一针120万清除癌细胞，药物采购大砍价，这钱花得值不值？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症，是<span style="color: black;">全世界</span>致死率最高的<span style="color: black;">疾患</span>之一，IARC统计，<span style="color: black;">全世界</span>每5个人中就有1人在其<span style="color: black;">一辈子</span>中会<span style="color: black;">病患</span>癌症。最可怕的一点是，医学<span style="color: black;">这里</span>之前<span style="color: black;">无</span>根治癌症的治疗<span style="color: black;">办法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但在2021年6月底，国内<span style="color: black;">获准</span>上市一款CAR-T细胞治疗<span style="color: black;">制品</span>“阿基仑赛注射液”，<span style="color: black;">据述</span><span style="color: black;">能够</span>将癌细胞清零。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">咱们</span>还没来得及欢呼的时候，120万一针的天价着实向我们泼了一盆冷水。不仅如此，后续配套医疗<span style="color: black;">花费</span>累加在<span style="color: black;">一块</span>，<span style="color: black;">最少</span><span style="color: black;">必须</span>200万的花费，大部分家庭<span style="color: black;">没</span>力承担。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">然而，国家<span style="color: black;">药物</span>采购永远赶在前线，第六轮<span style="color: black;">医疗保险</span>谈判中，<span style="color: black;">刚才</span><span style="color: black;">获准</span>的CAR-T<span style="color: black;">制品</span>阿基仑赛注射液<span style="color: black;">亦</span>在<span style="color: black;">经过</span>形式审查的名单中，120万能砍掉多少<span style="color: black;">成为了</span>新的热点。</p>
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<h2 style="color: black; text-align: left; margin-bottom: 10px;">120万一针值不值？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">CAR-T细胞疗法是一种新兴的治疗方式，是国内<span style="color: black;">第1</span>款利用人<span style="color: black;">身体</span>的免疫细胞来治疗肿瘤的<span style="color: black;">办法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最早<span style="color: black;">运用</span>CAR-T疗法的<span style="color: black;">病人</span><span style="color: black;">病患</span>弥漫性大B细胞淋巴瘤，在注射阿基仑赛注射液后癌细胞清零，顺利出院。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">CAR-T细胞结合了两种细胞，CAR细胞和<span style="color: black;">病人</span><span style="color: black;">身体</span>T细胞。这一疗法<span style="color: black;">经过</span>体外激活培养<span style="color: black;">病人</span><span style="color: black;">自己</span>T细胞至<span style="color: black;">必定</span>程度，回输至<span style="color: black;">病人</span><span style="color: black;">身体</span>，从而达到清除癌细胞的治疗效果。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">不外</span>，CAR-T细胞疗法并非适用于所有癌症，仅对白血病等血液肿瘤有强疗效，但这一<span style="color: black;">科研</span><span style="color: black;">已然</span>很让人惊喜，是现代医学攻坚癌症的<span style="color: black;">要紧</span><span style="color: black;">发展</span>。</p>
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<h2 style="color: black; text-align: left; margin-bottom: 10px;">抗癌针有了，用不起怎么办？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当120万的报价一落地，<span style="color: black;">非常多</span>人<span style="color: black;">最终</span>松了一口气，<span style="color: black;">更加多</span>的人却陷入了愁苦，家境<span style="color: black;">通常</span>的人群<span style="color: black;">难免</span>感慨，治不起病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">对比海外定价，国内120万的定价<span style="color: black;">已然</span>算公道，<span style="color: black;">况且</span>“天价”<span style="color: black;">药品</span>随着时间推移慢慢降价为“平价”<span style="color: black;">药品</span>的<span style="color: black;">状况</span>并不罕见，更何况我国<span style="color: black;">药品</span>采购早已有所行动。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在本月，由<span style="color: black;">医疗保险</span>局专家与药企为期三天的谈判正式<span style="color: black;">起始</span>，参与谈判的品种就<span style="color: black;">包括</span>了CAR-T<span style="color: black;">制品</span>阿基仑赛注射液。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有专家预估抗癌针的降价幅度约为50%，虽达不到“平价”，却<span style="color: black;">亦</span>减轻了大半<span style="color: black;">花费</span>。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“私人订制”、难以量产，<span style="color: black;">开发</span>成本高、行业动向等<span style="color: black;">原由</span>都是制衡药价的<span style="color: black;">原由</span>。国内<span style="color: black;">药物</span>采购能够争取到低价，一个<span style="color: black;">要紧</span>筹码<span style="color: black;">便是</span>采购数量大，<span style="color: black;">然则</span>抗癌针<span style="color: black;">必要</span>“量身定制”，先将<span style="color: black;">病人</span><span style="color: black;">自己</span>免疫T细胞提取出来，体外繁殖使其具备识别并清除癌细胞的能力再输回<span style="color: black;">身体</span>，所耗费的精力、医疗资源和时间比<span style="color: black;">通常</span><span style="color: black;">药品</span>大。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span>该药剂<span style="color: black;">开发</span>方的回复，抗癌针的<span style="color: black;">开发</span>成本超过40亿人民币，巨额花费注定抗癌针很难低价高量地生产上市。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除了复星医药，国内<span style="color: black;">亦</span>有其他家药企正投入<span style="color: black;">开发</span>新型疗法<span style="color: black;">药品</span>，<span style="color: black;">因此呢</span><span style="color: black;">非常</span>关注此次谈判，一旦定价过低，很可能打击到这些药企，减少<span style="color: black;">开发</span>成本的投入。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">普通家庭还有机会买到“白菜价”<span style="color: black;">药品</span>吗？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">尽管抗癌针定价颇高，但天价药变成白菜价不<span style="color: black;">没</span>可能。例如另一抗癌<span style="color: black;">药品</span>PD-1/PD-L1初上市时每年要花费30万元，不到3年时间，纳入<span style="color: black;">医疗保险</span>后价格降至2万元<span style="color: black;">上下</span>。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除了<span style="color: black;">医疗保险</span>，线上<span style="color: black;">药物</span>采购平台<span style="color: black;">亦</span>是“白菜价”<span style="color: black;">药品</span>购买的途径。得益于线上<span style="color: black;">药物</span>采购平台汇聚<span style="color: black;">全世界</span>医药供应商的能力，许多线上平台引进了部分国内<span style="color: black;">无</span>上市的原研<span style="color: black;">药物</span>，最具<span style="color: black;">表率</span>性的五洲<span style="color: black;">药品</span>批发平台，在其主页展示了300多家供应商，可供超20000种医疗<span style="color: black;">药物</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在互联网技术的<span style="color: black;">协同</span>下，<span style="color: black;">病人</span>和<span style="color: black;">药物</span>采购方均能找到所需<span style="color: black;">药品</span>，<span style="color: black;">包含</span><span style="color: black;">医疗保险</span>体系外的罕见药，且<span style="color: black;">拥有</span>自由提交购药需求的<span style="color: black;">优良</span>，面向<span style="color: black;">全世界</span>医疗供应商，扩大<span style="color: black;">病人</span>和采购方的<span style="color: black;">选取</span>空间。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">如此次抗癌针的<span style="color: black;">开发</span>为部分<span style="color: black;">病人</span>带来治愈<span style="color: black;">期盼</span>，国内外众多<span style="color: black;">公司</span>仍未停止<span style="color: black;">开发</span>的脚步。借助线上<span style="color: black;">药物</span>采购平台，<span style="color: black;">病人</span>可放眼<span style="color: black;">全世界</span>，关注国际上的<span style="color: black;">开发</span>信息，<span style="color: black;">咱们</span>所期待的“白菜价”<span style="color: black;">亦</span>不是不可能。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当国际医学对“抗癌”的<span style="color: black;">科研</span>再次突破，抗癌针等新型治疗方式将<span style="color: black;">逐步</span>普及，即便是CAR-T疗法<span style="color: black;">必须</span>“因人而异、量身定制”，短期量化困难，但<span style="color: black;">全世界</span>范围内多个药企着手<span style="color: black;">开发</span>，<span style="color: black;">这里</span>竞争压力下，价格极有可能步步下滑。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">线上采购平台虽<span style="color: black;">不可</span>像<span style="color: black;">医疗保险</span><span style="color: black;">药物</span>采购<span style="color: black;">通常</span>“灵魂砍价”，却能<span style="color: black;">供给</span>一个公开、透明的交易<span style="color: black;">途径</span>。当<span style="color: black;">病人</span>和采购方提交需求，多个供应商一经报价，<span style="color: black;">就可</span><span style="color: black;">自动</span><span style="color: black;">选取</span>完成交易。比起<span style="color: black;">途径</span><span style="color: black;">源自</span>不<span style="color: black;">知道</span>的代购，处在监管之下的线上<span style="color: black;">药物</span>采购则有迹可循，能够<span style="color: black;">保证</span>双方的利益。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">医学的进步为<span style="color: black;">病人</span>带去恢复健康的可能性，而互联网技术的应用则为<span style="color: black;">病人</span>们带去<span style="color: black;">更加多</span>购药可能。诸如阿基仑赛注射液虽未纳入<span style="color: black;">医疗保险</span>，却有<span style="color: black;">期盼</span><span style="color: black;">经过</span>线上<span style="color: black;">药物</span>采购或下一轮<span style="color: black;">医疗保险</span>谈判降低价格，为<span style="color: black;">病人</span>们带来新的好<span style="color: black;">信息</span>。</p>
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