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"Generic" investigation: cheap Patients with life-saving medicine is helpless choice
 
Author:中國銘鉉 企劃部  Release Time:2016-12-1 8:49:55  Number Browse:1109
 

Medical network - on November 23 sutent, happy felling, gleevec, Yi Rui sand, edge, the United States, 9291... These is very strange medicines for ordinary people, zhang zhiguo was 37 (a pseudonym) is familiar, not just because he is a cancer patient, he also did the Indian drugs act as purchasing agency. The imported drugs, patients in the domestic purchase frequently spend tens of thousands of yuan each month, some imported drugs even basic can't buy. In India, Bangladesh and other countries, the medicine of cheap generic drugs in pharmacy can buy at any time, for many patients with life-saving medicine.

Treatment of liver cancer specific Fifty thousand yuan a box

Recently, zhaoyuan the female nurse LuShaoYan from abroad to buy life-saving medicine, citizens continue to focus on. 21, the reporter understands, she has been taking two consecutive days, are waiting to get better. "Curative effect after a week to see that the buy medicine enough amount of money of a month, also didn't know what to do in the future." LuShaoYan said.

In fact, like LuShaoYan, buy life-saving medicine from abroad is not a few, zhang zhiguo was is one of them. In yantai work a few years ago, zhang zhiguo was sometimes feel uncomfortable, don't particularly care about zhang zhiguo was beginning. "Should be digested occasionally have a stomachache, feel bad, every time go to the small clinic near a shot." Zhang zhiguo was recalled.

Zhang zhiguo was collywobbles seizure frequency is higher and higher, from half a year time into two or three months time, also more and more severe pain. Because the economy is not rich, zhang zhiguo was reluctant to go to large hospital, looking for a small hospital, do B to exceed check, was diagnosed with cholecystitis, take the medicine for a long time in a row. "Or painful, sometimes pain is all night." Zhang zhiguo was again to do the inspection, the diagnosis of bile reflux gastritis, and in accordance with the stomach trouble for some time, the disease is still not eased. By September 2013, the doctor said should be on the liver. The color B ultrasonic, CT, enhanced CT examination to do it again, diagnosed with liver cancer.

The news for zhang zhiguo was a bolt from the blue. With the help of friends, zhang zhiguo was arrived in Beijing three a hospital for treatment, but the doctor's words made zhang zhiguo was thoroughly heart cool, "surgery may all can't live under the table, less than 30% success rate."

Zhang zhiguo was ran several hospitals, including shandong, Beijing, xiamen and so on several parts of the hospital, some Suggestions for liver transplantation, but the cost of surgery for large let zhang zhiguo was off. Later, under the advice of relatives, went to a hospital for interventional therapy, the doctor advised a imported drugs - toluene sulfonic acid sorafenib, on the market in our country name also called edge, the United States, Germany, bayer pharmaceutical company in the production of specific, fifty thousand yuan a box, a box just enough to eat for a month, and all the expenses.

"Oh my god, how do I eat up!" Zhang zhiguo was shocked and lost, in the face of such situation, the doctor said, I heard that the ward patients in generic drugs, eat full beauty only 5000 yuan a month. Hope zhang zhiguo was kept asking, but doctors don't want to say more.

Indian generics carton 8900 yuan only

So many patients in the ward, zhang zhiguo was sit through to ask each one, finally found the patients for generic drugs. "He provides the source of the contact way, I bought a, spent nearly 5000 yuan, feeling really have the effect." Subsequently, zhang zhiguo was found on the Internet a BBS, the BBS dedicated to helping patients from India to buy medicine. Later, with a roommate is ripe, the other gave him an Indian's contact information.

"Really is Indian, I often chat with his video." Zhang zhiguo was said. Because the other party will not Chinese, can communicate in English and zhang zhiguo was only, and zhang zhiguo was not English, I downloaded a translation software, put the sent word to use translation software, then used his own words software translated into English.

Contact with the Indian people, zhang zhiguo was just know at the time of hospital patients and their met to sell medicine drug traffickers, "some drug traffickers to earn money to really is too shameless." Zhang zhiguo was said to run of beauty, for example, India the pharmacy of the retail price for a carton, 8880 rupees, with exchange rate fluctuations, the general is equivalent to 850-950 yuan, the price is only one over fifty of the original drug.

At the beginning, zhang zhiguo was not fully trust the indians, "so much cheaper than the originally bought, could it be fake?" Although not trust, zhang zhiguo was decided to bo, bought a few boxes. "Eat later was in remission, but blood pressure increases, hands and feet slowly peeling phenomenon, stopped two days will return to normal blood pressure. And buy before, and the original drug instructions written in the side effects as well." Zhang zhiguo was very surprise, this should be true, "fake drugs are generally made of starch, ate nothing."

Zhang zhiguo was to find a doctor, according to these side effects, doctors to help formulate the corresponding solution. In this way, zhang zhiguo was always insist on taking the medicine, at the same time do a few times intervention, "although now physical condition can not compare with healthy people, but, still can be tumor has not continued to increase."

As word of mouth between patients, zhang zhiguo was started for patients in India to purchase a variety of generic drugs, zhang zhiguo was admitted, now can't work, will make some money from the drugs act as purchasing agency, used to sustain life. Purchases every time in order to be able to pass the customs, zhang zhiguo was relatively small, although have never seen the customs of the people, but zhang zhiguo was think, "should be a good people, they know that this is the life-saving drugs, as long as the quantity is little, can smoothly."

Buy generic drugs from abroad is not very easy

It is known that different people buy Indian medicine have different channels, have a plenty of please go to India on business friends and relatives to buy, have a plenty of patients group indians help buy, have a plenty of through taobao intermediary to buy, also have a plenty of directly to India to buy. Although the last method is the most safe and reliable, but the relatively high cost of back and forth.

"Money, who is willing to eat generic drugs?" Zhang zhiguo was said, eat a generic drug is really no way, "run, not every patients can eat eat can effectively is hard to say. Even if is the original medicine, according to my observation, the efficiency can reach 20%. The same to eat for three months, the original drug to pay 150000, can be said that the money for a lot of patients family money, have no effect is not white threw money? And financial resources to seek other drug? Eat generics found no effect, you can also try other medicine."

"I am very grateful to produce a generic version of India, it is the existence of this kind of cheap generic drugs, not let my family into saucepans, in my treatment at the same time also ensure the family's standard of living not happened too much volatility." Zhang zhiguo was to tell a reporter, oneself also seen around a lot at first only genuine medicine patients after eating for several years, finally unable to economic pressure to change eating Indian generics.

"There is nothing wrong with Europe and the United States developed countries drug makers, the research and development of these specific without them, nature also not many generic drugs. After they successfully developed, puts the drug prices high enough also understandable, way to recoup costs, also in pursuit of high profits at the same time, from the perspective of enterprise without any fault." In zhang zhiguo was view, India is set to allow generic drug patent system does not seem to be wrong, if not the system, don't know how India will have no medicine can cure after the poor sick.

The doctor attitude

Buy generic drugs, patients do not support nor discouraged

A physician 3 armour hospital liver disease Qin Yue (not his real name), from time to time encounter patients from abroad to buy medicine to take. "Like a small molecule drug hepatitis c virus (HCV), from the United States to buy the original medicine will be 500000 yuan, a period of treatment and from India to buy medicine, a period of treatment with only 10000 yuan." Qin Yue said, the patient usually buy antiviral drugs and tumor targeted drugs from abroad, even if the price difference is the smallest are about 10 times, the doctor's attitude is neither support nor discouraged. Buy medicine is personal behavior, "patients need to be accountable, and the doctor is responsible for the patient, to remind patients, periodic review and help to monitor the drug efficacy and adverse reactions."

Qin Yue understands to the behavior of the patients from abroad to buy medicine ", even if the latest r&d listing of the imported drugs, to list at home must be at least two years of time, there are some patients really afford to wait, and a lot of the drug efficacy of buying from abroad is very good."

We have learned, from India to buy generic drugs, many because of these drugs in China is not listed, or because of the high cost of patients can't afford to, can give up the original drug buy generics. Like gleevec for the treatment of leukemia, Yi Rui sand for the treatment of lung cancer, treatment of breast cancer herceptin, treatment of renal cell carcinoma and liver ill beauty, etc., are the most common foreign drugs patients to buy.

Zhang zhiguo was said, although China's pharmaceutical patent protection system to follow the developed countries, but not the perfect special disease of health care, can help the high prices of imported drugs are not included in the health care. "Developed countries prices are not low, but often it is the high medical expenses should be brought into the health care, let the government or the insurance company pay." Also has the expert inside course of study on patients of said understand, but I don't support this kind of individual behavior. In shandong university school of public health professor ling-zhong xu's opinion, the high price of imported drugs in our country, is not without taking steps to bargain with quantity in the price of the national behavior, is benefit for patients.

In may this year, the national health and family planning commission released the first batch of national drug price negotiation as a result, for the treatment of chronic hepatitis b of tenofovir ester and used in the treatment of non-small cell lung cancer three drug prices fell more than half. Despite the good news has already spread the half a year, but many patients report, at present in the province is still difficult to buy after the price of drugs. The reporter understands from the hospital, currently used in the treatment of hepatitis b viread prices still is 1470 yuan a bottle, and after the price is 490 yuan a bottle.

 
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