People's Daily: " commission list " Have encouraged something

People's Daily: " commission list " Have encouraged something
While attacking commission of medicines firmly, the government department should also pay attention to solving the doctor's " sunshine treatment " The question is recent, a net friend finds a " commission list " accidentally ,Scandal of first hospital and some doctors in Ningbo that exposed. Record according to the list, it is antibiotic at 32.3 yuan that the doctor prescribes a price each time, can get the commission of 6.5 yuan, 20% of the unit price of only medicines. Before this, the media has just exposed one bottle of two refined institutes in Hunan Hunan " asparagus slice " Profit rate up to 1300%. Two pieces of news are confirmed each other, cause the high concern about the medicine price question of the society. Then, behind high price medicine, what kind of interests chain is hidden on earth? With " asparagus slice " It is the example, the producer price of the manufacturing enterprise is 15.5 yuan, after first class medical wholesaling firm buys, sell in batches to second company at 30- 40 yuan. Subsequently, second company hang network sell at 185.22 yuan, hospital suitable to add by 15% purchase, the price sold to the patient is 213 yuan. Therefore, the largest profit space is produced to this link of the hospital in the wholesaling firm. And dissect this link and exactly reveal the secret key to high price medicine. According to personage in the know, in this part of profits, the doctor's commission is 80 yuan, in addition, medicines are in hospital needed " The public relations " Expenses, there are not many medical after-tax profits of wholesaling firm. In this case, the medicine price is empty and high, the origin lies in " ashy cost " It is too high. That is to say, " sneak the rule " Expedite the emergence of high price medicine. At present, of our country public hospital have comparative advantage at the intersection of resource and total amount, and prescribed medicine sell and concentrate the hospital on mainly. So, the hospital becomes " main battle field " where a pharmacist try to win the champion . Because the pharmacy trade of our country models medicines as the main fact with the low end, the variety is duplicated seriously, the monopoly position of the hospital is more prominent. According to the economic law of general market, the more similar medicines are, the fiercer the competition is, the lower the price is. However, medicines are a kind of special goods, can only consume under the guidance of doctor, can't be chosen independently by the patient. So, medicines are sold and stored in " the market does not work " The phenomenon, the doctor's prescription is deciding the destiny of medicines. Then, in order to arouse doctor's enthusiasm, the medicine enterprise competitively adopts " take gold to be sold " Tactics. And this pen is enormous " Ashy expenditure " ,Can only imply in the medicine price. Generally speaking, the higher medicines price, the larger commission is, it is the more well to sell. So, a lot of medical enterprises, often through falsifying the cost, get the government and price high, thus" Black case work " Reserve enough spaces. According to investigation, of our country a lot of country of medicines instruct price whether are well-above the actual cost. So-called " sudden huge profits medicine " ,In fact the legal coat is being wrapped. In recent years, successively 20 lowered the medicine price many times in the country, but " the thunder was loud, the raindrop was small " generally . Reason lie in once medicines make a reduction, space of commission no, all interests relevant side loses enthusiasm, the nature of medicines " Reduction dies " . It is obvious, do not break " sneak the rule " ,It is difficult to manage high price medicine. In fact, the doctor colludes with pharmacist and conspires, is a global general question. Not long ago, U.S.A. issued " the doctor sunshine was paid the law ". According to the law, medical enterprises will need to report all will be granted and paid to doctor and presents, cash numbers of the hospital in the future. Every company must announce information on websites, and report to to the government department. From 2013, the government will release the relevant data for the first time. If the trade company does not report the information voluntarily, will face the 100,000 dollars highest penalty. In our country, do not have a special law regarding bribing and doctor accepted bribes in the medicine firm yet so far. For a long time, the doctor utilizes prescription right to write a prescription and deduct a percentage, it is the open secret. Because the legal demarcation line is fuzzy, few doctors are sentenced because of getting commissions, have encouraged the wind of the commission of medicines objectively. So, if you want to break " sneak the rule " completely ,Must break through on the legislation to some extent, restrain doctor's behavior with clear legal system. Certainly, any reform is not all isolated. While attacking commission of medicines firmly, the government department should also pay attention to solving the doctor's " sunshine treatment " Question. Only respect the doctor's technological value of labor service, make it obtain higher labour remuneration through legal means, practise medicine to just probably generally realize cleanly. Otherwise, " sneak the rule " Ghost also can at any time " Hide " .

|