乡村医疗
1.The country doctor's memory was record of the grieves of the countryside as a whole.
—— Arthur E.Hertzler, 1870——1946
【译文】乡村医生的回忆记载了整个乡村的悲伤。
【点评】任何国家的乡村都是饱受缺医少药之苦的地方。
2.The true test of national medical progress is what the country doctor is.
—— S.Weir Mitchell, 1829——1914
【译文】一个国家医疗进步最真实的评估手段是去看乡村医生的表现。
3.The small town needs the best and not the worst doctor procurable.For the country doctor has only himself to rely on: he cannot in every pinch hail specialist,expert, and nurse.On his own skill knowledge, resourcefulness, the welfare of his patient altogether depends.The rural district is therefore entitled to the best-trained physician that can be induced to go there.
—— Abraham Flexner, 1866——1959
【译文】小城镇需要得到最好的、而不是最差的医生。因为乡村医生只能依靠他自己：他不可能动不动就去请专科医生、专家和护士。患者的福祉完全取决于他个人的技能、学识和智谋。因此，农村地区有权获得那些能被吸引过去的，受过最好训练的医生。
【点评】正如一代伟人毛泽东所说：“把医疗卫生的重点放到农村去。”
4.The cost of new devices and training for new procedures is too overwhelming for rural or community hospitals where they have neither the patient load nor the money to invest in new equipment.
—— Richard M.Stava(https://www.daowen.com)
【译文】对于农村或社区医院来说，新设备和新手术的培训费用太高，因为那儿既没有大量患者来承担，也没新设备投资费用。
5.For some rural physicians a good surgeon is one from whom your patient always returns with one of his abdominal organs missing.A bad surgeon is one who does the opposite.
【译文】对一些乡村医生来说，其心目中的好外科医生就是：经过他手的患者回来时总是少了某个腹部器官，否则就不是一个好的外科医生。
【点评】所以，有段时间曾出现过一个村子里竟然没有剩下几个有胆囊的村民。
6.Another rural law: as long as the patient has an appendix, a gallblader, a uterus and two ovaries, you refer him to the local surgeon.Once these organs are gone you refer to the university.
【译文】另有一条乡规：只要患者有阑尾、胆囊、子宫和两个卵巢，你就介绍他去找当地的外科医生。一旦这些器官都没了，你就介绍他去大学医院。
【点评】说得也很符合中国国情。
7.The common perception is that mortalities after an operation in a rural hospital are because "of the inexperienced surgeon or poor care" while if the patient dies in the Ivory Tower then he dies despite "the best efforts of the excellent doctors in the great hospital."
【译文】人们普遍的认知是，患者在乡村医院发生手术后死亡是因为“外科医生经验不足或照料不周”；而如果患者死在象牙塔（大学的附属医院）里，那就变成了“尽管大医院的优秀医生们尽了最大的努力”，但他还是死了。
【点评】是的，这就是现实!
8.[About managing acutely injured patients in US rural hospitals]: If you ship them away they'll accuse you of laziness, cowardice, or losing income for the hospital, but if you treat them locally they'll accuse you of being a 'cowboy' or endangering the patient.
【译文】（关于在美国乡村医院处理受伤的急诊患者）如果你放他们离开，会指责你懒惰、胆小或让医院错失了应有的收入；但如果你就地进行治疗，又会被指责为“莽汉”或致患者安危而不顾。