Belt volume procurement is highly correlated with "inner cycle" and will drive the loss of the value of the health industry.

Guide: The author thinks: people to buy vegetables to shop around, to a price is realand affordable, then, related to the people's health industry products - the supply of drugs, centralized procurement or volume procurement to take into account is the cost-effective drug.
the author bought a dish at the weekend, or often go to the fruit and vegetable shop.
back to chat with his family to the price of food, only to find that this watermelon is not generally expensive, the same quality of the case, it is more than double the price.
the author can not help thinking: the common people to buy food to shop, to a price is really and affordable, then, related to the people's livelihood of the health industry products - the supply of drugs, centralized procurement or volume procurement to bring consideration is the drug cost-effective.
, the ancestor of the volume procurement is the United States why the author first talked about the United States has a band procurement? Because it's true.
the U.S. version of the band purchase, although unorganized, but effective.
is not limited to drugs, high-value medical supplies, but is full of almost all product purchase behavior.
the United States is the world's largest and relatively open consumer market, China is its first large-scale importing countries, the supply of affordable goods.
", as long as the merchants profit, there is a part of the proceeds to be consumed, there is a part of the corresponding materials can not be sold.
this thing is excess.
the moment Britain set off the industrial revolution, the problem took shape.
since every country is facing a surplus problem, if the whole world is understood as a village, there will always be a moment when the purchasing power of all the people in the village cannot buy up industrial goods, and then it will go to the global economic crisis.
even if there is an external market, capacity will still be overcapacity sooner or later;
external market can not be without, China has long been too dependent on external market, in the future to enhance the internal market position.
Roosevelt, America's best president, realized early on that the key to sustainable development was to develop a huge internal market, producing things that could be digested as much as possible, so as to get rid of dependence on external markets.
" as the saying goes, courtesy goes with each other.
but the U.S. has clearly failed to do so in pricing in trading products and exchange services.
not just China, but the world.
rely on relatively higher, monopoly of science and technology, finance, the United States original research drugs, U.S. commercial insurance and other commodities to achieve a higher or abnormally high pricing.
if we compare similar products or services, the gap is even more pronounced.
some people say that the United States to do so, is a free economy, is the level of the market, the United States domestic research drugs, commercial insurance is expensive, the United States government, the insured, patients also have to pay the same.
, however, the total cost of health in the United States is inflated, leaving gdp on the U.S. mainland.
the high cost of total u.S. health care, protecting the leadership and destruction of U.S. medical technology around the world.
second, the future of volume procurement in China's various industries, even low-end follow, poor imitation of those industries, with the United States retained the gross domestic product composition of the industry, are biased towards the rustic, generous.
we have always been good at large supply scale, relatively ignoring the right to supply voice.
we are good suppliers, but we are not necessarily sophisticated buyers.
drugs, high-value consumables, the volume of procurement, is a centralized stimulus.
", as we all know, state intervention will certainly affect efficiency, but society pursues more than efficiency, in theory, pure object-choice Darwinian social efficiency is highest.
but simple distribution will not solve the problem, but also to keep the cake bigger.
in this regard, the best thing the United States actually does is "turn ingons".
, for example, several key studies that affected the entire 20th century, atomic energy, computers, the Internet and genetic engineering, are made up of the power of the state, pooling various resources, not the great power of a market economy.
the real power of a market economy is to make these technologies cheap and civilian.
for everyone to use, and finally the state recycled investment through tax revenue, enterprises by hiring high-income workers to increase social employment and workers' income, social efficiency has been greatly improved.
the so-called inner cycle, short-term transfer, long-term rely on science and technology.
is to transfer wealth to the grass-roots level in the short term by finance, to enhance the consumption capacity of the grass-roots level, on the one hand to improve people's livelihood, on the other hand, the consumption of China's industrial products.
is the most critical need for technological breakthroughs and the creation of a whole host of new companies.
", "state intervention, administrative intervention will certainly affect efficiency, but the pursuit of society is not only efficiency, more development direction, level of problems."
to crack down on gold sales, is to hurt the efficiency of individual enterprises tools, but improve the speed of competition throughout the industry;
we're changing the quality and quantity.
-band procurement is by no means a national pharmaceutical industry, including generics.
the volume of procurement, first of all, the amount, to the people's interests as the center, rapidly expand the amount of clinical rational drug use, the amount of timely treatment of patients, these amounts once put on the shelf it is difficult to get off the shelf, the state assumes more responsibility.
by expanding the reasonable amount of consumption, the state, society, pharmaceutical enterprises to jointly alleviate the problem of balance.
almost at the same time, it's going to be a quality win.
can foresee things are: special drugs, biological-similar drugs, the first imitation of the difficult to imitate drugs, quality Chinese medicine will be more and more hot, water rising ship high, the industry will play big, a class of innovative drugs are also less "rare".
this is the internal and external double cycle of the base gas, bottom force.
health industry can explore to meet adequacy under the joint initiative of Healthy China.
three, the expansion of the scope of application of the volume of procurement we see, on the one hand, we spit the U.S. health industry here expensive here is also expensive, on the other hand, we must also have the U.S. health industry's existing, innovative practices.
this is not a contradiction.
the U.S. health industry, of course, there are some false, efficiency-free dysentery, but the U.S. health industry often through strategic purchase options, leaving behind the desired or reluctant to discard content.
for example, the U.S. health industry output value and structure is like the plateau and some peaks on the plateau, and we in the current catch-up stage of the health industry output value and structure is like being with the amount of procurement and other medical reform measures to combat the plateau terrain.
mentioned earlier, the volume of procurement traction of China's health industry output value abandoned, we must expand the scope of applications, perhaps no longer limited to drugs, medical supplies. Where do
go? Must meet two characteristics.
is the amount required, and the current amount has not yet been released by the application. the second
is to give prices, so that through the volume of goods purchased gradually price discovery.
we believe that two types of health products, consisting of manpower services and technological competition, are worthy of attention.
the former such as nursing, medical care, the latter such as new special drugs, equipment, AI and other hard power.
in this process, there are several considerations: First, the principle of the role of tape procurement needs to be established as a whole and the health industry to accept, adapt;
to the present point of view, chronic disease management bear the brunt, the outstanding performance is the outpatient two-disease drug guarantee mechanism in the country.
followed by health insurance and relief for severely ill health insurance, which are linked to the difficulties of health care coverage, and may be improved through health management.
under medical reform, there must be a brave man.
health management is the advantage of business insurance, but also the advantage of health service providers.
fourth, the health industry output value continues to strengthen first, with the volume of procurement, patient demand is growing.
the overall cost of health financing remains high, there will be further steady growth.
this trend, the rapid development of health industry, accurate development can not be separated from the financial support of the insurance industry.
insurance promotes medical choice.
second, with Zhang Wenhong, Zhang Qiang, Song Donglei and other representatives of the net red doctor will become a "I choose my own" industry phenomenon, medical science further out of the ivory tower and clinic, the Internet medical information more open circulation, the platform is a channel rather than a monopoly.
third, the difference between China's graded diagnosis and treatment and the Graded Medical Treatment in the United States is conducive to the development of secondary hospitals and village medical services in China.
innovation is not as old as the old, with the volume of procurement dividend bundle to reach the secondary hospital, village doctor, but also the regulations, the environment reflects the determination of the time.
fourth, Internet medical will serve high-end, more reflect the patient's own recognition of the value of medical technology services. Where does
mezzanine doctor, who is not meshred, go? We should refer to family doctors, and real lying family doctors should not be cheap.
why do we say that? Because: "The ultimate goal is: the poor country to make up, the rich domestic flower;
crisis is definitely a turning point.
is certainly the old way before can not go down to crisis, this time have to be forced to jump out of the comfort zone, to do those difficult things, solve complex problems, this is the source of progress.
"