The topic of “imported drugs withdrawing from public hospitals” can almost be said to be the hottest trending search today. But you will find that everyone is paying attention to this matter, but opinions are varied.
The reason is simple: everyone knows this matter is important, but most people don’t understand the ins and outs of it.
Imported drugs actually refer to “original research drugs”. And withdrawing from public hospitals means that public hospitals will only have drugs from centralized procurement. Because generic drugs from centralized procurement are cheap.
As for why, there are many explanations. The most credible explanation at present is medical insurance funds. Centralized procurement drugs are cheap, so medical insurance spends less, and hospitals can afford it.
Even though many original research drugs are also produced domestically, including drug research and development fees, process fees, materials, etc., while the efficacy is good, they are more expensive than the centralized procurement drugs.
For example, Bayer’s aspirin, even with promotions, costs 60-70 cents a tablet. But if you have read this recent media report, you will know that the generic aspirin from centralized procurement has a profit margin of 3 cents a tablet.
In the face of continued pressure on medical insurance in the future, if you are an official department, will you choose to provide centralized procurement drugs or original research drugs?
And another question that everyone is discussing is: In this case, it’s okay if original research drugs don’t enter medical insurance, why can’t they be prescribed at your own expense?
You may feel confused, as if some people are saying “if you want to take original research drugs, buy them with your own money”, but there are so many high-praised comments saying that they can’t be bought even with money, what’s going on?
To put it bluntly, you can’t buy them in public hospitals, but you can still find ways to buy original research drugs outside the hospital. However, some people don’t find this simple. In their view, it will be very difficult to buy imported drugs in the market outside the hospital, and even the price will be higher than before.
As for inside the hospital, the regulation is that centralized procurement drugs account for 70%, and the remaining 30% can be decided by the hospital… But think about it, now medical insurance payment implements DRG/DIP payment system, that is, for a certain disease, medical insurance only pays a fixed fee. If the hospital uses expensive original research drugs, resulting in the patient’s total cost exceeding the limit, the extra part is not paid by medical insurance, and the hospital bears it itself? If you are the hospital, will you choose imported drugs or centralized procurement drugs?
Obviously, public hospitals also prefer centralized procurement drugs, so the media wrote: It is a foregone conclusion that original research drugs will gradually withdraw from public hospitals.
As mentioned above, not all original research drugs are imported. On the contrary, most original research drugs are actually produced domestically. Then, when centralized procurement occupies the market, the survival space of these original research drugs will decrease, and the result is bound to be closure and withdrawal from the domestic market.
Therefore, the statements of those netizens above are not nonsense, they have withdrawn, and it is naturally not easy to buy them. It can even be said that original research drugs will become real imported drugs.
In fact, there is nothing to comment on, and it is not something that comments can change. It can only be said that some imported drugs are indeed expensive, and ordinary people can’t afford them. But if you say that the efficacy of centralized procurement drugs is almost the same as that of the original research drugs, that is obviously self-deception.
If they can be exactly the same, you think others are stupid, not wanting those that are so much cheaper, but choosing the expensive ones.
Most people should have seen “Dying to Survive”, especially the old lady’s sentence “I don’t want to die, I want to live”, which doesn’t know how many people it touched and shocked. Therefore, the news of imported drugs withdrawing from public hospitals, although controversial, is not as huge as those previous public opinions.
To put it bluntly, ordinary people also feel helpless. If you give you imported drugs, and the cost is not reimbursed, how many people can afford them.
Finally, let me say that low-priced centralized procurement generic drugs are estimated to be the mainstream in the future, but low price alone is obviously not enough, it must also be added with a “quality excellence”. Otherwise, it’s only 3 cents a tablet, and if you are given aspirin of other types, would you dare to eat it?
Some people may say that I dare, since it can be openly sold, there will not be much side effects, otherwise the consequences will be unbearable.
Indeed, so in addition to low price and quality excellence, one more item needs to be added:
Prohibit unsafe and ineffective drugs, and drugs that are useless after taking them.
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