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超越“庸常之恶”的“垫钱医生”
2017-08-09 07:06:15 中国青年网
○杨朝清
在“庸常之恶”大行其道的当下,许多人都可以拿制度和规则作为自己的“挡箭牌”。面对没有及时、足额地缴纳医疗费用的患者,医生完全可以拿医院的规定作为自己免责的理由。然而,这种生硬、冰冷的“庸常之恶”,不仅会影响患者“等不及”“伤不起”的诊疗,也会恶化医患关系,增强医生与患者之间的距离感与隔阂感。
有的病人看病来得急忘记带钱,有的病人缴费时钱不够,有的病人家庭经济困难一时难以凑齐医药费……面对需要帮助的患者,江苏盐城市的王卉医生没有麻木、冷漠,而是及时地伸出援手,说到底就是一种“医者仁心”。在市场化、商品化浪潮的浸润下,这样的“医者仁心”尤为难得。
物质生活的渐次丰盈,让老百姓健康长寿的利益诉求激增。求医问药的过程却并没有想象的那么顺畅,不少时候会遭遇各种各样的障碍。一些患者便将怨气与怒气以一种偏差、错乱的方式发泄出来,让医务人员遭遇语言暴力和身体伤害;少数无良同行的角色失范被人为地放大,让医护人员遭遇形形色色的污名化,被赋予了某种不光彩的色彩。原本值得托付信任的医护人员,遭遇了五花八门的“阴暗的想象”与“恶意的揣测”;医患信任链条的断裂甚至脱节,让医患双方陷入“双输”格局。“医患一家亲”成为渐行渐远的记忆,“医生垫钱”更让许多人想都不敢想。
不论是“最敬业医生”,还是“垫钱医生”,这些医务人员用自己的行为,一次又一次地向全社会传递出一个鲜明的符号信息:在医患关系紧张依然挥之难去、医患冲突时有发生的背景下,尽管少数医务人员角色失范,但大多数医务工作者都值得托付公众的信任。
美国医生特鲁多的墓碑上有一句名言:“有时是治愈,常常是安慰,总是去帮助”。在他看来,医学的最大价值不是治愈疾病,而是安慰和帮助病患。“垫钱医生”既有朴素人性的驱动,也有医护人员职业伦理的作用。
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