Rebirth of Siheyuan starts in the 1980s

252 Is it difficult to open a hospital?

In fact, the idea is to recruit a large number of individual booksellers and cooperate with them through franchising to first establish a regional bookstore chain group and then further expand it into a national chain bookstore group, eventually forming a giant that integrates logistics and sales.

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It was just Cao Zhiqiang's idea, and he hadn't formally held a meeting to discuss it with anyone yet.

To be precise, when Cao Zhiqiang went to the department store to buy things, he only needed to drink tea and rest in the teahouse because he did not need to do it himself. So from that time on, he had been thinking about this matter.

But at that time, although Liu Donghai also served as a temporary bodyguard and secretary, accompanying Cao Zhiqiang, it was impossible for Cao Zhiqiang to talk to Liu Donghai hastily about the newsstand chain group.

But it is precisely because Cao Zhiqiang has been thinking about this "great" project that when he returned to the courtyard and met his blood sister, he was originally discussing her future work issues, but he involuntarily involved his own.

A big project is coming.

By the way, Cao Zhiqiang also briefly expressed his previously immature thoughts to his own sister Cao Jiajia in the pavilion of this courtyard.

In fact, Cao Zhiqiang didn't ask Cao Jiajian to give any good advice. He just wanted to find a reliable and strict person to talk to him to make his thinking clearer.

If you have to make an analogy, it's like having a brainstorming meeting and finding someone to talk to.

Of course, Cao Jiajia didn't think so much, and she didn't know that Cao Zhiqiang simply wanted to find someone to talk to. She just instinctively felt that what Cao Zhiqiang said was too big and a little beyond her imagination.

In other words, due to limited knowledge and other factors, Cao Jiajia believed that Cao Zhiqiang was doing it entirely for himself, in order to arrange a good job and a good future for himself, so he used public power for private purposes and launched such a large-scale operation to recruit thousands of self-employed people.

The purpose is to build a medical clinic so that she, Cao Jiajia, can be the director.

This made Cao Jiajia a little panicked.

Because during this period, although the practice of private use of public power through the back door was quite common in various places, such a large-scale private use of public power still made Cao Jiajia a little scared.

"Brother." After listening to Cao Zhiqiang's ramble, Cao Jiajia frowned and said, "We are doing very well now, and I don't want any leadership. Just find a hospital for me, a factory-run hospital, and let me continue to be a nurse."

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But you can’t do anything illegal and disciplinary for me, this is not okay!”

After listening to Cao Jiajia's words, Cao Zhiqiang, who was still resuming his thoughts, was stunned. He looked at Cao Jiajia, who had a worried look on his face, and immediately understood.

Obviously, the other party thought too much and thought that he wanted to use power for personal gain.

Although strictly speaking, this is true, the actual situation is different.

After thinking about it, Cao Zhiqiang decided not to discuss this with his sister.

Anyway, judging from my sister's situation, I can arrange whatever I want for her.

In addition, Cao Zhiqiang has now come to think about it. For someone like his sister, asking her to be the leader would be too big a step and could lead to confusion.

It's better to arrange for her to go to the factory-run hospital and continue working as a nurse for a while, and then think of other ways.

As for the medical clinic, this must be done.

It's not because of his sister, but this is part of Cao Zhiqiang's entire plan.

In fact, the current Cao Zhiqiang is no longer blind when he first came here, he already has some understanding of this era.

Why in this era does everyone envy employees of state-owned enterprises? Even more so than government agencies and institutions?

It’s not just a matter of salary, there’s also an issue of hidden benefits.

This hidden benefit is not just a matter of bonuses or not, or industrial coupons.

But something more real - social security!

Of course, there was no word for social security during this period, but it was called labor insurance, or labor insurance for short!

This labor insurance basically consists of two parts, including pension and medical benefits.

The specific overall planning unit also has two parts.

The first part refers to the cadres of government agencies and institutions, that is, those people who are filed in the Personnel Bureau.

The labor insurance of these people is all the responsibility of the state treasury. The specific welfare benefits are calculated according to the level. Generally speaking, they are quite favorable.

The other part refers to enterprise employees, that is, those people who are registered in the labor bureau.

The insurance of these people is the responsibility of the All-China Federation of Trade Unions.

According to the Labor Insurance Regulations of 1951, for employee labor insurance of enterprises, labor insurance funds will be withdrawn monthly based on 3% of total wages.

As for this part of the labor insurance fund, 70% of it is retained by grassroots trade unions to pay for various security expenses such as employee pensions and medical care, and 30% is turned over to the All-China Federation of Trade Unions for overall planning.

Retired employees generally receive a pension of 35%-60% of their original salary (raised to 50%-70% in 1953) from the labor insurance fund based on their length of service.

Medical insurance is more general and usually offers discounts based on level and length of service.

That is to say, the higher your level of service, the more favorable the discount on medical expenses.

If you reach certain very high levels and have seniority, medical expenses are completely free.

On the surface, labor insurance benefits for government agencies and public institutions are even higher.

But in actual practice, since the mid-1960s, the national finance has been stagnant. On the contrary, enterprises, due to the multi-faceted protection of a certain beloved leader, except for a period of chaos at the beginning, did not suffer much impact later.

, on the contrary, it forms an independent paradise.

Therefore, in the actual implementation process, the factory's labor insurance is higher. Not only do factory employees receive higher pensions after retirement than those in government agencies and institutions, but medical care is almost completely free.

To sum up, from the 1950s to the early days of reform and opening up, the state was actually responsible for national labor insurance, which was a typical national social security model.

But by 1978, the situation had changed.

Due to the emptiness of the national treasury, enterprises in various places have also begun to weaken. Many enterprises have low efficiency and heavy burdens. Therefore, pensions and medical benefits have caused a heavy financial burden on the country at this time, and reform is imperative.

As early as 1982, the state began to pilot labor insurance reform in Shanghai.

To put it simply, this labor insurance reform is to set up an insurance company, and then the insurance company will pool the pension funds for enterprise employees. The enterprise will pay pension insurance for employees to the insurance company based on the profit, and the employees will receive pensions from the insurance company when they retire.

Of course, this pilot does not have to be carried out in Shanghai. Other cities and companies can also apply to do this on their own. However, unless there is pressure from above, local governments will not be willing to take the initiative to carry out reforms. After all, the interests involved are huge.

If history remains unchanged, then by 1986, all companies will implement new labor insurance methods, which is simply called breaking the iron rice bowl and implementing a pension system where the more you pay, the more you get.

To put it bluntly, during that period, the labor insurance of government agencies and institutions remained unchanged for the time being, but the pensions and medical benefits of enterprise employees were all replaced by social co-ordination from the state, or by the enterprises themselves.

To put it more simply, during that period, the labor insurance for enterprise employees was calculated based on the enterprise's performance. The more you paid, the more you got. It was a matter of wool coming from the sheep.

If the company's performance is good, the labor insurance will be high. If the company's performance is not good, the labor insurance will be low. It is a proper company insurance, but the company is a national brand.

As for the overall social security system where enterprise support is completely transformed into social support, that will only happen after the 1990s.

But no matter how this labor insurance changes, it will only be benefits that government agencies, public institutions and state-owned enterprises can enjoy.

For the majority of self-employed people, I’m sorry, but during this period, you don’t want to enjoy pension benefits and medical reimbursement benefits.

During this period, self-employed people not only could not enjoy pensions and medical reimbursements, but also had difficulty traveling far away. At least they could not take planes or trains, but could only take cars.

Because trains, planes, and even ships require a letter of introduction from an employer before you can travel on them. The only institutions that can issue a letter of introduction are government agencies, public institutions, and state-owned enterprises.

The problem is, you don’t have to take a plane, a train or a ship, and you don’t have to worry about your pension for the time being, but you will always get sick and you will always go to the hospital, right?

Yes, in current hospitals, medicine and treatment fees are not high, and medical treatment is not expensive, but that is only for those who can afford reimbursement.

If you can't be reimbursed and have to pay for it all by yourself, then I'm sorry, but compared to people's income today, the medical expenses are really expensive.

Of course, this is not the biggest problem. The biggest problem for self-employed people when seeing a doctor is the sense of shame.

Think about it, if you go to see a doctor in the same way, if you have a medical institution, you will be reimbursed directly. You can use all kinds of good medicines vigorously and speak louder.

But as a self-employed person without an employer, you pay for everything yourself. Even if the expenses are not high, you will feel dwarfed compared to other people who can be reimbursed.

Even nurses have different attitudes towards those with work units and those without work units.

For those with work units, especially those with better work units and higher status, nurses tend to have better attitudes.

For self-employed people without an employer, nurses are often more perfunctory.

It is said that when you have enough food and clothing, you will know honor and disgrace.

In the early 1980s, most of the self-employed people were those who could not enter a formal employer. Their original purpose of becoming self-employed was really to make a living.

Once you make money as a self-employed person and have enough food and clothing, you will naturally have a higher pursuit, which is respect.

However, in today's China, no matter how rich the self-employed are, they still don't get the respect they deserve.

Even if you are a household with a household income of 10,000 yuan, or even 100,000 yuan, as long as you are self-employed, an ordinary factory worker can still look at you askance, or point at your nose and scold you.

If there is a fight, even if you are a householder of ten thousand yuan, if you fight with a factory employee who is not as rich as you, and you get into trouble, the household of ten thousand yuan without a work unit will suffer.

It can be said that self-employed people during this period were wealthy, but they suffered from discrimination in all aspects.

This kind of systemic discrimination cannot be changed for the time being, and neither can Cao Zhiqiang, a time traveler.

However, Cao Zhiqiang can find another way to incorporate those self-employed businesses into state-owned enterprises.

It's like recruiting a motley crew back then.

It would be much better if Cao Zhiqiang recruited those self-employed people in the name of a state-owned enterprise and entered into an agreement with them that was acceptable to both parties for mutual benefit.

But there is still a big problem here, that is, Cao Zhiqiang's so-called recruitment can only be done with them in the name of "contract workers".

This kind of contract workers are on the company's own recruitment list, similar to temporary workers.

As for this kind of temporary workers, their files can only be owned by the hiring company itself, and they cannot enter either the Personnel Bureau or the Labor Bureau.

If you cannot work as a cadre in the Personnel Bureau or as a worker in the Labor Bureau, naturally you cannot go to a regular hospital to enjoy the relevant welfare policies.

Yes, during this period, whether it is a regular hospital like the People's Hospital or a factory-run hospital, medical reimbursement is also very strict, and you must be a true cadre and employee.

As for temporary workers, sorry, they are not eligible for reimbursement at the moment.

By the way, temporary workers nowadays are called contract workers, and this contract worker is different from the so-called intern.

As an intern in the company, which is what Cao Zhiqiang was when he first entered the factory, your personal file has been entered into the labor bureau, and he is a worker who has not officially become a regular worker.

In other words, for corporate interns, although their wages are low and their remuneration is low, in terms of status, they have proper worker status and are formally registered with the Labor Bureau.

But contract workers are different.

The files of contract workers are only under the jurisdiction of the recruiting company and not under the control of the labor bureau. They are not regular workers and cannot enjoy the benefits that workers can enjoy, such as medical reimbursement and pensions.

In other words, corporate contract workers can gain face when speaking to others, and can write letters of introduction to buy train tickets or even plane tickets, but they cannot enjoy the pensions and medical reimbursement of regular employees.

If medical reimbursement is not available, once you get sick and go to the hospital, your status as a state-owned enterprise employee will be immediately reverted back to its original state, which will still make people feel ashamed.

then what should we do?

The solution Cao Zhiqiang came up with was to open a hospital himself, and then let the contract workers he recruited go to his own hospital for treatment when they got sick.

In this way, these self-recruited contract workers can enjoy the same reimbursement treatment as other regular workers when they seek medical treatment in their own hospitals.

In this way, those self-employed people will enjoy benefits, gain respect and psychological satisfaction in their own hospitals, and will naturally support themselves more.

Self-employed people themselves are a mess. To recruit these people into a company, they must have the cohesion or belief they yearn for.

In terms of making money alone, it is not very attractive to these self-employed people who are accustomed to idleness. Only by making them feel respected and that they can improve their social status by joining their team will they be willing to give up their profits and willingly replace them.

Develop your own territory.

Is it difficult to open a hospital?

The answer is that it is not difficult at all for state-owned units at this time!

At this time, state-owned units could build their own hospitals, and the approval procedures were much simpler than those of local government people's hospitals. All they needed was the company's own consent and the ability to get the money.

After all, state-owned enterprises at this time were still a relatively independent system, and local governments were often unable to control them.

Find out more about corporate social development!

For example, in Beijing at this time, the medical conditions of Shougang Hospital are among the best. Some of the hardware conditions and salaries are better than those of People's Hospital.

Then, it is actually not difficult to recruit medical staff.

In fact, you are right to say that in the 1950s and 1960s, the country was in dire need of medical staff.

So in the 1980s, although the country was still in dire need of medical personnel overall, relatively speaking, what the country was most lacking at the moment was not medical personnel, but medical places where these medical personnel could show off their skills.

In other words, after twenty years of training in China, a large number of medical staff have been trained by various medical colleges.

But the current problem is that the number of hospitals in the country is currently very small and cannot accommodate so many medical staff.

This has resulted in many students majoring in medical care being unable to go to hospitals to engage in the medical work they are good at.

Perhaps it should be said that there are few hospitals in the city, so you can go to the countryside.

But the reality is, how many medical staff who have studied in the city are willing to go to the countryside?

Wouldn't it be nice to be a worker in the city?

In other words, all the hospitals in China at this time were state-owned, either established by the state finance or by state-owned enterprises themselves.

Now the national government has no money, and there is not much money to build more people's hospitals.

As for enterprises, enterprises with good profits have already had hospitals, while enterprises with poor profits have no money to build hospitals.

You know, hospitals are purely money-losing things at this time, and the so-called reform of using medicine to support medical care has not yet begun.

Therefore, if Cao Zhiqiang spends his own money to build his own hospital, even if it is just a medical clinic similar to a community clinic, he will get the green light.

How easy is it for state-owned enterprises to open hospitals at this time?

Let's put it this way, if Cao Zhiqiang wants to open a hospital, he only needs to say hello to Director Li, and Director Li will agree.

Next, Cao Zhiqiang only needs to buy a house, recruit some doctors and nurses, purchase some medical equipment and medicines, and then bear the monthly expenses of those doctors and nurses, and of course other expenses such as water and electricity, before he can open his business.

A hospital, it’s that simple!

As for the Health Bureau and the like, it's easy to say that all the state-owned enterprises can do is send a letter and say hello.

As for what the Health Bureau doesn’t agree with.

What are you thinking about?

Not to mention that the country now strongly encourages state-owned enterprises to build hospitals.

Let’s just say that Hongguang Machinery Factory is an enterprise directly under the Ministry of Metallurgy. How dare a health bureau dare to offend Hongguang Machinery Factory?

As for opening a hospital, it is purely about losing money.

Cao Zhiqiang also thought about it.

That's right, opening a hospital now is indeed a waste of money.

But having your own hospital can bring together many self-employed people, making them reluctant to leave you.

Furthermore, after making money, you also need to do some charity work.

Opening more hospitals is also a public welfare undertaking and can bring you a good reputation.

With a good reputation, there is golden light body protection, and the benefits are self-evident.

Cao Zhiqiang has not yet figured out the other hidden benefits, but the benefits definitely outweigh the disadvantages.

After all, opening a hospital at this time is easy and cheap.

It may not be that easy if we wait until after the health care reform.

Compared with these benefits, arranging a job for my elder sister is really just incidental.

However, since my sister is so scared, I won't tell her the truth for now.

It's better to wait until your own medical clinic is established, and then directly arrange work for her.

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