据经济之声《天天315》报道，雷珠单抗，是目前我国唯一用于眼科的抗血管新生药物，它的出现，让老眼昏花不再无药可治。经雷珠单抗治疗后，部分眼部疾病患者的视力明显提高，让很多患病视力衰退的老年人重获希望。而疗效显著的雷珠单抗，也因此变得价格不菲。安徽消费者高先生的父亲患了青光眼，医生开出的雷珠单抗，不但贵，而且来路蹊跷。

According to the voice of the economy[Every day 315]reports,ranibizumab,Is currently the only used for eye of antiangiogenic drugs in our country,The emergence of it,Let eyesight fails no longer no cure.After treatment with ranibizumab,Part of the eye disease patients are significantly improved,For many old people regain hope ill eyesight.The efficacy of ranibizumab significantly,Also therefore becomes expensive.Anhui consumers Mr. Gao's father had glaucoma,Doctors prescribe ranibizumab,Not only you,And route of strange.

　　记者：这支药大概多少钱？

reporter:This medicine is probably how many money?

　　高先生：大概9800.

Mr. Gao:About 9800.

　　记者：是在安徽医科大学第一附属医院的药房取吗？

reporter:Is in the first affiliated hospital of anhui medical university pharmacy to take?

　　高先生：不是。他说我们医院没有，要到外面去，合肥红十字会医院。

Mr. Gao:Is not a.He said that our hospital didn't,Want to go outside,Hefei Red Cross hospital.

　　从黑龙江来北京求医的刘女士，在一家小中医诊所里另有一番遭遇。

The doctor liu from heilongjiang to Beijing,In another encounter a small clinic of traditional Chinese medicine.

　　刘女士：我拿去的片子他就扫了一眼，就给我开药。打开药包，那药的功能和我的病有很大差距，那个包装剂量和现在的包装剂量相差太大了，坑害老百姓。

Ms. Liu:I take pictures and he glanced at,Just give me a prescription.Open the cartridge,The function of the medicine and my disease have very big difference,The dose and the present packaging of the dose difference is too big,Man people.

　　据调查，这家小中医诊所销售给刘女士的，是吉林国药生产的一款名为参茸壮骨丸的药品。出厂价格仅仅19元的药，被诊所以108元的价格兜售给刘女士，价格相差近6倍；市面销售的药品规格为每小盒12丸，而刘女士手上的药品每小盒却只有6丸，药品规格被严重抽条。

According to the survey,The small clinic of traditional Chinese medicine sales to Ms. Liu,Is the jilin national medicine production, a drug called bones ginseng antler pill.The factory price only $19,The clinic with 108 yuan price sold to Ms. Liu,Price almost six times;Market sales of the drug specifications for each small box 12 pill,While liu medicines each small box only 6 pills,Drug specifications were smoking article seriously.

　　为什么在大医院看病，却要到外面的民营医院买药？小小一支雷珠单抗，价格真的如此昂贵么？相同的药品，诊所售价为何会比出厂价高出6倍？这中间到底有哪些秘密？

Why in the hospital,But outside of civilian battalion hospital to buy medicine?A small team of ranibizumab,Really so expensive?The same drug,Clinic why price is 6 times higher than the factory price?This exactly what are the secrets in the middle?

　　需要注射雷珠单抗的消费者，住院所在的安徽医科大学第一附属医院药房并没有这种药，患者需要到医生指定的一家民营医院——合肥红十字医院购买。

Consumers need injections of ranibizumab,The first affiliated hospital of anhui medical university hospital pharmacy does not have this kind of medicine,Patients need to doctor specifies a private hospital, hefei buy Red Cross hospital.

　　记者：我想问一下，有一个眼科药雷珠单抗。

reporter:I want to ask,There is a ophthalmic drug ranibizumab.

　　药房工作人员：你来就能买。

The pharmacy staff:You can come to buy.

　　记者：大概多少钱？

reporter:Probably how many money?

　　药房工作人员：9800。

The pharmacy staff:9800.

　　记者：安徽医科大学附属医院那边有没有？

reporter:Anhui medical university affiliated hospital is over there?

　　药房工作人员：安医没有。

The pharmacy staff:Ann doctor didn't.

　　记者：别的医院有没有？还就是安医没有？

reporter:Is there other hospital?Also it is not healing?

　　药房工作人员：我不知道。

The pharmacy staff:I don't know.

　　记者：这药为什么能买贵？

reporter:Why this medicine you can buy?

　　药房工作人员：进价就贵。

The pharmacy staff:Your purchase price is.

　　接下来我们再看价格比市场贵一倍，规格却比市场少一半的吉林国药参茸壮骨丸。几经周折，记者找到了药品的代理商林克丰药品销售代理公司。

Next we look at prices higher than market twice as expensive,Specification is less than half the market in jilin ginseng antler strong bone pill.The tortuous,Reporters found the drug dealers Lin Kefeng drug sales agent for the company.

　　记者：什么规格？

reporter:What size?

　　经销商：6丸每袋每盒，乘以3盒每大盒。你们说的这个规格的参茸壮骨丸，我们家是做大包的，有一个王总承包了，他往下卖到全国的公司。

dealers:6 pills per bag of carton,Multiplied by 3 box each big box.You said of the specifications of the ginseng antler strong bone pill,Our family is doing the big bag,There is a mr.wong contracted for,He sold down to the company.

　　一位长期从事药品代理销售的业内人士透露：“药品一经代理，就会基本形成垄断格局。供不供药，给哪家供药，有一整套暗箱操作的手段。为了使自己代理的药品能顺利进入医院，代理商往往会暗中操作进行公关，一般情况下，代理商会拿出药款的5—10%送给相关负责人。另外，为了保证用药率高，有处方权的医生也会收到回扣。药品价格越高，回扣就越大。而这些公关费用都会算进药品零售价里，最终转嫁到了病人身上。”

A long-term engaged in drug sales agent industry insiders:"Drugs once the agent,Basic form a pattern of monopoly.For not chick,To which of chick,There is a whole black-box approach.In order to make yourself acting drugs can smoothly enter the hospital,The agent will often secretly for public relations operations,Under normal circumstances,Agency chamber of commerce out YaoKuan 5-10% to relevant person in charge.In addition,In order to guarantee high usage rate,Is there a doctor who ChuFangQuan will also be receiving kickbacks.The higher drug prices,The greater the rebate.The pr cost will be count into the retail price of drugs,Eventually passed on to patients."

　　药品层层加价是不是导致最终药价虚高的重要原因？代理商加价到底有多大的空间？记者采访了雷珠单抗的经销商长沙华辉医药有限公司。

Drug layers of price is not the important cause leading to the final drug prices artificially high?Agent price how much space?Reporters interviewed ranibizumab dealer changsha HuaHui pharmaceutical co., LTD.

　　经销商：我们这里供货价是1800。

dealers:We supply price is 1800 here.

　　记者：医院为什么卖9800？

reporter:Why sell 9800 hospital?

　　经销商：正常价格。我们这里是供货价，医院是零售价，医院要赚钱、医生要抽成，而且到医院都倒好几手了。

dealers:Normal price.We here is the delivery price,Hospital is the retail price,Hospital to make money/The doctor to take into,And are fallen to the hospital several hand.

　　这位经销商自称，药品从经销商到医院，已经被倒了好几手。而据我们从业内人士方面了解到，按照相关机制规定，医院不能直接从药厂批药，大多通过一些招标方式来购药，而这种药品流通方式的某些环节又不规范，就会给药品的幕后加价提供了可能。

The dealer claims,Drug dealers to the hospital,Has been down several hand.And according to our understanding to industry insiders,According to the regulations of the relevant mechanisms,Hospitals can not directly from the pharmaceutical factory of medicine,Mostly through some bidding ways to buy medicine,And this kind of medicine circulation methods of some of the links is not standard,Give behind the scenes of drug price.

　　药品被严重抽条的吉林国药参茸壮骨丸，从另一个侧面，反映出药价虚高、规格混乱的情况。来听销售商的说法。

Medicine were serious smoke of jilin ginseng antler strong bone pill,On the other side,Reflect the drug prices artificially high/Chaotic situation.To seller's account.

　　记者：多少丸多少袋多少盒？

reporter:How many pills how many bag how many boxes?

　　经销商：6丸一袋3小盒。

dealers:6 pills a bag of 3 small box.

　　记者：我看其他地方销售的是12丸每袋每盒，价格比这个也便宜。

reporter:I see other places selling is 12 carton for each bag,Price is the cheaper.

　　经销商：我们这个规格是代理下来以后做的，我们做的商标，有的厂家不一样，价格就不一样；规格不一样，价格不一样。

dealers:Our agent is down since this specifications,We do the trademark,Some manufacturer is different,Price is different;Specification is not the same,Price is not the same.

　　据不完全统计，目前药价在治疗费用中所占比例约为30%到50%，国家先后近30次降低药价，但药价为什么还会这么高？据记者调查，同一种药品，经常会被不同的代理商分拆成不同的规格流入市场，少则3、5种，多则十几种包装。为此，国家发改委去年7月1日出台《药品流通环节价格管理暂行办法》，对药品规格和价格管理做了具体的约束。但药厂、代理商、医院这中间的利益链条并没有被拦腰斩断，层层加价仍然是某些不良企业获取暴利的途径，药价虚高也仍然让众多患者揪心。

According to incomplete statistics,Current prices in a proportion of the cost of treatment is about 30% to 50%,Countries has nearly 30 times lower drug prices,But why price is so high?According to the reporter investigation,The same kind of drug,Can often be different agents into different specifications into the market,Less then 3/Five kinds of,Is more than ten kinds of packaging.To do this,On July 1, the national development and reform commission last year[Drug circulation price management interim measures],For drugs did concrete constraint specification and price management.But drug companies/The agent/The interests of the hospital among this chain has not been about,Layers of price still is the way of some adverse enterprises obtain huge profits,Drug prices artificially high and still make many heart patients.

　　就在节目播出前我们了解到，对我们报道中提到的兜售严重抽条的吉林国药参茸壮骨丸的这家小中医诊所，北京市卫生、工商、公安等多部门已开始展开调查。为配合调查，我们未在节目中公布该家诊所的名称。我们会在今后的节目中继续报道。

We learned that just before the show,Selling of serious ribbon and we report referred to in the bones of jilin national medicine ginseng antler bolus of the small clinic of TCM,Beijing health/Industrial and commercial/The public security department has started to investigate more.To cooperate with the investigation,We did not released the name of the clinics in the program.We will continue in the future show.

　　经济之声评论员包华就此评论。

Economic commentators BaoHua voice of the comment.

　　包华：医药领域和其他消费领域不一样，消费者是绝对的弱势群体。首先，消费者与医药本身的专业距离是很遥远的，没有知情权，乃至于医生细心给你讲述都不一定听懂，所以知情权是无法保障的。其次，没有选择权，医生说什么只能听着，没有选择，如果医生说这个药品适合你的病症，你就只能去用这款药，不可能考虑是否能用另外一款价格稍微的对症的药。在没有知情权没有选择权的基础之上，消费者没有办法跟专业人士甚至专业的销售机构进行对质，所以我认为他被骗有时候不是被骗，而是被绑架。

BaoHua:Medical field and other consumption,Consumer is absolutely disadvantaged groups.First of all,Consumers and medical professional distance is very far away,Have no right to know,Even the doctor give you carefully about all don't understand,So right can't be guaranteed.The second,No options,What the doctor said can only listen to,Have no choice,If the doctor said this medicine for your condition,You can only use this medicine,Impossible to consider whether can use other price a little a suit the medicine.On the basis of no right choice,Consumers have no way to talk to cross-examine the professionals and professional sales organization,So I think he is fool sometimes not be fool,Instead of being kidnapped.

　　现在人民质疑医生开的要，我认为其中的根源就是医患之间的信任没有了。如果医患之间不存在信任下，医生水平再高你不愿意听，病症一样好不了；医生如果不是完全为你考虑，有可能你的病会耽误在他这。两者之间的信任度其实是靠制度去保证的，制度应该设计成为促进医患信任，而不是让两者越走越远。

Now people to question the doctor prescribed,I don't think the root cause is the trust between doctor and patient.If there is no trust between the patient,The doctor next higher level. You don't want to hear,Condition very not the same;Doctor if not fully consider for you,Could you delay it in him.The trust between the two is actually by the system to ensure that,System should be designed as promoting doctor-patient trust,Rather than allow the more walk more far.

　　其实，价格越高越是好药这样的判断只在病患者或消费者心目中，认为如果好的药、贵的药能尽快治好我的病，但是对于医护人员来说，对症下药才是合理的。药品跟一般奢侈品有一个共通的特点，普通消费者都会认为价格越高越好，价格越高卖的越好，这样市场层面的背离给了一些没有医德的医疗人员一个口实，说这个药贵更适合你的病。如果药品跟医生之间的利益有瓜葛，一定会说出这样的话，所以我认为首先应该解决医生跟药品之间利益瓜葛的问题。

In fact,The higher the price the more good medicine that judgment in patients or consumers mind only,Think if good medicine/Your medicine to cure me of disease as soon as possible,But for medical staff,Suit the remedy to the case is reasonable.Drugs with general luxury has a common characteristic,Ordinary consumers will think that the higher the price, the better,The higher the price, the better,Such deviation from market level to something without a pretext for medical ethics of medical personnel,Said that the medicine your illness is more suitable for you.If the interests of the between medicine and the doctor has to do,Would say such a thing,So I think should first solve the problem of interest between doctors and medicines.

　　要解决这样的问题，首先要解决的是医药分开，现在医疗主管部门已经在推动这样工作的开展了，北京已经开始做了大范围的试点，如果能够尽快大范围铺开，对于体制建设是有好处的。第二，这种灰色背后的抽成，或坐地分赃的做法，我认为应该查明一起处理一起，这属于渎职行为，很多医院都是公立医院，很多医生、医院管理者都是公职身份，应该对这样的行为进行相应的处罚，不管是行政的还是刑事的。

To solve this problem,Must first solve the medicine to separate,Now medical departments in promoting this work,Beijing has already started to do a wide range of pilot,If you can roll out wide range as soon as possible,Is good for system construction.In the second,Behind this kind of gray smoke,Or sit spoils,I think we should find out processing together,It belongs to the misconduct,Many hospitals are public hospitals,Many doctors/Hospital administrators are public identity,Should be punished accordingly to such behavior,Whether administrative or criminal.

　　消费者首先不要迷信价高的药，只有合理的病症的药才是最恰当的；其次就医一定要是正规的医院，不要让不规范的小诊所影响自己就医看病，影响生活的质量、身体的健康。

Consumers don't superstitious high price of medicine in the first place,Only the reasonable conditions of medicine is the most appropriate;Then go to a doctor must be normal hospital,Don't let the noise of non-standard small clinic influence their hospital see a doctor,Affect the quality of life/The health of the body.