Xi Daji clearly pointed out at the National Science and Technology Innovation Conference on May 30 that "the vast majority of China's important patent drug market is occupied by foreign companies, and high-end medical equipment mainly relies on imports, which is one of the main reasons for the difficulty of seeing a doctor." Domestic high-end medical equipment such as nuclear magnetic, CT and other high value-added large-scale equipment is almost monopolized by imported brands such as GPS, with a market share of more than 85%. Source: Cypress Blue Instruments Yancheng Rongtai Labware Co.,Ltd , https://www.rongtailab.com
:2016-08-22
The monopoly is bound to be high, and eventually the people will bear the high inspection costs. Although the national ministries and commissions encourage large hospitals in public hospitals to preferentially purchase domestic brands, the hospitals are also in dire straits due to the large gap in technology between domestic medical equipment and imported medical equipment.
In this context, one of the less eye-catching ultrasound diagnostic products, commonly known as color ultrasound machine, is a common instrument in hospitals. This instrument has unique advantages over CT and MRI in imaging:
First, there is no radiation hazard, no protection, and easy operation.
Second, the color ultrasound machine image can be displayed in two dimensions in real time, or it can be volume-imaged in 3D and 4D volume real-time display. Compared with other diagnostic equipment, it has the advantage of flexibility and convenience.
Third, the color ultrasound machine is commonly known as the “printing machineâ€, which is a product with low maintenance cost, low consumables, stable charges, and stable profits.
Among them, there is a color-advanced variety, which is attractive to many hospitals. It is a four-dimensional obstetrics and gynecology ultrasound diagnostic apparatus. It has the diagnostic ability of ordinary ultrasound system, and it has the advantage that the unique patient group is valued.
For example, it is for the fetus, the general family will give birth to children as a top priority, and the degree of attention is even greater than that of critically ill patients at a critical cost. The charge is about 5 times that of ordinary ultrasound.
Individual brands rely on the people to have children and have a good desire to grow up healthily, in the name of screening for malformations, and vigorously promote products. A brand of European-made 4D color ultrasound instrument takes the absolute position in such markets and pulls up sales teams in China. Monopoly supply, forming a "high price" three times the same instrument in the European and American markets.
Behind this "high price", only from the public reports of the media, it has already spawned many corruption cases. In many areas such as Henan, Hebei, Jiangsu, Anhui, etc., there have been cases of corruption and sales of a brand of ultrasound equipment.
For example, from the date of the birth of this E8 instrument, the head of the relevant ultrasound department of the former Jiangbin Hospital of Jiangsu Zhenjiang (now the affiliated hospital of Jiangsu University) and the Fourth People's Hospital of Zhenjiang was sentenced to 10 years in prison, that is, because it is a B-selling company. One of the typical cases of facilitating the acceptance of bribes.
The case of the sale of money and money transactions in the country is similar to that of the sky-high color machine. The root cause is that the "moisture" is too large. Some people describe it as "trafficking."
For example, the case of Anhui Wuhu Wang Lingzhen, one of the ten typical medical corruption cases notified by the Central Commission for Discipline Inspection, shocked the industry; in order to obtain monopoly speech rights, some brands sent benefits to Hao Ping, the head of the registration department of the former State Food and Drug Administration, and were sentenced. The "Hao Peace" case of heavy punishment.
These fully explain that contrary to the law of the market and the lack of administrative supervision, not only a large number of corruptions, but also the formation of monopoly and price distortions in the circulation of certain brands of imported color supercomputers, resulting in the same model of instruments, which is three times that of the European and American markets. The push of chaos.
In order to manage the safety and effectiveness of medical devices , the government has established a one-size-fits-all access system, which has enabled foreign unscrupulous traders to take advantage of the ambiguous regulations of Chinese domestic registered agents, smashing the land and using the various means to monopolize the market.
Manipulating the international bidding of color supercomputers to raise prices and form a bad situation of bidding, the international bidding for overhead color machine procurement, long-term lead organization of stringing and rounding of rotating piles, has been the secret of some imported brands in the industry to take the lead in collusion. The electromechanical certificate must be preceded by the bidding process, which also promoted the "rationality" of the bidding and tendering form. The formal bidding also contributed to the bad atmosphere of the color-transfer machine in the purchase and sale of public hospitals, and eventually increased the government. Solve the difficulty of seeing a doctor.
In this situation, the market law determines the flow of products, and the sensational US Embassy in China recruits relevant US companies . With the help of the China Medical Expo, China has officially recommended the European and American color ultrasound machine sales companies to China to sell color ultrasound instruments. Product prices have dropped significantly.
The same model, such as a brand E8 color ultrasound machine, the public hospital bidding price reached 2.1-2.8 million yuan, however, according to the exact information, the US market with the same new instrument, only less than 100,000 US dollars!
Such huge profits have promoted the use of loopholes in Chinese laws by Chinese agents of certain brands, and used various flags, such as “counterfeiting, refurbishment, standards, and intellectual property rightsâ€, to crowd out other channels and extract huge profits, seriously damaging the domestic ultrasonic industry. Innovative development has formed an abnormal situation in which most of the bidding is controlled by GPS, which has marginalized domestic brand ultrasonic diagnostic products.
How to solve the unfavorable situation of insufficient domestic investment and high price monopoly of imported brands, the author believes that three points are very important:
1. The national quality inspection department shall formulate an objective standard for the detection of new medical devices. The products that meet the standards shall be deemed to be brand new. The provisions of Article 40 of the State Administration of Quality Supervision, Order No. 95 shall be implemented, and the competent authorities shall grasp the relevant national standards.
2, the identity of the agent to explain the law, "Supervision and Regulation of Medical Devices" in the registration, Buddhism and clear domestic product registered agent, not a monopoly of sales agents.
3. Expand import channels, increase competitiveness, standardize and guide parallel imports, link domestic and foreign prices, break domestic monopolies, and integrate with international markets.
Recently, the parallel imports from the Taizhou area in Jiangsu are worthy of attention: the price of the same model is reduced by half compared with the surrounding areas.
In the recent bidding for color ultrasound machines in hospitals in a certain area, the prices of the same models have dropped significantly. A more significant comparison occurred in a city-level maternal and child health hospital in Jiangsu, and bought two E8-type color ultrasound machines of a certain brand, all of which were purchased at 120 yuan. One of the suppliers claimed to be a factory direct sales outlet.
This example shows that as long as competition is introduced, the price cannot deviate too much from the international market. Although the opportunity to purchase the same lottery directly from overseas has been suppressed by some domestic brand agents, it has been proved that through competition, the hospital has obtained the best price in the same period.
Although the sales volume of parallel imports is relatively small, most of the industry peers have seen the profit situation of the domestic imported color supermarkets and think about the cracking methods.
Imported color supercomputers have large sales in China, and short-term domestic R&D can not be supplemented. Try to guide international market channels and information into domestic reference, let the market return to the standard, make the competition more adequate, and guide various channels to serve domestic customers, drug supervisors, etc. The competent department should firmly grasp the law enforcement theme of safety and effectiveness, eliminate misleading and interference, and enforce the law with objective standards. Let a simple color machine product be no longer alienated and benefit the people.
At present, the results of various national cases promoted by a certain brand will surely push China's color ultrasound machine imports into a new stage. We believe that fairness and justice will not be absent. It is impossible for Chinese people to purchase the same instrument three times more expensive than Europe and America.
Within a short period of time, it is hoped that the competent authorities will guide and actively discuss methods, remove obstacles, multi-pilots, and remove obstacles. Parallel imports are universally accepted. Buying color ultrasound directly from overseas markets is a good way to effectively solve the monopoly of profiteering.