The ＂fighting＂ e-commerce that has not disappeared around the hospital sells nearly 7,000 orders a month at the highest-why do traffickers keep fighting？

　　Xinhua News Agency, Beijing, December 19th Question: The e-commerce that has not disappeared around the hospital sells nearly 7,000 orders a month at the highest — — Why do traffickers keep fighting?

　　Xinhua News Agency "Xinhua Viewpoint" reporters Peng Yuan and Zhang Huaying

　　In view of the existence of traffickers in individual hospitals, the Beijing police organized a special crackdown at the end of October, and arrested traffickers’ gangs and two online gangs in five hospitals, cracked 6 traffickers’ gangs, and detained 17 people in criminal detention and 37 people in administrative detention.

　　A recent survey by Xinhua Viewpoint reporter found that with the increasing crackdown on traffickers in various places, although the number of traffickers gathered around the hospital has decreased, it has not disappeared; Many traffickers "turned to the internet", and some even opened stores on e-commerce platforms to take orders. They used the number grabbing software to grab numbers and hoard numbers on appointment registration platforms such as hospital APP and WeChat for reselling. Some online stores sold nearly 7,000 orders a month.

　　The activities of the traffickers around the hospital are more hidden. The expert number 200 yuan is resold to 2000 yuan

　　When the reporter visited several hospitals in Beijing recently, he found that there were still some traffickers hanging around the hospitals, selling expert numbers to patients.

　　In order to treat macular degeneration, Ms. Pan traveled back and forth between Shijiazhuang and Beijing for many times. "Although you can now pass ‘ Jingyitong ’ WeChat, self-service registration machine and telephone make an appointment for registration, but some tight expert numbers can’t be reserved at all, so they can only find the number dealer. " In order to make an appointment to the expert number of Tongren Hospital, she has bought it from the dealer at a high price three times this year, each time the cost is above 300 yuan.

　　According to Ms. Pan’s guidance, the reporter found several traffickers on the overpass at the entrance of Tongren Hospital. When they saw someone approaching, they leaned forward and asked in a low voice, "Do you want a number?" And promised that the number of the day can be hung up the next day at the earliest. After several bargains, the trafficker Wang said that the service fee of the original price of 300 yuan could be discounted by 8.8%, which guaranteed that he could get the chief physician’s number.

　　It is understood that for the convenience of patients, most hospitals now reserve a certain number of expert numbers in the registration window. In order to seize this semicolon source, the trafficker paid people to queue up at the window to grab the number. These traffickers usually exist in the form of gangs, with tight organization and clear division of labor.

　　At the end of October, Beijing police seized two traffickers’ gangs entrenched in the outpatient building of Peking University Third Hospital. According to the police, these two gangs are organized and commanded by ex-criminals who have been peddling numbers for many years. Compared with previous years when they queued up and peddled their own numbers, the internal division of labor of the gangs is clearer and their activities are more concealed. Someone in the gang is responsible for attracting tourists around the hospital and feeding back the information to the "commander" on the spot. The "commander" employs many people to queue up overnight. If you successfully register one, you can get the service fee from 100 yuan to 120 yuan, while the number is resold to patients by the "commander" at a price ranging from 200 yuan to 2,000 yuan.

　　The reporter met the trafficker Ma at the entrance of Peking Union Medical College Hospital. He said that no matter how tight the expert number is, it can be hung up. When the reporter questioned its credibility, he claimed: "Don’t worry, I got the number directly from inside the hospital, and we have a relationship."

　　Traffickers open stores online, and popular stores sell nearly 7,000 orders a month.

　　Since 2016, the National Health and Family Planning Commission has fully implemented appointment diagnosis and treatment in tertiary hospitals, among which all 22 large municipal hospitals in Beijing have fully implemented non-emergency appointment, and all hospitals provide appointment service through telephone, website, APP or WeChat WeChat official account.

　　The reporter’s investigation found that some traffickers turned to the network. On a large-scale e-commerce platform, the reporter entered the keyword "Beijing Hospital Registration" and found that there were over 200 stores providing appointment registration service, among which the most popular store showed nearly 7,000 monthly sales. Some shops can provide services such as "Peking Union Medical College Hospital Appointment Registration", "beijing jishuitan hospital Expert Number" and "Beijing Children’s Hospital Expert Number Appointment" by marking in eye-catching positions.

　　The reporter randomly selected a shop for consultation on the grounds that the child had an eye exam. The merchant recommended to hang the expert number of pediatric ophthalmology in the First Hospital of Peking University, and said that as long as the ID information of the child and the accompanying person is provided, the registration fee will be paid, and the service fee from 300 yuan to 400 yuan will be added. The merchant guarantees: "Our registration is safe and reliable, and the fees can be paid through a third-party payment platform. If you can’t register, you can apply for a refund at any time."

　　The reporter’s investigation found that many traffickers used the number grabbing software to seize the number source. Tian Mou, a trafficker who took orders near Beijing Tongren Hospital, said that after doing this business for a long time, she had already understood the time and rules of numbering in many hospitals in Beijing. When the numbering time arrived, she first hoarded the number source with her own ID number through the ticketing software, and after contacting the buyer, she re-grabbed the number with the identity information of the buyer while canceling the appointment.

　　According to industry insiders, although online appointment registration has been implemented in real-name registration system, it is indistinguishable whether the registered person is a patient or a trafficker, and the trafficker can seize the high-quality number source through software.

　　Intensify punishment, optimize the allocation of medical resources and solve the registration problem

　　The repeated prohibition of traffickers has a lot to do with the low cost of illegal activities. According to the reporter’s understanding, at present, most traffickers can only be punished according to the Law on Public Security Administration Punishment, and the upper limit of punishment is 15 days of administrative detention plus a fine of 1000 yuan. Only for a small number of traffickers who have criminal records and the circumstances are particularly serious, they are criminally detained in accordance with the crimes of disturbing public order and provoking troubles in the Criminal Law. From the end of 2016 to March this year, the Beijing police arrested 377 criminals, of whom 328 were in administrative detention and only 49 were in criminal detention.

　　Yang Sheng, a lawyer of Beijing Lianggao Law Firm, said that many traffickers returned to their old jobs after being released. He suggested that law enforcement inspections against traffickers should be normalized and institutionalized, and key areas and online platforms should be monitored, and further disciplinary efforts should be intensified to jointly crack down on "online and offline" traffickers’ gangs.

　　"To crack down on traffickers, it is necessary to improve the real-name registration system reservation mechanism in the short term." Deng Yong, an associate professor of medical and health law in the Faculty of Law, Beijing University of Chinese Medicine, suggested that the hospital electronic registration system should be improved as soon as possible, and a stricter real-name registration system registration and credit blacklist system should be implemented, so as to fundamentally solve the problems of automatic computer numbering from the technical and institutional aspects.

　　Many experts believe that the repeated prohibition of traffickers also reflects the current shortage of high-quality medical resources in China. Liu Yuanli, dean of the School of Public Health of Peking Union Medical College, believes that in the long run, it is necessary to develop the family doctor contract service system and the first consultation system of the family doctor team, and at the same time improve the graded diagnosis and treatment system. Different levels of medical institutions undertake the treatment of different diseases and guide the flow of high-quality medical and health resources to the grassroots level, so that talents and resources will sink and quality medical resources will serve the people better.