wrong with the film, 4 places!" When I got the CT results, my heart thumped and I began to think about when I was recruited.

　　I have taken my temperature every morning since I went to the fever clinic. On the 22nd, there were a lot of patients. Although they called each other, there were several patients and their families standing in front of me as soon as they entered the clinic. The head nurse was worried that the air in the clinic would not circulate, so she opened the window. I sat by the window and felt a little cold, so I closed the window. She was worried that the air in the clinic was not circulating, and I felt cold. We kept opening and closing the windows, perhaps because of the cold, or because we were too tired to work overtime for several days in a row. In short, our immunity declined. This is the only reason I can think of.

　　I don’t have a fever, and I don’t have any symptoms. I should be in the early stage. I should be able to get well soon when I go home to take medicine. I quickly diagnosed myself. I went to the pharmacy to get moxifloxacin, oseltamivir, Abidor tablets and Lianhua Qingwen capsules, and went back to the office to pack my things and go home. Feeling a little hot in my head, I took out a thermometer and measured it: 38.7 degrees. I have a fever. I decided to go home at once.

　　It only takes five or six minutes to walk from home to the hospital. When I get home, I’m going to take a bath and then sleep. Before I entered the bathroom, I began to have a severe headache and vomiting, and I had no energy at all. "I heard that you were recruited?" My brother called. "There is something wrong with taking CT, and people are a little uncomfortable. I won’t tell you first." At this time, I have no strength to hold my mobile phone, and I just want to hang up quickly.

　　My husband went back to his hometown, and I was the only one at home. At this point, my whole body is extremely weak. The disease is developing so fast that I didn’t expect it. I must go to the hospital at once. The director’s phone call came in. He was infected a week earlier than me, saying that he knew my situation and immediately sent someone to pick me up at the gate of the community. From home to the door of the community, it usually takes only two or three minutes, and I walked for more than 20 minutes that day. For the first time, I feel that the road is so difficult and long. If only someone could carry me. A doctor and two nurses in the emergency department were already waiting at the door, and they pushed me to the hospital by flat car.

　　The fever has gone down, and I thought I was getting better.

　　I was admitted to the hospital. Woke up again, it was the next afternoon, and I had a high fever for a day and a night.

　　After treatment, the body temperature dropped quickly. During my stay in the Eighth Hospital, my temperature was high and low, and I kept sweating repeatedly, and I had to change several sets of underwear a day. The most uncomfortable thing is headache and severe fatigue. The nurse came to give me an injection, and I didn’t even have the strength to raise my hand. I have no appetite at all. I only ate two or two porridge for five days in hospital.

　　On the fifth day, the results of nucleic acid test came out: positive, and I was diagnosed as COVID-19. My husband was very worried about me, so he asked someone to buy albumin and globulin for me, but my temperature never dropped to normal. On the eighth day, I was informed that I was transferred to Jinyintan Hospital in Wuhan for further treatment.

　　There were four people on a transfer car, and there was no oxygen on the car. I opened my mouth as wide as possible and kept panting. "How long will it take to get there?" We kept asking along the way, and it seemed that there was no end in sight for more than 10 minutes.

　　At 1: 00 noon on the 30th, I was admitted to an ordinary isolation ward on the second floor of Jinyintan Hospital, where the attending team was the Shanghai medical team. After hormone shock therapy, my fever dropped the next morning, my chest suddenly became clear, I felt much more comfortable and my spirit improved.

　　I breathed a sigh of relief and thought that my condition was developing in a good direction.

　　On the third day of transfer, his condition turned sharply and he was dying.

　　February 1st, 10th day of hospitalization, 3rd day of transfer.

　　No one expected that my condition would suddenly take a turn for the worse at night: I had difficulty breathing and a severe cough, as if my heart would pop out at any time after running 10 thousand meters. The heart rate is very slow, and there is an indescribable chest pain sweeping through the body. If you move a little, you will be in pain. I think this should be the second counterattack of the virus.

　　I am a doctor. According to the symptoms, I judged that I had endocarditis and pericardial effusion, so I quickly told the doctor about my situation. I vaguely heard the nurse say that "the situation is not very good, and people are dying." I don’t think I can make it tonight myself. Thinking that I might never see my husband and daughter again, I struggled to get through to my husband. "I can’t … …” Hearing this sentence, my husband cried with a "wow". Every time I say a word, my chest pains are suffocating. I can only pick the most worrying things and make a simple explanation to him.

　　Soon, the nurse came to draw blood and the doctor added medicine to me. The next day, my test results came out, pericarditis. The doctor said, fortunately, I spoke early and won valuable time for them to deal with it. My life was saved by myself.

　　After that, my situation improved day by day. On the eighth day, I felt that I had recovered almost, and applied for CT and nucleic acid examination. I heard that I wanted to leave the hospital, but my husband worried that I was not well and advised me to stay a few more days. I can’t occupy such precious medical resources. I have to make room for patients who need urgent treatment. In order to reassure him, I sent him photos of three meals a day, and also asked my patients to help me take a video of my exercise in the ward and send it to him.

　　On February 11th, I was discharged from the hospital. After life and death, it seems like a lifetime ago. When my husband came to pick me up, he specially brought the changes of my illness that he recorded for me every day for 20 days. Seeing the familiar fonts on the desk calendar, I burst into tears. Only after experiencing life and death can we know that living is really happy.

　　I’ll be isolated at home for another eight days, and then I can go to work. I am very grateful to my colleagues in the hospital for their care and support, and to all the medical staff of the Shanghai Medical Team of Jinyintan Hospital for their meticulous treatment. I want to go to the battlefield again and fight with my brothers and sisters to the end. I want to see Wuhan filled with fireworks as soon as possible. When the quarantine expires, I will donate plasma and treat more patients with my own blood. (Reporter Liu Xuan)

　　China is the hometown of tea. Chinese has discovered and used tea for thousands of years, and many people like drinking tea very much. However, there is news on the Internet recently that drinking tea is bad for the heart and may even lead to heart disease. Is it true?/You don’t say.

　　In fact, drinking tea is not bad for the heart, and it may even be beneficial — — This should start with the special ingredients in tea. Tea is usually rich in flavonoid antioxidants, such as tea polyphenols and catechins, which give tea an attractive fragrance. In addition, tea also contains a lot of caffeine. In the process of making tea, some of these substances will dissolve into the tea. Therefore, tea is actually a drink containing a variety of plant antioxidants and caffeine.

　　Tea is rich in antioxidant substances such as tea polyphenols, which can scavenge human free radicals and have certain benefits to health. Judging from a large number of current studies, drinking tea is good for the heart and cardiovascular system — — It may significantly reduce the risk of heart disease and stroke by reducing low-density lipoprotein cholesterol ("bad cholesterol").

　　A study in Journal of American Heart Association took six years to analyze the relationship between the change of high density lipoprotein cholesterol (HDL-C) level in the blood of more than 80,000 Chinese and drinking tea. The results show that the HDL-C level of people who insist on drinking tea for a long time decreases more slowly, and the risk of cardiovascular diseases decreases by 8%, which is beneficial to cardiovascular health.

　　China’s "Food and Health-Scientific Evidence and Consensus" summarizes and analyzes the research on tea and health, and thinks that drinking tea can reduce the risk of diabetes, stroke and cardiovascular diseases. Therefore, it can be considered that drinking tea is not only harmless to the heart, but also beneficial.

　　However, because tea contains caffeine, some people drink too much tea, which will lead to discomfort such as palpitations, so some people worry that drinking tea is not good for the heart. In fact, this is a normal phenomenon, which is called "tea drunk" by the people. As long as you drink it in moderation, there will be no problem.

　　At present, the international research on caffeine is relatively sufficient, and authoritative health institutions believe that moderate drinking of coffee and caffeine will not cause damage to the heart. For example, the American Heart Association, the European Heart Association, the Australian National Institute of Health and Medical Research and other institutions believe that healthy adults drinking coffee in moderation (1 to 2 cups a day, about 200 milligrams of caffeine) will not increase the risk of heart disease and cardiovascular disease.

　　Compared with coffee, there is much less caffeine in tea. The caffeine content in a cup of tea is usually only 40 to 80 mg, which is less than half that of an equivalent cup of coffee. Therefore, it is no problem to drink 3 to 4 cups of light tea, such as white tea and green tea every day; For some strong tea, such as black tea, the caffeine content will be more, but drinking 2 cups will not be a problem. Of course, if your heart and head are really uncomfortable after drinking tea, try not to drink or drink less.

　　According to the data of China Cardiovascular Disease Report 2017, the number of cardiovascular patients in China has reached 290 million, and cardiovascular deaths account for 40% of the deaths of residents, which is higher than tumors and other diseases, ranking first; Moreover, the morbidity and mortality are still on the rise. From the current research, maybe drinking some tea every day can also reduce the risk of cardiovascular disease, which is beneficial to the body.

　　It is worth noting that many people may drink tea in the wrong way. How can drinking tea be beneficial to health?

　　First, don’t drink too much tea or drink too much tea. Drinking a lot of tea, in addition to too much and too strong caffeine intake, tannic acid in tea may also affect the absorption of iron, which is not good for health — — It is recommended not to drink more than 4 cups of tea every day. Second, drinking tea every day is best arranged in the afternoon, not too late, so as not to affect sleep. What needs special reminder is that you should try to stay away from sugary tea drinks. At present, there is no evidence that sugary tea drinks also have cardiovascular protection. Therefore, tea drinks should not be used instead of drinking tea, let alone deliberately drinking tea drinks to protect cardiovascular health.

　　(The author is Ruan Guangfeng, Director of Science and Technology Department of Food Nutrition and Information Exchange Center)