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Mediaviews 媒体观点
2013年07月29日
Health: why drug bid repeatedly aircrafts to "price"
Deng Haijian (media)
Publication date: 2013-07-23 source: health
Price of 2 yuan in glucose injection, unexpectedly sold nearly $50; Booster injection price is generally higher than water price, and in hubei province in the drug centralized bid procurement policies about hundred yuan higher than the price of booster injection of strange phenomena. "Such a bid price unimaginably queer letting a person." A hospital in wuhan, head of the pharmacy department can't help exclamation. (June 3, the legal daily)
Problems in hubei drug centralized bid procurement, but is more than a decade a miniature of the drug bidding problem. This is, of course, not to say that there is something wrong with the system itself -- the objective, since 1999, more than a decade between the drug bidding policies carried out by the state, by focusing on public procurement, indeed to correct unhealthy tendencies in the field of medicine purchase and sale, regulating the behavior of drug procurement, procurement advantages, give play to the role of market competition mechanism and scale to reduce procurement costs and played a positive role. When the easy shift, however, loopholes increasingly highlight, in 2013 was the provincial drug "tender annual" (because medicare drug will be bidding this year, the new base directory after the provinces will tender), in addition, three years a new version of the list of essential medicines will also be adjusted, so pay close attention to drug bidding process around the fair and justice, it is necessary.
Drug bidding is widely criticized is that this way of tendering of vulnerability and resilience. In fact, provincial procurement, for example, because of bidding procurement subject to local administrative department of public health, not pay pay buyers, "only recruit don't adopt" two consequences: one is that it with clearly stipulated in the bidding law "" who pay who purchase" principle, 2 it is to let the "secondary bargaining" behavior in the reality. Won the bid of drug companies continue to work with actual pay for health care unit "bargaining", the result is only at the "high price" perfected "kickbacks" cup of tea. Because of this, national two sessions in 2013, more than 40 CPPCC delegates from the pharmaceutical industry, member of the joint signed the advice about cancel the drug centralized bid procurement, collectively called for cancel the drug centralized bid procurement: the drug bidding system for more than ten years did not relieve patients burden, cause drug prices artificially high and low coexist, popular, commercial bribery has and drug tender policy purpose of serious breach." Therefore, for the bidding system, people don't believe in, medical units, the drug companies don't look good, have blamed the problems and contradictions on the system itself.
The most typical is, on the drug bidding system, the price isn't a person inside and outside. If the price is high, it is difficult to clear the suspicion of rent-seeking. Such as the bidding procurement hubei, more ever 250 mg booster injection, respectively.there wuhan long rifle pharmaceutical price of 1.49 yuan per, and nanjing sea pharmaceutical ganciclovir sodium 250 mg booster injection, respectively.there priced at 34.17 yuan each, 23 times. The personage inside course of study says, the only have slight difference in the process, so huge difference come from? If the price is low, the quality of questions may be even more so. On May 17, the drug centralized purchasing work leading group office of guangdong province issued "about opinions from guangdong pharmaceutical trading rules revision notice, and will be open for five documents netting. Then 23, Chinese pharmaceutical industry research and development association for the advancement of public pronouncement, attacked guangdong pharmaceutical trading rules, worried that it would return to the "theory of only low prices of dangerous road.
Why drug bid repeatedly aircrafts to "price"? Look this is a operation and execution problem, but in fact, would "pull out the turnip out of the mud," pointing to the medicine regardless, with medicine and medical pattern of interest distribution.
The original link: http://www.jkb.com.cn/htmlpage/37/376789.htm ?Docid=376789&cat=0k&sKeyWord=null
(this site editor Wang Zhong one)