this problem is very complicated and difficult to handle. For example, if you put a heart stent, one will give the surgeon a 3, rebate, which is not much. This is what the stent manufacturer pays in the sales expenses, so you don't want it for nothing, you don't accept it, and the manufacturer is optimistic. However, the deputies, anesthesiologists and nurses in the same department are interesting. What are you pretending to be lofty? My kids spend money on school, etc., and my mortgage has not been settled yet. You have left a lot of mistakes. You have to hand them over to the leaders, and there must be a lot of gossip behind them, which will make you unable to work, let alone collect them yourself. Give them to patients, and make them more imaginative. I don't know how much kickbacks are behind the doctors. This day is even more difficult. You have to hand them over to the discipline inspection. The next day. It's best to accept it and hand it over to the department. All departments are like this. By the end of the month, the positions, titles, workload and technology will be distributed. Even nurses, nurses and health workers have it. Everyone has nothing to say. If you want to check, you can't stop the whole department. The ancients have long said that it will not cure the public.

I'm a doctor, but as a citizen, let me talk about our situation here. First, as a small doctor, there used to be kickbacks, but they were very few at all, up to 2 yuan all year round. (Forget it if you don't believe me. As for where the big head is, I don't know ... Second, I have encountered two cases of red envelopes since I worked, and I dare not accept them, so I sent them back face to face. At most, have dinner with the family members of the patients who have a good relationship. Don't go if you are not familiar with it! It's very simple. Now that the network is so developed, who knows whether to poke it out for you or not? It's embarrassing! ）。 Third, it is a local custom for family members in some places to give red envelopes, not how much, but the meaning. You can ask a doctor in Guangdong if you don't know, but there isn't much money at all. Fourth, most importantly, the prices of medicines and consumables are being controlled from the central government to the local governments! There isn't much profit at all, who will give you a rebate now! Do a good job and get what you deserve. Although it is not rich, it is ok to be self-sufficient in life! ! Personal life experience, don't spray if you don't like it!

You may not have noticed that the addition of drugs was cancelled nationwide the year before last, and the addition of consumables for instruments was cancelled nationwide at the end of last year. At the same time, through comprehensive measures such as national negotiation, purchasing with quantity, and 4+7, the prices of drugs and consumables are in a process of continuous decline, while the cost of surgery is in a process of continuous increase. Generally speaking, the burden on patients has not increased. The purpose of doing so is to squeeze the space for kickbacks, so hospitals have no kickbacks now.

doctors make money by their skills, and it's clear! Like American doctors. It is also our ideal that doctors in Germany may be disqualified or even jailed if they receive a penny rebate.

In fact, taking kickbacks from doctors is a tacit state now. In fact, it is very simple not to ask doctors to take kickbacks. It is enough to increase doctors' own medical fees so that doctors can reach a high income level. Now hospitals do not have such fees that reflect doctors' own value, and a doctor with a light salary is not as good as a stall. The management department is not ignorant of these truths, but considers that after the problem of doctors' own value is solved and doctors no longer need kickbacks to solve the problem of living a good life, the demand for so many medicines and medical devices in the market will drop greatly, which will lead to the bankruptcy of a large number of pharmaceutical enterprises. At the same time, a large number of hospitals cannot make ends meet, social instability and new crises appear. Therefore, the medical reform is actually very slow, and the whole medical system is not taken seriously. Let's continue to tie doctors to medicines and devices.

I'm simple-minded. Let me answer this question.

I'm not a doctor, but I know a lot about doctors. Regular public hospitals can hardly get kickbacks from drug dealers and medical devices now. Now the rules have changed and there is no chance to get this money.

It's ok to take patients' red envelopes. Although the country has been advocating that people should not take patients' red envelopes for the past two years, of course, the phenomenon has improved a lot, but this kind of thing is repeatedly prohibited.

objectively evaluate this phenomenon of gray income.

I remember that when I first entered the medical school, I swore: health depends, I want to trust my life, I will abide by medical ethics, and I will respect my teachers and observe discipline ...

And doctors themselves are paid, no matter whether they think this salary can meet the needs of their families, from the outside world, the salary of doctors can never be regarded as low income.

Besides, since we have entered this profession, we must have the rules of this profession, and saving lives is the first priority. "I hope everyone in the world is free from disease, why not leave the medicine rack covered with dust?" We should bear in mind the legacy of our ancestors, and the interests can never be the goal pursued by doctors.

in theory, you really shouldn't take it, but in reality, everything needs money, and the overall social atmosphere is materialistic. Doctors are human beings and have their own lives. At the same time, the tradition in China has a bad habit of giving gifts.

no one can guarantee that every doctor will abide by medical ethics. In fact, objectively speaking, if a little red envelope can stimulate the enthusiasm of doctors, it can also make doctors better involved in surgical treatment, which is also a good result.

A doctor who is afraid of insatiable greed can't satisfy his greed with any amount of money, and he doesn't see a doctor well after receiving the money. Such a doctor will not only harm patients, but also be harmed by money sooner or later.

which industry in China has no kickbacks and bribes? ! For drug rebates, especially for domestic drugs (including proprietary Chinese medicines and traditional Chinese medicine injections), this part of the cost has been reserved when manufacturers make drug pricing: generally speaking, the so-called channel development fee+salesman commission+billing commission is rebate, which accounts for at least 45% of the winning bid price of drugs, of which the billing commission that can be directly given to doctors is about 15%-2%, and some varieties will be higher. Therefore, if the doctor doesn't take this part of the billing commission, it will basically go into the salesman's pocket, and neither the doctor nor the patient will benefit from it! Therefore, whether the doctor takes the rebate of drugs (including consumables, equipment, etc.) is a matter of opinion.

The so-called "rebate" is roughly defined as the money that the product supplier returns the payment for the product to the seller according to a certain proportion. In fact, this kind of behavior is more about the supplier's priority in recommending customers to buy the products provided by the supplier in order to promote the seller in the same type of competing products. What needs to be particularly emphasized here is that not all "kickbacks" are illegal, and "kickbacks" are a common behavior in commercial activities.

In pharmaceutical-related business activities, suppliers generally refer to pharmaceutical manufacturers, medical device manufacturers, pharmaceutical commercial companies, pharmaceutical product agents at all levels, etc. For medicines, medical equipment or consumables, vendors include not only doctors, but also pharmacies, hospitals and even local governments' unified drug procurement platforms. For example, hospitals can directly bargain with pharmaceutical manufacturers for the second time. The so-called "second bargaining" means that hospitals sell drugs or consumables to patients according to the government bidding price approved by pharmaceutical manufacturers, but pharmaceutical manufacturers can only refund the money according to a certain percentage, and the extra proportion of the price is directly obtained by hospitals. In a sense, this proportion of the price is also a kind of "rebate".

for doctors, the expenses incurred by participating in academic activities under the sponsorship of pharmaceutical manufacturers and the labor expenses incurred by giving academic speeches or exchanges at academic conferences organized by pharmaceutical manufacturers actually come from the sales promotion expenses of pharmaceutical manufacturers, which can be regarded as some form of "kickback" in a broad sense, but it is within the scope of legality and compliance.

What patients and their families hate is that doctors blindly pursue the benefits provided by pharmaceutical manufacturers and sacrifice patients' health for the benefit, regardless of medical judgment and patients' condition! But in fact, both the national administrative management system and the hospital medical control system have been committed to reducing such things, and the system is constantly improving! As the saying goes, no one is perfect, everyone has desires, and it is not personal willpower but a reasonable and effective system to control desires within a reasonable range!

finally, a medical practitioner is also a social person, and he has to support his family. Money is very important, but it must not be the most important! People who can't put the attitude of saving lives first are not suitable to be doctors, and people who are bent on making money should go into business! It is impossible for the system to clean up all evils, but people are doing it and the sky is watching ... < P > Doctors who don't get kickbacks are not always good doctors, perhaps because the level of individuals or hospitals is too low for drug dealers to care; Either it is marginalized by peers (polarized personality, extremely lofty or extremely inferior), or the benefits of unit kickbacks are monopolized. The problem of kickback itself is accompanied by the marketization of medicine, and there are kickbacks in foreign countries, but the form may be hidden, but the soup is not changed. The doctor who insists on not taking kickbacks is a "saint" who doesn't need to be praised. He just makes the drug dealer earn nothing by not taking kickbacks. He is willing to be a son and grandson of the drug dealer and can't kidnap all his peers. At present, the reality is that as long as a doctor respects the actual condition and does not take kickbacks for the purpose of treating diseases and saving lives. But how to judge whether the patient is not overtreatment, and whether the doctor's treatment plan focuses on treatment or profit, who knows? There is no solution to this problem. Pharmaceutical producers and researchers need to live, so do hospital doctors, and drug dealers' sales promotion behavior is bound to exist. After all, it has been marketized. After all, history has proved that the planned economy can't work, and there is no turning back. People from different classes and industries should position themselves well. Life is important? Money matters? Conscience matters? Balance and accept what you can accept. As a medical staff, if you feel that conscience is important, you should study your business and treat the disease according to the disease. Don't work for drug dealers and take the money you deserve.

there is mainly soil for kickbacks. if the government uproots the soil, there is no place for him to get kickbacks if he wants to. This is the medicine