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当生产廉价药无利可图,有些企业玩起了“新瓶装老酒”的把戏。同一种药,换个名称、换个包装、换个批文,身价就可以翻几倍甚至几十倍。如此一来,一些廉价药脱掉“廉价”的外衣,以全新包装重出江湖,而每一次换装都意味着价格的飙升。以消炎药为例,从四环素到阿莫西林再到头孢的蜕变,与之紧随的就是价格从几毛钱到四五块钱再到二十多块钱的攀升。
以红霉素眼膏、复方甘草片为代表的廉价药,又被称作基本药物,是指能够满足基本医疗卫生需求,剂型适宜、保证供应、基层能够配备、国民能够公平获得的药品。然而,在2016年全国两会上,中国医药企业管理协会、中国医药企业家协会会长于明德指出,廉价药品正在以每年几十种的速度消失。即便疗效再好,但药品价格低,企业不生产,老百姓没药买,廉价药正进入到一个死循环。如何破解廉价药供应短缺的难题?
对此,国务院国家医改专家咨询委员会委员刘国恩认为,廉价药的供给需要政府的“有形之手”来托底,“通过市场手段是解决不了的,只有一个办法,就是通过政府的公共财政之手举办相当数量的政府全资托底药厂,让它赔本经营,政府公共财政兜底,那么可以解决这个问题。”
业内人士表示,廉价药供应短缺的现状短时间很难改变。未来在医药行业里,只有政府、药企和医院三方不断博弈,最终找到一个市场平衡点,才有可能使廉价药真正流通到患者手中。
责任编辑:刘敏丹 CN012
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