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China Health & Science

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 and Covid19

Fangcang Forever: China’s Temporary Covid19 Makeshift Hospitals To Become Permanent

China’s temporary ‘Fangcang’ shelter hospitals are here to stay.

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A new term has been added to China’s pandemic lexicon today: Permanent Fangcang Hospital. Although China’s ‘Fangcang’ shelter hospitals are, by definition, temporary, these healthcare facilities to isolate and treat Covid patients are now becoming a permanent feature of China’s Zero-Covid approach.

Over the past few days, Chinese authorities have emphasized the need for China’s bigger cities to build or renovate existing makeshift Covid hospitals, and turn them into permanent sites.

So-called ‘Fangcang hospitals’ (方舱医院, square cabin hospitals) are large, temporary makeshift shelter hospitals to isolate and treat Covid-19 patients. Fangcang shelter hospitals were first established in China during the Wuhan outbreak as a countermeasure to stop the spread of the virus.

January 5 2022, a Fangcang or Isolation Point with over 1000 separate isolations rooms is constructed in Baqiao District of Xi’an (Image via Renmin Shijue).

They have since become an important part of China’s management of the pandemic and the country’s Zero-Covid policy as a place to isolate and treat people who have tested positive for Covid-19, both asymptomatic and mild-to-moderate symptomatic cases. In this way, the Fangcang hospitals alleviate the pressure on (designated) hospitals, so that they have more beds for patients with serious or severe symptoms.

On May 5th, Chinese state media reported about an important top leadership meeting regarding China’s Covid-19 situation. In this meeting, the Politburo Standing Committee stressed that China would “unswervingly adhere to the general Zero-Covid policy” and that victory over the virus would come with persistence. At the meeting, chaired by Xi Jinping, the seven-member Politburo Standing Committee also declared that China would fight against any words or acts that “distort, doubt, or deny” the country’s dynamic Zero-Covid policy.

Life inside one of Shanghai’s Fangcang, photo via UDN.com.

Following the meeting, there have been multiple official reports and statements that provide a peek into China’s ‘zero Covid’ future.

On May 13, China’s National Health Commission called on all provinces to build or renovate city-level Fangcang hospitals, and to make sure they are equipped with electricity, ventilation systems, medical appliances, toilets, and washing facilities (Weibo hashtag ##以地级市为单位建设或者改造方舱医院#).

On May 16, the term ‘Permanent Fangcang Hospital’ (Weibo hashtag #永久性方舱医院) became a trending topic on Weibo after Ma Xiaowei (马晓伟), Minister of China’s National Health Commission, introduced the term in Qiushi (求是), the leading official theoretical journal of the Chinese Communist Party.

The term is new and is somewhat contradictory as a concept, since ‘Fangcang hospitals’ are actually defined by their temporary nature.

Ma Xiaowei stressed the need for Chinese bigger cities to be ready for the next stage of China’s Covid control. This also includes the need for some central ‘Fangcang’ makeshift hospitals to become permanent ones.

In order to ‘normalize’ the control and monitoring that comes with living in Zero-Covid society, Chinese provincial capitals and bigger cities (more than ten million inhabitants) should do more to improve Covid testing capacities and procedures. Ma proposes that there should be nucleic acid sample collection points across the city within a 15-minute walking distance radius, and testing frequency should be increased to maximize efficient control and prevention.

Cities should be prepared to take in patients for isolation and/or treatment at designated hospitals, centralized isolation sites, and the permanent Fangcang hospitals. The recent Covid outbreak in Shanghai showed that local authorities were unprepared to deal with the outbreak, and sites that were used as Fangcang hospitals often lacked proper facilities, leading to chaotic scenes.

A Fangcang Isolation Center in Quanzhou, March 2022, via People’s Daily.

The hashtag “Permanent Fangcang Hospitals” received over 140 million views on Weibo on Monday.

One of the Weibo threads by state media reporting on the Permanent Fangcang hospitals and the publication by Ma Xiaowei received nearly 2000 comments, yet the comment section only displayed three comments praising the newly announced measures, leaving out the other 1987 comments.

Elsewhere on Weibo, people shared their views on the Permanent Fangcang Hospitals, and most were not very positive – most commenters shared their worries about China’s Covid situation about the stringent measures being a never-ending story.

“We’re normalizing nucleic acid test, we’re introducing permanent fangcang hospitals, [but] why isn’t the third Covid vaccination coming through?” one person wondered.

“If there was still a little bit of passion inside me, it was just killed by reading these words ‘Permanent Fangcang Hospital,'” another commenter writes, with one Weibo user adding: “I feel desperate hearing the words ‘Permanent Fangcang Hospital.'”

“Building permanent Fangcang? Why? Why don’t you use the resources you’re now spending on normalizing testing to create more hospital beds, more medical staff and more medications?”

Another commenter wrote: “China itself is one giant permanent Fangcang hospital.”

“The forever Fangcang are being built,” one Weibo user from Guangdong writes: “This will never end. We’ll be locked up like birds in a cage for our entire life.”

For more articles on the Covid-19 topics on Chinese social media, check here.

By Manya Koetse, with contributions by Miranda Barnes

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Featured image via user tongtong [nickname] Weibo.com.

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©2022 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

Shanghai ‘Dead Man’ Taken Away to Morgue, Found to Be Alive

An incident in which a man taken to a morgue turned out to be alive doesn’t really help to restore residents’ trust in Shanghai.

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An incident in which a Shanghai man, who was thought to be dead, was taken to a funeral home before he was found to be alive has become a big topic on Chinese social media.

The incident happened on the afternoon of May 1st at the Shanghai Xinchangzheng Nursing Home (上海新长征福利院) in the city’s Putuo District.

A video of the incident went viral on Chinese social media in which a body bag can be seen put into a vehicle by three people, two members of staff from the nursing home and one funeral home worker. Shortly after, the body bag is taken out again and put back on a trolley. One of the nurses zips open the bag, pulls a cover from the man’s face, and apparently finds him to be alive.

“He’s alive,” one of the workers says in shock: “He’s alive, I saw it, he’s alive. Don’t cover him any more.”

The man is then transferred back into the nursing home, still inside the body bag.

The video that is making its rounds on social media was filmed from two different angles, the person filming can be heard calling the incident “a disgrace for human life” and “irresponsible.”

On May 2nd, the Chinese state media outlet People’s Daily posted about the incident on Weibo, saying the city district is currently investigating the case. The man was hospitalized and his vital signs are stable.

Meanwhile, multiple people are held accountable for the incident. The head of the nursing home has been dismissed and will be further investigated, along with four district officials. The license of the doctor involved will also be revoked.

The Shanghai Xinchangzheng Nursing Home has also apologized for the incident (#上海一福利院就未死亡老人被拉走道歉#).

On social media, many people are angry about the incident, wondering why the old man was transported to the funeral home in the first place, and why the members of staff seemed to be indifferent after finding out he was still alive.

In the video, the member of staff standing next to the man can be seen covering the patient’s face again after finding out he is still alive, leaving the body bag zipped up. Many also see this as a cold and incomprehensible way to respond.

After weeks of online anger about the chaotic and sometimes inhumane way in which Shanghai authorities have been handling the Covid outbreak in the city, this incident seems to further lower the public’s trust in how patients and vulnerable residents are being treated.

“Shanghai is such a terrifying place!”, some on Weibo write.

“Just think about it,” one person responded: “This incident took place in one of China’s most prosperous cities and happened to be filmed. How much is happening in other cities that is not caught on camera? Today, it’s this man, in the future, it’s us.”

For more articles on the Covid-19 topics on Chinese social media, check here.

By Manya Koetse, with contributions by Miranda Barnes

Get the story behind the hashtag. Subscribe to What’s on Weibo here to receive our weekly newsletter and get access to our latest articles:

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.

©2022 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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