Comment on: change drug shortage in the hope the price to delegate 
 
 
08:33 jan 05, 2015 

    Yesterday, the wuhan evening news reported that "no shortage of skin test of tetanus needle" in wuhan city. Many people say, even the tongji, concord, province people, zhongnan these big hospitals are not free of skin test of tetanus injection, is very worried. Reporters visit, the survey found free of skin test of tetanus needle is difficult to find, lies in the market price and the national limit the price down.
 
    Skin test of tetanus needle free market pleased at 82.6 yuan, not transportation and storage costs, and the national price of 80 yuan each. In informal channels, pleased to reach 150 yuan, the sale price is 250 yuan. Whether or not the hospital is public, always no one do business at a loss, appear such circumstance, should be attributed to price intervention from the actual supply and demand. When a drug demand because price signal failure, the hospital refused to buy provided to patients, feedback to the manufacturers are displayed as slow-moving, and are less willing to engage in production, followed by the decrease in the number of drugs, reflected in the patients with there will be more difficult to buy, purchase channels is more twists and turns, buy more expensive, the price of such a vicious cycle.
 
    Similar example is not, and focused on cheap medicine, also is the national price is lower than the actual market price of the block. Life-saving medicine of heart surgery, for example -- protamine injection, for many years because of low prices there is a shortage of national enterprises are reluctant to production. And cotrimoxazole, Ming, is pain, bezoar detoxify pieces and some drug curative effect is good, price is low. Media statistics, national development and reform commission (NDRC) in recent years, the drug for more than 30 times the price, but due to the department in charge of the enterprise real drug cost deviation, there is a huge set the some price too low, so that it is out of stock.
 
    Generally people will think, now the doctor so expensive, are drug is expensive and inspection. National basic drugs price isn't big good things? It's a pity that such a wonderful, just out of instinct, but didn't get the full reality. In addition to the drug shortage because of selling price, we see some prices artificially high prices, but also because limit the administrative intervention due to too much too deep. Because paper deviated from the normal supply of cheap drug price, supply price rule, makes the pharmaceutical companies and hospitals simply don't have these drugs, stove can bypass the restrictions of the country, both can also get profits by layers of premium. The most favorite example is the factory price only 15.5 yuan of asparagus, the highest retail price reached 136 yuan, is nearly nine times the ex-factory price.
 
    So price although looks very beautiful, but we must be aware of at the same time, its power operation is not beautiful. Former health minister gao qiang said, "the nation is QiBaQian kind of drug, but out of medicine number about 180000, 180000, a variety of medicine has dozens of number, and the price is different, the same drugs vary more than ten times as much." In this case, the price is just for power executors of the intervention of drug prices do cover, early to be broken.
 
    Corruption in the government is also aware of price controls. At the end of November last year, the national development and reform commission, the price supervision and former director of the radium li made it clear that "drug prices decentralization is a foregone conclusion," say the current pricing policy can not timely reflect market supply and demand status, the highest retail price has no effect, lower drug prices and prone to rent space. Predictably, the future price will appear a certain fluctuation and adjustment. Decentralization can let a shortage of cheap drugs, life-saving medicine again appeared in front of people, can activate the market benign competitive inhibition of drug prices artificially high, the key still is to really take away the administrative this hand. And in order to reduce the number of cost for the purpose of the policy of "price", if you can switch to fiscal subsidies for public hospital drug price difference of strongly believe that will be more can promote the use of low-cost drugs to treat the enthusiasm. Lin Kun
 
(source: wuhan evening news)
 
 
 
The original link: http://society.people.com.cn/n/2015/0105/c136657-26324741.html