Without medical insurance and work-related injury insurance, their illnesses can only be borne by themselves？
Running from morning till night, constantly receiving and delivering orders, desperately running orders, running red lights and retrograde from time to time; Eating for a long time, irregular work and rest, little physical examination, forbearance if you are sick or injured, and procrastination if you can … … Recently, workers’ daily reporters visited Zhengzhou, Changsha, Wuhan and other places, and found that although workers in the new employment form who come and go in the wind and rain are easily injured and sick, they have no medical insurance and work-related injury insurance, so they can only carry it on their own in the face of illness, which is embarrassing … …
Zhengzhou — —
Don’t go to the hospital if you’re not seriously injured,
Without medical insurance, it is very expensive to see a doctor and buy medicine
On October 21st, during the rush hour, Liu Jiacheng, a takeaway rider, rode his bike and honked his horn all the way. When passing a crossroads, Liu Jiacheng rushed to the opposite side before the green light came on.
When talking with reporters, Liu Jiacheng rolled up his trousers, and a brown scar was clearly visible, which was left by his collision with an electric car because of his excessive speed.
"At that time, the other party’s electric car cut my trouser leg and my leg was bleeding, but I was most worried about breaking the customer’s takeaway. If it broke, I would have to pay for it." Liu Jiacheng picked up the scattered takeout and left in a hurry. He said that such a thing is too common. If you ride so fast, you will inevitably bump into each other. As long as you are not seriously injured, you will basically not go to the hospital.
Master Liu, the driver of the network car, is afraid of getting sick. "Without medical insurance, it is very expensive to see a doctor and buy medicine. After a slight delay of a few days, the number of orders sent by the platform will be reduced, and the quality of the orders will be worse. " Master Liu said that the online car platform evaluates the driver’s order frequency in real time through the scoring system. Once the order quantity is not up to standard, it will directly affect the income.
At 7 o’clock every morning, it is the working time set by Master Xie, the driver of the online car. Although the platform does not stipulate working hours, he has already made a living by driving a car online for four years: "Except for one or two hours of eating and rest, only from 7: 00 to 22: 00 can he guarantee an income of more than 8,000 yuan per month."
For network car drivers, driving for a long time and sitting for a long time are easy to induce "occupational diseases" such as cervical spondylosis and lumbar disc herniation.
Two years ago, Master Xie got acute gastroenteritis because he didn’t eat on time. "It took thousands of dollars to go to the hospital. Without medical insurance, there is no way to reimburse. If you are sick once, it is equal to that month." Master Xie sighed.
Nowadays, in order to get less sick, Master Xie pays special attention to health preservation: three meals a day, eating on time, not eating anything too salty and spicy, and drinking warm water with a thermos. After receiving four or five orders, Master Xie will find a place to park, get off and stretch his body, shake his neck and twist his waist. This is his own "health care" way.
Many network contract workers have said the same thing, "getting sick is a luxury." Because there is no basic medical insurance for urban workers in cities, once they get sick, they will not only pay their own medical expenses, but also delay their work to earn money.
Changsha — —
Some people spend money to apply for fake health certificates.
There is no daily health check-up after employment.
At 20 o’clock on October 20, the elevator door opened and the takeaway rider Zhou Li rushed out first. She hurried back to the delivery truck to make sure that there was a lot of takeout in the delivery box during the few minutes when she went upstairs to deliver food.
On this day, it rained continuously in Changsha. In this weather, Zhou Li is not only afraid of the delay in food delivery, but also worried that she will not be able to arrive safely. On rainy days, the road is slippery, the vision is not good, and it is easy to hit people or be hit by cars. Zhou Li once saw a colleague run a red light and was hit by a car. "People were knocked out a few meters away, and I don’t know what happened later." She murmured.
In order to deliver the food in a limited time and run Dora quickly, there are many behaviors such as speeding, retrograde and running a red light, and traffic accidents have become the biggest health threat to this group. Less than a year after the delivery, Zhou Li said that she had "fallen down three times while driving".
During the rush hour of food delivery, Zhang Xingwen, director of the emergency department of Hunan Provincial People’s Hospital, often received injured takeaway riders. They are dressed in work clothes of take-away platform, and most of them are admitted to hospital due to skin laceration, ligament injury, soft tissue contusion and other injuries. "Most people just do simple processing and leave, unwilling to spend money for further inspection." Zhang Xingwen said.
Because there is no medical insurance, many new forms of employment workers dare not get sick or injured. This summer, Zhou Zhichu once encountered a colleague fainting in the middle of the road and foaming at the mouth. Seeing the emergency, Zhou Zhichu wants to call 120. As a result, the other party was worried that it would be expensive to call an ambulance and struggled to ask for contact with his colleagues. Finally, my colleague rode him to the hospital. This incident made Zhou Zhichu feel deeply.
Zhou Zhichu, 46, consciously "can’t outrun young people", so he didn’t dare to ride too fast when delivering goods. So far, there has been no traffic accident. Even so, he feels that his health is not as good as that of that year, but because he has not had a physical examination, he can’t tell his health. "The main reason is that his stomach is uncomfortable, and it is easy to swell up without eating much."
"When others eat, they send meals and have a bite after the meal. Long-term irregular diet, leading to chronic stomach disease has become a takeaway rider ‘ Occupational disease ’ 。” Zhang Xingwen said.
The service industry is most afraid of being complained, especially the takeaway rider. In order to win five-star praise, they dare not delay any time. In order to save time, many people don’t want to wait for the elevator and choose to climb the stairs. Li Jia, chief resident of the emergency department of Xiangya Hospital of Central South University, was deeply impressed by a case.
This summer, a takeaway rider was taken to the emergency department of Xiangya Hospital, and there was no vital sign when he arrived at the hospital. Li Jia learned afterwards that when the takeaway rider went to the old community to deliver food that night, he suddenly fell ill in the corridor. Later, I was met by another takeaway rider who climbed the stairs to deliver food, and then I called the emergency number … …
To be a takeaway rider, you must apply for a health certificate. Earlier, some media reported that when someone applied for a takeaway rider, they spent money on a fake health certificate. Taking into account the fast working rhythm and high labor intensity of take-away riders, Li Jia believes that some people’s physical conditions are actually not suitable for being take-away riders. She suggested that platform enterprises should do a good job in physical examination, and at the same time provide daily health examination to ensure the health rights and interests of workers.
Wuhan — —
"Rural medical insurance is very troublesome to see a doctor in the city."
During the "Double Eleven" this year, Li Zhenfan, a courier from Xiaogan, Hubei Province, did not intend to fight too hard. Every time I think of the sudden illness two years ago, he is terrified.
In the "Double Eleven" in 2019, in order to double the income, Li Zhenfan decided to do a big job. "I have been busy for two weeks before and after, and I am dreaming of collecting goods and sending express delivery. The whole person is tired!" Li Zhenfan recalled that during that time, nearly 300 orders were delivered almost every day, from 8 o’clock to 20 o’clock.
At first, the body was a little uncomfortable, and Li Zhenfan thought it was tired. Later, on a delivery trip, he suffered from severe abdominal pain, which was found to be a gastric perforation when he went to the hospital for examination. After a day and a night of treatment, Li Zhenfan turned the corner. Because there is no basic medical insurance for urban workers, thousands of dollars of medical expenses need to be paid at their own expense. Li Zhenfan is very distressed.
Li Yonghui, who sent takeout food from Huanggang, Hubei Province, found that his colleagues who sent takeout food together around him were somewhat ill, but most of them were carrying it hard and dared not go to see it.
At the beginning of March this year, Li Yonghui went to a hospital near the site because of unbearable stomachache. Examination and treatment cost nearly 2000 yuan. "It’s too expensive to cure." From then on, he began to pay attention to health, did not eat anything irritating to the stomach, and even dared not drink cold water in summer.
Like Li Yonghui, many workers with new forms of employment participated in the new rural cooperative medical system in their hometown. "However, medical insurance in rural areas is very troublesome to see a doctor in the city."
"The new rural cooperative medical system stipulates that it can only be reimbursed if you see a doctor in your hometown. If you want to reimburse in a place where you work, you have to refer it from your hometown. The procedure is too troublesome." Li Yonghui remembers that a few years ago, Lao Wang, who was delivering takeout food on the same platform, accidentally broke his leg. Because the new rural cooperative medical system in his hometown could not be used in Wuhan and was looked down upon in Wuhan, Lao Wang finally had to toss back to his hometown and come back after seeing the injury.
Some network contract workers who did not participate in the new rural cooperative medical system said that it was difficult for them to participate in medical insurance for urban and rural residents in Wuhan because they did not meet certain conditions such as residence years and tax payment years. Plus, it costs money to participate in insurance, "it’s not like getting sick every day", and they are not willing to participate in medical insurance in the city where they work.
"If you are sick, you will squat first. If you can’t do it, you will buy some medicine. If you can’t stand it, you will go to the hospital." Several takeaway riders and courier brothers who shuttled through the streets of Wuhan said this.
Li Yonghui hopes that one day, they will be able to see a doctor and be reimbursed like other people who work in the city.
(Some interviewees are pseudonyms)