2024-09-28
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after media reports, zhu chenggang, a radiology doctor at wuxi hongqiao hospital, finally made substantial progress in his real-name report against the hospital for suspected insurance fraud.
on september 23, the national medical insurance administration sent a flying inspection team to the hospital to conduct a special flying inspection. on september 24, the wuxi municipal medical insurance bureau announced that wuxi hongqiao hospital’s insurance fraud has been basically verified. 15 people involved, including the hospital’s legal representative and president, have been subject to criminal coercive measures by the public security organs in accordance with the law. the hospital has now ceased operations. .
from accidentally discovering problematic cases to reporting to the medical insurance department in real name that the hospital where he was working was suspected of maliciously forging medical records and defrauding medical insurance.
what prompted zhu chenggang to make the decision to report the hospital where he worked? what kind of pressure has he been under since the incident received national attention? on september 28, zhu chenggang introduced to reporters from the paper (www.thepaper.cn) the relevant experiences before and after the report, as well as his own mental journey.
i reported insurance fraud a year ago
the paper:when did you join wuxi hongqiao hospital? when did you first discover that the hospital had violated regulations and laws?
zhu chenggang:i have been practicing medicine for more than 30 years. i joined wuxi hongqiao hospital in september 2020. this year is already my fourth year. not long after i joined the company, i discovered that the hospital had some "edge-stepping" behaviors in using medical insurance funds, but later these actions became more blatant. i believe that i was not the only doctor in the hospital to discover it.
the paper:earlier media reports said that there has been no substantial progress in your report for half a year? what does this process look like?
zhu chenggang: my second report has been delayed for half a year with no substantial results. in fact, last year i reported similar problems to hongqiao hospital for the first time.
on june 14, 2023, i reported hongqiao hospital to the wuxi medical insurance bureau for suspected insurance fraud for the first time. at that time, i submitted materials to the staff of the medical insurance bureau in person. but they did not come to the hospital to find me to further verify the situation. shortly after the report, wang weimin, the legal representative of wuxi hongqiao hospital, called me and asked me to go to his office for an interview. the final result of the negotiation was that the hospital decided to remove the deputy director of the radiology imaging department who was involved in the report from him as the concurrent director. assistant position. later, the wuxi municipal medical insurance bureau called me and asked me if i was satisfied with the outcome. i said that even after so long, the competent authorities had not punished the hospital, and the report was finally closed.
the second report was in march this year. after receiving the acceptance notice, i waited for the delayed reply notice issued by the wuxi medical insurance bureau. it was not until july that the wuxi medical insurance bureau issued an opinion on handling the petition matter, saying that because the clues i provided involved many people, it has not been until now. it took a long time, and relevant clues could not be confirmed and verified.
the paper:we learned during the interview that many wuxi citizens said that hongqiao hospital’s services were not inferior to those of public hospitals and that it had enjoyed a good reputation among citizens in the past. they really did not expect why such a hospital would engage in insurance fraud. what do you think about this?
zhu chenggang: i won’t care about other departments for now. as far as our radiology department is concerned, although the hospital requires the test results to be available within 2 hours of taking the radiograph, we can issue the report within 10 minutes at the fastest. i think this speed must be ranked among the hospitals in the city. the forefront. our department does not have sufficient staff, and we have to face so many patients every day. we can only do this by improving the efficiency of diagnosis and treatment and speeding up the pace of work.
however, our hard work did not earn us the respect we deserve from the hospital. our department's business volume was not the smallest in the hospital, but everyone's treatment was the lowest. in this way, i was often picked on by the hospital and made trouble.
the hospital tried to expel him twice
the paper:since hongqiao hospital has a long history of violations, i believe other employees will also discover this situation. so why are you standing up to be the whistleblower?
zhu chenggang: frankly speaking, there are conflicts between me and the hospital. when the conflicts were irreconcilable, they used all means to treat me. i was forced to report the issue of insurance fraud.
the paper: what is the main conflict you are referring to with the hospital?
zhu chenggang: mainly because the hospital disrespects the doctors. we get paid for our labor from the hospital, but the hospital thinks it's natural to exploit us. some people can tolerate hospital exploitation, but others don't. i think i have nothing to do with the hospital, and i can't stand hongqiao hospital's methods of forcing doctors to resign.
the illegal behavior of wuxi hongqiao hospital is not simply insurance fraud. for example, there was a period in 2023 when the hospital directly issued a document canceling national statutory holidays. because of this reason, many employees voluntarily resigned. during the recruitment process, many applicants stopped coming when they heard there were no statutory holidays. in the end, staff turnover affected the stable development of the hospital, and the relevant policies were abolished.
hongqiao hospital made the decision to expel me twice. although we did not finally expel me through the mediation of our department director, the conflict between me and the hospital still existed.
the paper: now that the hospital has been ordered to close down by relevant departments, has there been a clear explanation given to the employees?
zhu chenggang: so far, i have not received any notification from the hospital. but i thought since the hospital didn’t notify me or go through the formalities for me, i would still be a formal employee of the hospital.
i heard from other colleagues that some employees were notified by the hospital to sign a lay-off agreement. during this period, the hospital paid five social insurances and one housing fund, as well as a salary to ensure basic living standards. there are also some employees who are unwilling to sign this agreement and simply resign.
the paper: after the hospital closed down, did any colleagues blame you for reporting that might cost everyone their jobs?
zhu chenggang:some. after the incident came to light, a female employee complained about me in the restaurant, but i pushed her back. i said that when i was almost fired from the hospital, you didn't stand up to speak for me. another supplier who does business with our hospital also came to blame me. i said if you want to blame, just blame the hospital owner for doing illegal things. don't take your anger out on me.
the paper: how is your current situation?
zhu chenggang: before reporting with my real name, i also carefully considered the consequences of this matter. after the incident attracted everyone's attention, the relevant departments also provided necessary protection for me. i am now considering leaving wuxi temporarily.