Reasons and process of the development of "secondary bargaining" in drug procurement

That is, medical institutions in the actual procurement did not follow the price determined by the provincial tender, often in the bidding price and then play a discount. Hospitals in the procurement of drugs, the price of drugs have been awarded in the bidding price on the basis of the bidding price once again proposed to cut the price of bargaining requirements.

The reason on the one hand, pharmaceutical profit margins are still relatively large, and then is the second bargaining medical institutions is to earn more money, the state does suppress too much, we learn medicine of the academic system was more than others a few years, and are also hard to learn (if you do not learn the basics, you are not afraid of accidents ate lawsuits), due to the professionalism of the work and the risk of our general belief that the medical work Salary is higher than ordinary work, otherwise the value can not be reflected. Now this medical situation is also caused by the zf, in the last century, no vision of the officials because of the burden of funds to push the hospital to the community, so that the hospital self-supporting, self-financing. Hospitals have become money-oriented. Hospitals now after the development of not only can stand on their own, and earn a lot of money, but the fairness of health care is gone, medical costs are also brush up, ordinary people can not afford to see a doctor, because of the disease caused by the poor, because of the disease back to poverty. Now the state wants to control the hospitals to take the road of public welfare, but the money is not enough to suppress the price of drugs but no more money to improve the treatment of doctors, then the doctors will have to find their own food to eat. It is said that the shortage of medical resources in China has led to the high cost of medical care, but the medical education in the past few years has trained many medical talents, and many of them are unable to find a job! The system is not perfect and the whole medical system does not circulate smoothly. The Minister of Health has changed a couple of times, but there is no essential change.