I think this is a more literal quote:
I’m telling the health ministries, that their work has only been for 15% of the nation’s population, and this 15% happens to be the ‘daddies’ of the system. The vast majority of peasants everywhere can’t get medical care. There are no doctors first of all, and no medicine second of all.
The health ministries aren’t the people’s health ministries any more; might as well rename them the cities health ministries, or even the cities “daddies” health ministries.
Medical education must be reformed; there’s absolutely no need to read so many books. How many years did Huatuo (legendary doctor dating from ~Han dynasty, 200 AD) study? How many years did the Ming dynasty doctor Li Zhizheng study? Medical education doesn’t need to be aimed only at high school graduates… even middle school graduates should be ready with 3 years of education. The main thing is to improve education at the clinical practice level. This way, when these doctors are sent to the villages, even if their skills aren’t great, they’ll be better than the frauds and scam-artists; and they’ll still be affordable for villages.
The more you read, the more confused you can get. Now, these procedures for health checkups aren’t at all appropriate for villages, and the method for training doctors is also only for the cities; but China has 500 million peasants!
Leaving behind the masses, recent work has targeted large amounts of resources towards researching major, mysterious, difficult diseases; in the mean time, the question of preventing and improving the treatment of commonly seen and easily transmitted diseases is given little attention, or totally ignored. It’s not that we don’t want specialization, but we should only devote limited resources; the majority of resources should be devoted towards resolving the masses’ most critical problems.
Another strange thing, when doctors give check-ups, they always wear face masks, regardless of the illness. Could it be the doctors are afraid of transmitting their own disease to the patient? No, I think its because they’re afraid of being infected. They want special treatment! Always wearing masks is creating a gap between doctors and patients.
City hospitals should retain some recent graduates without much experience; everyone else should go to the villages! We’ve just finished our campaign to “four clean-ups”, but health/medical work in the villages hasn’t yet completed! Medical work must redirect their focus onto the villages!