Group 1 - The health certificate, known as the preventive health check certificate, is essential for specific industry practitioners to prove their health status and prevent the spread of infectious diseases [1] - There are various violations in the management and issuance of health certificates, leading to potential public health risks, such as the ability to obtain certificates without proper checks or through fraudulent means [1][2] - The current system for obtaining health certificates is slow, causing individuals to seek out fake certificates, highlighting the need for improved efficiency in the process [2] Group 2 - Implementing digital processing and smart regulation can enhance the efficiency of health certificate management, as demonstrated by a hospital in Inner Mongolia that reduced processing time significantly [3] - Increasing the penalties for institutions involved in the production of fake certificates is crucial for maintaining public trust and ensuring the integrity of the health certificate system [3] - Strengthening oversight and improving governance in health certificate management is vital for public health and industry development, ensuring consumer confidence and supporting the construction of a healthy China [3]

Core Points - The article emphasizes the importance of health certificates, which are essential for ensuring public safety, particularly for workers in the food service industry [1][3] - It highlights the need for clearer regulations regarding who should obtain health certificates, the proper channels for obtaining them, and the necessity for effective supervision [2][3] Group 1 - The health certificate is required annually for food production and service personnel to ensure public health and safety [1][2] - There are inconsistencies in the health certificate issuance process, including unnecessary checks being omitted and improper verification of identities [1][2] - The article suggests that the relevant departments should clarify which industries and positions require health certificates to avoid unnecessary burdens [2] Group 2 - The responsibility for issuing health certificates should lie with health departments, which should delegate to qualified medical institutions [2] - There is a call for stricter regulation of health certificate issuing institutions to prevent them from treating the process as a revenue-generating activity [2] - Collaboration among various departments is necessary to establish a robust supervision mechanism and a unified health certificate management platform [2]

Core Viewpoint - The article highlights the serious issues surrounding the issuance of health certificates in China, particularly the prevalence of fraudulent practices that compromise public health safety [1][2]. Group 1: Health Certificate Issuance - Health certificates, required for certain occupations, are often issued without proper medical examinations, leading to concerns about their validity [1]. - Some medical institutions treat the health certificate process as a profit-making venture, undermining the intended health safeguards [1]. Group 2: Regulatory Measures - There is a call for stricter enforcement and regulation of health certificate issuance, including the elimination of illegal intermediaries and the establishment of a standardized oversight system [1][2]. - The article emphasizes the need for technological solutions, such as anti-counterfeiting measures and a unified verification platform, to enhance the integrity of health certificates [2]. Group 3: Public Perception and Long-term Solutions - The normalization of fraudulent practices has led to a distorted perception among some individuals, who believe that obtaining a health certificate through improper means is acceptable [2]. - Long-term solutions must focus on changing public attitudes and habits regarding health certificate procurement, alongside immediate regulatory actions [2].

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].

Core Viewpoint - The investigation reveals significant violations in the health certificate issuance process for public service workers, highlighting a lack of adherence to regulations and the potential for fraudulent practices in obtaining health certificates [1][2][12]. Group 1: Health Certificate Issuance Process - In Nanning, the health certificate process was found to be lax, with essential checks like medical history inquiries and physical examinations being skipped, yet certificates were still issued [2][4]. - Similar issues were reported in hospitals in Shenyang and Zhengzhou, where critical checks such as internal examinations and X-ray chest scans were omitted, allowing for the rapid issuance of health certificates [6][10]. - The entire process of obtaining a health certificate was completed in as little as 54 minutes, with minimal testing conducted [10]. Group 2: Fraudulent Practices - Some labor intermediaries offer "substitute testing" services, allowing individuals to obtain health certificates without undergoing proper medical checks [12][14]. - The investigation uncovered that individuals could easily acquire fake health certificates online, with prices as low as 15 yuan, and these certificates could pass verification on food delivery platforms [15][17]. - Restaurant managers often do not verify the authenticity of health certificates, indicating a systemic issue in ensuring public health safety [19].