Would ObamaCare Kill Medical Innovation?
Titanium board factory price controls this trefoil 600 yuan only, and 3000 ～ had turned into on the patient body that uses different hospital 5000 yuan, taller even.
Reporter of Zhengzhou evening paper applies for a clerk to survey chain of increase of medical devices
A doctor of 10 thousand yuan of operations that change character divides 4500 yuan
News background
.On April 27, henan saves wholesome hall hall to grow Ma Jianzhong to be in " save wholesome system to administer commerce of domain of medical purchase and sale to boodle completely special job conference " on point out, "The medicine of a few places and unit is purchased in still put in many problems, commercial bribery problem remains a chronic and stubborn disease in activity of medical purchase and sale.
A few medicine, equipment is produced and manage enterprise and sale staff, collect draw to grant rake-off, deduct a percentage from a sum of money, send money to send the illegal measure such as content, high price markets its medicine product; Unit of a few medical treatment and staff member use medicine to purchase, accept bribery of the job such as medical treatment service, go to the lavatory to manage company high price to sell profiteering of medical product, seek to offer etc " . The requirement is saved with Henan in the center of the basis, henan saved wholesome hall to study formulate " begin commerce of domain of processing medicine purchase and sale to boodle special job implements plan " . On May 24, bribery of business of management company of production of tool of medicine of Zhengzhou city processing is special working conference is held. On this conference, medical inspect branch also approves medical instrument manufacturer each respect to obtain admittance aptitude with wrong step in careful evaluation, with drive up of cost of wrong step make a false report the price gets commercial chance or the behavior such as commercial interest includes processing the focal point. Work to cooperate a government sector, from March the middle ten days of a month rises, our newspaper reporter is applied for had by a definite date to company of a medical devices the investigation of two months.Core clew: In half many the month grooms in time, the of all kinds material that the reporter is taking a company is evil filling orthopaedics knowledge, till 206 skeletal names that can bear a human body, the fracture that understands every different position needs to use why to plant when type armor plate, just become the business salesman of company of a medical devices formally. "Occasionally you should know much place even than the orthopaedics director of the hospital, hurt a patient to a bone, you should judge him quickly to need the armor plate of a few aperture to secure. " all business personnel had half month groom, on the quotation that gives a hospital in a piece when company manager offers, declare these prices include the sales commission of doctor 30%-45% . According to this computation, if the hospital makes a value operation of 10 thousand yuan displacement of artificial femur head, operation doctor can take 4500 yuan of money.
Before applying for, need to memorize name of section office director
On March 15, the reporter begins to search the job announcement of personnel of business of company of concerned medical devices on newspaper everyday, copying next applying for after information, begin a connection of a ground.
Thinking business personnel originally also is the product that markets a company to the hospital nevertheless went, did not think of to be in when walking into every appliance company to apply for, ability discovery wants to become the clerk of industry of medical devices, need what the thing that know was head and shoulders above a reporter to envisage, to the question that these company bosses raise, almost one also replies not to come out.
"You have reliable human concern in the hospital, if have, ask adduce the name of a few hospitals and its hospital chief. Ask adduce the name of a few hospitals and its hospital chief..
"If we open meeting of industry buying and selling, it how many hospital can you reach please is important how many hospital can you reach please the chairman doctor of section office of speak or sing alternately? It how many hospital can you reach please is important how many hospital can you reach please the chairman doctor of section office of speak or sing alternately??
"In the business career previously, you the instrument that every month can market how many fund for the company, promoted what hospital, channel goes in through which, who is involved director dean? Who is involved director dean??
...
Just began to make up at random the name of a few deans, be corrected one by one by the boss when even if. When when reporter answer a certain time ever had marketted how many instrument to some hospital, some bosses tell me immediately, this hospital did not purchase these things at all in that time.
In the process that apply for, the impression that the manager that has company of a medical devices leaves is very deep. When talking about what hospital to have the intention that purchases weapon, she listed one by one a few hospitals the ranking amount allocating funds this year, corrected a reporter to believe a financial standing that makes up the such-and-such hospital that come out. She tells a reporter courteously, "We this the clerk need of invite applications for a job is dab, the hospital state that wants pair of one zone understands very in detail, come in to be able to do business directly. The hope has cooperative opportunity after us. " because of this, apply for before a few times of the reporter end in order to fail.
Eat one chasm to grow one wisdom, after derive failure experience, find the friend inside an industry, mechanical memorizing list of chief of a few hospitals, remembered a few hospitals are main the director name of section office... on March 20, reporter eventually very loath ground becomes salesman of business of appliance of orthopaedics of company of a medical devices, probation is 3 months surely, without base pay, after business make it in proportion deduct a percentage from a sum of money, every business can carry 3% ～ 5% .
Half month grooms orthopaedics common sense
After taking a company, just understand the orthopaedics clerk that becomes a major is very difficult. Want know sth like the palm of one‘s hand of pair of orthopaedics common sense above all, still need to have in detail knowledge to orthopaedics operation additionally, run the professional technology that the clerk of this line passes manufacturer and company almost and vocational training. Just took a company, the operation smooth dish that the reporter also got replacement of a piece of concerned section comes home study.
Be in at first in the time of half many month, it is the of all kinds material that taking a company first knowledge of evil filling orthopaedics, till 206 skeletal names that can bear a human body, when the fracture that understands a different position is using of all kinds board, should adopt probably why to plant operation means. For instance, when upper limbs does armor plate to secure an operation, the solid emplacement of armor plate should exceed fracture line 3 aperture, and the operation of lower limbs needs to exceed fracture line 4 aperture.
Understanding at first is why a clerk should learn operation way only, learn the professional knowledge that should master by the doctor. Via grooming personnel explains ability knows, an eligible orthopaedics appliance clerk must learn to follow a stage.
"If you won‘t follow a stage, had talked about business namely, the doctor uses your thing not gladly also, he can choose to be able to follow the product of the company of the stage. " alleged " with the stage " , it is the armor plate of the different brand that manages in the light of different company, appliance of operation of its form a complete set also has a difference, and the doctor cannot be right all products of all companies and operation appliance can of handy apply, so the clerk can give a doctor the opinion of a few referenced sexes with the stage, also can let a clerk have more and doctor " separate development " the opportunity of communication and time. Additional, the tool of operation form a complete set that uses as a result of doctor place is provided freely by appliance company, partial doctor can take the chance these tool possess oneself of, follow a stage to also can rise to the action of supervisory doctor.
"Occasionally you should know much place even than orthopaedics director, hurt a patient to a bone, you should judge him quickly to need the armor plate of a few aperture to secure. " this is to be being accepted when grooming, groom the personnel requirement to all business personnel.
After this, with respect to reporter bring into contact with no matter be to run the hemal, clerk that still is orthopaedics joint, they are the experts of own industry almost. Sit in the consulting room, they can be a patient to explain analytic illness with professional term, differentiate of common patient root devoir does not go out.
"Company of most medical devices has many so professional knowledge even the business personnel with operation very good technology, a few clerk can go up even operating-table becomes an operation for the patient. " an appliance company manager says.
According to usual practice of industry of medical devices, the clerk of the company is in to the hospital or when the doctor markets his product, must domestic medical devices registers manufacturer of license of management business of the business charter of hold appliance company, medical devices, instrument card photocopy. This red section that all certificate still must run sale company on the lid, such hospitals or the product that the doctor just allows to be promoted with the clerk.
Because appliance company acts as agent only mostly the appliance of 9 manufacturer, call-over in the doctor so when wanting to use some kind of product of other company, the clerk of this company can move money to other company only, and also can get the of all kinds certificate of tone money firm at the same time. From this cause, the reporter handles the complete set certificate that got company of many medical devices from a few friends.
Quotation includes doctor sales commission
Before beginning to do business formally, business manager exhorts again and again the crucial part that the reporter needs to notice: When entering a hospital, want to observe how many their orthopaedics patient has carefully, injury of which kind of bone is most, there is how many bed in ward; Should resemble be opposite to each orthopaedics directors oneself dear one is same, want to understand him what to like above all, what be fed up with, want to pay sincerity to him; Learn examine colour to watch scene even, he is coughing, you should go out to buy cough drug to him immediately, he stretchs his hand when taking smoke, you help him ignite rapidly... accepted by a definite date after the professional knowledge of half month grooms, the reporter began to run the career of orthopaedics appliance business.
"When doing business, you want the requirement according to the doctor, or the requirement of section chief of hospital business dean, appliance, undertake rake-off allocation neatly appropriately. Nevertheless, return so that the attention gives financial division stationary point sales commission occasionally, in that way a money of our company meet a bit faster, capital can week avert can have more goods. The credit returning a money that goes to an any hospitals wanting to ask about their hospital first is good, if bad, we would rather not do this sheet business, the company dare not press so much money to be in the hospital. If need to entertain guests, perhaps buy gift to give a doctor, want to make a report to the company first, unified arrangement... "
Before promoting business, the manager enjoins a note repeatedly, gave a piece of quotation that gives a hospital, declare these prices include the sales commission of the doctor‘s 30%-45% . "This scale is a convention, if the hospital uses our money more, when perhaps having stronger competitor, you still can give a doctor to yield a bit benefit more appropriately again. You still can give a doctor to yield a bit benefit more appropriately again..
On this piece of price-list that gives in the company, the reporter copied the price of material of bad news of a few orthopaedics: Stainless steel equipment, upper limbs is in with armor plate 1800 ～ 2500 yuan between, lower limbs is in with armor plate 2200 ～ 2800 yuan between; 3200 ～ are nailed inside pith 3800 yuan between; 2200 ～ are secured inside rachis 2300 yuan between. Artificial femur head arrives from 6800 yuan 10 thousand multivariate between.
Titanium alloy, upper limbs is in with price control 4000 ～ 4800 yuan between, lower limbs is in with armor plate 4500 ～ 5000 yuan between; 7000 ～ are nailed inside pith 7800 yuan between; 5000 ～ are secured inside rachis 7800 yuan between.
According to the referenced price that this company offers, if the hospital makes a value operation of 10 thousand yuan displacement of artificial femur head, operation doctor can get 4500 yuan of money alone. So how many does the real value of these orthopaedics appliance have after all?
In city of Home Zhang harbor bright and beautiful abundant is pressed down, have plants of many medical devices with such pallet equipment
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A 20 yuan armor plate sells a patient 1000 yuan
Core clew: Putting in the room black, the machine tool of greasily, milling machine, those who return figuration of firm grinding of move having bubble is medical the operation is cut, of hemostatic clamp eletroplate groove. A worker of factory of medical devices introduced the production course of orthopaedics armor plate to me: Former board of a stainless steel is become by cut grinding the small armor plate of all sorts of appearance, repass makes hole, polishing, eletroplate after waiting for much talk program, an orthopaedics secured armor plate to shape basically. The cost of armor plate is inferior, a kilogram of ability 20 multivariate money, after finished product of armor plate of make it orthopaedics, the cost of armor plate of a simple orthopaedics is only more than 10 yuan of money. And cost of titanium alloy plank also controls a kilogram with respect to 300 yuan, one kilogram can do ten small-sized titanium board. On manufacturer appliance tariff, I cento partial price and the price that are in acting appliance company made contrast, the manufacturer of price tower above that can see medical devices enters a hospital apparently offers commodity price 10 times to 40 times between.
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Appliance plant requirement is pallet do not disinfect
On April 5, in company of a medical devices a manager is guided below, the reporter comes to city of Home Zhang harbor town of bright and beautiful abundant. This is a manufacturer of orthopaedics medical devices that there is name quite in home centrally, the product that many orthopaedics appliance companies run Henan market originates this. Bright and beautiful abundant presses down everywhere to be able to see works of medical devices, after visitting the orthopaedics instrument manufacturer with a few spare factory building, just understand these ablaze and excellent orthopaedics armor plate, by these conditions abominable manufacturer production comes out.
One door mouth hangs the plant that has sign of factory of such-and-such medical devices, have a spare factory building only, there is the machine tool of black, greasily, milling machine in the room, those who return figuration of firm grinding of move having bubble is medical the operation is cut, of hemostatic clamp eletroplate groove. What just came from the fish out in groove is being hanged on the black iron frame that relies on a wall, the finished product that has become glistening. The worker that makes these is a few boys that do not reach 20 years old it seems that, each is wearing fat coverall.
To understand manufacturer of more medical devices, because of connection business the reporter hired an autocycle, the car that allows place advocate taking to the town manufacturer of size medical treatment saunters. He introduced the state of manufacturer of local cure instrument simply to the reporter: "The cure tool works here is not very much so, only 9, still be privately owned. See this industry make money later, the old stuff of many cure tool workses broke away from former company to work alone, then, the cure tool works on the town is increasing also. Besides 56 large factory, still many SOHOs buy a few machine tools to make instrument. Because factory is small, the sale of these SOHOs is more difficult, hang in succession then rely on a few big manufacturer, stick a card to produce medical devices, let those big manufacturer be sold for them. SOHO investment is not large, cost is lower also. Cost is lower also..
In processing factory of medical devices of diminutive of a home, the reporter discovers the field without and wholesome condition can achieve state specified standards, some did not register the trademark of any manufacturer even, except local is being gotten, the likelihood searchs to be not worn at all.
Armor plate cost a kilogram 20 multivariate
A worker of factory of medical devices introduced the production course of orthopaedics armor plate: Former board of a stainless steel is become by cut grinding the small armor plate of all sorts of appearance, repass builds aperture, polish, eletroplate after waiting for much talk program, an orthopaedics secures armor plate basic take shape. This worker introduces, the cost of armor plate is inferior, a kilogram of ability 20 multivariate, after finished product of armor plate of make it orthopaedics, the cost of an orthopaedics armor plate is only 10 multivariate. And cost of titanium alloy plank namely 300 yuan a kilogram, one kilogram can do ten small-sized titanium board. These small-sized titanium board cost namely a few yuan. "And the appliance agent that each district sells in the factory, the price had turned over a lot of times, sell can do not have chart high into hospital price. Our boss very make money, but our salary is not high, it is reckon by the piece calculates wage, make money of an orthopaedics armor plate not much, a month is only 1000 multivariate money. A month is only 1000 multivariate money..
To implement factory price, the reporter acts as agent with searching orthopaedics appliance for the friend for manufacturer, find the manufacturer of bigger an orthopaedics instrument on the town -- factory of Jin Lu medical devices. This factory only a workshop has a few machine tools, the stack in the workshop the finished product of orthopaedics armor plate and semi-manufactured goods. These finished product are installed undertake classified in the case, load plastic bag again next, fill in inside on beforehand the content such as printed appliance certificate of approval, manual, can enter sale channel.
Very vigilant to new client
Before taking a plant, because beforehand already the friend is explained, these manufacturer are very vigilant to alien, the reporter has made a variety of preparation beforehand, carry the certificate such as business certificate of company of many medical devices to prepare to show manufacturer to look. The sale ministry that reached this plant, hearing will talk about a representative, a staff member introduces the reporter the product to reveal a room directly. Still be over without young scrutiny, a person went hurriedly to call the reporter.
"Dry what are you? Of which province? " the query of arise suddenly let a reporter be stupefied god, a bit factitious ground replies: "Henan comes to me, doing business of medical devices all the time, the family member wants to work alone now, will see the value of manufacturer, preparation does the acting distributors of manufacturer. " " are you original which company does business in Henan? " temporarily the name that flurried reporter mentioned a company at random. "It is this company so, so what does the boss of this company call the name? " when asking this question, the male staff member of this aggressive tells another person: "You call now ask this company the boss, seeing this is to return a responsibility how. Seeing this is to return a responsibility how..
See the business had change, the reporter turns rapidly the person that says oneself are not that company, but the family member is, what does the boss that does not know their company call the name. At this moment, all certificate of company of a when the reporter will carry rapidly small appliance hand he looks. These certificate gave up temporarily the partial misgive of manufacturer. But, next the person of about of a few controller in the factory had lost faith to the reporter. Their understanding to market of Zhengzhou medical devices far beyond reporter foregoing expect. The past history that feels a reporter possibly finally is not quite honest, for the acting company that manager of a bright red surname has had them with Zhengzhou, did not disclose the dealer representative price of the company. He tells a reporter to be able to take cheap company representative price all the same in Zhengzhou, let a reporter courteously leave after circuit looks around inside the factory.
When be being faced, to do not miss this potential client, manager of bright red surname gives a piece of their acting firm address in bridge of Zhengzhou city big stone mixes the reporter phone. After answering Zheng, the reporter found this appliance company, but, when the price that speaks of a few appliance, the quote tower above that the reporter discovers them manufacturer quotes two 3 times. To the discretion of manufacturer of medical devices, the personage inside course of study explains so: "They are afraid of reporter exposure, 2 be afraid that manufacturer of hospital doctor straight fetch orders goods. The doctor takes money in straight fetch factory, manufacturer cannot assure in the interest of the acting company of each district, such doing is the interest that protects a few. Such doing is the interest that protects a few..
The hospital differs into valence and factory price 10 to 40 times
Subsequently a few days, in town of bright and beautiful abundant a local is guided below, I saw the manufacturer of medical devices with numerous large small volume. A lot of it is mill of a family almost, a few lathe, milling machine, one eletroplates groove is a manufacturer. Be in a plant of medical devices that has a house only, this mill boss says it can take bright and beautiful a surname the goods of any an appliance factories.
On the tariff of appliance of golden deer manufacturer that offers in him, I cento partial price and in front the price that is in acting appliance company made contrast.
Stainless steel equipment, upper limbs is in with armor plate price 40 ～ 200 yuan between, lower limbs is in with armor plate 50 ～ 300 yuan between; 700 ～ are nailed inside pith 800 yuan between; Secure inside rachis implement 350 ～ 500 yuan between; Titanium alloy equipment, upper limbs is in with the price 200 ～ 600 yuan between, lower limbs is in with armor plate 400 ～ 600 yuan between; 1300 ～ are nailed inside pith 1400 yuan between; Secure inside rachis implement 600 ～ 1000 yuan between, titanium makes artificial femur head 2000 yuan.
According to the price with comparative around, the manufacturer of price tower above that can see medical devices enters a hospital apparently offers commodity price 10 times to 40 times between.
With artificial femur head for, 10000 yuan of money get rid of 4500 yuan of the doctor, eliminate cost of drop out plant 2000 yuan, remain 3500 yuan. The company gets rid of again the partial operation weapon that supplies freely, etc entertains guests, business deduct a percentage from a sum of money and tax cost, what remain possibly is 1000 yuan are controlled only.
To the patient, orthopaedics appliance is in after entering a hospital, still should be added by the hospital oneself profit drop resell gives a patient, so when material of these orthopaedics bad news arrived in patient hand, broke up one time again.
According to the worker‘s introduction, the price after my manage gives an armor plate to leave factory goes situation.
Manufacturer is purchased respectively 20 multivariate money plank of alloy of 300 yuan of or so a kilogram general steel, a kilogram of titanium, can make finished product of ten orthopaedics armor plate, cost of every common steel expends alloy of 10 multivariate, titanium a few yuan of money.
Factory price how sketch map of when the river rises the boat goes up too
Raw material: Every kilograms 27 yuan or so, can make 10 orthopaedics instrument at least
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Works of orthopaedics cure tool: Cost of an orthopaedics equipment is controlled 20 yuan
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Area franchisee: Every 30 yuan, 50 yuan
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Acting appliance company: Company of appliance of representative of every 60 yuan of or so ↓ : Every 60 yuan or so
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Hospital: Every 500 yuan or so
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Patient: Every 1000 yuan or so
This flow chart with the upper limbs of lowest of the price in orthopaedics equipment common armor plate is exemple.
Hospital administrative or technical offices or ill door mouth often can see such caution catchphrase
Invoice of empty of requirement of a hospital dean 40%
Core clew: "You come home, this year is hospital management year, you still dare come to a hospital run so. Go back tell you the boss lets him change one‘s profession, we should use this thing without the plan this year. " the reporter arrives unseal when section office of orthopaedics of a hospital of city is promoted, section office chief says coldly. "Your ticket leaves how, how much can you add more? " the ask a question on the boss chair that Dean × relies on cozily in bounty. "It is to add normally 30% . " " I look or add 40% . such, when waiting for goods to deliver, also take bill. " " the mood resolute and decisive of Dean × nots allow to discuss. In fact, if the requirement according to Dean × , these 2000 yuan kinds or types of goods, without foundation wants on bill many 800 yuan of money. Last a period of time after two many months, I concluded the first only business with dean of hospital of × county people eventually. Letting what I did not think is, 40% what my empty lets add payment for goods when the dean says invoice. After concluding this trade, my demit dropped the job of clerk of company of medical devices.
The operation just finished, rake-off has to send advocate knife doctor
April the last ten-day of a month, I am stationed in equestrian inn along with clerk of a company together the armor plate that some hospital sends an operation to want to use immediately. As a result of insufficient " with the stage " qualification, I stay outside, and the weapon that he is taking a company entered surgery as the doctor " with the stage " .
With respect to my individual bring into contact with the clerk that no matter be to run,of hemal business still is orthopaedics links business, it is the expert of respect of this kind of operation almost. They sit in consulting room to be able to use very professional term to explain an analysis to the patient‘s illness, average patient does not look to give these people at all is not a doctor.
The board that uses our firm smoothly in this hospital finishs for the patient after the operation, the person of the same trade‘s clerk 1500 yuan of good precondition rake-off, take alone give advocate knife doctor.
"Although the company cannot take ready money from the hospital, but every time the doctor finishs with the armor plate of the company after the operation, also must give a doctor sales commission first immediately, otherwise the following relation got along very hard. " to this, this clerk returns an explanation to say, "Present individual doctor is very careful, differ individual goes the fund that he receives you far from. When receiving fund, he still does not say a word, he knows appliance company also not dare skimp he. He knows appliance company also not dare skimp he..
More those who make a person adv unimaginably is, be in the hospital of a few little places, individual clerk kisses to become an operation for the patient from begin art stage even.
The orthopaedics operation with this kind of bigger to a few difficulty hospital dare be not done, the chairman doctor that often should ask other hospital takes acupuncture point natively, but should give operation of acupuncture point doctor to expend 1000 ～ 2000 yuan. Company of a few medical devices uses their product to let these hospitals, with respect to education a few can become the clerk of orthopaedics operation in order to appear on the stage. Such with respect to leave out the fee that the hospital pays other doctor taking acupuncture point, hospital nature selects the product of these companies.
A big nail was touched when promoting
"You come home, this year is hospital management year, you still dare come to a hospital run so. Go back tell you the boss lets him change one‘s profession, we should use this thing without the plan this year. " April the middle ten days of a month, unseal chief of section office of orthopaedics of a hospital of city says coldly.
Subsequently, I find appliance division. Section chief and Yue ground tell me: "You should enter a hospital through invite public bidding, I can inform you when invite public bidding. I can inform you when invite public bidding..
On April 22, I was found sit in consulting room of expert of orthopaedics of hospital of river of Henan university the Huaihe River the pace of expert advantageous position of examine 5. He tells me, your company should enter a hospital through normal procedure. "I serve as a doctor, provide this job impossibly, impossible also privately uses your product. You go looking for other doctor. You go looking for other doctor..
Country for purchase and sale of normative medical treatment, executed strict action to bid system. However, there still is hollow of company of individual medical devices before this idea.
"Company of medical devices begins to run before bid normally. If be in,receive hospital appliance division to bid the announcement just begins the operation already late. " of company of a medical devices deputy always tell me.
When invite public bidding of a hospital, want to find their orthopaedics chairman first, be about to give when transmissive data on meet ceremony () of bright red bag; The appliance section chief that should look for them next gives red package, the red bag of business dean also cannot little. The personnel that asks about the committee that review bid even... " red bag sends enough, protect win the bid definitely. Get ready it is difficult that the doctor says to be done easily, an appliance company that I know to capture Zhengzhou an expert of an accessary hospital, spent time of a year almost, you can not imagine the time that wants expenditure. You can not imagine the time that wants expenditure..
In bidding, still have inside the industry draw near the convention of mark. For instance some hospital invite public bidding, company of a few appliance rises jointly the book that make bid, show base price each other, an appliance company that helps interior together wins the bid. Be in the 2nd times then, when invite public bidding of the 3rd hospital, still rise jointly help a company win the bid. Come so, a few companies can enter a hospital. "For this, companies of some medical devices can file a few patent. If they attend,bid, natural meeting is dominant. If an appliance company was not run actively in bid, also did not draw near the movement such as mark, think an any hospitals are very difficult. Unless drop bid price minimum. But such although medium mark, the doctor of the hospital need not choose your product all the same, because whats such low product does not have,grease can be scooped up. Because whats such low product does not have,grease can be scooped up..
From this pair of condition that always says, I knew the medical devices with low in that way factory price, why highest after win the bid Dou Nengbiao rises 339 times. If appliance company bids jointly, can get for oneself most golden eggs, the price that can unite the mark a few companies is decided very high, the product of the company that such winning the bid is OK conscientious it is with appearing at high price before the patient.
Dean personally argy-bargy of go into battle
Unseal city " hospital of × county people " it is the hospital with this the largest county, the cure Baoding that also is this county orders an unit.
On May 10 19 when, office building of outpatient service of hospital of this county people 3 buildings most an office at.
Waiting daylong later, I see this courtyard is in charge of Dean × of comprehensive job eventually. Because beforehand had been contacted several times, dean × did not remove suspicion challenge in that way like other doctor almost, go straight towards a theme to mention this continuously order goods and last the problem of balance payment for goods.
"Use your bolt and bone weight last, you sign up for a price. You sign up for a price..
"You used 3 titanium bolt, our manager lets press 200 yuan calculate, hammer of that stainless steel bone also is 200 yuan. Hammer of that stainless steel bone also is 200 yuan..
"Can you do business? Sign up for so like you so of high price? You go, I cannot talk on again with you. " one brandish left Dean × old hand order for guests to leave.
Dean × improved tonal mood suddenly, let me eat one Jing.
"You are the old client of the company, can take care of you of course, yourself quotes casually, calculate as far as possible according to your quote, everything is good discuss. Everything is good discuss..
Heard this word, dean × just alleviated mood, sit afresh, took out the scrip that hand of a few pages copies.
"The value that you see me be in the company of appliance of those a few orthopaedics of bridge of Zhengzhou big stone to copy, bolt of a stainless steel 16 yuan, if be done to them,get price 11 yuan go. It is not easy also to see you, the bolt that uses last gives you 12 yuan of money, bone hammer calculates 80 yuan. Bone hammer calculates 80 yuan..
The company offers commodity price nearly 200 yuan bone hammer, he overwhelms 80 yuan. Be in finally talk things over below, he is in the price of bone hammer 95 yuan surely.
"We now even a few narrow armor plate of dynamical pressurization stainless steel, include bolt inside, you sign up for a price to listen again. You sign up for a price to listen again..
"A stainless steel of 10 aperture board belt bolt 500 yuan... "
"Good, need not sign up for, this price is too high, we do not have method to want. " Dean × waves again pursue an objective, the base price sheet that I am forced to take out a company lets Dean × him dean look at a price.
Dean × that is good at argy-bargy holds to the armor plate price of these different type to be in surely 48 yuan go to 60 yuan, the in Jiangsu manufacturer of a few medical devices gets armor plate cost price before this and my month is almost same.
"The appliance company below bridge of family big stone can sell, you also can sell of course. " Dean × holds to uncompromising.
The low that I promise to say with him clinchs a deal. Dean × is satisfactory very to this result apparently, he what want 3 two spring only originally ordered 20 of all kinds armor plate and two operations appliance smilingly at a draught.
The value that gives prefectural town the hospital for goods normally according to the company will calculate, these 20 spring that Dean × place wants need 8000 yuan or so, in his a bit not the agreement below the manner of concede clinchs a deal with 2000 yuan.
Borrow invoice naked ask for rake-off
Next, dean × contrasted carefully the tariff that he copies around bridge of Zhengzhou city big stone, begin to discuss issue of make out an invoice. "What time can does deliver goods come over? When coming, should come over bill belt, hospital of × county people opens on the ticket. Hospital of × county people opens on the ticket..
"Your ticket leaves how, how much can you add more? " the ask a question on the boss chair that Dean × relies on cozily in bounty.
"It is to add normally 30% . "It is to add normally 30% ..
"I look or add 40% . such, when waiting for goods to deliver, also take bill. " the mood resolute and decisive of Dean × nots allow to discuss. In fact, according to the requirement of Dean × , these 2000 yuan kinds or types of goods, without foundation wants on bill many 800 yuan of money.
The dean takes such low spring, so, how many money to want after all when he does an operation to use board to the patient? Before the person of the same trade‘s clerk told about 34 months, this courtyard becomes an operation that pass.
At that time, this hospital has a patient of upper limbs fracture to want to be secured with armor plate. Receive Dean × announcement, the company is very fast operation appliance box and a trefoil titanium board reachs ten titanium bolt (the company receives price in all 1400 yuan) send this the county, at that time because draw near the Spring Festival, time is relatively nervous, dean × 2000 yuan of money that the patient makes at that time titanium board deposit infiltrates company account.
"But go up in operating-table, the hospital used 3 titanium bolt only, essential and trashy titanium board. " the clerk at that time says.
After the operation, dean × allows company return 2000 yuan of money, because cannot turn that day,Zhang comes over, dean × detained this titanium board and bolt. In fact for this operation, this patient still paid 1800 yuan fee additionally.
After a few days when leave this county, I looked for a few friends again the identity with patient family member, seek advice to this hospital make the charge that armor plate secures inside fracture of an upper limbs, the result lets a person be surprised, the hospital is right the patient‘s price still not under 779 yuan.
What I know is, the cost of an armor plate that Dean × just purchased for the hospital is only 449 yuan of money, the patient appears to because receive price,was not reduced and be benefited.
Zhengzhou is not little in the hospital what commerce boodles already is administer to inform against box since suspension
The government weighs fist to attack medical tool business to boodle
After concluding this trade, my demit dropped the job of clerk of company of medical devices. Meanwhile, the blow that boodles to the commerce of industry of medical devices about the branch also is undertaking actively in.
Before before long, general office of Central Committee of Communist Party of China and general office of the State Council were given out " about beginning processing commerce boodles the opinion of special job " , the requirement is mixed from politics global height, understand the seriousness that commerce boodles and harm sex adequately, heighten sense of responsibility and sense of urgency, begin commerce effectively to boodle special processing works. In countrywide sanitation the system administers commerce of domain of medical purchase and sale to boodle on conference of special job videophone, excel in of minister of Ministry of Public Health and Qu Moxiang of censorial ministry undersecretary emphasize repeatedly, administering commerce of domain of medical purchase and sale to boodle is stimulative sanitation the inevitable demand that career health develops and makes cheap of initiate of anti-corruption of very wholesome system work, also be one of key domains that special processing works. Xu Guangchun of secretary of Henan province provincial Party committee saves period in Henan appoint in speech of 6 plenary meeting, emphasize wanting to unite deploy according to center, regard one of key tasks that Lianzheng builds party conduct this year and turn over corrupt job as processing business bribery, put forward " clean-fingered promote a province " requirement. Li Chengyu of Henan province governor is saving the speech on conference of cheap politics job to ask completely, departmental door wants each district to boodle processing business to be weighed as the Chongzhongzhi that cheap of governmental anti-corruption initiate works this year, take strong step, cogent stress a result.
On April 27, 2006, henan saves wholesome hall hall to grow Ma Jianzhong saving wholesome system to administer commerce of domain of medical purchase and sale to boodle completely again on special job conference, emphasize " unit of a few medical treatment and staff member use medicine to purchase, accept bribery of the job such as medical treatment service, go to the lavatory to manage company high price to sell profiteering of medical product, seek to offer etc, played havoc with order of socialist market economy and fair competition principle not only, rotted social conduct, corroded medical treatment unit and staff member, also aggravate masses sees a doctor expensive issue, harmed the interest of people directly, still damaged the reputation of party and government at the same time, rotted the figure of wholesome industry whole, it is to cause a of insecurity of relation of medical management disorder, doctors and patients main reason, the harm is great, entail untold troubles, must father add processing, determined keep within limits.
On May 24, bribery of commerce of businessman of manufacturer of instrument of medicine of Zhengzhou city blow is special meeting of working executive program is held, to this, manager of manufacturer of businessman of instrument of Zhengzhou city numerous medicine and hospital give great attention about personnel.
On this conference, gravity of chief of branch of inspect of Zhengzhou city medicine points out, the government will investigate appliance of medicines and chemical reagents to produce management enterprise to play havoc with fairness to trade gravely lawfully principle, destroy market economy and the case that harm public health and security and interior of medical inspect branch to staff member jobbery is participated in or intervene the enterprise runs an activity, use administration to examine and approve especially execute the law with administration the case that bribe of pervert the law of authority take bribes, all alone takes bribes.
On May 31, 2006
Zhengzhou evening paper
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