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China Health & Science

Photo of Crying Single Mum Shows Harsh Reality of Healthcare in China

The heartbreaking photos of a desperate mother are going viral for the second time.

Manya Koetse

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A photo that is currently going viral on Chinese social media shows a crying mother in Shanghai kneeling down by her toddler son on the sidewalk.

The text accompanying the photo says:

On Shanghai Beiyuan Street, a single mother kneels on the street in the cold wind. She buries her head in her child’s arms and quietly sobs. The 3-year-old son suffers from hydrocephalus [“water on the brain”], and they previously came to Shanghai to seek medical treatment because he had an infection. After using up all their money, they were forced to leave the hospital. The helpless mother just sat on the street, feeling sorry for her child.

The photo received thousands of comments on Weibo today, with many people offering to help the mother out. “It hurts to see this,” some said: “She wants to be able to help her son, but she does not have the resources.”

Many Chinese face major obstacles in getting access to the healthcare they need. Under China’s current medical system, it is not easy for people from rural areas to gain access to medical facilities in the major cities, as they are not covered there and will have to pay for medical care themselves.

The issue is related to China’s hukou (household registration) system: government-subsidized rural medical insurance is often not valid in a different province, which means that villagers who fall seriously ill are not covered when they travel to first-tier cities for medical care.

So-called ticket scalpers (票贩子) take advantage of the system and people’s eagerness to see a doctor by using local identification cards to book appointments and then selling them to people without the proper documentation.

As for the crying single mother; this is not the first time these photos make their rounds around Chinese social media. The scene was captured on camera approximately four months ago, in early December of 2017.

It is not uncommon for the same story or photos to go viral again or to keep circulating on Weibo, similar to viral news stories on Twitter or Facebook.

According to Phoenix News, the mother is the 45-year-old Guo Yinzhen (郭银珍), who is a single parent since she divorced from her estranged husband some years ago. Her son’s name is Guo Zhenghan (郭政焓), and they come from a village in Datian county, Sanming, in Fujian – some 830 kilometers from Shanghai.

The photos were reportedly taken on December 1, 2017, when a reporter joined some volunteers to pay a visit to the Shanghai’s Children’s Hospital and came across the crying mother and then asked her about her story.

Photos from Sina.com

Guo Zhenghan was born in November of 2014 and has congenital hydrocephalus, meaning he already had it at birth. From 2014 to 2016, the child underwent three surgeries, but his condition deteriorated in May of 2017. Since November 2017 alone, the child was admitted to the hospital four times because of a potentially fatal bacterial complication.

Having used up all her money and still needing some 100,000s yuan (more than $15,000) for further treatments, Guo Yinzhen had no choice but to leave the hospital again, which is when she helplessly sat down on the street with her son.

In March 2018, Sina News also reported about this story, saying that Guo Yinzhen is a laid-off factory worker who has not been able to work since the birth of her child. Her parents are farmers who make a living by plucking tea leaves.

Sina also writes that the family has already spent 400,000 yuan (±US $63,000) on medical expenses, and still owe around US $47,000 in debts.

“I just feel so bad for the mother,” many people on Weibo respond.

“Since this is [the state of] medical treatments in Chinese society, parents have to make sure they can afford the medical costs if their child falls ill,” another person comments: “It is the best to purchase a commercial insurance. They’re not cheap, but even if costly, they need to buy it.”

In search of how Guo and her son are now doing, we found a buried Weibo post dated December 12, which only received four comments, in which a netizen writes:

On December 1, the crying single mother kneeling in the cold by her son has received ample attention. On December 5, with the help of the Xiaoxingxin Foundation, single parent Guo Yinzhen was able to bring her child Guo Zhenghan to Shanghai again for medical treatment, where the notable pediatric neurosurgeon Bao Nan operated the child. Thank you for all your care.

The update was also confirmed by the Xiaoxingxin Foundation with a post on Weibo (@小星欣公益), which also said that according to the doctor, the infection had gone and that the brain development of the boy was “looking good.”

“Why can’t we set up a system in which children will always be able to receive complete basic healthcare?” one netizen wondered.

On March 15, China Central Television reported that future reforms in China’s healthcare system will make healthcare more accessible and affordable, especially for rural communities – it does not say on what term these changes will be realized.

By Manya Koetse

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

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

Manya is the founder and editor-in-chief of What's on Weibo, offering independent analysis of social trends, online media, and digital culture in China for over a decade. Subscribe to gain access to content, including the Weibo Watch newsletter, which provides deeper insights into the China trends that matter. More about Manya at manyakoetse.com or follow on X.

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4 Comments

4 Comments

  1. Jonathan

    March 27, 2018 at 8:20 pm

    The British NHS health system is the way any socialist state should follow:
    https://www.theguardian.com/society/2016/jan/18/nye-bevan-history-of-nhs-national-health-service

  2. Bren Branch

    May 20, 2018 at 12:20 pm

    No mother anywhere should ever have to go through this heart wrenching ordeal of having a child who needs medical care and not be able to get it.
    It is heartbreaking to see these photos. And the pain in her face and her eyes is real. She loves her baby very much. Her heart is so heavy for her baby. One of the most helpless and painful feelings in the world is one in which you think you are letting your baby down. I pray that care will be available to all children of the world someday soon; that no child need suffer because their parents can not afford the huge medical bills involved or there is no insurance coverage or medical care for their particular condition and the children are never left to wonder why they have to suffer so much. I would ask every Christian who reads this to pray with me and you ask the Father to be advocate for the children. Amen.
    This little boy is so adorable and precious. Look at his beautiful little smiling face. There is trust in that little face when he looks into his mother’s eyes.
    I would love to just hold him next to me in my arms and tell him things will be OK. I would like to put my arms around his mother and tell her things will be ok from now on, that she need not worry should he ever become sick again.
    God bless her and her baby boy and all the other mother, fathers and children like him. Jesus said Suffer (let) the little children come unto me.” Maybe we need to give Him
    more access to our children so that His Power be made more manifest in their lives. There is definite power in Faith in Jesus Chrisr ❤️

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China Animals

China Faces Unprecedented Donkey Shortage Crisis

“We have plenty of cattle and horses in China now — just not enough donkeys” (“目前我国牛马都不缺,就缺驴”).

Manya Koetse

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China is facing a serious donkey shortage. China’s donkey population is far below market demand, and the prices of donkey-related products continue to rise.

Recently, this issue went trending on Weibo under hashtags such as “China Currently Faces a Donkey Crisis” (#我国正面临缺驴危机#).

The Donkey Branch of China’s Livestock Association (中国畜牧业协会驴业分会) addressed this issue in Chinese media earlier last week, telling China News Weekly (中国新闻周刊): “We have plenty of cattle and horses in China now — just not enough donkeys” (“目前我国牛马都不缺,就缺驴”).

China’s donkey population has plummeted by nearly 90% over the past decades, from 11.2 million in 1990 to just 1.46 million in 2023.

The massive drop is related to the modernization of China’s agricultural industry, in which the traditional role of donkeys as farming helpers — “tractors” — has diminished. As agricultural machines took over, donkeys lost their role in Chinese villages and were “laid off.”

Donkeys also reproduce slowly, and breeding them is less profitable than pigs or sheep, partly due to their small body size.

Since 2008, Africa has surpassed Asia as the world’s largest donkey-producing region. Over the years, China has increasingly relied on imports to meet its demand for donkey products, with only about 20–30% of the donkey meat on the market coming from domestic sources.

China’s demand for donkeys mostly consists of meat and hides. As for the meat — donkey meat is both popular and culturally relevant in China, especially in northern provinces, where you’ll find many donkey meat dishes, from burgers to soups to donkey meat hotpot (驴肉火锅).

However, the main driver of donkey demand is the need for hides used to produce Ejiao (阿胶) — a traditional Chinese medicine made by stewing and concentrating donkey skin. Demand for Ejiao has surged in recent years, fueling a booming industry.

China’s dwindling donkey population has contributed to widespread overhunting and illegal killings across Africa. In response, the African Union imposed a 15-year ban on donkey skin exports in February 2023 to protect the continent’s remaining donkey population.

As a result of China’s ongoing “donkey crisis,” you’ll see increased prices for donkey hides and Ejiao products, and oh, those “donkey meat burgers” you order in China might actually be horse meat nowadays. Many vendors have switched — some secretly so (although that is officially illegal).

Efforts are underway to reverse the trend, including breeding incentives in Gansu and large-scale farms in Inner Mongolia and Xinjiang.

China is also cooperating with Pakistan, one of the world’s top donkey-producing nations, and will invest $37 million in donkey breeding.

However, experts say the shortage is unlikely to be resolved in the short term.

The quote that was featured by China News Weekly — “We have cows and horses, but no donkeys” (“牛马有的是,就缺驴”) — has sparked viral discussion online, not just because of the actual crisis but also due to some wordplay in Chinese, with “cows and horses” (“牛马”) often referring to hardworking, obedient workers, while “donkey” (“驴”) is used to describe more stubborn and less willing-to-comply individuals.

Not only is this quote making the shortage a metaphor for modern workplace dynamics in China, it also reflects on the state media editor who dared to feature this as the main header for the article. One Weibo user wrote: “It’s easy to be a cow or a horse. But being a donkey takes courage.”

By Manya Koetse

(follow on X, LinkedIn, or Instagram)

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.

©2025 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

Breaking the Taboo: China’s Sanitary Pad Controversy Sparks Demand for Change

After realizing domestic sanitary pads were literally falling short, Chinese netizens are demanding greater awareness and improvements in long-overlooked issues of quality, affordability, and societal attitudes toward menstruation.

Ruixin Zhang

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Sanitary pads have never been a bigger topic of debate on Chinese social media as it’s been over the past few weeks. What began with one blogger’s discovery of menstrual pads falling short of their advertised size has grown into a broader movement, demanding better-quality products and greater awareness of menstrual health.

Despite being a natural part of life for women around the world, menstruation remains a sensitive and taboo subject in many parts of China, particularly in more conservative, rural areas and smaller cities.

Essential feminine hygiene products like sanitary pads or tampons are often discreetly wrapped in dark plastic bags to avoid drawing attention.

However, this month, the silence was broken. “Sanitary pads” and related topics dominated online discussions, igniting a heated conversation that started with pad length but quickly expanded to include concerns about health, safety, and women’s rights.

 

EXPOSING THE “SHORTCOMINGS” IN SANITARY PADS

“Buy it if you want, or just don’t.”

 

In early November, a viral post on Xiaohongshu (later deleted) brought attention to a troubling issue. A woman who purchased sanitary pads online found them significantly shorter than advertised—a supposed 290mm pad measured only 250mm.

When she confronted the seller, they dismissed her concerns, citing a “normal 4% margin of error” and claiming, “If you order 290mm, we can only send 250mm—that’s the rule.”

The post struck a nerve. Netizens began measuring their own pads and discovered that many brands similarly fell short of their advertised lengths. This perceived deception ignited widespread outrage:

They market themselves as designed for women, but even the lengths are misleading?

We pay the highest taxes for subpar products!

The controversy soon spread to platforms like Douban and Weibo, where more and more people started comparing advertised versus actual pad lengths. The results revealed that many well-known brands consistently fell short, raising accusations of industry-wide cost-cutting.

Facing mounting pressure, several Chinese brands issued responses claiming their products adhered to the national standard that allows a ±4% length deviation. According to this standard, a 290mm pad can legally measure between 278mm and 302mm.

However, consumer measurements consistently showed pads at the lower limit—or even shorter. This raised suspicions that manufacturers were exploiting the -4% allowance as an industry norm to cut costs.

Some netizens compiled a crowdsourced chart comparing the advertised length, actual length, and cotton coverage of various brands. The findings revealed similar discrepancies across major brands.

Various brands’ responses to the controversy listed by blogger @妳健康富有.

Some brands, with size deviations as large as -15%, responded evasively to consumer concerns, claiming that such deviations are normal and do not affect usage. These responses only fueled further frustration among netizens, who accused the brands of dismissing their concerns. As one blogger (@你健康富有) remarked, the brands’ attitude couldn’t be clearer: “‘Buy it if you want, or just don’t.'”

 

BEYOND LENGTH: A DEEPER ISSUE

“Society tolerates or even reinforces menstrual stigma.”

 

While the pad length scandal initially focused on cost-cutting, the ensuing discussions uncovered far more serious concerns. A resurfaced video by documentary filmmaker and blogger Fourfire (四火, @为了玲飞护肤纪录片) revealed the industry’s dark side. The video exposed illegal factories recycling used materials, including shredded pads and diapers, into new sanitary products. These contaminated pads, sold cheaply on e-commerce platforms, have been linked to pelvic inflammation and other gynecological problems.

In the video, Fourfire urged women to stick to well-known brands and purchase from reputable retailers.

Still from the video by documentary filmmaker and blogger Fourfire (四火, @为了玲飞护肤纪录片)

But are pricier pads from major retailers truly safe? Quality issues with domestic brands have surfaced repeatedly, and this latest length discussion reignited those concerns. Consumer-created “red-flagged brands” for domestic pads feature numerous well-known brands with prior reports of containing maggots, mold, and other contaminants.

This renewed scrutiny prompted questions and discussions among female netizens. One user asked, “Is there any brand of sanitary pads that’s actually safe to use?” Among the hundreds of replies and shares, one prevailing sentiment emerged: “None of them.” Many users began to view previous quality issues not as isolated incidents but as indicative of broader problems within the industry.

Adding fuel to the fire, one blogger (@迷宝吃不饱) claimed that the national standards for sanitary pads in China allow a pH range of 4–9. This range aligns with standards for non-intimate textiles, such as jackets or curtains. Given that human skin is slightly acidic, with a pH between 4.1 and 5.8 (3.8–4.5 for intimate zones), products in close contact with the skin, such as sanitary pads, should ideally be designed to maintain the skin’s natural pH balance and prevent irritation.

This seemingly loose standard sparked further concerns among female consumers. Many began reflecting on their past experiences, sharing issues they’d faced while using sanitary pads—frequent inflammation, allergic reactions, itching, and other symptoms. Few had considered the possibility that these problems might be linked to the pads themselves.

In response, experts argued that the materials, hygiene, and sterilization of pads were far more critical than pH levels. However, in today’s China, where public trust in such authorities is relatively low (read: “Experts Are Advised Not to Advise“), this explanation not exactly reassured the public. Gynecologists and popular science influencers, such as Sixthfloor (@六层楼先生), pointed out that similar products like baby diapers and men’s sanitary pads are held to stricter production standards. This disparity naturally fueled suspicion and concern about women being disadvantaged and the role of societal taboos surrounding menstruation.

One Douban user commented: “Society tolerates or even reinforces menstrual stigma. The less we talk about sanitary pads, the easier it is for companies to profit from women.”

 

BREAKING THE SILENCE

“Decisions about menstrual products are being made by people who don’t menstruate.”

 

Sanitary pads in China are relatively expensive and not covered by health insurance. A single daytime pad from a common brand costs around 1 RMB ($0.15), while nighttime pads can be twice as expensive. Over a typical six-day period, a woman might spend 30-40 RMB ($4.15-$5.50) each month. Tampons, though less popular in China, are even more costly.

For women in impoverished or rural areas, this expense can be a significant burden. Many are forced to purchase low-cost, unregulated “three-no” products (no license, no standards, no brand), often manufactured by the shady companies exposed in Fourfire’s video. On Taobao, product reviews for these pads reveal heartbreaking stories. Some users recommend switching to safer, higher-quality options, but responses often reflect the harsh reality: “I don’t have a choice.”

Now, as major brands face public backlash, many women are turning to “medical-grade sanitary pads,” originally made for surgical recovery or heavy bleeding. According to the Sichuan Observation media channel (@四川观察), online searches for these products have jumped by over 3,000%. While safer, these pads are even more expensive.

The frustration is clear: “Do we really have to keep paying more for basic necessities just to protect our health? Why not just make regular sanitary pads safe and reliable? Is that too much to ask?”

So why is it so hard to produce affordable, safe sanitary pads without cost-cutting tricks? The answer may lie in a regulatory change made over a decade ago. In 2008, new national standards for sanitary pads eliminated quality grading classifications and reduced minimum requirements for the length of filling cotton. This gave manufacturers more freedom to cut costs, often at the expense of quality.

One glaring detail hasn’t gone unnoticed: the revised standards were drafted entirely by men. As one netizen commented, “Decisions about menstrual products are being made by people who don’t menstruate.” For women, the lack of female representation in an industry directly affecting them is both absurd and infuriating, highlighting a deeper issue of gender imbalance in industries and regulatory frameworks that shape women’s lives.

At the time of writing, distrust in domestic sanitary pad brands in China has reached a peak. Whether driven by exaggerated fears or valid concerns, one thing is clear: after years of menstrual stigma and neglect of women’s health issues, many women feel unheard and are now speaking out. This growing frustration has given rise to an online feminist movement, calling for accountability and demanding change from an industry—and a culture—that has long overlooked some of women’s basic rights.

 

GRASSROOTS EFFORTS FOR CHANGE

“Girls should never feel ashamed of their periods”

 

With policymakers mostly male, Chinese women have had to take matters into their own hands. Over the years, various incidents related to menstrual products have gone viral and triggered grassroots efforts to improve the status quo.

The last major public outcry about sanitary pads occurred in 2022 when a woman on a high-speed train discovered they weren’t available for purchase. She vented her frustration online, and the issue quickly gained traction. Many commenters, mostly men, argued that pads weren’t “essential items” and didn’t warrant taking up retail space onboard. The railway authority’s official response—categorizing sanitary pads as “personal items” that didn’t need to be sold—only intensified the outrage.

In the same year, a young woman in Covid quarantine in Xi’an went viral after she tearfully begged anti-epidemic staff for sanitary pads. When workers at her quarantine hotel told her there was nothing they could do, she asked, “So what? Does that mean I have to bleed a river of blood?”

For many women, these incidents highlighted how little society understands or respects their basic needs. In response, people organized online campaigns, flooded hotlines with complaints, and raised awareness about why menstrual products are essential. “Girls should never feel ashamed of their periods,” one netizen wrote.

Sometimes, progress is made. The woman in Xi’an’s quarantine later posted an update, saying she eventually received the menstrual pads she needed. And although pads are still not available on all high-speed trains, they are now provided on many routes—a small but meaningful step.

This time, the debate over pad quality has drawn even greater attention, involving public figures, celebrities, and even tech mogul and Xiaomi founder Lei Jun (雷军), with some hoping that a trusted brand like Xiaomi could play a role in making Chinese sanitary pads safer and more innovative. Women have launched cross-platform campaigns like #ShowYourSanitaryPads (#晒出你的卫生巾#), encouraging people to share posts on Weibo, Douban, and Xiaohongshu to call out brands for inaccurate sizing or poor quality.

Activists are also sharing step-by-step guides on filing formal complaints and advocating for stricter national production standards. The movement is gaining momentum, driven by a collective determination to demand safer, more reliable products.

On November 21, China News Weekly reported that a new national standard for sanitary pads is being drafted. CNR News also called for tighter industry oversight, signaling an urgent response to recent public criticism.

Yet, this response only scratches the surface of the deeper issues surrounding menstrual products in China. Challenges such as the high cost of pads, their limited availability in public spaces, and inadequate menstrual education persist. Will meaningful change continue to rely solely on grassroots efforts? Hopefully, this marks the beginning of a broader, systemic shift that not only addresses these immediate concerns but also redefines how society values and prioritizes women’s basic needs.

By Ruixin Zhang

Independently covering digital China for over a decade. Like what we do? Support us and get the story behind the hashtag by subscribing:

edited for clarity 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.

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