Posted on 04/21/2003 5:01:39 PM PDT by per loin
Hospital refuses to treat Sars victims too poor to pay bill
By Richard Spencer in Beijing
(Filed: 22/04/2003)
China's worst fears about the spread of Sars pneumonia began to come true yesterday as state media said patients from a poor region had been turned away from hospital because they could not afford treatment.
The reports raised the prospect of the disease spreading unchecked through China's vast hinterland, with impoverished sufferers unable to receive proper care and instead returning home to infect others.
Further alarm came yesterday as the authorities announced that the number of cases in Beijing had shot up again - this time by more than 100, to almost 450 - following the ninefold increase in official numbers they admitted at the weekend.
The Chinese mainland's death count from the new virus rose by 13 to 92, plus a total of 94 fatalities in Hong Kong. The number of infections across China was said to have risen by 194, to more than 2,000. Worldwide, 4,000 cases and 217 deaths have been reported.
Despite government orders that hospitals must not turn away suspected cases "for any reason", a report carried by the official Xinhua news agency suggested that this had been happening as recently as last week.
A hospital in Inner Mongolia - a northern region combining poor rural areas and redundant industry - left seven relatives of a woman who had died from Sars untreated for six hours in an open emergency ward because they could not pay a 2,000-yuan (£155) deposit each.
Universal health care is one of the many branches of the formerly socialist state apparatus that have been stripped away under 25 years of market-oriented economic reforms. Although hospitals are state-controlled, patients without their own or workplace health insurance have to pay cash.
The hospital in the regional capital, Hohhot, told a reporter from Xinhua that the seven patients could not be treated because of "the formalities" - meaning money. Later, a staff member told The Telegraph that the family had previously had an argument with the hospital.
Twelve of its staff had been infected by the dead woman, he said, and up to 40 cases were now being treated - a statistic that is more than the official figure for all of Inner Mongolia. The hospital was not a specialist epidemic unit and was having difficulty coping, he added.
Last week, the World Health Organisation cited long-term underfunding of public health, including disease surveillance systems, as one of the major defects exposed by the Sars crisis in China.
Henk Bekedam, the WHO representative in China, said he was worried about the prospects for containing the disease if it reached poor provinces from relatively wealthier areas, such as Beijing and Guangdong, which are worst affected.
Areas added to the affected list in China yesterday included the northern "rust-belt" provinces of Jilin and Liaoning, and the poor western province of Gansu, which is the home of footballer Paul Gascoigne's latest club, Gansu Heavenly Horses.
At the weekend, Chinese officials admitted that virtually every aspect of Beijing's disease control and surveillance system had broken down. The health minister, Zhang Wenkang, and Beijing's mayor, Meng Xuenong, were both sacked over the fiasco.
Yup. Looks like SARS is gonna run wild in China.
If we are lucky, we will get enough info on what's happening that it scares us into doing what it takes to stop it whenever it shows up here.
Since we have no effective treatment, and still no test that spots it early in the disease, we really have no tools to work with except quarantine.
Toronto and Singapore are perfect examples of this approach. Here's hoping they are successful.
I agree. I had expected that this was a test of the German test that was posted a few days ago.
Those deaths just can not be explained. Especially now.
If you believe that, then you have as much as conceded that we'll all eventually be exposed, haven't you?
it's pretty obvious that hillary and the democratic party already have their true socialized health care here. they should look to china, europe and canada to recognize that they better not kill the "old" golden goose which is our healthcare system, supported by the few capitalists that can stay floating with new products and innovation.
It's always that way with commies.
You be #10 too.
Yep.
But I still have my optimistic moments. For instance: If we can slow its spread down enough, maybe we will have better ways to handle it by the time it gets here. A diagnostic test that works early in the course of the disease, quickly, cheaply, and reliably, would be a good place to start. (Incredibly, we still do not have even that.)
Who knows, if we can slow it down enough, maybe we'll be able to find some kind of treatment that actually kills the d@mn thing, too. (Kinda like finding a cure for the common cold in the next six months.)
'Course, if none of this happens, maybe it will turn out to be seasonal, or burn itself out, or mutate into something that kills cancer, or helps you lose weight.
Besides, some folks keep reminding me that Legionaire's Disease has killed more people than SARS. And more people have died in car accidents, too.
What? (cough) Me worry? There's nothin' to worry 'bout. (sneeze)
Cough. (Just a summer cold.. The nastiest kind, ya know.)
Yea, unlike the conservative, for profit only Chinese.
Still no faces of those infected.
Shudder.
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