I'm not the God of Medicine" has just passed, another "God of Medicine" has triggered a hot debate. The thing is that a liver cancer patient named Zhai Yiping began to help patients in the QQ group from 2016 to purchase anticancer drugs from Germany on behalf of the patients, for some late-stage liver cancer patients to extend the life, he became a pillar in the hearts of patients. However, on July 25, 2018, Zhai Yiping was detained on suspicion of selling fake drugs. This matter has triggered a lot of attention and heated discussion, and many people, especially patients, will feel that the anti-cancer drugs Zhai Yiping purchased on behalf of the patients have a role to play in the patients, so why is it a fake drug? These anticancer drugs are sold in Germany and are legal, so how come they are not legal in China? Zhai Yiping, who is able to extend the life of his patients, should be a hero in everyone's eyes, but why was he detained?

First, let's talk about fake drugs.

In the minds of the people, the evaluation standard of whether a drug is a real drug or a fake drug should be the efficacy of the drug, if the drug plays a good clinical efficacy and side effects are relatively small, then the drug is a real drug, and vice versa is a fake drug. Zhai Yiping from 2014 after suffering from liver cancer, in the study of related medical knowledge, noticed that the drug PD-1 leucovorinumab injection (hereinafter referred to as "PD-1 antibody") and E7080 Lenvatinib, according to 2017 European Society of Medical Oncology and the American Society of Clinical Oncology published data on the combination of the two drugs on the disease control rate of nearly 100%. control rates approaching 100%. The PD-1 antibody is not listed for sale in China, imported, then, the need for the entire cold chain delivery, the patient to buy their own to ensure that the temperature requirements, and Zhai Yiping purchased on behalf of the PD-1 antibody has loaded the door of the German channels, there is a cold chain delivery, the price is only 5% on the basis of the sales price in Germany, the price is in fact reasonable, in the implementation of the other before the increase in the price of the drugs in the hospital pharmacy can generally be added to the 15% or so! Before the implementation of another markup, drugs in the hospital pharmacy can generally be marked up by about 15%, compared to the 5% markup is not outrageous. However, Article 48 of the current Drug Administration Law clearly stipulates that drugs that must be approved under this law but are not approved for production or importation, or must be tested under this law but are not tested for sale, are considered fake drugs. Although Zhai Yiping purchased the liver cancer drug from Germany, we all know that German drugs are produced according to higher technical standards, excellent efficacy of the real drug, it is not approved in our country to import, from the current legal level, characterized as fake drugs is not wrong. However, in terms of clinical efficacy, it is indeed a life-saving drug for many liver cancer patients. Since it can save lives, if the dogmatic application is indeed also a bit formalistic, so from this point of view shows that the country's laws still have a lot of room for adjustment, can be adjusted through the law to make this drug legalized.

Secondly, I would like to talk about why people still want to buy the imported one when the domestic drug is ready to be marketed. This boils down to nothing more than the price and efficacy of these two aspects of the reason, that is, we usually say cost-effective problem. Why is it that when some drugs are produced domestically, some patients prefer to buy imported ones? Even if the imported ones are more expensive, they are willing to buy the imported ones to use? In terms of efficacy, many domestic drugs are indeed less effective than their imported counterparts, and some domestic drugs have more adverse reactions than their imported counterparts due to different processes. I remember when I was in training will be this a very serious condition of the patient, then consider the seriousness of the disease in the pathogenetic support recommended based on imported vancomycin anti-infective treatment, 2 days after the patient's condition improves, the doctor took into account the patient's family economic conditions are not very good,, it will be changed to use domestic vancomycin, just use not long after the emergence of itchy, rashes, and other allergic reactions. The same is vancomycin, why the difference is so big? This reflects a problem, our scientific research work is not as good as foreign countries, we still need to improve the pharmaceutical process, which is also a lot of pharmaceutical companies "heavy sales, light scientific research" results. We should emphasize scientific research, increase investment in scientific research, and protect the welfare and treatment of research workers, so that we can develop more life-saving new drugs for cancer patients. Again, from the perspective of price, as stated in "I am the God of Medicine", patients can't afford to buy drugs from regular channels, while the drugs they take from the hands of substitute buyers are much cheaper. In response to this situation, although the government's zero tariff on anticancer drugs from July 2018, health insurance negotiations and other initiatives have also heralded the possibility of price reductions for anticancer drugs, we also hope that these can be truly implemented, and that the benefits can be brought to every cancer patient. Of course, as a pharmacist, what I hope for more is that the country can introduce laws and regulations to provide more alternative ways of accessing anticancer drugs.

The above is only a personal opinion, not as a basis for the use of medication, please use the medication under the guidance of a physician, any questions or views are welcome to leave a comment at the bottom of the article.

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As a hospital director I will say my opinion, although these trafficking drugs can save patients, but there is no guarantee, if something goes wrong, who is responsible for this?

You can imagine why the hospital to buy drugs so expensive, from my point of view to think, the president of the vice president, section chief deputy section chief, director deputy director, in those nurses, specialists, so many people's salaries, as well as the shareholders dividends, everything is to maximize the benefits, I would like to buy the drugs cheaper, but those shareholders want to share the dividends, the key to those shareholders are the dignitaries, there know that the people can not afford to see the disease, they more Care about making money, and health insurance bureau, there is a monthly limit to reimbursement of health insurance, which makes it difficult for our doctors, to give you health insurance to report more than we were criticized deduct bonuses, so don't blame the doctor, because the doctor itself is also a salary, the biggest benefit is still those who are shareholders planners, but it is inevitable that some doctors for the commission to do something unreasonable, such as to give you a commission on the drug, and now the pressure of life is very high, the house is expensive, and who want to Nowadays, life is very stressful and houses are expensive, so everyone wants to buy a house earlier, so there is no choice but to cross the river to protect themselves.

From the situation that should not be but from the law that we are not professional, in short, should be released and is a cancer patient with this disease know what is going on He than it! Feeling cruel and inhumane, he brought the medicine to the patient to alleviate the disease and low price and not endangering society think should be released!