(1) Preface
During the 16 years and 10 months since the opening in May 1996, a total of 1,458 foreign residents in Japan were treated in 52 countries.
There may be more clinics than this number, but I think there are a lot of them, so I would like to ask you to share this experience.
In a word, foreign patients living in Japan are legally in my clinic, firstly international students such as Waseda University, and secondly in Otemachi and Shinjuku / Okubo area. There were working workers, thirdly those who were recognized as refugees by the Japanese government, short-term residents who were applying for asylum in a third country, and so-called "illegal residents" such as migrant workers.
The last category is the subject of this post.
(2) First of all, a good story.
Mr. M, an ethnic minority Kachin who is "still" persecuted by the Myanmar military government, who came to Japan as a refugee, has a Kachin restaurant near my clinic, and I also have more than one pace a week. I went to lunch at.
Hundreds of Myanmar people live in the area from Takadanobaba to Waseda.
Many younger generations are fluent in both Japanese and English, but many older people cannot speak either.
Many clinics are reluctant to go to the clinic because they can't speak Japanese or English, they have only a short-term status of residence and are not covered by insurance, they are not covered by living assistance, and they have no income or low income and cannot pay medical expenses satisfactorily. Therefore, AMDA, a medical NGO, and a Christian volunteer organization, can apply for a medical examination at my clinic.
(I have been doing NGO activities in the city of Waseda before I entered the Faculty of Dentistry, and I have been collaborating with several NGOs based in this area even after opening)
Many of these people often require a considerable number of treatments and costs, such as dental caries, but they are often refused to receive medical treatment at various medical institutions and eventually give up treatment, so it should be done properly. If you want to recover your occlusion, you have no choice but to get free medical treatment.
Therefore, the more treatments and the more similar referral patients, the more the clinic will spend.
However, over the past decade, the Japanese government has tightened its crackdown on illegal immigrants, while the number of people who are recognized as refugees has increased, and illegal or short-term stays that were previously uninsured have increased. People have also become eligible for long-term stay and can join the social insurance system, and people who have visited the hospital for a long time have come to apply for the first medical examination with a large number of referral patients.
The story goes awry, but Mr. M mentioned above is also active internationally, and he came out of the kitchen at lunch to talk about a discussion with diplomats of a large country at the United Nations High Commissioner for Refugees in Geneva. Tell me inside.
As you know, the political situation in Myanmar is gradually improving.
It is fun to hear that the situation of the people who supported it will improve.
(3) The next bad story.
My stance is to provide free medical care to the poor who cannot take out social insurance, but if that happens, people who abuse it will appear.
I am eligible for insurance, but I don't like to pay insurance premiums, so I don't pay.
Earn as much as you earn during your stay (in my clinic, you don't have to spend money on medical treatment), and after returning to Japan, build a mansion in your home country where prices are orders of magnitude cheaper. I have heard rumors from an acquaintance.
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I came here because I can't see other medical institutions because I'm staying (malicious) illegally.
(Police mens around the clinic occasionally come to my clinic to inquire about suspicious examinee information.)
There was also a fear that it could become a purveyor of Asian mafia in the Kabukicho area, such as having employees who have been illegally immigrated to the country as a guide.
(4) A worse story.
As mentioned above, various people come to the hospital, but not all of them are legitimate, so there should be something for the employee, so some of the free medical treatment is after the employee's return medical treatment or on a holiday. I was doing it.
I deal with patients (single / plural) by myself, and I have some cash at the cash register.
Because it was defenseless and had money, a couple of suspicious people came in under the pretext of being accompanied by an interpreter, saying that they were going to see a doctor, and they exchanged at the reception in a somewhat suspicious atmosphere.
If you feel suspicious and refuse to enter the room or receive medical treatment, you will be asked and answered, "Why don't you treat me!"
Such troubles have occurred frequently in recent years.
I have come to hear advice such as "I will be killed soon, so stop it."
As long as I continued medical treatment at the current clinic, I thought that I could not cut off my activities and relationships so far, so I decided to abandon the hospital.
Due to the situation where some relationships have to be cut off, the phone number and e-mail address that I used until now have been cut off, while leaving some contact methods for inquiries such as posting to the clinic's original HP. I've been there, but I still often get in touch with people who want to see me.
However, it is impossible for me to treat a large number of patients in Tokyo at the abandoned hospital.
(5) Conclusion
Therefore, I would like to ask you, but since it is okay to select patients and treatment details, is there any teacher who will take over?
(Even though it is a free medical treatment, the prosthesis technical fee, materials, chemicals, etc. are taken out.
Since it is equivalent to several thousand points depending on the month, if you think of it as a job to earn medical treatment, it will be a lost profit equivalent to tens of thousands of yen a month (that is, just work), but if you select and limit the target patients and treatment contents, You can adjust it. )
Looking at the visits of refugees, more than a dozen years ago, the number of people from the civil war areas of the former Soviet Union's Central Asia and Russia's ethnic autonomous regions continued, and recently the number has increased from Africa (Nigeria, Sudan, etc.). So, I feel the trend of conflict in the world.
Many refugees do not speak Japanese or English, but AMDA has issued interpreter guides for more than a dozen countries and will assist you through telephone interpretation.
If there is someone who can do it or consider it for the time being, please contact me.
See) AMDA International Medical Information Center > Request for cooperation > Looking for doctors and dentists to cooperate
http://amda-imic.com/
At the request of Dr. Saito, we have posted this Twitter from the humanitarian point of view of refugee assistance and the content, but please note that the Society cannot take any responsibility for the treatment. |