The Returning Doctor Wanted to Live Quietly - Chapter 334
Only Noblemtl
Episode 334. Eradication of Corruption (2)
“Well, what’s the market price? If business is good, you get more. If business is bad, you get less.”
Answer from a consulting firm employee who helps prospective doctors open their own practice.
Lee Tae-hee tilted his head.
Although we were moving to open a new clinic according to Lee Jin-hyeok’s wishes, there was still a lot we didn’t know.
“Are you saying that if business is not going well, we should lower the ratio?”
“Of course. You can’t run away. Pharmacists are also self-employed.”
“Run away?”
“It’s a business closure, a business closure. We need to adjust things appropriately. Isn’t this a society where we live together? Haha.”
A clever answer.
This time, Lee Tae-hee laughed belatedly.
“If business is good, how much can you raise it?”
“Average of 200 patients per day. If there are a lot of patients, you can increase it. In fact, this hospital support fund is like that. It is given to us as a way to express our gratitude for the hard work of our doctors. If it is too much… … .”
“Can a pharmacist report it?”
“Hey. I can’t report it. Then I’ll be blacklisted right away.”
“Blacklist?”
“Yes, that’s… … .”
The explanation went on for a long time.
If pharmacists disclose the hospital support funds they donate to doctors, it will be made public to the doctor community.
It was said that if that happens, it will be difficult to open a business elsewhere.
Although he had heard it from Lee Jin-hyuk, it was surprising for Lee Tae-hee.
When she revealed her true feelings, the consulting staff laughed.
“It’s not just about hospital support funds, is it? Our teacher, hehe. Well, there’s no need to be so greedy.”
“What else is there?”
“There are many. I know it’s rude to say this, but. Ahem. Since the masks are good, I think you’ll have a lot of patients once you open your practice. Hmm. I don’t know how much more I should say.”
“Hey. You have to tell me everything. I told you I’ll stop if you don’t do it.”
As Lee Tae-hee leaned forward to show interest, the consulting employee slurped down his coffee.
A look that makes you wonder how much you can say.
After a moment of silence, he smiled.
“There is also a note prescription.”
* * *
Lee Tae-hee, who returned from meeting with a consulting firm employee, collapsed.
“What the heck, there’s something like this!!”
A look of disgust.
Jinhyuk shrugged his shoulders.
A situation where he himself knew everything that was happening secretly.
Unlike Jang Hyuk-jun, who frequently visited and weighed 『Young Doctor』, Lee Tae-hee knew nothing.
I explained it to the consulting staff who helps prospective doctors before meeting them, but their reaction was.
– That’s ridiculous. You’re going that far?
It was pathetic.
But it seems like he’s come to terms with reality.
When Jinhyuk remained silent, Lee Taehee made a pointed face.
“Does this make sense?”
“what?”
“Prescription note. Isn’t this illegal?”
“Isn’t it illegal?”
“really?”
“Oh. Because it’s a health functional food. There are no regulations. There’s nothing.”
“This is a really funny jjambbong.”
“That’s the original law.”
Such a calm reaction.
Lee Tae-hee was dumbfounded.
“You knew, right?”
“what?”
“The doctor writes down health functional food items on a Post-it note. The patient goes to the pharmacy and buys them because the doctor wrote them down. The pharmaceutical company gives the doctor a rebate. Didn’t they know all this?”
“I knew it. It’s so common. Prescription notes. That’s industry slang.”
“But why didn’t you tell me in advance? You didn’t tell me about the prescription note.”
“You’ll find out anyway.”
“and…….”
“The ophthalmologist recommends lutein supplements. The dermatologist recommends massage creams or anti-hair loss shampoos. Well, it’s common. Prescribing notes. Getting paid. It’s a profitable business.”
Lee Tae-hee shook his head at Jin-hyeok’s answer.
Lee Jin-hyeok, like a child put on the market.
When I heard that he was dating Lee Hyun-ah, I had a hard time breaking up with him, but it’s true that I got worried every time something like this happened.
I was moved by the words that I would apply more to the surgical field if I found the balance, but to be honest, I was more worried.
“Do you really have to do this? I recorded it, but it’s only going to get worse.”
“Because there has to be a balance. I work with a sense of mission. But the kids don’t support me. Because they don’t support me, it gets harder. So some people quit. So I don’t support them anymore.”
“So you changed a lot.”
“It’s not enough. Why did you see it this time? The additional recruitment results. It’s a dud. A dud. We couldn’t even fill the TO.”
Something I’ve already explained once.
When I said this over and over again, Lee Tae-hee became silent.
As her silence grew longer, Jinhyuk’s voice became more serious.
“Even if I expose you, your identity won’t be revealed. I have something else in mind.”
“Hey. That’s not what we’re worried about right now.”
“Well, anyway.”
“But how do pharmacists make money?”
“what?”
“No, that’s right. They sponsor interior design costs, and pay doctors a certain amount for each prescription they write. How do they make a living?”
“Even pharmacists get a hundred percent margin.”
“what?”
“They get a hundred percent markup from the pharmaceutical companies. Why, there’s something like Tylenol. There are many others.”
“You get a hundred percent margin when selling over-the-counter drugs or health functional products?”
“Oh, I usually just ask the pharmacist and buy what he recommends.”
When we even talked about the behavior of ordinary citizens, Lee Tae-hee blinked.
It’s not even a jungle.
The predatory relationship was clear.
The doctor who opened his own practice is a top predator.
Taking money from pharmaceutical companies, pharmacists, and building owners.
Pharmacists, who are top predators, received a hundred percent margin from pharmaceutical companies.
All of this is reflected in the price of the drug.
The health insurance premiums are constantly leaking out.
Lee Tae-hee shouted.
“Is this normal? Hey! Is this normal?”
* * *
Originally, society had an abnormal structure.
Contradictions pile up and pile up.
And when that contradiction and abnormal state continues irreversibly, a revolution occurs.
The French Revolution was like that.
This has been the case with countless civil wars recorded throughout history.
So someone had to change.
No, it might not be possible to change it.
But shouldn’t it at least serve as a fuse?
I regressed.
Live twice.
I also plan to watch the decline of essential subjects like in the past.
He had no intention of giving up his own life and putting everything into it.
But when asked why.
“Because I hate it.”
“what?”
“I hate you. Doctors are people too. Your cousin bought some land and you’re feeling sick? That’s because of relative deprivation.”
I had no choice but to answer like this.
Because I can’t say that I even ignored my mother’s deathbed.
In addition to that.
“They’re all just nice people.”
“what?”
“Professor Han Dong-soo. He collapsed after working over 120 hours a week. Do you think the hospital director didn’t do the same? The chief surgeon, you still haven’t put down your scalpel. Why? Otherwise, the residents will run away.”
“… … .”
“I have to make the kids more comfortable so that I can continue the family line. That’s why I do that. They’re all good people. How old are they, what grade are they in, when are their birthdays? I live without remembering any of it.”
The harsh reality of the surgical field.
Lee Tae-hee remained silent heavily.
Actually, she knew it too.
My dream is to become a pediatric surgeon.
I made a pledge to myself when I saw a young child die while working in the emergency room.
Even though I was still running towards my new dream, the wall of reality was high.
When Lee Tae-hee remained silent like that.
Others came in later.
Choi Jae-seong and Jang Hyuk-jun.
And it was Kim Hyun-soo.
* * *
Those who ordered coffee and sat down
Everyone was silent.
Kim Hyun-soo met with a pharmaceutical salesperson along with a senior who had opened a practice.
Jang Hyuk-jun and Choi Jae-seong met with employees of another consulting firm.
So, no one is saying anything.
It doesn’t seem like he’s usually shocked.
I’ve seen and heard things before, but it’s a whole other level to meet someone face to face and hear the honest truth.
at that time,
“I didn’t know it would be this serious.”
“I didn’t know?”
“It was serious.”
Jang Hyuk-jun let out a deep sigh.
Jinhyuk laughed while drinking coffee.
“You were also considering opening a business.”
“Oh, really, how many times do I have to say that? That’s because I think a lot after getting married. Anyway. Oh, I don’t like it. I don’t like this.”
“why?”
“Am I a vampire?”
“… … ?”
“They say you can just stick straws in here and there and suck it up. That’s not why I became a doctor.”
“Is it because of a sense of justice?”
“Ah, that damn sense of justice. I don’t really want to show it.”
“sure?”
“I just don’t like it.”
It means that you can’t just sit still.
Jinhyeok turned his head and looked at Kim Hyunsu.
Kim Hyun-soo, the mama’s boy with horn-rimmed glasses.
He was also a proper R3.
“Mom is still like that these days. She said she should have listened to me and gone to the dermatologist.”
“But?”
“Because the skin care market is open and profitable. These days, people say that I should have gone to an internal medicine clinic. But you know what? I don’t want to hear that anymore.”
“why?”
“I’ve been holding out in CS so far. I can’t give up now.”
It’s too late to give up.
Jinhyeok smiled brightly after receiving consent from Choi Jaeseong.
“Museong, how are you? Let’s call Kim Mooseong first.”
Son of the Vice Minister of Welfare.
Troublemaker Kim Moo-sung.
His strength was needed.
* * *
Two weeks later, the off-day came again.
Jang Hyuk-jun and Choi Jae-seong were moving together.
Because Choi Jae-seong was speechless.
but.
“Haha, that’s true.”
“Yes, sir. Haha.”
The atmosphere was better than ever.
Jang Hyuk-jun, who is a member of Apgujeong-dong’s Orange Tribe, is wearing luxury goods all over his body.
Watches, tie pins, shoes, belts, and even clothes.
There is nothing that is not a luxury item.
Because they were about to open a practice at any moment, the consulting firm staff kept a humble attitude.
“Teacher, I didn’t want to tell you something like this, but I’m going to ask you this specifically.”
“Oh. Brother. Can I call you Brother? Feel free to talk to me… … .”
“Child, that would be difficult. Rather, I should treat you as my older brother. If things go well later, great, great. Just give the list to this younger brother.”
“The list?”
“Why, what is that? There’s a contact on the intranet. Huge, huge.”
“Oh, so you need a list of personal information?”
A question from the quick-witted Jang Hyuk-jun.
The consulting staff nodded shallowly.
“Hmm, big. General internal medicine, pediatrics, colorectal surgery, orthopedics, and rehabilitation surgery are also good. This is, really. Sales are not easy.”
“I guess that’s because you don’t have any contact information. You need to find someone to open a practice. Right?”
“Yeah, haha. Well. I do have a graduation album. This is really.”
“Hey! Did you get the graduation album too?”
“Of course. My older brother gave it to me. Haha. This is really. A business asset… … .”
The consulting firm employee trailed off.
Take him to his room and buy him lots of expensive liquor.
I couldn’t tell him that I barely managed to get it.
Looks like he only has a lot of money.
Jang Hyuk-jun, who looks like a rich kid.
You never know.
As expected.
Jang Hyuk-jun shouted heartily.
“Oh, really. If you just settle down, there’s nothing I can’t do for you. Isn’t that right, hyung? Haha.”
“Well, our job is a bit like that. But it’s good for you, teacher. And it’s good for us, too, right?”
“That’s right. Civil servants and doctors. How often do you hear that they don’t know the ways of the world? They also get scammed a lot.”
“Well said! That’s why we exist! Consulting to help you open a practice! It’s not for nothing that this is popular! Haha.”
We were talking, laughing, and chatting for a long time.
Choi Jae-seong, who had been silent alone, intervened.
“I, but, if the doctor doesn’t listen to me. That is, if the hospital doesn’t give me the support money, what should I do?”
“You can just change your prescription.”
“Should I go to another pharmacy?”
“Of course. You can do it for two weeks, or even just one week. You can tell the patient directly. Well, this medicine isn’t available at the pharmacy on the first floor. Go to the pharmacy in another building.”
“If I fill in the blanks, what will happen?”
“Hey. Then you can just change it again.”
“Again?”
“Teacher, too. That won’t last long. From the pharmacy’s perspective, it’s all inventory. Some pharmaceutical companies accept returns, but some don’t.”
It is said that after the separation of dispensing and prescribing, pharmacists became completely inferior.
It was said that there are countless ways to punish those who do not pay the money under the pretext of hospital support funds.
It is a world where doctors who went on strike to protest the separation of dispensing and prescribing have turned into top predators.
When Choi Jae-seong clicked his tongue, Jang Hyuk-jun stepped forward.
“How is the pharmaceutical company rebate structured?”
“Oh, that’s it. If you thought I was going to say that because I’m not a salesperson… … then you’d be mistaken. Haha. I’ll tell you everything.”
“Oh. As expected!! Haha.”
“This is it. You know the sales management fee? The sales management fee. Pharmaceutical companies are also active in sales.”
“I heard the gist of it… … .”
“You know about setting up a booth at an academic conference or symposium and applying, right?”
“Yes, yes. They even paid money under the name of clinical observational research expenses.”
“That’s a general hospital. As for opening a clinic… … .”
The explanation went on for a long time.
You can receive a corporate card in the name of the pharmaceutical company.
There is a limit to how much you can spend per month.
They said they would also send me on a trip under the name of overseas academic conference support fund.
If it’s severe.
“We also provide pick-up services. Our doctors. Many of you send your children abroad to study. Sometimes we even pick you up at the airport. Haha.”
“Really? Is that all you have?”
“Hey~ There are many. Just call me when you’re having a drink! Don’t get hurt! I’ll give you a refreshing treat! What, this kind of salesperson. It’s heaven and earth, heaven and earth.”
A saying that anything can be done as long as you use the medicines produced by pharmaceutical companies.
The explanation continued for a long time.
* * *
An hour later.
Kim Moo-seong’s father, who heard everything from the next room, asked with a heavy expression.
“You called me to listen. Sir, is this really real?”
A very angry face.
Jinhyeok glanced at Kim Moo-seong, who was sitting with a tired expression, and then took out a recorder.
“No, I don’t think you’ve heard everything yet.”
It was time to clear out the deep-rooted evils for everyone’s sake.