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State Caps Prices on Scores of Medicines

Amid mounting complaints about exorbitant drug prices, State pricing authorities Monday mandated new price caps on several hundred types of medicines to reduce patients' and family's economic burdens.

Prices of more than 400 medicines have been cut by an average of 30 percent from previous caps set by the government in 2001.

Affected medicines mainly include those people frequently use to prevent infections.

The National Development and Reform Commission, the State's pricing watchdog, said the move is expected to save consumers 3.5 billion yuan (US$422 million).

A commission official told China Daily the latest price cuts are designed to battle irregularities in the purchasing and sales of medicines.

The decreased prices were determined after consultations with medicine producers, marketing sources, doctors and members of the public, said the official, who declined to be identified.

"We will continue to cut the prices of basic medicines on the government's medical care list because price-cutting room is still there," said the official, whose commission is authorized to decide prices on those medicines and services which provide for the basic needs of the public.

But the commission admitted that the government's overall efforts to cut "unreasonably high medicine prices" since 1997 have not been very successful, although several rounds of price cuts are aimed at helping patients afford medicines.

That is because in the past, prices were reduced only for antibiotics, so only a few patients could benefit. In addition, hospitals and pharmacies intentionally avoided selling medicines with price caps, sometimes making the government's actions moot.

Some people, especially those who are not covered by medical insurance systems, are still sceptical whether this round of price cuts will work.

"I am not sure, because they always try to make these efforts but medicines and medical services are still too expensive for common people," said Jiang Jing, a 56-year-old unemployed worker who lives in Xicheng District of Beijing.

Jiang, who does not benefit from a medical care system, said he is afraid of being sick.

"You know, if I catch cold and buy medicines from a hospital, I will spend at least 200 yuan (US$24) each time," Jiang said, noting that such an expenditure is nearly half of his monthly jobless benefit.

Like many Chinese, Jiang's complaints and fears have resulted from overcharging by hospitals, which often do under-the-table deals with medicine sellers.

A recent irregularity that made headlines occurred at the No 6 People's Hospital in Beijing. It illegally allowed medicine marketers from a joint venture producer to sell highly priced pills there.

The China News Agency reported that a bottle of the nutrition drug, which was originally priced at 30 yuan (US$3.6), was sold to a woman diabetic at a price as high as 380 yuan (US$45.7). In a tragic twist to the case, the drug caused the woman to die on March 28.

Although the government has frequently reiterated that hospitals should not overcharge patients, some hospitals are still raising the prices of medicines, medical services and disposable products for medical use, the commission said yesterday in a circular.

According to the commission, in a bid to relieve patients' financial burdens, the government has fixed the maximum prices of more than 1,000 types of medicines, and, since October 1997, reduced fixed prices on 10 occasions. In doing so, it has saved 18 billion yuan (US$2.2 billion) for patients.

The commission said that pricing administrations at various levels should continue examining the prices of medicines and medical services, and punish violators by giving warnings, confiscating illegal incomes, imposing fines and revoking licences.

The commission official said the government is exploring new ways of regulating medical prices under the framework of a market economy.

To resolve the existing problems, medical treatments and medicine sales should be managed separately, the medical insurance system be improved, and laws be perfected.

(China Daily June 1, 2004)

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