After being promoted, a doctor from a tertiary hospital revealed that he received medical rebates of more than 500,000 yuan for thorough...

No one knows why a doctor in a tertiary hospital in his prime of integrity chooses a way of almost dying, risking ruining his entire career, or even being convicted, and continuing to "disclose himself" on social media and receive huge kickbacks.

"Collapse method" and "full participation"

The first time that Dr.

As early as 2018, Fenghua repeatedly disclosed that he and his colleagues in the hospital received rebates by posting on Baidu Tieba and handing out flyers in front of the hospital where he was located.

Fenghua, 41, obtained the Qualification Certificate of Practicing Physician in 2008.

He spent most of his career in the Sinopharm Tongmei Group General Hospital, a tertiary A hospital in Datong, Shanxi.

According to Fenghua’s self-exposure, “During this period, I participated in receiving medical rebates, which is conservatively estimated to be more than 500,000.

From Fenghua's self-report, we can roughly outline his self-exposure history in the past two years:

In May 2018, Fenghua submitted a real-name report letter to the Secretary of the Disciplinary Committee of the General Hospital of Tongmei Group Hospital.

But this investigation "checked for two years without any results.

Starting from November 23, 2020, Fenghua has successively released more than 30 related videos on short video social media such as Douyin and Kuaishou.

In these videos sent out, he looked haggard and heavy most of the time, repeating his experiences and demands.

Most of the topics described are that he and his colleagues, pharmacists, directors, deputy hospitals, and the main hospital participated in the collection of rebates.

His appeal is to investigate this matter thoroughly.

Among the evidence published by Fenghua, there are mainly handwritten notes that record the rebate drugs and the amount.

However, these "self-exposures" posted on the Douyin platform also did not cause much disturbance.

It was not until April 8th that Fenghua broke out for the first time the amount of rebates it received in a README video posted on Douyin, which was conservatively estimated to be more than 500,000, which immediately pushed the matter to the forefront.

So far, this video has received 50,000 likes and more than 5,000 comments.

After igniting public opinion, the Shanxi Datong Municipal Health Commission stated that it had sent a working group to intervene in the investigation on April 10 and treated the issue of medical rebates with a "zero tolerance" attitude.
Once verified, it will be dealt with seriously in accordance with laws and regulations.

Why does the doctor continue to expose himself?

The Sinopharm Tongmei General Hospital where Fenghua works is also the Second Affiliated Hospital of Datong University.
Its predecessor was the General Hospital of Datong Coal Mine Group Co.
, Ltd.
, which was originally a factory and mine hospital.

In June 2020, it was renamed after being owned by Sinopharm Medical.
The hospital has more than 2,000 beds and is the largest Grade A hospital in Datong City, Shanxi.

According to a practitioner from the Shanxi University Medical Circle, Fenghua was previously an attending doctor in the Department of Respiratory Medicine, who commuted to and from get off work on time and worked normally.
Fenghua's continued "self-exposure" behavior began with a conflict with Tongmei General Hospital.

Around 2018, he was complained by a nurse in the undergraduate room due to unhappiness with Fenghua at work.
The nurse's husband went to the hospital and had a physical conflict with him.
Later, the police intervened, and the final result was not good for Fenghua.

Fenghua felt that the hospital had dealt unfairly, and directed the angry spearhead at the hospital.

After this dispute, Fenghua began to expose itself for nearly three years.

Fenghua's wife could not stop him either.
His wife is also a medical worker and works in another affiliated hospital of Datong University.

According to the above-mentioned industry insiders, the manager of the Tongmei General Hospital once approached the manager of the hospital where his wife is located, and tried to persuade Fenghua to stop continuing complaints through his wife.
Fenghua's wife expressed helplessness and admitted that the incident had a great impact on her family life, but believed that the fuse of this incident was indeed caused by the improper handling of the matter by the hospital, and she could not persuade her husband to change her behavior.

In order to calm the situation, the administrators of Datong Coal General Hospital have proposed to adjust positions and improve treatment.

8:00 Jianwen also learned from this person familiar with the matter that Fenghua has just been awarded the deputy senior title this year-this is an extremely important promotion for the doctor.

But Fenghua remained unmoved.

In a later interview with the media, the Propaganda Department of Dongmei General Hospital believed that Fenghua was "extremely radical.
"

During the epidemic last year, Fenghua worked as a doctor in the Department of Respiratory Medicine to fight the epidemic, during which time it stopped complaining to the hospital.

Many relevant people breathed a sigh of relief, thinking that the self-exposure that had lasted for more than two years had finally "discontinued".
But I didn't expect that in November 2020, Fenghua would release a video on the Douyin platform that "received rebates", which would eventually become a hot event.

In these self-meeting videos, in addition to the keyword "rebates", Fenghua also posted photos of his son many times.
He recounted an accident that happened to his son in the fourth grade of elementary school on his way home from school.
At that time, his collarbone was broken by a motorcycle traveling retrograde on the sidewalk.
The accident occurred about 40 days later and was classified as a hit and run.
However, the second judgment afterwards overturned the previous judgment of hit and run.
Fenghua felt very much about this.
I was puzzled and felt very sorry for my son.

It is not known how much the 41-year-old doctor was hit by the conflict with the nurse in the same department and the son's traffic accident.
At 8 o'clock today, Jianwen tried to contact Fenghua himself many times, but the other party did not respond.

In Fenghua’s last video narrative, he urged the official to conduct a thorough investigation, “In the future, if I have the opportunity to continue practicing medicine, I hope to be a clean person, practice medicine cleanly, stay away from kickbacks, and refuse red envelopes.
”

Open secret

On social media, the top three doctors disclosed that the total reading volume of receiving rebates exceeded 300 million.

Medical issues are the most complicated and the most extensive issues in Chinese society.
In the ten years before the establishment of universal medical insurance, the cost and difficulty of seeing a doctor were a major concern for people.

Even after the establishment of universal medical insurance, the proportion of Chinese patients who pay for medical expenses is still at a relatively high level.

Therefore, for a long time, related medical rebates, red envelopes and other issues are most likely to affect the public's nerves.

As we all know, the basic salary of Chinese doctors is not high.
Fenghua has been in medicine for 14 years and has just been awarded the deputy senior title this year.
He has been the attending doctor before.
The basic salary of the attending doctor is about 4,000-5,000 yuan, and the basic salary of the deputy senior doctor is 5,000 to 6,000 yuan.

Although there is a certain gap in the income of doctors in different departments in different regions, the sunshine income structure of doctors in public hospitals is basically the same.
Both are composed of basic salary and department bonus.
The ratio of the two differs greatly due to the inconsistency of economic development levels in different regions.

Take the top three hospitals in Shanghai as an example.
According to eight points of knowledge, the salary of the physicians in the internal medicine department is not much different.
The basic salary is several thousand yuan, and the department bonus is more than 10,000 yuan.
Take the bonus for work in the ward as an example, which is mainly calculated based on the number of patients admitted, the number of examinations, and the number of operations (the internal medicine department also has minor operations).

In Datong, Shanxi, where Fenghua is located, the economy is relatively backward, and the bonus income of doctors of the same level ranges from three to five thousand.

In addition to sunshine income, there is gray income.
The amount of gray income has a lot to do with departments.
Before the collection, in the departments of orthopedics, cardiology, oncology and other departments, consumables and drug rebates are an important part of the income of some doctors.
After the centralized procurement, this part of the income has begun to decline sharply.

In the Department of Respiratory Medicine where Fenghua is located, doctors' income is above the middle level among all departments.

Fenghua reported that he had been in the medical profession for more than ten years and received a conservative estimate of more than 500,000 yuan in rebates.
However, a doctor bluntly told that if calculated at 500,000 yuan in 10 years, the monthly rebate income would be around 4,000 yuan.
Not many in the industry.

According to a person familiar with the Datong medical system, in Datong City, where Fenghua is located, all the income of an attending doctor (basic salary + department bonus + gray income) is two to three times that of the employees of ordinary institutions-Datong The per capita wage income of ordinary public institutions is around four to five thousand yuan.

The mode of collecting rebates for medicines and consumables in units of departments or medical teams is an open secret within the medical system.
In the "self-exposure", Fenghua pointed out that he and his colleagues, pharmacists, directors, deputy hospitals, and main hospitals all participated in collecting rebates.

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