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'Who Will Help Me?' Shanghai Woman's Coma Brings Solo Living Risks Into Focus

by Guo Jiayi
November 16, 2025
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A 46-year-old single woman in Shanghai who fell into a coma and struggled to receive medical consent due to having no immediate family has sparked widespread discussion on social media, reported Xinmin Evening News yesterday.

The woman, surnamed Jiang, lives alone with no immediate family. She began feeling dizzy and unable to move on October 14.

Her colleagues went to check on her at home and rushed her to the hospital, where doctors found she had suffered a brain hemorrhage and needed emergency surgery.

'Who Will Help Me?' Shanghai Woman's Coma Brings Solo Living Risks Into Focus

With no parents, spouse or children, Jiang turned to a distant relative, Wu, someone she usually only saw once a year at family gatherings.

Wu agreed to sign the consent forms and, together with Jiang's employer, helped pay an initial 30,000 yuan (US$4,100) in medical fees.

But her condition later worsened, and she was moved to intensive care and placed on a ventilator.

By November 11, her medical bill had climbed past 210,000 yuan and was growing by 5,000–10,000 yuan each day. Wu said he simply couldn't keep covering the cost.

Lawyers told him that as a distant relative with no legal guardianship or inheritance rights, he cannot access Jiang's assets to pay her bills.

Her neighborhood committee said it is willing to take on guardianship, but it must first go through a court process to have her declared legally incapable — a requirement before they can step in.

Officials also attempted to apply for Jiang's critical illness insurance payouts to cover immediate expenses, but insurers rejected the request, saying they don't have the legal authority to sign on her behalf.

Legal experts say the case highlights a growing dilemma as China's population ages and more people remain single, according to the report.

They encourage unmarried adults without close relatives to set up voluntary guardianship arrangements in advance.

Jiang is now out of danger after intensive treatment, according to the report. But questions about her long-term care remain unresolved.

Online, the story has hit a nerve. People like Jiang will only become more common. Neighborhood committees can't handle everything, one commenter wrote.

Another said that he hopes the law catches up.

#Shanghai
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