颜建中先生在全加元月04日的演讲的稿子,承蒙颜先生同意在此刊出来,和大家分享。
这份稿子他事先找了2-3个人读过,确定正确无误。
也曾经想和管理局张关女士联系,想对一些细节予以澄清,但是因为放年假,没有人接电话。
中医界这样子谨慎写东西的没有几个。错误很少,观念正确。
安省中医界少有的人才!
这份讲稿,理解如果有错误,那也是因为管理局资讯不公开。
以下为全文:因为是ppt 转格式为文字档,编排有些混乱,请见谅。
形势与思考
● 你同意/支持立法/规管吗?为什么?
● 立法/规管有何益处?
o 病人,公众
o 业者,业界
o 政府,政党
● 你对规管的期望是什么?
o 你期望从立法规管中得到什么实际的好处?
● 安省中医规管进展如何?
A status needs
a serious Thinking
● Do you agree or support L/R? Why?
● What are the benefits of L/R?
● Public, Patient and Client
● TCM Practitioner and community
● Government and Party
● What do you expect from L/R?
● What actual benefit do you expect from L/R?
● What is going on about L/R in Ontario?
2009年11月23日
安省中医师和针灸师管理局过渡委员会第七次会议全体表决通过
《注册条例》草案
The Draft of
Registration Regulation
Has been approved by the council
of the TCCTCMPAO at the
7th meeting on November 23rd, 2009
“停车场”理论解读(1)
● 某个周五(12/11or18)在管理局与David Lam协会的会议上,张关亮冰和Joanne首次小范围公开提及“停车场”
● 张关亮冰称:不管学历,执业时间,英/法文多流利,安省的中医师针灸师全部经由祖辈法注册。祖辈法就像一个Parking lot(停车场),,,,,,。
● 进了停车场(请君入瓮)后,PLA的专业能力和英文评估才是“咬人的牙齿”!
● 祖辈法停车场的功用
o 一是收费—未来的管理局需要还债( 150万左右的债务)
o 二是过筛—挑选可以进入管理局的人才
o 三是建档—作为管理处罚的依据
“停车场”理论解读(2)
● 所有车辆在规定时间内集中到停车场,并交费申请临时停车证。
● 不管是美国、日本、中国、加拿大、香港还是台湾生产的车辆,一律要提交证明文件接受检验。
● 按管理局的规定,验证合格车辆才发给永久行车证(完全合格注册)。
● 不保证每张临时停车证都能换到永久行车证。
“祖辈法”的后遗症
● 祖辈法注册 ≠ 永久性牌照(5年后必废除)
● 祖辈法注册 ≠ 保险公司报销(5年内没保险)
● 祖辈法注册 ≠ 自由执业(满足检查,孙子在场)
● 祖辈法注册后的升级条件:
o 在任何一个公共场所执业3年
o 经PLA展示职业技能,通过文件审查和口头评估,
o 达到语言要求
The Sequelae of “Grandparenting”
● Grandparenting Regis. ≠ Permanent License
● Grandparenting Regis. ≠ Insurance coverage
● Grandparented ≠ Free / independent practice
● Grandparented moves to Full (condition):
o Practicing at any point in the public place for 3 years
o Demonstrate your competencies through PLA, portfolio review and oral assessment
o Meet language requirements
其它国家/地区中医祖辈法
TCM Grandparenting
in other Countries/Areas
立法规管前后中医界得与失(1)
TCM gain and lose
before & after Leg/Reg(1)
立法规管前后中医界得与失(2)
TCM gain and lose
before & after Leg/Reg(2)
跨省流通的影响—雪上加霜
● 在加拿大任何地区被注册的业者来安省,都必须接受他们并发于同类别的证书
o 专业头衔----庇西省∶安省==4∶2,安省医生断层至少10年
● 不可以重新评估他们的教育,考试,临床经验或流通要求
o 祖辈条例----庇西省宽松且永久,安省PLA+临时
o 考试标准----庇西省准考标准低,安省选用全国标准
o 语言要求----庇西省可选用中文,安省要流利英/法语
● 可以核查是否达到普通要求
● 对安省业者的又一不合理不公平影响
Another unfair affection
----Labor Mobility
● If a person is registered elsewhere in Canada, must accept them for the same class of certificate in Ontario
o Professional titles----BC4:ON2. No Ontario TCM Dr. for ?yeas
● Cannot re-assess education, examination,
clinical experience or currency requirement
o Grandparenting----loose & permanent in BC, temporary /PLA in ON
o Examination----lower prerequisite in BC, national standard in ON
o Language----Chinese can be selected in exam in BC, fluent E/F in ON
● Can verify the general requirements
o Another unfair influence for the practitioners in ON
危言耸听?
● “内部资料”(见投影片)
● 新闻媒体报道(见11/24/09 Ming Bao News)
● 管理局会议信息(见11/23/09管理局通过的《注册条例》草案投影片3幅)
● 个别求证(12/31邝究声信件和单自强的求证)
● 管理局正式信息(见11/09管理局《会讯》第1卷第3期)
False Alarm?
? “Confidential Info” (See Slides)
? Media Report (See 11/24/09 MingBao News)
? Revealed Formal Info (3 slides from the TC 7th meeting @ 09.11.23)
? Individually Verify (Mr. Kuang & Shan)
? Open Message (see TC’s Newsletter V1-3)
注册总监怎么说(1)
----来自2009.12.23 说明会
● 关于祖辈法注册
o 2010年以前只需2年从业经验就可以申请注册
o 凡具有两年以上执业经验者都要进入“停车场”
o 无需考试,只要通过PLA评估
o 5年的提高(过渡)期限合理
o 5年内可以不间断地自行执业
o 5年内须满足的例行检查可能只限于执业环境安全检查
o 5年内必须进修提高并转为完全合格注册会员
o 5年的提高(过渡)期限结束后便不能再继续执业
What does registrar say(1)
----Explanation @ 2009.12.23
● About Grandparenting registration
o Only need 2 years practicing experience before 2010
o Every one has to get in a “parking lot”—Grandparenting
o No examination, only go through PL Assessment
o Only 5 years for grandparenting is reasonable
o Within 5 years practice by your own without interruption
o Within 5 years inspection for safety practice only
o Within 5 years has to move to Full registration
o After 5 years no registration, no exemption, no practice
注册总监怎么说(2)
----来自2009.12.23 说明会
● 关于语言要求
o 一定会有语言要求(落实09新法?有英/语要求)
o 从未提过要托福成绩
o 英/法语流利的儿孙帮忙曾是五、六个考虑方案之一
o 尚未定论
● 关于双重注册
o 允许双重注册。偶尔会出现在祖辈法注册中,只要申请人通过PLA
What does registrar say(2)
----Explanation @ 2009.12.23
● About Language Requirement
o There is language requirement (implementing new law)
o Never mentioned TOFEL
o English speaking grandson was one of considered options
o No final decision made yet
● About dual registration
o Allow dual registration,will even occasionally happen in grandparenting registration as long as the applicant passes the PLA
注册总监怎么说(3)
----来自2009.12.23 说明会
● 关于注册条例
o 这只是草案,不是定案
o 曾在过渡委员会内讨论过
o 有很多内容需要修改
o 祖辈法注册完成前不会有完全合格注册
● 关于教育认可
o 尚未讨论,言之过早
What does registrar say(3)
----Explanation @ 2009.12.23
● About registration regulation
o This only the draft, not a firm regulation
o It was discussed inside of the TC
o There were lots of amendment
o No Full member before grandparenting registration
● About recognition of the education
o Not discuss yet
疑窦丛生
● 注册总监是释法的合适人选吗?
● 注册总监派的“定心丸”是草案/定案?
● 管理局会讯/总监的讲话,哪个是真?
● 五省联通技能/总监的讲话,哪个是真?
● 《注册条例草案》出自谁手?
● 管理局是无能还是无权?
● 从一读到三读通过,Bill50修改了多少?
Doubts
● Is the registrar a right person to explain?
● Is her explanation assured and final decision?
● Newsletter of CTCMPAO/Explanation of registrar Which one is the true? (see newsletter 3)
● Entry Competency/Explanation of registrar Which one is assured?(competencies)
● Who draft this Registration Regulation? (Dr. K)
● Why not the TC? (Disablement/Powerless?)
● During 2005 and 2006 from 1st to 3rd reading, how much change made in BILL 50?
回顾与反省
● 分蛋糕理论(不管怎么样都要先上了桌,才能分到蛋糕)
● 张金达承诺(什么都会有的,要有耐心,要信政府,不要节外生枝)
● 协会三大诉求(Dr.职称/祖辈优先/中文考试)
● “死亡陷阱”三部曲
o 解剖针灸与中医针灸同等地位
o 喧宾夺主8:7窃取中医针灸规管权
o 引诱中医接受“安乐死”假祖辈法
Review & Introspect
● Sharing cake theory--No matter how bad the TCM act, we have to accept and let it go through. “If you want to share the cake, you have to go on the table”.
● Cedric’s Promises--Be patient, believe GV, there will be everything you want. Don’t make any trouble.
● CSCMA’s 3 major requirements--Dr. title, Grandparenting provision and Exam in Chinese.
● 3 Deadly Traps—
o 2 types of Acupuncture--Same status
o 8:7--Stealing the power of regulation
o A false grandparenting--Tempt TCM accept the “Euthanasia”
谁是罪魁,元凶何在?
● 《中医法》豁免了谁?(其他卫生几个专业)
● 谁挑选和组成了过渡委员会(8: 7倒置)
● 谁起草了《注册条例》?(并非专业委员)
● 谁是最大得益者?(非中医的针灸操作者)
● 利在何方?(保险公司认可/报销+公众认可)
Who is the Mastermind? Who should be responsible?
● Who get the exemption from TCM Act 2006?
● Who selected the members and form the TC of CTCMPAO?
● Who draft the registration regulation?
● Who are the major beneficiaries?
● What is the benefit? Where is the interest?
过渡委员会----令人失望
● 先天不足
o 人数比例----8比7
o 人员素质----学历,资历,能力
o 用人不当----有能力的成员不受重用,任人唯“顺”
● 后天失调
o 官僚作风,缺乏沟通----“建议”石沉大海,“求见”两次被拒
o 黑箱操作,毫无透明----闭门造车,密不透风
o 愚弄业界,有失公允----满口承诺,避实就虚
o 橡皮图章,形同虚设----自我规管,还是傀儡?
What is wrong with TC
● Congenital deficient
o Disproportion of members in the TC----8 : 7
o Disqualification of members----Education, qualification, ability
o Misuse of members----not use right person in right position
● Acquired disorder
o Bureaucracy, lack of communication
o Operating in a black box, lack of transparent
o Fooling practitioners and treating TCM unfairly
o Rubber stamp alike a decoration
我们的选择
● 任人宰割,坐以待毙(什么都不做或一味附和政府管理局的方案----放弃业界的权益,牺牲会员的利益,失去会员的支持)
● 奋起维权,据理力争(给政府写信,开记者会,甚至上街游行----公开表达我们的合理诉求,争取业界和会员的最大利益,维护中医的生存和发展)
● 宁缺毋滥,另起炉灶(既然这个法案阉割肢解中医科学,这种规管将威胁公众利益,严重损害业界利益,明显阻碍中医发展,要它干什么?集体杯葛注册,成立行业公会,实行自我规管)
What should be done?
It’s our destiny and choices--Strategy
● Do nothing, just waiting for been killed
o Give up the right and dignity of TCM practitioners/community
o Sacrifice the interest of the members of CSCMA, lose the support
● Strike back, argue strongly on just grounds
o Roar and express our requirements using any possible way
o Fight for the most interest of TCM practitioners/community
o Stick up for the livelihood of practitioners and developing of TCM
● Boycott registration and make a fresh start
o Since TCM ACT castrates and dismembers TCM, the regulation is jeopardizes the interest of public, why do we accept it?
o Boycott registration, set up an united TCM association, self-regulate
我们的诉求
● “医生”职称必需现在设定
o 中医药法赋予的权利,有利于中医专业提高
● “祖辈法”注册必需为永久
o 尊重历史,面对现实,解决现有业者生计
● “受训语言”必需允许运用
o 尊重科学,弘扬文化,有利于中医学发展
● 不准“双重注册”(至少不能用于祖辈注册)
o 既无损公众利益,也不侵犯其他专业的利益
What we need
----Requirements
● Dr. title must be set up now
o TCM ACT gives us this right, help for enhancing TCM profession
● Grandparenting regist must be permanent
o Respect history, face actuality, solve livelihood of current practitioners
● Mother tongue must be allowed to use
o Respect science, carry forward culture, good for developing of TCM
● No dual registration (At least not applied in Grandparenting registration)
o Encroach on neither the interest of public nor of other professions
应该怎么办?--行动
工欲成其事,必先利其器
● 对内
o 协会内----各部干部统一认识,宣传教育发动会员,迫切需要一个合法的,团结的,具有奉献精神,愿意为协会会员而工作的领导班子来带领大家
o 行业内----团结兄弟团体,求大同存小异,为了中医业界的共同利益,联合行动,聚沙成石。大家都在同一条船上,没有哪个团体能独善其身,任何一个团体都独立难支,谁都无法置身度外
● 对外(病人利益团体,亲戚朋友,华人社团,政客议员,政府部门,管理局)
What we can do?--Action
Well prepared
● Interior
o Inside of CSCMA----promote, educate, establish a powerful, legal, united and dedicated leadership
o Inside of TCM community----unite all other associations as one, fight for the common interest and right of TCM
● Exterior
o Patients, friends, families, etc.
o The patient right coalition, Chinese communities
o MPPs, politicians,
o Government, Ministry, TCCTCMPAO, Council members
结 语
● 2006 立法中医被忽悠一次,败走“麦城”
o 八大诉求只剩两项,中医利益惨遭割让
● 2010规管是底线,中医再无退路
o 推翻现法工程浩大,旷日持久两败俱伤,据理力争合理规管,保住利益多方共赢
● 绝地反击背水一战,不达目的誓不罢休
o 认清“假祖辈法”这个陷阱,不能再被忽悠一次
● 吸取教训精诚团结,维权抗争责无旁贷
o 死穴:一盘散沙,良方:团结联合;
o 维护权益保生计,众人拾柴火焰高
Conclusion
● 2006 leg. TCM has been fooled once
● 2010 reg. is last chance, no more step back
● Last chance to fight for surviving and rights
● Got the lesson from lose out
● Unite all TCM as one
● Everybody stands out against unfair reg.
祖辈法 香港 新加坡 加州 庇诗 阿伯达
英文程度(考试)要求 没有 没有 没有 没有 有
考试语言选择 只有
中文 只有
中文 英、中、韩文 英文、
中文 英文
限制年限 没有 没有 没有 没有 没有 |