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Xinhua News Agency, Beijing, February 15th Title: Let more life-saving and emergency-saving drugs enter medical insurance-The construction of dynamic adjustment mechanism of medical insurance catalogue in China has entered an accelerated period.

Xinhua News Agency reporter Chen Fang, Zhang Quan

The change of medical insurance catalogue is related to the well-being of hundreds of millions of participants.

Zero tariff on imported anticancer drugs, medical insurance negotiation, centralized drug procurement organized by the state … Since 2018, China has taken a series of measures to promote drug price reduction.

The executive meeting of the State Council recently pointed out that China will speed up the frequency of adjusting the medical insurance drug list and include more life-saving anticancer drugs and other drugs into medical insurance. This means that the construction of the dynamic adjustment mechanism of China’s medical insurance catalogue has entered an accelerated period, and the people are expected to gain more happiness.

Anti-cancer drugs enter medical insurance, and patients no longer look forward to "drugs"

The movie Dying to Survive, which was a big hit last year, aroused widespread concern about anticancer drugs in society. Once, "a pill" dragged down a family. Now, anticancer drugs have entered medical insurance, bringing hope to more families.

With the comprehensive promotion of medical reform, the "combination boxing" of drug price reduction policy has been implemented one after another and achieved practical results. Accelerating the adjustment frequency of medical insurance drug list and bringing more good drugs into medical insurance have become the key links to benefit patients.

For lung cancer patients with T790M gene mutation, the third-generation targeted drug oxitinib has obvious curative effect, but for Mr. Wang of Anhui Province, the "sky-high price" of a box of 50,000 yuan once made him look forward to "medicine". After the national medical insurance negotiation and inclusion in medical insurance, the burden of medical expenses has been greatly reduced.

The relevant person in charge of the National Medical Insurance Bureau said that in order to allow patients to enjoy more good drugs without causing a serious deficit in the medical insurance fund, China has reduced the drug price through price negotiation and squeezed out the unreasonable part of the drug price.

In October 2018, 17 kinds of anticancer drugs, including oxitinib, were included in the Category B scope of the National Drug List of Basic Medical Insurance, Work Injury Insurance and Maternity Insurance (2017 Edition), and the medical insurance payment standard decreased by an average of 56.7% compared with the retail price.

By the end of last year, medical institutions and pharmacies nationwide had purchased about 1.84 million tablets (tablets/unit) of 17 kinds of anticancer drugs negotiated by the country at the negotiated price, with a total purchase amount of 562 million yuan, which saved 918 million yuan in procurement costs compared with the pre-negotiated price, and reduced the cost burden after medical insurance reimbursement by more than 75%.

To meet the people’s drug demand, the national medical insurance drug list "grows again and again"

Since the first edition of the national medical insurance drug list was formulated in 2000, it has been revised in 2004, 2009 and 2017, and the coverage of drugs has been increasing. When the 2017 edition of the National Medical Insurance Catalogue was released, it contained a total of 2,535 drugs. During the revision process, four types of clinical drugs, such as children’s drugs, innovative drugs, major disease treatment drugs and ethnic drugs, were given key support.

The incidence of chronic diseases and malignant tumors has increased, and the number of patients with rare diseases has continued to increase … At present, the spectrum of diseases in China’s population has changed significantly. Compared with the drug demand of the masses, there is still much room for improvement in the updating frequency, catalogue proportion and structure of the national medical insurance catalogue. For example, in 2018, the first batch of 121 rare diseases listed by the state that patients in urgent need of treatment drugs have not been included in medical insurance; Hummel, the "global drug king" who has 17 indications and treats a variety of rheumatic immune diseases, is also out of the catalogue.

In May last year, China published the First List of Rare Diseases, in which 121 rare diseases such as multiple sclerosis were included. In July, National Medical Products Administration approved the marketing of Obadiah in China for the treatment of relapsing multiple sclerosis, which is the first oral disease correction drug approved in China for the treatment of multiple sclerosis.

"No matter whether it is a rare disease or a chronic disease, a disease that causes a huge economic burden to patients is a serious illness." Wang Chen, an academician of China Academy of Engineering and director of Peking Union Medical College of China Academy of Medical Sciences, said that biological agents are the most effective drug for treating some chronic diseases at present. If patients can get timely and standardized treatment, they will maximize their quality of life. We should use the medical insurance mechanism to assume the social responsibility of benefiting more patients, give full play to the scientific guiding role of the medical insurance mechanism in the medical ecology of the whole society, encourage the research and development of drugs for the treatment of rare diseases, and make the basic drug list and the basic medical insurance list and other related systems reasonably connected and linked.

Dynamic adjustment mechanism is the key to let more good drugs enter medical insurance.

The Central Economic Work Conference held not long ago clearly stated that "more life-saving and emergency-saving medicines should be included in medical insurance". The the State Council executive meeting held on February 11th once again proposed to speed up the registration and approval of new anticancer drugs at home and abroad, organize experts to select new overseas drugs that are urgently needed in clinic, improve the import policy, and promote the simultaneous listing of new overseas drugs in China. Smooth the temporary import channels of anticancer drugs urgently needed in clinic.

"For the people, this is a great benefit." Wang Bo, a special researcher at the National Center for Drug Policy and Pharmaceutical Industry Economics of China Pharmaceutical University, said that the most important thing now is to explore and establish a dynamic adjustment mechanism. It is necessary to strengthen the evaluation method of pharmacoeconomics, realize the selection method of combining clinical recommendation, industry association and enterprise application, and narrow the gap between people’s growing health demand and medical service supply level as soon as possible.

As a local innovative practice, medical insurance in some provinces and cities has included new drugs and good drugs which are urgently needed by patients, greatly improve the quality of life of patients and their families, have clear curative effects and are clinically necessary, and achieved good benefits. For example, Xiumeile, which is used to treat autoimmune diseases such as rheumatoid arthritis and ankylosing spondylitis, has been included in the serious illness medical insurance system of eight provinces, cities or units such as Qingdao, Shandong and Shenzhen, Guangdong in China.

Wang Bo believes that the country urgently needs to establish a mechanism of "making medicines well and getting good results". In the future, the coverage of the national medical insurance catalogue should be further expanded to more fields, so as to realize "regular approval of enterprises, regular review of medical insurance and regular update to meet the requirements". With the steady progress of a series of measures such as encouraging the research and development of innovative drugs and facilitating the listing of new drugs, more life-saving and emergency-saving good drugs can be accelerated.

By December 10, 2018, National Medical Products Administration Drug Evaluation Center had received and processed more than 1,500 applications for communication and exchange, including more than 600 applications for anti-tumor drugs, and the progress of innovative drug research and development of domestic pharmaceutical companies entered the expressway.

This year, China will cancel the declaration requirement that some imported drugs must be listed overseas before they can apply for import, encourage global innovative drugs to be developed simultaneously at home and abroad, and attract more cancer treatment drugs to be listed in China. While improving the quality of drugs and reducing the price of drugs, we will guide enterprises to increase innovation.

　

　　Personal biography: Sun Zhiqiang, the captain of the teaching team of the Zaozhuang City Detachment of the Armed Police, has won 1 first-class merit and 2 third-class merit. In 2006, he was awarded the honorary title of "People’s Satisfaction with Political and Legal Officers" by the Shandong Provincial Party Committee and the Provincial Government, and was elected as the "Ten Loyal Defenders of the Chinese Armed Police" in the same year.
One day in early 2007, under a coal mine in Zaozhuang City, the sword was on fire. The miner Lu was pessimistic and world-weary, and stole nitrate ammonia explosives and detonators, ready to take revenge. At a critical moment, a major grabbed the fleeting fighter jet, subdued Lu, and saved the mine from danger. The police officer who was in danger was Sun Zhiqiang, the captain of the teaching team of the Zaozhuang detachment of the armed police.
这不是演习，而是一次实战。对孙志强良好的心理素质，官兵都佩服不已。孙志强刚当上中队长时遇到的一件事对他震动很大。中队奉命在一片麦地里搜捕一名犯罪嫌疑人。受领任务时，队里一名平时军事素质很好的老兵，突然脸色煞白，额头冒汗，紧张得把警棍掉在地上。中队不得不临时把他换了下来。“因为关键时刻心理素质不过硬，这位老兵错过了难得的锻炼机会。”孙志强陷入了沉思。从此，他下定决心，不仅要让战士成为军事技能上的高手，还要把他们训练成临危不惧、敢打硬仗的心理强手。从此，孙志强开始学习心理学知识，记下了20多万字的心理学笔记，借助资料积累了1000余心理治疗个案，初步掌握了心理测试、调查、疏导、训练等方法。“要让每一个战士进教导队‘心理减负’，出教导队‘战斗加分’，为成长进步打好底子。”2006年8月，就任教导队大队长时，孙志强对自己这么要求。今年初，战士杨磊身体不大协调，老做不好持枪卧倒动作。经过多次讲解示范，他还是不能按手、膝、肘和身体左侧的顺序卧倒，总是左胯先着地，一出枪整个动作就散了。班长虽然没有批评他，可他自己却紧张得两条腿发抖。孙志强了解情况后，经过仔细观察，发现杨磊既有挫折心理，又有自卑心理。于是，孙志强专门咨询了卫生队的兼职心理医生，证实了这一判断。接下来，孙志强单独领着杨磊加小灶，让他把一根五六寸长的小树枝夹在左腿的后膝窝里，这样他就能够有意识地提臀，避免了左胯先着地的毛病。不出半个钟头，杨磊就基本掌握了持枪卧倒的动作要领。孙志强从这件事上总结出一条经验：“帮战士把训练成绩提上去，对巩固心理疏导效果有很大的作用。”
Over the past few years, Sun Zhiqiang has summed up the "Four Rules for Psychological Burden Reduction" and "Eight Ways for Psychological Training to Resist Fear" in combination with his military practice. He makes full use of the psychological and behavioral training combination equipment to make new soldiers either high in the sky or in danger. Through the training of five courses such as "life and death checkpoints", "smart entry into gangster nests" and "elimination of dangerous situations", he has tempered the good psychological quality of officers and soldiers. He has also pulled new soldiers to complex environments such as downtown areas and dense forests for anti-hijacking, anti-attack, and anti-explosion training, which has effectively enhanced the psychological reaction ability and thinking ability of new soldiers under special conditions.

Editor in charge: Cao Jin

　　Yesterday morning, the Hangzhou Municipal Public Security Bureau held a press conference on the "May 7" traffic accident case. Zheng Xiansheng, spokesperson and executive deputy director of the Hangzhou Municipal Public Security Bureau, answered questions of general public concern and apologized to the public for the "70 yards" (ie 70 km/h) statement.

　　Zheng Xiansheng said that the alleged offender Hu Bin has been the same day by the public security organ traffic accident to the prosecution for approval.

　　The perpetrator, Hu Bin, takes full responsibility

　　Zheng Xiansheng first reported the investigation of the "May 7" traffic accident. He introduced that at about 20:08 on May 7, the perpetrator Hu Bin (male, 20 years old, a student of the Department of Physical Education of Hangzhou Normal University) drove a small car (license plate number is Zhejiang A608Z0), Kong Weiwei, and Yuan ****** respectively drove to Xicheng Square to watch a movie. While passing through the section of Nandu Dejia West District of Wener West Road, the vehicle driven by Hu Bin hit Tan Zhuo (male, 25 years old, registered at Building 9-2, No. 1 Chuangye Road, Puyan Street, Binjiang District, Hangzhou, an employee of Hangzhou Yisai Communication Company), killing Tan Zhuo. After the accident, the traffic police department of the Hangzhou Municipal Public Security Bureau found out that Hu Bin had a traffic violation of speeding, and failed to stop or slow down the pedestrians when driving through the crosswalk, which was suspected of constituting a traffic accident. On May 8, the Hangzhou Municipal Public Security Bureau executed criminal detention of Hu Bin.

　　Zheng Xiansheng said that the public security traffic police department has determined that Hu Bin took full responsibility for the accident, and the victim Tan Zhuo was not responsible.

　　Zheng Xiansheng said that on May 15, the Hangzhou Public Security Bureau asked the procuratorial organs for approval of the arrest of the alleged offender Hu Bin on suspicion of traffic accident.

　　The term "70 yards" is not rigorous and inappropriate

　　"It is not rigorous and appropriate for the police department to quote the perpetrator and his companions about 70 yards," Zheng Xiansheng said of the traffic police’s initial determination that Hu Bin’s speed was "70 yards", which caused widespread public skepticism. We apologize for the misunderstanding caused. "

　　On the question of whether Hu Bin was "drag racing", Zheng Xiansheng said that according to witness testimony, suspect confessions, video materials and identification conclusions, Hu Bin committed serious illegal speeding behavior. "For traffic violations such as drag racing and illegally modified cars on urban roads that seriously endanger people’s lives and safety, we will always insist on strict supervision and heavy punishment according to law," Zheng Xiansheng said.

　　The local police also released surveillance video of the vehicle’s trajectory. It was also revealed that the alleged offender Hu Bin clearly expressed no objection to the appraisal report of the "May 7" traffic accident case, and the family members of the victims have not yet expressed their position.

　　Secretary of the Municipal Party Committee:

　　I am responsible for the death of Tan Zhuo

　　Will be strictly investigated and dealt with with an "iron fist"

　　Yesterday, Wang Guoping, a member of the Standing Committee of the Zhejiang Provincial Party Committee and Secretary of the Hangzhou Municipal Party Committee, responded to netizens’ concerns about the "May 7" traffic accident in an online interview jointly held by Hangzhou.com and Zhejiang Online.

　　"As party secretary, I also have an unshirkable responsibility for Tan Zhuo’s tragic death," Mr. Wang said. "The party committee and municipal government will investigate and deal with this matter strictly and quickly according to the law with iron determination and iron skills, and strictly prevent such tragedies from happening again in Hangzhou."

　　Wang Guoping said that the Hangzhou Municipal Party Committee and Municipal Government have clearly requested the law enforcement departments to immediately start special project rectification actions, resolutely investigate and punish serious traffic violations such as drag racing and speeding, and severely punish the unauthorized modification and change of motor vehicle engines, exhaust pipes and other devices. (Zeng Xiangrong)

　　The police explained:

　　Whether it constitutes a crime against public safety

　　It’s up to the court to decide

　　Asked why Mr. Hu had been arrested on "suspicion of causing a traffic accident", Mr. Zheng explained: "This is mainly based on the relevant facts and evidence obtained at this stage. What kind of crime Hu Bin constitutes ultimately depends on the court’s judgment."

　　Some lawyers analyzed to reporters that whether the procuratorial organs prosecute for the crime of endangering public safety depends on whether the case meets the constituent elements of the crime. If the constituent elements of the crime of endangering public safety are met, even if the procuratorate does not prosecute the alleged offender for the crime of endangering public safety, the court will do so. (Zeng Xiangrong)

　　The sentencing of the two crimes is very different

　　Crimes against public security: sentenced to fixed-term imprisonment of not less than 10 years, life imprisonment or the death penalty.

　　Traffic accident crime: sentenced to fixed-term imprisonment of not more than 3 years or criminal detention; those who escape after a traffic accident or have other particularly bad circumstances shall be sentenced to fixed-term imprisonment of not less than 3 years but not more than 7 years; those who cause death due to escape shall be sentenced to fixed-term imprisonment of not less than 7 years.

　　Chengdu case:

　　One killed and five injured in drag racing

　　Car owner charged with "endangering public safety"

　　On the evening of April 26, Jiang Jiajun, a son of a wealthy family, was drunk and drove an unlicensed "Humvee" in a serial crash, causing one death and five injuries. The local police asked the prosecutor to approve the arrest on the grounds that Jiang Jiajun was suspected of "traffic accident", but the Chengdu High-tech District Procuratorate decided to approve the arrest of Jiang Jiajun on suspicion of "endangering public safety by dangerous methods".

　　The prosecutor described four reasons for the change: driving while intoxicated; speeding, with the speed limit of 60 kilometers per hour on the Second Ring Road, when the suspect was driving at a speed of 80 to 100 kilometers per hour; driving in a series of collisions, which caused serious consequences; and the suspect’s "crazy" behavior, which meets the criminal constitution of "endangering public safety."

　　Some legal sources say that the Chengdu drag racing case can be regarded as a model version of the Hangzhou drag racing case.

　　Event playback:

　　On May 7, Tan Zhuo, a 25-year-old graduate of Zhejiang University, was hit by a speeding Mitsubishi sports car while crossing the road in downtown Hangzhou and died due to ineffective rescue.

　　In the early morning of May 8, the incident was exposed on the Internet, and netizens went viral, conducting "human flesh searches" for the perpetrators and their parents.

　　On May 8, Cai Qi, mayor of Hangzhou, said: "This is an appalling tragedy. The city’s traffic police detachment should analyze it well and take further measures to strictly prohibit illegal speeding. The perpetrators should be severely punished according to law. Make up your mind to completely solve the problem of illegal speeding."

　　On the afternoon of May 8, the Hangzhou police, based on the confession of the perpetrator, said that the speed of the car was 70 yards, which aroused doubts among netizens.

　　On the evening of May 8, thousands of people spontaneously gathered at the scene to pay tribute to Tan Zhuo.

　　On May 9, the perpetrator, Hu Bin, was detained by the police on suspicion of causing a traffic accident.

　　On May 10, the Hangzhou Public Security Bureau said that it would handle the case fairly based on the law to ensure that the facts are clear and the evidence is conclusive.

　　On May 12, the person in charge of the Hangzhou Municipal Public Security Bureau introduced that in order to objectively, fairly and scientifically determine the speeding and vehicle modification problems involved in the accident, the public security organ has commissioned the Zhejiang Blue Arrow Product Quality Judicial Appraisal Office to conduct the appraisal.

　　On May 14, the accident appraisal report was released, and the conclusion that the speed of the vehicle was 70 yards was overturned. The speed of the accident vehicle on the road section was in the range of 84.1 km/h to 101.2 km/h, and the engine intake and exhaust system, headlights, suspension, tires and rims, and interior of the vehicle had been modified or partially modified on the basis of the original model.

　　On May 15, the Hangzhou Public Security Bureau asked the procuratorate to arrest the perpetrators and apologized for the previous 70-yard claim.

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