[Viewpoint] Why is the price of medical devices in the industry so expensive?

Recently, commercial bribery in the field of medical devices has caused a lot of attention, and a new term has emerged: the cost of care.

According to media reports, medical devices represented by cardiac stents need to be managed everywhere when they enter the hospital. The cost of a heart stent of one or two thousand yuan, after layering care, the ring to increase the price, into the hands of patients, it will become two or three thousand.

Intuitively, there are too many circulation links and the intermediate cost is too high, which is why medical equipment is expensive. From the manufacturer, the sales representative, to the hospital director, the director of the department, they are attached to the patient and earn money. The patient was very innocent, lying on the operating table and using life-saving money to raise parasites. As soon as the "care expenses" of medical devices are exposed, many people are unscrupulous.

Is there such a conspiracy? In fact, as long as there is a minimum of economics knowledge, you know that these statements are not reliable.

In any commodity market, the middle link is helping to reduce costs. Vegetable traders transport vegetables from the fields to the market, and it is easier for consumers to buy food, not harder. The production of mobile phones and the circulation of dealers at all levels reduce the cost of consumers getting mobile phones. This reason has come to the field of medical devices, and there is no failure.

The price is determined by both supply and demand. The supply of medical equipment is very market-oriented. There are both domestic and imported equipment, and the competition is fierce. In order to sell a batch of equipment, the sales representatives wanted to level the threshold of the Dean’s office. Many of their sales use the "free trial, follow-up charges" model, which is a typical buyer marketing strategy.

Since the seller is fiercely competitive, the price should tend to decrease. The problem is clearly at the end of market demand, especially doctors. Medical services are highly professional, and doctors can use absolute discretion in terms of price and quality. The hospital's institutional problems will be reflected in the doctor.

China's medical services are not fully open, and key resources (especially large surgical resources) are concentrated in public hospitals. Public hospitals are subject to government pricing guidelines, both for registration fees and for surgery. The total cost should be managed, and some detailed regulations should be reported. For example, how much a surgery costs, the total price has a ceiling, but also to report the cost details, accept the government's income distribution guidance.

The cost of a surgery usually consists of four parts: the cost of medicines, consumables and equipment, labor costs for medical care, and hospital management fees. Among them, the labor costs of medical staff are low, usually only 10%. A heart stent surgery often requires nearly ten medical staff to work for one day at a cost of 50,000 to 60,000. The labor cost for the doctor is only five or six thousand. Once again spread to the individual, only one or two thousand yuan, or even a few hundred dollars, is actually not high.

Doctors who perform surgery in hospitals usually have a long medical education, and hospitals have to pay high salaries to ensure medical standards. Such a cost allocation clearly underestimates the value of the medical staff. The dean is not a fool. Of course, they must give the medical staff a reasonable income. The money is paid for surgery subsidies, overtime pay, quarterly bonuses, paper bonuses, and can only be drawn from other areas.

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