Recently, two news that concern with medicines and chemical reagents, your many common people mind tighten: Was June first the middle ten days of a month, the Zun of Mi of Qiu of armour of first selection medicine that treats Jia Kang disease piece, be troubled by in the whole nation rose " medical barren " ; Immediately, yin Qiao of some dimension C piece be contained to violate a ban by fish in Hong Kong composition, and according to media exposure, this medicine is probable it is false medicine.
Of afford for thought is, of two news " leading role " , all be retail price what control in 2 yuan is cheap medicine.
"In recent years, cheap of medicine win the bid price is fallen again. Arrive when petty gain when doing not have profit and even lose money in business, the destiny that awaits it is —— automatic stop production perhaps changes his appearance. " paying close attention to for a long time cheap the college of medicine of Xi'an traffic university of medical shortage problem Shi Bingyin of assistant dean of the first accessary hospital looks, two kinds of afore-mentioned medicine experience, just about in recent years a lot of cheap of medicine " collective destiny " .
Why cheap good medicine, become common people to look so that see to eat to be not worn however again and again " panda medicine " ?
Those years " disappear " cheap medicine
"Zun of armour Qiu Mi whole already town stops this drug of a few money medical number week, because stop medical recrudesce,outpatient service looks at countless patients everyday. Cure changes so much year, why to connect ' be short of cure little medicine ' did not solve? Why to connect ' be short of cure little medicine ' did not solve??
On June 16, xi'an on the west Beijing hospital is endocrine division advocate the sigh with regret that treats small gain of doctor Xing shadow to go up, again ignition public is right cheap medicine time and again " break archives " phenomenal attention.
Saying " small medicine treats a serious illness " , alleged and cheap medicaments, it is the common medicine that shows those safety, effective, commonly used and the value is inferior. In eye of Doctor Xing Ying, the Zun of armour Qiu Mi of homebred Xiaobai bottle piece the first selection that is remedial armour excessive is basic medicine, one bottle sells two-spot only much, curative effect a bit unlike 30 multivariate entrance medicine is poor. "Regrettablly is, our hospital from May the middle ten days of a month rises ' homebred Xiaobai bottle ' do not offer went up. Our hospital from May the middle ten days of a month rises ' homebred Xiaobai bottle ' do not offer went up..
Chinese youth signs up for a reporter to inquire discovery, inside countrywide limits, the Zun of armour Qiu Mi with much two-spot piece same " one medicine is begged hard " .
According to Zhengzhou city Wang Zhihong of division director doctor introduces endocrine of hospital of the first people: "This year after the Spring Festival, the Zun of armour Qiu Mi of a few yuan of money appears nervous, drug is stopped by April probably, henan pole little hospital has drug now, but can be restricted to buy, most hospital does not have medicine. " much ground waits in Nanjing, Hefei, Luoyang, Xiamen, Urumqi, all appeared this medicine " whole town is disappeared " report. Sick person ate to buy this old " help medicine " , appeal to go up at the net even " blackmarket " .
Publish a report according to media, guard estimation, at present our country has patient of more than 200 million thyroid diseases. And what make a person anxious more is, these year, by cheap medicine is become " panda medicine " medicine, increasing.
2011, many areas of countrywide appeared milt albumen is in short supply. This kind of one box price 10 multivariate medicine, ifree modern dining chairst is the general when heart disease operation uses necessary drug normally however, its " break archives " cause a lot of heart disease operation of body outer circulation is forced " backwater " , patient " the life hangs stitch " .
Milt albumen still is absent at that time the country is basic in medicaments catalog, but media early discovery, although a few cheap and basic medicine, escape hard also " break archives " destiny.
norton internet antivirus2011, one is opposite 12 cities of countrywide the sampling investigation of the clinical circumstance that use drug shows 42 hospitals, in basic level medical establishment, the basic medicines with country and supplementary place has 500 commonly a variety of, and the hospital is cheap medical breach already was as high as 342 kinds. Among them, the price of 212 kinds of medicine is in 30 yuan the following, price of 130 kinds of drug is in 10 yuan the following, in 10 yuan of the following shortage medicine, 5 yuan of the following medicines and chemical reagents were occupied 69% , 3 yuan occupy below 42% .
This year in March, the personage inside Tianjin course of study to media rough and computative, this city hospital is clinical use commonly used drug has 300 ～ 400 kinds, can solve 80% patients with medicine. Current, this city " disappear " 5 yuan the following and cheap medicine, what already took a variety of 300 commonly used drug is close 3 into.
"A lot of cheap medicine is the good drug that the canal uses, now however ' see inaccessibly ' . " Doctor Wang Zhihong to reporter sigh with regret, "Sometimes, but under, the doctor opens bade case to break up of times ' replace medicine ' , those who get is a variety of patient doubt to the doctor. And, some are cheap medical curative effect, expensive drug can be not replaced. Expensive drug can be not replaced..
Dimension C Yin Qiao piece, bolus of the merbromin, Qing Dynasty on 3 Huang Pian, the rhizome of Chinese goldthread... have netizen check, these are much criterion a few yuan of Qian Shaoze the medicine of money of a few wool, buy harder and harder in recent years. Xinhua News Agency returns check, road of head of such as dimension is connected piece, tooth week is effective piece, capsule of annulus third Sha Xing, inject uses licorice of acerbity calcium tablet of erythromycin, dextrose, compound piece etc a variety of cheap medicine, flat gradually " exit common people line of sight " .
Disease buys the eyedrop of money of a 5 wool artificially, run repeatedly the experience of 78 drugstore, often perform below this one setting.
Why cheap medicine more and more " the brim "
To cheap of Zun of armour Qiu Mi " break archives " , the answer that controller of much home pharmaceutical factory gives Chinese youth newspaper reporter is: Production marks a price in be being pressed again, enter not apply went out.
"The price of upriver raw material rises ceaselessly, in pressing, mark a price even cost ' dozen rough ' . To later raw material also was done not have, can stop production derogation. " win the bid above of class of Sthe most popular norton internet antivirushaanxi province county is public Zun of Mi of hospital armour Qiu piece pharmaceutical factory of Jiangsu Fang Jiang is finite liability company the Tang Dynasty manager, tell a reporter helplessly, this factory from last year 67 months already this plants stop production cheap " Xiaobai bottle " . When to produce again, not within the foreseeable future.
National provision medicines and chemical reagents supervises webpage of administrative twatch case manufacturerotal bureau to show, at present home shares 13 pharmaceutical factory to produce this kind of drug, share 4 pharmaceutical factory to produce its raw material. The Tang Dynasty manager introduction, understand according to him, "The pharmaceutical factory that the others wins the bid is major also stop production this kind of medicine. " pharmaceutical factory of 3 raw material all expresses clearly, already stop production raw material, the reason also is " gain is too small, do not make money " .
Why cheap " Xiaobai bottle " can you produce more, jump over be out of pocket? The Tang Dynasty the manager discloses, germ depends on them is with " exceed low " win the bid, cost rises a bit, become negative profit with respect to joint performance.
In August 2009, to solve " it is difficult to see a doctor, see a doctor expensive " problem, 9 ministries and commissions release the country " about building a nation the executive opinion of basic medicines system " , stipulate basic medicines is provincial center invite public bidding to purchase. Provincial people government needs to be inside the range that retail and directive price sets the nthe most popular north face shirtsation, the basic remedy that fashions our region according to invite public bidding is specific retail prices. Among them, the Anhui province initiates " double envelope " form of invite public bidding, in the whole nation promotion is spent taller.
Alleged " double envelope " , it is to show the enterprise wants to experience the double evaluation of economic technology mark and business affairs mark. Former and main pair of company scale of production, deserve to send the index such as rank of ability, industry and aptitude attestation to undertake evaluating, latter basically evaluates a price guideline. Pass economic technology mark to evaluate only, ability enters business affairs mark to evaluate, business affairs mark is evaluated by price lowest person win the bid.
Mode of this kind of invite public bidding, be regarded as to urge a company by the personage inside a few course of study " low competes " . Chairman of association of Chinese medicine business management represents to media at Ming Deceng, brass faucetdoorsill of economic technology mark is very low, hardly the enterprise that break the law can be entered, leave business affairs mark only actually, that is " spell the price " .
Change according to national hair appoint the webpage shows, make basic medicines coach the price wants to follow the following principle: Ensure the enterprise can be produced normally and manage basic medicines, safeguard market is supplied. "Cost of reasonable compensation company, normal gain. Normal gain..
But Jiang Hualiang of assistant director of institute of medicaments of Shanghai of committee member of countrywide the Chinese People's Political Consultative Conference, Chinese Academy of Sciences tells China the youth signs up for a reporter, in reality, market of race to control and government are eager to inspecting in druggist " fall medical price " for achievement in one's post this one double impulse falls, "Only low is talked " emerge in endlessly. As a result " it is the sword shows the action of disease of tall dense of medical price theory bids originally system, can appear every fall valence, the strange phenomenon —— that always can a batch of medicines and chemical reagents exit the market especially those are commonly used, effective cheap medicine.
Compare costly drug, cheap medicine is really " only low is talked " be the first to be affected person.
The part is cheap Zun of armour Qiu Mi piece " win the bid dead " , it is an example. The reporter inquires discovery, the Zun of armour Qiu Mi that finite liability company produces pharmaceutical factory of Jiangsu Fang Jiang piece 5mg × wins the bid 100 pieces valence only 1.45 yuan; The Zun of armour Qiu Mi that limited company of pharmacy of Shanghai Chinese and Western produces piece 5mg × wins the bid 100 pieces valence 1.63 yuan. The Zun of armour Qiu Mi that the others manufacturer produces piece in other province win the bid the price also very much the same, be 9 money " Chinese cabbage price " .
"Bid in Shaanxi and other places at the outset when, to open the market, the price is pressed very lowly. " the Tang Dynasty manager calm bear, and cheap medical itself great majority is common and basic medicine, belong to governmental price category, the space that gives the market is not large. "Cost another goes up, production marks a price in still be being pressed, be be out of pocket absolutely. Be be out of pocket absolutely..
Chengdu of Shao of prexy of druthe most popular selling norton internet antivirusggist of cure of international of university of family of drug of executive vice director of national medicaments policy and research center of medicalthe best selling north face shirts industry economy, China thinks, "Only low is talked " rear, when also each save invite public bidding beyond the mark pursuit " low achievement in one's post " element: "Hair change appoint to base medical price is made, had considered the cost of each respect, press profit lowlier. You look to save the news after invite public bidding each every time, it is to emphasize comparing base medical price is low still, have even under 60% much, this is apparently unreasonable. This is apparently unreasonable..
In addition, cost of break a contact is not high, also be aggravate cheap medicine " win the bid to disappear namely " a main factor.
The reporter understands, to not according to win the bid the druggist that the agreement supplies drug, the processing technique of medical inspect branch is mostly join its " blacklist " , deduct honor the agreement bail.
According to " Shaanxi province medicines and chemical reagents is purchased centrally " 3 unified " working responsibility investigates method " the 10th, "Do not offer money by conventional time limit, place, price, givthe best selling watch casese warning, and deadline is rectified and reform 10 days. Unconverted of exceed the time limit, cancel to violate compasses enterprise to win the bid qualification, deduct honor the agreement bail, prohibit this enterprise enters medicines and chemical reagents to be purchased centrally inside two years ' 3 unified ' the market.
Occupy additionally " medicines and chemical reagents of medical establishment of Shaanxi province basic level is unified purchase a contract " , zun of armour Qiu Mi kind of medicines and chemical reagents honor the agreement bail is 10 thousand yuan only. The Zun of armour Qiu Mi that although pharmaceutical factory does not press a regulation to produce a contract,sets, its deduct honor the agreement bail also does not cross 10 thousand yuan.
A few suffer the pharmaceutical factory that visit to sign up for reporter calm to Chinese youth bear, because stop production is cheap Zun of armour Qiu Mi piece, they already went up to should be saved " blacklist " . But " fulfill contract compensate to get more " , but under, only first stop production maintains an order.
The government can be tarry cheap what does medicine do
Cheap medicine evolves for " panda medicine " harm, self-evident.
Except " one medicine is begged hard " wait outside feel terribly worried, believe many common people are not new to this setting: What need obviously is the pill of a few yuan of money, change only however in hospital or drug-store the capsule that pack, class status is similar, the price can differ however 10 times above. Jiang Hualiang tells a reporter, in " only low is talked " below, partial pharmaceutical factory chooses in order to change the form of a drug, increase composition to come " covert raise price " , this is helpless alleviate at materiality ground " see a doctor it is expensive, difficult to see a doctor " .
In addition, the personage inside course of study is analysed, the Yin Qiao of sham dimension C that was exposed to the sun to go out by Hong Kong recently piece, probable also with cheap medical corner is concerned.
"If cheap medical price is too low, can bring about pharmaceutical factory to reduce manufacturing level, even raw material with pretend to be true. " 2011, media ever the news that exposure board La Genyuan expects You Ping peel is replaced, early the personage inside course of study is analysed to media, dimension C Yin Qiao piece pharmacopoeia makes a way is the 13 gout drug that includes honeysuckle inside makes 1000, come with all commodity price of all sorts of today's raw material estimation, raw material cost about every 4 ～ 5 minutes of money, this still does not calculate cost of artificial, equipment, tax to wait.
And in reality, the price of invite public bidding of city of a few provinces goes to 1.03 yuan 0.48 yuan 12, 1.1 yuan 18 go to 2 yuan. "If strict the regulation according to pharmacopoeia, anyhow production does not come out this kind of medicine of the price. Anyhow production does not come out this kind of medicine of the price..
"Country must to to commissariat same, ensure the production of cheap, necessary medicines. A few righter really gain is meager even ' be out of pocket ' , should give when necessary finance allowance. " Doctor Shi Bingyin expresses to reporter of Chinese youth newspaper.
The reporter inquires discovery, to solve a few cheap medical cost and price " hang " problem, partial province city already united a price to wait in exploration remedy plan.
For instance, bureau of Jiangsu province prices came on stage 2012 " Jiangsu province is cheap medicines and chemical reagents chooses way " , the first batch " Jiangsu province is cheap catalog of medicines and chemical reagents " announce to the society. This year on April 16, bureau of Jiangsu province prices announced 10 cheap the uniform sale price of medicines and chemical reagents, unite a price at rising on May 10, still will announce 40 kinds again next cheap drug price. Core purpose is passed namely " raise price appropriately " , assure to produce the initiative of the enterprise, perfect and standing cheap lasting effect of medicine supplies a mechanism.
But this action also accompanies dispute. The viewpoint thinks, uniform price is pair of medicines and chemical reagents " only low is talked " act of a kind of correct an error, also the persnorth face shirtsonage inside course of study thinks over, drug price itself is market action, the government intervenes through administrative measure medical price itself cannot be taken.
"Although country ' limitative drug price ' , the key also should be put on costly medicine, what price of and rather than controls in a few yuan is cheap on medicine. " Jiang Hualiang says.
Suffer the pharmacy company that seek to think, the government wants tarry one part is cheap medicine, with respect to this " give the market those who attribute the market " . "For instance, necessary to a batch of low medicine takes the kind of the production that decide a dot, provide a reasonable profit space. " Sichuan closes litre achieve exhibit medicine Yan Xi of president of finite liability company says.
In addition, in respect of invite public bidding, the expert thinks " high price does not pledge again " means of invite public bidding also should be changed, regard the first standard of invite public bidding as quality of medicines and chemical reagents. Current domain and the reform act that consume a domain include: Utmost ground compresses medicines and chemical reagents current link, increase the compensation mechanism of pair of public hospitals, cancel " raise cure with medicine " , for cheap specific is used open green channel.
Committee member of countrywide the Chinese People's Political Consultative Conference, the Fuzhou Cityfree watch case Lin Shaobin of assistant dean of the 2nd hospital suggests, the country should build cheap the reserve system of specific.
"To a few clinical and indispensible cheap medicines and chemical reagents of specially good effect, the proposal appoints pharmaceutical factory production by the government, the policy with manufacturer gives proper in the respect such as taxation, capital tilts and finance allowance, guarantee reasonable profit, arouse manufacturing enthusiasm, assure cheap the stability of medicines and chemical reagents of specially good effect is supplied.
"To cost and price convert classical and cheap medicine is executed ' commonweal sex is produced ' , let medical look forward to already not production of be out of pocket, can make sure common people can use the drug of cheap of qualitative actor price again. " 2012, tianjin city National People's Congress is paying close attention to on behalf of Liu Zhi cheap medicine " shortage " in the draft resolution of the problem, already wrote so.
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