2009年1月4日 星期日

外傭患癌 僱主需承擔開支--我們的經歷

 

7 50 7 。(蘋果日報2009年1月2日)

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我們也有這樣的經歷。

四年前我家的前菲傭患了二期淋巴癌,她當時已經在我家做了六年多。她是基督徒,之前一直做的不錯,由於兒子很喜歡她,我們也一直跟她續約。那年年中,我們發現她頸淋巴腫的很大,覺得不妙,雖然她自己說沒什麼,我們也立刻帶她去私家醫院看,又付幾千元替她在私家醫院做化驗,結果證實是癌症。我連忙帶她去政府的癌症中心再做檢查,說是淋巴癌二期B。她哭得死來活去,本來也說回鄉算了。但我們了解到她住在鄉下地方,連醫院也沒有,就勸她留在香港醫治,所以她留下了。

於是,我就請假帶她到醫院排期、做檢查、化療、電療、……,的士來往,她在醫院做化療吐得我一身都是,我還得照顧她;她做完化療電療身體虛弱,但不能住院,醫生說要注意她若受感染,隨時會有生命危險,於時我又得擔驚受怕,她跟我們的大兒SS一個房間,我們要小心孩子不會帶菌回家,家裡任何人有點咳嗽都要立即戴口罩……。外子還帶她看中醫,買幾千元的中藥給她調養。她治療期間吃不下東西,我一打一打的營養奶買回來給她飲,還買特別的cream、牙膏給她用。政府牙醫說做電療前要拔掉蛀牙,但政府牙科排期要一年,為了避免耽誤病情,我帶她到私家牙醫拔牙,又付了幾千元。

那時我們已知大兒SS是自閉症,小女JJ當時兩歲半,自閉症徵狀開始浮現;但我要照顧菲傭的病情,沒有時間處理女兒的問題,以致不能早些替孩子安排評估治療。我們倆夫婦要上班,為了照顧兩個孩子及患病的菲傭,我另外又請了一個菲傭,還叫我媽媽過來幫忙看小孩,讓菲傭做化療、電療那幾個月在我家休養,不需要工作…..。終於10個月後醫生說菲傭的腫瘤已縮,算是康復了(但醫生說五年內不覆發,才是真正康復)。當時我們一共用了四萬多元替她治病(2004年的物價水平比現在的低很多),還因為帶她看病,我那年的年假耗盡,連自己女兒發高燒生病我也沒有假期放。

錢花了不少,期間時間、精神、自己的工作、家人照顧都受到極大的影響。我們自願替她治療,所以沒有計較,但這菲傭自患病後性情大變。在她治療期間,她對我們新請菲傭不斷喝罵,有幾次還是我在場,雖然她用菲語,我也聽得出她在罵人。結果先後兩個菲傭都支持不住,辭職走了。第一個在我苦苦請求下做了三個月,第二個做了十天(兩個都是第一次來香港)堅持要走。我們只好不斷再花錢另請,由於希望入境處盡快批VISA,所以要放棄剩餘的外傭稅。我們以為她患病辛苦,又擔心我們不會跟她續約,所以在她治療完成後,苦勸她,還替她續約,以為她可以安心工作。我再請一個工人時,更特別找個跟她學歷一樣的(中學畢業)菲傭,希望她們可以合作照顧兩個小孩。

結果,她繼續對新工人經常呼喝、責罵,她雖然康復,但我們不在家時,所有的工作她都要新工人做、也不理孩子們。她簡直就把自己當作主人,要新工人做完工作才能吃早餐,又對她說如果她不滿意,她可以走。有些工作我交待新工人做,但她竟然在我們不在家時,教新工人說Mum not here, no need to do. If she asks, just say we do it already…..

她每天早上講電話,下午睡午覺,有時甚至在我的床上睡。還用我的cream(她告訴新工人說This cream is good to skin.)。對我們的態度也差了,經常黑口黑面;SS生病我們叫她按時餵SS吃藥,她忘了,竟要另一個工人一起說謊,但我媽媽當時也在我家,簡直當她透明。又向我們借糧說寄回鄉給兒子結婚。當時我們以為她搏炒,但她跟新工人吵架時說Let’s see when you’ll leave.

我們實在受不了,終於補足長期服務金、一個月代通知金、買了機票,還不需要她還給我們借了的錢,才送走她。但炒她時我擔心了好久,深怕她會告我們。再加上耽誤了女兒的自閉症問題,我既內疚又無奈,精神幾乎崩潰……


這件事已經過去了,我把這個經歷跟大家分享,不是想炫燿自己是「好雇主」,事實上我在一個親子網站張貼此事後,有人罵我「有病」,自討苦吃,也有人揶揄我們家境富裕,才會去做這樣笨的事……。我們經濟並不寬裕,兩夫婦都只是打工,而且SS那時已開始做自閉症的訓練治療,花費不少。我們是從人道主義出發,但我得承認當時我們是低估了治療癌症的過程,也高估了自己承受的能力。

其實我想指出的是:一方面外傭合約要雇主承擔所有的醫療費用固然不合理,也不可能。像我們當時用了四萬多元,但2004年時香港公立醫療未實施醫藥名冊,有人說如果是現在,可能要十幾萬;病情若更嚴重些,甚至更多。試問一般聘用外傭的雇主哪有能力負擔?!任何一份雇傭合約都不可能要雇主承擔無上限的責任(unlimited liability)!就算我們想替外傭購買危疾保險,可是保險也會有限額,更何況保費不少呢!

另一方面,即使以人道主義考慮,像癌症這樣的重病,患者除了要接受治療外,還需要被照顧及許多精神上的支援,雇主如何負擔這些時間和精神。如我們的菲傭患病前後性情判若兩人,想來她經歷了一場大病,治療過程的恐懼,是極需要很貼身的輔導、情感關注,雇主怎麼可能做到這些,回到家人身邊應該會比較好。當時我們的菲傭在香港每星期天都去教會,我們經常叫她跟教會聯絡,尋求安慰,可是她住在我們家,教會中人也不能經常找她。如今回想,當時建議她留港治療對她來說並非最好的安排。



9 則留言:

  1. It is a big issue!!!!!!

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  2. agree employer should not bear the whole responsibilty, reasonable medical insurance is suffice. I don't think what you did was wise, but you know what, you have saved a life, although your helper seemed to be ungrateful, you have done your due, and you can sleep like a baby at night.

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  3. There is no legal responsibility for one to save life...it is totally a moral discernment and choice.  Surely, it's not legally wise and may not be a good choice even on humanitarian grounds.  But a choice was made and something was done.  It was a choice that I think should always be left to the individuals to make but should never ever be imposed by law or policy as a duty.  When it comes to policy, there should be a clear limit as to obligations and liabilities, even though we accept that there is some kind of contractual obligation on the employer's side regarding medical and health care for the employee.  And DH employers shouldn't be taken as having the same capacity of a corporation.  Even a big corporation would not take on an unlimited liability.  The fundamental problem of the standard DH contract is that many terms are broad and carry big implications.  The whole thing has to be reviewed.

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  4. I have different views ...... if you treat your DH as a family member, it is fair to help her recovery.  Finally, you saved a life, in which $$$ can't buy back.  Imagine if you keep worrying about her sickness in your nightmare every night, it is of a great pressure.
    I appreciate you did save a life.  No matter whether wealthy or poor, problem that can be solved by $$$ is not a problem.  You know, there are many many unrecovered problems in the world.  We may indirectly save a life for one whom we don't know, so what if someone we knew !    Frankly speaking, if $$$ can heal autism completely, will you pay for it without thinking.  Peace is more valuable than $$$.  Better not to weight how much $$$, time and efforts have been spent and then judge it is a waste or worth or not !
    What I guess why she behaved differently is simply because you hired one more DH which may affect her job opportunity  !  That's very common in families which have one more DHs.  It is also similar in office with staff in same positions, it may introduce conflicts.  The old staff will become bully and is unpleasant with the new comers !
    I agree medical insurance may help on this issue.  I support your offer of medical treatments, nothing to regret.
     

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  5. There is no difference in our views and we have never regreted about what we did at that time and yes, as many of you have said, we tried to save a life.  Life is valuable and precious in itself!!! And we just did what we thought was appropriate and good at the time being.  The remaining should be left to the will of God.  (Traditional wisdom: "Man proposes and God disposes".) What I was saying was that for the long term benefit of the society, the layman's duty to save life (I am not saying the professional duty of people such as doctors or nurses) should better be placed in the realm of morality (a choice by individuals) instead of law or policy.  And when it comes to law and policy, liabilities should be clear, limited and predictable.
    We never regret making that choice at that time.
     
       

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  6. ”施恩莫望報”
    不需探究為何她做不到”以德報德”.
    或許西藥副作用很大,對神經系統有所影響吧.就正如我們孩子的情緒管理問題

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  7. Employment Ordinance stipulates only that an employer shall not dismiss an employee whilst the employee is on paid sick leave.
    Even the HKSAR Government will not bear the medical expenses of a civil servant who suffers from cancer.  The Government can also invalidate the employee.
    Your kindness is a virtue.

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  8. 很對! 做了我們認為該做的便已足夠

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  9. 正如外子Siu_Ming所說,我們做了該做的,沒有後悔。只是後來回想,當時建議菲傭留港醫治, 只考慮了香港的醫療"應該"比菲律賓好,沒有想到她患重病還有其他的需要, 尤其是情感上, 或許這影響了她日後的行為.所以才說對她也許不是最好的安排。

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