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Australia does not need a god of medicine: 40, 000 bottles of anti-cancer drugs in the country sell only $38.5 in Australia

Got the serious illness, face the heavenly price medicine, take or do not eat?

If the drug is illegal, buy it or not?

In recent days, our moments have been brushed up by such a story.


1, the person has nationality, leukaemia does not have the geographical area

A drug dealer selling fake drugs turned out to be a god in the eyes of patients.

The so-called fake drug, produced in India, is a prescription-specific drug called Glinin, a continuation drug for leukemia patients, worth tens of thousands of yuan a box in China.

But smuggled in from India, the purchase price is only 2000 yuan, Cheng Yong smuggled home at legal risk, sold to patients at a low price.

The plot of the story is not complex, but through the glory of the transformation of human nature, it reveals the weight of life behind it.

This heavy, is suffering from serious illness, selling houses, selling cars to buy drugs for life, but still unable to survive leukemia patients.

A person has nationality, but leukemia does not differ from region.

All men are equal in the face of illness.

The film tore apart just the tip of the iceberg: leukemia patients, who knew they had leukemia during their wife's pregnancy, wanted to commit suicide.

But when his son was born, he said, "I don't want to die when I look at him. I want to hear him scream," but in the end, he killed himself because he didn't have the money to buy medicine and choose to cut his wrist.

The despair and weakness in front of the reality makes one's heart suffocate to the point of being unable to breathe.

Leukemia patients learned during their wife's pregnancy that they had leukemia, once wanted to commit suicide, the sick grandmother begged the police not to trace drugs smuggled again, begging: "41000 bottles of regular medicine, the house is gone, family members eat down," Who doesn't have a patient yet? can you promise not to get sick all your life? "

This kind of life and the helplessness of life is heartbreaking.

A word also arouses the empathy of all people, who is alive, who can not have a disease. What if you're sick? The real world of patients with chronic myeloid leukemia, in fact, is more difficult and painful, too painful to breathe.

The movie only tore apart the tip of the iceberg: in order to make money for children to cure the disease, the northeast mother went to France to provide sexual services to others! Some old people have cancer, afraid to increase the financial burden to their children, choose not to take medicine, not treatment at home waiting to die! There is a mother choose to commit suicide, for the life insurance to pay for the money, to pay the natural price of medicine, with their own life to replace the child's life!

That's the reality, sick? Can you afford it? Alive? Can you live?!

In a highly contagious way, the film presents the conflict between life and jurisprudence in front of the public, and the drug traffickers touch the hidden pain of society in a single sentence. "there is only one kind of disease in the world: poor disease."

A box to 23500 yuan, can only eat a month, for the leukemia group, a year to spend hundreds of thousands, can be said to be a sky-high price.

Some patients say, "[it] is like taking drugs, money is over, people are gone." many people live one night to become poor.

Don't see a doctor without money!

So, looking for drug dealers to buy Indian generic drugs, just to live one more day, more look at the children, more with the family.


2. Who's in charge?

In fact, the story is archetypal, but whether it is the protagonist drug hero Lu Yong, or another reverse prototype Novartis pharmaceutical is very low-key.

Because it's a paradox. The film takes advantage of the high cost of Swiss drug research, tells about the tragic reality that seriously ill patients have no money to see a doctor, sets off the human brilliance of Cheng Yong, a drug dealer who smuggles Indian generic drugs, but also ignores another reality, that is, Forcing manufacturers with the ability to develop new drugs to lower prices, in the long run, is even more damaging.

Why the risk is high, it is necessary to see why generic drugs are cheap.

First of all, the threshold for a pharmaceutical factory in India is low and loosely regulated, and pharmaceutical licences can be purchased on a relational basis. Many pharmacies in Madrid buy drugs, not even cases or prescription prescribed by doctors.

Second, because of imitation, there is no huge investment in R & D, to some extent similar to pirated optical discs, this behavior has been criticized by the international community.

For example, for breast cancer, Herceptin, the original drug 25000 yuan or so. India's generic drugs cost only 5600 yuan.

As we all know, drug research and development requires a lot of money and time, and it is a risky job.

High drug prices, on the one hand, to offset the original R & D costs, on the other hand, but also to prepare for new research and development.

Without these rewards, it would be difficult for pharmaceutical companies to continue to develop new drugs, especially for those with severe emergencies or rare diseases with small numbers of patients.

Therefore, in the face of the anger caused by the film, some media objectively pointed out that it is also depriving the patients of other rare diseases of their right to survive by taking a rational view of the orientation of the film, over-beautifying drug dealers, and belittling the original drug research company.

This topic is very heavy, but the right to life has everyone, everyone has the right to strive to save themselves, then who should be responsible for providing the opportunity to live?


3. If a leukemia patient is in Australia,

If the R & D capacity of the original research company needs to be protected, and the ability of the patient to use the drug needs to be guaranteed, then how to balance the two and give more people the chance to survive.

Gulliver's price in other countries is 13600 yuan in the United States and 13000 yuan in Australia, which are all denominated in renminbi. To be honest, it's not cheap for a drug category that needs to be taken for a long time.

But when health-care policies are taken into account, the pressure on patients varies from country to country.

In Australia, for non-Australian citizens or permanent residents, the price for buying this medicine is more than 2600 Australian dollars. If you are an Australian citizen or permanent resident, the price is only 38.5 Australian dollars, and if you are an elderly person, the price is only 38.5 Australian dollars. The price is 5.4 Australian dollars, equivalent to less than 30 yuan.

The reason why the price is so low in Australia is that Gulliver is in the (PBS), the Australian drug welfare program, because the Australian government will subsidize the PBS, so the price is only 38.5, which is converted to the current exchange rate. It is less than 200 yuan.

In fact, there are many such examples in Australia, such as the original price of Ribociclib, a drug for breast diseases, at 70, 000 Australian dollars, but after passing the PBS drug welfare program, it may cost only 6 Australian dollars.

Treatment of terminal cancer Yervoy, costs about A $260000 a year, but under the PBS Medicines benefit Program, the average patient pays only 37.7 Australian dollars and a discount patient only pays A $6.20.

There are also cancer-soluble Keytruda, to treat cancer Opdivo and so on, a myriad of cases, expensive raw drugs, in Australia have become affordable. This is actually due to Australia's good health care and drug welfare programs.

In Australia, citizen-based health insurance, or MEDICARE, can be interpreted as a domestic health card that covers most of the medical expenses, including out-patient and hospitalization, as well as medical benefits.

Under the Australian government's drug welfare scheme, (PBS), medicare provides prescription drug subsidies to patients, and most prescription drugs are on the Medicare list. So there are tens of thousands of original drugs, as long as dozens of yuan can buy the situation.

Of course, not all prescription drugs are included in the drug welfare plan, which needs to be paid out of the patient's own pocket, but the Australian government has also set up a drug safety net program, (PBS safety net), in response to this situation. Help people with serious illness who need to buy medicine every day.

That is, the Australian government sets an annual threshold (1494.9 Australian dollars in 2017), over which individuals or families can receive a discount card when they need to buy prescription drugs. Each drug can only be paid for a self-payment of not more than 10 Australian dollars.

In this way, Australia's perfect health care system really has a lot to learn from.

Finally, as far as the film is concerned, the meaning of the film should not be to whitewash drug dealers, nor to attack the original drug companies.

Its significance is to promote institutional reform that balances life now and future life, and to improve life and life security, just as the Korean film "melting Furnace" promotes South Korean legislation for the protection of children, if that is the case, That's why it makes the most social sense, doesn't it?

As the film ends, the government is pushing for reform of the health care system.

In 2018, China has 19 provinces and cities that have included Glei Wei in health insurance. From May 1, 2018, China began to impose zero tariffs on imported anti-cancer drugs.

There are always such people: with their own very weak smile, very little effort, at the edge of human nature, the most beautiful light of human nature.

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