无户口不能免费治疗 艾滋病吸毒者的广州求生路

无户口不能免费治疗 艾滋病吸毒者的广州求生路

 
 
 
 
 

无户口不能免费治疗 艾滋病吸毒者的广州求生路
来源:南方日报  2009-07-02 08:51:22  作者:
  

于得明在沙河立交下车后,瞥了一眼出租车内的记者,目光无神但依然狡黠。“我最多还能活2个月。”下车前他说。

“怎么看起来还挺精神?”

“那当然,刚搞完货(毒品),能不精神吗?”此前于得明声称自己不吸毒了,说完这话他发现自己把自己暴露了,满脸堆笑试图掩饰,笑中仍然满是狡黠。

于得明,37岁。无身份证,无户口,东北口音,自称黑龙江人。每日寄居沙河立交下,一张报纸铺地便是他的床。

2007年于得明患艾滋病,他贴牌耐克包内的药盒里现在还有最后一颗拉米夫定片。“我必须想办法搞到这种救命药。”

受伤的HIV携带者

6月15日,沙河大街夜宵排档,于得明偶遇老乡双姐。

两人关系一度不错。但是在得知他患有艾滋病后,便开始故意疏远他。“她见到我就闪闪躲躲,还到处跟人说,我有病,弄得别人都不理我。”

于得明坐在了双姐的座位对面,要了盘烧烤、一瓶白酒。“她斜眼看我,”于得明说,“她其实怕我害她,我什么时候害人了?”于得明说,言语之间夹杂着粗口。他和双姐坐到了一桌,“我要她喝酒,我自己也大约喝了八九两”,喝得迷迷糊糊时,于得明把刀掏了出来,抓住双姐的胳膊,在她左手上砍了一刀,刀锋转向右手又是两刀。

朦胧夜色中,于得明接到另一位老乡“胖子”的电话。“我告诉他我在沙河大街。”于得明预感到了流血冲突即将到来,边等边拨通了110。

于得明的印象中,早先胖子与他关系很好,“但是当胖子知道我得病后便不再理我了。”胖子是双姐喊来的。

胖子和另一名老乡出现在了于得明面前,”他们一边走,一边将刀拿了出来。“于得明也将刀拿出来。”

双方对峙的过程中,胖子突然操起一块铺路用的石板,狠狠向于得明头部砸去,左边额头被砸出一寸深的伤口。于得明的记忆出现中断,他被砸晕了。

醒来时,他躺在白云区一所医院病床上,该医院并非艾滋病的指定治疗单位,在处理完伤口后,医院很快要求其出院。

艾滋针筒里装的是猪血

随之而来的问题是,他该去哪里?百般请求下,医院勉强答应他白天“出院”,夜晚“借宿”医院。早出晚归,从6月16日至6月18日,于得明把医院当成了宾馆。

“但医院毕竟不是宾馆。”于得明很快又遭到驱赶。这回于得明明白了自己的艾滋病患者身份不仅是讨人嫌,也让人怕。他托朋友花一块钱从菜市场买了点猪血,注射筒内黑红黑红的猪血亮相在持棍驱赶的医院保安面前时,所有人都望而却步了。

“你们别过来,别想让我走!”于得明吓跑了保安,但是引来了警察。

这一次,于得明被送到水荫路救助站。救助站工作人员表示,要帮于得明买火车票送其回家。“我家里什么人也没有了,母亲在我不懂事的时候就去世了,11岁那年乞讨的父亲被冻死了。我哪里还有什么家啊!”

不愿回家,于得明宁愿选择流浪。“但是我必须得换伤口的药,得继续吃治艾滋的药。”

昨日,记者带着于得明来到武警医院,好心的医生为其清洗了伤口,换药后于被告知,必须去广州市第八人民医院进一步治疗艾滋病。

广州市第八人民医院内,于得明身上不名一文。看着进进出出的病人他显得茫然焦虑。医生告诉他,目前我国对艾滋病人实行“四免一关怀”政策,“但是这一政策必须遵循属地原则,只有持广州市户口才能享受免费治疗取药。”

尽管记者一再建议,最好的办法是去救助站寻求帮助,回到家乡黑龙江,在那里他的病能得到免费治疗。但是于得明拒绝回家乡。

再一次,于得明失望而归,他的去向依然是沙河立交下那片荒蛮地。

■人生轨迹

吸毒、抢劫、入狱、患病、流浪

没有拿到药,于得明神情懊丧,嘴里反复嘟哝着:“报应,这是报应。”他毫不隐晦,自己曾经抢劫、偷窃“无恶不作”。1995年来到广州,1996年便吸上了白粉。

常年以来,和大部分流落街头的瘾君子一样,依靠非法手段来满足一时瘾起。于得明在谎言中迷失了自我,时不时说起前后矛盾的话语。忽而说:“我现在改邪归正了,不干那些事了。”转眼之间又说:“不干我怎么活!”

2004年,于得明在重庆抢劫时被抓获。紧随而至的是三年牢狱之灾。2007年,还在监狱内的于得明被查出患艾滋病,并且已经到晚期。

监狱在其出院时为其提供了拉米夫定片等治疗药物。怀揣着一堆药,于得明再度来到广州。

然而,在广州,于得明永远都得不到他想要的拉米夫定片,“这种药在每个城市都是免费发放给当地艾滋病患者的,由于他是外来户口,我们只能给他开两种替代药,这种药必须得由他自费购买,一般的剂量是每种药一日一片,每片20元多。”

于得明坐在医院内,拖着腮帮开始算起来:“一片20元,一天两片,一个月就是1200块钱……”对于毫无收入和劳动能力的于得明而言,这显然是个天文数字,除非“做老本行”,他找不到别的出路。

记者手记

拿什么拯救他们?

五年前,我尾随《21世纪经济报道》记者周浩认识了吸毒者阿龙,在火车站旁的树丛里看到了触目惊心的注射人群。更早几年,本报摄影记者梁文祥用相机记录了“茫茫人海现毒瘤”。

于得明与之前的吸毒者有所不同的是,他已经携带HIV,他感到了死亡的恐惧,但是他却无力撑起自己岌岌可危的生命。

这些社会边缘人,其实并不边缘,当我们中有人被抢劫、盗窃的时候便会意识到他们的存在。尽管大部分时候,他们躺在阴暗的角落,与城市老鼠为伴,等待生命的终结。

他们的存在是社会的阴影,只是我们仍然在期待,一种更好更合理的社会关怀方式,不仅能让他们得到治疗,更重要的是把他们拉入生活的正轨。

链接

“四免一关怀”政策

“四免一关怀”中的“四免”分别是:农村居民和城镇未参加基本医疗保险等医疗保障制度的经济困难人员中的艾滋病病人,可到当地卫生部门指定的传染病医院或设有传染病区(科)的综合医院服用免费的抗病毒药物,接受抗病毒治疗;所有自愿接受艾滋病咨询和病毒检测的人员,都可在各级疾病预防控制中心和各级卫生行政部门指定的医疗等机构,得到免费咨询和艾滋病病毒抗体初筛检测;对已感染艾滋病病毒的孕妇,由当地承担艾滋病抗病毒治疗任务的医院提供健康咨询、产前指导和分娩服务,及时免费提供母婴阻断药物和婴儿检测试剂;地方各级人民政府要通过多种途径筹集经费,开展艾滋病遗孤的心理康复,为其提供免费义务教育。

“一关怀”指的是国家对艾滋病病毒感染者和患者提供救治关怀,各级政府将经济困难的艾滋病患者及其家属,纳入政府补助范围,按有关社会救济政策的规定给予生活补助;扶助有生产能力的艾滋病病毒感染者和患者从事力所能及的生产活动,增加其收入。

本报记者赵佳月

No account can not be drug free treatment for AIDS Survival Road Guangzhou
Source: Nanfang Daily 2009-07-02 08:51:22 Author:


Yu-ming in Shahe Interchange off after glancing at the taxi's, but still cunning eyes atheism. "I'm alive up to two months." Get off before he said.

"Looks quite the spirit of how?"

"That of course, had just finished unloading engage in (drug), can not the spirit of it?" Prior to that he was not prescribed the drug, after this, he found himself exposed to his own, trying to cover up满脸堆笑, still laughing full of cunning.

Yu-ming, 37-year-old. No ID, no account, Northeast accent who claimed to Heilongjiang. Shahe Interchange host of a daily, a newspaper shop in his bed is.

Were prescribed in 2007 suffering from AIDS, his brand of Nike kit bag in the end there is still a lamivudine. "I must think of ways to get this life-saving drugs."

People living with HIV injured

June 15, Shahe Street, supper at roadside food stalls, in a two-out occasional fellow sister.

Good relations between the two. But after learning that he was suffering from AIDS, they start to deliberately alienate him. "She see me on the flash-run, but also with the people around that I am sick, I get to ignore everybody else."

Sitting out in a double seat opposite her, to a barbecue plate, a bottle of liquor. "She look at me askance," Yu said, "In fact, she is afraid I would harm her, when I hurt it?" Said Yu, a mixture of foul language between the words. He and twin sister to sit down at the table, "I want her to drink, I have drank about 89 2",迷迷糊糊drink when out on a knife cut out the arm to seize the two-sister, cut in her left hand on the knife, blade is twice the right hand turn.

Hazy darkness, Yu-ming, another fellow from "The Fat Man," the phone. "I told him that I was in the River Street." Prescribed in a premonition of the bloody conflict to just around the corner, edge and other edge of the dial 110.

Was prescribed in the impression that the earlier relations are very good with his fat, "but when the fat man know that I am no longer the rationale for the disease after me." The Fat Man is a two-sister to call.

The Fat Man and another fellow in there was out in front of, "taking their side, the side took out the knife." Will also be prescribed in a knife out. "

The process of confrontation between the two sides,操起suddenly a fat man with the stone paving, hard to hit in the head was out, and smashed out the left side of the forehead wound one inch deep. Out of memory in a break, he was a砸晕.

Woke up, he was lying on a Baiyun District hospital beds, the hospital is not designated AIDS treatment units, in dealing with wounds, the hospital discharged soon require.

HIV loaded needles in the blood

Subsequent question is, where he go? Every request, the hospital the day he reluctantly agreed to "discharge" night "spend the night," the hospital. Spare any, from June 16 to June 18, was prescribed in the hospital as a hotel.

"But the hospital is not the hotel." Soon to have been driven out. This time in a prescribed understand their own identity is not only the AIDS讨人嫌, but also people afraid. He asked a friend to spend the money to buy from the markets point of blood, disposable black and red with black and red appearance of blood in the hospital security持棍off before everyone had discouraged.

"You do not come, do not want to let me go!" In a prescribed security scare, but led to the police.

This time, in a水荫路relief stations were sent out. Relief stations staff to help out to buy a train ticket to send their home. "I do not what kind of people at home, the mother of my ignorance when it passed away, begging the year 11-year-old father was frozen to death. I am what home where ah!"

Do not want to go home, in a stray明宁would like to choose. "But I have to get medicine for the wound may continue to eat Governance HIV medicine."

Yesterday, the reporter came out with armed police in a hospital, good doctors for the cleaning of the wound, the dressing was changed after being told to go to Guangzhou Eighth People's Hospital for further treatment of AIDS.

The Eighth People's Hospital of Guangzhou, the penniless in a prescribed body. Seeing patients out of anxiety he was at a loss. Doctors told him that the current practice of AIDS in China "Four Frees and One Care" policy, "but this policy must follow the principle of territoriality, only account holders can enjoy Guangzhou medicine free treatment."

Although the press has repeatedly suggested that the best approach is to relief stations for help, returned to his hometown in Heilongjiang, where he will be free of disease treatment. However, refusing to get back home.

Once again, in a disappointed and go out, and his whereabouts are still under Shahe Interchange Almost荒蛮to.

■ life

Drug abuse, robbery, imprisonment, illness, homeless

Did not get medicine prescribed in a dejected expression, mouth repeatedly murmured: "retribution, this is retribution." He did not obscure, they have to robbery, theft, "stop at no evil." Came to Guangzhou in 1995, 1996, smoking will be a white powder.

Since all the year round, and the vast majority of drug addicts living on the street, like to rely on illegal means to meet from 1:00 addiction. To get lost in a lie of the self-contradictory from time to time about the discourse. Sometimes said: "I now turn over a new leaf, and do those things." Between the twinkling of an eye said: "how do I live!"

In 2004, Yu-ming in the Chongqing robbery was arrested. Followed by three years to the prison. In 2007, still in prison were suffering from AIDS was found tomorrow, and has come to late.

Prison, in its discharge to provide a therapeutic drug such as lamivudine.怀揣a pile of drugs, in Guangzhou have come out again.

However, in Guangzhou, in a prescribed are not always lamivudine he wants, "the drug in each city are distributed free of charge to local AIDS patients, because of his foreign accounts, we can only two alternatives open to him drugs, the drug must be privately purchased by him, the general dose of each drug one day, more than 20 yuan each. "

Sitting out in a hospital, dragging腮帮started算起来: "a 20 day 2, 1200 a month is money ... ..." For there is no labor income and the ability to get out, this is clearly is an astronomical figure, unless the "do profession," he can not find another way out.

Notes  reporter

What can save them?

Five years ago, I followed, "21st Century Business Herald" reporter Aaron Zhou known drug addicts in the woods next to the railway station saw a startling crowd of injection. Even a few years ago, our photographers use the camera recorded梁文祥"cancer is the vast sea of humanity."

In a prescribed drug and is different from before, he had to carry HIV, he was the fear of death, but he was unable to put up their own lives at risk.

These marginalized people, is not the edge, when we were in was robbery, theft of time will be aware of their existence. Although most of the time, they lie on a dark corner, as partners with the city mouse and wait for the end of life.

Their existence is the shadow of society, but we are still looking forward to a better and more reasonable way of social concern, not only allow them access to treatment and, more importantly, into their lives on track.

Link

"Four Frees and One Care" policy

"Four Frees and One Care" in the "four-free" are: of rural residents and urban basic medical insurance did not participate in the medical security system, such as the economic difficulties of the staff of AIDS patients can be assigned to the local health department or with the infectious disease hospital Infectious Diseases Area (Division) of the General Hospital to take antiviral drugs free of charge to receive anti-viral treatment; all the voluntary acceptance of HIV counseling and HIV testing of staff, could be in the Center for Disease Control and Prevention at all levels and at all levels of health administration departments of the designated medical and other agencies, receive free counseling and HIV antibody screening tests; to have been infected with HIV of pregnant women, by the local anti-viral treatment of AIDS commitment to the task of the hospital to provide health advice, guidance and delivery of prenatal services, maternal and child free of charge in time to block Drug Detection Kit and the baby; local governments at various levels through a variety of ways to raise funds to carry out psychological rehabilitation of children orphaned by AIDS by providing free compulsory education.

"I care" refers to the state's HIV treatment and care for patients, governments at all levels of economic difficulties and their families living with AIDS into the scope of government subsidies, social assistance in accordance with the relevant provisions of the policy to give a living allowance; assistance production capacity of HIV-infected people and patients with the means to engage in productive activities, to increase its revenue.

ZHAO Jia-reporter on
 
 
 
 
 

[ 作者:佚名    转贴自:本站原创    点击数:196    更新时间:2009-7-2    文章录入:nnb ]

 

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