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中国医疗改革的困境和出路

Are Chinese medical staff afraid of the risk of conviction by using "naked life" to say well-known things?

No one knows why a doctor from a tertiary hospital with integrity and prosperous years chooses a method of almost perishing, risking ruining his entire career, or even being convicted, and continuously "exposes himself" on social media to receive huge rebates, Until it caused an earthquake in the local medical circle, and even the entire social media. ( Actually, those in power have long known that this is the inevitable result. The political self-sacrifice of medical staff is a kind of "naked life" behavior, and it is also a manifestation of losing the protection of rights. If you are not afraid of death, what are you afraid of? )

[ Political self-sacrifice is never an individual act, but has a public and collective significance. The higher-level institutions, the protective umbrella, and the leaders of some hospitals of Wuhan Fourth Hospital constantly devalue these oppressed people by abusing their power and regard them as destroying order and law; With their damaged bodies and spirits, they accuse and expose the shamelessness, bloodthirsty and absurdity of the superior institutions, the protective umbrella, and some leaders of the Wuhan Fourth Hospital. Moreover, the higher-level agencies, the umbrella, and some leaders of Wuhan Fourth Hospital are not only an act of torturing the body, but also an act of trying to silence the voice. To subdue or obliterate, to replace it with another illusion or fantasy. These marginalized medical staff and patients have become "naked lives" who have lost the protection of their rights, and have lost their ability to control their own lives and self-determination of their legitimate rights.

The earliest "self-exposure" by Dr. Fenghua can be traced back to three years ago. As early as 2018 , Fenghua revealed that he and his hospital colleagues received kickbacks by posting on Baidu Tieba and distributing flyers in front of the hospital. In May 2018, Fenghua submitted a real-name report letter to the secretary of the Disciplinary Committee of the General Hospital of Tongmei Group. Since November 23, 2020, Fenghua has successively released more than 30 related videos on short video social media such as Douyin and Kuaishou. And according to him, in addition to the videos that have been sent, there are many videos that have not been sent due to platform review . Most of the themes described are that he and his colleagues, pharmacists, directors, deputy hospital, and main hospital participated in the collection of rebates. Because of the large number of participants, he described the behavior of receiving rebates as "a sloppy way, and all staff participated." . According to Fenghua's self-exposure, "During this period, I participated in receiving medical rebates, which are conservatively estimated to be more than 500,000." ( These abuses and corruption are blatant and do not need to be exposed at all, and those in power have turned a blind eye for a long time. The so-called supervision department of the Discipline Inspection Commission is often in line with these dignitaries and agents in terms of organization. )

[ Ding Xiangwu, Department of Gastroenterology, Wuhan Fourth Hospital, received a lot of rebates from medicine and equipment. The doctor below came forward to collect the money, and several people split it privately, ranging from about 10,000 yuan. For food, drink and entertainment, our pharmaceutical company kept taking turns to apportion it, and it was miserable. .

[ The abuse of power by the superior institutions, the umbrella and some leaders of Wuhan Fourth Hospital follows the unspoken rules of dividend distribution according to the power level, dragging most of their members into the magnetic field of corruption and becoming the actual beneficiaries of large and small. It is impossible to be a gentleman. The inevitable result of this vicious circle is that the ever-expanding burden of bribery is passed on to other people in the society (both medical staff, patients and their families), so that the basic order of the entire hospital has become one that only recognizes power and money, not distinguishing yes or no.

In June 2020, it was renamed after belonging to Sinopharm Medical Company. The hospital has more than 2,000 open beds and is the largest tertiary hospital in Datong, Shanxi. According to the above-mentioned industry insiders, the manager of Tongmei General Hospital once approached the manager of his wife's hospital, trying to persuade Fenghua to stop complaining through his wife. Fenghua said that he was hit by a motorcycle running backwards on the sidewalk and broke his collarbone. About 40 days after the accident, it was characterized as a hit-and-run accident. However, the second judgment after that overturned the previous judgment of hit-and-run. Fenghua felt very sorry for this. puzzled. In the days to come, if I have the opportunity to continue practicing medicine, I hope I can be a clean man, practice medicine cleanly, stay away from kickbacks, and refuse red envelopes. ( Will the medical staff come to their senses when personal safety is threatened and retaliated? Not necessarily! )

[ So, is it useful to speak the truth bravely? When saying "no" means the risk of falling, intimidation and retaliation for personal safety, can you stick to it? When saying "no" means being isolated, no one dares to sympathize and support, or even be smeared as an enemy of vested interests, and then deprived of basic and reasonable rights. In the Fourth Hospital of Wuhan City, it is better to be in the middle of the gap, like a lost dog , like a dried-up fish. Whenever medical staff only consider monetary value and huddle in narrow individual cliqueism, freedom and justice are completely suffocated by the higher authorities, the umbrella, and some leaders of Wuhan Fourth Hospital. To this day, the Wuhan Fourth Hospital, whether it is cruel officials and slaves , rampant fake and inferior, right and wrong, bureaucratic corruption, injustice, or doctor-patient conflict, conflict between doctors and doctors , violence, abuse of power, etc. The concealment, distortion and suppression of past and current events lead to violations of the legitimate rights of doctors and patients. 】

On social media, the top three doctors revealed that the total number of readings for receiving rebates exceeded 300 million . ( It is estimated that there will be no results, just like the state's investigation report on Dr. Li Wenliang. )

[ In the "hierarchical system" of Wuhan Fourth Hospital, if some leaders are corrupt and abuse their power, it only needs to get their own direct superiors, or even direct superiors' superiors (may be similar to Bo Zhou, Xu Guo, Susun, etc.), and it is usually fine. Children (if something happens, the superior will cover it). On the other hand, if the protective umbrella of some leaders pulls him into the water, (in order to keep the black hat) Ding Xiangwu and others will not dare to obey. Obviously, in such a bureaucratic system, once corruption and abuse of power occur, it can easily turn into a "criminal case". Therefore, a thorough investigation of higher-level institutions, protective umbrellas and certain leaders of Wuhan Fourth Hospital will face great resistance. The rulers are also concerned about tearing the emperor's new clothes in the medical industry, and ultimately choose to maintain stability or persecution. They will still abuse their power in the name of enticement and so-called technology, destroy the flesh of doctors and patients, trample on the core values of respecting and protecting human rights, and continue to harm humanity. and life.


In 2017, the Wuhan Municipal Organization Office determined the name of the hospital as "Wuhan Fourth Hospital", and retained Wuhan Puai Hospital and Wuhan Orthopaedic Hospital as the second and third names of the hospitals. Including Wusheng Road Campus, Gutian Campus, Dongxihu District Changqing Garden Community Health Service Center.

Secretary of the Party Committee: Yuan Yinghong

Ding Xiangwu, Department of Gastroenterology at Wuhan Fourth Hospital , used his power to exclude dissidents and frantically crack down on the victims of persecution, causing many people to suffer from mental and psychological disorders and his family members in a ruined situation. . In the department, there is a tendency to become flamboyant, shameless, and the environment is dark.

There are leaders in Wuhan Fourth Hospital who insist on harming the interests of some people. They ignore the facts and suppress them blindly. Many people know that if they dare not speak out, it is a harmonious society. Why is there no sunshine here.

Let us remember those who lost their lives in the process of medical reform: Li Wenliang, Jiang Qihong, Hu Shuyun , Yang Wen, Liu Chongxian, Guo Hui, Zhao Xinbing, Li Xiaolian, Zhao Weiping, Zhao Junyan, Jiang Shaomoo, Wang Ping, Li Guoqing, Song Yingxi, Chen Yuna, Sun Mingyue , Wang Yunjie, Kang Hongqian, Zhu Yufei, Dai Guangqiong, Wang Hao, Xu Guangjun, Peng Lingyun, Dai Chunfu, Sun Dongtao, Chen Zhongwei, Wang Jun, Li Baohua, etc. Deep condolences to the deceased compatriots. Even though these people were officially designated as martyrs, they ignored the fundamental problems of the governance structure of the medical system elites, and deliberately downplayed the discussion of accountability and the control of freedom of speech. As far as the rights of doctors and patients are concerned, this kind of pursuit of "the courage to contact patients in close proximity" has no meaning at all.

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