The United States health care system of medical education in the United States 
     Medical education in the United States can be said to be the world's most stringent educational system. Different from most parts of the world, medical education in the United States is a post-graduate education, we must at the end of the required undergraduate courses, and through the United States medical school entrance exam (MCAT), the parties are eligible to apply for medical school. After graduating from medical school for four years by M.D. (MD) degree, but want to practice, but also must pass a license exam USA Doctor (USMLE), and after three to eight years in hospital and specialist medical training and examinations. If you thought that finally, after suffering more than all that and concentrate on making money, it is a big mistake. Must be saved each year of continuing medical education credits, and once every ten years of specialist re-certification exams to accompany you until you decide to retire to do so. So strict medical education and re-education, the purpose is not for trade monopoly, but in order to guarantee quality health care, mandatory to make clinicians clinics of the ever-changing knowledge constantly updated to be responsible for the sick. The United States has the world's most advanced medical technology and treatment means, which with its strict medical education and research are inseparable. In this regard, China and most countries in the world simply can not be placed on a par with them. 
     In the United States, into the medical school that not only the children of the rich, in fact, have the capacity of any people are interested may apply to enter the School of Medicine. American Medical College tuition is so expensive, but the majority of American medical students are relying on low-interest loans to complete their education. Education and training longer outstanding loans you have. According to the 2002 national student loan survey data, American medical students undergraduate and medical school average cumulative debt for the 91,700 U.S. dollars, while the general average debt of graduates is only 45,900 U.S. dollars. 
     One more thing to help everyone understand the current state of American Medical Colleges Admissions situation. American Association of Medical Colleges in accordance with information in medical schools nationwide in 1993 to apply for a total of 42,806 people, while in 2003 only 34,786, on the whole year showed a downward trend. The United States medical schools and professional students basically rely on the distribution of market regulation. A few years ago when the emergence of Managed Care model, the Doctor of basic health care demand, making a lot of outstanding medical school graduates into the ranks of one after another, leading to a serious lack of specialists. So much of foreign medical graduates benefit have access to some is seen as popular specialties, such as pathology, such as Branch and anaesthesiology. Today turned feng shui, basic health care due to an excessive number of doctors training, many graduates of American medical colleges began to turn to specialist. Since the United States medical school graduates can not meet the number of medical students throughout the community, particularly in remote areas are increasing the demand for doctors, many communities rely on hospital admission of foreign medical graduates for Hospitalization to maintain its normal operation. 
     The United States health care system, doctors fees 
     In the United States, doctors are sick the level of fees has strict standards. Medical insurance companies commonly used CPT and ICD coding system limits the Doctor for a diagnosis and operating procedures can collect the maximum fee. In order to comply with this system, doctors must be strictly recorded for each case what has been done to prove their compliance with medical coding used, not how much we should want the number. Found to be in violation is to be prosecuted and fines. To CPT code 99244 (the first out-patient consultation Level 4, the integrated case) as an example, in order to use this code, the doctor must be in its consultation document, a clear indication of life Patient Record in line with the requirements of this code Points of the System tests, and specialized screening service. Finally, doctors must make the necessary cases the diagnosis or differential diagnosis and make relevant recommendations of the examination and treatment. Therefore the complexity of the system, many clinics and medical units are equipped with specialized experts in Medical Billing, or specialized companies Medical Billing Services, to ensure that insurance companies or individuals to obtain the service fees in line with the provisions of this system. Virtually an increase of much complicated Paperwork Doctor efficiency are one of the reasons why. 
     Even if doctors are in strict accordance with the CPT and ICD coding system provides services to insurance companies to obtain, there is no guarantee that insurance companies can be obtained by the amount. The reason is that Bank of America's current health care insurance system in order to Managed Care as the main mode, rather than traditional in accordance with the service charges. The center of this model is not a Doctor, but the medical insurance industry. More than half of the United States has 50 states? 70% of the people belong to this type of medical insurance. A result, most of the doctors and clinics, as well as almost all the hospital to survive, must accept the American health care system model of Managed Care. Say has a monopoly, it can be said that you are a monopoly. In this mode, the medical insurance company, on the one hand and doctors and medical institutions to ensure that the latter contracted to provide sick sources, on condition that the latter must agree to the contract for the requested service charge discount, on the other hand, require the insured only in Patient it has a contract with a designated hospital or clinic of the Department, a doctor in order to control the cost of medicines. Managed Care model of the most typical example is the so-called "health maintenance organization", there are approximately 125 million Americans use it or a similar insurance scheme. In addition to the above limitations, HMO patients must look after basic health specialist doctors, specialists have no absolute right to decide on a case should be carried out by the inspection, and insurance companies have to agree to do prior. The resulting medical delays are often incurred in legal proceedings on the Doctor, this is the reason why someone has continuously called for HMO health care should also be liable for delay reasons. 
     It should be noted that not every patient has the same insurance plan, and the insurance plan of a CTP coding reimbursement rates are also different. Or CTP code 99244 as an example, the average time for a doctor 45-60 minutes, the standard charge for 210 U.S. dollars, but in Michigan, Medicare only paid 169.65 U.S. dollars, Medicaid is even worse is 108.17 U.S. dollars. Together with the insurance company contracted by the provisions of the discount, the average down, doctors get only get 210 U.S. dollars of 60-65%, that is 126-136 U.S. dollars. This amount is also deducted from 55-65% of the clinics operating expenses, is watch this Doctor Patient Pre-tax income available. In Michigan, on the language barriers of patients, hospitals and clinics is under obligation to provide them with a free translation. 
     The United States health care system and income Living Doctor 
     It is undeniable that the Doctor of income among the general population is indeed biased, but doctors are not businessmen, but the career service personnel. Doctor talking about income, it is important to take into account their time and money on high input, occupational risks, and related quality of life. Do not Say a week 50 --- 70-hour working hours and on call the night shift, weekends and holidays Duty, just a long training cycle in itself is enough to make a lot of people eager to get rich and stop looking. A common basic care physicians 5-7 o'clock every morning to start on hospital rounds, and then rushed to clinics visits. Smoothly if everything goes according to schedule, if so than lagging behind schedule, it is often not even lunch time and going to the toilet did not. Afternoon around 4-5 o'clock, after the end of out-patient, they have to face a lot of paperwork and patients respond to various questions asked. All of these are occupied by doctors free time. Specialists spent a longer time. In the U.S. you get services are one-on-one service, your doctor of any obligation to answer your call, even when in the middle of the night. This is with China every day watch Doctor 50-60 patients, doctors often do not understand clearly the case of illness to make the diagnosis and are not responsible for the services, is a huge difference from the. 
     The United States health care system, medical insurance 
     On the doctor's income, an unavoidable issue is medical malpractice insurance premiums. For many doctors, pre-tax income should be removed and used to purchase medical malpractice insurance costs, is their real pre-tax income. Legal code of conduct of doctors were limited, so that they should not arbitrarily disregard for human life. But the doctors for their medical malpractice case to be made for compensation in most states do not cap. In order to ensure that there is sufficient compensation for the capacity, and many doctors have had to buy medical insurance. Surgery and more complex operating procedures and assume the risk the greater the chances of facing legal proceedings are also higher, so higher insurance costs. 
     The United States health care system is also talking about a doctor in the United States 
     The United States are taken to a doctor appointment system. In the mainland have been accustomed to visit at any time for those who registered, there is the inconvenience. However, the original intention of this system is to ensure that medical staff have sufficient time to provide the best service for patients. Patient often encountered when a doctor appointment was on time晾在一边bench phenomenon. Caused by this phenomenon are many reasons, but few are due to Doctor's sake. Under normal circumstances, the specialist first visit takes about 45? 60 minutes, follow-up visits about 15? 20 minutes. Encountered in complex cases, people are very likely to exceed the scheduled time. Most doctors have not the time to solve the problem they have not swept aside to benefit a sick, because of medical ethics and are facing possible restrictions on medical lawsuits they can not do so. The United States so sick of waiting for most of all understand, because they know that if necessary, they also have the right to occupy more time Doctor. Doctor Patient, etc. caused by the more general reason is that some patients unpunctuality. General clinics are newly diagnosed or referral requirements sick about 15 minutes in advance to attend the appointment may be required to complete the Paperwork. But not every patient will do so. The resulting late Doctor consultation if no restrictions, it is bound to cause a chain reaction of other patients to attend the appointment on time and wait for the innocent. A lot of clinics are so sick of late, there are strict requirements: being late after a certain period of time have to re-appointment. Repeatedly late for those who are likely to lose in this Forever clinics opportunities. 
     The United States health care system to receive medical services in the United States pay attention to the following several suggestions: 
     1, according to you and your family member's health situation, carefully compare the advantages and disadvantages of the various insurance schemes. Not only in order to save money and lose their ideal of free medical services. 
     2, see a doctor before many people to ask around. Doctor personality and experience is different from the effect of natural Services are also different. 
     3, regularly call on your basic health-care doctors to do not to prevent disease. 
     4, if possible, try to choose the morning appointment, thus reducing waiting time. 
     5, to attend the appointment on time. 
     6, the language barrier have friends, especially from the mainland to the old people, prior to looking for friends who help make the English translation, or to their own medical history, medical history, drugs used, as well as ask the questions you want to print them. Is the language barrier can be made to the clinic or hospital requests for translation services (often free). 
     7, after reading the disease, not forgotten on a medical card, have him contact the above phone. 
     8, do not be afraid to call the doctor or clinic, although an offer to the attending doctor, but other than out-patient services are 24 / 7 system. Duty Doctor or his partner will be based on your situation of making a rational decision, or to your appointments in advance, or other arrangements for your inspection, specialist consultations, or for you for drugs.