My traditional Chinese medicines price exists timidly and high and timidly and low at the same time Supervise and do one's best into to push hands in backstage

My traditional Chinese medicines price exists timidly and high and timidly and low at the same time Supervise and do one's best into to push hands in backstage
My traditional Chinese medicines price exists timidly and high and timidly and low at the same time Supervise and do one's best into to push hands in backstage
"Survive in the depression every day. " March " Two Conferences " The drugmaker representative and committee member medicines are bade and purchased, the feeling of the resentfulness of deputy to the National People's Congress, Li ZhenJiang, Chairman of medicine company of martial prowess ^s, several was not two and cause with the previous year. In all province medicines bid course " Only the low price is fetched " ,Cause enterprise's malignant competition, " the big enterprise dares not go one step beyond the prescribed limit at all, it is the small enterprise that wins a bid with below cost price. " ZhenJiang Li say the intersection of he and " the pressure very much loud " . Have members of the CPPCC National Committee of improving etc. of YaoZhi, Li DaPeng, mirror people and Chairman of medicine company of Cologne, Sichuan Xu Liu Sun to the deputy to the National People's Congress of this resentfulness. Li DaPeng says: "It makes medicines to be careful as cooking ' flour ', is very much straining. " Review the medical circle, though " it is expensive to see the doctor " in the public opinion these years Origin point to " Raise the mechanism of medicine with medicine " ,But the medical circle seems unusually hurt and wronged, and feel aggrieved. In fact, a plurality of links related to medicines have all found the illegal activities of prices. " the price will supervise the statistical analysis of inspection in 2010 " that national development and reform committee Price Supervision and Inspection Department releases on February 23 will reveal, in the illegal case of price investigated and prosecuted in 2010, the illegal case of the medical price ranks first, account for than over thirty percent. Then, who is that the medicine price twist pushing hands of back on earth? It is a producer, intermediate link, " raise medicine with medicine " On March 15, 6 departments such as national development and reform committee, Ministry of Supervision jointly release " about the notice which launches service price thorough examination of the national medical and health ". The thorough examination to that the medicine price is true, will touch the numerous and complicated and complicated interests entanglement of back thoroughly. The interests to medicines are divided into, a proportion that have spread wide: According to taking the proportion of the wholesale price, the producer price of general medicines accounts for 20%, the state revenues account for 13%, the intersection of delivery and fee to affiliated to pharmaceuticals account for 5%- 8%, profit, distributor of acting, account for 10%- 20%, medicine, account for 10%- 20%, hospital, postpone, raise the price 15% on behalf of profit. Some medias attempt to understand the source that medicines interests are entangled with according to the above-mentioned proportion, later on but is criticized for in order to understand superficially and biasedly by numerous enterprise representatives and scholars. The medical business administration association of China will longer than the pleasant virtue and say in " looking at the eastern weekly magazine ": "The manufacturing enterprise feels wronged. In 2010, including only 10.5% of tax profit of domestic pharmacy enterprises, and the transnational pharmacy enterprise's interest after-tax profit is in 25%- 30%. " In view of chain of this interests, it is not generous that the medicines manufacturing enterprise benefits. Some views sum up the empty and high origin of the medicine price as " Too many intermediate links " . But around 2006, begin to call on entering " era of the meagre profit " urgently as the medical merchandising concern of the main intermediate link ,The average rate of profit of the trade is fewer than 1%, there are not sudden huge profits in this fully market-based field. So far, the reporter still can hear the interrogation that is familiar with at some seminars: "Let the supervision department compress the intermediate link to have a try simply, who looking injures finally? " Then, where on earth is the empty high crux that twists of medicine price? " the medicine price is empty and high " Spearhead vary slightly constantly,but have one piece spearhead change all the time - -" raise medicine with medicine " Mechanism. Roughly logic is: Because doctors and patients' information asymmetry of both sides, patient and doctor have formed the relation between subject and agent, because the profit-making space is large after the medicine addition of the high price, stimulate the preference to high price medicine of medical organization, glad to cater to too that medicines produce and manage enterprises, then medicines of the higher price sell well in the hospital. Medical procurement and sell two-way monopoly that have, make to use medicine the intersection of behavior and about the intersection of medicines and development of market medical organization. The spearhead has pointed to too " Medical worker who takes commission " . Someone explodes and expects the doctor's commission accounts for 20%- 40% of the retail price. The doctor that the media has exposed has taken the commission case and made people shocked again and again for many years. " raise medicine with medicine " Can just see " The chief culprit " According to the commonly used statement in the industry, the medical organization has monopolized medicines and sold about 80% of markets. At least 45% of the incomes come from and sell medicines on average in the large hospital in the city, this proportion of the community and rural medical organization at the basic level is higher. Member of the CPPCC National Committee phoenix Liu investigate 125 health clinics in towns and townships in the whole country in 2009, find " the medicines income accounts for 70% to 80% of the whole commune hospital income " . Then, should it be in order to advance the reform of compensation mechanism of public hospital as the main impetus that is it empty and high to reduce the medicine price? National development and reform committee Pricing Department medical Song Da, division chief of office just says to " looks at the eastern weekly magazine ": "It is an ordinary price question that the medicine price question is not simple, the concentrated reflection that various contradictions in the system mechanism. Obey if system mechanism,at present deposit medicine price in problem naturally can solve. If can't solve the problem of raising medicine with medicine, the patient will rise to spend through the way of others with the expenses for medicine. " Some representatives and committee members of national two Conferences think like this too. During the two Conferences, have " the intersection of N and time reduce the intersection of medicine and price, not so good as, break up the family by first medicine " such as this year View appear. Then, the public responds with the expectation to the public hospital reform policy issued each time, shout and jump for joy. The medical organization keeps different opinions all the time: Do we dare to use medicine price is too low? The price was not booked by hospital. In addition, medical procurement is government's leading factor, the medicines addition 15% is policies and regulations, the appropriation that the government gives to the hospital only accounts for 7% of annual expenses of hospital. It is very difficult to hear from medical organization administrator's speech " Raise medicine with medicine " ,The statement that they approve at most is " Mend medicine with medicine " . Who is the medicine price to send on earth " Empty " Push hands in the real backstage? The intersection of chink and someone that supervise point to spearhead government control too, because some department supervision do one's best not merely, interdepartmental at the same time to exist and supervise " The chink " . These are supervised " The chink " Do one's best with supervising, and the mechanism is not complete, circle round in the space for many kinds of enterprises, " assume a hostile attitude medicine " , " privileged medicine " Appearing constantly. For example, according to our country's present medicines pricing mechanism, besides considering entreprise cost and profit, the ones that still exist to different fields assert, these assert that derive medicine of patent out, grind medicines originally, model medicines, first imitative medicine these and assert that come from different departments of the government, but will tie to price. In the dispute about the medical reform, it is one of the focuses that the medicine price has been controlled all the time. Should the medicine price listen to government on earth, or listen to market? Does the government make a reduction and use on earth? It is a lot of for people Israel for U.S.A. control being loosely about medicine price according to,but point out whether restrain medicine price from twisting tight mechanism comparatively too after every oning in U.S.A. for expert, for example pay the medical insurance Restraint of the fee. Song Da just says to the reporter, " it is a measure that governments of various countries generally take to implement essential supervision to the medicine price, also a long-term system engineering. Will also adjust the medicine price in the government issused price range by stages and in groups according to the set work program in the future. " At home, do not lack the medical price of government control of support to control the example of the medical expenditure, but business circles and most business peoples object to intervening: Control medical price rise not to equate with controlling the medical expenditure to rise, only if control the price of medicines or function that the other medical service costs rising may offset the policy and intervene. Control asking the research conclusion of most economists does not maintain either the government intervene the medicine price of the result. For example, hygiene economy and management dean Liu GuoEn of Peking University Guanghua School of Management,et al., a research conclusion in 2008, thinks: The government interference policy has really reduced prices, but doctors will use the structure to deal with the price control through adjusting medicines, influence of weakening the policy and intervening greatly. Assistant professor of Tsing-Hua University Economic Management Wu Bin valued highly and waited for someone, once carried on the quantitative assessment to the result of the policy on a price reduction of government medicines of 1997 - 2008, also think " The medicines intervening measure of the government has not well realized the original intention that the policy implements " ,Have " brought including stimulating and importing new behavioral distortion such as high price medicine " instead . Wu BinZhen says to " looks at the eastern weekly magazine ": "Studies have suggested the intersection of government and direct on a price reduction policy only small size control medicine price in not less than 5 monthsing; The impact on consumers' medical expenditure of policy on a price reduction is very limited, medicines retail price index and the largest single moon of consumer price index of the medical articles have 0.46 and 0.27 percentage points only to reduce the range. " But Wu value highly, incline, go on controlling to medicine price at present by government while being refined " Certain stage should carry on the structure to the medicine price in the government at least " . At present, it is that the macro adjustments and controls is combined with market regulation that our government manages the total principle to the medicine price. Medicines of government issused price though less general consumption of the number is great. The official data reveal, it accounts for about 22% to implement government issused price and medicines of government guided price.


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