Who benefits from the price limit of medical devices?

Recently, it was learned from China Medical Device Industry Association that the original medical price limit policy to be issued this year will be postponed According to the preliminary draft of Zui, the total markup rate of disposable low-value medical consumables from the factory to the final sale of Zui to patients shall not exceed 40% However, medical device enterprises believe that the NDRC not only squeezes out the gray part in the circulation field, but also squeezes out the reasonable profits of the enterprise This is obviously just an excuse The key point of Zui is that this "price limit order" will change the existing benefit ecology of the medical device market and deprive some people of their vested interests In the medical equipment industry, it's nothing new to sell a large imported medical equipment and earn a million yuan Generally, when dealers sign cooperation agreements with manufacturers, they will keep a gross profit of 60% - 80% When it comes to the "virtual height" of medical devices, we think of the chain of interests of manufacturers, distributors, hospitals and doctors It has always been a straightforward and effective way for Zui to "force price reduction" through "price limit order" However, what's the result? "17 times of national price reduction orders, the more drug prices fall, the higher" If one day, the state's price limit policy is finally coming out, who can guarantee that dealers will not "take countermeasures" The system can only be "induced" but not "forced" As a constraint condition of individual behavior, its enforceability must be based on the premise of individual's pursuit of utility Zui In order to correct the virtual height of medical devices, we should first correct the unreasonable value distribution system "Zui high limit price" is not without cost Price limit may not only cause discrimination, but also lead to the decline of the quality of medical devices, which is fatal In addition, from the perspective of economics, it will also lead to black market transactions, waste of resources and corruption In the end, who will benefit from the price limit? Price fixing should support a group of people who lobby and specialize in bribery activities in order to strive for a price favorable to producers According to a survey, the "legal" income of most doctors with the title of "attending doctor" or above does not exceed 4000 yuan per month Life is priceless Compared with the information resources and value created by doctors, doctors' legitimate income is obviously low In order to earn the same income as their profession, doctors are likely to use information to encourage more machines and drugs For doctors, they can't get grey income through normal channels such as "bidding and purchasing", which gives "medical representatives" a chance to take advantage of Not only did hospitals and doctors get very opaque "kickbacks", but what's more, they also nourished a group of "drug ghosts" who profited from it Over the years, it has been difficult to eliminate the situation of "supporting doctors with medicine", or even see a sign of turning around Wang Dingding, an economist, wrote in the Journal of Finance and economics that "in order to make doctors abide by their Hippocratic vows, they should be given legal income corresponding to value creation," It can be further speculated that as long as the average monthly income of the attending doctors is not less than 10000 yuan and that of the deputy chief doctors is not less than 20000 yuan, they are willing to give up illegal income such as acupoints, red envelopes and kickbacks " To eliminate the illegal trade in the medical market, we must first encourage hospitals and doctors to give up illegal income Only when the chain of doctors is broken, "drug ghost" has no viable soil, and everything will really be put into normal operation, and further curb the "virtual high" of medical equipment prices Source: medical economics