China Health & Science
Beijing Changfeng Hospital Fire: Five Things To Know
29 people lost their lives due to the devastating fire that occurred in Beijing’s Changfeng Hospital on Tuesday. These are 5 things to know.
Published
3 years agoon
On Tuesday, April 18, a big fire broke out inside Changfeng Hospital, a private hospital located in Beijing’s Fengtai District. The incident, which killed 29 people, is now known as the “4.18 Beijing Changfeng Hospital Fire Incident” (4•18北京长峰医院火灾事故).
Videos of the incident that circulated on Chinese social media (see here) showed smoke coming out of the hospital windows on different floors, with patients hanging on to air conditioning units outside of the windows. The footage also showed patients falling down the building from higher floors.
This is the timeline of the incident as reported by Chinese official media:
• April 18 / 13:00-15:00
At 12:57 on April 18, the Fengtai District fire and emergency services received an alert that a fire had broken out in the east building of the inpatient department of Beijing Changfeng Hospital. The fire, which was extinguished at 13:33, killed 21 people. The cause of the incident was still under investigation.
• April 18 / 15:30
At 15:30, the rescue work was finished and a total of 71 patients were evacuated and transferred to other hospitals in Beijing.
• April 18 / Evening
Changfeng Hospital closed its doors and only allowed immediate family members of inpatients to still enter the hospital. The Chinese Non-government Medical Institutions Association, the largest association of private hospitals in China, later also announced that they had canceled the membership of Beijing Changfeng Hospital in light of the incident.
• April 19 / 9:00
As of 9:00 local time, official sources reported that the death toll of the fire incident had risen to 29 people. 27 of them were patients who were treated at the hospital, and some of them died after their transfer to another hospital. The average age was 71.2 according to China Youth Daily.
• April 19 / 12:00
In a briefing held by Beijing authorities, it was said that the fire originated from sparks that arose during renovation and construction work at the hospital, according to Chinese media reports. Authorities stated that the Changfeng Hospital director, along with 11 others (including the hospital’s Vice President, the construction company’s leader, and one construction workers on site), had been detained for their criminal liability in the fire incident.
• April 19 / Late afternoon
According to CCTV, Beijing’s Fengtai District has set up a community working group (群众工作组) to provide assistance and support to patient’s families and help with any practical problems at the scene.

Here are five important things to know regarding the deadly fire at Beijing’s Changfeng Hospital:
1. The Patients Were Especially Vulnerable
The fire reportedly broke out at the 5th floor of the Changfeng Hospital, which is a private hospital specializing in neurology, vascular tumors, and arteriovenous malformations.
The patients that were staying at the higher floors at the affected building were especially weak, as they were mostly elderly patients and those receiving critical or end-of-life care. Many of them were mobility-limited patients who could not easily get out of bed and escape the fire by themselves.
2. There Were No Adequate Fire Evacuation Measures in Place
There were no adequate fire evacuation measures in place at the hospital, where hospital rooms were crowded with multiple patients. According to one nurse who was quoted by China Youth Daily, she had to climb down a water pipe from the 8th floor of the hospital, which is the building’s top floor. The videos that circulated also showed the lack of fire stairs, as patients fled from windows and held on to air conditioning units.
Because the fire occurred during daylight hours, emergency responders were able to act quickly, the hospital building had only 8 floors, and rescue efforts were not hindered by road obstructions, the high death toll resulting from the Changfeng fire is all the more surprising and tragic.
In late February of this year, Changfeng Hospital had released news about strictly implementing fire prevention and control measures. The hospital reportedly also held a fire prevention and control meeting according to government regulator requirements, but the April 18 fire showed that these measures were not actively implemented.
3. The Construction Work on the Hospital Seemed Unregulated
Chinese media source The Time Weekly (时代周报) reported that residents in the hospital’s neighborhood stated that the renovation of the building had been going on for some time and that many wires could be seen outside of the building where the fire occurred, expected to be illegal power lines (私拉电线) without proper safety measures.
The cause of the fire can be traced back to sparks that were generated during renovations on the inside of the hospital, at the inpatient department, and they reportedly ignited volatile fumes from combustible paint on the site.
This also suggests that the construction workers and the renovation procedures in general did not follow proper safety or risk assessment protocols that could have prevented the fire from breaking out.
4. Media Coverage of the Fire Was Initially Limited, Comments Censored
Although the Changfeng Hospital fire is now all over Chinese social media, news about the fire was strictly controlled in the direct aftermath of the incident.
On Twitter, VOA News reporter Wen Hao (@ThisIsWenhao) noted how public anger erupted across Chinese social media on Tuesday as videos and social media posts about the fire were taken down. Wen states that it was not until 20:49 that local official media first announced the fire and the number of deaths.
Reporter Vivian Wu (@vivianwubeijing) also noted how it was not until about 21:00 before Chinese news outlets received the “green light” to report on the incident.
All the big reports about the incident only were released eight hours after the fire started, suggesting that local authorities wanted to make sure the fire was under control and that there was enough information on the incident – and how to communicate it to family members and the general audience – before further news was released and went viral on social media.
In a blog that has now been censored on socials titled “5 Facts the News Conference Didn’t Tell You About the Changfeng Hospital Fire that Killed 29 People” (“长峰医院火灾致29人死亡,发布会没告诉你的5条真相”)* – still online at iFeng – the author called it “a mystery” that such a major fire in Beijing could stay under wraps for eight hours until the official announcement came out. The author, along with other sources, also claimed that some family members did not know about the fire until they saw the news pop up.
In 2022, a fire that occurred in Urumqi city, Xinjiang, triggered waves of mourning and anger on Chinese social media. On Weibo, there were many questions and rumors surrounding the incident at a particularly sensitive zero-Covid time, when frustrations were already building (read all about the aftermath here).
Although the context and location of the Urumqi fire is very different from the Changfeng one, it seems clear that there was a government-orchestrated media strategy following the direct aftermath of the April 18 fire to keep information flows under control.
5. The Incident Reignited Scrutiny on Private Hospitals in China
The fire at Changfeng Hospital has reignited scrutiny on the role of private hospitals in China, which have been previously also been criticized for prioritizing financial gain over the well-being of patients.
In light of this incident, some netizens mention Putian Medical Group, a powerful player in China’s healthcare industry that has set up private hospitals all over the country. Putian has previously been criticized for overpricing patients, working together with Baidu to lead patients to their clinics, and fraudulent affairs (read more here).
Now, Changfeng Hospital – which runs a number of hospitals in twenty cities across the country – is also facing backlash for spending hundreds of millions of yuan on advertising their medical services while suffering financial losses. At the same time, they were clearly not allocating enough resources for proper fire control and safety measures in their buildings.
Chinese media outlet The Observer wrote that the hospital actually shows similarities with the Putian Medical Group, as various clinics or hospitals led by Changfeng were previously also reported for medical scams. The Fengtai branch itself was penalized a total of 11 times since 2016 for various reasons (#长峰医院7年间至少被罚11次#).
For now, many people are still questioning how the incident could have happened and why its outcome is so tragic. While further investigations are still underway, some of these questions will hopefully be answered in the near future.
By Manya Koetse
Follow @whatsonweibo
* The five questions that the news conference did not answer according to the blogger relate to: 1. Why family members and the general audience only learnt about the fire at such a relatively late time; 2. Why the death toll of the incident was so high considering the circumstances; 3. Why the hospital was allowed to do interior construction work while also resuming normal operations; 4. Why the owner of the Changfeng Hospital group is not among the 12 people detained after the fire; 5. Why Hunan patients who were treated at the hospital were allegedly transferred to private secondary hospitals in Beijing.
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Manya Koetse is a sinologist, writer, and public speaker specializing in China’s social trends, digital culture, and online media ecosystems. She founded What’s on Weibo in 2013 and now runs the Eye on Digital China newsletter. Learn more at manyakoetse.com or follow her on X, Instagram, or LinkedIn.
Chapter Dive
Chinese Postdoc Death Raises Questions as Key Details Remain Missing
About a widely discussed “chilling effect”, the death of Chinese researcher Wang Danhao, and unanswered questions. (April 3 update included)
Published
2 weeks agoon
April 1, 2026
A Chinese postdoc’s reported suicide after questioning by US authorities became a top trending topic in China this week. Despite the widespread attention, key details remain unclear, highlighting broader concerns about the increasingly sensitive position of researchers across the US–China scientific landscape.
On March 27, news about a Chinese postdoctoral researcher based in the United States who allegedly died by suicide a day after being questioned by US law enforcement officials began trending on Chinese social media.
The news came out during the Friday regular press briefing, where a CCTV reporter asked China’s Ministry of Foreign Affairs (MFA) spokesperson Lin Jian (林剑):
🗣️ “We’ve learned [据了解] that recently, a Chinese postdoctoral scholar took their own life a day after being subjected to questioning by US law enforcement personnel. What’s the Foreign Ministry’s comment?”
Spokesperson Lin Jian responded that China is “deeply saddened by the tragedy,” and added that Chinese authorities have formally protested to the US, further commenting:
🗣️”For some time now, the US has been overstretching the concept of “national security” for political purposes, carrying out unwarranted questioning and harassment of Chinese students and scholars, infringing upon the legitimate rights and interests of Chinese citizens, undermining the normal atmosphere of China–US people-to-people exchanges, and creating a serious “chilling effect.””
Lin Jian emphasized that China urges American authorities to conduct a thorough investigation into the case, provide answers to the victim’s family and to China, and stop any “discriminatory law enforcement against Chinese students and scholars in the United States.”

Lin Jian during the March 27 press briefing.
The “chilling effect” referenced by Lin Jian, in Chinese, is hán chán xiàoyìng (寒蝉效应), referring to a climate of fear in which people do not dare to speak out.
While xiàoyìng simply means “effect,” hán chán (寒蝉) literally means “a cicada in cold weather”—a metaphor for a repressive environment, as cicadas fall silent and become inactive in colder temperatures.
From MFA Briefing to Trending Topic
Following the press briefing, major Chinese news outlets like Xinhua and Global Times picked up the news and amplified the MFA statement across both their international and domestic channels, after which it quickly entered the top five “hot search” lists on platforms like Bilibili, Kuaishou, and Baidu. The MFA statement was also covered by Newsweek.
What is particularly noteworthy about how this news entered the online discourse is that it was reported solely through top-down, official channels. Unlike many incidents involving Chinese nationals overseas—particularly in cases of sudden death or personal tragedy—it did not first surface on social media through posts by friends or family members before prompting an official response. Nor were there any identifiable reports from local news or overseas Chinese community platforms that broke the story before the MFA did.
This left many questions about which university this researcher was affiliated with, where the incident occurred, and why the CCTV reporter asked this question on March 27 without any published news reports to go by.
Some have argued the Chinese government deliberately amplified the story to stir anti-American sentiment amid broader US-China tensions — a claim made, without supporting evidence, by the notoriously biased Epoch Times outlet.
🔍 Given the lack of details, Weibo’s own AI chatbot attributed the incident to the death of Li Haoran (李昊然). Li was a postdoctoral researcher at Princeton University who died at home in September 2025. On February 13, 2026, his death was officially ruled a suicide. Since this case predated the current report and has never been linked to law enforcement questioning, this appeared to be a hallucination error by the Weibo chatbot.

Weibo chatbot “hallucinating” and linking the current case to Li Haoran. Screenshot by author, March 27.
At the same time, claims popped up on social media regarding a recent suicide involving a researcher in the Department of Electrical & Computer Engineering (ECE) department at the University of Michigan.
One US-based Xiaohongshu user shared a screenshot of an email sent by University of Michigan staff on March 20 regarding the “sad news of the death of an Assistant Research Scientist (..) who fell from an upper story of the GG Brown building last night.”
The social media post, as well as an entire thread on another US-based Chinese community forum, had vanished by Monday, March 30, returning a “404” message.
The Michigan connection was also indirectly raised by some netizens (such as “Science Futurist” @科学未来人), who referenced earlier cases where Chinese researchers at the University of Michigan were allegedly “arrested, humiliated, and tormented.”
(🔍 Although there have been multiple incidents involving Chinese researchers at the university, this particular commenter referred to postdoctoral fellow Jian Yunqing (简云清), who was arrested by the FBI in June 2025 on charges including conspiracy and smuggling small samples of “toxic biological materials” into the US. This involved a crop-affecting fungus studied by Jian that, while also found in US fields, is illegal to import without a permit and is classified as a hazardous biological pathogen.)
Meanwhile, at the time of writing, few reports have emerged identifying any key details of the current case, and this lack of information surrounding the incident, both on the American and Chinese sides, is especially noteworthy for a case that has been framed as a major incident and a significant development in Sino-American academic exchanges.
The Michigan Connection
On March 31, the Chinese Consulate General in Chicago issued a statement via its WeChat account, responding to media inquiries regarding a Chinese scholar’s suicide following questioning by US law enforcement.
🗣️ The spokesperson confirmed that the case had occurred at a US university within its consular district, reiterating the sentiments expressed by the MFA and again using the term “chilling effect” (寒蝉效应, hán chán xiàoyìng). The statement criticized what it described as the US side’s use of “national security” to carry out unwarranted and politically motivated questioning and harassment of Chinese students and scholars.

Wechat post by Chinese Consulate in Chicago, March 31.
The Hong Kong newspaper Sing Tao Daily then connected the case to the University of Michigan’s ECE department, citing the aforementioned internal email and reporting that a local researcher died after falling from a height on the university’s North Campus.

The G.G. Brown Building, where the incident allegedly happened, when it was still under construction in 2013, photo by Michael Barera via Wikimedia Commons.
The deceased researcher was reportedly an Assistant Research Scientist on the team of Professor Zetian Mi, who specializes in semiconductors, nanomaterials, and optoelectronic technologies.
Professor Mi has been previously honored for his contributions to the growth of wide bandgap semiconductor materials, and leads a top-tier semiconductor research group that has received millions of dollars in funding from the US Department of Defense, published groundbreaking research, and earned prestigious awards in photonics and semiconductor science.
A Researcher at the Intersection of US–China Science
One Assistant Research Scientist previously listed on the official ECE website—who worked in Mi’s lab but has now been removed from the public staff list—is Dr. Wang Danhao (汪丹浩).
Wang’s research focused on next-generation semiconductor materials, including ultra-thin and ferroelectric systems with applications in electronics and photonics. He was previously part of a University of Michigan research team that explained why a new class of ferroelectric semiconductors can sustain opposing electric states without breaking apart—work published in Nature and supported by US funding sources, including the Army Research Office.
Over the years, Wang has built an extensive body of research published in some of the most prestigious scientific journals, including Nature Electronics, Nature Communications, and Science Advances.
More recently, Wang was listed as a co-first author on a study—covered by various industry publications—regarding a neuromorphic vision sensor capable of sensing, storing, and classifying images without external circuits, reportedly achieving over 95% recognition accuracy. The research was led by Professor Sun Haiding’s iGaN lab at the University of Science and Technology of China (USTC) and funded by Chinese government sources, including the National Natural Science Foundation of China.
Various Chinese sources have described this research as a breakthrough, noting that USTC developed the first optoelectronic diode integrating sensing, memory, and computing in a single device (“中国科大研制出首个具有感存算三合一功能的光电二极管”) (USTC link and news sources here and here).
According to Washtenaw County vital records, Wang Danhao died on March 20, 2026.
On that very same day, the research he contributed to (“A single diode with integrated photosensing, memory and processing for neuromorphic image sensors”) was published in Nature Electronics.
Wang’s profile, spanning research of interest to military and defense institutions, reflects involvement in both US-funded semiconductor projects (including work supported by the Army Research Office & within a DARPA-funded lab), as well as collaboration on Chinese government-funded research with a Chinese state university. This cross-institutional, cross-funded research highlights the increasingly complex and sensitive position of researchers operating across the US–China scientific landscape.
From a Mysterious Case to Serious Concerns
For now, many questions still surround this case, with official reports—from both the American and Chinese sides—likely to follow. At the time of writing, neither US government agencies nor the University of Michigan have publicly responded to the MFA statement or the Chicago consulate statement.
What we do know, and what is supported by prior studies, is that many Chinese researchers feel pressured and unsafe while carrying out academic work in the US, partly due to concerns about government investigations targeting researchers of Chinese origin.
In this recent case, Chinese online responses reflect that sentiment.
In some of the more notable discussions on Zhihu (such as this thread), users comment on the case’s mysterious nature while also linking it to a broader pattern of scrutiny and pressure on Chinese researchers in the United States.
These discussions reference past FBI investigations of Chinese academics under the so-called “China Initiative,” a 2018–2022 program launched by the US Department of Justice to counter espionage and intellectual property theft involving China.
🔍 One case mentioned is the 2024 death of Northwestern University Chinese-American neuroscientist Jane Wu (吴瑛), who died by suicide following years of federal scrutiny over her China-related ties, during which her lab was shut down, and her academic presence was later removed online.
In this context, some commenters also express skepticism about the suicide narrative in the current case. One popular comment stated:
💬 “Former Boeing quality manager and whistleblower John Barnett once publicly stated that if anything were to happen to him, it would not be suicide. On March 9, 2024, he was found dead in his car in a hotel parking lot in Charleston, South Carolina. The official ruling was suicide. He had been scheduled to testify that day, exposing issues related to Boeing’s production quality.”
Another commenter—a graduate of Peking University—argued that the US is no longer seen as a safe destination for Chinese researchers:
💬 “No matter how you look at it, he had already made it to the postdoc level, traveled all the way across the ocean only for things to end like this, it’s so unfortunate. Looking back now, the three years of the pandemic mark a very clear turning point. The “Bald Eagle” (白头鹰 – the US) is no longer an ideal destination for Chinese students, and is gradually no longer an ideal place for academic exchange and research either.”
At the same time, institutional responses are also taking shape.
🗣️ Dr. Nick Geiser, leader of the University of Michigan Postdoctoral Researchers’ Organization (UM-PRO), the union representing 1,500 postdocs, told Eye on Digital China they are currently bargaining with the university.
The union is preparing a proposal on international scholar rights that would ensure foreign postdocs are supported by the university in cases of abrupt funding cuts or warrantless investigations by US federal authorities.
This is a developing story. At the time of writing, there is no official confirmation that Wang Danhao is the individual referenced in this case. Any important updates will be added here as more information becomes available.
UPDATE April 3:
A news report by local news website MLive has come out earlier today, including additional information on this case.
In an April 1 email, Deputy Police Chief and Public Information Officer Melissa Overton stated that the researcher “jumped from the third floor and fell to the second floor inside the atrium in the George G. Brown Building on March 19.” He was later pronounced dead, and police — first called about 11 p.m. on March 19 — are investigating his death as a “possible act of self-harm.”
Paul Corliss, assistant vice president for public affairs and internal communications at the University of Michigan, has also issued a statement in an April 3 email, writing that: “Our priority is to honor the wishes of the family and those affected while adhering to legal requirements and ensuring that any information shared is accurate and non-speculative.”
An earlier internal email, sent out to the Michigan Engineering community on April 1, confirmed the passing of Wang Danhao (Dr. Danhao Wang), and stated that there is an active police investigation going on, with no further information to share.
The statement described him as “a promising and brilliant young mind,” whose research into wide bandgap III-nitride semiconductor materials and devices published in Nature “stands as a landmark, uncovering for the first time the switching and charge compensation mechanisms of emerging ferroelectric nitrides.”
The UM Postdoctoral Researchers Organization, the union that represents postdoctoral researchers, is advising its membership not to speak with federal authorities.
If you or someone you know is struggling, international mental health and crisis support helplines can be found at www.befrienders.org.
By Manya Koetse
(follow on X, LinkedIn, or Instagram)
Note: In Chinese, names are written with the surname first, followed by the given name (e.g. Wang Danhao, Mi Zetian). In English-language contexts, this order is usually reversed (e.g. Dr. Zetian Mi, Dr. Danhao Wang).
©2026 Eye on Digital China/Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.
Chapter Dive
The Fake Patients of Xiangyang: Hospital Scandal Shakes Welfare System Trust
Han Futao’s explosive report on fake patients and systemic abuse has triggered a heated online debate over hospital malpractices, the fragility of the welfare system, and the vital role of investigative reporting.
Published
2 months agoon
February 15, 2026By
Ruixin Zhang
In early February, as China settled into the quiet anticipation of the Chinese New Year, one of the country’s leading investigative journalists, Han Futao (韩福涛), dropped a bombshell report that sent shockwaves of anger across the country.
Han Futao is known for breaking massive scandals. In 2024, he exposed how tank trucks that delivered chemical products also transported cooking oil, without being cleaned. That food safety scandal sparked waves of outrage and prompted a high-level official investigation, leading to criminal charges for those involved.
In his latest explosive report, published by Beijing News (新京报), Han has turned his lens to malpractice in China’s hospital sector. His investigation led him to Xiangyang, in Hubei province, a city with more than twenty psychiatric hospitals, cropping up on every corner “like beef noodle shops” over recent years.
Recruiting Patients
Han found that multiple private psychiatric hospitals lure people in under the guise of free care, promising treatment for little or no cost, along with medication and daily expenses. Some even dispatched staff to rural villages to recruit “patients.”
Troubled by the unusual marketing procedures of these psychiatric hospitals, Han went undercover at several facilities as a caregiver, and sometimes posing as a patient’s family member, only to expose a disturbing reality.
Except for a handful of genuine patients, these hospitals were filled with healthy people who actually received no treatment. Many were elderly citizens swayed by the promise of “free care,” checking in with the hope of finding a free retirement home.
When Han, posing as a patient’s family member, spoke to a hospital manager at Xiangyang Yangyiguang Psychiatric Hospital (襄阳阳一光精神病医院), the director enthusiastically pitched their “free hospitalization” by saying medical fees were completely waived and promising the potential patient a great stay: “Lots of patients stay here for years and don’t even go home for Chinese New Year!”
Meanwhile, the hospitals’ own staff, including caregivers, nurses, and security guards, were also officially registered as patients, complete with admission and hospitalization procedures.
The motive was simple: insurance fraud (骗保 piànbǎo). In China, even after state medical insurance covers part of psychiatric care costs, patients are typically still responsible for a co-pay. These hospitals, both in Xiangyang and in the city of Yichang, exploited the financial vulnerability of those unwilling or unable to pay, using the lure of free accommodation to attract the misinformed. Once admitted, the hospitals used their identities to fabricate medical records and bill the state for non-existent treatments.
According to internal billing records, medication accounted for only a small fraction of patients’ costs. The bulk of the charges came from psychotherapy and behavioral correction therapy, which often leave little material trace and, in these cases, were never actually provided. Many of these hospitals even lacked basic medical equipment and qualified personnel.
Staff were essentially manufacturing invoices, generating around 4,000 yuan (US$580) in fraudulent charges per patient each month, with most funds diverted from the National Healthcare Security Administration (NHSA).
With each patient yielding thousands of yuan, profitability became a numbers game: the more bodies in beds, the higher the revenue. This perverse incentive gave rise to a specialized workforce of marketers who recruited ordinary people from rural areas, developing sales pitches and establishing referral-based kickback chains, offering bonuses of 400 ($58) to 1,000 yuan ($145) for every new “patient” successfully brought in.
To stay under the radar, hospitals periodically discharged patients on paper to avoid scrutiny from insurance auditors, only to readmit them immediately, or never actually let them leave at all. One story involved a patient who was discharged seven times, each time being readmitted on the same day he was “discharged.”
Day after day, the national medical insurance fund, built on the collective contributions and trust of the entire population, was drained through these calculated deceptions.
From Patients to Prisoners
Han uncovered more. Even more harrowing than the scale of the medical insurance fraud was the condition of those trapped inside. To maximize profit margins, these hospitals slashed costs to the bone. Living conditions were terrible: wards overcrowded, beds crammed side-by-side, and daily activities and food substandard at best.
The hospitals treated their patients more like profit-generating assets than human beings. Patients were subjected to a strict regime: they were forced to follow rigid schedules, restricted to designated zones, and faced physical violence if they did not comply.
During Han’s undercover research, he witnessed the horrific sight of patients being tied to a bed for not following orders, with some patients allegedly being restrained for up to three days and three nights.

Photo by Han Futao, in Beijing News, showing a hall filled with beds at the Yichang Yiling Kangning Psychiatric Hospital, where more than 160 people were housed in just one ward. The lower photo, also by Han Futao, shows elderly “patients” kept in their wheelchairs all day at Xiangyang Hong’an Psychiatric Hospital.
Some patients, despite technically being the ones receiving care, were forced to perform manual labor for the staff. They scrubbed pots, cleaned wards, mopped latrines, and moved supplies. Others even had to take on nursing tasks for fellow patients, such as feeding, bathing, and changing clothes, all in exchange for a few cents to buy a cigarette. Their personal freedom and quality of life were virtually non-existent.
Escape was also difficult. The hospitals had no intention of releasing their cash cows. Rarely was a patient discharged on the scheduled date. To ensure long-term residency, many hospitals confiscated patients’ phones and cut off contact with their families.
Some individuals spent nearly ten years in these prison-like conditions; some even died there. Meanwhile, those truly suffering from mental illness received no real treatment, often seeing their condition worsen or developing deep-seated trauma toward psychiatric care.
Fragile Public Trust in Welfare-Related Institutions
In China, there is a common belief that if you spot one cockroach in the room, there are already a hundred more hiding. As the story has gone viral over the past two weeks, netizens pointed out that Xiangyang and Yichang were likely not the only cities using such predatory tactics to cannibalize the national treasury. Han’s investigation struck a deeper nerve, and public anxiety over the security of social insurance once again bubbled to the surface.
China’s national health insurance is a cornerstone of the broader social insurance system and a vital part of life for nearly every citizen. It is generally divided into two categories: Employee Medical Insurance and Resident Medical Insurance. Employers are legally, at least in theory, required to contribute to the employee scheme, typically 6% to 9% of a worker’s salary. Non-employees, such as farmers, students, and freelancers, usually pay for Resident Insurance out of pocket, currently costing around 400 yuan ($58) annually. Under the employee scheme, inpatient reimbursement rates are roughly 80% to 85%; after approximately 25 years of contributions, members enjoy lifelong coverage without further payments. The Resident Insurance, however, offers significantly lower protection.
This system was designed as a fundamental safety net to alleviate the fear of falling into poverty due to illness or being left destitute in old age. For young Chinese job seekers, whether a company pays into social security used to be a non-negotiable criterion. However, as scandals shaking the foundation of this system have become more frequent, the mindset of the youth is shifting: Is it even worth paying into anymore?
Recent years have seen a steady stream of corruption scandals involving the embezzlement of social security funds.
Despite the authorities’ firm stance and high-profile punishments, 2025 was still marked by reports of officials — including the insurance bureau’s finance head — misappropriating funds to play the stock market. A June 2025 report even alleged that 40.6 billion yuan (US$5.8 billion) in national pension funds had been misappropriated or embezzled by local governments.
In one surreal case from Shanxi, a CDC employee’s records were doctored 14 times to create an absurd history of “starting work at age 1 and retiring at 22,” allowing them to pocket 690,000 yuan ($100,000) in pension while still drawing a salary at a new job.
These stories exposing large-scale abuse of the medical insurance system, combined with the extension of the minimum contribution period for retirement from 15 to 20 years amid a slowing job market and a gradually rising retirement age, are leading netizens to question the necessity of paying into the system. This is reflected in comments such as:
-“First it was 20 years, then 25, then 30. They move the goalposts whenever they want, but the benefits never improve.”
-“I won’t buy anything beyond the bare minimum resident insurance; who knows if there will even be a payout in the future?”
-“With a deficit this large, whether we’ll ever see that money is a huge question mark.”
-“I’m not even sure I’ll live to see 65 anyway.”
Echoes of the Cuckoo’s Nest
In response to Han’s latest exposure, local authorities immediately launched investigations, and state-run media outlets issued sharp criticism. By now, fourteen hospital executives have been criminally detained on suspicion of fraud.
Although the official report, published on the night of February 13, acknowledged that there was widespread medical fraud, with patients remaining hospitalized after recovery or empty beds being registered without any patients there, it said no evidence was found that people without mental disorders were admitted, which was one major finding of Han’s undercover operation.
This led to new questions, because how could fraud, abuse, fake discharges, and official corruption be acknowledged while denying the central allegation: that healthy people were being locked up? And how could people prove they were not mentally ill, while being a patient inside a psychiatric hospital?
Political & social commentator Hu Xijin (胡锡进) wrote on Weibo that, while he applauded Han and his team for exposing the mismanagement at psychiatric hospitals in Hubei, he also saw the report’s conclusions about the patients as a reminder that journalists should exercise caution when making accusations. Some sarcastic commenters suggested that perhaps Han had not sacrificed enough and should have admitted himself as a patient instead.
And so, in a way, the debate has now slowly also shifted – from the initial shock over Han’s report, to the anger and distrust surrounding state institutions and social security abuse, to the role of investigative journalism in China today. “He’s a hero,” some commenters said about Han.
In the end, the entire story is so absurd that some commentators have drawn parallels to One Flew Over the Cuckoo’s Nest (飞越疯人院), where Randle P. McMurphy (Jack Nicholson) fakes insanity to serve his sentence in a mental hospital instead of a prison work farm, only to find out that the endless chain of control and abuse at the psych ward is much more brutal than a prison cell.
The question inescapably becomes who the sane ones actually are.
Meanwhile, the scandal shows that public anxiety about the future and distrust of state institutions tend to rise quickly and deepen slowly with each new controversy. As trust in the national welfare system appears fragile, one sentiment persists: that there is far more to uncover, and that there are far too few Han Futaos to do it.
By Ruixin Zhang
With additional reporting by Manya Koetse
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