Fall blindly medical price or negative and patent system, of final fall victim still is ordinary common people.
solution bureau manufactures
In " does Chinese pharmacy line of business have many to lag behind? The truth still plunges into a heart than the film! " in one article, the director introduced Chinese pharmacy line of business, today, again for say " day price " medicine.
After seeing the movie, a lot of people tongue-lash medical look forward to shameless, buy human life at disregarding; Return somebody, the cause with noble medicine, end at " extremely evil " patent system; Even somebody alleges, the Chinese is not used on help medicine, it is the plot of western medicine look forward to.
"Life does not have valence " , it is right of course. But what the director wants to say is, cannot solve a problem angrily, plot talking cannot fall more medical price.
A brutal reality is: Help medicine, must sell a day price.
01
In the film, the prototype of day price medicine that treats slow bead leukaemia is " Glenn is defended " , many bottles 20 thousand sell in home, year remedial charge exceeds 300 thousand, exceeded majority family really bear ability.
But, be in numerous " day price " in medicine, glenn Wei Zhen does not calculate expensive.
2017, "American family doctor wisdom library " released whole world is the most expensive medicaments pop chart, each is fearsome.
The costliest medicaments on the world, it is the Alipojin that company of Amsterdam Molecular pharmacy produces, remedial charge of a year is as high as 1.2 million dollar, be equivalent to 7 million RMB.
Attention, this is " American family doctor wisdom library " a list of names posted up that give out is odd, the charge statistic according to oneself of insurance company, patient, government spending reachs treat cost.
That is to say, help medicine, also sell a day price in the United States.
Visible, "Day price " help medicine, be not China particular.
02
Why to say, help medicine, sell a day price with respect to this?
A basic logic is, medical look forward to is not beneficent orgnaization, fall in the premise that assures profit only, just enough power throws heavy gold to go research and development and promotion.
Expensive, have expensive reason for certain.
See cost of research and development first.
Time of new drug of research and development is long, investment is large, from experiment of early days medicaments, arrive 3 period clinical research, cost ten years on average, cost a few yuan.
The successful rate that new drug appears on the market is very low, it is 1/4000 only. That is to say, a huge sum of money that flower of medical look forward to goes out is very much hit water to float.
2012 around, a appear on the market vaccine of liver of second of research and development of declare of company Chongqing beer fails, several yuan of capital that invest not only paid tuition, share price is to drop more went 8 into.
Nuo of world pharmacy tycoon China, 1997~2011 year, threw 83.6 billion dollar to be used at research and development, the new drug that is appeared on the market finally by approval, also do not cross 21 kinds.
Calculate simply, every new drug, only charge of research and development is as high as 4 billion dollar.
See market size again.
Deal is exquisite " small profits but quick turnover " , if sell little, so, can large interest.
"Day price " another cause with noble medicine, namely the user is too little.
With " Glenn is defended " for exemple, the incidence of a disease that gets used to disease is 1/100000 about, also say, the whole world also does not spend 600 thousand patient. The person that considers an in part may do not have an opportunity to use this drug, potential user may have 300 thousand only.
"Glenn is defended " cost of research and development 5 billion dollar, calculate roughly, every patient should bear the cost of research and development of 10 more than dollar.
"The most expensive drug on the world " Alipojin, average per capita costs 1.2 million dollar one year, because the market is too small,be. This medicine is appeared on the market by approval in the European Union only, the user is less than 200 people, not can expensive?
View patent protection finally.
After new drug research and development comes out, call in cost also needs time.
To guarantee benefit of medical look forward to, medicaments has patent protection period, it is 20 years commonly. Take patent to appear on the market to still have a paragraph of delay to medicaments, medical look forward to must make the best of time, earn the cost of research and development of a huge sum come back.
This is going up objectively, also cause medicines and chemical reagents to fix a price " said to calculate readily " forestall situation. Without the competitor, medical look forward to is OK ground of secure in the knowledge that one has strong backing sells high price.
03
"Life does not have valence " , it is extremely correct of course.
But, taking this word, go asking medical look forward to falls medical price, it is the appeal cancels patent system even, it is invalid, also be faint.
Depreciate for instance. In business character business, medical look forward to depreciates without obligation originally. To say the least, depreciate, fall how many appropriate? With " Glenn is defended " for exemple, need 300 thousand yuan one year, somebody hopes to fall half, somebody is longing to hit 3 fold, somebody feels best and free... once begin, the morality that can be immersed in abysmal line kidnaps.
Although medical look forward to is forced to depreciate, the result often is, drug stop production, and rather than is cheaper. In reality, after a few medicine are depreciated compulsively, or stop production, disappear thoroughly, or changes his appearance, appear on the market afresh, the price is more expensive than before.
For instance patent system. Somebody assail patent system, indulgent medical look forward to, cry even went out " life power precede over any intellectual property " .
From go up somehow, patent is really indulgent medical look forward to. But, without patent protection, throw the innovation medicine of billions of dollar, meeting by other company piracy, fell principal is not had return. If things go on like this, be willing without the company new drug of research and development.
Indian government disregards intellectual property, look forward to of compulsory license medicine is modelled on, bring about western medicine look forward to to be opposite Indian market, stay at a respectful distance from sb, reject to enter Indian market.
Here says more, the Chinese buys Indian copy pharmacy, it is the petty gain that takes an Indian actually, because, the Indian bore the consequence of copy pharmacy.
Visible, fall blindly medical price or negative and patent system, of final fall victim still is ordinary common people.
04
This is meant, medical look forward to can do as one wants, where is ask a price of all over the sky?
Not be of course.
Research and development of innovation of medical look forward to, need scores gain. Thing of in every case should have limit, exceeded this limit, with respect to the interest that can harm the public.
How to just let correctly " day price " medical price, fall?
It is Chinese medicine look forward to should rise abruptly.
"Day price " medicine is market price, depreciate to also want to rely on market mechanism -- competition.
The Chinese wants to be used cheaper help medicine, must encourage the innovation of homebred medicine and research and development, form the competition with exclusive entrance medicine in the market.
(global new drug appeared on the market 2016 the area distributings)
The meaning of homebred innovation medicine, still depend on preventing person of be enslaved to be enslaved to. A lot of patients of Chinese count expensive entrance drug, once foreign medicine look forward to exits Chinese market, patient general can be used without medicine. This is by no means exaggerate sth just to scare people, during H7N9 armour flu is eruptive 2015, precedented already.
Compete, it is best undoubtedly depreciate method.
2 it is Chinese government should serve as.
To medical look forward to, want to reduce cost.
Touch through the amount of tax to be paid buckle funds of research and development, it is the current practice of the country such as beautiful Europe day. The United States publishs orphan drug bill even, encourage research and development of medical look forward to the new drug with a few small gain.
After entrance medicine enters China, still need to have clinical trial afresh, virtually raised cost of medical look forward to, also brought about what entrance medicine sells in China to compare other country (area) expensive.
Since this year April, bureau of national medicine inspect publishs a series of new policy in succession, new drug appears on the market to examine and approve a program outside brief sublimity, will reduce entrance drug cost effectively.
To the patient, want to reduce a burden.
The first, the price negotiates. Chinese market is enough big, chinese government has enough chip, with tycoons of medical look forward to argy-bargy.
The 2nd, lower tax rate. China already had fulfilled 0 custom duty to anticarcinogen, but medicines and chemical reagents is in sale link, still want to impose the value added tax of 17% . To helping medical tax rate, should want directional derate.
The 3rd, bring into cure to protect. Will help medicine brings into cure to protect, with national financial resources, safeguard patient uses drug. 2017, already had 18 kinds of anticarcinogen new bring into cure to protect. If boron replaces assist rice cost price 13600 yuan / , 6116 yuan need only after bringing into cure to protect / .
The 4th, hit rake-off. Save the anticarcinogen of human life, a ready source of money with the most valuable bound of medicine be regardinged as. National hair changes appoint the official that the price manages ever disclosed, entrance medicine can be added by the hospital commonly valence 15% . If impose the sales commission of light of not to be exposed to, cost raises at least 20% .
All these, it is a process of complex rich play chess, need acquires a balance before medical look forward to, agency, hospital, patient.
Preamble of no less than analyses in that way, "Day price " help medicine expensive, because cost is too high,still be.
Unless advance rapidly of science and technology, reduce cost of research and development considerably, otherwise, "Day price " help medicine sells a day price, short-term the change that won't have essential sex.
We are common common people, can do, it is little fall ill, make money more.
