From producer to the hospital the medicine price booms by 20 times

From producer to the hospital, the medicine price booms by 20 times
Retail price these, in 10 medicines of the above, producer price its how much does it might have only. Except that the middle profit of mould plain phosphoric acid ester of Klim is up to 2000%, other medicines profits exceed 1000% too. Picture CCTV cuts and rejects this edition according to CCTV's Weekly Quality Report in recent years, the medicine price question is concerned by everybody very much, in order to reduce the medicine price, lighten the administration of ordinary people to bear, the relevant government department has taken a series of measure, one of these is a bid system of the medicines, stipulate medicines that all public hospitals use must be bade and purchased in unison by provincial health authorities, then, in some places, the medicines bid system has fallen to the real place, has reached the anticipated result, has the medicine price got effective control? Mr. Zhang in Beijing has reflected something strange that he meets, one named parenteral solution of mould plain phosphoric acid ester of Klim medicines he take price difference very much with a wide gap in Beijing and hospital of Shandong, then the situation that Mr. Zhang reflects is true, will such daily medicines exist the price problem? Medicine 4 times of Mr. Zhang in Beijing of price differential of the same kind of two places in Beijing Shandong suffer from chronic bronchitis. In February of this year, Mr. Zhang goes to Jinan of Shandong to go on business, chronic bronchitis broke out suddenly, then he goes for treatment of a nearby clinic, the medicine that doctors of the clinic prescribed for him is parenteral solution of mould plain phosphoric acid ester of Klim, but price Mr. Zhang that reads on the form of expenses for medicine is shocked: "Only 10 yuan. In about 40 yuan of Beijing! Is difference so great? " Mr. Zhang tells reporters, each chronic bronchitis breaks out when being in Beijing, he will go to the grand good fortune hospital, what he prescribed is likewise parenteral solution of mould plain phosphoric acid ester of Klim that the doctor gives, and the expenses of each infusion are probably about 40 yuan, but is less than 10 yuan once of infusion of this clinic in Jinan. According to the introduction of Mr. Zhang, the hospital of Beijing and clinic of Shandong give parenteral solution of mould plain phosphoric acid ester of Klim which he prescribed, packaging is all the same, the manufacturers all resist the time happy Pharmaceutcal Co., Ltd. in Shandong of Shandong too, so far as even the product specification is the same, are all 2 ml: 0.3 grams. Mould plain phosphoric acid ester of Klim is a daily antiinflammatory agent, apply the treatment of disease of infecting with etc. to tonsillitis, urgent chronic bronchitis, pneumonia and urinary system on clinic extensively. Mr. Zhang should use parenteral solution of mould plain phosphoric acid ester of three Klim while losing liquid once, each price of grand good fortune hospital is 12.65 yuan in Beijing, that is to say each infusion will cost about 40 yuan soon. This clinic in Shandong, it is less than 10 yuan to lose liquid once, expenses are only equivalent to 1/4 of the grand good fortune hospital of Beijing. In order to clarify the secret behind the price difference of parenteral solution of mould plain phosphoric acid ester of this kind of Klim, the reporter has gone to Shandong to launch the investigation. The reporter gives to this clinic where Mr. Zhang wrote a prescription at first, the doctor here introduces, every box of parenteral solution of mould plain phosphoric acid ester of Klim has No. 6 Branch, though their price here is not high, but must not be false medicine. "The thing dare, sell not false, don't mention injection, tablet no one dare, sell for not false. " The staff members of the clinic assure reporter constantly, the parenteral solution of mould plain phosphoric acid ester of Klim that they sold for herein must not be false medicine, all the goods stocked from the regular channel. He still tells reporters, the price of their place is not high, the main reason is that the price stocking up from the medical wholesaling firm is lower. The reporter is loaded, the price of the medical wholesaling firm of the parenteral solution of mould plain phosphoric acid ester of Klim that box No. 6 Branch is loaded, with is about 3.85 yuans, and the medical wholesaling firm is from the producer price which the pharmaceutical factory purchased, each one is only about 0.6 yuan. Producer price and winning a bid of 18 times of reporters of price differential to come to the grand good fortune hospital of Beijing subsequently. Ful production of medicine company of timees of reporters of price differential to come to the grand good fortune hospital of Beijing subsequently, each price is 12.65 yuan. Staff members claim, they do not all price by oneself, prices of medicines all call for bid according to the unity of Beijing the price was carried out. "We more than 12 yuan are that Beijing win a bid of the price, price only this that the whole Beijing calls for bid. Authorize for dispatch ' Win a bid) Price, retail price, these two prices, have been fixed very much, does not allow you to move. High and not all right, low and not all right, your price of only this is sold. " It is reported, in order to prevent medicines from pricing empty and high, our country pursues medicines and concentrates on calling for bid in an all-round way since 2001, must purchase the price competition while stipulating medicines that all public medical organizations use, the price is authorize and announce by the local provincial medicines centralized purchasing management office. This authorizes the price announced and is called winning a bid of the price, and it is that the hospital purchases the ceiling price of medicines to win a bid of the price. In addition, in order to ensure the reasonable profits of the hospital, maintain the normal running of the hospital, according to the medical price policies and regulations of our country at present, what the hospital implemented is medicines addition policy, that is to say the hospital can raise the price to every medicine that is purchased on the basis of bid 15% are sold to a patient. The staff members of the grand good fortune hospital of Beijing tell reporters, their medicine price of the hospital was made according to every current rules and regulations of Beijing, accord with the fixed one. According to grand good fortune hospital staff members' statement, it is 11 yuan for each one that each specification wins a bid of the price in Beijing for parenteral solution of mould plain phosphoric acid ester of Klim of 2 ml for 0.3 grams, suitable after adding 15%, but 12.65 yuan for each one of retail price which the hospital carries out at present. The reporter thereafter wins a bid of the price to inquire in Beijing to parenteral solution of mould plain phosphoric acid ester of Klim, found finally it was really 11 yuan for each one that this kind of medicines won a bid of the price. But the situation of finding out about Jinan before this according to the reporter, this kind of medicines producer price is only about 0.6 yuans, that is to say, it is 18 times that of producer price that this kind of medicines wins a bid of the price in Beijing, from producer price to terminal price of the hospital, the middle profit is up to more than 2000% especially. Medicine exceed, 50% become various commission then in the price, the Klim mould plain phosphoric acid ester parenteral solution each piece high to it wins a bid of prices to be how make, come out on earth while being up to 11 yuan? How assigned is the middle profit of over 2000% for every link? Reporter's telephone interview responsible for Beijing medicines in the official organization calling for bids - -Beijing medicines centralized shopping center. Beijing medicines concentrate the staff members in the shopping center on telling reporters, it is all according to the quotation which the medicines manufacturing enterprise offered first that Beijing medicines win a bid of prices, called for bid by Beijing finally and done and organized the expert to confirm after evaluating. Subsequently, reporters have found the selling agency company of parenteral solution of mould plain phosphoric acid ester of Klim in Beijing - -Pharmaceuticals very much of purple China's health of Beijing. According to the persons in charge of this company, the mould plain phosphoric acid ester parenteral solution producer price of Klim is more than 0.6 yuan for each one, their company sells to medical representatives at 4 yuan, each one earns more than 3 yuan. But these more than 3 yuan have not all entered their own purse, among them very the majority is the expenses that the bid costs. For be able to Guarantee medicines win a bid at high price, they must get through each link, this sum of expenses is the so-called development expenses, what is the number that but concrete, he has not told us all the time. But he reveals, after parenteral solution of mould plain phosphoric acid ester of Klim wins a bid at high price, for let every large the intersection of hospital and purchase of Beijing, they give hospital, doctor, medicine represent what is called " return to the fee " ,I.e. commission. This person in charge tells reporters, the price between price that the pharmaceuticals sells to medical representatives and purchasing price of the hospital is bad, it is the said returning to the fee inside their trade. The pharmaceuticals sells parenteral solution of mould plain phosphoric acid ester of Klim to medical representatives with each price of 4 yuan very much in the purple China's health of Beijing, medical representatives sell to the hospital in order to win a bid of the price of 11 yuan again, the middle price differential is 7 yuan. This middle price differential is " Return to the fee " . How assigned so-called then 7 yuan for each one of parenteral solution of mould plain phosphoric acid ester of Klim returns to fee!, the person in charge of the pharmaceuticals tells us, so-called these return to the medical representatives of the fee and take away about 10%, it is given to hospital and doctor that the others are all regarded as commission, and write a prescription among them the proportion that the doctor's commission accounts for is the highest, generally want to account for medicines win a bid of about 40% of the price. According to the statement of this person in charge, opening a mould plain phosphoric acid ester parenteral solution doctor Klim each time can get the commission about 4 yuans, and infuse once, need parenteral solution of mould plain phosphoric acid ester of 3 Klim, that is to say the patient infuses once, the doctor can get the commission about 12 yuans if write a prescription. Then is the statement of this person in charge true? The reporter goes to the grand good fortune hospital of Beijing to solve again, but the question to commission, whether all staff members and doctors refuse to say anything about, the doctor really takes commission, whose purse price differential up to 7 yuan has been entered on earth while winning a bid of the prices, it is still an enormous question mark. The medicines profit is parenteral solution of mould plain phosphoric acid ester of nearly 10 times of Klim of the luxury goods verified through setting up successive check, why win a bid of the price to still fix and go against accepted conventions in this way? The reporter was when being in the centralized shopping center of telephone interview Beijing medicines, get answer of front, the intersection of the other side and staff member tell us whether they price organize domestic authoritative expert authorize according to procedures regulated. Then the experts are according to anything, medicines of a pair of a expenditure price at factory only about 0.6 yuans, winning a bid of the price reaches 11 yuan definitely? Many experts that it is evaluated that the reporter participates in Beijing medicines and calls for bid in many kinds of connection, but interview and is refused. According to insider, it is the material that the medicines manufacturer offered that the expert panel authorizes medicines and wins a bid of an important basis of the price. Reporter go Shandong again, resist the time happy Pharmaceutcal Co., Ltd., go on the investigation while being stupid to the intersection of Klim and mould plain the intersection of phosphoric acid and the intersection of ester and manufacturing enterprise of parenteral solution subsequently. It is a preparation manufacturing enterprise of comprehensive chemical medicines to resist the happy medicine company of time in Shandong of Shandong, the data that this enterprise announces reveal, the annual injection output reaches No. 2 billion Branch. Responsible for introductions of people according to the sale of this enterprise, the price done is the business secret that they offer Beijing to call for bid, can't reveal. As to parenteral solution of mould plain phosphoric acid ester of Klim how can on earth win a bid at high price, this selling person in charge of the pharmaceutical factory avoids all the time. According to personage in the know, winning a bid of the price of medicines is fixed the higher, the hospital raises the price benefited and high, it is the more to rebate doctor, the hospital is just more willing to use, the more medicine what pharmaceutical factory, pharmaceuticals, medical representative sold is, in other words, pharmaceutical factory, pharmaceuticals, medical representative, hospital, each link such as the doctor of writing a prescription are beneficiaries, win a bid of the price and fix the higher, it is many that each link is benefited. The reporter, to Shanghai subsequently, the intersection of Shandong and Shandong of Tianjin, Heilongjiang and other places resist the intersection of time and happy the intersection of medicine company and the same the intersection of Klim and mould plain the intersection of phosphoric acid and the intersection of ester and parenteral solution of specification of production, win a bid of the price and carrying on the investigation, find it is 12.8 yuan that Shanghai wins a bid of the price, Tianjin win a bid of the price at 11.13 yuan, Heilongjiang to win a bid of the price is 11.5 yuan, retail prices in the hospital all exceed 12 yuan too, from producer price to retail price of the hospital, the middle profits are all up to more than 2000% too. According to the introduction of expert, the profit of the ordinary goods is seldom higher than 50%, even luxury goods such as the famous-brand clothes,etc., the profit seldom exceeds 200% too. Medicines are the special goods used for curing the sickness to save the patient, but the profit is nearly 10 times of the luxury goods. Bore the policy gap and raise medicine price researcher of Chinese Academy of Social Sciences Zhu HengPeng and say: "The hospital probably takes 50%, the unit of bid, call for bid in the unit organization, may get about 20%, that is to say, have 70% actually with make profits ' Commission) Form exist,this obviously unreasonable,because now it is getting more difficult very for us not to if you can't find by industries other, profit rates such high. " It is reported, the government department has already taken multiple measures in order to contain the medicine price empty and high in recent years, successively reduced the medicine price 28 times, would start the basic medicine system again in 2009, will implement a price differential of medicines, that is to require the hospital to sell to a patient according to shining into the medicine price, this has inhibited the high medicine price to a certain extent. The new medical reform policy researcher researcher Zhu HengPeng points out, the original intention implementing medicines bid policy is for containing the medicine price timid and high too, but the result has been sought loopholes by some interests groups, utilize the policy, is winning a bid of a plurality of links of selling in batches and selling etc. of formulation, medicines of the price, follow " sneak the rule " ,Collude each other, form the concealed interests roller chain, become the evil backstage manipulator behind the scenes who raises the medicine price.

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