After a spate of medical mishaps involving unqualified employees standing in for surgeons, South Korean lawmakers may vote as soon as Monday on whether to mandate hospitals to install monitoring cameras in operating rooms.
South Korea will be the first developed country to require closed-circuit cameras to record surgical procedures if the measure is adopted by parliament.
After a case in 2016, in which surgeons at private clinics were accused of sending nurses or underqualified doctors to perform procedures, sometimes with tragic outcomes, the campaign for cameras in operating rooms grew stronger.
Kwon Dae-hee, a university junior at the time, died of a hemorrhage in October 2016 after 49 days in a coma as a result of a jawline surgery in Seoul, which he did not inform his family about in advance, according to his mother Lee Na-geum, 61.
Lee, who has been waging a one-person protest in front of the parliament since January 11, 2018, said her son was bullied in high school because of his large chin and was determined to get the 6.5 million won ($5,583) cosmetic surgery.
Lee said she felt lucky to have obtained the CCTV footage of her son’s surgery as there were hundreds of parents who would never know if their children’s death on the operating table was the result of malpractice.
She also said she had reviewed the seven-and-a-half hour long footage of Kwon’s surgery over a thousand times and was able to prove that it was performed in part by an unqualified nursing assistant and an intern doctor, not by the chief plastic surgeon as promised as he was dealing with two other surgeries at the same time.
This led to Kwon losing over 3.5 liters of blood and he died of excessive bleeding.
With the video evidence she collected, Lee sued the hospital and the head surgeon, who was later found guilty of involuntary manslaughter and sentenced to three years in prison.
“It is a medical crime when someone else – ‘a ghost’ – performs the surgery and not the surgeon hired without patient’s consent,” Lee said.
“There are so many unfortunate bereaved families who cannot reveal the truth because they don’t have physical evidence when a healthy person dies in an operating room.”
Multiple attempts had been made to amend the Medical Services Act to require surveillance cameras, primarily to catch stop doctors from delegating surgeries to unlicensed personnel, an act which is subject to a maximum of five years in prison or 50 million won ($42,952) fine.
Up to now, such attempts had died due to lobbying by doctors, said Lee who began an advocacy group for medical justice and patients’ rights.
The bill was met with objections from doctors, hospitals and medical groups, including the 140,000-member Korean Medical Association (KMA), which claims video-monitoring will undermine trust in doctors, violate patient privacy and discourage doctors from taking risks to save lives.
“We think trust is key in doctor-patient relationship… the bill undermines doctors to actively recommend treatment methods and treating patients,” KMA spokeswoman Park Soo-hyun told Reuters.
“Residents have already expressed their intent not to apply to surgery or surgical departments if the CCTVs are installed in operating rooms, which will lead to a collapse of an essential part of South Korea’s medical care.”
The bill appears to have overwhelming public support: In a poll by the Anti‑Corruption and Civil Rights Commission, an independent government agency, in June, the bill had the support of 97.9% of the 13,959 respondents.
