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How the One-Child Policy Has Improved Women’s Status in China

An article on Chinese social media argues that the One Child Policy has greatly benefited the status of Chinese women, and that the shift to a so-called Two Child Policy is actually a setback for women’s rights in China. What’s on Weibo explains.

Manya Koetse

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Female empowerment is perhaps not the first thing that springs to mind when discussing China’s One-Child Policy (1979-2016), which is mainly known for creating hardships for Chinese women. But a recent Feminist Webforum’s article on Chinese social media argues that the One-Child Policy has greatly benefited the status of women in Chinese society, and that the shift to a so-called Two Child Policy is a setback for women’s rights in China. What’s on Weibo explains.

When the Chinese government announced that it would be ending its One-Child Policy in the summer of 2015, 36 years after it was first implemented, the topic exploded on Weibo. Many netizens applauded the news and considered it a step forward in people’s personal freedom and individual rights.

The Two-Child Policy (二孩政策) allows all couples to have a maximum of two children. But now, over a year after it has gone into effect, there are also voices saying that the new family planning policy is actually a setback for women’s rights in China and that the One-Child Policy, as controversial as it might have been, has greatly improved the role of women in society in multiple ways.

 

THE TWO CHILD POLICY: A YEAR LATER

“The vigorous propagation for women to return home to have children goes against the image of the emancipated Chinese woman.”

 

One of the consequences of China’s One-Child Policy, designed to curb the growth of China’s population, is that Chinese society is now ageing. The latest population statistics after the introduction of the ‘Two-Child Policy’ show that 17,86 million children were born in 2016; an increase of 7.9% compared to the year before (when the One-Child Policy was still in place).

But the current population growth might not be enough to combat demographic challenges in the decades to come. Chinese state media are now encouraging couples to have more children, something that became particularly clear during this year’s CCTV Gala and a recent lengthy People’s Daily article that hinted at the legalization of surrogacy to increase the country’s birth rates.

It led to angry reactions on Chinese social media, where many women felt that they were being degraded to “breeding machines”, and that the “vigorous propagation” for women to “return home to have children” goes against the image of the emancipated Chinese woman.

 

ONE-CHILD POLICY: THE SIGNIFICANCE FOR WOMEN

“Slogans propagated that daughters could also carry the honor of the family line, and that girls and boys were equally important for the future of China.”

 

The Feminist Webforum (@女权主义贴吧) recently posted an article (link in Chinese) on Weibo titled “The One-Child Policy’s Three Major Contributions to Chinese Women’s Status,” in which it argued that the China’s One Child Policy (1979-2016) has significantly emancipated Chinese women.

The article looks back at different government’s slogans that were widely propagated during the One-Child Policy, and explains how and why they contributed to a bettered women’s status in China.

It also indicates that the recent developments around the Two Child Policy, with increasing media emphasis on reproduction, is negatively affecting the status of women in Chinese society.

1. Male-Female Equality: Women Can Also Carry on the Family Line (生男生女都一样,女儿也是传后人)

The slogans “It is all the same whether you give birth to a boy or give birth to a girl” (生男生女都一样) and “Daughters also carry on the family line” (女儿也是传后人) were propagated throughout China since the 1980s up to the most remote parts of rural China.

In the patriarchal Chinese society, there is a deep-rooted preference for sons. Boys are expected to carry on the family line, become the laborers, and support the older generations (Sudbeck 2012, 44).

With the implementation of the One-Child Policy, the government strongly pushed the idea of male-female equality. Slogans propagated that daughters could also carry the honor of the family line, and that girls and boys were equally important for the future of China.

Slogan: “Girls and boys are all the hope of the nation.”

The Female Webforum article argues that this widely propagated government stance improved the status of women, as daughters came to play a more important role in the family and received more attention and a better education.

This is also reiterated by Kristine Sudbeck in the article “The Effects of China’s One-Child Policy: The Significance for Chinese Women” (2012), in which she writes that China’s One-Child Policy has indirectly benefited the role of women in society because, among others, singleton daughters received greater parental investment in terms of wealth, pride, and education (43-44).

The improved education levels for women also opened the doors to more non-traditional jobs for women, with which came a greater gender equality – not just within the family, but within the society at large.

In 2014, 64% of Chinese women were in the labor force, and the percentage of women in management positions in China is much higher than that of neighbouring countries like South Korea, Japan, India, or Taiwan (Catalyst 2016, CS 2014: 8).

But the Feminist Webforum writes that since the introduction of the Two-Child Policy, the calls for extended maternity leaves and for women to return home to be a good mother are growing louder every day, potentially harming the (economic) position of women in China in the long run.

2. Promotion of Later Marriage and Later Childbirth (男女晚婚,女方晚育)

Another propagated principle during the One-Child Policy was that of later marriage and later childbirth.

Poster propagating later marriage and later childbirth.

Although the legal age of marrying in China is 20 for women and 22 for men, late marriage (23+ for women and 25+ for men) have been specifically encouraged by Chinese authorities to benefit the state, the family, and the individual.

The propagation of late marriage and childbirth meant that women could first concentrate on their studies and career before taking on the role as wife or mother.

Since January 2016, it seems that getting married later on is no longer encouraged. At the same time the Two-Child Policy was implemented, the Chinese government canceled the ‘late wedding leave’: a 30-day paid work leave to encourage getting married after the age of 25.

The Feminist Webforum article writes that Chinese media have started to encourage women to have children while still attending college, as in this widely published article (link in Chinese) titled: “University students have children while still in school: third-year students already have 2 children, majority does not regret.”

Photo of one of the college students who had her baby early on in her studies, photo by Paper.cn.

Articles such as these falsely suggest that it might be easier to find a job when women are already married with children. But according to the Feminist Webforum, the employment rate of women without children is actually much higher than of those who have had a baby.

Getting married and having a baby after the age of 25, the article argues, is better for a woman’s mental and physical health, as well as for her future education and career. Encouraging women to start having children early on might negatively influence her future and her independence – a setback for female emancipation.

3. Promotion of Excellent Birth & Childrearing (优生优育)

A third and final point mentioned in the article is that under the One-Child Policy the slogan “Superior Birth, Superior Childrearing” (优生优育) was propagated, in which there was an emphasis on conceiving and raising a ‘quality child.’

Government public advertising, saying “excellent childbirth, excellent childrearing, a happy life.”

The article points out that with a general heightened focus on prenatal and postnatal care, thousands of women were saved from maternal death.

Before the One-Child Policy and in its early years, there was a great lack of prenatal care, and many women only relied on midwives while giving birth – if they could afford one at all. The rate of in-hospital delivery increased from 43.7% of women in 1985 up to an in-hospital delivery for rural women of 96.7% in 2011.

The Feminist Webforum points out that in the first half year since the implementation of the Two-Child Policy, there was a staggering 30% increase in maternal mortality. This increase relates to a larger proportion of elder pregnant women, causing more health problems during pregnancy and childbirth. It also has to do with health care resources being unable to deal with the rise in births, and, according to the article, is another reason why the Two Child Policy is not improving the situation of women in China.

 

A ROSE-COLORED PICTURE?

“Although China’s One-Child Policy is known for creating hardships, it has helped to greatly improve the position of women in China.”

 

Is the Feminist Webforum right? Was the One-Child Policy really so beneficial for women? Although China’s One-Child Policy is mainly known for creating hardships for women, studies have shown that it has indeed helped to greatly improve the position of women in China in terms of gender equality, parental investment, educational attainment, career, and in terms of their familial, societal and political participation (Sudbeck 2012, 55).

Although providing very valid points, the Feminist Webforum’s article is making the decades of the One-Child Policy appear somewhat more rose-colored than they were. For example; even if the rate of prenatal complications and maternal deaths greatly improved after the implementation of the One-Child Policy (and have worsened after ending it in 2016), the article does not mention that women with unapproved pregnancies received less prenatal care and had a much higher risk (2.5 x) of maternal death than with an approved pregnancy (Nayak 2008, 14).

It also does not mention female infanticide or the large number of female-selective abortions. In the 1980-2000 period alone, it is estimated that the total number of female selective abortions was around 4 million (Sudbeck 2012, 47). Nor does it mention the abandonment of children, who were mostly girls. Around the turn of the century, China had around one million almost exclusively female orphans.

The One-Child Policy also had other far-reaching consequences. Some couples moved away from mainland China to have more freedom in their reproductive rights, while others paid for expensive fertility drugs (under the policy, having twins or triplets would still count as ‘one’ legal birth).

When placed into a larger perspective, it is apparent that Chinese women have indeed made advantages towards more gender equality within China as a by-product of the One-Child Policy, but that this advancement has come at a high price.

 

WEIBO RESPONDS

“Our reproduction rights are taken from us, step by step.”

 

On Weibo, the Feminist Webforum’s article received over 50,000 views and many comments shortly after it was posted. Many commenters seemed to share similar concerns as the Feminist Webforum, and praised the One Child Policy era while expressing their concerns over the Two Child Policy.

“The Two-Child Policy is the worst news I have heard in years,” one person writes.

“Now they enthusiastically promote for us to return home and have a second baby. Will they promote us to obey our fathers, husbands and sons, and to bind our feet hereafter?”, one commenter writes.

Another female netizen says: “Since the introduction of the ‘two child policy’, male-female relations have been more out of tune, the mortality rate of pregnant women has gone up, and the discrimination on the employment market has increased dramatically. Our reproduction rights are taken from us, step by step.”

Someone else writes: “The family planning policy was not bad, it had so many benefits (..). It was not only in line with the state of society, it also gave women the right to stop giving birth [to multiple children] and to give birth safely.”

But not all netizens agree that the role of women in Chinese society today is all owed to the One-Child Policy.

“It needs to be said that there are many ways to improve women’s status,” one person writes: “and the One-Child Policy is the most inhumane one, which has caused a lot of damage to women’s health. It was never intended to improve the status of women, and is just a by-product.”

Another woman writes: “All I can think of is that one colleague of my mum who was caught with a second (unapproved) pregnancy when she had a big belly of 7-8 months. She was forced to have an abortion.”

Many netizens refer to themselves as ‘the last generation of singleton daughters.’ They suggest that with China’s new family planning policies, there will always be couples having just one son, but if they have one daughter they will try hard to have a second child that is male: “This was the last era of the only daughters – every era is that of the only sons.”

– By Manya Koetse
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References

Catalyst. 2016. “Women In The Workforce: China.” Catalyst, July 8 http://www.catalyst.org/knowledge/women-workforce-china [5.2.17].

Credit Suisse. 2014. “Women in Senior Management.” Credit Suisse, September https://publications.credit-suisse.com/tasks/render/file/index.cfm?fileid=8128F3C0-99BC-22E6-838E2A5B1E4366DF [5.2.17].

Feminist WebForum [女权主义贴吧]. 2017. “独生子女政策对中国女性地位的三大贡献 [The One-Child Policy’s Three Major Contributions to Chinese Women’s Status].” Feminist Webforum / Weibo, February 4 http://www.weibo.com/ttarticle/p/show?id=2309404071219883321876#_rnd1486322999846 [5.2.17].

Nayak, Satyam. 2008. “An Overview of China’s One Child Policy and Health Consequences on Society.” Master of Public Health, The University of Texas School of Public Health.

Sudbeck, Kristine. 2012. “The Effects of China’s One-Child Policy: The Significance for Chinese Women.” Nebraska Anthropologist: Paper 179.

Featured image: part of a slogan on a wall saying “love daughters.”.

©2017 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com

Manya Koetse is the editor-in-chief of www.whatsonweibo.com. She is a writer and consultant (Sinologist, MPhil) on social trends in China, with a focus on social media and digital developments, popular culture, and gender issues. Contact at manya@whatsonweibo.com, or follow on Twitter.

6 Comments

6 Comments

  1. Avatar

    Matteo

    February 8, 2017 at 11:47 pm

    Probably they could achieve the same result following the path made by other countries, instead of torturing people for decades.

    • Avatar

      fgt

      February 17, 2017 at 10:49 am

      Like India? Who’s still struggling to implement a three-child policy and suffers from chronic local famines to this day?

      The common misconception is to attempt to compare China with Japan, South Korea and Taiwan and similiar high-income and fully developed countries. All these countries achieved their growth with as little population pressure as China or India is currently attempting. And, yes, they made it. At Easy Mode. Congratulations to them.

      For extremely populated countries like China or India, any economic growth divident will be immediately swallowed up by the masses of poor population who are multiplying exponentially due to natural reasons, such as hardships and insecure resource supplies. Ever wondered why poor people in less developed countries happen to have 20+ children? Because it’s a natural thing to do, if you cant ensure the survival of every child: Humans and animal alike will automatically give birth to as many as they can, so that at least some children will survive to carry on the genetic line. Sounds pretty inhumane and cruel, but that’s nature for you. And as such, extremely populated countries who do not act, happen to be sentenced to eternal poverty.

      China did the right thing: They have curtailed their population growth by brute force, so that the little economic gains at the start of the reform and opening phase wouldnt be swallowed up by the population pressure.

      Look at India for what China would be today, if they didnt torture their people for a greater good.

  2. Avatar

    Shiner

    February 13, 2017 at 8:55 pm

    Not wanting to refute your conclusions, but “one of the highest rate of women in management positions” is incorrect.
    The shown table is in alphabetic order. This should have been picked up easily.
    Also, it might have been more clear in the most recent CS Gender 3000 report of last year, where China has been trailing behind and has actually dropped on the list in the last between 2010 and 2015.
    See also page 8 on
    http://publications.credit-suisse.com/tasks/render/file/index.cfm?fileid=5A7755E1-EFDD-1973-A0B5C54AFF3FB0AE

    • Avatar

      admin

      February 14, 2017 at 12:11 am

      Thank you for the heads up, you are of course completely right – don’t know how I could’ve missed that. It is now adjusted in the article. Appreciate the input. Best, Manya

  3. Avatar

    Jim Harkness

    May 5, 2017 at 12:57 am

    Interesting to see what people are saying about this issue, but most of the woman-benefiting measures mentioned could have happened without the One Child Policy, (and in fact preceded it) and it’s hard not to notice the 50 million missing women and girls that resulted from the Policy. Of course, context is everything. If the Policy had not coincided with the Household Production Responsibility System being instituted in agriculture, many of the negative impacts would have been considerably smaller.

  4. Avatar

    google street view

    March 20, 2019 at 7:24 am

    Manya, thanks for this very insightful article.

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Backgrounder

Coronavirus on Chinese Social Media: The 8 Major Trends in Times of the 2019-nCoV Crisis

The 8 main trends defining the online responses to the Wuhan coronavirus on Chinese social media.

Manya Koetse

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Since the outbreak of the new coronavirus becoming big news in China and around the world, there have been few other topics going trending on Chinese social media than those related to 2019-nCoV. What’s on Weibo gives an overview of the most noteworthy online media trends in China regarding the corona-crisis.

 
By Manya Koetse, further research and news-gathering by Miranda Barnes
 

From panic to patriotism, the outbreak of the coronavirus has led to a wide range of different responses from Chinese netizens and online media outlets over the past few weeks.

Although the first reports on the emergence of a pneumonia-like illness in the city of Wuhan came out in late December, it wasn’t until mid-January that the new virus, belonging to the coronavirus family, started dominating the top trending lists on social media in China and beyond.

The hashtag “Nationally Confirmed Cases of New Pneumonia” (#全国确诊新型肺炎病例#) became one of the biggest news-related topics we have ever seen on Weibo, receiving eight billion views by January 25, and reaching a staggering 13,5 billion views by February 2.

As of February 6th, approximately 28,200 cases of the new virus were confirmed, with over 170 cases reported in countries outside of China. The death toll also became much higher than days before, rising to 564. With these numbers, the coronavirus has exceeded the scale of the 2003 SARS outbreak in terms of infected patients.

Along with the quick spread of the new coronavirus across the country, the general mood and direction of the discussions and trends in the Chinese online media environment have also been in constant flux.

At What’s on Weibo, we have been glued to our social media screens, but because editor-in-chief Manya Koetse has been flooded with daily media requests we have not been able to update the site with regular updates (meanwhile, @manyapan did post regular updates on Twitter).

Here, we will highlight some of the main social media trends we spotted during the outbreak of the new Chinese coronavirus, now and over the past weeks.

 

TREND #1:

Online Backlash against the Eating of Wild Game

As an online media panic broke out around January 20, when a third person had died of the new Wuhan virus, one of the main trends to come up on Chinese social media was an online backlash against the eating of wild game (as reported here by Jessica Colwell).

The backlash flooded Weibo after the downtown Wuhan Huanan Seafood Wholesale Market (武汉华南海鲜批发市场), selling a wide range of dead and alive wild animals – anything from snakes and crocodiles to rats, hedgehogs or bats, – was identified as the suspected source of the deadly coronavirus outbreak.

Image posted by Sina Parenting on February 1st.

Since Chinese researchers linked the novel coronavirus (nCoV-2019) to bats, videos and images of bat dishes and people eating bat soon made their rounds on social media.

Many of these videos were actually unrelated to Wuhan, but were used in condemning the practice of eating (illegal/unsafe) wild game in general.

Around January 23, hashtags such as “Support the Banning of Wild Game Markets” (#支持禁绝野味市场#), “Refusing Eating of Wild Game Starts with You” (#拒吃野味从我做起#), “Control Your Mouth, Refuse Wild Game” (#管住嘴拒绝吃野味#) went viral on Weibo.

As images or videos of people eating bats or other exotic animals soon also spread to Twitter and other non-Chinese social media, some English-language media labeled them as “xenophobic” or “racist” – ignoring the fact that the anti-wild game storm actually started in the Chinese online media environment.

Online information leaflet spread by People’s Daily, “Resisting the Consumption of Wild Game Starts with Ourselves”

State media outlets such as People’s Daily, for example, played a role in the online dissemination of information against the eating of wild game and actually hosted some of these hashtag pages on Weibo.

The main argument behind the backlash is that those eating (unsafe, illegal) exotic and/or wild animals could risk their own health and that of their community and that what you eat is also your responsibility in keeping others safe.

A news story of a man hunting wild animals for consumption made its rounds on Weibo this week.

The backlash against the eating of wild game and online anger against people hunting or illegally buying wild animals for consumption is still ongoing, with some directing their anger against Wuhan people in specific.

This has also triggered discussions on Weibo about discrimination – not against Chinese people in general, but against Chinese netizens discriminating against Wuhan people or even against people from the Hubei province.

 

TREND #2:

Fake News and Censorship

Chinese social media platforms such as Weibo are tightly controlled online environments. When certain sensitive topics pop up, such as the anniversary of the Tiananmen protests, the Hong Kong demonstrations in their early phases, or big political events, virtually all related posts and news sharing will sometimes be removed by online censors.

In the wake of the coronavirus outbreak, this was not necessarily the case. From the start, there was a lot of reporting, sharing, and discussion of the virus online.

However, there certainly has been ongoing censorship of the topic. This was mainly done in the case of netizens reposting videos of chaotic situations in streets or at hospitals, but also in the case of ‘fake news’ posts (mostly called “starting rumors”).

Posts that could potentially trigger unrest or panic also were censored. One hashtag that made its rounds around January 22 was “Escaping Wuhan” (#逃离武汉#), with people trying to leave Wuhan before the city would go on lockdown. That hashtag page was soon completely removed from Weibo.

The comments sections of some posts reporting on controversial or sensitive news were also completely turned off (such as this report addressing local authorities in Wuhan allegedly taking donated face masks).

One Weibo user (@魔女小稀), an alleged nurse, posted a video of people in a hospital hallway on January 24th, claiming that “three [dead] bodies” had been lying in a Wuhan hospital for the entire afternoon covered in white sheets without being removed.

The post and the Weibo user were completely removed from the platform on January 25. By that time, however, the video and allegations were already picked up and reposted internationally.

According to Sina News, the post had been completely false; there were no bodies lying around this Wuhan hospital. If there were people covered in white sheets, it was merely people sleeping in the hallway after waiting for a long time.

This is but one of many examples of ‘fake news’ floating around Chinese social media over the past two weeks, with images and videos being placed in a misleading context, people claiming that patient or deceased numbers were much higher than those reported by the official media, and some even bringing up conspiracy theories about the source of the coronavirus (e.g. that the Americans started it, that it leaked from a biolab in Wuhan, etc).

The problem in this issue is, of course, when do we call it ‘fake news’ and when do we call it ‘censorship’? Amid the chaos and uncertainty of the coronavirus outbreak, it is not always easy to separate the two.

This is also a contributing factor in the general distrust in official media reports that clearly surfaced on Weibo over the past weeks. “I don’t believe it,” is a sentence popping up everywhere on social media.

Spreading online “rumors” is a crime under China’s Criminal Law and is punishable by up to seven years in prison. Although some foreign media outlets, such as this one, make it seem as though it is illegal to share fake news about the coronavirus in particular, it is actually illegal in China to share fake news in general.

 

TREND #3:

Virus Vigilantism

Another trend we noticed on social media during the wake of the coronavirus outbreak is not just a distrust in official media and authorities, but also distrust in fellow citizens.

One clear example that blew up on Weibo is that of a young woman from Wuhan who posted about her traveling to France – and enjoying nice food – despite suffering from a fever and cough. Because she took fever reducers, she claimed to have passed airport temperature monitors without issue.

The post sparked great anger among Chinese netizens and triggered the so-called ‘human flesh search engine,’ with people digging into her personal details.

The incident even led to the Chinese embassy in France investigating the matter. The woman turned out not to have been infected with the virus.

But there are many examples of people exposing and doxing those who allegedly are hindering the collective goal of minimizing the risk of a further spreading of the virus, for example by not self-isolating after visiting Wuhan.

There’s also been widespread online condemnation of people stealing tissue paper from public elevators. Many apartment buildings around China now provide a box of tissue paper for hygienic reasons so that people do not need to touch the elevator buttons.

Surveillance videos of people stealing these boxes have been making their rounds on Weibo and WeChat, such as this lady in an elevator in Chongqing, with thousands of netizens expressing their anger over their behavior – and sometimes naming and shaming them.

 

TREND #4:

Social Media as a Practical Communication Tool

Soon after the scale of the coronavirus outbreak started to become clear, social media platforms such as Weibo were started to be used as practical communication tools for authorities, (medical) organizations, and individuals to spread information or to ask for help.

Social media is now widely used as a practical communication tool for very general matters in the coronavirus crisis (e.g. providing information on how to avoid getting the virus), but also for more specific issues.

Various hospitals in Wuhan, for example, spread digital leaflets online summing up their specific shortages in supplies (face masks, surgical gloves, etc), and how people and organizations can contribute.

Another example is how authorities at various times use social media to search for people who were on board of certain trains or where passengers were later diagnosed with the virus.

But we have also seen individuals reaching out through social media. One woman, for example, reached out to netizens online after she and her husband fell ill and needed someone to look after their children.

Through the help of social media, there are now also local volunteers who help taking care of people’s pets while they are unable to return home to feed them.

One of the hashtags increasingly receiving attention online since early February is “Rescuing the Pets Left Behind in Wuhan Homes” (#武汉滞留家中宠物救援#).

Since January 26, Tencent’s WeChat has also opened a special “epidemic supervision” channel within its app where WeChat users can go to get the latest local information about the virus in their area or ask for medical help.

 

TREND #5:

Propaganda, Pride and Patriotism in Times of Crisis

The outbreak of the coronavirus coincided with the most important holiday of the year in China: the Spring Festival. On Friday, January 24, the CCTV broadcasted its annual Spring Festival Gala (Chunwan), a 4-hour long show that has been airing since 1983. The show is the biggest live TV event in the world, with a viewership of one billion.

The show is usually meticulously planned up to every second – with rehearsals starting months before -, but this year, for the first time ever, it included a segment on the Wuhan coronavirus outbreak. It showed scenes from inside a Wuhan hospital, and the show’s main presenters paid their respects to all the medical workers working day and night.

The event became trending on Weibo under the hashtag “For the First Time in History, ‘Chunwan’ Includes a Non-Rehearsed Segment” (#春晚历史上首次没有彩排的片段#)

It was during this time, with twenty million people under travel lockdown, that the sentence “Jiayou Wuhan, Jiayou Zhongguo” (“Come on Wuhan, Come on China”) was propagated by state media and became widely used on Chinese social media.

By now, the hashtag “Go Wuhan!” (#武汉加油#, hosted by Party newspaper People’s Daily) has over 12 billion views on Weibo.

“1.4 billion Chinese salute you”

Starting from the Spring Festival weekend, Chinese state media began to propagate more positive, patriotic, and nationalistic messages online during the corona crisis, focusing on the unity of China and the dedication and resilience of common Chinese people, with a specific emphasis on medical and army staff.

It is not uncommon, or actually rather common, for Chinese authorities and state media to propagate nationalism in times of hardship (also see our article on online propaganda during the Hong Kong protests).

 

TREND #6:

Quarantine Boredom: From Panic to Humor

From late January, the first humorous memes and videos starting flooding Chinese social media in light of the coronavirus.

Around January 25, there were over forty confirmed deaths due to the new coronavirus and over 1380 known infected patients. Along with the travel lockdown, most of the major tourist attractions across China had shut down, and driving bans were implemented in the city of Wuhan to restrict people’s movements in efforts to contain the outbreak.

What was supposed to be a time of joy and reunion and entertainment (the Chinese New Year) turned into a time of fear and self-isolation for many families in Wuhan and beyond.

Practically locked up in their homes, some people used humor as a ‘defense mechanism’ in times of coronacrisis.

The videos embedded in the thread below are some examples of people making the most of their times in lockdown.

But besides the creative solutions of people avoiding boredom inside the home, there were also many memes going around WeChat and Weibo making fun of the extreme measures taken by people and authorities, such as this photo below that was allegedly taken at a station in Yiwu, Zhejiang, saying: “Some people got off the train in Yiwu but thought they’d ended up in Saudi Arabia.”

There was also this viral image below of an office canteen where people were self-isolating for safety reasons, saying: “Eating at the cantine of my unit now feels more like taking an exam.”

Videos and images of people using sanitary pads, bras, plastic bags, or even fruit to protect their faces due to a scarcity of face masks also continue to make their rounds on social media, with people sometimes mocking neighbors, their friends or family, or even themselves in the extreme and sometimes silly measures they are taking to avoid getting the coronavirus.

 

TREND #7:

Anger against Local Authorities and Illegal Lock-Ins

As panic over the spreading coronavirus has become bigger over the past few weeks, the voices criticizing local authorities and organizations for mishandling the situation have also grown louder.

While loud criticism of the central government is usually censored before triggering bigger discussions, there has been ample criticism of provincial, city, and county authorities and organizations – and not without consequence.

In Hubei, local authorities have been criticized for, among others, initially censoring reports of an emerging new illness in December of 2019.

The mayor of Wuhan, Zhou Xianwang, became a major target of netizens’ anger. In late January, Zhou admitted that he had failed in disclosing information in a timely manner and also “did not use effective information” to improve the local government’s work.

The Hubei branch of the Red Cross Society of China (RCSC, 中国红十字会) also received massive criticism online in early February when it turned out that, while the public donated medical supplies and money, most of it remained in the Red Cross warehouse.

On February 4, Chinese state media reported that the Hubei Red Cross deputy director had been removed from office and dismissed from the leading Party members group of the RCSC branch.

On village and prefecture-level, there has also been public condemnation of how authorities are handling the corona crisis.

Some videos going around social media showed how people, seemingly against their will, were locked up inside their own homes by local authorities after returning from Wuhan (“武汉返乡人员”).

China Youth Daily, the official newspaper of the Communist Youth League of China, also condemned these practices as “illegal” and “inhumane” in an article that has since been deleted.

Through a new WeChat function mentioned earlier in this post, Chinese netizens can now also report any mishandlings of the coronavirus situation.

At the time of writing, there seems to have been some increased censorship, but nevertheless, criticism on local authorities keeps flooding Weibo.

“While people are busy helping themselves and each other, what are the leaders of Hubei and Wuhan doing?”, some people wonder: “Supplies in the hospitals are still scarce, there are still people who are unable to receive help!”

 

TREND #8:

Corona Panic Buying

It was around January 21st when the coronavirus panic reached a peak in China; a third infected patient had died of the virus the day before, the first cases were confirmed outside of China, and several big travel platforms had started to offer refunds or change flights via Wuhan.

Similar to the SARS outbreak in 2003, news of the coronavirus led to waves of “scare shopping” – a trend that also became very visible on social media.

Medical face masks soon sold out in Chinese pharmacies and on e-commerce platforms: around 80 million face masks were sold on Alibaba’s Taobao platform alone on January 20 and January 21st. Those (online) shops still offering face masks exploited the shortage of face masks, and would only sell them at exorbitant prices.

Twenty dollars for a face mask?

Although Alibaba soon announced it would remove sales of face masks from shops that were selling them at unstable prices, the sales and availability of (disposable) N95 masks is still an issue across China, with netizens complaining about it on Weibo every single day.

Another example of consumer panic followed the Jan 31st reports by two medical research institutions on the TCM oral medicine Shuanghuanglian, which would allegedly be effective in combating the new coronavirus.

Shortly after the reports came out, the herbal remedy sold out in stores across the country.

Chinese state media now warn people against “irrational purchases,” saying that the effectivity of herbal remedies such as Shuanghuanglian is still unsure.

Panic buying is a trend that is not just visible on Chinese social media, it is a trend that also seems to be triggered through social media, with rumors and reports of existing shortages of certain products leading to panic.

A clear example is the February 5 run on toilet paper in Hong Kong after rumors spread that the coronavirus outbreak would lead to insufficient supplies.

 

As there are still many new developments and news reports coming out concerning the coronavirus, we will keep on publishing more on What’s on Weibo about what’s trending on Chinese social media. (Also read: Distrust and despair on WeChat and Weibo after the death of Wuhan whistleblower Li Wenliang).

If it’s quiet here, please also follow us on Twitter here and here.

By Manya Koetse, additional research and news-gathering by Miranda Barnes
Follow @whatsonweibo

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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

Published

on

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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