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臺灣全民健保世界第一 March 2, 2017

Posted by hslu in Chinese Food, Health Insurance, Nursing, Taiwan.
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昨天下午,我們在龜山(林口邊上)長庚醫院對面Starbucks樓上喝咖啡時看到長庚醫院的一位”病人”自己推著”點滴”來對面的巷子裏買滷菜。

無怪呼臺灣的全民健保是世界第一。如果病人不喜歡醫院的”養生餐”,可以自己出來買豬耳朵,鴨脖子和滷大腸。豆腐乾和海帶也來一點。

這位林口長庚醫院的病人,自己推著”點滴”,從病房出來,坐電梯下樓,在醫院裏走好幾條長廊,躲開來來往往的人群,出了醫院的後門以後,跨過一條六十英尺寬的雙線車道,再走四,五十步到復興一路等紅綠燈。走過一百英尺寬的復興一路,左轉,再走一百英尺到巷子口,右轉彎,走個二十步,就到滷肉攤子了。不算遠。走快一點,十五,二十分鍾吧。

她一手扶著點滴,一手指著她要的滷菜,選完以後,滷菜攤子的老闆給她切好,在滾水裏燙個四十秒鐘,撈起來放在塑膠袋裏。向這位病人收個一百四十元以後,這位病人就可以離開了。

回去的路上比較麻煩。她一手要推點滴,一手要拿香噴噴的滷菜。如果她忍不住拿出一個鴨翅膀一路走,一路啃,就騰不出手來拿滷菜的塑膠袋了。不過,她可能可以把塑膠袋跟點滴掛在一起,這樣子就沒問題了。

嗯,這位病人既然可以吃滷菜,那她一定也可以吃鐵板燒或牛肉麪。長庚醫院地下室有(大概)十五家小吃店,她為什麼要冒著生命危險,跑到醫院對面來買滷菜呢?復興一路可是龜山最忙的一條街啊!

既然她可以吃滷菜,為什麼還要打點滴?是營養不夠嗎?還是長庚醫院的伙食淡而無味,她拼了命也要出來自己花錢買滷菜,打打牙祭?

既然她可以吃滷菜,那她還住在醫院裏幹嗎?是不是醫院伙食比家裏的好,還是醫院的伙食是世界第一的臺灣全民健保付了,不用她付錢?

長庚醫院的護士是不是不夠,怎麼沒有護士或護理人員陪她出來買滷鴨翅膀?

想來想去,臺灣的全民健保確實是世界第一。

我聽到的台灣醫療制度 April 9, 2015

Posted by hslu in Nursing, Taipei, Taiwan.
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台大醫院急診部基層人員:
台大醫院急診室不但病床滿到大廳,
急診室病患擠到走道上到處都是。

台大急診室公告:病人人數已經超過空間規劃,要等數小時到1天以上。

台大急診室:過道當病房。忙的時候等10個鐘頭才能輪到一個病房。想要早點進病房?請出關係關說一下即可。

台大急診護士病人比:1:14。台灣醫勞盟理事長張志華:理想是1:7。美國維州 Fair Oaks Hospital: 最高 1:5.

台大急診醫生病人比:醫生一天至少看70個病人。

如何處理掛號過號:網上掛號,病人遲到,理應排到最後的。但台灣不是如此,而且每個醫院規矩不同。每2,3 或5號插一個過號不到的病人。你乖乖的排隊。那就乖乖的等吧!

台灣的醫院有許多先進的儀器可是健保不一定付。你如果不知道醫院有先進的儀器。沒關係,醫生會主動的告訴你。他會告訴你健保不付。不過如果你想要早點好的話,你得自己掏腰包。

台灣有許多先進的西藥可是健保不一定付。如果你想要早點好,醫生會主動的建議你自己掏腰包。

如果你想要看牙醫。請先預訂。不過,你如果沒有預訂,他可能會儘量的安排。如果牙醫生做的快,牙醫診所會打電話叫你早點來。洗牙也是牙醫生親自洗。沒有洗牙師。最後磨光牙齒時,他只磨幾個門牙的前面。三下兩下清潔溜溜。就打發我出門了。掛號費50元。好像門診費一百元。一共一百五十元新臺幣。不到五塊美金。

不知道台灣健保付給這位非常年輕的牙醫生多少錢。不知道他一個月能賺多少錢。

Samsung has a grudge against 台灣? October 8, 2013

Posted by hslu in iPhone, Nursing, Taiwan.
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Is it just me or am I actually too paranoid to look for bones out of an egg, 所谓的”鸡蛋里挑骨頭?”

Samsung’ s 中文输入軟體 on its iconic Galaxy S4 smart phone is decades behind Apple’s iPhone 3 in terms of user friendliness to someone who wants to communicate using 繁體中文。

At least, that’s what I have experienced so far.

For instance, when I want to enter 台灣 on S4, I have to to enter tai and scroll down to find 台。I then enter wan and scroll down to pick 灣 from the options given.

In many cases, S4 will offer 简体字 first. I have to scroll down to find 繁體字 if it is offered.

On iPhone 3, all I need to do is enter tw and pick either 台湾 or 臺灣.

Simple like that.

If I want to enter 台北, I need 5 strokes for 台 and 3 strokes for 北.

On iPhone 3, enter tb and 台北 is the first option.

If you enter tb on S4, 台北 is not an option even if you scroll down to look for it. 

Am I missing something here or Samsung 三星 is actually having a grudge against Taiwan?

Maybe I need to use other software to input Chinese on my S4.

Krugman is at it again. January 21, 2011

Posted by hslu in China, Economics, Global Affair, jobs, Nursing, Politics.
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Paul Krugman has been saying the same thing about the Renminbi for a long time. A bad economic theory from Krugman’s mouth can sound like true after he tirelessly say it a thousand times.If you ask 11 economists for their opinions, you get 12 answers. Krugman’s rant is the 12th answer here.
http://www.nytimes.com/2011/01/21/opinion/21krugman.html?_r=1&emc=tnt&tntemail1=y
I am not sure that a stronger Renminbi is good for the US unemployment picture. The US may get a few thousand jobs here and there in the exporting industries but everyone in the US will pay more at Wal-Mart for goods coming from China. Is that good for the US economy? I am not so sure.
As of now, there is no other country in the world can replace China’s manufacture capacities. No one. In 10 years maybe. But not now.
No other country has the infrastructure to produce the amount of goods that China is exporting to the rest of the world now. If the US wants to blame someone, I am telling you that it was all Bill Clinton’s fault. His pro-Chinese policy triggered a tsunami of foreign direct investments rushing into China to build plants after plants. These American companies did it not because they don’t like American union workers. It was because they liked the Chinese worker much more. They don’t take 10 days of sick leaves a year. They don’t take 30 minute coffee breaks once every a few hours. They don’t read newspapers on company time. They don’t ask for double digit raises every few years. They don’t have fat pensions. They don’t have unsustainable health insurance benefits. They don’t come late and they don’t leave early. And they got paid at 1/5 or even 1/10 of the union wage doing similar work.
Who is the guilty party here? Americans, look into the mirror. That’s who. I haven’t mention that all these Amercian companies wnat to sell something to all these Chinese workers too.
The US promotes free trade. This is free trade. Live with it, Krugman.
The US has no one to blame but itself. Krugman, wake up and face the reality. It is not Renminbi problem. the problem lies with the costs of American workers. It is structural. It is system wide. There is no use to blame the Chinese currency. The America’s workers are not as competitive as you might believe. Period.
Hmm, did I mention other American problems such as QE2, The TARP, the first Obama stimulus and second smaller stimulus disguised as pay roll tax relief? The world will face a bigger inflation problem thanks to the Fed and US Congress. Is that what the world needs? Krugman?
So, shut up! Krugman!
Don’t talk up the Renminbi to hide the real problem of the United States. You can’t use a stronger Renminbi to compensate for a less competitive American worker force. If it ain’t so, the American companies will not move their capitals to China. They would more than happy to stay in the US. No one put a gun to the heads of these companies’ CEOs. They did it willingly. They did it with the support of their board members.

China is looking after its own interest just like the US does. What Krugman is not aware of or his sheer inability to think clearly is that China is not a pure capitalism country. The central government in China can direct significant power to where the problem is  that no US agency or Obama can match its effectiveness.What Chinese government is doing now is take a moderate, step-wise approach just like Chinese have been doing for hundreds of years.
What didn’t work in the Nixon era may be the right medicine in China if it is done judicially. Everyone predicted a 6+% inflation rate in December for China. It came in at 4.8%. Did you check your numbers, Krugman?
If the Chinese government wanted to, their actions can be swift and focused. As for the US, they have to weigh the pros and cons of every policy and each one of these policies is subject to attacks whether the government like it or not. As a Democracy, by default, many policies are moderate in nature at best because special interest groups will make sure it is so.
Except the ObamaCare which Democrats got it done behind closed doors, lie to the public, phony math and illegal bribes using public money. Well, that a topic for another day.


http://www.nytimes.com/2011/01/21/opinion/21krugman.html?_r=1&emc=tnt&tntemail1=y

INOVA to sell Nursing Homes July 8, 2010

Posted by hslu in Health Insurance, Nursing, Obama, Politics.
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INOVA has announced recently that it is selling two long-term care facilities, commonly known as nursing homes, in the Fairfax county, Virginia.

Why? Why sell them now? After all, INOVA has owned them for the past 20 years.

Because under ObamaCare, INOVA can’ make a decent profit; that’s why.

May 12, 2010

Posted by hslu in Health Insurance, jobs, Nursing, Politics.
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A friend of mine showed me this article and here are my thoughts:

http://finance.yahoo.com/focus-retirement/article/109522/retired-workers-will-be-wooed-to-return?mod=fidelity-changingjobs

The total number of encore jobs in 2018 are 512.5 million jobs according to the table assuming the unit is hundreds of thousands.   Of that 512.5 million jobs, 227.9 million, or 44.5% will be directly involved with the health care related business; not including doctors and hospital administrators, clerks, receptionists, etc. And they will be working for government or government-regulated businesses. The table do not include doctors whose number is probably too small to be included in this table.

As time progresses into years beyond 2018, this number will grow even higher because more people will be in the upper age groups and they will need more health-care related services.

Here is what I see:

1.    More people will be working for the government. Health care business will be a bigger pie in the US economy.

2.    Not enough younger workers enter the health care field and it will be the not-too-old serving the truly old. Because there are simply not enough younger workers in the work force unless we get more immigrants which will likely be out of necessity.

3.    The US economy will shrink or the growth will be curtailed because old people simply do not spend as much as they used to. They buy what they need not what they want. Do you see this in yourselves? Ask yourselves is this true?

4.    Few doctors will enter the field because they won’t make as much money as they used to. They also had to fight red tape and answer to someone in state capital or in DC. They will no longer be the boss and they will not be the one who have the final say.

5.    Drug companies will cut back their R&D programs because the incentives have been reduced. These companies simply do not have enough profit to pursuit the development of so many new drugs at the same time.

6.    Medical instrument companies will face the same situation. Enough said about the drug companies. They are in the same sinking boat.

7.    The seniors will be outside of this sinking boat hanging to the ropes thrown to them by government employees.

8.    The richer people are closer to the boat. They may even have a life boat with ample supply of clean water and food. The poor people will be further away from the boat and sharks are passing by. They have no clean water. No food. No hope. But they do have a number in their hands and are told to wait in line until their turns are up.

9. Quality of services will drop for sure. We’ll see more doctors from foreign countries when you go to a clinic or a hospital. Indians, maybe?

10. Many seasoned nurses may have to work until they are in their 70’s. They can’t retire. The United States government needs them. Their fellow senior citizens need them. Pay won’t be as good though.

11.    The picture isn’t very bright for the seniors.

Sorry for ruining your beautiful day.   hongsheh

Bao Taking Work Home October 19, 2009

Posted by hslu in Nursing.
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Bao Taking Work Home

October 19, 2009

Bao has been taking work home for at least the past 6 months and it probably won’t stop anytime soon. She also had to go to the hospital on her off days to attend meetings too.One thing was very clear to me: She has grown a lot in her job as a RN.

Bao has been a busy nurse:

She has been a member of the Staff Review Committee for more than a year now. She often had to go to 2- or 3-hour meeting on her work days to review other people’s performance with ither commitee members.

She has been a primary member of a department project responsible for the re-organization of their medication rooms during the past 4 months. The project is near its completion and she often had to work with word processor to review changes of the documents the project members have put together. She also had to attend meeting on her off days to review the progress and to work out differences among project members.

She recently worked with other nurses designing a set of flash cards (in Chinese) to assist department nurses to communicate with Chinese patients.

She was appointed a member of an important hospital wide committee responsible for updating every standards of practice for the entire hospital. Again, she had to work with other members on several practices relent to her specialties and went back and forth to sort out the differences and details. She has improved her typing skills, she has improved her English some, and she has improved her computer skills as well. The workload of this job has been heavy and she sometimes had to work late into the morning hours to finish some paper work. With a few hours of shuteye, she’ll wake up at 6 AM, go back to work around 7 AM and won;t come home until 8 or 8:30 PM. Sometimes, I took her to work in the morning so that she could have a few more minutes to take a quick nap. In the evening, she doesn’t have to drive after a whole day’s work.

Well, she doesn’t know how long the Standards of Practice job will continue because there are hundreds of Standards of Practices at her hospital. But hopefully she can get out of the staff review committee in the new year.In the mean time, I’ll take her to work in the morning and drive her home in the evening whenever I feel it is necessary.

Well, at least she gets to improve her skills while working extra hours at home albeit with my help because she gets no overtime pay for all these extra work.

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