Tibetan Centre for Human Rights and Democracy

Publications

Racial Discrimination in Tibet (2000)

Discrimination in Healthcare

Discriminatory Treatment

According to one doctor who spent a number of months working in Tibet, the care offered to patients was highly dependent on their nationality, and demonstrated "a largely unspoken attitude that (a) Tibetans are not worth bothering with, and (b) Villagers are not worth bothering with." Thus, even those Tibetans who can afford the deposit fee necessary for hospital admission still find they receive discriminatory treatment. 24 year-old Namlang was a nomad in Mahlo "TAP", Qinghai Province, before fleeing to India in January 2000. "Although there were no medical facilities in our village, we did have access to the People's Hospital in the township, abut 8 hours horse-ride from my home. In 1998, I suffered from many intestinal problems, and was admitted to the hospital for one month after paying a deposit of 500 yuan. The facilities in the hospital were generally quite good, but the Chinese were always given the clean, comfortable beds while Tibetans were put in the dirty beds. Tibetan patients also had to ask their relatives to bring food from home, as only the Chinese patients were provided with meals. Most of the staff were Chinese, though there were a few Tibetan workers who treated us much better and with respect. It was a strange system though, where the doctors saw patients in the mornings only - if we had a problem at any other time we had to shout and beg for someone to help us. In total, I paid 2300 yuan for medicine, bed and treatment."

22 year-old Dhundup escaped from Gade County, Golog "TAP" in December 1999, and reported that discriminatory treatment had become common practice in his region. "The Chinese and Tibetans in my area are treated very differently in terms of health care. Most of the government staff are Chinese, and they are given special consultations with doctors free of charge. If they need to go to the county or province hospital they are also given the department vehicle free to transport them there. Tibetans have to pay between 2000 and 3000 yuan if they want to hire a vehicle to cover the same distance. From sitting in the waiting rooms of many hospitals I have also seen that Chinese patients often receive much greater attention. For example, one Chinese man was seen immediately by the doctor even though there was an elderly Tibetan man who was much sicker sitting next to him who had been waiting much longer. Tibetans hate getting ill, because they know this is how they will be treated."

Some Tibetans working in government offices or in state-owned enterprises may have part of their health expenses covered by the company, but even then many refugees report differential treatment from their Chinese co-workers.

Bechung from Gade County in Golog "TAP", Qinghai Province, worked in a government grain store for 14 years before escaping to India in January 2000. "Many of the Chinese who worked with me fell sick because they were not used to the harsh environment and altitude, and the company would then cover half of their medical expenses. But when a Tibetan worker fell sick, the company refused to cover any of the expenses, saying that it was not ‘official policy'. I felt so angry, because many of the Tibetans, like me, had worked there for so many years."

A media worker from Gansu Province fled to India in March 2000 and reported similar discrimination. "It was part of our office policy that all employees would receive 50% off their healthcare treatment costs because it was a government-run organisation. However, this was rarely true in practice. Only a handful of employees who had connections higher up were able to enjoy such benefits, and they were mostly Chinese."

Others have been more lucky. Tsewang Tobla, a teacher from Ngamring County, Shigatse Prefecture, arrived in India in January 2000. "In Tibet I was teaching in a government funded primary school. We were lucky enough to have a People's Hospital in the township, and I only had to pay 40% of the fees for my healthcare - the government would pay the rest. As a government employee I was also exempt from the advanced deposit, and the treatment I received was of a good standard. I felt bad however, because my family still have to pay for all of their medical costs because they are farmers, and I would see so many Tibetans turned away from the hospital either because they had too little money or because they had no connections."


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