Irv Rosenfeld‘s HB 5470 Michigan Medical Marijuana Testimony
Reporter: Wang Ya Ni, Zhu Wei
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Intervening surgery of a heart, the patient spends the Qian Jing on medical devices to occupy the 84 % of whole operation expenses; A medical devices, the price when be being used to patient body is factory price unexpectedly 3 times much...
The reporter investigates discovery, in backside of costly medical devices, the inside story of a plot with breathtaking under cover -- go to a doctor is to have half mandatory spending the patient to, in the increase chain that sells in whole medical devices, unidentified the person that become only interest to be damaged with respect to the patient in, the profit of high specified number that grabs to produce business, agency, hospital, doctor " buy sheet " .
From numerous the twinkle of the doctor that is interviewed, agency its word and in avoiding the important and dwell on the trivial, the reporter feels, this is inside story of a plot only merely " iceberg one horn " .
Unscramble " high price " operation Zhang is odd
In the ward of heart internal medicine of a hospital of Shandong, finish coronary artery intervening operation before long foliaceous uncle is in sanatorium. Coronary heart disease pesters the foliaceous uncle of the body for years, did according to the doctor‘s proposal " risk small, curative effect is good but cost is high " intervening operation, it is namely in coronary artery embedded a bracket, make blood stream unobstructed.
The Xie Laoxian before the operation is born with to be informed, need to prepare 50 thousand yuan at least. As expected, the settle accounts sheet that day shows the operation, operation expenses is as high as 54700 multivariate. Need is embedded the bracket inside body is about with all sorts of auxiliary appliance 46000 multivariate, occupy the 84 % of operation expenses; Examination assay is expended 4400 multivariate; Medicines and chemical reagents makes an appointment with 2300 yuan; However, the cost of diagnosis and treatment that reflects doctor technology value and operation expenses add up have trifling only however 2000 yuan, still occupy the 4 % that are less than operation expenses.
From this Zhang sheet, the value that can see medical treatment cost formed twist to arrive why to be planted degree. Pardonable leaf uncle feels puzzled, those who be used on him body these " high-tech plaything " , the skill that compares a doctor unexpectedly is costly much.
So, material of these high cost cost after all value geometry? As we have learned, undertake coronary artery intervenes the operation needs to use 11 kinds of medical devices at least, include bursa of coronary artery bracket, outspread ball to wait. Mr Li that Jinan is engaged in crossing a heart to intervene operation appliance is sold saw to the reporter the price list that he gives some hospital to offer money, if use homebred and common support, this product factory price is above only 8598 yuan, agency however up to the price of 3 times namely 23170 yuan high price sold a hospital, the hospital increases price again the patient sells after 15 % , right now price already was as high as 26645. 5 yuan.
"If the patient knew these, affirmative meeting is enraged so that make heart disease again! " although earn earthen bowl is full the basin is full, mr Li mentions oneself knack of doing business also appears cannot bear at the heart.
The allocation that discloses profit of a huge sum link
Mr Li explained to be in agency, hospital and doctor individual hand to the reporter, selling profit of a huge sum of medical devices is how distributive - - with a patient 26645. Cost of 5 yuan medical devices is exemple, the profit that the hospital can get is 3475. 5 yuan, the doctor‘s rake-off has 2317 yuan to 3475. 5 yuan, and the profit of agency is as high as 10 thousand yuan.
"Provide more to let oneself product ‘ competition ability ‘ , according to guild regulations, agency must receive price by the hospital under the counter 10 % pay a doctor sales commission to the scale of 15 % . " Mr Li explanation says.
Last year in August, a criminal of Chongqing city of court of the first intermediate people rules book, in shake countrywide orthopaedics academia while, also offerring sudden huge profits of medical devices of a have a restricted view to common people is how be able to distributive opportunity. Zhang Peng of director of orthopaedics of hospital of Chongqing city Zhongshan age, use a post, in 3 years half inside, receive sales commission of supplier of medical devices more than yuan 130 thousand, because take bribes blame and be chained and thrown into prison.
Basis of Zhang Peng age for narrating, regard section office as the director, he has the power to make decisions that medical devices uses, the supplier gives sales commission is to want to make a doctor multi-purpose their product. Give Zhang Peng age to offer an agency of goods to admit when the attest on front courtyard, when the product enters a hospital, equipment division wants collection the rake-off of 10 % , the 10 % that press invoice amount even give director of corresponding section office sales commission. "We must give sales commission, and other appliance agency also should give sales commission, if we do not give, the industry cannot survive. The industry cannot survive..
On October 25, 2005
Xinhua net
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