Core Viewpoint - The article highlights the serious issues surrounding the issuance of health certificates in medical institutions, revealing widespread violations that compromise public safety and health standards [1][2][3]. Group 1: Issues in Health Certificate Issuance - Some medical institutions are found to be compressing health examination items, allowing certificates to be issued in less than an hour, undermining the integrity of the health certification process [1][3]. - There are instances of outright forgery, where fake health certificates are produced, particularly by labor intermediaries and examination centers, creating a "health certificate black market" [1][3][4]. - The demand for health certificates has surged due to the growth of service industries like home care and food delivery, leading to unethical practices among some medical institutions and labor intermediaries [3][4]. Group 2: Regulatory Failures - The lack of stringent oversight and enforcement from regulatory bodies has allowed these violations to proliferate, with infrequent inspections and light penalties failing to deter misconduct [2][3]. - The existing regulatory framework is inadequate, leading to a situation where the costs of violating health certificate protocols are low, thus encouraging negligence and malpractice [3][4]. Group 3: Recommendations for Improvement - To strengthen the integrity of health certificate issuance, it is essential to increase the penalties for violations and establish a regular inspection mechanism [3][4]. - Implementing a unified and compliant health certificate information network could help eliminate fake certificates and ensure the authenticity of health records [4].