Early the next morning, Shakru received a call from Professor Zhang, only to hear him exclaim excitedly on the phone: "Mr. Pandit, you are really amazing, the problem is indeed in this capsule shell, guess what this shell is made of?"

Sha Keru smiled slightly, and then replied, "If nothing else, it should be metformin powder!"

The so-called metformin refers to metformin hydrochloride sustained-release tablets, which are the most widely used oral anti-diabetic drugs in the world, and also have the functions of lowering blood sugar and losing weight (mainly as a side effect of reducing appetite), and even recently developed anti-tumor (specifically referring to pancreatic cancer) and anti-aging and prolonging life (which has not yet been confirmed).

"That's right, it's metformin hydrochloride powder, let me say, how can something that doesn't have any medicinal ingredients lower blood sugar! By the way, Mr. Pandith, how did you come up with this?" Professor Zhang asked curiously.

Naturally, Shakru couldn't tell him that he had heard of this kind of thing in his previous life, so he had to say vaguely: "Oh, someone has done this abroad, so I thought of prompting you to test the capsule shell!"

"Thank you so much this time, otherwise we wouldn't have wasted much time on this!" Professor Zhang thanked.

Then he hesitated for a moment, and then said, "By the way, Mr. Pandit, there is one thing I have to warn you, it seems that your business will not be able to continue in the future!"

Hearing this, Shakru's expression suddenly became extremely serious, and he hurriedly asked, "Professor Zhang, why did you say that?"

"Well, I heard that the country is about to include the sky-high targeted drugs such as Gleevec and Iresa into the medical insurance, so Mr. Pandit, your generic drug purchasing business may be ......"

Although Professor Zhang didn't finish his sentence, Shakru already understood what he meant, but to be honest, he wasn't worried about this kind of thing at all, because it did happen before he crossed over, but it didn't affect his daigou business.

Although the medical insurance will tell the patient that Gleevec will be included in the medical insurance in the future, the patient only needs to pay about 20 percent of the cost, and the remaining 80 percent will be covered by the medical insurance. ）

But that's not the case in reality, because you can't buy this medicine in the hospital. In addition, this medical insurance system is not universal throughout the country, and only 19 provinces have included these sky-high drugs in medical insurance.

This kind of medicine has to rely on the doctor to examine the patient, make a plan after diagnosis, and then prescribe it to the patient, right? The state told the patient that it would be reimbursed, so go to the doctor to see a doctor. However, please note that some departments, that is, the departments responsible for evaluating hospital doctors, tell doctors, how do we evaluate your work in the past few years? The most important indicators are two, the first average cost and the total cost, and the second drug proportion. (Other provinces are not clear, the standard in our province is 30 percent)

As for how many patients you have taken care of, who cares? The department in charge of assessment doesn't care about this, they only care about the country's emphasis on medical insurance cost control this year, and everything else is trivial. That is to say, if it happens to be a doctor in this specialty, his specialty is to do this, and it happens that their hospital has this drug, and then the doctor will prescribe this medicine to his patient, and the patient happily relies on the medical insurance policy without spending a lot of money to take the medicine, use it, and control it.

In the past three months, in the database of the hospital and the competent department, this doctor is simply heinous, I have spent so much money on medical insurance alone in the past three months, and it is all drugs, directly confronting the national medical insurance cost control and improving the proportion of drugs The policy is not worth a penny.

Next, the hospital will not hesitate to kick out the drug, and the doctor will be interviewed. Because you don't see a doctor and prescribe medicine to patients, there is no problem at all, and the increase in the total cost of medical insurance and the increase in the proportion of drugs are directly related to the assessment of me, the hospital, and me, the president by the higher authorities, and it has a great relationship. Therefore, now everyone knows each other very well, there is no need to wait for this step, when a relatively expensive drug is included in the medical insurance, most of them will die of light, and the hospital is not willing to purchase it at all.

These are the two faces of the people in front of and behind the people, you can understand it, right? The indicators of the hospital's higher-level competent department in evaluating the hospital's doctors and the principle of treating diseases and saving people in accordance with medical standards are in serious conflict with these two things!

So Sha Kelu replied disapprenosingly: "Thank you, Professor Zhang, for your reminder, but I think that even if the medical insurance includes these targeted drugs in the reimbursement, I will still make money, and with the speed of your country's review, I estimate that this will be a few years later, maybe I will no longer be in this business by then." ”

"That's right, Mr. Pandit, in fact, you can do protamine, methylamisole, cediran injection, these drugs are marketable, but they are often out of stock, and you can't buy them if you want to, so I believe that even if you sell a little more expensive, someone will come to buy them." Professor Zhang kindly proposed.

But Shakru decisively shook his head and refused: "I also know that there is a market for these drugs, but contrary to my style, I sell the original high-priced drugs at a low price, rather than selling the original low-priced drugs at a high price, but the reason why protamine, cediran injection and even digoxin tablets are out of stock is precisely because the government of your country is too low-priced. ”

PS: HN Xiangya Hospital was forced to refuse to accept medical insurance patients because of the huge amount of medical insurance arrears owed by the Medical Insurance Bureau. In addition, it is inconvenient to talk about the shortage of cheap drugs.

PS2: Here is a defense for the medical insurance system, in fact, at the beginning of the formulation of China's medical insurance system, it was to protect the basics and establish a basic common disease and chronic disease security system covering the whole people. In the course of implementation, the scope of protection has been continuously expanded for various reasons, but the scale of collection has not been increased. To put it bluntly, if medical insurance is a citizen welfare, then the state has to bear more responsibility, and if medical insurance is a social security system, it must comply with the basic principles of insurance actuarial science.