你的工資是多少？你對此滿意嗎(二)

Anonymous
Going anonymous on this one, as the industry is competitive in Indonesia, and I'm a foreigner. Don't know if my boss, or my colleagues are on Quora, so I need to be careful.
I'm on 20,000,000 Rp ($1475US) per month, as a consultant. I'm not even in a dedicated managerial role, and I spend most of my time at home. I live in a smaller city, in the centre of Java, where most things are considerably cheaper, than in Jakarta, or Bali.
My work consists of design, consultancy, and manufacturing, and my latest project, will help small, remote farming villages, all over Indonesia, empowering them to increase harvests and reduce wastage, thus increasing their profits, which should provide a slightly higher standard of living for them.
I do love my job, and it's the most relaxed job I've ever had. My boss isn't the easiest of people to work with, but he is one of the most hospitable boss’, I've ever had.
It's not the highest salary I've received, as I took a 50% pay cut, in my birth country.
But the salary in Indonesia, puts me in a higher class, than in my birth country. I was in the lower of middle class back there, and this salary puts me into the higher part of middle class, in Indonesia.

我之所以不愿意透露姓名，是因?yàn)槲椰F(xiàn)在從事的這個(gè)行業(yè)在印度尼西亞競爭非常激烈，而我又是個(gè)外國人，所以我不得不匿名了。我不知道我的老板或者同事會(huì)不會(huì)看Quora，所以我必須要小心。作為一個(gè)顧問，我每個(gè)月的收入大概有2千萬盧比（也就是1475美元）。我大部分時(shí)間都待在家里工作。我住在爪哇中心，這是一個(gè)比較小的城市，這里的東西大部分都比雅加達(dá)或巴厘島便宜很多。
我的工作主要包括設(shè)計(jì)、咨詢和制造，而我最近的項(xiàng)目，主要是幫助印度尼西亞的偏遠(yuǎn)小村莊，幫助他們增加收成，減少收成不好的情況發(fā)生，從而增加他們的利潤，幫助他們提高自己的生活水平。我熱愛我的工作，這是我到目前為止做過的最輕松的工作了。
雖然我的老板不是個(gè)很好相處的人，但他是我遇到過的最熱情好客的老板之一了。
雖然這份工作并不是我有史以來拿到的最高工資，但是相比于在我的出生地工作，這份在印度尼西亞的薪水，比我出生地的薪水已經(jīng)高50%了。我當(dāng)時(shí)是中產(chǎn)階級的下層，但這份工資讓我成功躋身印度尼西亞的中產(chǎn)階級上層。

I live comfortably, in a place where poor people live around me. I pay an old guy 100,000 Rp, once a week, to clean my garden, and take my trash. I basically give him 2 days salary, for 2 hours work.
My mother built a house, but resides in my birth country, so I have the run of a two-story, three bedroom house, which is quite large, in comparison to her house, back in my home town. The house here, has many modern conveniences, such as sit down toilets, high power input (2,400w), air conditioning in all the bedrooms, a 40″ LCD TV, Broadband Internet, Microwave, Chilled and Hot water dispenser, and top-loading washing machine - considered basics, in my birth country.
I don't pay rent, just electricity, community security, and land tax.
It also make me sad, when I found out my indonesian colleague, only earns 12,000,000 Rp, and has a wife and three children to feed. Although, I do feel like he is a king in his neighbourhood, where his neighbours, probably don't earn half what he does.

我住在一個(gè)周圍全是窮人的地方，所以我生活得很舒適。我付給一個(gè)老人10萬盧比，讓他每周都來打掃一次我的花園，并帶走我的垃圾。我一般兩天一次給他結(jié)工資，每天工作兩小時(shí)。
我的母親在我的出生地給我建了一所房子，所以我現(xiàn)在有一棟兩層，三居室的房子。在我的家鄉(xiāng)，那個(gè)房子看起來比這里的房子要大很多。這里的房子，有許多現(xiàn)代化的生活設(shè)施，比如蹲便，大功率的輸入性空調(diào)（2400w），所有的臥室都有空調(diào)，還有一臺(tái)40寸的液晶電視，以及寬帶，互聯(lián)網(wǎng)，微波爐，冰水和熱水飲水機(jī)，以及能超高負(fù)荷工作的洗衣機(jī)。但這些電器在我的出生地，都是生活的基本必需品。
我不用交房租，我只需要交電費(fèi)、社區(qū)治安費(fèi)和土地稅就可以了。所以當(dāng)我發(fā)現(xiàn)我的印尼同事，一個(gè)月只掙1200萬盧比，還要養(yǎng)活一個(gè)妻子和三個(gè)孩子的時(shí)候，我為他感到很悲傷。不過，我覺得他的內(nèi)心應(yīng)該感到很驕傲，因?yàn)樗泥従涌赡苜嵉倪B他的一半都沒有。

Anonymous
Let’s see… [I was not planning to write anonymously initially, but the details of my reasoning might get me in trouble, so…]
I’m in Turkey, working in healthcare (physician). I make approximately 6200 TL in the beginning of the year, but because of the tax system, the income tax I pay in January (15%) gradually increases to 35%. And because of the method I’m getting paid is a little complex, I think I end up with 5400 TL in the 12th month.
I mentioned the tax system, because I learnt that the football players in Turkey have 15% income tax fixed. Yep, those who make millions have lower taxes than those who barely make thousands (I’m not just talking about myself, millions of people have to be magicians and make it work with just 1600 TL/month). This makes me mad.
Okaaay… Now… Let’s round the numbers and say I make 6000 TL/month, which is 72000 TL/year. Big number, right? That’s actually 19000–19500 USD/year depending on how Turkish Lira performs.

讓我想想怎么說，剛開始的時(shí)候，我并不打算匿名，但是我等會(huì)要說的細(xì)節(jié)可能會(huì)給我?guī)砺闊?，所以，我還是匿名了吧。
我在土耳其，從事醫(yī)療保?。ㄡt(yī)生）工作。我在年初的時(shí)候大約賺了6200里拉，但是由于稅收制度，我在一月份交的所得稅從15%的稅率逐漸增加到了35% 。而且因?yàn)槲夷眯剿姆椒ㄓ悬c(diǎn)復(fù)雜，所以我估計(jì)我在年末的時(shí)候可能最終只能拿到5400里拉。
我之所以提到稅收制度，是因?yàn)槲伊私獾酵炼涞淖闱蜻\(yùn)動(dòng)員只有15%的固定收入所得稅。所以，是的，那些賺了幾百萬的人的稅率比那些只賺幾千塊錢的人的稅率還要低（我不僅僅是在說我自己，而是說在這個(gè)稅收制度下，那些數(shù)百萬的人必須要成為魔術(shù)師，才能夠在一個(gè)月僅賺1600里拉的情況下，還能養(yǎng)家糊口）。我對這種情況非常生氣。
那現(xiàn)在就讓我們一起來算一下，假設(shè)我每個(gè)月賺6000里拉，那么我一年也就是賺7.2萬里拉。這個(gè)數(shù)字看起來很龐大,對吧？但實(shí)際上我每年只能拿到1.9萬到1.95萬美元，而這主要取決于土耳其執(zhí)行的稅率。

Am I happy? No. I am vocal about this, and people often tell me that I look greedy for that. But, am I really?
It may sound so when you think of millions of people who make 1/4 of my salary, but the people who think I’m greedy do not know the details. For instance, any specialist makes the doubleof what I earn. That sounds natural, but they make that much, because I somehow am not entitled to the circulating capital even though I make significant contribution to it. Why? BecauseI could not beat the average ‘performance point’.
This is about to turn into a rant, but that’s my reason behind my unhappiness with my salary.
Yes dear Turkish reader, your physician is under pressure of scoring points while he’s trying to cure you. That is why some of the doctors get mad when you tell them they earn much - They do not. Simple as that. So what’s this ‘circulating capital’ and why is the doctor you love so much not getting anything from it? Let’s examine this situation, okay? Basically every procedure is appointed a price, and sometimes a point. For instance, my examination costs 15 TL and it has 20 points.

所以我真的感到很快樂嗎？當(dāng)然不快樂了。我對此直言不諱，人們常常告訴我，我這樣做真的看起來很貪婪。但是，我是真的貪婪嗎？當(dāng)你看到數(shù)百萬的人只能拿到我的四分之一的薪水時(shí)，可能會(huì)覺得我賺這么多還不知足，但是那些認(rèn)為我貪婪的人并不知道這其中的細(xì)節(jié)。如果我說，任何專家都能賺到我兩倍的收入，這聽起來好像很正常，但是為什么他們可以賺那么多，而我就不行呢？即使我為這個(gè)國家做出了巨大的貢獻(xiàn)，我也沒有資格獲得“流動(dòng)資金”的足夠評分。這到底為什么呢？所以，這就是我對我的薪水不滿意的原因。
是的，我親愛的土耳其讀者，當(dāng)你的醫(yī)生在為你們治病的時(shí)候，他們也正在承受著評分的壓力。這就是為什么當(dāng)你告訴醫(yī)生你覺得他們賺了很多錢的時(shí)候，他們會(huì)生氣的原因，因?yàn)樗麄儾]有賺到錢，就這么簡單。那什么是“流動(dòng)資金”呢？為什么你深愛的醫(yī)生從中得不到一點(diǎn)好處呢？我們來看看目前的情況，好嗎？
基本上每個(gè)程序都會(huì)有一個(gè)價(jià)格，有時(shí)還會(huì)有相對應(yīng)的得分。比如，我的檢查費(fèi)用是15里拉，那這個(gè)程序就有20分的得分。

Case 1: I examine you, I don’t get the money, but I get the point. I order some bloodwork, they have their price, but not the point. Nurse sometimes opens an IV route while taking blood, because you might need some IV fluids. IV route has its price, but not the point. Your bloodwork indicates something is wrong with you, but it’s not definitive. So I order an ultrasound. An ultrasound has its price and its point, but the point is not added to my chart, it is added to the radiologist’s. Fair, because he’s the one who does the ultrasound. Okay moving on. He says you have appendicitis. Now that I have my diagnosis, I can give you some painkillers. An IV treatment has its price, but not points. Then I have to consult with general surgeon. From that point, all the points (if the procedure has one, of course) goes to the general surgeon as expected. I, an ER doctor, got only 20 points by examining you and telling that you have appendicitis, general surgeon got approximately 150–200 depending on the actual point of the appendectomy (I don’t know that). You ended up with a 600 TL bill, which you don’t pay so you don’t care. I and the poor general surgeon ended up only with points as if we played Mario Bros or Tetris, and we don’t know yet if those points will be converted to something useful in real world, like cash. Because we aren’t sure if we can beat the average of the hospital that month.

情況1:我給你做檢查，但我明白我是拿不到錢的。所有我會(huì)要求你去做血檢，因?yàn)樗麄冇兴麄儗?yīng)的價(jià)格，但這沒有得分。護(hù)士有時(shí)候會(huì)在抽血的時(shí)候打開靜脈導(dǎo)管，因?yàn)槟憧赡苄枰o脈輸液，IV路線有它的價(jià)格，但這也沒有得分。如果你的血檢結(jié)果顯示你的身體有問題，但還不能確定是什么問題的時(shí)候，我就會(huì)為你預(yù)約一個(gè)超聲波檢查。一個(gè)超聲波檢查有它自己的價(jià)格和相對應(yīng)的得分，但這個(gè)得分不是添加到我的名下，而是被添加到放射科醫(yī)生的那里。這樣做很公平，因?yàn)槌暡z查是他做的。好了，那我們現(xiàn)在繼續(xù)。他說你得了闌尾炎，我現(xiàn)在也確診了，所以我會(huì)給你開一些止痛藥以及靜脈注射，而靜脈注射治療是有價(jià)格的，但沒有得分。那么，遇到這種情況我就要去和外科醫(yī)生商量一下。從這時(shí)候開始，所有的得分（如果每個(gè)程序都有一個(gè)得分的話）就會(huì)如預(yù)期的那樣去了普通外科醫(yī)生那里。因?yàn)槲沂且粋€(gè)急診醫(yī)生，只給你做了檢查，確診你得了闌尾炎，所有我只有20分的得分，而最后普通外科醫(yī)生大約有150到200分的得分，但這也主要取決于闌尾切除手術(shù)中闌尾的具體位置（我不知道）。最后，你拿到了600里拉的賬單，但你不用付錢，所以你并不在乎。而我和我可憐的外科醫(yī)生最終只獲得了像《超級瑪麗》或《俄羅斯方塊》那樣的分?jǐn)?shù)，而且我們還不知道這些分?jǐn)?shù)最終是否能轉(zhuǎn)換成現(xiàn)實(shí)世界中的有用的東西，比如現(xiàn)金。因?yàn)槲覀儾淮_定我們是否能超過當(dāng)月醫(yī)院的平均水平。
原創(chuàng)翻譯：龍騰網(wǎng) http://mintwatchbillionaireclub.com 轉(zhuǎn)載請注明出處

Case 2: You somehow managed to be in the right place when a rock fell from the sky and hit on your foot (THAT happened). It hurt as hell, so you go to an ER and you met me. I checked your foot. That’s 20 points for me, again. I order an X-ray (has price, no points). I examine the X-ray, found out you have a broken bone. I reduce it (reducing has points and price, but wait), then I put your foot into a splint so it doesn’t move (splint also has points and price, but again, wait). You thank me, I tell you to get it checked to an orthopedist. You leave. I go to my computer so I can document what I did to you. I put examination (20 points, yey!), X-ray (cost you money, nothing to me), bone reduction but what’s that? System told me that I can’t get points from it because I, an ER doctor, am not qualified for it! That’s fair, that’s what orthopedists are for. But system also charges you for it. You don’t pay, so neither you nor I care. I add splint (I don’t remember the exact point, but it’s something like 100), but I am warned that I’m not qualified by the system. I get points. Because I’m good at Mario Bros.

情況2:當(dāng)一塊石頭從天而降，正好砸到你的腳，你覺得自己真是太倒霉了，怎么就正好砸到你了，但這種倒霉事還是發(fā)生了。
你疼的要命，所以你不得不去急診室見了我。我檢查了你的腳，這對我來說又得到了20 分。我為你預(yù)約了x光片（有價(jià)格，但沒有積分）。我檢查了x光片，發(fā)現(xiàn)你骨折了。然后我把你的腳放進(jìn)了夾板里，這樣它就不會(huì)動(dòng)了（夾板也有積分和價(jià)格，但是，要等一段時(shí)間才能恢復(fù)）。最后你過來謝我，我讓你再去骨科醫(yī)生那里看一下。等你走了以后，我再用電腦記錄一下我的治療過程。我為你做了檢查，賺了20分，這真是太棒了！你照了x光片，但這是花你的錢，所以對我來說并沒有什么影響。當(dāng)你的骨頭復(fù)位了，系統(tǒng)告訴我，我不能從中獲得積分，因?yàn)槲沂羌痹\室醫(yī)生，沒有獲得積分的資格！這很公平，因?yàn)檫@就是骨科醫(yī)生的工作。但系統(tǒng)還是會(huì)向你收費(fèi)。你不用付錢，所以你和我都不在乎。我為你加了一個(gè)夾板項(xiàng)目（我不記得具體會(huì)加幾分，但是大概會(huì)加100分），但我被警告說我不符合這個(gè)系統(tǒng)的要求。但最后我還是獲得了積分，因?yàn)槲液苌瞄L玩《超級瑪麗》。

Case 3: You, again, somehow managed to cut yourself. You check it, you are not sure if it needs stitching so you come to the ER and here I am, sitting on 140 points and no cash. AGAIN, I check you (20 points to me), I decide that no imaging is needed because I don’t think anything left in the wound. I stitch your wound, dress it, and tell you to come tomorrow to renew the dressing. I prescribe an antibiotic and maybe a painkiller. You go to the pharmacy, you find out that you have to pay an examination fee and a prescxtion fee, and a fraction of the price of the drugs I prescribed. You think “That bastard got the money.” You still get the medication because you don’t want to die from an infection. Meanwhile, I received 20 points from examining you, 50 points from stitching you, but system warned me that I’m not qualified to stitch you up. YES, THE SAME SYSTEM WHICH PUT ME TO WORK IN THE ER THINKS I’M NOT QUALIFIED FOR THE SIMPLE PROCEDURES LIKE THAT. GODDAMN SYSTEM HAS NO PROBLEM LEAVING CRITICALLY ILL PEOPLE TO THE HANDS OF A ‘DOCTOR’ WHO CAN’T EVEN STITCH ACCORDING TO THE SYSTEM ITSELF. I am awarded pretty 5 points for medical dressing I just did. Lucky for all of us, I was qualified to do that so system does not warn me about it. Prescxtion doesn’t have a price or point in the system (But you PAID).

情況3:你又一次不知怎么的就割傷了自己。你自己檢查了一下，不確定它是否需要縫合，所以你來到了急診室找我看，此時(shí)我已經(jīng)有140分了，但還是沒有賺到任何現(xiàn)金。然后我再一次為你檢查，我又獲得了20分，但這次我決定不需要再拍片子了，因?yàn)槲艺J(rèn)為傷口那里并沒有留下什么不好的東西。我給你縫合傷口，包扎好，并叫你明天再過來換藥。我給你開了點(diǎn)抗生素，可能還會(huì)再開點(diǎn)止痛藥。然后你去了藥店，發(fā)現(xiàn)你要付檢查費(fèi)和處方費(fèi)，還要付買藥的錢。你覺得是那個(gè)混蛋拿了你的錢，但你最后還是買了藥，因?yàn)槟悴幌胨烙诟腥?。與此同時(shí)，我給你做了檢查得了20分，給你縫合傷口得了50分，但系統(tǒng)警告我，我沒有資格給你縫合傷口。是的，就是那個(gè)讓我在急診室工作的系統(tǒng)，認(rèn)為我沒有資格做這么簡單的手術(shù)。把一個(gè)重病患者交給一個(gè)連針都不會(huì)縫的“醫(yī)生”，這個(gè)該死的系統(tǒng)完全沒有任何問題。但我剛剛的醫(yī)療包扎，得了5分。幸運(yùn)的是，我有資格這樣做，所以系統(tǒng)沒有警告我。雖然你付了錢，但是系統(tǒng)中的處方并沒有顯示價(jià)格或者分?jǐn)?shù)。

So what’s going on here? You paid money in a free healthcare system. You also have big bills to be paid by your government. You naturally think that your doctor is a greedy bastard because you goddamn PAID in a FREE healthcare system. He is THAT greedy. Meanwhile your not-so-competent but greedy doctor is left with some points. Nothing but some points. Because he did not examine patients, he played Tetris. At the end of the month, the profit of the hospital and the points the doctors accumulated by PLAYING MARIO BROS. or TETRIS - no judgement, are calculated. Majority of the profit goes to the government (and maybe to someone’s shoe boxes?). Management (not chief physician but the manager of the hospital and his staff) get their share from this profit. IF anything remains, this is to be distributed to the physicians who played Mario Bros good enough to accumulate more than the calculated average point. At this point, in order to ensure specialists get more than general practitioners, their points are multiplied by a modifier (2,4 I guess). Meanwhile general practitioners have their points multiplied by a modifier as well (1.6 I guess), because why not? Then the money is distributed but that’s also capped. Meaning after a certain point, it doesn’t even matter how much you scored, you get the same money. But you have to score more than the average. Below average gets nothing. Not even a pat on the back for the points he made. BUT THAT’S NOT IT. Because of the cap, if the hospital made big profits, sometimes there’s still money to be distributed. If you are thinking the below average physicians (The doctor who diagnosed you 3 times, and the general surgeon who operated on your appendicitis) are going to get their pats on their back, you are wrong. We forgot the most crucial part of the healthcare system, and let’s be honest, you did not notice until now: Nurses. If there is still money left, they also get their share from ‘circulating capital’, but as you can imagine it’s so little sometimes they don’t even notice if someone did not tell them. At least that’s the case for my hospital. So if anybody disrespects to any of the nurses I work with, they have a problem with me.

所以這到底是怎么回事呢？你在一個(gè)免費(fèi)的醫(yī)療系統(tǒng)里花了錢，但您的政府還需要為此支付大筆的賬單。你很自然的會(huì)認(rèn)為你的醫(yī)生是個(gè)貪婪的混蛋，因?yàn)槟阋呀?jīng)在免費(fèi)的醫(yī)療系統(tǒng)里付了錢。你覺得他就是那么貪婪。但與此同時(shí)，你那個(gè)不太稱職但貪婪的醫(yī)生也遇到了一些問題，他們只獲得了一些分?jǐn)?shù)。到了月底，醫(yī)院和醫(yī)生“玩馬里奧兄弟和俄羅斯方塊獲得的積分”將被計(jì)算出來，這個(gè)過程不存在任何的評判。最后大部分的利潤都流進(jìn)了政府里面（也許還流進(jìn)了某個(gè)人的口袋里）。管理人員（不是主任醫(yī)師，而是醫(yī)院的頭和他的員工）還要從這筆利潤中分得一杯羹。如果還有剩余的話，才會(huì)分給那些玩過《超級瑪麗》的醫(yī)生，會(huì)分給那些積分超過計(jì)算平均分的醫(yī)生。在這一點(diǎn)上，為了確保?？漆t(yī)生比全科醫(yī)生分的更多，他們的分?jǐn)?shù)會(huì)被乘以一個(gè)修正值（我猜是2.4）。與此同時(shí)，全科醫(yī)生的分?jǐn)?shù)也會(huì)被乘以一個(gè)修正值（我猜是1.6）。然后再根據(jù)積分分配資金，但這也是有上限的。也就是說，過了某個(gè)分?jǐn)?shù)，不管你得了多少分，你得到的錢都是一樣的。但你的得分必須要比平均分高，低于平均分的人什么也得不到，甚至連句表揚(yáng)都沒有。因?yàn)樯舷蓿匀绻t(yī)院賺了很多錢，如果還有剩余的錢可以分配，如果你認(rèn)為這些錢會(huì)分給那些低于平均分的醫(yī)生（給你做了3次診斷的醫(yī)生，還有給你做闌尾手術(shù)的普通外科醫(yī)生），那你就錯(cuò)了。我們忘記了醫(yī)療體系中最重要的部分，也就是你們直到現(xiàn)在才注意到的：護(hù)士。如果還有剩余的錢，他們也可以從“流動(dòng)資金”中獲得自己的份額，但你可以想象，如果沒有人告訴他們，他們甚至都不會(huì)注意到這一點(diǎn)。至少我的醫(yī)院是這樣的。所以如果有人不尊重我的護(hù)士，那他們就是在找我的麻煩。

That’s the system. That’s the system you are diagnosed in. The people who you see the most gets paid the least. The management staff gets their share from the circulating capital no matter what. If we leave the money issues aside, there are other issues with this system, you should have noticed - they are in bold font. I am a physician who graduated from a university which the system accredited. That system trusts my university that it will graduate only competent physicians. Yet, it does not trust the person it graduated with simple procedures. So don’t be surprised when your doctor tells you he’s not qualified to remove the foreign obxt which is clearly visible from your skin, which even you can remove easily. He can do it, but the system thinks he can’t. He says he can’t, because he does not want to get into trouble by simply helping you. It doesn’t matter if you file a complaint about him removing the obxt or not. If he did, and someone notices he did, he’s potentially in trouble. Most of the times, you don’t file a complaint or a lawsuit, because you are just grateful, but the system is not. So the doctor who just risked to look like an incompetent idiot to you and all the other patients probably had trouble for doing something similar in the past, so now he just does not do it.

這就是系統(tǒng)。這就是你看病的系統(tǒng)。這就是為什么那些醫(yī)生天天忙得要死，但薪水最少。那些管理層無論如何都能從流動(dòng)資金中得到他們的份額。如果我們把錢的問題放在一邊，這個(gè)系統(tǒng)還存在其他的問題。我是一名醫(yī)生，畢業(yè)于該系統(tǒng)認(rèn)可的大學(xué)。這個(gè)系統(tǒng)相信我的大學(xué)，他只會(huì)讓合格的醫(yī)生畢業(yè)。然而，它并不相信通過簡單程序畢業(yè)的人。所以當(dāng)你的醫(yī)生告訴你，他沒有資格去除你皮膚上清晰可見的異物時(shí)，不要對此感到驚訝，因?yàn)榧词故悄愣伎梢院茌p松的去除，醫(yī)生當(dāng)然也能做到，但系統(tǒng)認(rèn)為他做不到。他之所以說他不能，是因?yàn)樗幌胍驗(yàn)閹椭愣巧下闊?。如果他這么做了，而且被人發(fā)現(xiàn)了，那么他可能會(huì)遇到麻煩。大多數(shù)時(shí)候，你不會(huì)因?yàn)獒t(yī)生幫你去除了異物而提出投訴，因?yàn)槟阈拇娓屑ぃ到y(tǒng)不是這樣的。所以那些在你和其他病人眼中看起來像是無能白癡的醫(yī)生，他過去可能做過類似的事情，但他遇到了麻煩，所以他現(xiàn)在就不做了。

Back to money issues, I can hear you saying “just score more, play more Mario Bros you dumb fool”. That’s not how any of it works. The points I accumulate are audited, because system allows me to enter basically anything (it allows me to enter “l(fā)iver transplant” to a patient who has a runny nose), but it warns me. You remember the procedures system warned me about? Their points are subtracted from my points (If you think they are subtracted from the bill, you are naive). And according to the system, I’m not qualified to perform basically anything that could save your life, and I work in the ER. Reducing a bone? Relocating a dislocated joint? Stitching? Removing foreign obxt from your skin, throat, ear or eye (I admit, I should not remove obxts from your eye - and some of the obxts from your throat and ear)? Intubation? Unqualified. I have done every single procedure that I knew I can, for which I was considered unqualified. I have done, am doing, and am going to keep doing those until I get in trouble for it. I am not judging a single physician for not doing those.
And if one day I get in trouble for relocating your shoulder or intubating you, I’ll never do it again. Not even if you hold a gun to my head, not even with your written consent. Because like I said, it’s not you, it’s the system.
There… I said it.
That’s why I am unhappy about my pay and my damn job.

回到金錢的問題上來，我知道你會(huì)說“那你就多賺一點(diǎn)分，多玩點(diǎn)《超級瑪麗》就行啦”。但事實(shí)不是這樣的。我所積累的分?jǐn)?shù)都是要經(jīng)過審核的，因?yàn)橄到y(tǒng)允許我往里面輸入任何東西（它允許我在系統(tǒng)里將流鼻涕的患者輸成“肝移植”患者），但會(huì)它警告我。你還記得系統(tǒng)警告過我的程序嗎？根據(jù)系統(tǒng)，我根本就沒有任何資格做可以挽救你生命的事情。而且我在急診室工作，哪怕是幫你脫臼的關(guān)節(jié)復(fù)位，一些簡單的縫合手術(shù)，清除皮膚、喉嚨、耳朵或眼睛里的異物（雖然我承認(rèn)，我不應(yīng)該清除眼睛里的異物，還有喉嚨和耳朵里的異物），以及插管，這些都是不合格的。所以，我不會(huì)因?yàn)橐粋€(gè)醫(yī)生不做這些事就去指責(zé)他。
如果有一天我因?yàn)閹湍慊顒?dòng)肩膀或者是給你插管而遇到了麻煩，那我以后也不會(huì)再這么做了。即使你拿槍指著我的頭，我也不會(huì)幫你做了。因?yàn)榫拖裎艺f的，這不是你的問題，這是體制的問題。
我終于把這一切都說出來了。
這就是為什么我對我的薪水和我的工作不滿意的原因。