In China, rarely the anger of the people is revealed over the quality of domestic drugs.
A well -known surgeon in Shanghai pointed out that anesthetics would not sleep. Beijing's prominent heart specialist questioned drugs that could not regulate blood pressure. Former editor of a major online health platform has been accused of fraud for domestic pharmaceutical companies.
This concern flew to public discussions this week, when some top doctors and hospital leaders asked the government to change the way of purchasing drugs for public hospitals.
In this country, where the authorities have severely cracked down on the government's criticism of the government, it was accused of the Chinese government's medical cost reduction campaign. Authorities are working to strengthen the Chinese national medical system, but are exposed to fiscal pressure due to rapid aging of population.
This policy introduced in 2018 is It has succeeded in promoting fierce competition between pharmaceutical companies and reducing drug prices. However, this year, the government's drug list, which is subject to Chinese National Health Insurance and provided at public hospitals, contained almost no foreign brand drugs.
With this change, many foreign pharmaceutical companies, who do not want to compete with Chinese companies trying to sell their pharmaceuticals at the lowest price, were effectively driven out.
Currently, doctors are warning on the effectiveness of some domestic drugs. Doctors are seeking changes to give patients a more paying option to pay more.
“When the price was reduced, there was always complaints that the manufacturer would be overwhelmed,” said Helen Chen, a managing partner in Shanghai LEK consulting and healthcare. “Some public opinion is now reality.”
After many years of cost reduction, the government founded a central bidding system that prioritized cheaper drugs, most of which it was a generic drug manufactured by Chinese companies. Instead, the government guarantees the purchase of more products from each supplier.
Public hospitals account for about 70 % of the Chinese drug market. Patients who use private clinics can easily use a wide range of pharmaceutical choices, including foreign brands.
According to the latest government data, the annual bidding system known as the amount -based procurement has reduced the price of most pharmaceuticals or less, and the Chinese government saved more than $ 50 billion in the first five years. 。
In a video interview with a local state -run media, Mr. Toshika Chung, a surgeon director of the prestigious Shanghai Hospital, said in a video interview with a local state -owned media.
However, he added examples such as antibiotics that cause allergies, antihypertensive drugs that did not lower blood pressure, and laxatives that did not exert their effects, and added that “the quality of drugs may not be reliable at such a low price.” Ta.
Dr. Zheng was one of more than 20 doctors and Communist members who submitted to the government a proposal to allow patients to get their original brand pharmaceuticals, even if they were not listed on the approved procurement list this week. The redemption of insurance is adjusted according to whether the drug is an original brand or generic drug.
Rikujin, the director of the Beijing Chaoyang Hospital, also submitted a similar proposal, suggesting that doctors and patients should not be forced to use the drug on the procurement list.
The repulsion from the medical community has increased, and the Chinese National Medical Safety Bureau, which has jurisdiction over national medical insurance, dispatched authorities to Shanghai, interviewed doctors, and investigated the drug clinical data.
The agency stated in a statement this week that “there is no regulation to prohibit purchasing and using imported drugs and branded drugs.”
In response to public opinion, some medical experts have begun to examine some of the drug -affiliated drugs. Shia Gimin, a doctor at Hangzhou Chemical Hospital, was posted to social media, comparing the generic drugs of generic drugs with the same drug as a starting drug, found that too many similarities were found and the data was correct. I was wondering if it was. Dr. Shea says he is a scammer.
“The numbers are exactly the same up to the second place,” wrote Dr. Shia, a former deputy editor -in -chief of the popular online forum “Ding XianG Doctor” for medical experts.
“The poor quality is Chinese generic drugs,” he says.
In a statement on Friday, the National Medical Product Bureau of China acknowledged the duplication of data and said that it was the result of “editing mistakes when related product information was disclosed.”
While many people are worried about the real estate recession in China and the sluggish consumer economy, this problem directly hits the fresh nerves.
“If this is not the final result, I don't know what's the final,” said Men Chang. Posting to social media, a journalist and a popular podcast, was later deleted.
“The majority of excellent doctors belong to the public system,” Meng wrote. “But now, if you want to import pharmaceuticals and surgical equipment, you have to go to the private sector.”
Most Chinese families are consulted by a doctor at the hospital when they get sick. National medical insurance varies from state to state, but on average, it covers nearly three -quarters of the prescribed drug cost.
Some patients and doctors have stated on social media that the rise of generic brands in hospitals has become more difficult to find original overseas brands such as Bayer's antibiotic “Abelox”.
Lee Shan, a doctor from northeastern China, told me that one of the families had needed an imported drug that was no longer available at public hospitals. However, when I tried to contact the manufacturer's representative, it was said that the drug was in stock.
Dr. Lee criticized the government's procurement system, and as a result, he said that there were too many alternatives that people did not want to use were too much.
“I have a lack of medical insurance and I can't use medical insurance to buy imported drugs. I know that,” wrote. However, she added that he would be willing to sell his house to secure imported drugs.
“There is no danger of switching to other alternatives, worried that the symptoms will not work and the symptoms will recur,” she wrote. “This is related to the life of the family.”
