Medical network - July 7 at 10 am on June 28, 2017, the state council information office held a press conference, deputy director of the national health and family planning commission, yi-xin zeng is introduced on the reform to perfect the shortage of drug supply security mechanism of the implementation opinions ", and a reporter asked.
"China news service:
Why do you have some shortage of medicines? In the market economy, it is supposed that the market decides the allocation of resources. Is it necessary for the government to step in to solve the drug shortage? "
Deputy director of national health and family planning commission zeng yixin:
Both of these questions are critical. There should be no shortage of medicines, and there is virtually no shortage of medicines.
First, it is productive. Unlike the underserved phenomenon, now the drug shortage is mostly due to some local, individual factors, such as some productive factors may cause drug shortages. Just like the fish protein, which is a necessary medicine for heart surgery, the raw materials are taken from salmon, and the supply is very seasonal and may cause a shortage.
Second, policy factors. For example, sometimes there is a good wish from all places in the procurement of medicines, hoping to make it affordable and affordable. But sometimes the price is low, the company won the bid, but in the long run, the company produces a lot of money but not much profit, which is difficult to sustain.
The third is the institutional factor. For example, in the reform of public hospitals, some medical institutions have not yet been fully transferred to the public welfare orientation.
Fourth, speculation and monopoly. There are some medicines that may be produced by two or three companies in the country, control the supply in order to raise the price, and collude to raise the price, and there is a man-made shortage. So the drug shortage is complicated.
For such a situation, it is theoretically possible to regulate the supply of medicines by improving the market mechanism. But the market mechanism is not fully interventionist for some of the factors I mentioned, and the government has to do it.
The position of the government in the opinion is a new mechanism, not a referee or an athlete, but a bit like a coordinator. Is neither a price specified by the government, nor perfect market mechanism, is the government as the coordinator, the enterprise, procurement, hospitals, experts please together, on the premise of guarantee the stability of supply, to discuss a more reasonable price. At such times, complete market mechanism alone won't solve these problems, the government to coordinate, to build a platform, the two sides of supply and demand of medical institutions and companies say they difficulty, after consultations, form an acceptable to both parties as a result, the government here as "a platform to promote docking" coordinating role. |
