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中国旅游产子给加拿大医疗系统造成压力




根据CBC近日发表了一篇关于加拿大越来越多的旅游产子所引发的问题。文章认为,许多人完全是为了“拿身份”而来这里生孩子。出院后又有许多人不付医疗费就跑掉,引发人们对双非父母给医疗保健系统造成压力的担忧。

目前全世界只有不到36个国家,以出生地为为标准给予公民身份,加拿大就是其中之一。许多人看中了这一点,并坚信加拿大国籍可以给孩子带来更好的发展,而不辞辛苦把孩子生到这里。

在卑诗省,这类分娩非常集中。因为旅游产子的妈妈数量庞大,导致当地医疗资源紧张,反而对本地的孕妇造成了冲击。

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其中有些病人因为没有保险,无法支付医院和医生的账单,只能“生完就跑”,这些空缺只能靠纳税人和医院自己填补。卑诗省儿科医生和新生儿专家Mudaffer Al-Mudaffer表示,这影响了卫生系统的完整性和公平性。

加拿大没有双非父母专门前往加拿大旅游产子的准确统计数据,但加拿大健康信息研究所和魁北克几家医院的数据显示,2018年,加拿大大约有5,000例父母均为非居民的婴儿分娩,比上年增长近15%。

CBC的报道提到了一位来自中国的产妇石女士(Cathy Shi,音译),她于2019年秋天从中国山东到卑诗省列治文医院生下了她的第三个孩子。不会英语的石女士通过翻译说,她希望孩子以后会有更多的机会。

“我关心的是他们的教育,例如上大学。如果孩子以后想定居在加拿大,加拿大出生对于孩子来说会方便很多。”

统计显示,旅游产子集中在加拿大卑诗省,安省以及魁省等少数比较受欢迎的医院。以温哥华南部的Richmond Hospital为例,这里非居民占所有新生儿的近1/4,而且这个数字还在不断攀升。



CBC记者试图采访温哥华海岸卫生局(VCH),但遭到拒绝,并指示工作人员不要对媒体讲话。尽管如此,还是有6名不能公开身份的护士表达了她们的担忧。

据她们透露,自2013-2014年以来,Richmond Hospital的非居民出生人数增加了两倍。这些病人许多都来自中国,他们自己出钱支付医疗费用,通常以现金支付,不太会说英语,也不熟悉加拿大的医疗体系。

“大量旅游产子的孕妇涌入,导致医院工作量增加,并损害了医疗质量。”其中一位护士说道,“有时候,住院的本地人得不到他们所需要的医疗服务。”当病房很忙的时候,许多产前检查、引产以及其他检查胎儿和产妇危险因素的服务只能被迫取消或推迟。

针对这些情况,加拿大已经有部分医院采取了措施,比如多伦多Sunnybrook医院,通过限制接收非居民孕妇的数量,来优先保障自己社区的居民。“我们的方法是,如果没有安省健康卡,将不会接受她们这里分娩产子。”

CBC记者询问温哥华海岸卫生局,为什么卑诗省的医院没有类似政策,公共事务代表Carrie Stefanson表示,温哥华海岸卫生局永远不会根据患者付款能力或来自哪里而拒绝紧急医疗服务。



CBC则认为,这背后的原因不仅仅是Stefason说的那么冠冕堂皇,主要还有利益。

根据相关规定,双非父母需要支持分娩保证金:顺产10,000元,剖腹产为16,000元。 温哥华海岸卫生局发布的数据显示,自2017年以来,非居民产子至少贡献了1800万元的收入。

不过,医院的收入虽然增加了,但是医护人员并没有因此减轻工作量。有护士表示,自己的待遇并没有因为医院赚取更多的钱和更多的工作量而改变,已经向工会反映了这个问题。

根据CBC新闻得到的一份文件指出,自2014年以来,Richmond Hospital共有2206名非居民婴儿,有两名医生接生了其中1300名婴儿,但他们的姓名不得而知。另据知情人透露,两位会讲普通话的家庭医生王心咏(Xin Yong Wang)和谭医生(Brenda Tan)为大多数非居民孕妇提供了产前护理和分娩服务。

王医生的名字出现在很多中介公司的网站上,专门为想要来加拿大生孩子的女性提供移民、旅行和住房援助等服务。王医生表示,他并没有授权这些公司使用他的名字,并且强调自己没有接收这些患者的经济动机;而谭医生并没有回复。



据了解,王医生和谭医生在2018-2019财年分别向卑诗省收取了$272,198.50元和$428,456.17元的费用。这些账单不包括非居民孕妇患者的收入,因为他们是私下付款。

对于非卑诗省公共系统之外患者,医生收费没有任何来自法律的限制,但旅游产子公司网站的信息显示,医生每次产前检查至少可收取100元,接生更是2500元起,这个价格是通过公共医疗系统提供相同的服务的几倍。

虽然有些医院通过接收非居民婴儿赚了不少钱,但也有医院和医生遇到了生完不给钱的情况。

据统计,自2017年以来,仅Richmond Hospital因非居民分娩而拖欠的款项就超过了200万元,这还不包括已经注销的债务。比如一个没有保险的婴儿在新生儿重症监护室中,每天一张病床就需要花费1万元,这些最终都需要纳税人填补。

加拿大健康信息研究所(Canadian Institute for Health Information)2018年的数据显示,Richmond Hospital的非居民婴儿出生总数占全加拿大(魁北克省除外)的11%,Al-Mudaffer说,10个双非婴儿中,只有3个会支付账单。



移民部长蒙蒂西罗(Marco Mendicino)办公室表示,统计数字表明,旅游产子并不普遍,但加拿大联邦政府认识到有必要好好地了解一下这方面的情况。

“移民部已经开始与加拿大信息和统计局合作,整合医疗和移民数据,以便通过审查旅游签证和产子之间的关系来了解旅游产子的操作。”这项研究结果预计会在今年春季公布。





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