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Chapter 432 Give me a dollar?

Jin Province.

Ma Jinlai was sitting in the office, feeling a little restless.

"Director Hu, this matter... are you sure it really doesn't matter?"

"Who would have thought that this bastard Chen Nan would actually write about this matter in the "Daily" and even use our hospital as a model!"

"Will the superiors hold me accountable?"

Hu Jinpeng saw the somewhat panicked Ma Jinlai and couldn't help but smile: "Okay, Dean Ma."

"You are the dean after all. Don't be too anxious about this matter."

"Chen Nan does not have the final say in this Health Commission alone."

"He has the right to make suggestions."

"But it depends on the attitude from above!"

"Is it possible that the Health Commission still has the final say?"

Hu Jinpeng smiled nonchalantly.

Obviously, he still didn't pay enough attention to Chen Nan.

After all, Chen Nan is just a dean, not Qin Shiming, and he does not have the final say on these matters alone.

Even Qin Shiming doesn't dare to cut it across the board!

These times have changed. Qin Shiming was almost killed at first. Although Mr. Li Muhai came out to sponsor him later, it was enough to explain a lot of problems.

Besides, can the reform of the medical system happen overnight?

The choice of road, route guidelines and policies are all decisions made after repeated discussions.

"Okay, just go ahead and do it with peace of mind!"

"He Chen Nan has Chen Nan's abilities."

"It's not like we don't have countermeasures."

"Besides, your behavior is not the first of its kind? Doesn't this Demon City also have it?"

"You relax your mind and do it."

"Chen Nan, you really take yourself too seriously."

Hearing Hu Jinpeng's words, Ma Jinlai breathed a sigh of relief.

However, after a while, he couldn't help but say: "How about we put this VIP delivery room matter on hold for a while?"

Hu Jinpeng was stunned: "Why put it on hold?"

"This is a great opportunity!"

"We are just reforming on the original basis. Now there are many private hospitals using the name of public hospitals."



Ma Jin came to see Director Hu so confidently and felt much more at ease.

Chen Nan's article published in the "Daily" was quickly seen by more and more people.

Even the meeting has already been held!

One week later!

soon……

A piece of news has been released.

The National Health Commission issued a red-headed document: "Guarantee and implement the public welfare attributes of public hospitals, do not support the establishment of differential treatment in public hospitals, and ensure the fairness and impartiality of medical care..."

"In order to strengthen and ensure that the broad masses of people solve the problem of difficulty in seeing a doctor, we must truly implement the three-level diagnosis and treatment system..."

"The development of key tertiary hospitals is based on the lagging development of lower-level hospitals and rationally optimizes the impact of uneven distribution of medical resources..."

The release of this document!

It instantly attracted the attention of many people.

You know, many hospitals are now focusing on this area.

The introduction of the VIP diagnosis and treatment pathway is definitely not a good thing.

In other words, it is not suitable to start based on the current medical level and conditions.

Originally, our goal was to "achieve common prosperity." But now, with the rapid development of the Internet, deviations in public hospitals can easily arouse public outrage.

After the above decision was announced, many people below were dumbfounded.

Jin Province quickly held an emergency meeting of deans.

On the stage, Li Haibo directly criticized Ma Jinlai's actions this time with a serious look on his face, and ordered it to stop immediately and make corrections.

Relevant staff were even asked to intervene in the investigation and track and record the direction of a large amount of funds.

This move directly confused Hu Jinpeng, and even made him a little scared.

Two years ago, Jin Province had an earthquake in its medical system.

The person who caused that shock at that time was Chen Nan!

That incident almost caused a "crisis of trust in the medical system."

In other words, it was not Chen Nan who caused it, but Chen Nan who blew the fuse.

The hospital has always been supposed to be full of sacred and holy white light, but that time people saw too many places harboring filth and evil.

So much so that there was a violent vibration!

It was also at that time that Li Haibo was transferred to Jin Province and served as director.

And now...

In two years, when many people thought this moment had passed, they came back again!

And what happened next was even more heartbreaking!

Opening up VIP channels will definitely mean a substantial increase in efficiency. For provincial public hospitals like this, there is never a shortage of patients.

To put it bluntly, for such high-level hospitals, it is a "seller's market"!

Ma Jinlai indeed has a big problem!

Not only him, but also many people, involving many provinces, regions and cities.

Money, this thing, is definitely a double-edged sword that tests people's hearts and humanity.

How many people can truly stick to the bottom line?





Li Muhai was very angry about what happened this time!

Directly let this incident escalate again!

"The Public Welfare of Public Hospitals and the Construction of Public Welfare among Hospital Managers"

Li Muhai personally wrote this article and then issued it to start the construction of spiritual civilization.

After Ma Jinlai made a mistake, the hospital's spiritual civilization award within three years was directly cancelled.

Not just him, but any public institution or administrative unit, if the boss commits a crime, all employees will not receive spiritual civilization awards within the next three years.

This is no small sum!

As a provincial hospital, the spiritual civilization award is more than 10,000, which may be insignificant to the directors, but to most medical staff, it is definitely a huge loss!

However, Li Muhai also knows that many things are better blocked than cleared.

How to increase the income of medical staff has become a very important issue.

Even, imminent!

In the latest college entrance examination, fewer and fewer people applied for medical majors.

Compared with elite medical systems abroad, in many countries undergraduates are not even allowed to study medicine, and the graduation rate of Japanese medical students has always been a problem.

Foreign doctors belong to the absolute elite and earn considerable incomes.

However, domestic doctors obviously cannot imitate this aspect.

And similarly, the gap between our domestic doctors and foreign doctors is three to five times.

But we need a large number of medical personnel to supplement, what should we do?

Li Haibo directly asked the National Health Commission to convene a capital-wide meeting of deans to provide suggestions and suggestions.

However, this matter cannot be solved overnight.





After this turmoil, Chen Nan's position as the director of the China-Japan Friendship Hospital was instantly realized by everyone.

This is definitely more than just a dean.

And he is a rising star in China’s medical system.

Sitting in the office, Chen Nan also had a headache.

Because after becoming a dean, many things really cannot be done by myself.

Although Chen Nan tried his best to let several vice-deans handle these matters, he still had to deal with the matter himself.

And now, another very important thing is about to begin.

That is why the capital will hold this World Annual Congress of Otolaryngology.

This meeting is very grand.

It is the first time it is held in China.

As a leader in the field of otolaryngology in China, Liu Hanmin naturally has to play a leading role.

Zhang Xinhui from Tongren Hospital followed closely behind, busy with his work.

After Chen Nan's last exchange with Liu Hanmin, it was obvious that he also intended to arrest him and keep him under surveillance.

But at this time, Chen Nan received another notification.

Qin Shiming invited Chen Nan to participate in the negotiation meeting on "Inclusion of New Drugs in Medical Insurance".

To put it bluntly, it's just to argue with the manufacturer.

The inclusion of drugs in medical insurance is definitely a great thing for ordinary people.

Not only can the price of drugs be significantly reduced, but drugs can also be included in the scope of medical insurance and reimbursed.

Many drugs, such as cardiovascular and cerebrovascular drugs, hypertension drugs, and targeted drugs, require long-term use.

Therefore, it has become very urgent for these drugs to be included in medical insurance.

And how to argue with manufacturers has become a very difficult matter.

Compared to being dragged into being a young man by Liu Hanmin, I am very anxious about this matter at the moment.

Thinking of this, Chen Nan could only politely reject the other party.

"Director Liu, Dean Zhang, it's really not that I don't want to go."

"But there really is no time!"

When Liu Hanmin heard this, he couldn't help but said: "What else is more important than holding this meeting?"

"Dean Chen, I know you are very busy, but this is the first time we have held such a meeting."

"If we don't do it right, people will laugh at us!"

Chen Nan smiled bitterly: "I have to negotiate the price of new drugs with the manufacturer."

"There is an important meeting on the inclusion of medical insurance drugs recently."

"so……"

Hearing Chen Nan's words, Liu Hanmin and Zhang Xinhui looked at each other and were dumbfounded.

Come on!

Indeed, compared to their other matters, this matter is obviously the most urgent.

Liu Hanmin shook his head helplessly: "Okay!"

"However, you must take time to come and take a look in the next three or four days. If there is anything that needs to be prepared in advance, or what needs to be done on your side, let's arrange it in advance."

Only then did Chen Nan agree.

After sending these two people away, Chen Nan sat helplessly on the chair and sighed. He took a sip of the water in the teacup and found that it was already cold.

Why……

The 20th day I miss Zhao Jianyong.

After Director Zhao became the deputy director of the ward, Chen Nan's living standard deteriorated.

He even thought he should hire a secretary.

It is said...

Become an academician and have a professional driver and assistant?

When Chen Nan thought of this, an idea suddenly came to his mind.

How about... try becoming an academician?

After all, it would be inappropriate for me to hire people directly like this.

After thinking about it, Chen Nan suddenly opened the system and saw a long list of negative reviews.

Chen Nan was stunned for a moment. When had he... offended so many people again?

Seeing this... Chen Nan was relieved!

[Ding! Congratulations, you received a negative review reward from Hu Jinpeng! The negative review level: serious!]

[Ding! Congratulations, you have received a negative review reward from Ma Jinlai! The negative review level: serious!]

[Ding! Congratulations, you received...]



A series of prompts, nearly thirty or so, all of which are advanced!

There are even many advanced ones...

These negative reviews were all brought about after the last time I caused the rectification of the medical system.

Chen Nan was a little caught off guard.

Even the bad reviews from Hu Jinpeng and Ma Jinlai have been upgraded to serious levels.

How much of a reward is this?

Chen Nan suddenly thought of something.

[Can negative reviews be integrated to increase the reward level? 】

[Ding! After the integration, it will be a perfect level-reward. This integration will cost 1 million for good or bad reviews. Do you accept it? 】

Chen Nan couldn't help but froze for a moment after hearing the prompt.

I am Cao!

So much? A million?

How can I have so many negative or positive reviews?

However, when he opened it, Chen Nan was shocked by this number again.

[Bad review: 3012123.]

【Not popular praise: 12391023.】

so much?!

Chen Nan almost jumped up with excitement.

So many positive and negative reviews?

In fact, if you think about it carefully, this seems easy to understand.

Whether it was Chen Nan's last restaurant selection or some of the things he did, he helped a lot of people.

Also, after I proposed the idea of ​​medical equity this time, I also received a lot of praise.

Although these good reviews are not popular and insignificant.

But this is the human heart.

Quantitative changes can also produce qualitative changes.

Thinking of this, Chen Nan did not hesitate to spend one million to praise it, and the system prompt sounded again.

[Ding! Congratulations, you have received a reward: the nasopharyngeal cancer targeted drug, castralimab (Grade: Perfect Level-)]

Chen Nan looked at the reward and was silent for a moment, then became excited.

I am Cao!

Directly obtained a targeted drug?!

Or nasopharyngeal cancer?

Chen Nan couldn't help but take a deep breath, quickly took out his cell phone and called Meng Ran.

Meng Ran is the talent in the medical field that Chen Nan redeemed with the perfect reward last time.

Now with money and equipment, we have acquired a mature medical research institute + company in Denmark.

After this period of work, all aspects have been improved.

In other words, this drug can obviously be launched soon.

This reward made Chen Nan a little overjoyed.





The next day, Chen Nan set off and followed He Manting from the Medical Insurance Bureau and a group of staff to the hotel's conference center.

The Medical Insurance Bureau is a directly affiliated agency and is not affiliated with the National Health Commission. In terms of level, it is half a level lower than the National Health Commission.

He Manting is the person in charge of the National Medical Security Administration’s pharmaceutical pricing and bidding and procurement guidance work.

He is only forty-seven years old, but half of his hair is already gray.

Chen Nan had seen this woman online, or she could be said to be a heroine.

Because every time, He Manting gritted her teeth and asked for the price even for a dime.

Therefore, it has been quite famous online for a while.

Chen Nan also respected him very much.

And He Manting respected Chen Nan even more. It was the director's idea to invite Chen Nan over for this negotiation.

Chen Nan is a consultant to the National Health Commission, and the Medical Insurance Bureau, as an important component of the medical system, also intends to invite Chen Nan to be a consultant. This time can be regarded as an attempt.

It was still early at this time, so He Manting found Chen Nan and said:

"Dean Chen, when I invite you here this time, I also hope that you can help become a consultant!"

"But... this is your first time here, so you don't know many things very well, so we"

"The inclusion of drugs in medical insurance is a very important thing for ordinary people."

"I know that you are the richest man, and many times you are not sensitive to prices."

"However, when I negotiate, you must grit your teeth and not relax. This is to fight for the interests of the people, seek welfare, and save money for the country, so... I really hope you can help us."

Chen Nan smiled: "Director He, what you said, I will definitely do my best."

"I have also done consulting work, and I have also done research on drugs, so you can rest assured."

"I will definitely bargain harder than you!"

Seeing this, He Manting made a joke and said, "I feel relieved because of your words."

"I'll take care of the bargaining."

"I'm a woman and I'm good at bargaining!"

While talking, he winked at Chen Nan and made a small joke.

Chen Nan smiled.

He Manting continued: "By the way, Dean Chen, if there are some professional issues, I'm afraid I won't be able to take care of them, so I hope you can help."

"It would be best if the price could be lowered!"

Chen Nan also laughed immediately: "No problem!"

"I am absolutely worthy of the 10,000 yuan consulting fee I received today."

That's right, because there is no contract, Chen Nan came to be a consultant today and it was also paid.

Ten thousand dollars.

Not long after, everyone arrived at the venue.

Chen Nan sat next to He Manting, waiting for it to start.

The first one to come in was a Japanese company.

The other party is the manufacturer of Azilsartan tablets, Takeda Pharmaceutical Company of Japan.

After sitting down, He Manting began to negotiate the price.

Very professional!

Soon, it was time to bargain.

Takeda Pharmaceutical Company is relatively serious about this negotiation. After all, we all know how big the domestic market is.

Azilsartan has been approved by the FDA, and as a new antihypertensive drug, this drug has a very wide audience and group.

Because of information sharing, Chen Nan absorbed the professional knowledge of drugs from the perfect talent Meng Ran, and he also had a very good understanding of this new drug.

Its antihypertensive mechanism mainly stabilizes blood pressure by blocking angiotensin receptors in the human body.

The characteristic of this drug is that it is relatively safe and rarely causes drug resistance. Moreover, after taking this drug, it can effectively reduce the risk of complications in patients with cardiovascular disease, and can also effectively reduce the risk of complications in patients with diabetes and kidney disease.

Some complications have better preventive effect.

This drug is mainly suitable for patients with hypertension who are accompanied by other chronic diseases, such as patients with diabetic nephropathy, coronary heart disease, metabolic abnormalities, microalbuminuria, heart failure and other problems.

The advantage of this drug is that it can not only treat high blood pressure, but also delay the risk of kidney damage and protect the kidneys, heart and other organs.

Therefore, after this drug was launched, it quickly aroused a great response.

Here, Chen Nan was not in a hurry to speak.

Because the price is still relatively high.

The representative of Takeda Company is Xu Yongchaoichi, who is also an expert.

"Hello, we are here with sincerity this time."

"The price is currently 80 yuan per box!"

"This is already a very low price, I hope you can consider it."

And He Manting said directly: "Sorry, our price for this drug is 40 yuan!"

"Can you communicate with the company, okay?"

When the other party heard the sound, he was obviously stunned for a moment, shook his head and said: "Impossible!"

"This is absolutely impossible."

"This price is too low."

He Manting shook her head: "I think you can think about it. Time is limited. You can contact the company."

"As an antihypertensive drug, our market demand is too high."

"So your price is really beyond our budget."

Xu Yongchao blushed and said: "This is impossible, our minimum is 60 yuan!"



Soon, both sides launched a major offensive.

Prices also slowly dropped amid the dispute.

At this time, Chen Nan suddenly spoke:

"I want to say something here."

"Your company has given great confidence in this drug, and I understand that."

"I know that the adverse reactions and toxic side effects of drugs are minimal."

"However, as far as I know, this drug has a big flaw. As an ARB antihypertensive drug, its various indicators seem to be very average."

"Moreover, the incidence of diarrhea is too high!"

Xu Yongchao first said: "Sir, I know you, you are Professor Chen Nan!"

"As an expert, I believe it is very clear that no drug is without side effects."

"There is a Chinese saying that medicine is divided into three parts poison."

"I think there is no need to consider this."

At this time, Chen Nan suddenly laughed: "Indeed!"

"but……"

"I have a piece of information here, it's like this."

"Amlodipine folic acid tablets are a Korean drug. They are compound preparations, a combination of CCB drugs and folic acid tablets.",

"As far as I know, this drug will be on the market in less than half a year!"

"His side effects are also minimal."

"As far as I know, these two drugs have always been in competition."

As soon as these words came out, Xu Yongchaoyi's expression changed as expected.

Chen Nan, on the other hand, continued: "One more thing!"

"There is a new ARB drug that will be launched soon. It competes with your Takeda company."

"It's called..."

As soon as these words came out, Chen Nan hadn't finished yet!

And Xu Yongchao blurted out one sentence directly: "I agreed!"

"Forty dollars!"

"Can!"

"Director He!"

He Manting on the side was dumbfounded when she saw this scene.

Even many of the staff around him were confused.

this……

You know, this forty yuan is just the most ideal counteroffer, right?

Before coming, their mental budget was 50 yuan!

And now... Chen Nan directly asked the other party to lower the price by ten yuan?!

In an instant, everyone's eyes changed when they looked at Chen Nan.

this……

You know, when Chen Nan was originally invited, everyone was a little surprised.

After all, Chen Nan is from the Health Commission, and now...

Everyone was really speechless!

This is awesome!

And the key is...

Chen Nan continued to add: "So, 39 yuan."

"Can you give me a little bit?"

……
……
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