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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

Chinese Doctor Knocks Herself Out in Controversial Self-Experiment

Dr. Chen wanted to warn about the dangers of sevoflurane and other drugs.

Manya Koetse

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A female doctor has become a topic of discussion on Chinese social media for her self-experimentation with anesthesia.

Dr. Chen (陈大夫), a Nanjing doctor who works in the Obstetrics and Gynecology department, conducted the experiment in response to an ongoing discussion on whether or not a handkerchief dipped in inhalation anesthetics could cause immediate unconsciousness (“一捂就晕”).

The discussion was triggered by news of the death of a 23-year-old woman from Foshan, Guangdong Province, on February 8. The recent college graduate was found in a hotel room and it was later ruled that the cause of death was acute respiratory failure due to sevoflurane toxicity. The victim’s company supervisor, a 39-year-old man named Peng, is now suspected of fatally sedating and raping the young woman.

The case led to speculation among netizens whether or not sevoflurane could have knocked out the woman in seconds. There have been ongoing debates on the effects of general anesthetics used to sedate unsuspected victims, with some specialists arguing that it is not so easy to make someone slip into unconsciousness within a matter of seconds – saying it would take much longer than and only if an unusually high dosage is used.

Dr. Chen posted on February 10 that she was certain that it is possible for certain inhalation anesthetics to immediately make someone pass out, but her claim was refuted by others. The popular Weibo blogger Jiangning Popo (@江宁婆婆), a police officer, was one of the persons involved in the discussion claiming Chen was wrong.

Dr. Chen is active on Weibo under the handle @妇产科的陈大夫, and with over two million followers on her account, she is somewhat of a ‘celebrity’ doctor.

Instead of spending time arguing back and forth on the internet, Dr. Chen decided to put the issue to the test herself with an unopened bottle of sevoflurane that she had previously purchased for the planned sterilization of her dog. The sevoflurane had already passed its expiry date.

On February 16, Dr. Chen then asked someone else to film her doing the self-experiment and she posted the video on Weibo, in which she inhaled sevoflurane on a cloth. The doctor soon passed out in the video, which has since been deleted.

The experiment in the video lasts 64 seconds, and shows Chen:

– 00:01-00:06 Opening the bottle of sevoflurane
– 00:07-00:12 Preparing a cloth
– 00:13-00:23 Putting the sevoflurane on the cloth
– 00:23-00:26 Closing the cap of the bottle
– 00:27-00:28 Putting the cloth on her mouth and nose
– 00:29-01:33 = the time frame of losing consciousness (with first symptoms starting at 0:44) to going limp and falling on the floor (1:20) and being completely unconscious (1:21-1:33).

Dr. Chen’s experiment immediately sparked controversy after she posted the video on social media.

Although sevoflurane is a prescription drug and a controlled substance, it is also sold online as a type of drug. According to The Paper, the number of rape cases in China facilitated by drugs have risen over the past three years, with many ‘date rape drugs’ being sold and bought over the internet.

With sevoflurane being a controlled substance, Dr. Chen’s video triggered discussions on whether or not she was actually involving in a criminal act by doing the self-experiment. She also received criticism from within the medical community that she used this medication outside of the hospital environment.

Dr. Chen soon deleted the video herself and then called the police to personally explain and apologize for the incident, with the news soon going viral (#女医生拿自己做实验后报警并致歉#, 270 million views).

But despite the controversy, the doctor still defends her actions to some extend. Although Chen stated on February 17 that her self-experiment was “not right,” dangerous, and should never be imitated by anyone, she later also explained on her Weibo page that she thinks sevoflurane as a prescription drug is too easy to get your hands on and that the existing laws to prevent people from buying it are too weak.

The doctor has succeeded in raising public awareness on the dangers of these kinds of drugs. She also reminds both women and men never to leave their drink unattended, as the dangers of someone slipping something in your drink are real and the consequences can be grave.

As the incident has gone trending on Chinese social media, many commenters praise Dr. Chen for her experiment, while others also praise her for being transparent and admitting her mistakes.

 
By Manya Koetse
with contributions by Miranda Barnes

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

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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