Drug "depreciate death" why has repeatedly to happen

/ xinhua book WangHaiYing WangSiHai wu - light

     March 28, the national development and reform commission cut penicillin, roxithromycin etc 162 cultivars, nearly 1,300 forms of the average price of drugs, drop the price adjustment before provisions is 21 percent. This is a country 27th cut drug prices is expected to depreciate every year, people can reduce the burden of 10 billion yuan.

    However, in recent years, the price of drugs on indication we can't buy arrived, people called it "depreciate death". The drugs can bring affordable price the crowd? A pharmaceutical production enterprise how to treat such insiders price? Therefore, the xinhua news agency "xinhua viewpoint" reporters interviewed the investigation.

     S part "depreciate medicine" really difficult to find

    Recently, the reporter in shandong jinan, weifang visit several pharmacy found that some pharmacy was not followed the national development and reform commission price policy. Reporter in ginza supermarket jade letter shop, found that the red sun large pharmacy in sichuan HuaTang pharmaceutical Co., LTD's production specifications for every piece of 150 milligrams, a total of 12 slices roxithromycin scattered piece, the price of 1.45 yuan, with the national development and reform commission announced $8.9 the highest retail price gap. A lot of

    Reporter in jinan shennong big pharmacy see, zhejiang asia-pacific pharmaceutical its cephalosporins, specifications for fixed capsule pulled two rebounds, the magazine 0.25 g of 24 grain, priced at $10, and the national development and reform commission regulations for 7 yuan, price price gap 3 yuan. Jilin six f hall biochemical pharmaceutical its cephalosporins originated, specifications for fixed capsule pulled 0.25 g, the magazine 1 board for the price of 12 tabs 10 yuan, and the national development and reform commission regulations for 360 yuan price, the price gap 6.4 yuan.

     Reporter in weifang several pharmacy chains, found that many home sales interviewed the weeklong roxithromycin tablet is not within the scope of the specification. Conclusion BuSheng large pharmacy in two parts south street shop sold roxithromycin, including seven kinds of three kinds of specification is not within the scope of pricing. Located in siping road of weikang lai large pharmacy sales roxithromycin capsule or eight, including five scattered slices of specification is not within the scope of pricing. Drugstore employee tells a reporter, some specifications, after the price adjustment profit is extremely low, inventory once sold out, change to sell not included in this adjustment range and specifications of drugs.

    "After some varieties pricing, because profit problems, but not by choice sales." Jinan drugstore chief admits.

    In recent years, each drug price cut, are accompanied by batch of cheap drugs to withdraw from the market. In some cities, erythromycin, penicillin cheap drugs such as already trail is hard to find. Domestic had a TuiReYao served better ", "100 is actually acetaminophen, because acetaminophen very low prices are fixed, 100 service already allwithdrew from the market temple. Beijing 2003 basic drugs to 1500 the survey found that nearly 500 planted in Beijing market disappear, this nearly 500 kinds of basic drugs, nearly one-third of the national has no manufacturer willing to production.

    S three factors leading to "depreciate dead"

    In recent years, the high prices for management of virtual, has promulgated drug depreciate, policies and measures, such as drug bidding make some drug prices decreased obviously. But a problem that nots allow to ignore is the price cut, there are always some drugs after exiting the market to circumvent the price.

    So, why can appear "depreciate death" phenomenon? According to relevant personage analysis has three factors: one is the comparative advantage lead to depreciate medicine to withdraw from the market. Shandong a provincial hospital doctor said, now in the market a large amounts of high prices of medicine, national pricing accounts for only a small part of the drug, "doctor which remember so much? Who 'pr' money with more whose bai!"

    Jinan a pharmaceutical representatives said: "medicine is a special commodity, common people is' is', what kind of medicine consumption, he didn't say the decision. This means that as doctor hands through the doctor this link, drugs have market. In alternative medicines numerous cases, medicine enterprises given kickbacks height became one of the doctors prescribing influence factor. Only 'high quotation, high priced', there might be 'high', and prices if rebate to no market space, this medicine will be forced out."

    2 it is partial enterprise stop production reduction of medicine. Chinese medicine association secretary-general WangGuiHua said, once a drug could not obtain the necessary profits, enterprise will stop production this medicine.

    Tongren temple group marketing YanSheng reflect, now secretary of raw material prices even higher prices than bid, drug prices appeared hangs upside down. For example, he said root per kilogram raw material prices to 20 yuan, and the root of the finished product priced only in medicine 1.7 yuan each. "If should not standard, 3 years market didn't, but should mark, is really lost money".

    According to understand, Shanghai and yellow pharmaceutical into national basic drugs directory has 35 varieties, only because the price is too low, leaving seven product production of some of the most basic proprietary Chinese medicine disappear on the market, consumer can choose prices higher drug.

    Three is medicine enterprises to give up the small profits and quick turnover, cause "depreciate death". The personage inside course of study thinks, some pharmaceutical enterprise reflect "depreciate hind cannot obtain the necessary and reasonable profit" suspect, some drugs that price is just make profits, and the enterprise thinning who can bring more willing to produce higher profits varieties, like "drew a cigar would not smoke", which makes parts as price medicine to withdraw from the market.

    S coping "depreciate death" need to hit "one-two"

    At present, there are three channels: prices in the formation of a national health-care directory is into the drug prices were set by the national development and reform commission; 2 it is not enter into national health-care directory provinces of drugs, medical insurance complement directory formulated by the province guiding price; The rest of the market breed pricing.

    Some commonly used drugs to prevent "depreciate death" to all this year, basic drugs in Shanghai of the single source of new purchasing patterns, each drug has appointed manufacturer, manufacturers also have the obligation to ensure the normal supply of the drug. Once in the Shanghai market, and the disappearance of them aureomycin restored in the production.

    In fact, in early 2007, the nation will determine the Beijing merchant, north China pharmaceutical, tianjin da 10 medicine enterprises such as quality for cheap drugs, designated production enterprise of 18 drug implement sentinel production, but due to the lack of specific operation norm and the safeguard mechanism, most designated production enterprise not cheap medicine production.

    Industry insiders Suggestions, radical "depreciate die", need to take various measures, such as to execute sentinel production, cheap drugs, to designated production enterprise invested by the state subsidies, or by social capital allowance; Cheap drugs execute "to public welfare production" country sourcing, designated distribution, since let medicine enterprises not lose money production and guarantee people use high quality cheap drugs.

     In addition, one high prices in the health-care system is the comprehensive reflection of many problems. For example, a ex-works 4 yuan of medicine, many times by circulation in hospital, sale second-hand 20 yuan.

    At present, in some big hospitals, drug accounted for around 40% of the total hospital, while in town hospital is 70% ~ 80%. Because too dependent on drug income, a rural hospitals dean told journalists admitted: "I once explicitly requested the doctor, don't give patients open cheap penicillin, want to open hospital has the cephalosporin drugs margin. Go to open cheap medicine, your salary come from? Utilities come from? You don't make out to eat!"

     Some experts say prices high, solve problems, price cut just deficiency in one hand, but also from the system of pharmaceutical circulation expelling the flaws, reduce circulation, profits between the layers of wholesale down; In addition, to strengthen the government for medical institutions of devotion, change medical institutions to maintain operations on the situation of drug prices, reasonable price to return to eradicate the root, such ability "depreciate death" phenomenon to appear.