日前，国家发展改革委发出通知，决定从2013年2月1日起调整呼吸、解热镇痛和专科特殊用药等药品的最高零售限价，共涉及20类药品，400多个品种、700多个代表剂型的规格，平均降价幅度为15%，其中高价药品平均降幅达到20%。

Prior to the,National development and reform commission issued a notice,Decision from adjust breathing on February 1, 2013/Antipyretic analgesic and specialized special administration of drugs such as highest retail price,There are 20 categories of medicinal products,More than 400 varieties/More than 700 representatives of the specifications of the dosage form,An average reduction rate was 15%,The medicines by 20% on average.

　　——1月9日《呼和浩特晚报》A09版

On January 9, -[Hohhot evening]A09 version

　　发改委这样的降价令已经突破30大关。但即使降价令年年有，但药价却一直虚火不降，这是降价措施越来越频繁的直接原因。为什么降价令没有减轻公众的用药负担？

Development and reform commission has exceed 30 mark such lower price.But even the price for every year,But prices have been the production of body fluid is not drop,This is the direct cause of the more frequent reduction measures.Why the price did not reduce the public's medication burden?

　　不能否认眼下的一个事实，很多医生喜好价格虚高的药品，而嫌弃那些廉价药。因为在以药养医机制的绑架下，他们不得不屈服于医院经济创收的大棒，被某些医药公司的糖衣炮弹诱惑控制，在如何服务病人上，他们失去了很多用药自主权。

Can't deny the fact that at the moment,Many doctors be fond of one high price of drugs,And abandon those cheap medicine.Because in medicine to support medical mechanism of kidnapping,They had to give in to the hospital economic income of the stick,By certain pharmaceutical companies of icing shell temptation control,On how to service the patient,They lost a lot of autonomy.

　　在这种根源下，现在判断一个医生是否称职，经济创收是一个绕不过去的指标。医生们很难明白，为什么靠救死扶伤的技术，却依然不能养活自己。做一个开“小处方”的医生，还会一不小心成为新闻人物。

Under the root,Now judge a doctor is suitable for the job,Economic income is a won't in the past.It is difficult to see the doctors,Why on the technology of saving,But still not able to feed themselves.Do an open"Small prescription"The doctor,Still can carelessly become news.

　　回到原来那个话题上来，控制公众药品负担的关键是医生。如果医生能够逃离这种以药养医机制的控制，远离那些诱惑及压力，愿意和患者坐到同一阵线上，一切根本出发点是患者的利益，那么大部分药价虚高带来的问题或许就可以迎刃而解。那些药价虚高的药品还能卖得动吗？依笔者看很难。关键是，你总得给医生这个机会说真话。

Back to the same topic,The key to control public burden of drugs is a doctor.If the doctor can escape from this kind of medicine to support medical mechanism of control,Away from the temptation and pressure,Wants to sit on the same team and patients,All essential starting point is in the interests of the patient,So most of the problems caused by the high prices virtual maybe can be solved.Those prices with the drugs can also sell to?According to the author see it is very difficult.The key is,You go to the doctor this opportunity to speak the truth.

　　让医生摆脱这种控制，说难也不难，就是打破垄断机制，让他们流动起来，像律师一样实现自由执业，靠提供优质的医疗服务，而不是通过卖药来养活自己。垄断打破后，真正意义上的市场竞争得以实现，才能有机会实现理性的用药和卖药，而不是像现在一样“一切只是为了卖药”。难就难在，当下医疗人力极其紧缺，让医生流动到社会，将会让很多公立医院受伤流血，甚至是死亡。在管办未分离的行政背景下，卫生部门怎么可能会给自己带来痛苦及难堪呢？（吴帅）

Let the doctor to get rid of the control,It also said that difficult,Is to break the monopoly mechanism,Let them flow,Like a lawyer to realize free practice,By providing high quality medical services,Rather than by selling medicine to support himself.After the break monopoly,In the true sense of the market competition,Can have the chance to realize the rational drug use and sell drugs,Not like now"All just to sell drugs".It is difficult in the,Current medical manpower shortage,Let the doctor flow into the society,Will make a lot of public hospital injury bleeding,And even death.Under the background of tubes do not separation of administration,Health department can't bring you pain and embarrassed?(WuShuai)