All Hongkongers holding identity cards or aged under 11 are eligible to use the city’s public hospitals, health chief Lo Chung-mau has said as lawmakers raised concern that Hongkongers based overseas were returning to the city for medical treatment.

“If a person holds a Hong Kong identity card but is barred from public hospitals, this would cause serious issues. We need to approach this matter more cautiously,” Lo said in Cantonese at the legislature on Wednesday, adding that it was difficult to define what counted as “moving abroad.”

The overloaded public hospitals suffered from a shortage of doctors and nurses. File photo: Kyle Lam/HKFP.
The overloaded public hospitals suffered from a shortage of doctors and nurses. File photo: Kyle Lam/HKFP.

Pro-establishment legislator Priscilla Leung had asked if the government complied data on how many overseas Hongkongers visited public hospitals, and whether the limited manpower could cope with them.

Leung said there were reports that many Hong Kong residents who had emigrated returned to the city for medical treatment, including those suffering potentially catastrophic illnesses such as cancer.

Dennis Lam, an ophthalmologist, asked if the government would consider amending its policies concerning the eligibility of overseas Hongkongers for public hospital services.

Hong Kong International Airport travel immigration emigration
People wave goodbye at the departures hall of Hong Kong International Airport in June 2021. File photo: Candice Chau/HKFP.

In response, the health chief said there was no requirement for public hospital users to be ordinarily resident in Hong Kong, and the government had not compiled any data about patients’ residency.

Hong Kong allows its residents who have obtained foreign citizenship to remain Chinese citizens, which means they can keep their Hong Kong identity cards and passports.

Sing Tao reported earlier this year on overseas Hongkongers seeking medical treatment in public hospitals, including some who moved abroad many years ago.

Secretary for Health Lo Chung-mau. File photo: Kyle Lam/HKFP.
Secretary for Health Lo Chung-mau. File photo: Kyle Lam/HKFP.

While some lawmakers questioned whether Hong Kong should provide welfare for those who emigrated several years ago, other lawmakers urged care in defining “moving abroad” since people now had high mobility, according to the report.

Tackling manpower shortage

Hong Kong’s medical manpower shortage surged in 2020 as large numbers of people began to leave the city. In 2021-22, the attrition rate of doctors in public hospitals was 8.1 per cent.

Medics public hospital
Medics working at a public hospital. Photo: Kyle Lam/ HKFP.

Lo said on Wednesday the government had introduced various measures to retain existing staff and attract more, including enhancing the recruitment of local graduates, re-hiring retired staff, and recruiting non-locally trained doctors and part-time staff.

He said that with these new measures, the attrition rate of doctors in public hospitals had dropped to 5.3 per cent in 2023-24, with the number of doctors increasing by 260.

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Irene Chan is a reporter at Hong Kong Free Press and has an interest in covering political and social change. She previously worked at Initium Media as chief editor for Hong Kong news and was a community organiser at the Society for Community Organisation serving the underprivileged. She has a bachelor’s degree in Journalism from Fudan University and a master’s degree in social work from the Chinese University of Hong Kong.

Irene is the recipient of two Society of Publishers in Asia (SOPA) awards and three honourable mentions for her investigative, feature and video reporting. She also received a Human Rights Press Award for multimedia reporting and an honourable mention for feature writing.