When Taiwan doctor Chang Yu-tai (張裕泰) was sealed inside the Taipei Municipal Hoping Hospital a month ago, he knew he was putting his life at risk to treat patients with SARS.
But the emergency ward chief and his colleagues had little inkling their reputation and medical ethics would also be put to test as the worsening viral outbreak placed Taiwan's medical system under scrutiny.
This week, health authorities fined Chang's hospital and three others NT$1.5 million each for covering up or delaying their reporting of possible SARS patients, resulting in a wider spread of the virus.
Three Hoping doctors, including Chang, were personally fined T$90,000 each. All deny the charges.
"If any government officials are doctors, I wish they would go sit in an emergency ward and see some feverish patients," said Chang, a Japan-educated endocrinologist. "Let's see if they can tell who has SARS and who just has a cold."
Whispers of hospital cover-ups started to make the rounds this month, after President Chen Shui-bian (
As Taiwan's cases jumped 10-fold in a month to 570 by yesterday, with hospital infections accounting for 95 percent of new cases, suspicions grew that some hospitals may have delayed reporting SARS patients for fear of hurting revenues.
At the Kaohsiung Chang Gung Memorial Hospital -- one of the four penalized -- many patients fled on media reports of a SARS outbreak, causing occupancy to plunge to 300 beds from 1,600.
Taiwan requires all doctors to report suspected SARS cases within 24 hours, but medical workers say there can be many reasons why that is delayed, including the difficulty of diagnosing an illness with similar symptoms to the common flu.
"If a doctor doesn't know for sure that a patient has SARS, he might not want to report the case," said Jenny Liao (
Carelessness, pride and profit concerns may have also encouraged doctors to classify some borderline cases as non-SARS, medical workers say, though most do not believe doctors will go so far as to wilfully violate the Hippocratic oath.
"It's impossible for a doctor to purposely cover up SARS," said Kuo San-dar (郭聖達), another doctor at Hoping's emergency room. "I can't accept a doctor will do that on purpose for any reason."
Chang and Kuo criticized the government for not investigating more thoroughly before issuing the penalties, saying the fines only pile more pressure on doctors battling to save lives.
Medical workers also fear a backlash: if all patients with fevers and coughs are treated as SARS cases, strained hospitals will be swamped with flu patients taking up quarantine beds.
"We will be very careful now. It will change the mentality and practices of many doctors when they see patients," said Wu Shu-min (吳樹民), chairman of the Foundation of Medical Professionals Alliance.
Several Chinese Nationalist Party (KMT) officials including Chairman Eric Chu (朱立倫) are to be summoned for questioning and then transferred to prosecutors for holding an illegal assembly in Taipei last night, the Taipei Police said today. Chu and two others hosted an illegal assembly and are to be requested to explain their actions, the Taipei City Police Department's Zhongzheng (中正) First Precinct said, referring to a protest held after Huang Lu Chin-ju (黃呂錦茹), KMT Taipei's chapter director, and several other KMT staffers were questioned for alleged signature forgery in recall petitions against Democratic Progressive Party (DPP) legislators. Taipei prosecutors had filed
Taiwan would welcome the return of Honduras as a diplomatic ally if its next president decides to make such a move, Minister of Foreign Affairs Lin Chia-lung (林佳龍) said yesterday. “Of course, we would welcome Honduras if they want to restore diplomatic ties with Taiwan after their elections,” Lin said at a meeting of the legislature’s Foreign Affairs and National Defense Committee, when asked to comment on statements made by two of the three Honduran presidential candidates during the presidential campaign in the Central American country. Taiwan is paying close attention to the region as a whole in the wake of a
President William Lai (賴清德) has appointed former vice president Chen Chien-jen (陳建仁) to attend the late Pope Francis’ funeral at the Vatican City on Saturday on his behalf, the Ministry of Foreign Affairs said today. The Holy See announced Francis’ funeral would take place on Saturday at 10am in St Peter’s Square. The ministry expressed condolences over Francis’ passing and said that Chen would represent Taiwan at the funeral and offer condolences in person. Taiwan and the Vatican have a long-standing and close diplomatic relationship, the ministry said. Both sides agreed to have Chen represent Taiwan at the funeral, given his Catholic identity and
NEW WORLD: Taiwan is pursuing innovative approaches to international relations through economics, trade and values-based diplomacy, the foreign minister said Taiwan would implement a “three-chain strategy” that promotes democratic values in response to US tariffs, Minister of Foreign Affairs Lin Chia-lung (林佳龍) said. Taiwan would aim to create a “global democratic value chain,” seek to capitalize on its position within the first island chain and promote a “non-red supply chain,” Lin was quoted as saying in the ministry’s written report to the Legislative Yuan submitted ahead of the legislature’s Foreign Affairs and National Defense Committee meeting slated for today. The Ministry would also uphold a spirit of mutual beneficial collaboration, maintaining close communication and consultations with Washington to show that Taiwan-US cooperation
RSS