Go overseas to buy medicine、Physical Examination、Seeing a doctor、Beauty Plastic Surgery，It has become a new phenomenon in the field of health consumption in my country。China is a major pharmaceutical country，There are more than 5,000 pharmaceutical companies，Is it really necessary to buy medicines for not far away? Domestic beauty plastic surgery institutions bloom everywhere，What attracted many women to compete abroad & ldquo; change new face & rdquo;? The technical and equipment of the three hospitals in various places is not backward，Why do people cross the ocean to see a doctor? What are the problems hidden behind this?，We will successively launch & ldquo; Three questions about exit health consumption hot & rdquo; series reports，Hope to attract everyone's attention and thinking。

 

  & mdash; & mdash; editor

 

  Indian version of Gelei and genuine price differences

 

  India and other countries use the WTO rules，Imitation patented medicine，Low price Experts suggestion: Use international rules，Implement the necessary mandatory permits and imported imports，Treat imported drugs and domestic medicines with the same treatment

 

  The mother of Ms. Yuan, a Guangdong media person, has lung cancer，Need to take anticancer drugs Tro Kai，I heard that the Indian version of Trokai's medicine is very cheap，Only a few hundred yuan per box，She goes to India to buy medicine for her mother。Reporter checked the Internet，Tro Kai announced in August this year，But it still costs more than 4,000 yuan a box，For patients who need to take this drug all year round，A burden is really light。

 

  Many people go to India like Ms. Yuan。July 2014，Lu Yong, who is suffering from leukemia, share the purchasing channel with the patient who needs Indian Ge Liewei，The Procuratorate of Hunan Province, Hunan City Procuratorate, with & ldquo; obstructing credit card management & rdquo; and & ldquo;。March 2015，Lu Yong was taken for a bail pending trial，It is also known as & ldquo; India's first person & rdquo;。Current，The price of genuine Genheli in China still costs more than 20,000 yuan a box，3,000 yuan for imitation drugs，and the Indian version of Ge Liewei only requires more than 200 yuan。

 

  stake betting appTro stake sports betting appKai、Gleevecs are anti -cancer targeting medicines，Currently in the patent protection period，higher price。Why is the Indian version of targeting medicine cheaper than China? Wang Hongzhi Wang Hongzhi, a consultant of Peking University, told reporters，This is mainly related to the Indian drug patent system。The World Trade Organization "Intellectual Property Agreement related to trade" (referred to as trips) and other related agreements，Principles of different treatments to developing countries and developed countries:

 

  First, developed countries have implemented the patent system of drug patent in 1995，It has given a 10 -year transition period to developing countries，Patent system can be implemented from 2005。India uses this transition period to imitate a large number of patented drugs。

 

  Second, allow developing countries to adopt a compulsory license method，That is, according to the needs of public health and safety in the country，Unpaid holders of patent holders permission to produce patent drugs。India also uses this agreement，Allows domestic pharmaceutical companies to imitate some patented drugs，Low price，Therefore, it is called & ldquo; World Pharmacy & RDQUO;。

 

  my country's policy also proposes，It can be enabled for the compulsory license procedure，Imitation of patented drugs for emergency production。Chang Feng, deputy dean of the International Medical Business School of China Pharmaceutical University, believes，Forced license policy is not good for domestic drug innovation，Not conducive to the development of the health industry。His suggestion，Adjusting price policy，Enhance corporate innovation ability，At the same time, accelerate the approval of import drugs，It can solve the problem of excessive patented drug prices。

 

  Wang Hongzhi thinks，The price of patented patented drugs in my country is also high in the world，For the reason, in addition to abandoning the above rights，It is still in some super -national benefits of foreign medicines。Foreign -funded drugs even after the patent protection period，Also grouping in the centralized procurement process of public hospitals、Scores and other links enjoy the highest price hierarchical treatment，Occupation of advantages。

 

  To reduce this part of the drug price，This year, the country launched drug price negotiations，The first batch of three drugs is priced at 55%or more，Among them, Irima, the same class as Tro Kai、Camina's two varieties become negotiated medicines，More than half the price reduction，The average monthly expenses dropped to 5000 & mdash; 7000 yuan。Under the pressure reduction pressure of similar drugs，Tro Kai has to reduce the price by 30%。At the same time of negotiating drugs,，Many places have successively incorporated them into New Rural Cooperative、Medical Insurance Reimbursement Catalog，Patient burden is greatly reduced。

 

  Domestic imported new drug approval process is the fastest for 6 years

 

  Imported drug approval lags behind the needs of the people，Patients who are urgent to use medicine are difficult stake betting appMy stake betting appto share in time to innovative achievements experts: when the patent protection time is over，The production of generic drugs should be opened quickly，Approval of qualified enterprise production

 

  Early this year，Ms. Li, a patient with hepatitis B, Kunming, Yunnan, prepares children，The attending physician told her，You need to change the hepatitis B the treatment drug that can also be taken by pregnant women，That is Norofir ester。At that time，This medicine has not yet been listed in the country。Ms. Li called American friends，Let friends help her buy medicine。& ldquo; waiting for domestic listing too slow，I can only find a way to buy medicine from abroad，Doctor said that the clinical efficacy of this drug is the best。& rdquo;

 

  Fortunately, the state announced the first batch of drug price negotiating drugs in May，Norofir ester is one of them，The price reduction is 67%，And Yunnan is still the first province in the country to implement the results of negotiations。When changing medicine in July，Ms. Li drove in time to Solofir ester。

 

  Wei Jia, director of the Yunnan Viral hepatitis Research Center, said，Hepatitis C drug antiviral drug update quickly，The latest drugs have been listed in the United States，No domestic，The effect is very good，Basically can be cured，But the price is high，A course of treatment is 80,000 US dollars。Many patients go to Bangladesh、India buy medicine，The price is only 1%of the original price。

 

   & ldquo; There are risks for purchasing drugs abroad，I don’t advocate。But the patient's desire to use good medicine is understandable，I hope that domestic price negotiations will continue，Drop the price of these patented drugs。& rdquo; Wei Jia said。

 

  In 2013, the number of hepatitis C in my country reported more than 200,000 cases，Experts point out，Oral anti -hepatitis C virus drugs，A large part of patients can be cured。

 

  So，Why are these new drugs so slow in China? Chang Feng said，It is mainly related to the drug approval system。According to my country's "Drug Management Law"，Imported drugs need to apply for clinical research，After being approved, I will conduct 3 clinical trials，Then report to the drug supervision department for approval and pass，After getting a license，Purchase through centralized bidding，Enter the hospital。& ldquo; From the perspective of historical data，This process takes 6 years as soon as possible。& rdquo;

 

  Imported drug approval lags behind the needs of the people，It is difficult for patients with urgent medicine to share to innovation results in time，Anestly exacerbated the phenomenon of Haitao's new medicine。But，Reduce the price similar to new hepatitis C drugs、Improve the approval of imported patent drugs and listing the market，There is no solution that did not happen overnight。Expert Suggestion，One aspect，Accelerate the approval of new drugs，Start the state negotiation，Reduce the price of medicine，At the same time, incorporate it early in medical insurance，Reduce the burden on patients; on the other hand，When the patent protection time is over，The production of generic drugs should be opened quickly，Approval of qualified enterprise production，Easy to buy stake online sports bettingsafe and low -priced medicines。

 

  stake betting appIn 2015, the State Council issued the "Opinions on Reforming the Approval System for Reforming Drug Medical Devices"，Proposal allows new drugs to be allowed to launch clinical trials simultaneously in China after approval，Encourage domestic clinical trial institutions to participate in international multi -center clinical trials，The test data that meets the requirements can be used in the registration application。This means that innovative drugs can be carried out simultaneously at home and abroad，greatly shorten the experimental time of innovative drugs，to speed up import speed。Current，Clinical Studies Application Start Implementation Filution System，This will shorten a lot of time。

 

  The quality of domestic drugs and the original medicine is different

 

  Japanese cold medicine、Cough medicine、Eczema cream, etc. are all & ldquo; Haitao & rdquo;，Many people think the ingredients are pure、Classification Details、Direct and young experts suggest: domestic drugs should be strong，Improve innovation research and development capabilities，Improve quality and efficacy，Let people gradually get rid of dependence on imported patented drugs

 

  Ms. Yang, an employee of a public institution in Beijing, just returned from Japan，Buy a lot of & ldquo; small medicine & rdquo; go home，Including cold medicine、Chuangya Patch、Eczema cream、Cough medicine, etc.。Whether it's going to Hong Kong, China、Taiwan，Still go to the United States、Singapore, etc.，Ms. Yang usually buy some medicines、Health products，The reason is that the ingredients of overseas drugs are pure、Classification Details、It is suitable for all ages。

 

  Changfeng said，Whether Chinese medicines are not as good as people，but one fact is。but one fact is，Before 2007，my country's registration standard for medicines is low，No like many countries，When approved generic drugs, it is required to do biological equivalent experiments，Evaluation of quality and efficacy with reference to the original drug standards。There are about 100,000 drug licenses issued in accordance with this low standard，The quality and efficacy of these medicines are indeed different from the quality and efficacy of the original drug。After they enter the market，Bad at a lower price，Forming & ldquo; phenomenon of inferior coins expel good coins & rdquo;。

 

  March this year，The State Council issued the "Opinions on the Evaluation of the Consistent Evaluation of the Quality and the Consistent Effective Effect"，Proposal & ldquo;，It is clear that the first batch will conduct consistency evaluation of the first batch of basic drug catalogs (2012 edition) to be approved by October 1, 2007, which is approved by chemical drugs for the listing.。This part of the drug should be completed in principle by the end of 2018。Among them, a variety of clinical validity tests and special circumstances，The consistency evaluation should be completed by the end of 2021; if the overdue is not completed，Not registered again。

 

  Preliminary statistics，My stake betting appChemical drugs of chemicals stake betting appand chemical generic drug oral solid preparations approved by October 2007，There are 289 varieties in the basic medicine directory、17740 approval number or registration certificate number，Involved in 1817 domestic production enterprises、42 imported drug companies。

 

  Changfeng thinks，Evaluation of the consistency of the quality and efficacy of generic drugs，From the short term，Domestic generic drug manufacturers may experience pain; but in the long run,，Domestic generic drugs all go through a round of & ldquo; transform & rdquo; post -，It will definitely improve the quality and effectiveness of the medicine，& ldquo; This is not only conducive to the development of excellent enterprise development of & lsquo; conscience medicine & rsquo;，It is also conducive to improving the level of competition、Reduce the sales price of imported drugs in my country。& rdquo;

 

  The United States、Japan and other countries have also experienced the same process，Japan has spent more than ten years to promote the consistency evaluation of generic drugs。Carry out the consistency evaluation of generic drugs，It can make generic drugs consistent with the original medicine in terms of quality and efficacy，It can replace the original medicine in clinical practice，Both can save medical expenses，It can also improve my country's imitation drug quality and the overall development level of the pharmaceutical industry，Make sure the public medication is safe and effective。

 

  Experts think，In addition to speeding up the approval of imported innovative drugs，Domestic medicines must also be stronger，Improve innovation research and development capabilities，Improve quality and efficacy，Let people gradually get rid of dependence on imported patented drugs。