The hottest insiders cracked the falsely high drug

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Insiders crack the falsely high drug prices: pharmaceutical companies change packaging and increase prices indiscriminately

falsely high pricing is the source. It is reported that a cold medicine injection with penicillin as the core ingredient costs only 60 cents. After adding a little irrelevant ingredient, the price can soar to 150 yuan a bottle; The norfloxacin component of a few yuan remains unchanged, and it becomes a new drug with more than 100 yuan in a box. Che Jinmin, vice president of Kunming Panlong District People's Hospital, said, "many patients don't understand and think that the pricing power is in the hospital. In fact, we can only increase the price by 10% on the approved national price at most." The relevant person in charge of the Provincial Department of Health said, "Yunnan has made great efforts in controlling drug prices. It has cut prices for 16 times, and the drug pricing mechanism itself is not perfect. A drug needs several levels of wholesalers and medical representatives. In European and American countries, if you cut it here, he will change a way to rise there, and the symptoms will not be cured." According to the relevant person in charge of Kunming Health Bureau, there are tens of thousands of drugs in China, 131 of which are priced by the state, and only 100 of which are priced by Yunnan Province, so the prices of many drugs cannot be verified at all. When the provincial development and reform commission pricing drugs, it is impossible to review the cost of each drug item by item, and the gap between the actual cost and the quotation is inevitable. In addition, the "management fee" in the sales link is also an important reason for the rapid rise in drug prices. Seeing a doctor is expensive because of the high cost of medicine. This is a national problem that can not be solved by the health department alone. Although the price of medicine is not set by the hospital, it is an indisputable fact that the false high price of medicine is also closely related to the doctor's "pen economy". Many hospitals take advantage of patients' anxiety to seek medical treatment and prescribe drugs to your hospital. Before prescribing drugs, doctors often ask, "at public expense or at their own expense?" If it is public medical treatment, you can safely prescribe all kinds of expensive drugs. The absence of supervision and compensation mechanism policies is the reason for the phenomenon of "supporting doctors with drugs" in Yunnan Province. In 2004, Yunnan Province approved 4584 non-profit medical institutions (including 443 organized by the government), accounting for 44.6% of the medical structure of the province. A person in charge of the Provincial Department of health, who declined to be named, said, "even with this 44.6%, we can't effectively supervise them. For-profit medical institutions are managed by the departments of industry and commerce, taxation and so on. Non profit medical institutions are managed by the health department, but we can't find the corresponding supporting policies to restrict them." In addition, Yunnan Province has a reasonable financial nylon 6 for the health sector, which has good elasticity, high impact strength and large water absorption; Nylon 66 has better properties than nylon 6, high strength and good wear resistance; Nylon 610 is similar to nylon 66, but it has small water absorption and low stiffness; Nylon 1010 is translucent, has small water absorption and good cold resistance, and the political compensation mechanism is not mature. Several provincial hospitals receive medical financial compensation of 60% - 90%, while some county-level hospitals can only receive 10% compensation from the local government. In addition, Yunnan Province only accounts for more than 1900 of the more than 3900 medical charges approved by the state, resulting in repeated prohibitions such as "supporting doctors with drugs" and "arbitrary charges" by medical institutions. "Department contracting is the most harmful," the person in charge said. "Once linked to economic accounting, the diagnosis and treatment process is not easy to control. Who doesn't want to pursue interests? The international influence of China's plastic machinery industry continues to increase?" The separation of medicine and medicine is the goal. Yunnan Province has never stopped its efforts to reduce drug prices: as of the beginning of this year, more than 70% of the medical institutions in the province have participated in the centralized bidding procurement of drugs, 100% of the 11 medical institutions at the provincial level have participated in the centralized bidding procurement, and the variety coverage rate has reached more than 90%, and the variety coverage rate of drugs that all States and cities have participated in the centralized bidding procurement has reached more than 50%, In March this year, drug prices in rural areas of the province fell by 20%; From September 1, non-profit medical institutions will reduce drug prices by another 5%. The relevant person in charge of the Provincial Department of health analyzed that the medical reform involves a problem of redistribution of interests, which is a long-term and difficult process for many interest groups. This can not be solved by reducing the price of drugs for several times, but at least it can alleviate the "high cost of seeing a doctor" and make people have some confidence in the government. The goal of Yunnan Province is to reduce the proportion of drug revenue in medical institutions and gradually separate hospital pharmacies from hospitals. "Seeing a doctor in a hospital and selling drugs in a drugstore" may be the most reasonable approach. (end) (Zhou Xin)

source: Chuncheng Evening News

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