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Filial Piety, Where Art Thou? Debate on Care for Elderly Parents Reignited

An elderly couple forced to sleep outside their son’s door has reignited the debate over how China’s young cares for its elderly. As of May 1st, Shanghai residents who do not regularly visit their parents will be punished by getting black marks on their credit scores.

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An elderly couple forced to sleep outside their son’s door has reignited the debate over how China’s younger generations care for their elderly parents. As of May 1st, Shanghai residents who do not regularly visit their parents will be punished by getting black marks on their credit scores.

For 77-year-old Zhu Sulan and her husband, life is anything but peaceful. The elderly couple has been sleeping in the hallway outside their son’s apartment for days, after he refused to take them in. In what can be termed an absurd situation, the son has been missing from his home and apparently stayed elsewhere until his parents go away. In the meanwhile, the frail couple has set up their temporary shelter in the hallway, refusing to move until their son takes them in.

The old couple’s misfortune began when their eldest son (aged 26) lost his house due to demolition. Mrs. Zhu and her husband were then asked to stay with their other son. Since their arrival, their son’s refusal to take them in has left them with no other option than to stay outside his door. The couple has four sons and one daughter who all turn a blind eye despite knowing the condition their parents are in. Additionally, according to Shanghaiist‘s Kitty Lai, Mrs. Zhu revealed that their children have been engaged in a bitter dispute over ownership of three apartments registered in their parent’s names.

Filial piety? Never heard of it!

In the recent past, a growing number of incidents have highlighted cases of neglect and lack of respect from children towards their elderly parents in China. A Chinese farmer named Chen Shoutian from Guanyun County in Jiangsu province, came under attack in 2012 for keeping his 100-year-old mother in a pigsty for two years.

sad_momMum in the trunk of the car, via Shanghaiist.

A certain Mr. Liu was branded ‘Public enemy No.1‘ in 2015 for putting his old mother in the trunk of the car to give his son more room to stretch his legs in the backseat. It was revealed that the car was bought by the old lady for her son with her life savings.

The virtue of filial piety

For a country that still values Communism, China has managed to preserve many of its old traditions and cultural practices, chief among them being the virtue of filial piety. Xiao (孝) or filial piety, a virtue of respect for one’s father, elders, and ancestors, is an important part of the Confucian vision of societal harmony. According to Confucian tradition, the Five Relations that are central to society are those:

• Between the ruler and the people
• Husband and wife
• Father and son
• Elder brother and younger brother
• Older friend and younger friend.

These hierarchical relationships have set the precedent on which relations and communities in China were built. Along with a changing China, these patterns are now changing too.

State-led filial piety campaign

China’s rapid urbanization has altered structures of the traditional joint family unit. China’s younger generations are dynamic, ambitious and ready to leave their hometowns for greener pastures. The PRC’s large-scale rural-to-urban migration has led to a growing number of Chinese elderly who are not supported or cared for by their children.

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Statistics from the Chinese Academy of Social Sciences in 2013 estimated that China had around 200 million Chinese over the age of 60 years, accounting for 14.8% of the total population. By 2050, the projection shows a rise up to 438 million or one-third of the total population.

Following China’s growing problem of an ageing population, the government passed the law called “Protection of the Rights and Interests of Elderly People” law in 2013. According to New York Times, the law has nine clauses laying out the duties of children and their obligations to tend to the “spiritual needs of the elderly”. Along with some vague measures, concrete steps have also been initiated like providing a basic living and medical care for the elderly through the pension and healthcare scheme.

Already since 2011, the Party has been making efforts to promote the values of filial piety; the “special committee of filial piety” then announced its training program aimed to help 1 million children between the ages of 4 and 6 learn about filial piety through stories and games. Volunteers would check the children’s performance over three years to ensure they internalized the values. The programme caused a lot of commotion with some voicing support for the training, and others dismissing it as a silly exercise that overemphasized parent’s authority and turned children into robots.

The state-led campaign for filial piety was taken to the next level in April 2016 when Shanghai’s Municipal People’s Congress announced new regulations to encourage people to frequently visit elderly parents and ensure they are cared for; Shanghai residents who fail to visit their elderly parents regularly may have their names added to a credit blacklist that could make it difficult for them to apply for jobs and loans, and even impact their eligibility for welfare. The regulations will take effect on May 1st of this year.

Time will tell if the official promotion of filial values will really help solve the issue of changing dynamics in China’s elderly care today.

“What if your parents are abusive alcoholics?”

The topic became a point of discussion on Chinese social media. Most netizens disagreed that children should keep on visiting their parents no matter the circumstances. “If your parents did not look after you when they were younger,” one netizen comments: “you can now treat them the same, right?”.

“But what if your parents are abusive alcoholics? What if they forced their daughter into marriage because of their own gambling debts? What if she suffered long-term sexual abuse by the father?” one other Weibo user wondered.

Others complained about the fact that there was simply no time to see their family: “Only for Chinese New Year’s we get 15 days off, and then we are supposed to see our parents and enjoy our holiday and for the rest there is no other free time to do anything but working overtime, working overtime, working overtime!”

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Another Weibo user clearly opposes the new law: “This society obviously does not have the right social environment for the joy and happiness of family life, but still the government requires people to act this way. I really don’t know why the government always wants to oppose to what people want; our lives are already tiresome, and not very free, okay ? Why would you add to this by implementing some strange regulations that further limit us?”

– By Mahalakshmi Ganapathy

Weibo comments & editing by Manya Koetse.
Image by Qianzhan News.

©2016 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

About the author: Mahalakshmi Ganapathy is a Shanghai-based Sinologist-to-be, pursuing her graduate degree in Chinese Politics at East China Normal University. Her interests include Sino-India comparative studies and Chinese political philosophy.

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China Health & Science

Applying China’s New Civil Code, Shanghai Court Annuls Marriage after Husband Hides HIV-positive Status from Wife

The court case triggered discussions on the need for premarital health checks.

Manya Koetse

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Jiang is HIV-positive but did not mention his status to his partner before getting married. Under China’s new civil code, the marriage is now annulled.

On January 4, a Shanghai court applied the new rules of China’s Civil Code for the first time to annul a marriage.

The Civil Code of the People’s Republic of China was adopted by the third session of the 13th National People’s Congress in May of last year and is effective since January 1st 2021. Some experts within China call the law a “milestone legislation” that will better protect people’s civil rights.

On Monday, January 4, a landmark court case in which the new civil code was applied for the first time in Shanghai went trending on Chinese social media.

The case involves a married couple of which the husband had failed to inform his wife that he was HIV positive before getting married.

In June of 2020, Mr. Jiang and Ms. Li got married after Li became pregnant. Afterward, Jiang confessed that he had been HIV-positive for multiple years, and was taking medication to control his disease.

Jiang alleged that, due to his medication, there was effectively no risk of transmitting HIV to his partner. But Li, who did not contract HIV, could not accept the situation and decided to terminate her pregnancy and applied for a marriage annulment.

Under the new civil code, annulment of marriage is possible when a partner who is “seriously ill” – which now includes HIV/AIDS – fails to inform their fiance of their condition before getting married.

Since Jiang had not informed his wife of his condition before tying the knot, the Shanghai Minhang Court ruled in Li’s favor and annulled the marriage.

On Weibo, the case has attracted a lot of attention, with one hashtag about the case (#男方婚前患艾滋未告知婚姻关系被撤销#) attracting 690 million views on Monday.

The news item also led to another hashtag gaining many views: “The Need for Premarital Medical Examination” (#婚前体检的必要性#) had 200 million views on its hashtag page on Monday.

One popular relationship blogger (@感情感分析异地恋) argues that the Shanghai court case shows the importance of couples getting a medical examination before getting married: “It’s not to discriminate against those who are HIV positive or who are suffering from other illnesses, but it’s about informing your partner about these things before getting married.”

Premarital health checks were previously compulsory in China, but these examinations are no longer required since 2003. Many couples do still go for premarital health checkups. According to Xinhua, over 61% of Chinese couples had a medical examination before getting married in 2018.

Although the application of China’s new civil code is generally praised by Weibo users in this case, it has previously also received a lot of negative attention. The new law also introduced a mandatory 30-day “cooling off” period for couples seeking divorce.

This “cooling off” period is seen as harmful to those who are suffering abuse within marriage and already have difficulties in leaving their abusive partner. The case of Lamu, a Tibetan vlogger who died after her husband set her on fire, also led to more online discussions of the “cooling off” period and how it makes women more vulnerable within their marriage.

By Manya Koetse

Spotted a mistake or want to add something? Please let us know in comments below or email us. First-time commenters, please be patient – we will have to manually approve your comment before it appears.

©2021 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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China Health & Science

Annual List of China’s Best Hospitals: Ranking the Top 10 Hospitals of the Year

These are China’s best hospitals according to the Fudan University annual ranking list.

Manya Koetse

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A new list with the 50 highest rated hospitals in China of the year 2019 has been released earlier this month.

A hospital list, ranking the best hospitals in China, was released earlier this month. The list is independently issued annually since 2010 by the Hospital Management Institute of Shanghai’s Fudan University. It ranks the top 100 hospitals in China and the top 10 hospitals over various clinical specialties. In doing so, it has become one of the most important hospital rankings in China.

The topic became trending on Weibo with over 110 million views (#复旦版中国医院排行榜#). Although there is a major interest in this topic, there are also those questioning what makes a hospital the ‘best’ hospital. This list, among other things, is based on the hospital’s reputation and its capacity to conduct scientific research.

“What is fame and reputation? What I care about when seeing a doctor is their success rate in curing patients,” one social media user wrote – a sentiment shared by many. Others also say it is best to look for the right hospital depending on the patient’s personal needs.

Although it is true that these rankings do not include any rates on treatment results, they are relevant to patients for their reputation and size nonetheless.

China currently has a significant shortage of doctors, and the most qualified doctors are more prone to go to the hospitals with the best reputation. It is an ongoing cycle that has left many of the more rural and smaller hospitals lacking qualified staff. (For more about the problems facing China’s healthcare system, also see this article.)

We will list the top 10 of China’s best hospitals according to the report here, including some basic info.

 

#1 Peking Union Medical College Hospital
中国医学科学院北京协和医院

Peking Union Medical College Hospital (PUMCH) has topped these rankings consecutively for 11 years. The hospital was founded in 1921 by Rockefeller Foundation and is affiliated to both Peking Union Medical College (PUMC) and the Chinese Academy of Medical Sciences (CAMS).

PUMCH offers 2000 beds, has more than 4000 employees, and 57 clinical and medical departments. The hospital recently also launched its online services, including consultation, prescribing medicine, and electronic medical recording, which reportedly will expand to all clinical sections of the hospital.

Weibo: @北京协和医院 (960906 followers)
Website: link
Address: #9 Dongdan 3rd Alley, Dongcheng, Beijing, China

 

#2 West China Hospital Sichuan University
四川大学华西医院

Founded in 1872, the West China Medical Center is China’s biggest hospital in terms of size, and also ranks number two in the list of the world’s largest hospitals (no 1 being the Chang Gung Memorial Hospital in Taiwan). The hospital has a capacity of 4300 beds and there are 46 clinical departments.

West China Hospital has recently been in the news a lot due to the development of its own experimental COVID19 vaccine.

Weibo: @四川大学华西医院 (483829 followers)
Website: link
Address: #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province

 

#3 People’s Liberation Army General Hospital / 301 Hospital
中国人民解放军总医院

The General Hospital of the People’s Liberation Army (PLAGH), also known as 301 Hospital or PLA General Hospital, is the largest general hospital under the auspices of the People’s Liberation Army. The military hospital, used by the top leadership, was founded in 1953 and has a capacity of 4000 beds.

Earlier this year, the hospital made headlines for being the first center in Asia to provide newly advanced (ZAP) non-invasive technologies to treat brain tumors.

Website: link
Address: No. 28 Fuxing Road, Haidian District, Beijing

 

#4 Ruijin Hospital
上海交通大学医学院附属瑞金医院

Ruijin Hospital, formally known as Guangci Hospital, was founded in 1907. The hospital has 34 clinical departments, with a capacity of 1774 beds and a staff of over 3300.

The hospital is known for the rescue of burn victim Qiu Caikang, an iron worker of Shanghai Steel Factory who was burnt by molten steel in 1958. Although he suffered extensive burns to 89% of his body – and was thought unlikely to survive -, the staff at the hospital were able to successfully treat him. The hospital’s technologies in treatment of deep burns has since been renowned throughout the country.

Website: link
Address: 197, Rui Jin Er Road,Shanghai 

 

#5 Zhongshan Hospital Fudan University
复旦大学附属中山医院

This Shanghai hospital, which opened in 1937, is a major teaching hospital affiliated with the Shanghai Medical College of Fudan University. It was the first large-scale general hospital managed by Chinese people at its time of opening.

Zhongshan Hospital is leading in China when it comes to the treatment of heart, kidney, and diseases, and liver cancer. The hospital has over 1900 beds and more than 4000 hospital staff.

Website: link
Address: 180 Fenglin Road, Shanghai

 

#6 The First Affiliated Hospital, Sun Yat-sen University
中山大学附属第一医院

The First Affiliated Hospital of Sun Yat-Sen University is celebrating its 110th anniversary this year. Founded in 1910, the hospital was initially called the Affiliated Hospital of Guangdong Public Institution of Medicine. It is one of the largest hospitals in China.

The hospital is renowned for various medical specialties, including liver and kidney transplantion. The hospital has 72 clinical departments, 3523 beds, and over 6000 staff.

Website: link
Address: 58 Zhongshan 2nd Rd, Yuexiu District, Guangzhou, Guangdong Province

 

#7 Tongji Hospital, Huazhong University of Science and Technology
华中科技大学同济医学院附属同济医院

Tongji Hospital was officially founded by German doctor Erich Paulun in 1900, located in Shanghai, and did not move the Medical College to Wuhan until 1950. The hospital, which now has some 4000 beds and 7000 staff members, has 52 clinical and paramedical departments.

During the new coronavirus outbreak in Wuhan, the hospital provided 800 beds for severe cases.

Website: link
Address: No.1095 Jie Fang Avenue, Hankou, Wuhan

 

#8 Xijing Hospital
空军军医大学西京医院

Xijing Hospital was founded in 1939 and has since been a hospital of several ‘world’s firsts’, including being world’s first hospital to recreate a ‘4D’-printed breast for a cancer patient who underwent a mastectomy. The hospital also saw China’s first baby born from a transplanted womb.

Xijing Hospital houses 3218 beds.

Website: link
Adress: No. 127 Changle West Road, Xincheng District, Xi’an

 

#9 Huashan Hospital
复旦大学附属华山医院

Huashan Hospital’s main branch is located in the city center of Shanghai, in the former French Concession. The hospital was founded in 1907 as the Chinese Red Cross General Hospital by Governor Shen Dunhe, the founder of the Red Cross Society of China. The hospital opened for business in 1909.

Besides being a general hospital with around 3000 staff members and over 1215 beds at the main branch, it is also Fudan University’s major and renowned teaching hospital. Huashan is one of the best-known hospitals in China.

Website: link
Address: 12 Wulumuqi Middle Rd, Jing’an District, Shanghai

 

#10 Wuhan Union Hospital
华中科技大学同济医学院附属协和医院

Wuhan Union Hospital has a long history; it was founded in 1866 by Griffith John, a Welsh Christian missionary and translator in China. The hospital is an active general hospital, as well as focusing on teaching and scientific research.

The hospital has a total of 5000 beds and more than 8000 staff members. In 2020, the hospital became one of the designated hospitals to treat patients from the COVID-19 pandemic.

Website: link
Address: 1277 Jiefang Avenue, Wuhan, Hubei Province

 

By Manya Koetse

Original photo used in featured image by Adhy Savala

Spotted a mistake or want to add something? Please let us know in comments below or email us. First-time commenters, please be patient – we will have to manually approve your comment before it appears.

©2020 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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