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Sat, September 30, 2023 | 01:35
Controversy rises over bill on medical dispute mediation
'신해철법' 국회 복지위 통과에 찬반 논란
Posted : 2016-02-18 18:13
Updated : 2016-02-18 21:56
Kim Se-jeong
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Bill aims at starting medical dispute mediation without doctors' consent

By Kim Se-jeong


Controversy has arisen over a revision to a law that will allow for the initiation of arbitration on medical disputes solely upon a complainant's application, and without the agreement of accused doctors.

Members of the National Assembly Health and Welfare Committee passed a revision to the related law on mediation in disputes arising from medical malpractice.

The revision will allow mediation to begin once a medical malpractice complaint is submitted to the Korea Medical Dispute Mediation and Arbitration Agency, the nation's only body to mediate and arbitrate medical disputes.

Currently, the agency gives two weeks notice to the accused doctor after an application for mediation. But if the doctor doesn't answer or refuses to take part in the arbitration process, the case is automatically discarded.

Often called the "Shin Hae-chul law," the revision is named after a rock singer who died of medical malpractice in 2014.

Doctors have shown strong opposition to the new regulation.

"We expressed deep concern over the move," the Korean Medical Association (KMA) said in a statement. "This is an uninformed and unprofessional decision by politicians obsessed with public opinion and populism. We urge that the revision be rejected. If implemented, it will discourage doctors from performing active treatment on patients, and they will have to pay the price for it."

The KMA also said more social consensus was needed. "More medical experts should participate in the mediation process for objective medical decisions to be made," the group said.

Patients welcomed the move, however.

"It is nonsense that the mediation and arbitration process can begin only with consent from doctors. The current system robs victims and their families of the right to know the truth," said An Gi-jong, president of the Korea Alliance of Patients (KAP), a group representing victims of medical malpractice.

"The change is necessary to make medical services more reliable for patients," he said.

Out of 5,487 applications submitted to the agency since it was inaugurated in 2012, arbitration has been conducted on only 2,342, or 43.2 percent, according to KAP.

The revision still needs to be passed at the legislation and judiciary committee and a plenary session.

The singer Shin had an operation for intestinal adhesions and obstruction at Seoul Sky Hospital in October 2014, following an adjustable gastric band operation five years earlier. His surgeon accidentally perforated his small intestine, and he eventually died, according to police investigation.

Shin's family bypassed the arbitration agency and filed a lawsuit against the doctor, saying the surgeon would not consent to mediation. The lawsuit is still under way.


'신해철법' 국회 복지위 통과에 찬반 논란

'환자 권리 지켜야' VS '전문가 의견 배제'

일명 '신해철법'이 국회 보건복지위원회 전체회의를 통과하자 대한의사협회와 시민단체 사이에 찬반 논란이 벌어지고 있다.

의협은 17일 보도자료를 내고 '보건복지위원회의 '의료사고 피해구제 및 의료분쟁 조정법' 개정안 의결은 의료 전문가 단체의 의견을 배제한 졸속 심의'라고 비판했다.

'신해철법'은 사망, 중상해를 입은 의료사고 피해자가 한국의료분쟁조정중재원에 조정을 신청하면 의료인의 동의 여부에 관계없이 조정이 시작되는 내용 등을 담았다.

의협은 '합리적인 의료분쟁 조정제도의 연착륙을 위한 개선 방안을 수차례 제안했음에도 사회적 이슈에 휘말려 졸속으로 개정 입법이 논의되어서는 안된다'고 주장했다.

그러면서 '이번 의결은 포퓰리즘에 휩싸인 졸속 입법의 결과'라며 '(의료인의) 방어 진료를 부추키고 안정적인 진료환경을 저해할 것'이라며 법안 심의 중단을 요구했다.

의협은 의료사고로 인한 '중상해'의 판단 기준이 모호한만큼 의료 전문가가 면밀히 검토하고 사회적으로 공론화해야 한다는 입장도 밝혔다.

이를 두고 일부에서는 의협이 환자의 권리를 저버린 것 아니냐는 지적도 나온다.

강정화 한국소비자연맹 회장은 '피해자 구제를 위한 조정 절차에서 한쪽의 입장만으로 시작조차 못한다면 이는 권리를 침해하는 것'이라고 말했다.

이어 강 회장은 '(현재처럼) 의료분쟁 조정을 통해 구제를 받을 수 있는 기회를 박탈하는 것은 문제'라며 '복지위를 통과한 안 역시 충분하지 않다고 본다'고 덧붙였다.

중상해의 판단 기준이 모호하다는 의협 측의 주장에 대한 반박도 있다.

안기종 환자단체연합회 대표는 ''중상해'는 법률용어로, 생명에 대한 위험 발생, 불구, 불치나 난치 질병 등을 뜻하는 것으로 규정돼 있다'고 말했다.

보건복지위원회를 통과한 '신해철 법'은 법제사법위원회, 본회의를 남겨두고 있다.

가수 신해철 씨는 지난해 10월 복강경을 이용한 위장관유착박리술과 위축소술을 받은 뒤 고열과 심한 통증, 심막기종 등 복막염 증세를 보이다 끝내 숨졌다. (연합뉴스)
Emailskim@ktimes.com Article ListMore articles by this reporter
 
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