Comment: The second bargaining of drugs is more than an overhead system

Business News Agency reported on September 6 why many medicines had a 20% discount, a 25% discount, and even a 6.5 fold discount. Pharmaceutical companies are still profitable. To put it plainly, the bid price is too high. Then, why did the regulatory authorities set such a high bid price?

In recent years, various regions have gradually implemented a system of centralized bidding and procurement of drugs to allow drug procurement and pricing to operate in the sun. However, a number of hospitals in Xuzhou City, Jiangsu Province have bargained for the second time, that is, all drugs in the hospital are purchased at a discount of 25% and 25% of the bid price. However, no matter how much discounted the purchase price of medicines, it is the bid price that is sold to patients, that is, the benefits of medicine discounts belong to the hospital.

As is known to all, the original design of the centralized bidding and procurement system for drugs has two main goals. First, it controls the abnormally high price of drugs through bidding and safeguards the interests of patients. Second, it promotes the sun of drug purchases in an open manner and reduces the unhealthy trend in drug procurement. . However, it is clear that the secondary bargaining phenomenon of the surging in many hospitals in Xuzhou has already emptied the original system. Looking at the phenomenon of quadratic bargaining, I think of two common sayings: one is that the Meridian is chanted, and the other is the egg that the fly does not wear.

When the so-called "good times" are recited, there are policies and countermeasures. From the country to Jiangsu Province, a strict tendering system has been set up. However, these rules and regulations have been distorted and a naked interest chain has formed behind them. In strict accordance with the price of drugs in the name of the hospital received a huge rebate, that is, the difference; the pharmaceutical company that plays an intermediary role, the drug delivery fees charged greatly increased; pharmaceutical companies can more quickly and easily sell drugs, profits Naturally climbing. In this alliance of interest, all stakeholders are profitable, and this profit is based on the fact that the patient is exploited.

There are also problems with the so-called "flying eggs" that are not the same as the current price of drugs. Why are many drug companies winning a discount of 20%, 7.5%, or even 6.5%? Pharmaceutical companies are still profitable? To put it plainly, the bid price is too high. A few days ago, CCTV Oriental reported the news that the bid price was higher than the purchase price. The Chongqing Municipal Bureau of Public Health announced the national basic medicine tender in 2010. It was found that among the 186 kinds of medicines, municipal-level essential medicines with as many as 169 kinds of medicines won the bid. The purchase price is higher than the purchase price of Chongqing Yongjiang District, which accounts for 90.9% of the successful drugs. Then, why did the regulatory authorities set such a high bid price? Is the investigation inadequate or is it tricky?

In fact, no matter whether "reluctantly chanted" or "flies are not a seamless egg," they are asking whether supervision is in place. To ensure that the centralized tendering and procurement system for pharmaceuticals is implemented, it is necessary to introduce supervision on the spot, and functional departments should strengthen dynamic supervision and normal supervision. "The foolish fox can no longer fight smart hunters." The value of the system is not only reflected in the soundness of the system itself, but also in whether the system has been effectively implemented. At the same time, it further explained the necessity of separating medicines. The end of the use of medicine to support medicine and the thorough implementation of the “separation of medicines” can cut off the interests of hospitals and drug companies and pharmaceutical companies. In other words, it is impossible for hospitals and doctors to seek rents.