A firsthand experience of being tormented and robbed by a capitalist healthcare system

I was at work around 2–3 o’clock yesterday when I started having a runny nose, dizziness, and fever. I hadn’t taken leave yet, thinking there were only three or four hours left before I got off work, and that if I took some medicine and drank more hot water I could get through it. But at around 5:50 in the evening, the area near the inner left abdomen close to the groin suddenly began to hurt severely, to the point that normal activity was obstructed. When I stood up, it hurt; walking became a problem. I immediately took leave and planned to go to a nearby hospital for emergency care. I bent over because straightening up hurt less, and gradually moved to the subway station, but the pain was too much to bear, so I sat on the ground to relieve it a bit and then called an ambulance.

In hindsight, I shouldn’t have called an ambulance and should have taken a taxi to the nearest hospital. Why? First, it took several minutes before someone answered after calling 120. When I was loaded onto the ambulance, I was told to lie flat, which made the ride more painful due to the rough road, and this continued for more than ten minutes. I told the paramedics that lying down hurt more, but they said to endure it, maybe it was a stone. After arriving at the hospital, the ambulance charge was shockingly 292 yuan! It’s completely price-gouging; a taxi wouldn’t even cost this much for ten kilometers, and sitting in a taxi is much more comfortable than lying down.

At the hospital, I was in so much pain that I had difficulty moving and had to sit in a wheelchair. I initially thought I would be sent directly to emergency for checks and treatment, but after I paid nearly 300 yuan, I could not afford the 460-something yuan for further tests. This heartless hospital left me, who was in unbearable pain, immobile and with a low fever, to a corner without care. I asked the nearby security staff or nurses to take me for tests first, and then pay, or is it possible to pay later, but they insisted that payment had to be made first and urged me to contact family or friends to transfer the funds for me before proceeding. If they didn’t, it would delay things. They themselves knew this was delaying things! I also realized again: capitalist hospitals are not places that treat workers; their primary goal is to extract profits, even to swallow our sweat and blood or even kill us!

I don’t have family in a big city, so I could only contact friends I know from work. But it takes time for them to come over; before they could help me pay and push the wheelchair, I could only endure the pain. I didn’t even know what was causing the pain or whether delaying would make things worse, and at first I felt hopeless, wondering if I would die here today. But then I felt hatred and anger because this injustice affected more than just me. I thought of so many workers who come to big cities to make a living after leaving their hometowns; compared to them, I might still have some savings. But if they fall seriously ill and are taken to the hospital for rescue, the ambulance fee alone could wipe out the little money they have, and without paying, the tests wouldn’t be done. A condition that might not have reached the point of death could become irreversible due to delay… This is not just my grievance or experience. Is it not common for workers in China to be harmed and tormented by this damned capitalist medical system? The proletariat has no private property, but in capitalist society, a hospital will not serve those without property. We get sick but cannot be treated, yet we have created all the social wealth!

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How is Lyon feeling now, and what’s next?

A rebellious patient delays his own illness? Isn’t a capitalist hospital truly delaying illnesses! Profit comes first; if they don’t see money, they won’t treat. If the patient dies, it’s his fault, because he didn’t pay—this is the essence of such hospitals, they only treat the “masters.” Chairman Mao once criticized medical and health work controlled by Liu Xiu’s line: “The Ministry of Health’s work is only for 15% of the national population, and among that 15%, it’s mainly the masters!… The Ministry of Health is not the people’s Ministry of Health; replace it with the Municipal Health Ministry or the Municipal Masters’ Health Ministry!” The bourgeoisie within the Zhongxiu (Central China) era could pay exorbitant medical fees with the surplus value extracted from exploitation, while the exploited workers often have to bear large and small illnesses themselves, unable to bear it and go to the hospital only to be exploited again; everything is taken away by capitalists!

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It’s not just that. After the check and other reports come out, we have to wait at least two hours, from eight to ten-thirty, until we’re no longer in as much pain and don’t need a wheelchair, and my fever has come down a bit. When I went to the ER to ask for the results, the doctor said there’s no direct link between fever and abdominal pain. The scan should just show that there’s more stool in the colon, so it’s fine after more bowel movements. He said since I’m not in as much pain now and I can go to the bathroom, I should eat something like bananas to help with bowel movements, and he prescribed an anti-inflammatory medication. He said to come back if the pain worsens based on the situation. It’s been this rough handling. After leaving the bathroom, the pain started again and walking hurts, but with small movements it doesn’t hurt as much. Even when it doesn’t hurt, there’s a strange sensation in the lower left abdomen. Now I’m going to another hospital for an examination and taking the previous hospital’s imaging to show to the doctor there.

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[I] I asked the security nurse next to me to take me for an examination first, and then pay afterwards, would that be okay? But they said I had to pay first, and urged me to urgently contact family or friends to transfer money to me so I could pay first, otherwise they’d delay it.

This is so reactionary, completely not treating people’s lives as important. I recall once I went to the hospital because I felt unwell, but the doctor refused to give me IV pain relief first, insisting I stand in line, and wouldn’t give IV unless I had an examination. It hurt so much I nearly fainted, it was very painful, yet no one cared, and even with a pompous reason like “you can’t IV without examination,” they told me to go to another hospital in the middle of the night if I didn’t get checked, refusing to accept me. They completely failed to achieve the goal of making money off me by refusing various full examinations, so they wanted to drive me away. :face_with_symbols_on_mouth: Later, I went to the hospital again. I happened to be listening to Zhang Qiujue’s video with a comrade’s voice acting. It talks about the socialist era, under Chairman Mao’s revolutionary line, the healthcare system serving the people’s interests selflessly. I remember one striking point: when doctors performed surgery on Zhang Qiujue, a sudden situation occurred. After opening the abdomen, they had to determine whether a membrane was the peritoneum or a membrane on the tumor, whether to keep it or remove it. This was crucial, because although the tumor was removed, if other parts were accidentally removed, Zhang Qiujue’s future life would be greatly affected. After rigorous, tense analysis, they decisively chose to retain it, then carefully perform the separation. This not only removed the tumor but also allowed her to participate in the construction of socialist production with a healthy body, contributing again to the great socialist motherland. At the time I thought of the doctors and nurses using Mao Zedong’s words to persuade Zhang Qiujue to build revolutionary optimism before the surgery. We come from all over, all for a revolutionary purpose to cure Zhang Qiujue’s illness, for socialist construction. So the doctors were meticulous, treating the patient’s life, health, and future as important, selflessly treating her illness, thus creating a miracle that let Zhang Qiujue stand up again, and even after such a major illness and surgery, still able to participate in physical labor to contribute to socialist construction. In a capitalist society, how many doctors plot to profit from bloodshed—Xiao Luoxi’s case is a bloody example. Xiao Luoxi could have avoided the pain and torment of surgery, grown up healthy, but the wretched doctors, for profit, cut into her body and, not even suturing properly, ended the surgery abruptly, causing Xiao Luoxi’s death. Many patients even died because of small problems that were not treated in time, completely killed by bourgeois doctors and capitalist systems. I thought of these things then, seeing crowds in the hospital, and I couldn’t help but tear up. The poor in capitalist society simply cannot receive effective treatment, only suffer and die from illness, the best result is borrowing huge sums to treat one’s illness, thus ruin the family, leaving the whole family to descend into hell. At that time I had a very strong hatred toward the capitalist medical system and the capitalist system in general. Seeing this post by Liyong reminded me of what I saw and thought back then. ]

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My grandmother is a farmer, over 70 this year, not a poor farmer, though she doesn’t hire anyone, there are still a few mu of fields at home. Once she fainted while working in the fields and was sent to the hospital, she was immediately admitted to the ICU. She lay there for three days and nothing was diagnosed. Later she had surgery, but the reason for this surgery actually had nothing to do with the fainting. The reason was that the hospital found she had appendicitis and performed an appendectomy, and the surgery alone cost 3,000.

On this hospital ICU visit, the surgery, the bed, the medicines, miscellaneous charges, all kinds of fees, after 3 or 5 days it totaled several thousand. Even at discharge, our family still didn’t know the cause of her fainting this time. When would it recur? The bourgeois hospital is like this, utterly irresponsible toward patients, just taking advantage of people’s vulnerability, endlessly plundering the people’s wealth. They give patients whatever drugs or surgeries they want to make money, with no consideration for the patient’s life and health. In our village, at least there are families who can afford medicines and medical care. If it’s a typical poor peasant family, they can only drag through small illnesses and endure big illnesses, and eventually can only wait to die. I felt at the time that if there were Chairman Mao’s barefoot doctors system, such things wouldn’t happen. When will the situation of the bourgeois ruling party be resolved, when will this problem be solved, so that truly the broad masses of people can be cured of their illnesses, and not be gouged by bourgeois hospitals layer by layer.

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Rather than saying not to delay your treatment, it’s about not delaying the hospital’s profits. In these capitalist hospitals, the doctors no longer put patients’ lives first. When they assess the severity of a patient’s illness, they think not about the patient’s health, but only “What disease does this person have, how much money will they pay to get treatment, how can I make them spend more?” It’s basically taking advantage of people in vulnerable situations, mercilessly extorting a broad group of workers who go to the hospital because they are ill. And those who get rich through exploitation can go to hospitals without worry—they don’t have to worry about money, nor about getting good doctors to treat them. Usually they also buy influence in the hospital by paying off connections, getting doctors with medical skills to treat them. And these doctors with medical skills generally look down on poor patients and won’t treat them. Often the only doctors that treat the laboring masses are those quack doctors who merely spout a few prescriptions or perform superficial examinations. This is completely irrational and unfair.

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