Health: the moral demanding and economic pressure of "die"

Source: health

        ZhangHaiTong (doctor)

        November 28,, net friend "the other side of the mountain to drop" post says, hunan province, which SAN DaPing pond middle school teacher XieTongJun county on November 15, ride a motorcycle accident on his way home from school, and was sent to SAN county hospital. But families until November 22 and then in the hospital gate of the garbage heap find XieTongJun. How XieTongJun from hospital once out of a mystery. After the incident, SAN county up the investigation team. Yesterday, the county government web site in SAN released the survey. After investigation, the hospital safeguard section in the emergency department personnel including, will the injured "clear" out of the hospital. (December 6 "xiaoxiang morning paper")

        In recent years, unable to pay the fee for patients and rejected by hospitals from the news found in the media. No surprise, the news is always will cause people to the hospital, the medical staff there to help, cold-blooded indignation and criticized. Unable to get patients in any identity information, also do not contact with their family members, and an acquaintance, the hospital will actually hurt is not conscious, also cannot provide for oneself of the patients "clear" out of the hospital. This kind of behavior is likely to cause deterioration of death even serious consequences. Therefore, in people look, the hospital this behavior more than cold-blooded, facing more hateful to demand the severe punishment hit-and-run hospital responsible persons finals. But, the author thought, if on this incident is only that it was difficult to ensure that the processing of similar things don't happen.

        The parties argue that the hospital, is safeguard section personnel in the emergency department medical staff including concentration, only by individual judgement, in not find out the injured identity, will the wounded about the spirit of things into mistaken for a problem personnel to clear out the hospital. Investigation team argues that, the hospital emergency management does not reach the designated position, there to poor patient care units, health care providers, sense of responsibility. These may be objective fact. However, these also are all just a front. The cause of the root probably, the hospital patients in identity is unknown, contact less than family members have already given before the treatment of related. But, in patients improved, can bed activities, consciousness is still unable to recover, treatment and nursing difficult conditions, continue to cure patients will let the medical debt amount is more and more big.

        So, in the existing related medical system, the medical debt will be the one to take? In this year of the Chinese hospital annual meeting, the harvard school of public health, director of the China project department LiuYuanLi said: "now the whole country public hospital medical debt is 10 billion yuan, a large part of the money is first aid, owe cost, by general hospital, the hospital has let save for the doctor, assume, this is a very bad system, equivalent to fire, let the firefighters solve fire cost." Let JiuRenZhe bear the cost of saving, this is really fantastic. But this is we have to face the facts. In this fantastic medical system, the doctor will inevitably often fall into "save or not to save" dilemma.

        People's health and life is priceless, and temporarily unable to pay medical treatment to expend face critical in patients, medical personnel to timely treatment, patients and personnel after fill again paying the reasonable. Even if patients really can't pay treatment, medical staff also can't there to help. But, domestic medical institutions after all, not charity, medical workers job is not an obligation to work, they want in their own work through a family, also have a variety of life pressure. If because treatment in a critical but are unable to pay treatment of patients and let them be salary of embezzle part, affect their normal life, even in the powerful social moral pressure and various medical expressly prescribed by laws and regulations, it is also difficult to let all of the medical personnel can do "who selflessly dedicated", more can't guarantee that those who cannot afford medical treatment of patients can be timely and effective treatment.

        Facing the treatment to be critically ill patient, save the life which is the opportunity to flit, if the medical staff can't because life treatment, a patient's life and health would never get effective safeguard. Therefore, this let the medical staff in moral demanding and economic pressure entanglements, prevent medical personnel treated patients the absurdity of the system should receive timely corrective and modification. The author thinks that, on the one hand, the government should each year from the public health investment increased in part of the capital as compensation for the treatment of medical institutions of medical emergency patients have default fund; On the other hand, the relevant departments of the government control should be from the various charities raising funds for part of the money, and positive publicity to the public through various social channels to raise the money from folk to benefits the country and the first aid to the cause of economic reliable support.