金钱面前的良知
深圳大学 赖小琪
今天早上看了一则新闻，主要内容如下：一个产妇在生完小孩后大出血，情况紧急，当时急需输血，但是因其家属当时手上只有500块钱，而输血费要510元，所以主治医生不予以输血，最后导致产妇失血过多而死亡。
This morning I read a piece of news. Its main idea is as follows: A woman, after giving birth to a child, was suffering postpartum hemorrhage. As the situation was increasingly deteriorating, she was in an urgent need of blood. But as her families had only 500 yuan at hand at that time, 10 yuan less than 510 yuan needed, the doctor did not permit to transfuse blood to her, which resulted in her death later.
看完这则新闻，我震惊得半晌无语。10元的代价，竟然是一条鲜活的生命。笔者无法想象，当看到这位产妇因大出血而挣扎抽搐时，那位医生可以视若无睹；我也无法想象，当看到产妇因失血过多而面色苍白，表情扭曲时，那位医生可以冷酷地坚持。我不知道，当产妇最后因为延误治疗而被死神活生生地带走时，那位医生是否受到良心的深深拷问，愧疚终生。
Having finished the news, I was shocked to be speechless for a whole while. The price of 10 yuan should be a living life! It is hard for me to imagine the doctor could be so apathetic when witnessing the woman struggling because of bleeding. It is also hard for me to imagine th doctor could be so ruthless when witnessing the woman’s face turning pale and twisted because of bleeding. I don’t know whether the doctor had ever been questioned by his conscience and felt deeply regretful when the woman was finally taken away by death due to delayed treatment.
医生在大众的眼里，本来是白衣天使，是拯救生命的伟大职业。2001年的非典，有多少舍己救人的护士医生，为了人类的福祉，放弃自己的优越，放弃家庭，与疾病抗争，最后英勇牺牲。有多少感人的故事，至今读来，依然荡气回肠，催人泪下。然而再美的画卷，也会有败笔；再伟大的群体，也隐藏着污垢。医生这个职业，伟大的人多，冷酷无情的人更多。我不知道是不是因为医生在医院里每天目睹了太多的生老病死，所以看到一个生命离去时可以依然面不改色。所以，那位产妇的主治医生对产妇的死亡可以视若无睹。哇哇啼哭的婴儿也无法唤醒他的良知。从此，一个家庭没了媳妇，一个丈夫没了妻子，一个孩了没了母亲。这样的医生，应当跪倒在遇害家人面前，忏悔终生。白衣天使，在那一刻，变成了白衣魔鬼。
In pulic’s eyes, doctors are white angels that save lifes. In the event of SARS in 2001, countless doctors and nurses, for the sake of human well-being, left behind their superiority and family to combat with the disease and finally fell down. Countless moving stories, even though they are read now, can still push our tears out. But as a saying goes, no matter how delicate the picture is, there will be some drawbacks, and no matter how great the group is, there will be some shameless members. In terms of doctors, there are many great people indeed, but there are even more bad guys. I have no idea whether because the doctor has witnessed too many deaths in hospital, so when he sees a life leaving, he can feel so natural. Therefore, the doctor for the deceased woman could be so natural for her death. The crying baby then could by no means call up his conscience. As a result, a family has no female host, a man has no wife and a baby has no mother forever. He should kneel down in front of the whole family and keep confessing for the rest of his life. All of a sudden, a while angel turned out to be a white devil.
笔者认为，这个医生只是社会的一个缩影。在中国还有许多这样的医生，他们一切唯利是图，一切向“钱”看。有钱不要说救命，哪怕你要了他的命，他也心甘情愿乖乖奉上；没钱不要说看病，哪怕你死在门口，他也懒得看你一眼。无独有偶，多年前笔者曾经看过另一则报导，一个人不幸遭遇交通事故，手术过后虽然脱离危险，可是仍需要漫长的治疗，可是到了后面由于筹措资金有困难，不能及时交付，被医院硬生生地抬出门口。一时间，家属和病者哭得呼天抢地，行人无不痛斥医院相关人员，然而他们神闲气定，依然我行我素。难以想象，在现代社会仍然会出现这样的悲剧。然而事实铁板钉钉，容不得我们半点怀疑。
To my mind, the doctor mentioned above is just a miniature of our society. In china there are more such kind of doctors who place money over everything. Given enough money, he can not only save you but also sacrifice his life for you; without money, even though you are dying by his gate, he will not cast a glance at you. Coincidentally, I have ever read another piece of news. The main idea is as follows: a man came across a traffic accident and after operation, he got away from danger of life but still needed a long treatment. Whereas, as he could not accumulate enough money later to pay the medical fees, he was carried out of the hospital by doctors. At that time, the man and his families were crying heavily and many passers-by were also criticizing the doctors. But everything was in vain. The doctors were still busy with their own affairs without any response. It is beyond our wildest dream that such tragedy can still happen to our modern society. But the hard evidence permits us no doubt.
在这个物欲横流的社会，在很多人眼里，“良心”一词似乎变了味，不再受到他们的青睐。他们更喜欢的一个词叫“金钱”。有钱万事都好商量，没钱一个字也免谈。当道德彻底沦落为金钱的奴隶时，这个世界离灭亡不远了。我们除了在痛责医生的无良外，是否也应该反思一下医院的体制呢？如文章开头的例子里提到的，不给足医疗费就不给输血，可是这医疗费最后可是进了医院的账，医生顶多也就拿个提成，或者连提成也没有。而如果医生同意输血了，那么亏损的部分是不是要他自己掏腰包呢？如果一切果真如此，而这个制度至今依然未改，那么悲剧只会一次次地重演。幕后一切，此处不再明说，相信读者自会思考。
In this material-life-flourishing society, in many people’s eyes, the word “conscience” seems to lose its deserved status in their heart. They show their affection to another word named “money”. Given money, everything can be done easily. Without money, any talk is spared. When morality falls slave to money thoroughly, our world is not far from perishing. Beside blaming the doctors’ lost conscience, shall we need to reflect on the operational system in hospital? As the case cited at the beginning of this article, without enough money, the doctor will not transfuse blood to patients. But the money finally goes into the hospital’s income. Maybe the doctor can have a commission, but maybe not. What if the doctor tranfused blood to those who could not pay for it? Should he himself burden the loss? If the answer is positive and the system has not been changed, the tragedy will only repeat again and again in the future. The hidden stories behind the system can be learnt by my dear audience if you try to meditate on it. So here I will not further elaborate on it.
现在，老百姓都在大喊看病难，买药贵。农村医疗保险的设立，的确大大地减轻了百姓的负担，解决了不少问题。然而不可否认的是，我国的医疗资源仍然非常不足。笔者住在深圳，每次到医院看病时，都得排上一个多小时，有时甚至要排几个小时。而好不容易排到了，医生只是随便帮你这边看看，那边听听，根本没有深入了解病情便开药，结果只会是让病者久治不愈。另外，医疗费用高得惊人，随便一个感冒发烧打个点滴少则也要一两百，多则四五百以上。要是一次看病没治好，还得去个两三趟，这么一来，看个感冒也要上千。这对于一般的工薪家庭来讲，是难以承受的。如果你是一个农民工，那就更加惨不可言。
Presently, many people claimed the high medical fees and drug price. After the establishment of agricultural medical insurance system, people’s financial burden has been greatly reduced indeed and a lot of problems have been tackled. Nevertheless, it can hardly be denied that China’s medical resources are still insufficient. I am living in Shenzhen. Every time I went to the hospital, I had to wait at least for one hour until I saw the doctor. Sometimes I had to even wait for several hours. Then when I finally saw the doctor, he just did some casual routine checks for you and prescribed some medicine without knowing your disease clearly. It can only result in the patient’s long-time treatment. Worse still, the medical fee is shockingly high. A simple cold can render you some injection that may cost you 100 or 200 yuan a time. Sometimes it may soar to 400 to 500 yuan. If you go to hosptial for several times successively, it may cost you more than 1,000 yuan. It can be hardly borne by an average worker, not to mention migrant workers.
另外一个问题是“买药贵”。虽说前一阵子药物局下达指令，把基本药物的价格都降下来了，可是下降的幅度也不见得有多大。我不否认制药的单位需要一定的利润，谁也不会去做无利可图的生意。但是这个利润也总该合理些吧？据一些数据显示，一般药店的药品利润率至少在35%以上，普遍都有40-50%，有些药品的利润率达到几倍。药店的利润率尚且如此之高，更不要说制药的公司了。而且药品行业在很大程度上是垄断行业，因为进入的门槛非常高，不是一般人都可以生产药品，而人们对药品的需求一般是不会改变的，弹性低，所以生产商才会抬高价格，赚取高额利润。
Another problem is the high drug price. Even though recently the Pharmacy Regulation Bureau has given orders to lower the price of basic drugs, but the margin is not satisfactory. I do not deny that drug-manufacturing companies need to earn some profits. Otherwise, no one will undertake a non-profit business. But the profits should be reasonable. According to some data, an average pharmaceutical store can have a profit rate of at least 35%. In general, it is 40%-50%. Some drugs can have a profit rate of 300% or more. For a drug store, the profit rate can be so staggeringly high, no to mention those drug manufacturers. Moreover, the drug industry is to a large extent a monopoly industry due to its strict barrier for entry. Not everyone can produce drugs. But demand for drugs will not change easily. It’s elasticity is very small. So the producer can set a high price and earn super profits.
总而言之，在医疗药物这一块，我国依然存在着相当多的问题。这些问题像一个大毒瘤，如果不及时切除，将危害甚大。而主刀的医师，则是我们的政府部门及相关的机构。手术是否成功，我们拭目以待。
Altogether, in the area of hospitals and medicine, our country still has a lot of problems. They are like a big tumor. If it is not removed radically and timely, its hazard will be enormous. The doctor responsible for this operation is exactly our governments and relevant organizations. We are waiting to see whether the operation will be a success or a failure. |
