据中国之声《新闻晚高峰》报道，记者日前在苏州的部分区市调查发现，多家县级公立医院正以一种新的方式弥补取消药品加成带来的损失——向药商伸手要钱。而慈善基金也以一种特有的方式介入其中。

According to the sound of China[News late peak]reports,Reporter recently in suzhou area city part of the survey found,Several public hospitals are at or above the county level in a new way to make up for the loss of the drug addition to cancel out his hand to money - to the druggist.And the charity fund is in a peculiar way involved.

　　医院向药商要返点 慈善基金会帮收钱 The hospital to the druggist to return some money for charity foundation

　　苏州市吴江区多所公立医院从今年7月份开始，陆续通知药品供应商通过吴江慈善基金会向医院交钱，不交就要停药，在谈到具体要交多少时，药商陈先生说：“普通药品的抗生素交15%，普通药品的专科药交10%，基药(基本药物)的抗生素要交8个点，基药的非抗生素专科品种他要3%。”

Suzhou wujiang area much public hospital in July from the start,Notice in drug suppliers through the wujiang charity foundation to the hospital make money,Don't pay will withdrawal,When talking about specific should pay how much,Druggist Chen said:"Common drugs into 15% of antibiotics,General medicine specialized medicine into 10%,Base medicine(Essential drugs)Antibiotics should pay eight points,Base medicine not antibiotics junior varieties him to 3%."

　　记者：别的家来交的多么？

reporter:Other home hand in how?

　　工作人员：多啊，十几万，几十万都有的，一般几万，十万的也有。很多了，我们这个捐款已经捐到一千多万了。

staff:Much ah,ten,Hundreds of thousands of some,General tens of,Also have.A lot of,We this donation has given to the more than one thousand.

　　吴江慈善基金明确，截至目前，已经收款1000多万，全部收齐后，会返还吴江卫生。记者今天中午也采访了吴江区卫生局的相关负责人，该负责人承认，记者报道的情况的确存在，并透露慈善基金会目前尚未动用这一千多万捐款，也没对该款项收取管理费，至于这笔钱怎么用，该负责人称目前正在探索当中，还没有出台具体的运作方案。

Wujiang charity fund clear,So far,Has more than 1000 collection,All after receiving all,Will return the wujiang health.Reporters interviewed today noon wujiang district health bureau of the relevant person in charge,The official admitted that,Journalists to report the situation really do exist,And revealed that charitable foundation has yet to use it more than one thousand donation,The money didn't charge management fee,As for how to use the money,The responsible person of exploration is currently,Haven't come specific operation plan.

　　据了解，明年，药商向医院的交款方式会有所变化，将由卫生局开设独立账号，药商通过医药公司结款时直接扣取。吴江二院采购办于主任解释到：“我们的药是从医药公司走的，谈好的价格以后，到时给医药公司的钱就会少汇，该汇给多少就多少，另外一部分它就列入专用账户了。”

It is understood,Next year,Druggist to hospital payment will change,By the health bureau set up independent account,Druggist through the pharmaceutical companies and the contributions of directly.Wujiang two court purchasing do in director explained:"Our medicine from pharmaceutical companies go,Talk about good price later,Then to pharmaceutical companies money would be less remittance,The remit as much,Another part of it is included in the special account."

　　向药商要钱，是规范市场秩序还是黑色利益链？ To druggist want money,Is to regulate the market order or black interests chain?

　　记者在苏州调查发现，相城区、常熟市等地都在实行药商向医院，向卫生部门让利的政策，最高让利比例达到20%。药品供应商胡先生(化名)解释，药商的利润进了医院的口袋，也是卫生部门变相向药商伸手要钱。

Reporter in suzhou survey found,Phase city/Changshu in the implementation of the drug to the hospital,The department of health policy of the profits,The highest proportion of the profits reached 20%.Drug suppliers Mr Hu(alias)explain,Druggist profits into hospital pocket,Is also the health department in disguised form to the druggist out his hand to money.

　　药商：“其他医药都在返的，就苏州地区范围内，还有昆山卫生局牵头返8个点，常熟有的返8个点，有的返5个点。都政府出面的，副局长出来跟我们面对面谈。”

druggist:"Other medicine in return,Is within the scope of suzhou area,Kunshan health bureau and the lead back to eight points,Changshu some return eight points,Some return 5 points.All of the government,Deputy director come out with us in the face of the interview."

　　吴江、常熟卫生局工作人员也认可，称这是普遍现象。

wujiang/Changshu health bureau staff also recognized,Say it is a common phenomenon.

　　卫生局工作人员：“张家港、吴江，昆山、太仓马上要谈，五县市基本上要弄，包括吴中区也看了我们的做法，也准备回去要谈。”

Health workers:"zhangjiagang/wujiang,kunshan/Taicang is about to talk about,Five counties basically to make,Including wuzhong district also saw our practice,Ready to go back to also want to talk about."

　　那么收来的钱是否会用在医疗卫生事业上时，常熟财务科工作人员表示：“像常熟一年十一、二个亿的药品销售，稍微让几个点就是几千万元。(这是)进财政的，这些钱基本上用于医院买机器、大型设备、装房子等方面。”

So the money whether can be used in medical and health services on,Changshu the finance staff said:"Like changshu year 11/Two drug sales,A little let several point is tens of millions of yuan.(This is)Into financial,The money for the hospital basically buy machine/Large equipment/Put the house, etc."

　　就此，卫生局也明确，向药商要钱是为了规范医药用品市场的秩序，当初选择用通过慈善基金会是考虑到这种方式资金能够受到严格的监管。

on,Health bureau also clearly,The druggist want money is in order to standardize the medical supplies market order,The choice to use through the charity foundation is considering this way can money by strict supervision.

　　据了解，今年9月份，江苏省政府办公厅下发了《江苏省县级公立医院综合改革试点实施意见》，其中提到“建立政府、部门与药品生产、流通企业谈判机制，合理压缩药品生产流通环节利润，用于发展医疗事业”。这样一条规定跟此事件有怎样的必然联系？常熟市卫生局称：正是在省里文件精神的指导下，各地县级医院向药商要钱。

It is understood,In September this year,Jiangsu province government office issued[At or above the county level in jiangsu province public hospital comprehensive reform pilot implementation opinions],The mentioned"Set up a government/Department and drug production/Circulation enterprise negotiation mechanism,Reasonable compression medicine production and circulation link profit,For the development of medical career".Such a rule with the matter what is the necessary connection?Changshu city health bureau said:It is in the province under the guidance of the spirit of the documents,At or above the county level around the hospital to the druggist want money.

　　卫生局：“省里的精神就是医院不好直接跟供应商谈，但政府出面谈这个折扣是可以的。省政府办公厅9月份有个文件，允许政府部门出面跟供应商谈压缩流通领域(的费用)，临床费、办公费等。”

health:"The spirit of the province is not directly with the hospital supply negotiations,But the government to talk about this discount is possible.General office of the provincial government in September a file,Allow the government to discuss with supply compression circulation field(costs),Clinical fee/Office expense, etc."

　　不过，在药商们看来，这笔钱实际上转嫁到了药品生产厂商身上。

but,The druggist people look,The money is actually passed on by pharmaceutical production vendor.

　　药商：“药商是厂家的代表，就是向厂家要钱，我们的钱也是厂家的钱。我们跟厂家反映，厂家再让利。”

druggist:"Druggist is representative of the manufacturer,Is to manufacturer for money,Our money is also a manufacturer of money.Our factory to reflect,Manufacturer to the profits."

　　这笔费用最终由药品厂商埋单，在药品供应商看来，这种让利方式，也有弊端。

The final cost by the drug manufacturer bill,In the drug seems to supplier,This way the profits,Also has disadvantages.

　　药商：这样有两个结果。第一，有一些市场需求量不大的，生产成本高的，但确实是患者必须急需的救命药品，这样有些生产企业就会退出市场；第二，生产企业为了保持利润，压缩成本，结果就造成一些药品的质量不是很稳定。

druggist:So there are two results.The first,There are some market demand is not big,The production cost high,But it is the patient must urgently needed help drug,So some production enterprise will be withdrawn from the market;The second,Production enterprise in order to keep profit,Compression cost,The result is caused some drug quality is not very stable.

　　药商们的担心是否值得重视？苏州市卫生部门如何解释此事？中国之声将继续关注。(记者刘黎、吴喆华）

The druggist worry about whether it is worth attention?Suzhou city health department how to explain this?The sound of China will continue to focus on.(Reporter LiuLi/吴喆 China)