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New Law Combats the ‘Yinao’ Phenomenon

China has launched a new law to cope with the increasing ‘Yinao’ Phenomenon. The growing violence of patients against medical staff has made being a doctor a dangerous job in China.

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China has launched a new law to cope with the increasing social problem of patient-doctor violence, also called the ‘Yinao’ Phenomenon. The growing violence of patients against medical staff has made being a doctor a dangerous job in China. The new law makes it possible to sentence hospital troublemakers to up to seven years in prison.

The yinao (医闹, ‘medical disturbance’) phenomenon has become a growing problem in China’s medical sector over the past several years. Yinao is the organized disturbance and violence in hospitals against medical workers, mostly meant to get compensation for medical malpractices. It is often done by criminal groups that are hired by patients or their family when they are dissatisfied with the provided medical care.

The disturbance includes protests and violent attacks on staff. Some even involve the murder on health professionals.

Chinese media have covered roughly thirty medical related disputes from October 2013 to June 2015. These were only the terribly violent disputes (including fatal stabbings) that had a large societal impact; the thousands of small disputes happening in hospitals across China every day were not taken in account.

 

“The Ministry of Public Security has advised hospitals with 2000 beds to have at least 100 security guards.”

 

In October of 2013, the Ministry of Public Security has advised hospitals with over 2000 beds to have at least 100 security guards. The growing numbers of security staff, however, have not helped to combat hospital violence.

In November 2013, hundreds of medical workers protested at the No. 1 People’s Hospital in Wenling, after a dissatisfied patient overpowered security guards and stabbed three doctors, leading to the death of one of them.

The new law, that will be implemented on November 11th of this year, is to punish those who threaten and assault medical staff, damage hospital facilities or equipment, or in any way hinder the hospital staff and doctors from doing their work.

 

“Medical workers are constantly bullied, humiliated or physically hurt by ignorant people.”

 

On Sina Weibo, the topic “medical disturbance crimination” (#医闹入罪#) was posted immediately after the news was released. Over a million users participated in a discussion about the new law.

Among all the users commenting, there were are also many medical professionals and students. “Us as poor medical students can finally relax a little bit. Medical violence should have been incriminated years ago!” says user Sunshine Without Tears: “There have been so many hospital disputes, and medical workers are constantly bullied, humiliated or physically hurt by ignorant people. We need a law to combat hospital disputes so that the relationship between doctors and patients will improve.”

Doctor CSY summarizes the major factors contributing to the increase of violence in China’s health care: a rising consciousness of patient rights, deepening misunderstandings between patients and doctors, and provocative media reporting. He then adds: “I’ve witnessed a lot of disputes in the hospital over the past few years. All doctors want their patients to get better and healthy. We work so hard with not much income, and yet have to worry about our own safety. If any medical worker neglects his duty, he should be punished by the law instead of being hit by the patient’s family.”

 

“Patients sometimes spend their entire life savings when suffering from serious illnesses. When treatment fails, despairing patients and their families are quick to blame doctors.”

 

The market-oriented reforms of the Chinese health sector is also a major cause of the yinao phenomenon. With China’s economic liberalization, the state is no longer responsible for providing health care. Because public hospitals have started chasing profits to survive, people have to take more responsibility for their own care.

Patients sometimes spend their entire life savings when suffering from serious illnesses. When treatment fails, despairing patients and their families are quick to blame doctors and the hospital.

Most patients and their families are unwilling to solve medical problems through legal channels; not only is the process time-consuming, it also might end with no financial compensation. They believe a quicker way to get some money back is to cause trouble at the hospital.

Weibo user Huohuo is worried about the feasibility of the new law: “I don’t think ordinary people will go to court to deal with medical issues. In China, there is a long tradition of the law failing us, while the violators win. I just hope that China will be a developed country soon so that all Chinese people can enjoy free healthcare. It might be the best solution to decrease hospital disputes.”

 

“Doctors are the perfect target of revenge.”

 

There are also Weibo users who understand negative sentiments towards medical staff. Chinese doctors and other medical professionals are generally underpaid. The low income causes some of them to make extra money in “grey areas” such as drug kickbacks, over-prescription, and bribery. For many patients, this has ruined the image of doctors, and they find it hard to trust them. This partly explains why, when medical misfortune happens, doctors often are the perfect targets of revenge.

User East South West North comments: “Medical disputes happen for a reason. The truth is, that some doctors require patients to do unnecessary inspections so they can make profits. Patients have even died from counterfeit drugs prescribed by doctors.”

 

“I’m afraid no one wants to pursue a career in medicine if this vicious cycle keeps on growing.”

 

China’s violence against doctors has been cited as an important reason for a decrease in the popularity of healthcare career. User J_tomorrow points out that the government should heighten the punishment of ‘medical disturbance’ to ensure the safety of medical workers at hospitals: “Doctor is a high-risk and low-paid occupation in China. I’m afraid no one wants to pursue a career in medicine if this vicious cycle keeps on growing.”

Weibo user called Bottle of Chili admits that she has lost her passion of being a medical worker: “I used to be full of passion for my work, and I treated my patients with kindness. But after being misunderstood and humiliated by patients and their families years after years, I’m now doing my job like a robot. The whole society expects us to show selfless devotion, but we are humans after all!”

‘Medical disturbance crimination’ is the first step in improving the doctor-patient relationship. Many more measurements need to be taken in order to cope with this social problem. User Liyun expresses his support of the legal protection of medical worker. At the same time, he says: “We need to understand the underlying reasons of medical disturbance – the distrust between doctors and patients. Hospitals should not hide or cover up medical negligence. And patients should give medical workers the respect they deserve.”

By Yiying Fan

Image used: http://focus.cnhubei.com/consensus/200912/t883804.shtml

©2015 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

About the author: Yiying Fan is a world traveler and Chinese freelance writer from Shanghai.

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China Health & Science

‘Two Sessions’ Proposed Ban on Single Women Freezing Their Eggs

Weibo talks egg freezing.

Manya Koetse

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It was the number one trending topic of the day on Weibo earlier this week: the proposal to make it illegal for hospitals and clinics in China to provide the service of freezing eggs to unmarried women.

Chinese physician Sun Wei (孙伟), National People’s Congress delegate, is the person to raise the issue of no longer allowing medical facilities in China to freeze eggs. She is the director of the Reproductive Medicine Unit at the No.2 Affiliated Hospital of Shandong University of Traditional Chinese Medicine.

Sun Wei submitted the proposal during the Two Sessions (lianghui), China’s largest annual legislative meetings, in order to encourage Chinese citizens to “marry and reproduce at the appropriate age.” Sun also mentions potential health risks as a reason to ban egg freezing services.

On Weibo, one news post reporting on the issue received nearly 835,000 likes. The hashtag “Proposal to Prohibit Single Women From Freezing Their Eggs” (#建议禁止单身女性冷冻卵子#) received over 710 million views.

Sun Wei (image by Vista看天下).

The proposal goes against the proposition of a National Committee member during the lianghui, that of Peng Jing (彭静), that supports single women’s rights in freezing their eggs.

It also comes after the 31-year-old Teresa Xu (Xu Zaozao) filed a lawsuit against a Beijing medical facility in December of 2019 for refusing her the treatment of freezing her eggs, arguing it was effectively discriminating against single women. In doing so, Xu challenged China’s regulations on human assisted reproduction, which bar single women from getting the procedure.

Artificial insemination itself is not illegal in China when it is done by a married couple; it is only against the law when done by those who are not lawfully married.

It is not the first time the discussion on egg freezing erupts on Chinese social media. In 2015, Chinese actress and director Xu Jinglei (徐静蕾) stated in an interview that she had nine eggs frozen in the United States at the age of 39, calling them her “back-up plan.”

Xu’s statement made artificial insemination an issue of public interest, especially because unmarried women in China cannot carry out this procedure.

Although single women in China technically could have their eggs frozen – if they have the financial capacity to do so – they would not be able to have them inseminated unless they provide three certificates: their identification card, their marriage certificate, and their ‘zhunshengzheng‘ (准生证 ) – the ‘Permission to give Birth’, which would not be issued without the marriage certificate. In short: single women would not be able to have a baby through artificial insemination, because they would not be able to get the required legal papers to go through with the procedure.

At the time of the 2015 discussion, the famous Chinese blogger and writer Han Han (韩寒) shared his thoughts on the issue: “Why can’t women decide for themselves whether or not they want to have children? And what if an unmarried woman does get pregnant, and they don’t get a ‘Permission to give Birth’? Then the child cannot even get a residence registration.”

“Why should having a baby be bound together with marriage? Even I, a simple straight guy, cannot see the logic in this,” Han Han wrote.

In the discussions that are going around Chinese social media this week, there are many netizens that take a similar stance as Han Han did, arguing that single women should have the right to freeze their eggs, and wondering why they would not be allowed to do so in the first place.

Various Weibo commenters write that individuals should have the right to make their own decisions about whether or not they would like to have children. One Weibo thread where people are asked about their opinion on the matter, the majority of the 16,000+ responses say they support single women being able to freeze their eggs.

“[I] support [it], [I] support [it], [I] support [it], [I] support [it], [I] support [it]…” – this Weibo user clearly thinks single women should be able to decide for themselves whether or not they would like to freeze their eggs.

However, there are also some web users opposing this idea, arguing that it is “not morally right” and does not provide a “normal family environment” to children.

Whether Sun Wei’s proposal will lead to actual changes in the law is yet to be seen, although it would virtually not alter the current situation regarding egg freezing in China. It already is virtually impossible for unmarried women to freeze their eggs as a “back up plan” and it would just make the impossible even more impossible.

By Manya Koetse
With contributions from Jialing Xie

Featured image Photo by 东旭王

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©2020 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

Schools in China Are Reopening, But Will Lunch Breaks Ever Be the Same Again?

Chinese students are back to school, but school life is not back to normal.

Manya Koetse

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As most schools across China are opening their doors again, social media users are sharing photos of what school life looks like in the post-COVID-19 outbreak era this week.

Some videos and images that are circulating on Weibo and Wechat show somewhat dystopian images of the post-COVID-19 school life at primary and (senior) high schools – students eating while standing outside in straight lines, or pupils wearing face masks taking turns to eat their lunch (supposedly to reduce the chances of contagion via respiratory droplets, see tweeted video below).

Most schools in China have already started or will open later this month. Only Hubei province and Beijing have not yet announced school reopening plans, Caixin reports.

But although China is gradually back to business after its weeks-long coronavirus lockdown, daily life is far from normal as the country remains on high alert for a possible second wave of COVID-19 infections.

Schools are therefore also taking strict precautions to reduce infection risks both in and outside of the classroom.

Lunch break policy and procedures are just one of the many things that have changed at Chinese schools now.

On Weibo, ‘Henan Education’ is one of many accounts posting about the dramatically different way of eating at China’s school canteens in these post-COVID-19-outbreak times.

In Xingyang city, for example, special supervisors have been allocated to high schools to maintain the order and reduce the number of students gathering at the school entrances and assist students with lunch break seatings at the canteen.

Canteen at Xingyang’s Second Senior High School

At a senior high school in Kaifeng, all students have their lunch breaks in the canteen at one side of the table only, leaving enough space in between the other students.

Other schools have set up their canteens like examination rooms, only allowing one student per table, only facing one direction.

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One Weibo user posts how her Tianjin school is preparing for the lunch break arrangements, with indicators on the floor marking the direction students should walk in and the distance they have to keep from each other.

One other school in Jiangsu’s Huai’an has put dividers on all lunch tables to separate students while having their lunch break.

“It feels like taking exams,” some commenters write about the new lunch break policies. “We can no longer look around and whisper in each other’s ear.”

One school board in the city of Beihai has decided to make use of its new separating screens to stimulate more studying during lunch breaks; they have printed study material for the upcoming ‘gaokao‘ exams on the dividers.

Some netizens think that other schools will follow this example if it appears to be effective. In that way, the post-COVID-19 lunch break will turn into just another study opportunity.

For more COVID-19 related articles, please click here.

By Manya Koetse (@manyapan)
With contributions from Miranda Barnes
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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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