Cheap medicine is almost extinct, who makes it a luxury to buy cheap medicine

One yuan of chloramphenicol eye drops, two yuan of prickly heat water, eight yuan of 100 tablets of periodontium, penicillin, aspirin, tetracycline These cheap and good medicines are now hard to find "Because it is too cheap, the manufacturers are not willing to produce." The shortage of cheap drugs has affected public health care and become an important reason for the high cost of medical treatment Now, looking at the money, the more expensive drugs are repeatedly poured into our hands, although the prices are increased layer by layer, they still make a lot of money, and become the love of sellers and some medical workers Even some cheap drugs are sold at high prices under different names In fact, some drugs are also replaced by other drugs due to their side effects, strong allergies and other reasons Sun Dongdong said, for example, although chloramphenicol eye drops are cheap and have been used for many years, if they are not used under the guidance of doctors, excessive use will cause the risk of aplastic anemia in patients, so now more doctors will recommend ofloxacin eye drops to patients with eye diseases Through years of research and development and clinical practice, many commonly used drugs in the past are rarely seen now, which is also the inevitable result of the progress of modern medicine Liu Yang from Beijing said that he almost broke his leg to buy a bottle of drippy nose cleaner to relieve his stuffy nose "15 years ago, this kind of medicine cost 50 cents a bottle, and then it went up to 80 cents In some places, it costs 1 yuan, but in the last two years, I can't buy it in the drugstore any more." Liu Yang said that he suffered from chronic rhinitis when he was young He would have a stuffy nose and runny nose in winter He had tried many traditional Chinese medicine and Western medicine, but the effect was not obvious Only dribijing can relieve the symptoms Serious drug dependence made Liu Yang start to prepare medicine before winter However, it was this small medicine, which had been used for more than ten years, that made Liu Yang work hard Even if he mobilized his family to help him find it, he could not find any trace of dribijing in the drugstore Liu Yang said that he finally bought dribijing at a price of 1 yuan per bottle on Taobao In order to prevent more difficulties in buying medicine next year, Liu Yang bought dozens of bottles at one time in the form of wholesale     The reporter of Beijing Business Daily recently visited six pharmacies, including Beijing Jinxiang pharmacy and Haodekuai pharmacy, with the goal of relieving nasal congestion, treating dyspepsia, lactase production and toothache, and found that the three cheap drugs were either not available or were placed at the bottom of the shelf, which was hard for customers to find The shop assistant always recommended these three kinds to Beijing business newspaper reporters The price is several times higher In the Golden Elephant Pharmacy, Xi Bao He shop, Beijing Commercial Daily reporter suggested that you want to buy a bottle of nasal drops The salesperson first recommended a bottle of Chinese patent medicine In the Beijing Commercial Daily reporter, it was clear that the Chinese medicine was invalid for himself, and the clerk recommended a Western Medicine composition with a price tag of 13.5 yuan In the haodexuikuai pharmacy near Heping Dongqiao, the clerk first told the Beijing Business Daily that there was no drippy nose, and that "the side effects of Western medicine are too big, and there is no side effects of traditional Chinese medicine" Later, he recommended a nasal spray with a price of 58 yuan to the Beijing business daily The medicine is called "Gushui", which is shown as Miao medicine on the medicine box There are few cheap drugs in drugstores In hospitals, those cheap drugs are even less favored Reporters from Beijing Business Daily also took lactase, dribijing and other drugs as samples to visit a number of public hospitals in Beijing and found that these drugs are also hard to find in hospitals In Beijing Children's Hospital, there are only five kinds of medicine less than 1 yuan, including three kinds of injection, one kind of oral medicine and one kind of aureomycin eye ointment Beijing Business Daily reporter went to the Department of Otolaryngology of chuyangliu hospital to treat nasal congestion When asked if there was a 1 yuan dribneojing, the doctor said that dribneojing was almost eliminated, and now it is rarely used, and recommended to Beijing Business Daily reporter the furosemide water with a price of 3 times of dribneojing to relieve the nasal congestion In fact, it is very common for doctors in public hospitals to prescribe relatively expensive drugs to patients Not long ago, Ms Sun took her daughter, who was more than one year old, to Beijing coal hospital for treatment due to the low fever accompanied by runny nose After she made it clear to the doctors that there were tainolin and Merrill Lynch in her family for children's fever relief, the doctors prescribed an oral compound medicine and an oral liquid of Chinese patent medicine, which cost more than 100 yuan in total, and made it clear that the drugs in her family should be stopped first Yes, I'll take these two After returning home, Ms sun found that acetaminophen was the component of Tylenol, a commonly used antipyretic drop for children in her family, which was used for antipyretic The main component of the compound drug prescribed by the doctor for her daughter was acetaminophen, which also included ingredients for relieving cough and nasal congestion For children who did not cough or have nasal congestion, the drug was obviously not suitable Cui Yutao, director of Beijing United Family Pediatrics, said on his Sina Weibo that children's viral colds can recover by themselves in more than a week and in most cases do not need special medication #Low profit of cheap drugs is a helpless move For a long time, reducing the price of drugs has been regarded as the primary way to solve the problem of "expensive medical treatment", while the current centralized bidding system for drugs is considered as the most direct way to reduce the price of drugs After each bidding, there is a drop in the price of a batch of drugs Along with the low bid price, the production profit of cheap old drugs is getting lower and lower, and even hanging upside down, which seriously dampens the enthusiasm of the enterprise production Some winning manufacturers prefer to stop production rather than "lose money and make money" The national development and Reform Commission has lowered the maximum retail price of drugs by more than 10%, but patients still feel that drugs are more and more expensive Cheap and commonly used drugs suffer from "price reduction" Some cheap and effective common drugs, even the disappearance of life-saving drugs, will always cause patients' concern As early as two years ago, there was a shortage of protamine in many areas of the country This box of medicine with a price of more than 10 yuan is a common and necessary medicine for heart surgery Its "cut-off" led to many cardiopulmonary bypass operations being forced to "stop", and the plight of patients with "life suspended by a needle" made all departments attach importance to the supply of cheap drugs in short supply Some regions forced enterprises to increase the production of protamine by building a life-saving medicine reserve It's not hard to imagine why the supply of cheap drugs has been cut off With the rise of human cost, raw material cost and constant pricing for more than ten years, if enterprises continue to produce cheap drugs at the bid winning price, they will encounter the risk that they cannot make ends meet As long as the cost rises slightly, it will become "negative profit" This also led to the "death of winning the bid" of individual "cabbage price" drugs Recently, Wuhan, Hubei Province, was exposed that the drug "Saizhi" that patients with hyperthyroidism should take every day was out of stock Some patients went to six hospitals to buy it, and were told that they were "out of stock" According to reports, at present, there are about 15 million hyperthyroidism patients in China, and methimazole is almost the only drug to treat the disease, which is accepted by the majority of patients Because the drug factory stopped production, resulting in patients can not buy drugs, some patients can only go to the hospital to "hoard drugs" In response, the vice president of a hospital in Xi'an once tweeted: "in the morning, I learned that some people had more than 10 medical cards to rush to buy hyperthyroidism drugs Although the drugs were short in a short time, I hope that patients in Xi'an would not hoard them, and patients in Xi'an would try to give some convenience to patients from other places." However, the person in charge of the aforementioned pharmaceutical enterprises also disclosed to the reporter that in fact, low pricing is one of the reasons why the enterprises stop production In addition, it also means that pressure is put on the independent pricing policy of domestic original research drugs "The bidding price of methimazole like drugs produced by German pharmaceutical enterprises is 28 yuan This is the so-called original research and development protection, but in fact, a pharmaceutical enterprise has made a lot of money through high prices during the patent protection period of drugs Once the drugs pass the patent protection period, they should be treated the same as other generic drugs, and it is unfair to continue to sell them at high prices " In addition, it is worth noting that almost all the APIs of methimazole are produced in China, but all the three major domestic manufacturers have suspended production, which makes the products of foreign pharmaceutical enterprises also suffer from the crisis of raw material supply, and finally leads to the non production of cheap drugs and the non purchase of expensive drugs In recent months, methimazole has even been sold on the black market It is understood that many patients have to buy black market drugs through the Internet because of the urgent need to take medicine It is through the network to contact the private drug seller to buy, but the price is several times or even dozens of times higher than hospitals and pharmacies A reporter from Beijing Business Daily found that in order to solve the problem of "hanging upside down" of the cost and price of some cheap drugs, some provinces and cities have been exploring a series of remedies In 2012, the price bureau of Jiangsu Province issued the measures for the selection of cheap drugs in Jiangsu Province, and the first batch of Jiangsu cheap drugs catalogue was released to the public On April 16 this year, the price bureau of Jiangsu Province announced the unified selling price of ten cheap drugs, which will be priced uniformly from May 10, and then announced the price of 40 cheap drugs, aiming to improve the supply mechanism of cheap drugs #P ා the shortage of low-cost drugs that are not willing to be replaced by individual enterprises in the centralized bidding of low-cost drugs exposes the shortcomings of the bidding mechanism of basic drugs Since the implementation of the basic drug system, although the price of most drugs has been reduced to benefit patients, the problems have also been exposed Yu Mingde, President of China Pharmaceutical Enterprise Management Association, said in an interview with a reporter from Beijing Business Daily yesterday that during the bidding process of drug procurement in various regions, functional departments have been deliberately lowering prices The lower the bid price is, the better However, there is a bottom line in the production cost of enterprises Some drugs can't even reach the cost It's hard to guarantee no loss, not to mention profit, which leads to enterprises being forced to give up production, so that some cheap drugs are out of stock "In the process of centralized bidding in some provinces, the bidding price of each penicillin injection is set as one piece eight, which makes the winning enterprises how to produce it?" a person in charge of pharmaceutical enterprises who did not want to be named told Beijing Business Daily that small and medium-sized pharmaceutical enterprises account for the majority in the winning enterprises of essential drugs Many enterprises win the bid in order to "occupy the pit", that is, to win the bid first, and others later, so they ignore the cost, follow-up production and seize the market first Some enterprises will stop production of losing drugs after winning the bid However, some enterprises will choose to sign another "supplement agreement" The agreement requires the buyer to purchase the same drugs according to the "new price" proposed in the supplement agreement after purchasing a batch of drugs at a low price, and the number of second purchase drugs is far greater than that of low-cost drugs     Sun Dongdong, director of the research center of health law of Peking University and professor of Peking University Law School, thinks that relevant departments should take a new look at the basic drug system and drug bidding system, say goodbye to the situation of "only the low price can be obtained", let drugs form a reasonable price, take care of patients, also take into account the interests of enterprises, and determine the low price through negotiation instead of "fixed price" Price range of the medicine In order to solve the problem of "expensive medical treatment", the national development and Reform Commission has made great efforts for many years,