[In-depth exploration] How big is the gap between Chinese and American medical care?

Take the three highest rates of death and the highest incidence of cancer in China and the United States:

Lung cancer: In the United States and China, lung cancer is the most deadly cancer. According to the latest report released by the American Cancer Society in 2013, the overall five-year survival rate of lung cancer in the United States is 16%. However, due to the early screening in the United States, the 5-year survival rate of early lung cancer has reached 70% to 90%. Among them, the results of non-invasive stereotactic therapy (SBRT/SABR) are similar to surgery. There is no accurate report on the overall survival rate of lung cancer in China, but the five-year survival rate is generally considered to be 8%-10%.

Breast cancer: The overall five-year survival rate for breast cancer in the United States is 89%, and the cure rate for early patients has reached 98%. The incidence of breast cancer in China is growing rapidly, 3-4% per year, but the treatment level is very low, and the five-year survival rate is still less than 60%. The probability of breast cancer diagnosis in the US stage is more than 80%. The probability of breast cancer diagnosis in China at stage I is less than 20%. Once detected, most of them have metastasized or spread.

Prostate cancer: In the United States, prostate cancer survivors are close to 2.8 million, that is, 1 out of every 5 cancer survivors are prostate cancer patients. The 5-year survival rate of patients with localized prostate cancer in the United States is close to 100%, and the 15-year survival rate is as high as 91.4%. In China, the 5-year survival rate is only 30%, and the gap is significant.

Whether it is compared with the overall data of a certain disease, the gap in medical standards between China and the United States is still very obvious. The reasons for this gap are manifold:

1. Strict doctor training system: the United States is 6 years longer or longer than China

The level of medical education is the foundation of the national medical system, and doctor education is the core of the health care system. The concept of doctor education in China is completely different from that in the United States. In China, you can enter the medical school after graduating from high school, and you can study for five years after graduating from a medical school. The wages of doctors in China have no obvious advantages compared with other industries, but the amount of labor is very large, so they cannot attract talents.

In the United States, only the best college students can apply for medical school, and only about 15% of all candidates can be admitted. All doctors must have a Ph.D. After entering the medical school, you still need to study hard and long-term training to become a doctor. After graduating from the university in 4 years, he was admitted to the medical school. After four years of medical doctoral graduating, he was not a doctor. He must continue to perform resident training at some designated base hospitals.

Only qualified for training can qualify for the doctor's qualification exam. If you want to become a specialist, such as a heart or chest surgeon, after 5 years of general surgery training, you will go to a designated specialist hospital (such as the Texas Heart Center, MD Anderson Cancer Center) for a two to three year fellow. In this way, after passing the assessment, you can become a specialist with a specialist medical license. In addition, the training of a specialist, starting from high school, will take at least 13 to 15 years. When you graduated, the doctors are all over the age of 31. After such training, you can become an attending doctor and you can start treating patients independently. Residents are different from the attending doctors. Residents can receive funding from the government. After they become doctors, their salary will increase by three to ten times.

Such rigorous and lengthy training has made American doctors not only well trained, but also more academic and rigorous than doctors in other countries. In a wealthy country, what is more precious than human health and life? It can be said that doctors who work for human health in the United States are the best talents and social elites. In addition to love, the most direct motivation of American doctors is the high income of doctors. In general, doctors' income is ranked in the top 10% of all industry revenues in the United States, and some departmental income can rank in the top 3%. The doctor's annual salary ranges from $100,000 to more than a million dollars. In this way, high professionalism and high income make the profession of doctors very respected in the United States, and can also be said to be the top occupation of the entire American social pyramid.

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