"New century" weekly: Zhuhai public hospital collective fall

A total of nine pharmacy chiefs in local public hospitals have been involved in the corruption, only the tip of the iceberg. "Drug-Nourishing" system does not change, corruption can not eliminate the "New century" weekly reporter Treasure Room winter solstice season, southern Zhuhai Sunny, temperature 23 degrees Celsius.　　But the chill is spreading in the health and related sectors of the city, where the industry is concerned by a case of a medical-corruption den. December 15, 2010, the Zhuhai Public Prosecutor's Office briefed the medical bribery cases since May 2010 investigation.　　After investigation, the case involved more than 80 pharmaceutical enterprises inside and outside the province, medical representatives more than 70 people, the city nine public hospitals all involved, nine pharmaceutical section chief (director) involved in the series of cases of bribery 80%. The tense atmosphere ferments throughout the Pearl River Delta. A Foshan pharmaceutical company manager said, "This year, the Pearl River Delta Hospital is very nervous, the director of Pharmacy department is low-key, pharmaceutical companies please eat all refuse, academic activities are rarely attended."　　"In the Zhuhai Public Prosecutor's office soon, Zhejiang also broke out Jinhua, Lishui Hospital" rebate door "incident; almost at the same time, Xinhua reported that the staff of a large hospital pharmacy in Loudi, Hunan Province, was the pharmaceutical company's" latent "medical representative in the hospital. According to the frequent exposure of medical corruption cases around the country, the executive vice president of the Chinese Pharmaceutical Enterprise Management Association, Yu, said: "The discipline inspection organs and the procuratorial organ will bring a deterrent effect in a certain time, but the medical system does not change, drug rebates and other problems can not be eliminated." "All public hospitals involved" in the Zhuhai medical community has been a major event. The news was rumors in Zhuhai and other land in June 2010.　　A number of local media have received anonymous "blow material" phone, said "Zhuhai's major hospital pharmacy director was the Office of Anti Corruption, please go to the investigation, all the director in more than 10 days out of the two." The rumor was confirmed on the side of a Zhuhai official announcement on August 18. Zhuhai SASAC official website released a Zhuhai City Inspection commission Secretary Wangguangquan Speech, which said, "The City Inspection Commission, the city's Procuratorate is recording the recent investigation of health system, some of the hospital pharmacy director bribery typical case warning film." The investigation of the medical and health system appeared in the drug Procurement series of corruption cases, involving a wide range of money involved in the big shock, it is shocking, sobering. "To December 15, 2010, the Zhuhai Public Prosecutor's Office reported that the city's nine state hospitals have all involved."　　As of the same day, the city's procuratorial organs a total of 22 pieces of 22 people, bribery of which 12 pieces of 12 people, bribery 10 pieces of 10 people, involved in the amount of 1 million yuan bribery case 1 1 people, 500,000 yuan and above 1 million Yuan 3 3 people, 100,000 yuan or less 500,000 yuan 10 people. This newspaper reporter was informed that the Zhuhai Procuratorate referred to the "Nine public hospitals", including six large public hospitals in Zhuhai, namely the Zhuhai People's Hospital, the Zhuhai second People's Hospital, Zhuhai City Maternity MCH, Zhongshan University affiliated to the five hospital (nextIt is said that the five hospitals in China, the hospital of Zunyi Medical College, the hospital of Zhuhai in Guangdong Province, and a district hospital, namely Zhuhai Xiangzhou District People's Hospital, and two township hospitals, namely Ping Sha Hospital and three stove hospital.　　The top six hospitals are all comprehensive public hospitals in Zhuhai. The fuse of the incident is May 2010, Zhuhai Xiangzhou District Procuratorate received the public report, reflect Zhuhai People's Hospital pharmacy director Chen Weigo suspected bribery.　　In the investigation, the Procuratorate found a pharmaceutical company in Zhuhai, a sales representative suspected of bribery; Since then, Zhuhai Public security organs in its computer electronic text to detect bribery records, Zhuhai a number of hospital problems surfaced. Zhuhai Xiangzhou District Procuratorate related to this newspaper reporter said, Zhuhai procuratorate set up a special task force, by the Office of the Anti-Corruption Bureau is responsible for investigation. People familiar with the matter said, "less than one months, the case has been basically clear, but the situation is complex, involving a wide range of personnel, so that the procuratorate also unexpected." "This reporter learned that the Zhuhai Anti-Corruption Bureau to investigate, not only the hospital pharmacy director, but also includes some hospital executives, doctors, in charge of medical affairs officials."　　However, there were no officials or doctors involved. September 8, 2010, the first case of the iceberg. On the same day, Zhuhai Xiangzhou District People's Court held a trial of the Director of Pharmacy division of the five hospitals in Feng Wenzhou to take bribes.　　Feng was arrested on June 4, and was formally apprehended on June 13, and he was suspected to have received more than 20 bribes from the staff of Zhuhai 11 drug companies from 2007 to 2010, amounting to about 583,000 yuan. It is understood that these funds from Zhuhai City, 11 pharmaceutical companies from the manager, each amount from 3000 to 200,000 yuan.　　The purpose of bribery is to get Feng Wenzhou's "care" and to get more drug delivery in hospitals. But in addition to the Feng Wenzhou case, the other cases were not heard in public. It is understood that the first reported, the largest amount of money involved is Zhuhai People's Hospital pharmacy director Chen Weigo, the amount of bribery amounted to more than 1.8 million yuan.　　Regarding her case, the Zhuhai Procuratorate, the court did not make more disclosure.　　At present, the original Zhuhai Maternity and childcare Hospital pharmacy director Chen was sentenced to 3 years in prison for six months, confiscated property 40,000 yuan; the former director of Pharmacy division of the five Feng Wenzhou sentenced to five years in prison, confiscated property 100,000 yuan.　　Sunshine procurement is not "sunshine" quite dramatic, people familiar with the situation, said the Zhuhai procuratorate known as "the masses" of the informer, its true identity is often considered and hospital individual close BYD drug dealers. Since 2007, Guangdong Province in the national innovation to explore the drug "sunshine procurement" mode, the use of hanging nets bidding, and standardize the medical institutions procurement behavior. The drug is no longer a separate bid by the municipalities and centralized procurement in the province.　　This model has now been extended to the whole country. But a Zhuhai drug dealer said to the Economist, even entered the "Sunshine Procurement Directory", drugs to enter the hospital still face many hurdles. Because for the same drug, Guangdong province, "sunshine procurement" does not stipulate the limit of the winning manufacturers,The same drugs may be awarded to more than one enterprise at the same time, and some "new and special" drugs are not included in the "Sunshine Procurement" list.　　All these drugs require a corporate "PR" to enter the hospital. Another strange phenomenon of "sunshine purchasing" is that "the price of medicine is higher than that of the municipal platform."　　"A Zhuhai industry personage pointed out, many times, by the price department approval" the sunlight buys "the medicine purchase price actually greatly exceeds the drug ex-factory prices," for the medicine rebate as well as a series of PR reserved space ". Under normal circumstances, a drug to enter the hospital, must first by the Department director to the hospital's pharmaceutical committee to apply for purchase, pharmaceutical Committee by the hospital leadership, pharmacy director, Clinical department director and other experts. For a drug, more than half of the votes can be entered.　　The Director of Pharmacy is entitled to a veto in the drug Commission, and status is crucial. A person familiar with the matter told The Economist, in Zhuhai, a drug to enter the hospital, the Committee on the Drug Public Relations spent 30,000 to 50,000 yuan.　　The specific means of public relations are different, the most direct is money bribery. In the trial of Feng Wenzhou, the prosecutor's testimony revealed that a number of drug company managers had paid most of their money in his office, and that the community he lived in was also a place of bribery by the medical manager.　　Gift time is basically in the Spring Festival before and after, some directly on the envelope, and some hidden in the gift bag. There are more technical means. According to the Southern Metropolis Daily, August 25, 2010, the Guangdong Province Discipline Inspection Commission stationed in the provincial health department Discipline Team leader Yun Yutai in a special meeting to produce a medical company's internal training materials, a chapter is called "How to deal with the director of Pharmacy", the content includes: "according to its character characteristics, The Director of Pharmacy division can be divided into driving, outward-looking, thinking-type and friendly type. The driving personality characteristic is, has the competitive character, likes to the subordinate and the Medicine representative displays its power, likes the strong work style, they often carries on the strength to be very strong, but is most difficult to penetrate. "For female medicine representative, the textbook also has the special request:" Should according to each other's hobby and has the pertinence to the appearance, the clothing decorates.　　"Zhuhai Procuratorate this bulletin shows that, in addition to directly send red envelopes, take kickbacks, series of cases there are still engaged in emotional investment, the right color transactions, or through the recruitment of doctors and family members of the hospital to the company, such as disguised bribery means.　　In this respect, Chinese Academy of Economic Research researcher Zhu Hengpeng analysis, said that the hospital control more than 80% of the terminal market, in the face of such a monopoly buyer, a large number of pharmaceutical enterprises have no bargaining power, can only meet the various requirements of the hospital. In Zhuhai, the supply and demand relationship is distorted even more. Pharmaceutical industry is one of the eight pillar industries in Zhuhai, local pharmaceutical enterprises gathered, including drug circulation enterprises are more than 80.　　The drug companies involved are mostly small and medium-sized enterprises with relatively thin profits. A Zhuhai medical representative frankly, kickbacks, public relations are the last resort strategy, "not to do so, medicine will not enter the hospital." Cannot enter the hospital, the enterprise cannot survive, I also can lose the rice bowl. ”　　The extension of the chain of interest in corruption should not be overlooked is the fact that the director of Pharmacy is only the drug into the hospital public relations chain of the link. Feng Wenzhou's defense attorneys have said that Feng Wenzhou did not seek illegal benefits for drug suppliers involved in the bribery. "Because drug procurement is not the decision of the defendant alone." After the defendant has submitted the procurement report, it will also be decided by the Pharmacy Management Committee and the supervisory Committee. "Kickbacks and bribes in the medical profession are not a secret," he said.　　Recently, Guangdong Province, a number of units and medical institutions broadcast the "Guangdong Province Shing Work Special Investigations (ii)" show, in some hospitals, from the deputy dean of drugs, the director of clinical departments, Computer center Director, to the clinical front-line doctors, and even the number of drugs to "typist", are pharmaceutical enterprises PR object. The most important PR object is actually the clinician.　　In addition to drug rebates, the holding of academic conferences, to help obtain their promotion and promotion of the "credits" "paper", access to medical clinical laboratory research projects and funds and other means, are pharmaceutical enterprises PR means. The rate of drug rebate varies. July 30, 2010, a letter to the Guangdong Provincial Procuratorate of the anonymous report wrote: "Zhuhai People's Hospital doctors take kickbacks is the drug price of 30%, such as the cephalosporins, cefuroxime needles, cephalosporins sent with needles, Chloe sustained-release tablets, for An Shu, and so on, more than 20 yuan have kickbacks. April hospital into a batch of new drugs a total of more than 120, each director of five indicators, one indicator of drug dealers reported a fee of 2000-30000 yuan.　　"30% of the rebate ratio was confirmed by a medical professional in Zhuhai."　　However, the Zhuhai Municipal Health Bureau in the interview with the newspaper repeatedly stressed that the Zhuhai Municipal Health Bureau to correct the wind did a lot of things, "the intensity has been very large", but still out of such a thing, the health bureau "also feel very helpless." Song Hualin, an associate professor at Nankai University Law School, says that the corruption of medical personnel is closely related to the formality of accountability and punishment.　　He pointed out that although the Drug Administration Act "Anti-Unfair competition Law", "the Criminal Law Amendment VI", "the People's Republic of China Practicing Physicians Act" and so on received medical kickbacks, etc. are clearly stipulated, but the implementation of the law has long been ineffective.　　In connection with this, people familiar with the matter said that the Zhuhai case eventually did not have a doctor involved, just because "the procuratorial organs worry, the doctors are finished, Zhuhai no one to see a doctor." However, after the incident, Zhuhai's anti-corruption offensive has been strengthened. Since August 2010, the nest case has been used as a negative example, in the form of documentary warning to the medical community and even other high-risk groups of corruption.　　One person who had seen the video said the director of the Pharmacy division had repented and even cried.　　Distortion of investment mechanism in public hospitals however, many people in the industry believe that the cause of the case of Zhuhai medical corruption is not lax law enforcement, whether the current campaign-style "crackdown", or further strengthen the law enforcement, can not completely cut the interest chain of medical corruption cases. A person familiar with the medical profession said that Zhuhai doctors now "the proportion of imported drugsUp, because the multinational companies to the academic conference and other forms of public relations, will not directly bribe. In a lighter defence of Feng Wenzhou, the defence lawyer said, "The root cause of the crime is that the soil that breeds corruption has not been eradicated and the regulatory system is imperfect."　　Feng Wenzhou argues that the industry has such unspoken rules that, as an individual, there is no capacity to resist. Song Hualin also pointed out to our correspondent, "The Problem of drug rebate and bribery exists for a long time, there is a consensus on the systemic drawbacks of ' drug-related medical treatment ', but the reform of the past more than 10 years has not touched the fundamental." "The reality of the problem is that" drug-related medicine "is still the main operating mode of Zhuhai Public hospital. For example, the Feng Wen Hospital, which is only eight years old, is called the "resident Hospital" in Zhuhai. 2000 years or so, the Zhuhai city government and Zhongshan University signed an agreement to jointly establish a large public hospital, the Zhuhai municipal government to provide land and complete the construction, Zhongshan University is responsible for medical technology and teaching support. According to the agreement, the Zhuhai government gradually withdrew from the investment after three years of opening the hospital.　　According to our correspondent, at present, the development funds of this "public" hospital rely on commercial loans and their own business income, each year to pay the bank interest is nearly 30 million yuan. A local reporter said, just opened, the big five yuan because of strong technical force and garden-style courtyard district and in Zhuhai, but at present, "many business backbone loss, the frequency of medical disputes is also Zhuhai hospital most."　　"In addition to the five houses in the hospital, the Zunyi Medical College, the hospital, Zhuhai, Guangdong Province Hospital also belongs to the resident hospital." In fact, even the largest public hospital in the region, the Zhuhai People's Hospital, is a "public" word. Zhuhai City Health Bureau related Personage discloses to this newspaper reporter, Zhuhai People's hospital has carried on the calculation to the government financial investment, the conclusion is, "can only maintain the hospital operation 15 days and a half." Zhu Hengpeng said that under the current system, hospitals must be "drug-cured" in order to survive. "Not to mention kickbacks, the hospital and doctors do moral evaluation." Zhu Hengpeng says that if the drug is really the "0" difference that people imagine, the hospital will starve to death. "Hospitals have operating costs, and only checks and sells drugs to make money, and many other services are loss-making." "Big check, big prescription" not only maintain the development of the hospital, its attendant "high rebate" has become a necessary part of the doctor's salary. There was a doctor in the third hospital who had counted an account with the journalist, whose drug rebate income far exceeded the sum of the income of the basic salary and bonus. "If I don't get kickbacks, what do I do for my family?"　　"It is understood that, apart from medical kickbacks, Zhuhai medical personnel pay less than local civil servants and teachers." A doctor in the Pearl River Delta Public hospital said to this newspaper, "for the increasingly serious kickbacks and medical corruption," many doctors are very entanglements, conscience, but long time, also become indifferent, accustomed to. "For the health care and public hospital reform programs that Zhuhai is still studying,People familiar with the matter said the "separation of medicine" would be one of the most important. However, "separation of medicine" is premised on the government's financial compensation to be in place. "It's not just a 15% drug problem," the person said. Kickbacks from hospitals and doctors have long been prevalent, relying on them to maintain the operations of public hospitals and the decent lives of doctors. How much investment will it take to get these grey income to go to the sun? "Our journalist Zhou Jong and congratulatory letter has contributed to this article.