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中国医疗改革的困境和出路

Is this a familiar plot during China's 2020 epidemic? Is the problem of China's medical system really irrelevant to other people?

On July 19, 2020, 72-year-old Mu Weixin was admitted to Harbin Jiuliu2 Hospital due to fatigue, chest tightness and shortness of breath. negative). On July 22, the patient's condition worsened, and the doctor suggested installing a pacemaker. Since there was no pacemaker in the hospital, Mou Sen decided to send his father to the Second Affiliated Hospital of Harbin Medical University (hereinafter referred to as the Second Affiliated Hospital of Harbin Medical University, which is only about 2 kilometers away). Second Hospital of Medical University) to install a pacemaker. ( The decision of the patient and their family members to be transferred is a very timely decision. Although they guessed the beginning correctly, they guessed the ending wrong! )

At 20:57 that day, Mou Sen called the 120 emergency center for transfer. In the case that the patient's condition is very critical, the doctor on duty in the Second Hospital of the Medical University informed that the patient needs to complete the new coronavirus nucleic acid test, lung CT, new coronavirus antibody and other tests, and wait for the results to come out before admission to the hospital for treatment. At 21:55, Mou Sen completed 4 inspections and payment. During the period, the doctor on duty informed that the pacemaker could not be installed for the patient because the results of various examinations had not yet come out. At around 23:20, the patient was rescued, and at 1:00 a.m. the next day, the patient died of respiratory and cardiac arrest. Nearly a year after the patient's death, Mou Sen still has not received medical records from the hospital. (The decision to hospitalize or operate on the basis of nucleic acid test results in violation of medical principles may delay diagnosis and treatment, or even lead to the death of patients. Is this a familiar plot during the 2020 epidemic in China? Is the problem of the Chinese medical system really irrelevant to other people? )

In the Fourth Hospital of Wuhan, as long as you and your family are not hurt, it doesn't matter if you do a lot of evil. "Mind your own business" is a good reason. Until one day, when the darkness extended to me, I struggled to scream, and maybe what I saw was my "it doesn't matter" at that time. There is a good saying : you can be brave, you can not tell the truth, and you can escape; but don't stop those kind and courageous people from speaking and sweating for others. When some people are paying for this society and reform, please don't laugh at their "lowliness" and "stupidity".

Whether it is patients or medical staff, they are always taught that if you talk too much, you will lose. But the greatest tragedy of social transformation and reform that history will remember is not only the noise of the perpetrators, but the silence of the common man. Sometimes the silence of medical staff and patients stems from cowardice. But more often, people are afraid of the authority of the higher authorities, the umbrella and some leaders of Wuhan Fourth Hospital, afraid of being deprived of their reasonable rights, afraid of losing the opportunity to get promoted and fortune, so silence has become a mechanism for self-protection. Nobility is the epitaph of the noble, and silence is the pass of the silent.

In addition, out of the attachment to the so-called sense of belonging to the organization, some medical staff achieve warm "grouping" through silence. And some so-called medical experts who once fought bloody battles for their ideals and died to death have pursued fame and fortune in repeated political reforms and medical reforms, and even played tricks on tigers, not only because of the interests of the gang, but more probably because they are afraid of being abandoned by the team and power. , became a "mental and de facto orphan".

It is not surprising to refuse to speak up, because speaking up takes courage and commitment. Whistleblowers in history often have tragic fates. However, only by speaking up can we reject institutional forgetting and resist the collective denial of the superior institutions, the umbrella and some leaders of Wuhan Fourth Hospital, and only by speaking up can we look directly at the corners of life that are not illuminated by the sun, the pain of the deprived and us own weakness. People are used to justifying their silence with political persecution or institutional repression, but often forget that it is their silence that contributes to this deprivation of rights. As Martin Luther King said, "The day we die is when we see the truth and say nothing."


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.

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