重磅反腐，医疗行业的巨变来了？富平网富平县领先生活信息门户

富平头条 发表于 2023-8-11 15:48:13

重磅反腐，医疗行业的巨变来了？

<section style="margin:10px 0px;"><section style="display: inline-block; width: 100%; vertical-align: top; border-width: 0px; box-shadow: rgb(0, 0, 0) 0px 0px 0px; box-sizing: border-box;" data-width="100%"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="border-width: 1px; border-style: solid; border-color: rgb(232, 73, 63); border-radius: 5px; box-sizing: border-box;"><section><section style="width: 5px; height: 5px; border-bottom: 1px solid rgb(232, 73, 63); border-right: 1px solid rgb(232, 73, 63); float: left; border-top-color: rgb(232, 73, 63); border-left-color: rgb(232, 73, 63); box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-bottom: 1px solid rgb(232, 73, 63); border-left: 1px solid rgb(232, 73, 63); float: right; border-top-color: rgb(232, 73, 63); border-right-color: rgb(232, 73, 63); box-sizing: border-box;"></section><section style="clear: both;"></section></section><section style="padding-right: 4px; padding-left: 4px; box-sizing: border-box;"><section style="width: 100%; border-width: 1px; border-style: solid; border-color: rgb(232, 73, 63); margin-top: -1px; margin-bottom: -1px; padding-top: 10px; padding-bottom: 10px; box-sizing: border-box;" data-width="100%"><section><section style="font-size: 14px; line-height: 1.8; padding-right: 10px; padding-left: 10px; box-sizing: border-box;"> <h6 style="letter-spacing: 2px; margin: 0px; padding: 0px; outline: 0px; font-weight: 400; font-size: 14px; max-width: 100%; list-style: none; font-family: inherit; color: inherit; border-width: 0px; border-style: initial; border-color: initial; font-style: inherit; font-variant: inherit; font-stretch: inherit; vertical-align: baseline; -webkit-tap-highlight-color: rgba(0, 0, 0, 0); line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; list-style: none; font-weight: 700; border-width: 0px; border-style: initial; border-color: initial; font-style: inherit; font-variant: inherit; font-stretch: inherit; line-height: inherit; font-family: inherit; vertical-align: baseline; box-sizing: border-box !important; overflow-wrap: break-word !important;"></h6><p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">最近，想必玩股票的朋友，都听说了医疗板块大跳水的事情。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">而跳水的原因，和医疗行业反腐有很大关系。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">据统计，过去7个月，全国已有至少155位医院院长、书记被查，数量已超过去年全年的两倍！<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">除了院长、书记之外，被查的科室主任更是众多。比如四川宜宾，10家大医院，11个主要科室领导落马，堪称塌方式腐败。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">那么，医疗行业的巨变要来了吗？<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; text-align: center; box-sizing: border-box !important; overflow-wrap: break-word !important;">壹<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">医疗行业的腐败所有人都有耳闻，也整治过很多次，但哪次没有这次规模大、规格高。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">今年5月，十四个部门联合印发通知，要严厉打击“捐赠”、以学术活动名义变相输送利益等问题。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">7月21日，国家卫健委、国家医保局、公安部等10部门召开视频会议，提出要深入开展为期一年的医药行业全领域、全链条、全覆盖的系统治理。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">7月28日，纪检监察机关配合开展全国医药领域腐败问题集中整治工作动员部署视频会议在北京召开，会议指出：集中力量查处一批医药领域腐败案件，形成声势震慑。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">从这个连环招能看出来，要动真格了。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">同时这也说明，医疗行业的腐败，已经无法通过行业自律纠正了，到了不得不动刀的地步。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">腐败的重头，就是“以药养医”。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">“以药养医”由来已久，90年代，医疗改革推向市场化，政府投入减少，药品收入就成了医院的主要经济来源，同时，药企迎来爆发，竞争加剧，于是“医药代表”应运而生。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">但是如果光靠嘴说，是很难卖出药的，于是一些医药代表就靠行贿科室主任和主治医生来卖药，以回扣来引诱医院院长买药。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">举个例子，比如常见的布洛芬，有A厂的有B厂的也有C厂的，用谁的？自然是用回扣最多的厂子的，这种以药养医模式迅速败坏了医疗行业风气。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">直到2017年，十九大明确提出，要全面取消以药养医。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">光靠一纸命令是很难根治的，明着行贿不行了，人家还不会暗着行贿吗？<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">比如这次整治过程中披露的会议费、讲课费行贿，就是行贿隐形变异的手段。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">近年来，国家税务部门严查药企财务报表，毕竟医药代表如果行贿的话，肯定要回药企报销走账的，只要查到大额套现的项目，那么就有行贿的嫌疑。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">但是现在，药企也学精明了，套现行贿不行了，那我搞个活动总行吧？<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">于是，各个地区的医疗协会，开始举办五花八门的医疗讲座会、医疗座谈会、医疗交流会等等，各种乱七八糟的会议越开越多、越开越大、越开越贵。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">当然，协会是没钱的，那么就只能找药企赞助。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">然后猫腻就来了，由于会议费的范围较为宽泛，因此药企便乐于巧立名目，将各类行贿费用塞入会议费。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">比如，在学术讲座会中，请某一个医生，介绍一下某个病例的治疗经验，这属于讲课，那给点讲课费，不为过吧？<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">再比如，在交流会中，药企针对某个药品的不良反应，向医生咨询，给点咨询费也没问题吧？<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">类似看着合规，但实为行贿的猫腻还有很多，反正这些开支都是在会议期间花费，统统计在会议费上，完美避开了税务查账和审计。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">《中国税务报》曾报道过这样一个案例，税务机关对大型医药制造企业A企业开展例行检查，发现该企业“销售费用”下的二级科目“会议费”列支金额占其“销售费用”70%以上！3年光会议费中的“餐费”就花了8个亿！<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">也就是说，三年之中，每天光会议吃饭都要花70多万！<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">你以为这就是极限了？不，不要低估医药代表的想象力。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">如果单纯开学术交流会，那上台讲课的医生是有限的，拿钱的医生自然也是有限的。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">为了让更多医生拿到会议费红利，那就只能多办会议，可是医生是要上班的啊，谁闲着没事天天跟你开会？于是骚操作来了：假会议！<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">假会议也就是说，酒店的发票、会场租赁什么的都是真的，但就是没人来，为了营造“高朋满座”的假象，很多听会人员其实都是医药代表，大家互相支持，这次你参加我的会，下次我参加你的会。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">反正会开了，医生拿到钱了，至于台下坐的是谁，大家没人关心。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">光靠会议费搞定医生还不够，因为医生只能决定开某种药，但某种药到底能不能进医院药房，要打点的人还很多。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">搞定了医生，就要想办法找科室主任，科室主任一般都有采购建议权的，会提出要药剂科采购某种药，然后医药代表再去找药剂科，再打点药剂科主管人员，让药剂科把自家的药列入采购目录。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">你看，这已经算是窝案了。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">如果实在搞不定整个链条，那也不是没办法，现在很多医院都有DTP药房，这种药房设立本意是为了提供医院缺乏的特殊处方药品，满足患者的急用需求。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">但是，这种药房很快成了医药代表攻陷的区域，如果药进不了医院药房，就放进DTP药房，然后授意医生在看病的时候对患者说：你这个病比较麻烦，用医院药房的药效果不好，如果想快点好的话，可以去DTP药房买某某药，见效快还没副作用。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">你如果是患者，一听医生这话会不会感激涕零，然后拿着条子赶紧去买？事实上，这个条子就是结算回扣的证据。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">有时候甚至连DTP药房都省了，医生直接说，你去医院小卖店、医院门口某药店去买某某药就行，这样医生就可以省去更多的中间环节，获得利益最大化，有时候获利能达到药品价格的一半以上！<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">当然，对于更高层的医院领导来说，医疗器械采购才是来钱最快的，根据中纪委今年披露的真实案例，云南普洱市人民医院，一台进价1500万的医疗器械直线加速器，医院以3520万元买入！<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">院长光回扣就拿了1600万，比机器本身还要多！<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">与上面这些相比，医生内外勾结，买卖黄牛号，其实都不算啥事了。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; text-align: center; box-sizing: border-box !important; overflow-wrap: break-word !important;">贰<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">医疗腐败层层盘剥，最终吃亏的是老百姓，伤害的是国家医疗体系。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">所以，医疗反腐，利国利民，对降低普通老百姓医疗负担来说，也是大好事。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">但是，如果只想靠抓学术会议、抓采购、抓耗材使用就解决腐败问题，并不现实。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">因为医疗行业太专业、太复杂、容易做手脚的地方也太多，实在是防不胜防。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">比如这次的反腐，抓的主要是院长和科室主任，对一些医疗行业的大专家、大教授基本不触碰，但是，这就意味着他们一定干净吗？不一定。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">只不过他们的手法更高明，甚至都不屑于药品回扣那种蝇头小利。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">比如，中国目前有很多药品和医疗器械无法国产，那么外国药品和器械在进入中国的时候，就会面临一个资质认证和行业认可度的问题，需要业界权威来背书。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">至于如何吸引业界权威，很多时候甚至都不是钱的问题了，毕竟业界权威也不缺钱，所以西方药企拿出的是名利，比如，在中国医学界有个习惯，以论文论英雄，医生评高级职称，普遍需要2到5篇SCI论文，评院士，论文发表数量也是指标之一。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">但现在医疗领域的SCI期刊掌握在谁手里？西方国家。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">你想发论文？可以，但是你就要为某某药品、某某器械、某某治疗方案站台，甚至外国药企会直接资助某个研究项目，来证明他们的方案是科学有效的。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">于是，我们经常能看到专家公开推荐药物。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">查处这种腐败的困难点在于，你很难确定这些专家推荐的药，到底是出于利益交换？还是出于专家的专业知识？毕竟话语权都掌握在专家手里，专家群体自然要为专家群体说话，就算最后证明某些药效果不佳，那也完全可以用“学术失误”来解释，上升不到腐败的层面去。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">比如，医生逃避集采的问题。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">2018年，国家医保局成立之后，实行药品集中带量采购，给医院和医药企业戴上了紧箍咒，比如集采的心脏支架，从原来的几万降到了700块钱。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">这真是一件天大的好事，但你以为老百姓就此得益了？并没有。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">央视《新闻调查》报道，支架降价之后，有医生不用支架，改用没有集采的球囊。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">原因很简单，支架降到了700块钱，医生做支架手术无利可图，所以并不推荐病人用支架，而采用没有集采的球囊，毕竟很多心脏病，是可用支架也可用球囊的，医生自然会选择最有利于自己利益的选择。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">一个球囊价格，相当于20-30个集采后的支架。虽然贵，但涉及心脏，有几个患者愿意冒险？只能选择听医生的。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">比如，过度医疗的问题。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">去过医院的都有这个感觉，不管看什么病，先做一圈检查再说，有的检查项目你当天还做不了，一约约到一月之后，等你做完检查再去看医生，黄花菜都凉了。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">甚至你拿着A医院的检查结果去B医院看病，B医院却不认，非要你再在本院再做一次。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">如果你质疑，也很好解释：不同医院的设备不同，检测结果可能会有误差，医生不敢拿有误差的检查结果给你看病，这是为你负责。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">为啥要拼命让你检查？很简单，一些公立医院取消药品加成后，相应的配套补偿措施不到位，存在资金缺口，需要医院及时填上，不然会影响到医务人员的正常收入。因此，医院采取各种手段利用检查的方法创收。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">在一段时期，中国医院的检查收入，甚至达到医院总收入的三分之一以上！<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">相比药品回扣，其实倒卖病人手法更隐蔽。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">比如，一个医生对一个住院病患说，你这个病在这里恢复得慢，我知道一个医院，他们那里条件好，也比我这里便宜，有利于康复。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">这样介绍过去一个病人，医生就能收入500-1000元不等。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">当然，也有小医院往大医院卖病人的，比如外科最赚钱的是器官移植，有能力做器官移植的多是大医院，那么做移植的人不够怎么办？就从小医院或专科医院游说“买”病人。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">卖病人的事情甚至连个别120都有参与，一些医院急诊科会与120部分人员建立某种“合作”关系，将病人送往“关系”医院急诊科。比如，接到中风、高血压等慢性病突然发作的病人，按照常规，120本应将他送往最近的一家医院，但因为急救人员与某医院急诊科有“合作”关系，便自然而然地将该病人送往这家医院急诊科，医院就能借此获得收入。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">总之，只有你想不到，没有腐败到不了的领域。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">看到这里，你也许会觉得三观崩塌，医疗行业就没好人了吗？当然有，但是在大环境之下，很多牟利的行为，也是不得已而为之。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">比如，公立医院现在是自负盈亏，但国家为了保持医疗行业的普惠性，对很多领域都进行限价，可是如果按照这个限价来经营，可能医院连工资都发不出来，这就逼着医院只能创收。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">同时，中国医护人员在全世界是最累的，欧美国家医生年薪制，工作量固定，一天就那几个患者，完成了就下班。这要是放在中国，会不会被喷死？说你见死不救？所以无论什么时候，医生都必须召之即来，牺牲大量休息时间忙于工作。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">为什么中国缺儿童医生？就是因为儿童医生太累，而且儿童看病还不容易看，一不留神就误诊，所以干脆跑路。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">从这个角度来看，中国的医生也确实应该享受到和其付出相适应的薪资，多拿点奖金也是应该的。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">所以，上面提的那么多腐败现象，有的钱是个人拿了，但也有很大部分其实是入了医院的帐，拿来维持医院运转，给医生发奖金了。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">医疗行业的反腐是好事，但如何确保医生的积极性呢？<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">过去医生加班是因为挣得多，现在挣得少了，会不会躺平？让老百姓陷入看病难？<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">如果再有抗疫等公共卫生事件，医生们是否还能像2020年那样闻令而动，视死如归？<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">会不会有人借反腐的大旗，大砍医务人员的正常福利，借此制造矛盾向上施压？<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">这些都是不容忽视的问题。<p style="letter-spacing: 0.544px; margin: 0px 16px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">医疗行业积弊已久，情况比我们想象的要复杂得多。现在的反腐是一件好事，但不可能一步到位，既要反腐，又不能引起整个系统反弹，只能徐徐图之了。来源：卢克文工作室 </section></section></section></section><section><section style="width: 5px; height: 5px; border-top: 1px solid rgb(232, 73, 63); border-right: 1px solid rgb(232, 73, 63); float: left; border-bottom-color: rgb(232, 73, 63); 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重磅反腐，医疗行业的巨变来了？