[Viewpoint] Why the phenomenon of "kickback" is rare in the US medical community
It is with this law that sales representatives of many pharmaceutical companies have become “whistle-blowers†​​and report violations of their own companies. In the world's more than $700 billion in prescription drug sales each year, single US domestic sales accounted for nearly $300 billion, far more than any other prescription drug market. However, it is rare for American doctors to take drug rebates. How do they solve this problem? United States pharmacy "is" sawed? If you have been seen in the United States, you will find that the medicine and medicine are completely separate. Except for the necessary medicines for emergency treatment, the doctors' regular medicines are not bought in the hospital. Instead, the patients take prescriptions to special pharmacies to buy medicines. In the United States, medicine is medicine, and the benefits are not related to the hospital. American hospitals and pharmacies are completely two sets of management systems. Simply put, doctors have the right to prescribe drugs but have no right to sell drugs, and they have no right to specify which pharmacy the patients are taking. The pharmacist has the right to dispense medicine, but has no right to change the prescription without authorization. The drug factory can only sell the drug to the drug delivery room and has no right to sell it directly to the patient. Therefore, if you want to do everything, you need to buy all the pharmacies, pharmacists, which is naturally impossible. Drugs generally bought in US pharmacies are not too expensive, only a few ten to twenty dollars. Even if the drug is purchased at its own expense, the price of regular drugs is very cheap, and basically does not involve "grey benefits." In fact, because the US drug fee is divided into two parts: “drug price†and “service feeâ€, the former is basically fixed and the latter is very different. If the patient is in an emergency, most of them will shop around and find the pharmacy with the lowest service fee to buy medicine. It also makes it impossible to "pill the price of medicine". What is the "long" pharmacy in the United States? Unlike China, whether it is a large pharmacy that is simply opened, or a pharmacy in a shopping mall or supermarket, it is divided into two separate parts: a fully open over-the-counter drug and a nearly completely closed prescription drug. The place to sell over-the-counter drugs is not like a pharmacy, but rather a supermarket, because there are not only non-prescription drugs, health products, various health care equipment, but also cosmetics, baby products, food and beverage, and even daily necessities, household appliances. This can be operated by anyone. The pharmacy is “creating income†and will not let go of the non-pharmaceutical business. Therefore, some large pharmacies have a large scale of non-pharmaceutical operations. For these over-the-counter drugs, some "hidden rules" are traceable: promotion, highlighting one of the similar products and deliberately ignoring others. However, there are also regulations that non-prescription drugs and healthy foods are not allowed to be promoted. Part of the prescription drug is "strict barriers", only doctors or hospital prescriptions, no prescription is no one will sell drugs. The prescription department of the pharmacy is closed, and generally only two windows are opened: one for the recipient and one for the medicine. The dispensing is handled by a specialized pharmacist who is certified to work, and in the window receiving and dispensing, it is an ordinary salesperson and has no dispensing power. Industrial Locks,Industrial Latches,Stainless Steel Industrial Latches,Safety Industrial Latches Ningbo Hengchieh Locking Technology Co., Ltd. , https://www.hengchieh.com