Recently, “Burn Superman Abao” published another article on the shortage of pediatricians in China, titled: “When you’re waiting in agony at the ER with your feverish child, do you still think medical violence has nothing to do with you?” Drawing from a personal experience, Abao critiqued the state of China’s hospital environment, analyzed the causes behind the pediatrician shortage, and strongly condemned medical violence. The article was subsequently censored.
This article should not have been censored, but its argument is deeply flawed.
Abao argues that the pediatrician shortage results from three factors working in concert: high work pressure, a poor medical environment, and frequent medical violence.
This view is problematic — a classic case of the well-fed failing to understand the hungry. As a physician, Abao is right that the current medical environment has issues. But why is there a doctor shortage only in pediatrics? Why hasn’t his burn surgery department faced the same crisis? Are burn surgeons immune to medical violence? Obviously not — Abao himself has been assaulted. On his medical career path, the main challenge has indeed been a poor practice environment. But what pediatricians face goes beyond this shared problem. Another critical factor is income.
There are many medical specialties. Some are grueling but offer proportionately higher returns — surgery, oncology, and so on. These departments are high-pressure, but their fees are substantial. Performing a surgery, placing some screws and plates — that’s real revenue. Many medical students are eager to enter surgical fields like orthopedics. Pediatrics, however, is a major specialty where outpatient volume is enormous, yet children’s medications are tightly regulated: toxic drugs must be avoided, and dosages are far smaller than for adults. Additional income is negligible. With China’s comprehensive healthcare reform now setting drug revenue at zero, how are pediatricians supposed to survive?
In this environment, pediatricians bear enormous responsibility,付出 far more than they receive, endure high pressure and chaotic workplaces, earn extremely low incomes, and face parents who are profoundly uncomprehending and unsympathetic. There is virtually no sense of accomplishment in the work — only exhaustion. Ask yourself: would you do it?
中文原文 / Chinese Original
烧伤超人阿宝最近就儿科医生短缺的问题又发表了一篇文章，题目很长，叫《当你抱着高烧的孩子在急诊苦苦等待时，是否依然觉得医闹与自己无关？》，阿宝从一件切身经历的事件说起，通篇文章批评中国医院就医环境，分析了儿科医生短缺的原因，强烈谴责了医疗暴力行为，然后该文章被和谐。
这篇文章不应该被和谐，但他的观点很有问题。
阿宝认为，儿科医生短缺是在儿科工作压力大，医疗环境差，医疗暴力高发三个因素共同努力下造成的。
这个观点非常不妥，典型的饱汉子不知饿汉子饥，作为一名医生，现在的医疗环境确实存在问题，但为什么唯独儿科出现了医生荒，他烧伤科还没有出现呢，难道烧伤科没有医疗暴力？显然不是，阿宝也被人打过，在他的从医道路上，遇到的主要问题是医疗环境太差，但是儿科医生所面临的不仅仅是这个共同的问题，儿科存在的另一个重要因素是收入问题。
医学的专业有很多，有些专业虽然比较苦，但是收到的回报相应较多，比如外科、肿瘤科等，这些科室压力很大，但是收费高啊，做个手术放点钉子这可都是钱，许多医学生很愿意去骨科这种外科系统。但是儿科作为一个大专业，门诊上病人虽然多，但是小孩子用药是很讲究的，既不能用毒性大的，剂量也比成人小得多，额外的收入少之又少。现在国家进行了医疗综合改革，药品收入占医生收入为0，儿科的日子怎么过？
在这种情况下，儿科医生责任很大，付出的又多，工作压力大，环境乱，收入极低，家长非常不理解不体谅，看起病来基本上没有什么成就感，只能感觉到累，请问是你你会干么？
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