本文:sysoon
截至今天,韩国医生罢工已满 1 个月,全国近 9 成(1.2 万名)的罢工实习医生仍没回到医院。
本周二,韩国政府首次惩罚离岗医生:正式吊销 2 名医生的医师执照——暂停行医资格 3 个月。
正式吊销医师执照,医学院教授集体辞职
委员长金泽宇、组织强化委员会委员长朴明河被正式通知吊销医师执照,两人均任韩国医学会(KMA)高管。他们被指控「暗中支持医疗界采取对抗政府的集体行动」,由此,俩人的医疗执照将从今年 4 月 15 日起暂停。
朴明河在收到通知后,表示会提起行政诉讼。但实际上,上个月 19 日,韩国保健福祉部就已向 2 人发出了吊销医师执照的行政事前通知。
发出行政事前通知一个月后,韩国政府首次实际通知、正式吊销医师执照的行为,无异于杀鸡儆猴。
在这个月里,韩国政府还向 5556 名离岗的实习和住院医师发送吊销医师执照等行政处分的事前通知,并将于下周一(25 日)开启实际通知、执行吊销程序。此外,政府还公开向 1308 名罢工医生发出复工令,命其立即返回医院。
图源:韩联社
对于韩国政府的行为,医疗界将罢工运动进一步发酵,从医院蔓延到医学院。
据韩国教育部通报,截至当地时间 19 日,韩国共 8360 名在校医学生提交了「有效休学」申请,在全国 40 所医科大学在校生中占比 44.5%,如果他们缺席 1/4 以上的教学课时,可能会被留级。(「有效休学」申请是指获得家长同意、按规定程序提交的休学申请。)
医学院教授们也纷纷决定辞职。截至本月 15 日,韩国 40 所医学院中,共 16 所医学院的教授决定从本月 25 号正式集体辞职。此后,宣布集体辞职的医学院数量不断增加。
图源:
韩
联社
在住院医生罢工之后,医学院教授和专职医生一起承担所有门诊、手术和夜间值班,来维护紧急医疗系统的运行。
一位 50 多岁、在首尔某教学医院工作的急诊医学教授表示,自己的身体和精神都已到达极限:「情况很严峻,所有住院医师都离岗了,我每隔一天就得上一个夜班。」
在此情况下,医疗教授们集体辞职的决定,让民众陷入新的恐慌。大邱岭南大学医院设置的愿望牌上,不少市民在卡片上写:「教授,请您在医院多呆一会儿。」
图源:韩联社
京畿道某综合医院内,一位 40 多岁的患者家属表示:「我父亲正在化疗,接诊的教授没说什么,但我很担心他之后辞职。」
「住院医师和医学生需要保护,难道病人就不需要保护了吗?」
以病人为人质,都想当医改的赢家
目前,19 所大学医学院组成了韩国「全国医科大学教授紧急对策委员会」,参与的医学教授们表示:「我们的目标是让医科大学的学生和实习住院医生平安归来,完成学业和临床实习教育。」
针对目前罢工的医生,一旦韩国政府完成行政处罚、吊销执照,教授集体辞职的运动很可能在全国范围内进一步扩大。对此,3 月 19 日, 韩国总统尹锡悦公开表示:「为拯救人民生命而颁发的医师执照,不该被当作威胁人民的手段。」
面对医疗界和韩国政府的僵持,代表患者群体的韩国严重疾病联合会认为,双方都在互相推卸责任:「医学教授们在教学弟学妹不要吃亏之前,难道不应该先教他们一名医生应该遵守的最低价值观是什么吗?教授们真的为现在的住院医生感到自豪吗?」
「政府把所有责任都推给医疗界,一贯忽视国家责任。双方没什么不同,都把病人当作人质。」
救护车从紧急医疗中心运送患者,图源:韩联社
20 日,教育部正式宣布明年医学院扩招 2000 名医学生,国立医科大学教授紧急应对委员会委员长方在胜直言荒谬:「医学院的教育需要各种尖端设备和高端师资队伍,政府直接扩招的行为就像失控的火车头。」
韩国总统尹锡悦表示,除了医学院扩招,还将进行包括支援基础医疗、重症医疗等在内的一系列核心医疗改革任务,并决定今年 4 月成立总统直属医疗改革特别委员会,与医疗界等各界代表、专家深入讨论医疗改革。
对于韩国政府医改的决心,医疗界则拒不买账,要求相关政府官员下台。
一方面,医疗界向高级公职人员犯罪调查室(贪污调查室)举报保健福祉部长曹圭弘和副部长朴敏秀滥用职权:「以违宪和违法的方式维持基本医疗服务是在滥用权力,这侵犯了约 13,000 名住院医生的休息权、辞职权、孕产妇保护权等。」
另一方面,韩国医学会(KMA)紧急应对委员会媒体宣传委员会委员长朱秀浩表示,从 20 日起,将集结 14 万名医生,发起让总统尹锡烈下台的运动。
朱秀浩出现在警方面前,图源:韩联社
策划:sysoon|监制:gyouza、carollero
题图来源:韩联社
参考资料:
[1]https://www.yna.co.kr/view/AKR20240319057700004?rec_id=1710854226806&site=recommendation_view
[2]https://www.yna.co.kr/view/AKR20240319057700004?rec_id=1710854226806&site=recommendation_view
[3]https://www.yna.co.kr/view/AKR20240318154300530?site=mapping_related
[4]https://www.yna.co.kr/view/AKR20240315067151530?section=health/all
[5]https://www.yna.co.kr/view/AKR20240319084251530?section=society/all&site=topnews01_related
[6]https://www.yna.co.kr/view/AKR20240319064000530?section=health/all
[7]https://www.yna.co.kr/view/AKR20240320128454530?section=health/all
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