First of all, let's take a look at how gastroscopes spread AIDS. Some hospitals just use alcohol cotton to wipe the probe of gastroscope, and then check it for others, or even disinfect it incompletely, so that AIDS can spread. China's hospital disinfection standard itself is aimed at various infectious diseases, including AIDS. If the hospital soaked the probe in disinfectant for a certain period of time in strict accordance with the relevant disinfection regulations, there would be no such risk. Therefore, it is the responsibility of the hospital to cut off the objective existence of iatrogenic HIV, which is related to the hospital's failure to strictly implement the relevant provisions of the state. Hospitals should learn lessons and work strictly to protect people's health. Instead of putting the cart before the horse and blaming the patient.
Secondly, compared with requiring hospitals to strengthen disinfection, it is uneconomical to require everyone to have an AIDS test, which will excessively increase the burden on patients. Between doctors and patients, the first person responsible for AIDS prevention and treatment should be the hospital, not the patient. The hospital can kill the virus by heating the relevant equipment to about 70 degrees. This is more convenient, more economical and safer than spending money on personal examination, because some AIDS patients in the "window period" may not be found, and strengthening disinfection is enough to prevent them from endangering society.
At the same time, it is not conducive to the protection of human rights. We know that AIDS is a very serious disease, but for the general population, there is no compulsory examination system in China (of course, there are compulsory STD examinations for prostitutes, but they must be sent to a specific institution for examination), and if you look at a gastroscope, because everyone may get sick, it is actually compulsory AIDS examination, which will inevitably affect the right of some AIDS patients not to be told by others, thus making them afraid to go to a big hospital for medical treatment, which hinders this. What's more, for ordinary patients, not every patient can afford the examination fee, which will inevitably infringe on patients' right to seek medical treatment.
Finally, this move also substantially destroyed the equality between doctors and patients. In medical behavior, hospitals and patients are equal subjects, but hospitals often use their dominant position to protect patients' interests and transfer related risks to patients. Even threatening related risks, forcing patients to do certain behaviors to achieve self-interest purposes, such as the relatively high cost of AIDS testing, will undoubtedly become a means for hospitals to make profits.
Hospitals take AIDS examination as a prerequisite for gastroscopy and generally implement it. This kind of contract is called standard contract in contract law. In order to prevent the strong from taking advantage of their dominant position to put the other party at a disadvantage, the contract law stipulates many obligations for the strong, such as demanding equality of rights and obligations, unreasonably excluding their own obligations and restricting the other party's rights, and explaining the obligations related to matters, so as to prevent the strong from acting rashly. Through careful comparison, we find that the practice of hospitals is incompatible with the modern concept of rule of law.
To sum up, the author thinks that AIDS testing should be done before gastroscopy. Although there are noble excuses, it can't hide the essence that hospitals evade their responsibilities by increasing each other's obligations. Compared with the practice of asking hospitals to perform their duties, such measures have not made society safer, but only made more people pay the price, and those who should have the obligation can benefit from it. The weak have a lot of helplessness in front of the strong. At this time, I call on the relevant departments to intervene in this practice.