π15·Unannounced Visit｜"Gunman" draws blood for urine test, can get a health certificate even if he suffers from tuberculosis
The Paper Journalist Qin Shan edited Wu Jiaying (05:28)
Although he has been a "gunner" who has drawn blood for many generations, Xu An is still a little nervous.
It wasn't until the nurse drew the blood and pulled out the needle and put on the cotton swab, he breathed a sigh of relief, hurriedly said "thank you", got up and left in a hurry.
From mid-July to early August 2021, The Paper made unannounced visits in Hangzhou, Zhejiang, Hefei, Anhui, and other places and found that under the drive of interests, there is a chain of illegal products in China that replaces medical examinations. Some personnel violated regulations on Baidu Tieba and Tencent. Platforms such as QQ, Zhihu, and Douban release "representative inspection" promotion information. The cost of a representative inspection can range from as little as one thousand two yuan to as much as tens of thousands of yuan.
As long as the payment is made, these personnel will arrange for "gunners" instead to go to the hospital and the CDC to complete the inspection.
Among those who need to be examined on behalf of others, some are hepatitis B virus-infected persons who have to find someone to replace the entry medical examination because the employer violates the mandatory medical examination; there are also job seekers who suffer from hepatitis A virus, active tuberculosis and other public health diseases that hinder public health. If you want to be engaged in food delivery, food, catering, entertainment and other industries, you should look for a "gunman" to apply for a health certificate on your behalf.
"Gunman" Tang Jiang took blood at the Hangzhou First People's Hospital instead of the "ill" reporter.
The pictures in this article are from The Paper.
"Gunman" on behalf of the medical examination
"Don't worry, you won't be discovered." At around 7:40 am on July 13, at the crossroads on the right side of the main entrance of Hangzhou First People's Hospital in Hangzhou, Zhejiang Province, Tang Jiang drew the The Paper's unannounced interviews with reporters to places with few people. Said the voice.
Tang Jiang is thin and has a flat head. He is 27 years old this year. He came from the garment factory where he usually works. After the inspection, he has to rush back to work.
Tang Jiang is a "shooter" of an online agency called "Renxin Medical Examination". As long as there are people around Hangzhou looking for a proxy examination, the family will inform him one day in advance of "coming to live" and ask the client to come to the hospital and follow him. Meet up.
Knowing that the reporter needed to pay 1,800 yuan to his family after the inspection, Tang Jiang claimed that he could only get 300 yuan for a single order, so he temporarily asked the reporter to "skip the order"-giving him 600 yuan, and he would directly help the inspection on behalf of him.
"You said you saw me, the appearance is too different, so I don't do it." In order to convince the reporter, he escorted his ID card to the reporter and said that he would return it after the medical examination.
Seeing the reporter's consent, Tang Jiang continued to remind the reporter to secretly give him the medical examination form with his ID card and follow him during the medical examination, but he must pretend that he does not know him and cannot speak.
At around 8 o'clock, the reporter went to the Hangzhou First People's Hospital of Zhejiang Province to register with his real name, and then went to the physical examination center to open the "Health Check List of Hangzhou First People's Hospital of Zhejiang Province."
During the whole process, the medical staff at the medical examination center only asked to fill in the three basic information of name, gender, and age. Although there is a photo column in the upper right corner, there is no requirement to post a photo.
After the reporter gave Tang Jiang the health checklist for blood test, urine test, electrocardiogram, and chest X-ray examination, he pulled the mask up and down and went to the blood test window.
When the nurse read the reporter's name, Tang Jiang answered "Yes" and put his left arm on the table.
The nurse did not suspect, and after drawing two tubes of blood, he posted the reporter's information on the blood collection tube.
Later, Tang Jiang collected his own urine samples, took a chest X-ray in the CT room, and checked in the ECG room. The whole process went smoothly.
At about 10:30 that day, Tang Jiang handed over all the completed medical examination forms to the reporter, who asked them to hand in to the medical examination center.
The reporter immediately paid him 600 yuan.
At 8 am the next day, at the Medical Examination Center of the Second Hospital of Traditional Chinese Medicine in Jiangsu Province, the reporter met Liu Jie, another "gunner" named "Worry-Free Medical Examination".
Liu Jie took the medical examination sheet with the reporter's name and identity information, and went to the hospital's color Doppler ultrasound room, electrocardiogram room, blood sampling department, urine examination department, and surgical examination room to complete all the physical examination items along the "green light".
The reporter also chose to "jump the order" and only paid 300 yuan to Liu Jie, and was threatened by Liu Jie's family and the "Worry-Free Medical Examination" related personnel, saying that they would report the reporter to the hospital "on behalf of inspection" without transferring the funds.
Soon, the reporter received a call from the staff of the medical examination center of the hospital, saying that because the journalist’s ID card was used to issue the physical examination form, during the physical examination, they would not carefully confirm whether the person who came to the experience was himself, confirming that the reporter was “inspected on behalf of him”. Later, they said they would throw away the blood and urine test samples, and the physical examination was invalidated.
"Nobody cares whether you are going to take the checkup." Tang Jiang told reporters that in the physical examination of ordinary units, the personnel will only require the recruits to go to the physical examination on their own and get a qualified physical examination report. During this self-examination process, there is a lot of room for fraudulent operations. Big.
"What we do the most is the entry medical examination." Tang Jiang said that he alone has performed the general unit entry medical examination on his behalf.
A personnel commissioner of a unit also told reporters that when employers have strict requirements for physical examination items or organize large-scale physical examinations, personnel will follow them; most employers believe that the recruits will not make fakes, and the hospitals or physical examination centers for physical examinations will also standardize them. In the process, the entrant only needs to return a healthy physical examination form.
"Gunman" Liu Jie did a medical examination on behalf of a reporter.
Obtained a health certificate from the Centers for Disease Control and Prevention
In addition to the entry medical examination, these personnel engaged in the on-demand examination also focused on the medical examination for the health certificate.
"No matter what the disease is, I can help you (physical examination)." When a reporter claimed to be "suffering from active tuberculosis" and wanted to apply for a health certificate to take out, the staff of "Jiahui Medical Examination" said that they helped with tuberculosis. There are many cases of getting a health certificate for a chest X-ray examination on behalf of customers, and this item can be checked for 1200 yuan.
In addition to tuberculosis, who suffer from purulent or exudative skin diseases, they can also seek help from the "gunner" instead of a surgical examination, with a single charge of 1,000 yuan.
Public information shows that the health certificate is a medical examination qualification certificate issued by a qualified medical examination institution in accordance with laws and regulations on practitioners. Health certification is an important preventive measure to protect the health of employees and service targets.
Dysentery, typhoid fever, viral hepatitis A, viral hepatitis E and other gastrointestinal infectious diseases, as well as persons suffering from active tuberculosis, purulent or exudative skin diseases, etc. that hinder public health, shall not receive a health certificate.
However, the reporter's investigation found that driven by interests, even with the above-mentioned diseases, the health certificate can still be obtained through a representative inspection.
"Baichuan Medical Examination" personnel stated that the requirements for medical examinations for health certificates vary from place to place. Some require physical examinations at the Center for Disease Control and Prevention, and some at hospitals designated by the Centers for Disease Control and Prevention. They have all done the examination on their behalf. .
Opening a medical examination form, queuing for blood draws, internal medicine, skin examinations... The reporter found that during the whole process, the doctors and nurses did not verify the identity of the "shooter" Xu An. They only asked the health certificate checklist to be set aside and stamped or stamped after completion. Underline.
After learning that the reporter "suffering from active tuberculosis" wanted to apply for a health certificate, he introduced the agency's "gunman" Xu An in Hefei to the reporter.
At 8 o'clock in the morning on July 22, Xu An appeared in front of the Hefei CDC on a battery car.
He took the reporter to the side of the gate, asked the reporter to pay him 30 yuan for the medical examination fee, and gave him his ID card. He took the medical examination form and gave the form to the reporter after the physical examination.
Xu An said that he has done health certificate examinations for others many times before, and CDC staff will not check the information on the medical examination sheet. I will report to the police, at most I won’t let you do it, just do it yourself.”
However, Xu An told reporters not to follow him in, just wait at the door.
The reporter asked repeatedly before he agreed that he could follow him at a distance, but he could not say hello, and he had to pretend not to know him.
Opening a medical examination form, queuing for blood draws, internal medicine, skin examinations... The reporter found that the CDC did not verify Xu An’s identity during the entire process, and only asked to put the form aside, and stamp or cross the line after the physical examination. Indicates completion.
Forty minutes later, Xu An successfully completed the three physical examination items, but did not do "X-ray chest fluoroscopy" and "stool training".
He returned the medical examination form to the reporter.
At this time, Xu An's "Healer" urged the reporter to pay 1,800 yuan for the inspection fee.
After the reporter transferred the money, Xu An revealed that he could only get 400 yuan for the inspection, and persuaded the reporter to pay him another 300 yuan. He could help with the remaining two inspections.
After the reporter agreed, Xu An successfully completed the two physical examinations of "stool sampling" and "X-ray chest fluoroscopy", and asked the reporter to bring a physical examination sheet to obtain a health certificate after three working days.
Three working days later, the reporter entered the number on the medical examination form on the official website of the Hefei Center for Disease Control and Prevention, and checked the medical report of Xu An Daixian, and successfully obtained the certificate of the practitioner's preventive health examination.
Three working days later, the reporter entered the number on the physical examination form on the official website of the Hefei CDC, and found the physical examination report of Xu Andai: normal signs of the heart, liver, lung and spleen, no purulent or exudative skin diseases, X-ray chest It was normal, no dysentery, no typhoid or paratyphoid, and normal alanine aminotransferase. The reporter successfully obtained the certificate of the practitioner's preventive health check.
In addition to "Baichuan Medical Examination", which can provide health certificates for inspection, an intermediary named "Jiahe Medical Examination" also undertakes this business, and a full set of examinations can be done for 1,600 yuan.
In addition, the claims called "Lianzhong Physical Examination" and "Qinghang Physical Examination" claim that even if you suffer from tuberculosis, hepatitis A and other diseases, you can obtain a full set of health certificates for the cost of more than 1,000 yuan.
But these so-called medical examination intermediaries do not have registered entity companies.
Part-time "Gunner"
Xu An has been a "gunman" for three or four years.
He said that not only he did it, but his wife also did the inspection.
After the Surging News, who helped "suffering from tuberculosis," visited reporters for inspection, Xu An sat in the battery car on the roadside and told reporters about his experience as a "gunman".
He claimed to have opened a small shop, and usually part-time in Hefei to do inspections, male customers do it themselves, and female customers do it by his wife.
"Do this often."
Xu An said that some customers in the orders received had too thick blood, some had high uric acid, and some had high blood pressure, and they had various problems.
Enrollment physical examination, health certificate physical examination, unit welfare physical examination, year-end physical examination, public institution and civil servant physical examination have all been done. Among them, the physical examination of public institution and civil servant is more complicated and the fees are high.
There are many intermediaries that carry out inspection services in Hefei, and most of them recruit "gunners" locally and dispatch orders when they come to live.
The inspection agency is also divided into off-season and peak seasons. There are many people who enter the job every September and after the Spring Festival, and their business volume is also large. He and his wife now have 20 orders each month when they are good, and usually only a dozen orders.
"If your friend wants to do it, you can contact me directly." Xu An said that the intermediary charged 1,800 yuan, but he only charged 900 yuan.
Tang Jiang said that he only started to be a "shooter" in April this year.
A netizen who met by chance asked him if he could do a blood test on his behalf, and he was paid 200 yuan.
He agreed. Since then, he has started part-time inspection on behalf of him, and he has made more than a dozen orders.
He usually works in a clothing factory, and there are orders around Hangzhou. The upper family of the medical examination agency will contact him one day in advance to confirm the hospital for the medical examination.
You can earn 200 yuan for a single item and 300 yuan for a full set.
In June of this year, he made 3 orders, 2 of which took blood.
In the business of "Renxin Medical Examination", in addition to the general enterprise entry medical examination, the agency also undertakes the entry medical examination of institutions and civil servants with more and stricter inspection items.
Tang Jiang said that last month, the boss of his intermediary took people from Changsha, Hunan to Chongqing, and made a list of civil servants' inspections, earning 30,000 yuan in a lump sum.
"The employer followed the whole process, and all the mobile phones were confiscated. Our people need to make a fake ID card and cooperate with them." Tang Jiang introduced that the first physical examination of civil servants should find a "gunman" with a similar appearance and height. During the physical examination, " Using fake ID cards to pretend to be real recruits, and "cooperate" on the spot, and enter the medical examination team while the employer is not paying attention.
Once it is found out, it will be more troublesome. To make a list of civil servants' inspections, the intermediary can earn 20,000 yuan, "only 2,000 yuan in our hands."
"Whether it is you or your friend, you can directly contact me, any hospital in Hangzhou can." Tang Jiang said that the city around Hangzhou can also be inspected on behalf of others, but the return fee must be reimbursed. He went to Taizhou, Zhejiang for year-end work. For the physical examination, the other party gave him a total of 600 yuan.
On the evening of August 8th, the reporter contacted Tang Jiang’s home in the name of the “gunman” who was applying for the “gunner”. This WeChat nicknamed “A0000 Aqi” “Renxin Medical Checkup” staff was going to go to the reporter’s height, age, and weight. , Phone number, and location, said they already have fixed “gunners” in major cities in the Yangtze River Delta. They are paid 200 yuan for a single checkup and 400 yuan for a full set of medical checkups. They will be given priority to reporters after they have a checkup list.
The person in charge of "Baichuan Medical Examination" advised reporters not to join them if they have a legitimate job.
He said that in the past few years, the market has not been good, the business has not been good, and many "gunners" are starving to death.
"If you take blood drawing as an example, you have business every day, can you do it every day? How much blood do you have will be drained for you."
He also revealed that for ordinary entry and health certificate inspections, "gunners" can only get three to four hundred yuan, while civil servant inspections and immigration inspections are expensive. The former is tens of thousands of yuan, and the latter is 200,000 yuan. Yuan, but these two are not always present, and the risk of failure is also high.
"Inspection on behalf of" demanders
The Paper News reporter noticed that some social platforms will occasionally appear online posts from "retail investors" who claim to have liver problems to recruit "gunners" to do physical examinations on their behalf.
On July 4, in "Physical Examination Bar", a user claimed that his transaminase was high, looking for a "gunman" who could take the test in Nanning on the morning of July 6; on August 8, he posted on Baidu's "Taojiang Bar". The user posted that he was a hepatitis B virus carrier, and the company wanted to check "two and a half hepatitis B." He wanted to find a 25 to 35-year-old man to draw blood on his behalf, and he would receive 1,000 yuan for the reward.
In Baidu Tieba "Hepatitis B Bar", search for "substitute inspection", and there are many online posts discussing this topic by people infected with hepatitis B virus.
In Baidu Post Bar "Hepatitis B Bar", users will publish online posts from time to time to inquire about how to find a representative for inspection.
In June of this year, a netizen was worried about being discriminated against by his colleagues and asked how to "evade" the welfare physical examination of the unit. Someone could ask for a representative examination. In July, another netizen posted that a company named "Qihang" The "shooter" of the "Physical Examination" helped him do a proxy examination, but after finishing the examination, he was still asking him for money, and he suspected that he had encountered extortion.
Yang Yishan is a hepatitis B virus-infected person who was forced to look for a substitute test.
He introduced to reporters that he was found to be carrying the hepatitis B virus when he was very young, and he was worried about being discriminated against by employers. In 2016, he asked a friend to help on behalf of the inspection for the first time and joined a company.
In July of this year, he moved to his current work unit and needed a second entry medical examination, fearing that he would be rejected by the new company and discriminated against by new colleagues.
On August 6, he posted a post on Baidu Tieba, saying that he hoped to find a representative to help him pass the entry medical examination, with a remuneration of 1,000 yuan.
Not long after, a qualified netizen contacted him, expressing his willingness to pay for the inspection. Yang Yishan and the "gunman" who took the inspection agreed to pay the remuneration in two installments: After the blood draw, he would first pay 500 yuan, and the hospital showed that the results of the physical examination were normal. , And pay the remaining 500 yuan.
On the morning of August 9th, the two met at the entrance of the hospital. They waited until the project that required blood draw, the "stand-in" came on stage, and the inspection was successfully completed.
Yang Yishan believes that precisely because the society still discriminates against people infected with hepatitis B virus, he has to find a "gunman" at a high price.
In fact, as early as 2010, the relevant documents jointly issued by the Ministry of Human Resources and Social Security, the Ministry of Education, and the former Ministry of Health clearly required that educational institutions and employers at all levels and types of education should not be required to perform citizenship and employment medical examinations. To carry out hepatitis B project testing, it is not allowed to provide a hepatitis B project test report, nor to ask whether it is a hepatitis B surface antigen carrier.
Medical and health institutions at all levels are also not allowed to provide testing services for hepatitis B items during physical examinations for enrollment and employment.
But to this day, some recruits have been "voluntarily" checked for five hepatitis B items, and there are still people who refuse to register or dismiss the hepatitis B virus infection in enterprises.
Dong'ai Mo, director of the Physical Examination Center of Zhongnan Hospital of Wuhan University, believes that the company violates the regulations and compulsory inspections of the five hepatitis B items, and refuses to hire or dismisses the hepatitis B virus infection. In fact, the main transmission route of hepatitis B virus is not clear. Safe injection, etc.), mother-to-child and sexual contact, not through the respiratory and digestive tracts.
Daily study, work or life contact, such as working in the same office (including sharing computer and other office supplies), shaking hands, hugging, living in the same dormitory, eating in the same restaurant, and sharing bathroom and other non-blood exposure contacts will not be infected with hepatitis B virus.
Mo Dongai believes that the whole society, especially employers, should understand the law of hepatitis B virus transmission and not discriminate against people infected with hepatitis B virus.
As the government supervision department of an enterprise, it should set up a special complaint channel to punish the five items of hepatitis B compulsory inspection, refusal to hire or dismiss people infected with hepatitis B virus, and protect the legal rights of people infected with hepatitis B virus.
(In the text, Tang Jiang, Liu Jie, Xu An, and Yang Yishan are pseudonyms)
(This article is from The Paper. For more original information, please download the "The Paper" APP)
The Paper, Journalist, Qin Shan, intern Shan Ping, Lin Ruixintong