What is the reason why drug prices, rebates spread?

The day before, the media survey revealed the individual physician suspected of accepting kickbacks insider, and pointed out that the doctors kickbacks accounted for 30%-40% prices, caused widespread concern. The surface, high prices, not the responsibility of doctors and hospitals, because prices are set by the government, but that is not the case.

Although prices are set by the government, such as the maximum retail price is formulated by the NDRC price department, government bidding bid tender for selected, but the government is not a drug to keep only one price. To tender, for example, generally the same kind of drugs at least three grades of drugs win. Such as antibiotic ceftriaxone, is generally successful following three drugs: the original drug price of about 70 yuan, a mid-range drug price of about 35 yuan, a domestic generics in the price of 1.24 yuan, 90% of the three patients with the efficacy of the drug is the same as (the original drug has been the patent period. The other two are generics). However, doctors generally only prescription of the 35 yuan of ceftriaxone, because the drug rebate, ultimately paid by the patient of ceftriaxone and not the price is 35 yuan 1.24 yuan. In this way, the listing price is determined by the government, the actual price is determined by the doctor.

The price, just the price of drugs, but the drug China mingled with another thing, is a doctor (medical services) price. In short, why prices China “ virtual ” high? “ virtual ” this part of the high is the doctor's price, or the price of medical services, as a rebate.