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In China, jobseekers with chronic illness start to stand up against discrimination

  • Health standard that excludes many from public service is now default in other industries, leaving otherwise qualified applicants despondent

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Illustration: Henry Wong
Xinlu Liangin Beijing
Amid China’s economic struggles, joblessness is a major headache for Beijing. In this eight-part series, we examine the range of unemployment issues facing the world’s second-largest economy, from young people to “the curse of 35”, as well as gig workers and political implications. Read the previous story here.
In June 2023, when Liang Lunuan passed both the written and oral tests with the top score at China’s Xiamen Hospital of traditional Chinese medicine, the 27-year-old thought she would land her dream job as a TCM doctor in the facility’s cancer department.
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But her hopes evaporated after she was stuck at the final hurdle: her pre-employment physical examination flagged Hashimoto’s thyroiditis (HT), a chronic autoimmune disease.

Her condition is not disabling and does not warrant special intervention but the hospital deemed Liang unfit for the job because she did not meet required health standards for public servants.

“It was really shocking and I couldn’t understand why it was a barrier,” Liang said. “As a doctor who has spent nearly 10 years in undergraduate and graduate studies, I found out that I was rejected from the medical profession due to a disease that does not affect my work and daily life. This is a devastating blow. I feel that I am being deprived of my right to survive and make a living.”

01:12

Record 2.1 million Chinese sit civil service exam as economy slows, youth jobless rate climbs

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Liang is far from alone. Amid a bleak outlook and intense competition in China’s job market, many jobseekers have been turned down, not because of ability or performance, but after physical exams exposed chronic conditions – such as HT, polycystic kidney disease and high blood pressure, according to numerous posts shared on multiple social media platforms, and court documents obtained by the South China Morning Post.

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