"Build up basic medical and health system, provide a safety for crowd, effective, convenience, basic medical and health service of the low price.The medical boundary of "- Wen Jia Bao" China really should has some proud character, we want to do the back of race!"- Chen Zhu" falsely Gao Yao Jia absolutely be swallow to live to shell to the common people's livinging.Though rose several decuples, you check, affirmation didn't exceed the tallest price control of nation, is also say, again expensive is also legal!This explains medicine price absurdity first because government the list price is too high."-Gao Qiang Yi kind drugs from develop inside in the sufferer's hand, need after mostly seven necessary processes-criticize medicine, criticize price, the price keeps on record everywhere, enter cure to protect, invite bids, enter cure a hospital, enter section room.The section waded includes State Food and Drug Administration, hair to change Wei, commodity price bureau and each local government to cure to protect to do etc..But in fact if is thin again to turn for a while, concrete operation, a profits experienced by drugs smooth allotment link far than these seven processes are more meticulous.Just in this link in hospital, will after director, medicine matter committee and medicine section director, each section room director, and doctor...etc..More important BE, break through these sections, each link needs money.These"corrupt cost"s that in multiple layers fold to add, form falsely Gao Yao Jia, finally cover up only of but is a sufferer and nation.Dictation:Wang Dong(use alias) Wang Dong(use alias), in 1995 domestic some point the university college of living creature be assigned a some stateowned big pharmaceutical factory work after graduating.In 2002, he comes out the career that the original unit started drugs distribution sole agent.Touch climb to roll a dozen for more than ten years in the medicine turn, Wang Dong understood thoroughly inside stories in it.He disclosed toward the reporter a drugs from develop inside in the sufferer's hand, in the center necessarily through of each"vital part" joint.Money is the main means that breaks through these joints.Used for "corrupt cost" of each link, directly caused medicine price falsely high.1, stale medicine representative the medicine represent this line to be a lot of nations to all have.At west flourishing nation,Mont blanc Sunglasses the medicine representative is a drugs with very professional background to expand service specialist.Their majority graduate from a medical college or ever provided a job in living creature science realm for several years and developed to push to have very deep understand to the medicine species of market to our company, therefore could carry on very professional exchanges at technique level, clinical application level and doctor, expert.In addition to help to even guide a doctor to draw up clinical use a medicine of project, more can collection in time and tidy up a clinical information, and the feedback return to head office and drugs to study an expert, in order to better, more accurately improve a species, complete a product further expansion and strategy establishment in the market.Can say, as a profession, medicine representative's conduct, circulating link in the drugs is an essential to have of, however, the all these was almost stale in China.The person in the profession's passing Qian rules can calculate out, the retail price is all generally 10-15 times that of cost.Is exclusive, lately especially medicine may be last a hundredfold, for example say a chemotherapy medicine.BE who?Why to above add so high price in the foundation cost?This involves a huge benefits turn, must slowly say.A drugs from develop a real use of sufferer, need after following process:Company-hospital/medicine store-sufferer in the pharmaceutical factory-medicine.This looks like a simple clear line, its bottom still exists a dark line.Stipulate according to the law of nation, the drugs are from the factory house after coming out, have to get into GSP medicine company(GSP is English abbreviation of《drugs management quality management norm 》 GoodSupplyPractice, drugs to conduct a business enterprise to unify of quality management standard.The drugs management business enterprise should inspect in the drugs time of rules in the management Dept. door inside attain a GSP request, and obtain an attestation certificate through an attestation), send to°from the medicine company hospital or medicine store again.The medicine company has to just have the medicine distribution the right after very strict natural intelligence examination and approval.This way of doing isn't only is a nation to manage a medicine to circulate effective measure of realm, but also is BE in line with with international usual practice of standardize road.But actually, the great majority this kind of medicine none of company operates actual business and Be just responsible for walking a ticket(the medicine company gives an itemized lists of added value tax invoice) and walk Zhang.Have don't even carry on logisticses, only do nominal"shadow medicine company", can force management rules according to nation just.Manage system in GSP in, the production factory house is ability don't directly provide a medicine toward the hospital and need after medicine company, this middle link.The concrete operation process is:The pharmaceutical factory promotes a company and dealer toward the society the individual even publicly canvass business-this is called sole agent-with of 《entrust expansion agreement 》 in label.The sole agent hangs to lean on a positive card medicine company under, act for each drugs to consign going together with of its above 8% to send a logistics fee.The sole agent underneath is a cent to act for, divide to act for below is the medicine that runs a hospital representative, be so called "medicine insect" inside the profession.Everybody on the selling agent chain of this complications can be been called "medicine representative" by the outsider. 2, Qian Se break through an each"joint" general circumstance under, when the pharmaceutical factory has the drugs development the creativity Be about to seek agent, this is called "is big to wrap".The agent develops a sufferer to truely use from the drugs of all processes, will get involved.Among them need the link of the necessity after severals:Criticize medicine, criticize price, the price keeps on record, enter to cure to protect, invite bids everywhere, enter hospital, enter section room. Each one steps of these processes needs to spend money, these money the great majority all from act for dealer's mat to pay. Criticize medicine.Spend money is from"criticize medicine" start.After developing, report toward the national State Food and Drug Administration batch to get hold of a drugs production batch number.This process has to spend money.The report that publicly accepts criticizes a fee, besides which, , the underneath has the persons of related power to all want to money.A general drugs get hold of a batch number, at least several 100,000 dollarses.And can chase now drugs production the batch number report down smoothly of person, is all some to have several years with them old relation, the ordinary people are rich to also make to go in not. Criticize price.A drugs get hold of the approval text of production, factory house production legal, factory empress start price keeping on record, brief name have price, is also a list price.The price has price Gao be still low?The hair changes Wei and commodity price bureau with what believe the dealer's cost price analysis?This again spends money.And have to change the person of Wei to spend money good enough there in the hair, the somebody else would have a higher price for you. The agent upwards quotes, will write all cost of middle the highest.The hair changes Wei to review for you thin still not thin, the letter don't believe your offer keeps on record of way, will can't go to another place to check your cost, this is decided by the "relation" of agent.This will spend among them Inferior Hun ǘ Yi Ni Fu Chun ǎ Tu Chuang Tuo say is the dark guy of Mo small to stretch tight to forgive?A price of product constitutes-the production cost, material cost and energy exhaust, development cost, cost of labor, these expense all generally will go toward Gao Bao 1000%.What about why to report so Gao?Because need from criticize medicine to arrive into section room, among them, all"corrupt cost" of processes also go in on the whole.But this cost isn't likely to write at commodity price section see of the cost price is analytical medium, how make them"believe" the high cost like"raw material, artificial" that agent reports, this is his expensive meaning place.But this is just the list price of this province, if want to across province and across sale in the region, the medicine represents to still need to across province to have price. Across to save price to keep on record.Across province to have price with together province fully price expensive"truth" is just similar, across to save to keep on record of the price generally will compare the price of original factory location to have to be slightly a little bit lower.It for example is in the some drugs list price of some pharmaceutical factory in Hebei 30 dollars, may be 78 dollars very much in the list price of Peking.The reason may be the region government in Peking to by instinct hope that curing to protect this part of public finance expenditure is a little bit little, a little bit chops down the meaning of price. No matter how it is, the Qian rule in the profession be so.But low how much have knowledge:The price is pressed down more, this province of hair's changing Wei just would like to use this medicine, but too many low again could not earn money.Is exactly low how much, is decided by a document that the hair changes Wei.If the agent doesn't have"relation", probably low quite a few dollar, if the agent contains "relation", probably low 12 dollars.Several differences of unit prices, relate to to this drugs whether the problem for canning become available in the market in this region. Enter "cure to protect".The underneath involves to this drugs whether think into cure the problem of protecting the scope.If don't enter to cure to protect, because of can not submit an expense account, each hospital dosage affirmative little.However medicine like this generally is lately especially medicine, sufferer need not don't go.If a certain drugs think into cure to protect, all the difficulties, and face the price dives of danger.Because cure to protect is covered up a list by the nation, the nation will adjust to control to make through a price this drugs to quickly reduce price.But normal regulations the drugs still would like to enter to cure something to protect for the sake of"walk to measure". First, cure to protect to do to apply for the drugs into to cure to protect everywhere to the government.Is general to come to speak, a self-provided drugs want into cure the words of protecting the scope, all not white let in whichever places you enter of.For example in Peking, a drugs want into B to cure to protect, five year agos need 500,000 dollars, it is said that wanting 1,000,000 dollars now.When you this product is in the whole country half or so province enter B cure to protect behind, just can apply for national A to cure to protect. If entered A to cure to protect, ignore how list price is high, submit an expense account and then wasn't problem, sell quantity also isn't problem.This process is also step by step spending money.If you think into if national A cures to protect, does 12,000,000 dollars still take not to come down, I hear that they spent 5,000,000 dollars to take down of. This part of money, generally will hand over in the center hand inside, is passed by the agent to relatedly handle affairs a personnel, for example the type of department chief, department chief of, the agent stays 1:00 by himself/herself.Generally and directly accepting the person of factory house or dealer's money is few. The drugs invite bids a purchase.No matter whether become submitting an expense accounting a medicine-cure to protect to use a medicine, the drugs have to pass then invitation to bid can get into a hospital, object BE:At target time inside(for example say for a year) in the target district inside, with what kind of the price allow the sale of some drugs.Not that, nation or hospital agree to buy your goods, but just you have power to sell goods just here. Some many habit but speeches of in the last yearses in the region, in the invitation to bid, a set of general in mark 3 factory houses in a species, for example equally left oxygen fluorine sand star, whole country so many factory house who can compete to become this 3, so have to come over to review a mark.Review what?The price, quality and prestige that includes a product, isn't a big factory famous brand ……also have a very important Qian rule actually is "who come to review":Be responsible for the medicine of product representative and the representative director that judge do to relate to how, relate to which tread.This kind of long-term person the formation of vein relation is all what dealer spends money heap to come out. The personnel whom the judge does re- constitutes the committee of an expert judge annually, the inside is all generally the supervisor of the big hospital pair director and medicine section director or is a famous expert;There is also the policy expert to cure to protect aspect, some officials. Those medicines that exclusively run this road representatives can take down all lists of judge's committees at momentary, in there are some persons whom he acquaints with in the head quarter, again pass these familiar of the person "walk" those the person's relation that don't acquaint with.These experts all generally have two cellular phones, during the period of judge, outward public of the cellular phone number need not, only going deep into a turn of talented person of son can find out him through another cellular phone. Some dealer with very hard relationses probably run to play cards to his home in the evening and pass to play cards to lose money, on losing several 10000 dollarses or several 100,000 dollarses in the evening, bribe with this way.Still have plenty of wife's money to it, or send his kid to study to the abroad. The leadership batch that have some a dealer to take equal Class, this is more severe. Enter a hospital.Get hold of medium mark notification, this drugs can divide to each hospital and seek those"medicine insect" did, the big sole agent wasn't likely to run a hospital. The drugs enter not to can enter a hospital, from the medicine matter of each hospital management committee decision, member from each section room director and medicine constituting of the section director's type, must walk they, the somebody else would unanimously vote to allow you into this hospital.The big hospital generally wants 30,000-50,000 dollars. Any drugs all get alone a public relations.This returns just first pass.Now some hospitals more unique, the authority leadership knows my noodles benefits is layer after layer, don't know is proceed from what consideration, a lot of all carry out a kind of call supervisor director or pair director the mechanism of"1 veto to make", come to democracy-concentration.Probably for suppressing in the past medicine matter committee to widespreadly meet the trend of hush money, but end result, will let significant ascension of the hush money cost of"medicine insect"-because want to bribe these supervisors to lead, usually isn't a few money and then can become of, under a lot of circumstances, what they want is post promoted, political position, academic achievement etc..Certainly, to some people also is another. Under these circumstances, there are some young and pretty"medicine insect"s even pleased to this in the prime of life of younger group the leaderships do the underground"two milks"s"three milks"s, "four milks"s is even.Don't think that they are how unbearable, what Kui, in fact, as long as the drugs of their agency get a supervisor director or pair director of with all strength recommendation, each the director of section room is doing not dare is rash, more don't dare to establish any obstacle.What they are subjected to privileges and is any other go together don't dare to compare. At the big hospital, a drugs that are subjected to this kind of"point care", eachDoes Ze Tu Shao wish the  Qian phrase Lou Jiao Zhuo Liao Jiao Mu ?Now, this ability person had new movable trend-he or she to no longer directly carry on drugs expansion again, the drugs of simply group person enter a hospital and handle some public relationses, then be divided into or take by ground an into the hospital fee-certainly, they also impossibly and only swallow, affirmation wants to divide with other people. Enter section room.If entered this hospital, into the different section room, also want to break through a relation with different section room.Because even if the pharmacy of hospital agrees to purchase goods,cheap sun glasses but if the section room hasn't been wanting the application of goods, the hospital isn't likely to store goods.Hence, have to let each section room agree to use your drugs.But, so many specieses that can use, so many products that can act for, have of the specieses are lower than your prices, the sufferer would like to even accept, somebody else with what want your goods? Answer BE-public relations.In addition to prelect, expand, exchanges, the most decisive only has 1-spend money.The section room goes out a tour and make social gathering, must make the medicine representative pay and is called "section room development fee".A section room at least 10,000 dollars, the hospital has how much section room is suitable for medicine to represent of the medicine, he has to "development" how much section room. Finally the section room director let to use this medicine, will start beating to order each doctor at this time.Money that the doctor accepts calls "clinical fee":Press to open the amount of squares charge, this is to take gold sale, generally cure "clinical fee" of protecting a type of drugs is 20%-25% of retail price, not is cure "clinical fee" of protecting the drugs is 30%-35% of retail price.Because of doing not  cure to protect a type of drugs to need a doctor to take pain ground more to advise a sufferer to accept. The doctor and medicine represents each the method with a set of calculation"clinical fee".Each doctor prescribed this kind of medicine to open how much pay, oneselfs all record well, the patient goes to not to get him irresponsible.By the end of the month, the medicine representative wills take the record of opening of doctor square, also is going to the pharmacy tee off actual sell how much pay of slip, this call"pit square".Generally open square record and effective the sale all have some discrepancies, if coming in and going out isn't that big, press the opening of doctor square to record to"clinical fee".If the discrepancy is too big, call "emit square".If the bad is 1200, this medicine the representative will slowly fling off this doctor, didn't give him money. The medicine representative passes what way come to"clinical fee" to the doctor, this is also knowledge.General medicine representative and doctorses are all very familiar, will give each section room the director one by one and pair director, they will also divide a part to give after getting hold of money nether of little doctors.Have the director of "conscience" and then will divide for nether doctor much some, the director of "the conscience isn't well" he or she only swallowed.Some"management" in the hospital is stricter, will a doctor be responsible for statisticsing prescription and Be also responsible for accepting money to the medicine representative, he assigns this money to the equity, this calls the section room of "managing is regular". 3, with money of taxpayer keep the corruption of medicine system finally, the drugs after built-up price markup arrived the sufferer's hand in.But the sufferer finally and originally should pay of money, probably Be just 30% of this drugs price or so. Industry insider consensus, the general drugs price is constituted as follows: Factory price(20% of wholesale price)+national revenue from tax(13% of wholesale price)+nominal quotation medicine company(8% of wholesale price)+act for dealer's profits(10%-20% of wholesale price)+medicine representative profits(10%-20% of wholesale price)+the hospital postponed price markup(15% of wholesale price)+doctor discount(25%-40% of retail price don't wait) retail price=wholesale price+wholesale price × 15% such as ex- say, all corruptions is from business agent, in advance the mat of dealer pays, but finally cover up list of but is a sufferer.Now a lot of drugs all enter cured to protect, that is money that equals taxpayer is keeping this corruption, common people individual possible don't care, because they possible spend 100 to divide of several, leave of all of money is nation cover up a list.But on sheep, a wool is still's this money that equals to use collective taxpayer is keeping the corruption of medicine system. The corrupt cost of in the center each link is very high, so in the list price, will settle Gao to the price.The business agent also knows so unfair to sufferer, but have no way, a drugs want to keep on operating, in the center a lot of links is wanting money to him.Pay till the last, he can also leave how much, still have to see luck. A lot of medicine companies sold to compensate, because these style speed is too slow, hospital or medicine store usually trail not to return to style, if walking to measure is very big, the tiny Kui soon becomes big Kui and connect to his opportunities of pants all have no, moment close down. 
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