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為何美國醫生受尊敬,中國醫生挨刀子?

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貝殼姑娘 發表於 2012-3-29 04:06 | 顯示全部樓層 |閱讀模式
作者:atlantiscat

   
    醫生被殺為何引發萬民歡呼?這種歡呼雖然殘忍,但真實地反映了中國醫生不受人待見的事實。醫生是救死扶傷者,病人在危難之際求救於醫生,病患之間本應充滿了人間的真情,醫院之地本應洋溢著人性的光芒,為何變成了仇恨與屠戮場所?實際上,醫生與病患都是弱者,弱者相殘是這個社會最殘酷的真相。讓我們來看看美國的醫患關係,也許可以有助於醫患雙方相互理解。以下故事來自於我的親身經歷。

故事一:美國醫生讓病人感到受尊重

  2010年,同在美國一個城市的中國好友突然得了甲亢(病名不一定準確),導致全身肌肉無力,洗澡時癱倒浴室中,屋內無一人,掙扎著報警后隨即癱瘓半昏迷在地上。異國孤旅,生死之間,朋友真實地感到了絕望與無助,然而此後美國醫院的經歷如同從深淵重回人間。急救車與警察迅速感到,破門、救護、轉運過程中醫護人員一直在努力安慰他,好讓他放鬆並保持意識。到了醫院,沒人問他有沒有錢、有沒有保險,醫護人員友好而專業,他們的善意與敬業讓朋友感到了真實的信任,朋友感到自己是一個受到尊敬的人而非僅僅是一個軀體。醫院為他做了所有可能的檢查,結合詢問家族病史,很快找出了病因,開始大劑量的輸液(好像是補典一類的元素),安排了專門的護工,負責照顧朋友包括大小便在內的各種活動,那名黑人護工熱情洋溢,每天都會專門詢問朋友想吃什麼,根據朋友的口味通知醫院餐廳配餐。

  故事二:美國醫院讓窮人感到溫暖

  住院期間,朋友雖然感到溫暖,但是心裡也在為醫療費擔心,因為大家為了省錢買了假洋鬼子的便宜保險,騙簽證可以,理賠可夠嗆。結果證明朋友的擔心是多餘的,住院期間醫院從未因醫療費用騷擾朋友,而是在出院后寄來了賬單,賬單上同時詢問朋友是否有支付困難,以便安排社會慈善救濟。住院4天總共花了2萬多美元(美國醫療費很貴),爛保險只能報1萬美元,由於朋友月收入1400美元,屬於低收入人群,剩下的1萬6千美元由醫院通過社會慈善救濟報銷了,而朋友要做的僅僅是如實填寫了收入證明。

  故事三:美國醫生臉上洋溢著笑容

  我自己因為發燒去過一次學校附屬醫院,坐在醫院候診區內,遠離家人、無親無故、身心俱疲,真在為到哪裡找醫生髮愁,醫生卻自己主動來到候診區迎接自己的病人,滿臉笑容熱情洋溢,瞬間讓人感到賓至如歸的溫暖,她的熱情和笑容告訴我她尊重我並且值得我的信任。後來發現,所有的醫生都是這樣出來迎接自己的病人,而非坐在屋裡冷冰冰地等著病人拜見。

  故事四:美國醫院承擔社會責任

  2010年春天,美國和中國都在鬧豬流感,我正好準備回中國辦事情,聽剛回國的朋友說,國外回來的要自我隔離,如有感冒發燒癥狀的則要強制隔離,而且國內流感疫苗不夠,一針難求,除了醫務人員外,領導公務員和有關係的人才能打(父母生活的城市就是這樣執行的)。美國則是在所有醫院與衛生服務機構向全民免費提供注射疫苗的服務,首先不會對發燒者不分青紅皂白的強制隔離(國內強制隔離區內往往交叉感染,非典時這種做法造成了很多無謂的犧牲),其次在打疫苗的問題上不會讓領導和有關係的先打。

  故事五:美國醫院不會殘酷忽悠病人

  在一次家庭聚會上,遇到了一位華裔女士,聽到了她朋友的悲慘故事,感同身受。幾年前她的丈夫得了癌症一類的重症(好像是癌症),美國醫院診斷後認為需要保守治療,盡量不要輕易手術,建議醫院治療控制病情后回家康復修養。但是他們從網上看到國內湖北有醫院專治癌症等不治之症,具有先進的設備和神奇的療法,於是不遠萬里飛回國內,結果回來就被動員做手術,幾次大手術之後僅僅兩個月她丈夫就不行了,她丈夫在彌留之際抓著她的手說:「我們受騙了」。丈夫去世后,她堅決通過美國領事館將屍體運回美國安葬。聽到這個故事時我哭了,因為相似的故事也曾真實地我的叔叔(父親的親弟弟)身上,癌症檢查出來后,請醫生吃飯、給醫生紅包、幫醫生辦事、還被醫生忽悠花重金請所謂北京專家來手術,專家確實是北京的教授,全國到處飛著做手術,兩個月做了三次手術,真可謂任人宰割,死的及其痛苦和凄慘,臨死之前叔叔和全家人都明白:「我們受騙了」。

  醫患矛盾雖然並不僅是醫生的緣故,但是,醫患之間,普通患者總體上處於弱勢地位,如果醫生和醫院將病人作為待宰的羔羊,作為可以隨意處置的病軀,作為弱者的病人的絕望抗爭就難以避免。

  說一千,到一萬,醫生需要尊重病人,病人自然會加倍感激醫生,這是人性倫理所決定的。但是,醫院與制度也應當尊重醫生,因為制度的道德影響和決定著個人的道德,醫生無法脫離體制而獨生,在不道德的制度之下,醫生也是受害者,白衣天使遲早會墮為人間的惡魔;在不公正的社會體制之中,善良的人終會墮落,教師會以愚弄學生為生,醫生會以鄙視盤剝病人為生,反過來,學校與醫院又以壓迫老師與醫生為己任,高高在上者又以壓迫所有人為樂。這一點解釋了為什麼在中國社會中神聖往往變成了罪惡,從這個意義上而言,羅爾斯確實具有先見之明。

  請某些人尊重公民,請醫院尊重醫生,醫生與病人才能相互尊重。

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HappyUSANA 發表於 2012-3-31 03:42 | 顯示全部樓層
好文,但願國內的醫生們和醫療主管能看見
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genhunter 發表於 2012-3-31 10:45 | 顯示全部樓層
No always: read this very recent event:


Two dead, including gunman, in shooting at Pittsburgh hospital
ReutersBy Matt Stroud | Reuters – Fri, Mar 9, 2012


    A man walks past a Pennsylvania State Police officer as he keeps watch over the back of the Western Psychiatric Institute and Clinic of University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania after several people were shot in the building on March 8, 2012. Two people were killed in a shooting at the University of Pittsburgh Medical Center on Thursday, and one of the dead was believed to be the shooter, the hospital said. REUTERS/ Jason Cohn

    A man walks past a Pennsylvania …
    Two people wait to leave the University of Pittsburgh School of Medicine after the area was locked down by police due to a shooting at the Western Psychiatric Institute and Clinic of University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania March 8, 2012. REUTERS/ Jason Cohn

PITTSBURGH, Pennsylvania (Reuters) - Two people were killed and seven people were wounded in a shooting on Thursday at a psychiatric institute at the University of Pittsburgh Medical Center, and one of the dead was the gunman who walked into the clinic's lobby armed with two semi-automatic handguns, authorities said.

The identities of the gunman and the victims were not immediately released, and authorities at a media briefing did not reveal any details of what the gunman's motive may have been.

The gunman entered the lobby of the Western Psychiatric Institute and Clinic at UPMC shortly before 1 p.m. with two semi-automatic handguns and began firing, according to police and Mayor Luke Ravenstahl.

University and Pittsburgh City police who arrived on the scene shot back, the mayor said. "Police did engage in gunfire," he said. "It is too early to say what gun killed the two deceased."

Seven people, all of them adults, were wounded. Five of them were being treated at UPMC Presbyterian, where two of them were in intensive care, said Dr. Donald Yealy, chief of emergency medicine at UPMC.

All of the wounded were expected to survive, Yealy said. Two other victims were treated at the hospital and released.

The three men and two women still treated at the hospital for gun shot wounds ranged in age from 35 to 64. Of them, two were in serious condition and three were listed as fair, the hospital said in a statement.

Authorities also said a UPMC police officer was grazed in the leg by a bullet.

Of the wounded, at least five were Western Psychiatric employees and one was believed to be a visitor, authorities said.

Western Psychiatric Institute treats more than 25,000 children, adolescents and adults a year for a range of disorders including Alzheimer's disease, depression, schizophrenia and substance abuse, according to its website.

In response to the shooting, UPMC said in a statement that it would review all security procedures in the coming days.

None of its 289 patients were evacuated following the shooting, hospital officials said.

Earlier reports of a second gunman were inaccurate, authorities said.

"It appears at this point that he acted alone," Ravenstahl said.

"This is a tragic day, a sad day, a senseless day in many ways," the mayor added.

(Reporting by Ellen Wulfhorst, Matt Stroud, Edith Honan, Jason Cohn and Alex Dobuzinskis; Editing by Daniel Trotta and Dan Burns)

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費隱士 發表於 2012-3-31 21:54 | 顯示全部樓層
絕對同意作者的觀點。國內社會的道德淪喪,完全是因為「向錢看」造成的,教育,醫療等國民福利事業都變成產業化了。不腐敗何待?所以在下以為,要做正人君子,還是呆在海外好,回國是很難獨善其身的。
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LA青島老王 發表於 2012-5-2 06:44 | 顯示全部樓層
美國的醫院如果見死不救,基本上會被政府查封,責任人可能會坐牢...!
美國的醫院如果救了人命而收不到款,政府一定會買單...!
所以,不是醫生好,是制度好,甚至不是制度好,是法律好。

至於,天朝這邊嘛,俺,無語了。
你呢?
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ahsungzee 發表於 2012-5-2 11:22 | 顯示全部樓層
因為美國是真正法制國家,中國是偽法制國家!
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fansfan 發表於 2012-5-2 17:00 | 顯示全部樓層
社會的道德淪喪
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