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That Time I Became A Dictator Of A Small Asian Communist Nation

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HeroCooky said:
And I can't believe that you all forgot that you can make the "Gay Export" a literal and canonical thing by choosing the right 5-Year-Plan bonus. :(
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Blame it on the Boring But Practical bonuses being genuinely practical and also somewhat necessary with the continued difficulty escalation.
 
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1982 - H1 - The Healthcare Revolution
  • Threadmarks
    • -[X] Political
    --[X] Healthcare Reform (Sub-Vote) (-7 Reputation) (-9 People's Opinion) (Bonus: + 2 Focus + 1 PttF = +3 Total)
    -[X] Political
    --[X] Healthcare Reform (Sub-Vote) (-7 Reputation) (-9 People's Opinion) (Bonus: + 2 Focus + 1 PttF = +3 Total)
    (8 + 3 = 11 - Boosted)

    The nation of Guangchou had, to put it mildly, a massive problem regarding its medical sector, just barely slipping from a total collapse by the jaws of neglect via hasty actions that saw much money, work, and materials poured into the entire thing. Cuban students now worked around the clock to alleviate the worst of the effects of the neglect while native doctors, nurses, and other medical practitioners worked overtime to prepare the next batches of students for graduation or simply any kind of medical expertise so that they could be slotted into clinics and hospitals to help deal with the massive backlog of patients sometimes waiting up to several weeks to see a doctor, and maybe even months for a needed surgery. A state of affairs that couldn't stand anymore and one that the Great Leader had taken as a seemingly personal insult.

    There couldn't be another reason why he had gathered the representatives and union leaders of all medical unions and medical providers in Guangchou, put them into one room, and told them to discuss how to reform the entire healthcare sector so that such a tragedy could never again be repeated. They hadn't beaten the forces of reaction within the nation only to fall to curable diseases and avoidable injuries.

    He had left the room after dropping the bomb that the budget would not be their concern, walking away from a stunned crowd that soon locked gazes with each other when the doors closed behind the Great Leader.

    In the following days, people rapidly fell behind the Nurse Unions, cowering in fear and gently rocking back and forth as they discussed what policies to set up and what the future of the medical sector would look like, alongside the education of new personnel.

    [HEALTHCARE REFORM VOTE]​

    (Go wild. Whatever you want that can realistically be done in this 1981s version of the world, and you can implement that. Include what a hospital will be like, what the education of future doctors, nurses, surgeons, etc. will entail, and all the medical logistics hub-bub around the same. Note that I am writing this on less than 5 hours of consecutive sleep in two days and 8 in total.)​
     
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    • The Real Health Reform bill we need is @HeroCooky sleep schedule!

    Go to sleep mate, for the love of god we'll be fine.

    Edit: Ninja'd by the QM, and others.

    My god man, I am so sorry.
     
    Among other things? Short shift requirements. None of the "80 hour weeks, 20 hour shifts" nonsense that still plagues the US health system today. The human mind can only handle 4-6 hours of intense focus at a time before performance decreases.

    How do you solve the manpower shortage? Arrange for more providers. PAs and NPs have been around since the 60s in the US.

    Can we do electronic healthcare records? Getting off of paper will be good.
     
    I think long shifts should only be used in extreme emergencies. But on the day to day its only harmful to have someone work for more than 6-8 hours.
     
    Can we sneak in a labor reform to shorten working hours and incentivized people to work as nurses part time? I think having the most people possible know how to treat injuries/sick people is something that be very useful.
     
    Is there currently a classic five-day work week and a two-day weekend in Guangchou?
    If so, we could try to review it, I understood that it was not optimal in terms of physical and mental recovery.


    yeastmobile said:
    Can we sneak in a labor reform to shorten working hours and incentivized people to work as nurses part time? I think having the most people possible know how to treat injuries/sick people is something that be very useful.
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    Maybe we should add a class to the school system to teach first aidand basic medicine, the necessary in the event of an accident and for everyday life also on health and hygiene ,the amount of good educating corectly people about that would be enormous.

    edit:
    Sexual education would be usefull to.
     
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    I think preventive measures could help a lot with this issue specifically because they (usually) don't need doctors or any other kind of healthcare professional. As the update itself noted, our main limiting factor is our lack of educated workforce but there's no way to solve that in a timely manner so we should instead focus on reforms that don't require more doctors.

    Any reform related to healthcare professionals should be enacted over an extended period of time. The only exceptions I can think on are: mandatory rest (because the professionals need to rest if they want to be effective) and education (the sooner we start the sooner we see the benefits).​
     
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