Our firm does a regular business for clients in the pharmaceutical and medical apparatus business. It’s interest work and pays well, but it isn’t particularly interesting to discuss. Unless I want to create a set of rules and advice for other lawyers like: a) don’t pay off the government officials, even though they are putting their hand out, b) choose locations to do business where other, established US and European firms are located so there’s an understanding of what they are doing and an unstated agreement to let them operate without excessive interference. But, I don’t want to go that route, since it isn’t very interesting, or informative, or telling.
The more interesting topic is a peek at what you get when you see a doctor in China, or at least here in Xining, Qinghai. I get calls from my parents, especially, inquiring about how my young boy is doing. They have their doctors and hospitals back in Maryland that they know and trust, and make the logical leap to asking me about what my child’s “personal physician” here in China says about how he is doing, and how his various checkups are going. I keep telling them that China has no personal doctors, only large state run hospitals, but they don’t seem to understand that, and the question keeps popping up over and over again. And, in fact, I am wrong: here in Xining, we have well trained, reliable doctors. And, in a further point of fact, this group of well trained, reliable doctors are all foreign.
My crowd of foreign friends here includes a few of the foreign doctors. They come from the USA, the UK and South Africa. They are mostly, but not completely, religious Christians, and they were trained in some of the top US schools like Harvard. And they all work in the Red Cross Hospital (青海红十字医院) here because, I was told, the other hospitals in town felt like they didn’t need foreign experts.
The foreign doctors are all funded by foreign, mostly religious organizations like this one. They get paid locally by the Chinese hospital, but just a penance of USD $500-$1,000 per month, depending upon how many hours they work, and they generally hold clinics a few times a week. One doctor, a Swiss surgeon here, is a legend not only because he is well respected by the other foreign doctors, but also because he and the other foreign doctors are the only ones who are willing to help after hours and on weekends. Chinese doctors only work during official work hours, and never take a private call.
Patients who visit any doctor at the hospital, including the foreign doctors, pay very little, about USD $1.50, for a full consultation. The foreign doctors, unlike the Chinese doctors, don’t make commission from the medicines they prescribe, and thus try to choose the correct, rather than the most expensive, medicine. The truth is that Chinese doctors get paid such a paltry salary that they can’t survive without such commissions.
The medical system has endemic problems. One huge, recurring problem is the fact that Chinese patients are accustomed to demanding that they get a shot, any shot, whenever they have a perceived illness. For instance, our cleaning lady complained of dizziness after she felt a minor earthquake here a few weeks ago, then said the whole episode caused her to have a rash, then promptly found a doctor to give her a shot of something and said she was cured. But, the foreign doctors don’t give shots when patients ask for them, but rather only when a shot is needed. This causes conflicts, especially when patients, or more likely their parents or grandparents, get angry with the doctor’s advice to rest or change their diet, rather than a shot. Who wants plain advice, after all?
Other problems are that Chinese rarely research their medical problems on their own, so they don’t and can’t have conversations with doctors. And Chinese doctors don’t tolerate patients who have their own opinions about their illness or treatment. Finally, Chinese patients, and doctors, prefer using Chinese medicine. They justify this based on tradition or custom or advice from elders, and dismiss the concept of data or research that supports the effectiveness of western medicines.







