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1 HONG KONG LEGISLATIVE COUNCIL -- 8 July 1992 HONG 1 HONG KONG LEGISLATIVE COUNCIL -- 8 July 1992 HONG KONG LEGISLATIVE COUNCIL -- 8 July 1992 1 OFFICIAL RECORD OF PROCEEDINGS Wednesday, 8 July 1992 The Council met at half-past Two o'clock PRESENT THE DEPUTY PRESIDENT THE HONOURABLE JOHN JOSEPH SWAINE, C.B.E., Q.C., J.P. THE CHIEF SECRETARY THE HONOURABLE EDWARD BARRIE WIGGHAM, C.B.E., J.P. THE FINANCIAL SECRETARY THE HONOURABLE NATHANIEL WILLIAM HAMISH MACLEOD, C.B.E., J.P. THE ATTORNEY GENERAL THE HONOURABLE JEREMY FELL MATHEWS, C.M.G., J.P. THE HONOURABLE ALLEN LEE PENG-FEI, C.B.E., J.P. THE HONOURABLE STEPHEN CHEONG KAM-CHUEN, C.B.E., J.P. THE HONOURABLE MRS SELINA CHOW LIANG SHUK-YEE, O.B.E., J.P. THE HONOURABLE MRS RITA FAN HSU LAI-TAI, C.B.E., J.P. THE HONOURABLE HUI YIN-FAT, O.B.E., J.P. THE HONOURABLE DAVID LI KWOK-PO, O.B.E., J.P. THE HONOURABLE NGAI SHIU-KIT, O.B.E., J.P. THE HONOURABLE PANG CHUN-HOI, M.B.E. THE HONOURABLE SZETO WAH THE HONOURABLE TAM YIU-CHUNG THE HONOURABLE ANDREW WONG WANG-FAT, O.B.E., J.P. THE HONOURABLE LAU WONG-FAT, O.B.E., J.P. THE HONOURABLE EDWARD HO SING-TIN, O.B.E., J.P. THE HONOURABLE RONALD JOSEPH ARCULLI, J.P. THE HONOURABLE MARTIN GILBERT BARROW, O.B.E., J.P. THE HONOURABLE MRS PEGGY LAM, M.B.E., J.P. THE HONOURABLE MRS MIRIAM LAU KIN-YEE, O.B.E., J.P. THE HONOURABLE LAU WAH-SUM, O.B.E., J.P. DR THE HONOURABLE LEONG CHE-HUNG, O.B.E. THE HONOURABLE JAMES DAVID McGREGOR, O.B.E., I.S.O., J.P. THE HONOURABLE MRS ELSIE TU, C.B.E. THE HONOURABLE PETER WONG HONG-YUEN, J.P. THE HONOURABLE ALBERT CHAN WAI-YIP PROF THE HONOURABLE EDWARD CHEN KWAN-YIU THE HONOURABLE VINCENT CHENG HOI-CHUEN THE HONOURABLE MOSES CHENG MO-CHI THE HONOURABLE MARVIN CHEUNG KIN-TUNG, J.P. THE HONOURABLE CHEUNG MAN-KWONG THE HONOURABLE CHIM PUI-CHUNG REV THE HONOURABLE FUNG CHI-WOOD THE HONOURABLE FREDERICK FUNG KIN-KEE THE HONOURABLE TIMOTHY HA WING-HO, M.B.E., J.P. THE HONOURABLE MICHAEL HO MUN-KA DR THE HONOURABLE HUANG CHEN-YA DR THE HONOURABLE LAM KUI-CHUN DR THE HONOURABLE CONRAD LAM KUI-SHING THE HONOURABLE LAU CHIN-SHEK THE HONOURABLE MISS EMILY LAU WAI-HING THE HONOURABLE LEE WING-TAT THE HONOURABLE GILBERT LEUNG KAM-HO THE HONOURABLE ERIC LI KA-CHEUNG, J.P. THE HONOURABLE FRED LI WAH-MING PROF THE HONOURABLE FELICE LIEH MAK, O.B.E., J.P. THE HONOURALBE MAN SAI-CHEONG THE HONOURABLE STEVEN POON KWOK-LIM THE HONOURABLE HENRY TANG YING-YEN, J.P. THE HONOURABLE TIK CHI-YUEN THE HONOURABLE JAMES TO KUN-SUN DR THE HONOURABLE SAMUEL WONG PING-WAI, M.B.E., J.P. DR THE HONOURABLE PHILIP WONG YU-HONG DR THE HONOURABLE YEUNG SUM THE HONOURABLE HOWARD YOUNG J.P. THE HONOURABLE ZACHARY WONG WAI-YIN ABSENT THE HONOURABLE MARTIN LEE CHU-MING, Q.C., J.P. THE HONOURABLE SIMON IP SIK-ON, J.P. IN ATTENDANCE MR DAVID ALAN CHALLONER NENDICK, C.B.E., J.P. SECRETARY FOR MONETARY AFFAIRS THE HONOURABLE EDWARD BARRIE WIGGHAM, C.B.E., J.P. SECRETARY FOR THE CIVIL SERVICE who also acted as Chief Secretary MRS ANSON CHAN, C.B.E., J.P. SECRETARY FOR ECONOMIC SERVICES MR JOHN CHAN CHO-CHAK, L.V.O., O.B.E., J.P. SECRETARY FOR EDUCATION AND MANPOWER MRS ELIZABETH WONG CHIEN CHI-LIEN, I.S.O., J.P. SECRETARY FOR HEALTH AND WELFARE MR CHAU TAK-HAY, J.P. SECRETARY FOR TRADE AND INDUSTRY MR JAMES SO YIU-CHO, O.B.E., J.P. SECRETARY FOR RECREATION AND CULTURE MR ANTHONY GORDON EASON, J.P. SECRETARY FOR PLANNING, ENVIRONMENT AND LANDS THE CLERK TO THE LEGISLATIVE COUNCIL MR LAW KAM-SANG Papers The following papers were laid on the table pursuant to Standing Order 14(2): Subject Subsidiary Legislation L.N. No. Legislative Council (Electoral Provisions) Ordinance (Amendment of Second Schedule) Order 1992................................................................. 210/92 Merchant Shipping (Safety) (Subdivis(Subdivisionion and Damage Stability of Cargo Ships Over 100 meters in Length) Regulation.................................. 211/92 Waterworks (Amendment) Regulation 1992.......................... 212/92 Pension Benefits Ordinance (Established OffiOffices)ces) Order............................................................. 215/92 Tax Reserve Certificates (Rate of Interest) (No. 3) Notice 1992..................................................... 216/92 Sessional Papers 1991-92 No. 86 -- Audited SStatementstatements of Accounts for the Sing Tao Foundation Students' Loan Fund for the year ending 31 August 1990 No. 87 -- Audited Statements of Accounts for the Sing Tao Foundation Students' Loan Fund for the year ending 31 August 1991 No. 88 -- Audited Statements of Accounts of the Hong Kong Rotary Club Students' Loan Fund for the year ending 31 August 1990 No. 89 -- Audited Statements of Accounts of the Hong Kong Rotary Club Students' Loan Fund for the year ending 31 August 1991 No. 90 -- School Medical Service Board Annual Report for the year ended 31 March 1992 No. 91 -- Report of the Select Committee on Legislative Council Elections No. 92 -- Hong Kong Sports Development Board Annual Report 19911991-92-92 Oath Mr Edward Barrie WIGGHAM took the Legislative Council Oath. Oral answers to questions Exorbitant surgical fees 1. MISS EMILY LAU asked: Will the Government inform this Council whether it is aware of public concern over exorbitant surgical fees charged by some doctors in private practice; and, if so, whether it plans to take any action such as urging the medical profession to publish a list of surgical fees as guidelines to the general public seeking surgical treatment? SECRETARY FOR HEALTH AND WELFARE: Mr Deputy President, yes, we are aware of comments, mainly through the media, about high fees charged by some doctors in private practice. We believe that a consumer has the right to know and to have access to the information which would enable him to make an informed choice. To this end, consumers have a right to know the level of fees. It is for providers of professional services to respond appropriately in as open a manner as possible. Any patient is free to ask for information about fees and to go to the doctor of his choice. The Government publishes a schedule of fees for public hospitals and clinics. The Hong Kong Medical Association has also published the results of its survey on doctors' fees in the private sector. It is the GoGovernment'svernment's policy that no one is denied adequate medical treatment for want of means. This is covered by section 4(d) of the Hospital Authority Ordinance. Where a patient cannot afford private treatment, the Government provides public clinics and hospitals, where the subsidy towards the cost of treatment is high and the charges are low and in exceptional circumstances may even be waived. MISS EMILY LAU: Mr Deputy President, does the Government have information on whether surgical fees in Hong Kong are indeed much higher than those of other Western and Asian cities? And does the Government think that the Medical Registration Ordinance should be amended to give the Medical Council the power to handle complaints about exorbitant fees and charges? SECRETARY FOR HEALTH AND WELFARE: Mr Deputy President, we are aware through media reports of certain episodic cases where fees are charged on a very high level. The Medical Council has not formally discussed the matter of fee charging by medical practitioners with the Government. The two prime functions of the Medical Council are, first, the registration of doctors and, secondly, the discipline of registered medical practitioners; fees do not feature in this respect. I think it would be very difficult for anyone other than the doctor and the patient -- who have a special bond of trust -- to come in between them by interfering with what can be a very natural relationship. DR LEONG CHE-HUNG: Mr Deputy President, in her reply the Secretary mentioned that the consumer has the right to know the level of fees. Could the Secretary inform this Council what plans there are for the Administration to promote public awareness that it has the right to ask to know the fees to be charged by doctors or other professionals? SECRETARY FOR HEALTH AND WELFARE: Mr Deputy President, the right to know includes a number of areas: the right to know the level of fees, the right to know the details of the treatment and the right to know the details, depending on professional judgment, in relation to the patient and the state of illness the patient is in. I think the best protection of the consumer, which in this case is the patient, is the consumer himself. I believe also that public censure is a very good form of education process. Public debate will promote awareness and so in this respect the Government would like to be involved but not necessarily to take any other formal measure of promoting education and awareness. MR CHEUNG MAN-KWONG (in Cantonese): Mr Deputy President, will the Administration inform this Council whether it has received any complaints alleging that some private medical practitioners deliberately raised the figure of the fees charged on the bill, so that their patients can claim more compensation under their insurance policies? If yes, how would the Administration handle this normally? DEPUTY PRESIDENT: That is not strictly within the main question, but are you able to throw light on this, Secretary? SECRETARY FOR HEALTH AND WELFARE: No, Mr Deputy President. DR CONRAD LAM (in Cantonese): Mr Deputy President, some people think that the fees charged for medical services are too high.
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