The party secretary and vice president of a hospital were both dismissed; A linear accelerator, the dean ate a rebate of 16 million yuan … Since the beginning of this year, anti-corruption in the medical field has continuously attracted attention. According to the reporter’s incomplete statistics, since the beginning of this year, 21 provinces in China have reported cases of corruption in the medical field.
On August 15th, the National Health and Health Commission said that it, together with the Ministry of Education and the Ministry of Public Security and other nine departments, jointly launched a one-year nationwide centralized rectification of corruption in the pharmaceutical field, which will carry out systematic governance covering the whole chain and all fields of the pharmaceutical industry.
Who are the fallen horses?
Medical care has become a key area of anti-corruption throughout the country this year.
According to the reporter’s incomplete statistics, since the beginning of this year, 21 provinces including Beijing, Tianjin, Jiangxi, Sichuan, Shandong, Anhui, Yunnan, Guizhou, Guangdong, Hunan, Hubei, Shanxi, Liaoning, Guangxi, Henan, Chongqing, Heilongjiang, Zhejiang, Fujian, Xizang, Shaanxi, etc. have reported the news of the investigation of relevant personnel in the medical field and the trial of related cases.
Some hospital party secretary and vice president both fell off their horses, some health and health commission leaders were found to have received more than 10 million yuan in property, and some dean "ate" 16 million yuan in kickbacks from a linear accelerator.
According to public information, nearly 200 hospital presidents have been investigated, including well-known top three hospitals and heads of primary medical institutions such as township hospitals; Most of the hospitals involved are general hospitals, as well as maternal and child health hospitals, mental hospitals and other specialized hospitals.
For example, in March this year, with the approval of the Beijing Municipal Committee, the Supervision Committee of the Beijing Municipal Commission for Discipline Inspection decided to give Wei Yongxiang (deputy bureau level), the former deputy secretary of the Party Committee and director of the Capital Institute of Pediatrics, the punishment of expulsion from the party and dismissal from public office. According to his public resume, Wei Yongxiang worked as a manager in several well-known top three hospitals in Beijing, and served as the vice president of Beijing Chaoyang Hospital, the president of Beijing anzhen hospital, and the deputy secretary and director of the Party Committee of Capital Institute of Pediatrics.
There are also many managers of primary medical institutions who have been investigated. For example, in July this year, Zhao Jiyang, former dean of Miaowei Township Health Center in Yunlong County, Yunnan Province, was investigated; In April this year, Yan Hua, dean of Tanshui Center Health Center in yangchun city, Guangdong Province, was investigated; In June this year, Yang Dafu, deputy secretary and president of the Party branch of Xuzhou District Psychiatric Hospital in Yibin City, Sichuan Province, was investigated.
Some of the people under investigation were "taken away" when they were in office, some retired when they were investigated, and others voluntarily surrendered. For example, Xie Jun, former deputy secretary of the Party Committee and president of Yangjiang People’s Hospital in Guangdong Province, has retired, while Ge Ling, former president of Yudu County Maternal and Child Health Hospital in Jiangxi Province and secretary of the General Party Branch, voluntarily surrendered.
In addition, health officials were investigated and related cases were tried.
On August 3rd, according to "Shantou Discipline Inspection and Supervision" WeChat WeChat official account news, Lin Haidong, Party Secretary and Director of Shantou Chaonan District Health and Wellness Bureau, was suspected of serious violation of discipline and law, and is currently under disciplinary review and supervision investigation by the Supervision Committee of Chaonan District Commission for Discipline Inspection.
In April this year, Tianjin reported that Qiu Xiaoyu, the former party secretary, director and first-class researcher of Tianjin Medical Security Fund Management Center, received gifts of seafood, tea, fruit and other gifts from the person in charge of a hospital for many times from 2014 to 2021, totaling 21,000 yuan; Received banquets from many management and service objects for many times. Qiu Xiaoyu also had other serious violations of discipline and law. He was expelled from the party and public office, sentenced to 12 years in prison and fined 600,000 yuan.
On March 30th this year, the Intermediate People’s Court of Zhangjiakou City, Hebei Province held a trial in the first instance to hear the case of Yu Luming, former vice chairman of the Beijing Municipal Political Consultative Conference, accepting bribes. The Zhangjiakou Municipal People’s Procuratorate alleges that from 2001 to 2019, the defendant Yu Luming took advantage of his position as the vice chairman of the first Committee of the Beijing Daxing District of the Chinese People’s Political Consultative Conference, the director of the Daxing District Health Bureau, the deputy director and director of the Beijing Municipal Hospital Administration, and the deputy director of the Beijing Municipal Health and Family Planning Commission to provide assistance to relevant units and individuals in matters such as land use rights handling and hospital project contracting, and received a total of RMB 10.5 million in property.
Some places said that the medical anti-corruption effect is remarkable. For example, two hospital leaders of the First People’s Hospital of Yibin City, Sichuan Province were announced to be transferred to the procuratorate for review and prosecution on the same day. The Supervision Committee of the Yibin Municipal Commission for Discipline Inspection urged the disciplinary personnel of the city’s medical system to take the initiative to explain the problem. At present, more than 150 million yuan of illegal and improper income has been recovered, and the average price of drugs purchased by centralized bidding has been reduced by 22%.
Red envelopes, drugs, equipment, bidding, and the medical dark corner of collusion of interests.
Medical corruption can occur in many links.
The investigation team of the Supervision Committee of Jiujiang City Commission for Discipline Inspection in Jiangxi Province concluded that the violations of discipline and law in the medical field are concentrated in the medical insurance fund, the use of subsidy funds, the procurement of drugs, medical equipment and consumables, and the contracting of engineering projects. The "key minority" is involved in many cases, and most of the important decision-making powers such as drugs, medical equipment and consumables are concentrated in the "number one", so it is easy to be "hunted"; Department directors and other middle-level cadres play an important role in the evaluation and use of drugs and devices in their own units, and are more likely to gain the trust of patients, and are prone to abuse power for personal gain.
Low-level practitioners may also seek illegal benefits. Ji Yulin, who used to be the head of the business management department of Xinkaihe Street Community Health Service Center in Hebei District, Tianjin, has obtained huge kickbacks from medical representative offices through the prescription right in the hands of medical staff for more than ten years.
Li Yuanyuan, secretary of the Disciplinary Committee of Fengdu County, Chongqing, and director of the County Supervision Committee, wrote that industrial and systematic corruption and work style problems in the medical and health fields still have the characteristics of many points, long lines and wide coverage.
From a case, we can see the length of the chain of medical corruption. When the Commission for Discipline Inspection of Gongcheng Yao Autonomous County, Guilin City, Guangxi Zhuang Autonomous Region filed a case to investigate the violation of discipline and law by Li Moumou, the former vice president of the People’s Hospital of this county, it was found that there was a problem of interest transfer between the pharmaceutical company and 17 party member cadres and public officials in three functional departments of the county’s medical and health institutions, involving more than 5 million yuan.
These corrupt phenomena may exist for a long time. In the investigation, the Supervision Committee of the Commission for Discipline Inspection of Fengdu County, Chongqing found that one township health dean’s violation of discipline and law lasted for 5 years, and another dean’s violation of discipline and law lasted for 10 years.
There are many forms of corruption. For example, eating, drinking and having fun every day, receiving red envelopes and gifts on holidays, and taking kickbacks on medicines and equipment, as well as hidden means to complete the transfer of benefits by means of "borrowing money" and "customized bidding", or arranging domestic and foreign tourism in the name of investigation and study, and handling various expenses in the name of paying technical service fees, consulting fees and consulting fees, and bribing and accepting bribes through middlemen in disguise.
The above-mentioned hospital director ate a rebate of 16 million yuan from a linear accelerator, which was realized by means of "borrowing". Yang Moujun, the former president of Pu ‘er People’s Hospital, entered into an offensive and defensive alliance with the briber. Both parties claimed that the illegal income was a loan, and there were IOUs as evidence. The investigation by the task force found that the import price of the linear accelerator sold by Chen Mou Tiger, a medical device distributor, to Pu ‘er People’s Hospital was 15 million yuan, but the hospital purchase price was 35.2 million yuan, which was much higher than the market price in the same period. Later, Chen Mou Tiger confessed that he had bribed Yang Moujun by "borrowing" to sell the linear accelerator.
The Supervision Committee of the Commission for Discipline Inspection of Beihai City, Guangxi Zhuang Autonomous Region, when investigating a hospital’s property service project, found that the bidding data of the winning property company was highly consistent with the bidding data of the hospital for two consecutive years, just like it was tailor-made. Later, it was found that the boss of the company "got through" the director of the general affairs department of the hospital, obtained the previous data of the hospital, and sent a red envelope to the other party after winning the bid.
Where is the root of medical corruption?
According to the analysis of the research group of the Supervision Committee of Jiujiang City Commission for Discipline Inspection, Jiangxi Province, there are many reasons for the formation of medical corruption.
The temptation and risk of medical corruption are high, and the mechanism construction is biased. There is a big difference between the ex-factory price and the purchase price of drugs and medical consumables. In order to let the products enter the hospital and get favorable prices, the relevant personnel try their best to attract the responsible persons of relevant departments and prescribers. The supervision of medical and health institutions is mostly macro-regulation, lack of implementation rules, unscientific pricing mechanism, asymmetric medical information and other factors have bred the corrupt soil of the medical industry.
The medical and health system has large units, many personnel and small mobility, which leads to the prevalence of "acquaintance society" and is often unwilling to supervise each other. Medical and health work is highly professional, and it is difficult for "laymen" to understand it. As a vulnerable group, it is difficult for patients to supervise. Grass-roots medical insurance departments still rely on traditional means such as checking wards, turning over medical records and asking patients, and find that problems can only reach the point, which is difficult to reach.
In addition, after the total cancellation of drug addition, the source of hospital income has been further narrowed, some hospitals are eager to expand, and there are problems of borrowing money to build buildings and overstaffing to recruit staff. Some public medical institutions also have insufficient funds. In order to maintain its own operation and development, some hospitals will selectively tilt in the face of "can do" and "can not do" examination and treatment projects.
The anti-corruption storm continues and will cover all areas of the pharmaceutical industry.
On July 28th, a video conference on the mobilization and deployment of discipline inspection and supervision organs in cooperation with the centralized rectification of corruption in the medical field was held in Beijing. Yu Hongqiu, deputy secretary of the Central Commission for Discipline Inspection and deputy director of the State Supervision Commission, attended the meeting and delivered a speech.
The meeting pointed out that it is necessary to stimulate the endogenous motivation to fulfill the main responsibility with the external thrust of supervision, and carry out in-depth systematic governance of the pharmaceutical industry in all fields, chains and coverage. Strengthen discipline enforcement, keep a close eye on leading cadres and key personnel, insist on bribery and bribery together, and concentrate on investigating and handling a number of corruption cases in the medical field.
On August 15th, the National Health and Health Commission issued a question-and-answer on the centralized rectification of corruption in the national medicine field, saying that the National Health and Health Commission, the Ministry of Education, the Ministry of Public Security, the National Audit Office, the State-owned Assets Supervision and Administration Commission of the State Council, the General Administration of Market Supervision, the State Medical Insurance Bureau, the State Administration of Traditional Chinese Medicine, the State Disease Control Bureau and the State Food and Drug Administration jointly launched a one-year centralized rectification of corruption in the national medicine field.
Centralized rectification covers the whole chain of production, circulation, sales, use and reimbursement of the pharmaceutical industry, as well as the administrative departments in the pharmaceutical field, industry associations, medical and health institutions, pharmaceutical production and operation enterprises, medical insurance funds and other fields to achieve full coverage of the pharmaceutical field. In the focus of rectification, focus on "key minority" and key positions, especially illegal behaviors such as rent-seeking, "selling with money" and interest transfer by using power in the medical field. Focus on the corruption of "key minorities" and key positions, investigate and verify key issues and typical cases, dispose of them, and report and analyze them, thus forming a high-pressure situation of nationwide centralized rectification of corruption in the medical field.
Beijing News reporter Dai Xuan
Editor Bai Shuang proofreads Li Lijun.
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