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No WeChat, No Access – How China’s Digital Revolution is Leaving behind Its Elderly Population

With apps and QR code scanning taking over day-to-day necessities in China, elderly citizens are feeling increasingly alienated from society.

Brydon Brancart

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As daily life in China becomes ever more digitally dependent, China’s elderly find themselves increasingly excluded from a wide range of services. Here’s an overview of this new societal problem by What’s on Weibo’s Brydon Brancart.

“If you don’t take cash then put a sign up!” yelled 67-year old Mr. Xie after trying to use cash to pay for his groceries at a checkout aisle reserved for mobile payments.

Enraged at his treatment, Xie’s initial reaction was to cause a ruckus, lunging at the security guards surrounding him. “You shame me, an old guy, for not being able to use WeChat!” Xie explained later on, after regaining his composure.

The video, posted on Weibo in late September of this year, quickly made its way around Chinese social media, renewing a controversy that goes right to the heart of China’s fast-paced digital revolution: can the elderly keep up?

 

No App, No Access: Seniors without Wechat

Sorry, as you’re already over 70, you’re not fit to keep on living

 

The issue became prominent last year after writer Xiao Ao (小奥) published an article titled: “Sorry, as you’re already over 70, you’re not fit to keep on living” [“对不起,由于你已经超过70岁,你已经不适合活下去了!”].

In the article, Xiao voiced her frustration over how difficult it was for her 90-year-old grandfather to receive a package she had mailed him.

“I thought it would be a simple delivery,” Xiao recalls. “My grandfather would just have to walk to his door, open it, open the package, and then could [retrieve the gift]. But I was wrong.”

Packages sent to her grandfather’s housing complex are stored for pickup in new delivery lockers – which can only be unlocked by the intended recipient using their Wechat account.

“My grandfather is only able to receive calls and can only make them with his glasses on. He can’t text, so Wechat is even more [out of the question],” Xiao explained.

According to her, there is a widespread alienation of China’s elderly from the digital economy, evident from countless reports of elderly struggling to use digitalized services that come second nature to younger generations: cab-hailing, queing in a bank or hospital, bike-sharing, the list goes on and on.

“I’ve realized that the ‘convenient life’ before my eyes is, in fact, a great disaster impeding our parents’ everyday necessities, one they can neither dodge nor escape…”, Xiao concluded.

Wang Qipeng, writing for the Beijing Evening Paper, presents a similar viewpoint.

“One can say that we live in a ‘scanning’ age,” Qipeng writes: “Yet (…) there are many elderly people who, because they cannot scan, have no way of using bike-sharing, have no way of getting discounts at the store, and can’t even open the smart-boxes that are delivered to them.”

The store owner holds up a sign that says “Mobile Payments.”

Wang’s reference to “the scanning age” is no overstatement. Whether unlocking a bicycle through a bike-sharing app such as Mobike or Ofo, or ordering lunch in the office through the meal delivery app Eleme, all transactions are performed through apps that in turn rely on mobile payment apps.

Even public institutions are adapting to the scanning age, for purposes ranging from public announcements to dispensing toilet paper.

Unlocking a Mobike by scanning a QR code (image via CGTV).

QR codes are ubiquitous across China’s public and commercial landscapes. They are posted on walls in vegetable stalls, sit beside registers at department stores, and are even used by beggars in first-tier cities.

Their function is simple. In order to access them, one opens up the relevant app and selects ‘scan’. The app opens the phone’s camera function and scans the QR code. Then, all one has to do is simply select an amount to pay or agree to terms of service. Whether it ’s scanning a QR code, or producing one to be scanned, the process takes seconds.

Reliance on mobile payments has been increasing globally, but nowhere has that growth been faster and more extensive than along China’s Eastern seaboard. According to the South China Morning Post, in the third quarter of 2017, earnings in the mobile payment sector reached 29.5 trillion RMB (almost 4.25 trillion USD), a three-fold increase in just one year.

For younger urban residents, doing away with cumbersome cash is a welcome change. A 2017 Penguin Intelligence study found that 92% of those polled in China’s cities primarily use mobile payments methods. Cash, on the other hand, is preferred by less than 10% of this group.

Handing the elderly a smartphone is in no way a solution. The replacement of the wallet by the smartphone comes with its own set of rules and requirements. Using mobile payments does not solely depend on familiarity with smartphones, it also assumes an eyesight keen enough to read the small print on phone screens.

Operations such as linking a bank account to a phone can be a nightmare for the technologically illiterate. In the absence of easily accessible courses suited to the learning speed of elderly citizens, mobile payment’s effect on this age group is precisely the opposite of what it intends, adding rather than alleviating the chores of everyday life.

 

Viral Stories of Seniors in Digital Trouble Resurface

To refuse taking on cash is actually a type of discrimination for those who do not understand how mobile payments work.”

 

Besides Xie’s viral rant, a plethora of online essays and news reports highlighted just how ill-equipped China’s eldery citizens are in today’s digital era.

In January of this year, Xin Lan News reported the story of an elderly man who, in what seems like a foreshadowing of Xie, broke down into tears at a train station after having to admit he did not know how buy a ticket online.


Incapable of buying a ticket, an elderly man cries in frustration (via Sina.com).

Around the same time, another story described the plight of a sweet potato salesman who complained that his son took advantage of his unfamiliarity of scanning to steal a large portion of his salary. And only a few days after Chinese netizens moved on from Xie’s rant, news came of an elderly woman who was tricked by a man pretending to help her use scan a QR code.

On Weibo, many commenters support the elderly in these stories. A typical comment said: “To refuse taking on cash is actually a type of discrimination for those who do not understand how mobile payments work.”

Unfortunately, despite the frequency of these stories, there is little consensus on how to better prepare the elderly for an increasingly digitalized tomorrow.

 

Proactive Solutions with Long-Term Consequences

Society ought to accommodate the needs of the elderly, it ought to consider their necessities.

.
 

Charities have sought to implement educational programs to tackle this issue. The most proactive of these organizations, See Young (夕阳再晨), a volunteer organization that started in Beijing, is now operating in sixteen Chinese provinces, having already provided individualized support to over 18,000 elderly citizens, and helped educated over a million.

The government has been supportive of See Young, mentioning them in the 13th five-year plan. Li Zhihong, head of the policy research division of the China National Working Commission on Ageing, commented to the People’s Daily that, “when it comes to helping the elderly become immersed in the information age, there are already organizations actively working [towards this].”

Yet, many disagree with forcing the elderly to continually learn, including the founder of See Young, Zhang Jiaxin (张佳鑫). In Wang Qipeng’s article “Does Scanning Leave the Elderly Without Money to Spend?” [“扫码让老人无钱可花?”], an interview with Zhang is cited where the philanthropist states:

Society ought to accommodate the needs of the elderly, it ought to consider their necessities. [Society] mustn’t force them to expend all their energy in learning this or learning that, forcing them to act in this way. Only through such [a change] will [society] truly help and respect the elderly.”

Zhang worries that continued pressure on the elderly to keep up to date on the newest technologies will only make them feel that “at home, and in society, they exist in an inferior position.”

By Brydon Brancart, edited by Eduardo Baptista

Spotted a mistake or want to add something? Please let us know in comments below or email us.

©2018 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com

Brydon Brancart is a writer and Chinese translator. Originally from California, he has lived in both Beijing and Shanghai. He is interested in understanding the role modern media trends play in shaping worldviews, personal identity, and social behavior.

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1 Comment

1 Comment

  1. Avatar

    Willowjuice

    November 1, 2018 at 5:05 am

    Being old isn’t an excuse to stop learning, just like being poor isn’t an excuse to commit crime.

    Just learn.. ask the children or social workers to help set up accounts or bind bank cards, and learn.. It’s not at all rocket science unless you are illliterate or mentally retarded. You have plenty of time after retirement and you’d rather spend time eating seeds or walking dogs, and turn around and blame the development of society has left you behind? Isn’t that a bit of a joke?

    My 92-year-old grandpa uses WeChat everyday to send us message and share subscriptions. He can also ‘recall’ a message on WeChat or share videos. He chooses clothes himself on Taobao and asks his ayi to deal with the payment for him. So, what is the problem?

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China Digital

WeChat’s New Emoji Are Here (Including a Watermelon-Eating and Doge One)

WeChat’s new emoji are based on popular memes.

Manya Koetse

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On January 14, Tencent’s Wechat introduced new emoji to its existing emoji set. The new emoji include, among others, a watermelon-eating emoji and a smiling Shiba Inu.

On Weibo, the new emoji have become a topic of discussion under the hashtags “WeChat’s New Emoji” (#微信上线新表情#), “WeChat’s Watermelon Eating Emoji” (#微信上线吃瓜表情#), and “WeChat’s Dog Emoji” (#微信上线狗头表情#).

Different from the Unicode emoji (see Emojipedia), WeChat and Weibo have their own sets of emoji, although there is overlap.

The reason why especially the watermelon-eating and dog emoji are being discussed on social media, is because these emoji are based on popular internet memes.

“Eating watermelon” (吃瓜 chī guā) is an online expression that comes from “watermelon-eating masses” (吃瓜群众 chī guā qúnzhòng), which describes a common mentality of Internet users who have no idea what is actually going on but are still commenting or following online stories for their enjoyment – perhaps comparable to the “popcorn memes” that are ubiquitous on Western social media platforms.

The smiling dog has been around since 2013 and is known as the doge meme, based on a photo of a Shiba inu. The meme was originally spread on social media platforms such as Reddit, but then also became hugely popular in China, where it became a symbol of sarcasm (also read this Abacus article on this topic).

Other new emoji are the “wow” emoji, and others to express “ok,” “add oil,” “emm,” “oh!”

There’s also a “shehui shehui” (社会社会, lit. “society society”) emoji, which also comes from online culture and is a way among friends to (self-mockingly) talk about being ‘gangsters,’ ‘brothers.’ or ‘scoundrels.’

As the new emoji are still in their testing phase, not all WeChat users can use the new emoji yet, so you might have to wait a bit before being able to try them out.

By Manya Koetse, with thanks to @caaatchina
Follow @whatsonweibo

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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Backgrounder

‘Good Doctor’, Digital Hospitals: How Mobile Apps Are Alleviating China’s Healthcare Problems

With the rapid digitalization of China’s healthcare, Chinese patients now have more ways than one to receive medical assistance.

Manya Koetse

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China’s healthcare industry is facing some serious challenges. As Chinese society is rapidly digitalizing, mobile apps now provide innovative solutions to alleviate pressing problems in the country’s health services sector.

 
This is the “WE…WEI…WHAT?” column by Manya Koetse, originally published in German by Goethe Institut China on Goethe.de: “Good-Doctor Apps und Digitale Krankenhäuser.” 
 

Social Credit System, artificial intelligence, surveillance cameras; these are some of the hottest topics making headlines in mainstream Western media when discussing China-related developments recently.

With the rapid digitalization of Chinese society, these topics certainly have come to play a more important role in social media discussions within the People’s Republic of China (PRC). But if there is one issue that seems to concern Chinese social media users the most, it is not facial recognition nor their ‘Sesame score’: it is the topic of healthcare.

In December of 2017, a photo showing a crying mother kneeling down beside a toddler on the sidewalk in front of a Shanghai hospital went viral overnight. The moment was captured on camera by a reporter who was visiting Shanghai’s Children’s Hospital.

The photo of Guo Yinzhen and her son that went viral in China (image via NetEase, source: https://3g.163.com).

The mother, Guo Yinzhen, is a single parent who had traveled from a remote village to seek medical help for her 3-old-son, who was suffering from congenital hydrocephalus or ‘water on the brain.’ Already having traveled to the city multiple times and spending all her money on medical bills, Guo could not afford the additional 100.000 yuan (€ 12.600) for medical procedures needed to save her son’s life.

Guo’s story struck a chord with Chinese netizens, who continue to share the heartbreaking photo on social media to this day. It has become emblematic of China’s healthcare problems.

 

Crowded Hospitals and ‘Healthcare Disturbance’

 

The key to an adequate healthcare system, no matter where in the world, is that there is a right balancing in the “iron triangle” of efficiency/cost containment, high quality care, and patient access.[1] China, however, struggles with all three sides of this triangle.

Guo’s case is an extreme example, but many people in China dealing with less serious health issues and needing basic medical services also struggle to afford and access the healthcare they need.

Over 95% of people in China have health insurance, but people from different regions do not enjoy the same benefits and their out-of-pocket expenses can vary greatly. Uncovered medical costs can sometimes be catastrophic and simply unaffordable for patients and their families.

As more money flows are going to healthcare facilities in China’s cities, there is also the issue of varying levels of providers’ medical education and the overall healthcare quality, with the substantial majority of modern hospitals still existing in urban areas.

Easy access to the right kind of healthcare can be especially problematic for China’s rural population, as people often need to travel long distances and have to go through the lengthy process of registering and waiting for their doctor’s appointment, which sometimes requires them to stay in the city overnight.

For all of these reasons, China’s bigger public hospitals can get super crowded, sometimes resembling shopping malls on an end-of-season sales day. On social media, both patients and medical workers often complain about the stress brought about by the huge crowds and the shortage of doctors in hospitals across the country.

Perhaps it is no wonder that China even has a word to describe outbursts of violence between patients and doctors: ‘Yī nào’ (医闹, literally: “healthcare disturbance”).

Weibo user ‘Sunscreen’ complains about the crowds at Huashan Hospital.

One major problem within China’s healthcare conundrum is the lack of local family or primary-care doctors, which often makes bigger hospitals the first stop to any kind of medical treatment for Chinese patients.

The reasons for this issue are manifold. There is a general lack of trust in private and smaller local healthcare clinics, for example, and patients often choose to go directly to a bigger hospital to avoid making extra costs.

This makes it extra difficult for many community health care centers – that are already struggling – to make enough money and to retain qualified staff. In a society that is rapidly aging, the challenges facing China’s healthcare industry are only becoming more pressing.

 

A Doctor Today, Just an App Away

 

As China’s online environment is thriving, new innovative online apps are popping up on a daily basis. Some of these apps, that have found their ways into China’s most popular app rankings, are offering solutions to some of the country’s most pressing healthcare problems.

One of these apps is Ping’an Good Doctor (平安好医生), which was developed by health insurance provider Ping’an in 2015 and calls itself China’s “one-stop healthcare ecosystem.”

“Ping’an Good Doctor” promotional image by Ping’an.

Employing some 1000 medical staff in its in-house team, contracting over 5,200 external doctors, and collaborating with 3000 hospitals and thousands of pharmacy outlets across the country, the app is somewhat of an “online hospital.”

Through the app, users can look through an online database of medical professionals, order medicine at nearby pharmacies, get 24/7 online medical consultancy, search for information about both Western and Chinese Traditional Medicine, etc., but they can also use Ping’an Good Doctor as a fitness app to track their own health.

Screenshot of Ping’an app screen, by author.

When looking for a specific doctor for a one-on-one consult, the app first lets users select an area of expertise (e.g. dermatology or gynecology), and then offers a list of different specialists in various price categories.

Doctors from well-known hospitals, for example, or those with excellent ratings, have a one-time consultation fee of 100 yuan (€ 12,60). Other doctors can be consulted starting from 30 yuan (€3,70). All costs can be paid efficiently via online payment apps.

Doctors to pick from within the app’s various price categories.

Ping’an Good Doctor uses an AI-driven system to ask patients various questions about their symptoms and to automatically create a user’s medical record to save time. Based on the AI-generated record and the conversation with the patients – files such as photos can also be uploaded to the app -, the doctors can prescribe medicine or refer the patient to a hospital for an offline appointment if needed.

Ping’an recently announced that its number of registered users exceeded 300 million users, with 62 million monthly active users. Because the app keeps building on its AI-driven system, Ping’an Good Doctor can be expected to only become a ‘smarter’ smart health app the more popular it gets.

Although Ping’an is now leading within China’s medical app category, there are many other apps providing similar services, such as Chunyu Yisheng (春雨医生), Haodafu Online (好大夫在线), or DingXiang Doctor (丁香医生).

The emergence of these apps is just one of the many ways in which China’s digital developments, online media, and tech giants are impacting the healthcare industry, profoundly changing how patients receive healthcare information and access medical services now and in the future.

List of recommended medical apps in the Tencent app store.

In a way, China’s medical consultation apps fill the void in offline primary care. Patients who would otherwise turn to hospital care as their first stop can now  access medical consultations any time, any day, at a relatively low cost. Those who suffer from relatively harmless conditions could be diagnosed by a medical specialist via the app and get the medicine they need within a matter of minutes. With the growing popularity of these kinds of apps, many patients no longer need to visit a hospital at all.

Are smart health apps such as Ping’an Good Doctor the solution to China’s healthcare problems? No, they’re not. Struggling mums like Guo Yinzhen will not find the help they need there. But they do contribute to a more efficient healthcare environment where crowd flows in hospitals can be reduced, and patients do not need to spend a lot of time and money to stand in hour-long queues to get five minutes of their doctor’s time.

Although smart health apps could not help Guo Yinzhen and her son, social media apps could. As soon as their story went viral in late 2017, Shanghai Children’s Welfare Foundation Xiaoxingxin offered to cover medical treatments for the little boy, with a notable pediatric neurosurgeon operating the child. According to the latest updates, the boy’s situation was “looking good.”

Hopefully, the same holds true for the challenging sides of China’s healthcare industry.

By Manya Koetse
Follow @whatsonweibo

[1] Burns & Liu, 2017: 3-4.

References/Linked Sources

Burns, Lawton Robert, and Gordon G. Liu. 2017. “Introduction.” In China’s Healthcare Industry: A System Perspective, Lawton Robert Burns and Gordon G. Liu (eds), pp-1-116. Cambridge: Cambridge University Press.

Economist, 2017. “China needs many more primary-care doctors.” The Economist, May 11 https://www.economist.com/china/2017/05/11/china-needs-many-more-primary-care-doctors [20.10.19].

Zhou, Viola. 2018. “Does China Have Universal Healthcare? A Long (And Better) Answer.” Inkstone, Oct 10 https://www.inkstonenews.com/health/china-translated-does-china-have-universal-health-care/article/2167579

This text was first published by Goethe-Institut China under a CC-BY-NC-ND-4.0-DE license (Creative Commons) as part of a monthly column in collaboration with What’s On Weibo.

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