揭秘！“灵魂砍价”背后，有这样一支神秘团队→
<section style="margin-bottom: 16px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-wrap: wrap;background-color: rgb(255, 255, 255);line-height: 1.6em;visibility: visible;"><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 0.578px;">前不久，我国最新版国家医保药品目录更新，医保谈判现场再现“灵魂砍价”。</span><br/></section><p></p><section class="channels_iframe_wrp wxw_wechannel_card_not_horizontal"><mp-common-videosnap class="js_uneditable custom_select_card channels_iframe videosnap_video_iframe" data-pluginname="mpvideosnap" data-url="https://findermp.video.qq.com/251/20304/stodownload?encfilekey=rjD5jyTuFrIpZ2ibE8T7YmwgiahniaXswqzzI9vxKy1K9uTJfbodJ4Ehvo1Da3StKuiackYdbaDQBJqHYQ59icvdGG4D6GyFQIichO1KibyNf0TpbLb01wDrsibkaA&bizid=1023&dotrans=0&hy=SH&idx=1&m=&scene=0&token=AxricY7RBHdWbcGdWvRibuhhLice9nyStRibuYbVw8AuxJjwghGfArutKjWO2FSU9icHMLtJFT1Na2ibA" data-headimgurl="http://wx.qlogo.cn/finderhead/X4XEGYefSBSYVnBklADRuBGnZHxtZem9swibbCmE9Y1icDD4yJaia0e3w/0" data-username="v2_060000231003b20faec8c7e78d10cad5c60ce835b07750c30d46f2375d2e2b76d9fd609427c4@finder" data-nickname="央视新闻" data-desc="15元5.54元5.52元5.49元5.39元，新一波“灵魂砍价”艰难进行。" data-nonceid="15699607890941808084" data-type="video" data-mediatype="undefined" data-authiconurl="https://dldir1v6.qq.com/weixin/checkresupdate/icons_filled_channels_authentication_enterprise_a2658032368245639e666fb11533a600.png" data-from="new" data-width="1080" data-height="1440" data-id="export/UzFfAgtgekIEAQAAAAAAgUs26pRvxAAAAAstQy6ubaLX4KHWvLEZgBPE8INMTUMjdv2FzNPgMIsHIlrRJgugcBOwpNCZ30dS" data-isdisabled="0" data-errortips=""></mp-common-videosnap></section><p></p><p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-wrap: wrap;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-size: 16px;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;visibility: visible;">从2021年一款治疗罕见病的药品由70万元一针被砍到3.3万元一针，到前不久一款治疗糖尿病的药品从15元一片最终被砍到了5.39元一片……<strong>这些“灵魂砍价”的背后，是国家对“人民至上，生命至上”原则的真正实践。</strong></span></p><p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-wrap: wrap;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-size: 16px;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;visibility: visible;">医保谈判背后有着怎样不为人知的故事？“灵魂砍价”成功又有着怎样的奥秘？在总台节目《开讲啦》中，国家医保目录谈判工作的参与者之一、北京大学全球健康发展研究院院长——<strong>刘国恩</strong>讲述了背后的故事。</span><span style="font-size: 16px;letter-spacing: 0.578px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"></span></p><p></p><section style="margin-top: 24px;margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-wrap: wrap;background-color: rgb(255, 255, 255);visibility: visible;"><span style="outline: 0px;font-size: 50px;text-decoration: underline;visibility: visible;color: rgb(0, 122, 170);"><em style="outline: 0px;visibility: visible;"><strong style="outline: 0px;visibility: visible;">01</strong></em></span><span style="outline: 0px;font-size: 16px;letter-spacing: 0.544px;visibility: visible;"></span></section><section style="margin-bottom: 16px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-wrap: wrap;background-color: rgb(255, 255, 255);visibility: visible;margin-top: 0px;"><span style="font-size: 20px;"><em><strong><span style="font-size: 20px;outline: 0px;font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;visibility: visible;color: rgb(0, 122, 170);">医保谈判“神秘信封”里的底价是怎么算的？</span></strong></em></span></section><p></p><p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-wrap: wrap;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-size: 16px;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;visibility: visible;"><span style="font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;background-color: rgb(255, 255, 255);">节目中，刘国恩谈到，</span>为了让更好的药品能纳入到国家医保，为百姓排难解忧，同时又能让企业获得合理的回报，每一次“灵魂砍价”都有着科学的依据，这是来自三个专家组的集体智慧——</span></p><ul class=" list-paddingleft-2" style="list-style-type: disc;"><li><section style="outline: 0px;text-wrap: wrap;background-color: rgb(255, 255, 255);visibility: visible;margin-bottom: 24px;"><strong><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;outline: 0px;visibility: visible;">第一个专家组叫临床组</span></strong><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;outline: 0px;visibility: visible;">，他们凭借临床经验，判断药品在目录更新调整中是否有临床的必要性；</span></section></li><li><section style="outline: 0px;text-wrap: wrap;background-color: rgb(255, 255, 255);visibility: visible;margin-bottom: 24px;"><strong><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;outline: 0px;visibility: visible;">第二个专家组是刘国恩所在的经济学专家组</span></strong><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;outline: 0px;visibility: visible;">，他们负责评估药物应用在患者身上需要付出多少费用、能获得多少健康收益；</span></section></li></ul><p></p><section style="text-align: center;margin-bottom: 24px;"></section><p></p><ul class=" list-paddingleft-2" style="list-style-type: disc;"><li><section style="outline: 0px;text-wrap: wrap;background-color: rgb(255, 255, 255);visibility: visible;margin-bottom: 24px;"><strong><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;outline: 0px;visibility: visible;">第三个专家组叫医保基金测算组</span></strong><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;outline: 0px;visibility: visible;">，他们负责计算药品一旦纳入医保药品目录里，是否有足够的钱支付。</span></section></li></ul><p style="outline: 0px;text-wrap: wrap;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;outline: 0px;visibility: visible;">综合这三个专家组测算的推荐价格后，再由相关主管部门进行综合，才最终形成谈判人员在现场打开的信封里写着的“底价”。</span></p><p></p><section>//www.hbrdcm.com/plugin.php?id=wcn_editor:player&url=https%3A%2F%2Fv.qq.com%2Ftxp%2Fiframe%2Fplayer.html%3Fwidth%3D500%26height%3D375%26auto%3D0%26vid%3Dz3536g0fqu6&org=http%3A%2F%2Fmp.weixin.qq.com%2Fs%3F__biz%3DMTI0MDU3NDYwMQ%3D%3D%26mid%3D2657602975%26idx%3D1%26sn%3D6e8adebcd15fb3ef71e2abe9cb0c32d9%26chksm%3D7a5d30794d2ab96f78d6e52b788e29a14ae81fde81e9d41aa080b9e8500207fcf2433e97b092</section><section style="margin-top: 24px;margin-bottom: 0px;text-wrap: wrap;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="outline: 0px;font-size: 50px;text-decoration: underline;visibility: visible;color: rgb(0, 122, 170);"><em style="outline: 0px;visibility: visible;"><strong style="outline: 0px;visibility: visible;">02</strong></em></span><span style="outline: 0px;font-size: 16px;letter-spacing: 0.544px;visibility: visible;"></span></section><p></p><p style="text-wrap: wrap;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;margin-bottom: 0px;"><span style="font-size: 20px;"><em><strong><span style="outline: 0px;font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;visibility: visible;color: rgb(0, 122, 170);">参与者讲述自己参加</span></strong></em></span></p><p></p><section style="margin-bottom: 16px;text-wrap: wrap;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-size: 20px;"><em><strong><span style="outline: 0px;font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;visibility: visible;color: rgb(0, 122, 170);">医保基金测算工作的“魔幻”经历<em style="font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;"><strong><span style="outline: 0px;font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;visibility: visible;"></span></strong></em></span></strong></em></span></section><p></p><p style="text-wrap: wrap;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-size: 16px;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;visibility: visible;">一位曾参与2021年医保谈判的工作人员，在节目现场分享了她的一段“魔幻”经历。</span></p><p style="text-wrap: wrap;outline: 0px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-size: 16px;">她说，一</span><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;">天，她突然接到一通陌生来电，对方自称是国家医保局工作人员，通知她被选中参加医保谈判，让她买票前往指定地方集合，“我当时第一反应是遭遇诈骗了”。</span></p><p style="text-wrap: wrap;outline: 0px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;"></span><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;font-size: 16px;">在了解了具体情况后，她按照要求到达指定地点之后，<strong>被大巴一路带到一个偏远地方的宾馆，从此开始了长达半个月的测算工作</strong>。</span></p><blockquote class="js_blockquote_wrap" data-type="2" data-url="" data-author-name="" data-content-utf8-length="66" data-source-title=""><section class="js_blockquote_digest"><section><strong>参与者：</strong>宾馆里面一个客人都没有，只有四五个服务员。那一次我住了15天，每天从早到晚，都是一个人待在房子里，不能和任何外界的人交流。</section></section></blockquote><p style="text-align: center;"><span style="font-size: 16px;letter-spacing: 0.578px;background-color: rgb(255, 255, 255);text-align: justify;"></span></p><p style="text-wrap: wrap;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-size: 16px;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;visibility: visible;">她回忆说，虽然在自己决定前往医保谈判的时候，就已经收到了相关部门出具的正式文件，但是整个经历听起来依然有点“魔幻”。</span></p><p style="text-wrap: wrap;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-size: 16px;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;visibility: visible;">这正是因为<strong>国家医保谈判工作的绝对保密性特质</strong>。这名<span style="letter-spacing: 0.578px;">工作人员</span>说，国家医保谈判每年都会是一个全民关注的重大事件，相关部门要最大限度地保证他们的测算工作不受任何利益方干扰。</span><span style="font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: var(--articleFontsize);letter-spacing: 0.034em;"></span></p><p></p><section class="channels_iframe_wrp wxw_wechannel_card_not_horizontal"><mp-common-videosnap class="js_uneditable custom_select_card channels_iframe videosnap_video_iframe" data-pluginname="mpvideosnap" data-url="https://findermp.video.qq.com/251/20304/stodownload?encfilekey=rjD5jyTuFrIpZ2ibE8T7YmwgiahniaXswqz2NPiaErS5ic6OeeWaZLoNXgcAibw3icd9lHfWW6ZN8t5b9bia6oakZqPT6BYFQOnTayIeke5E2qZ44jdZnDEyqG70RA&bizid=1023&dotrans=0&hy=SH&idx=1&m=&scene=0&token=x5Y29zUxcibDwNCpJFb3dYjwqicbLTj7DQzpv4b31yTxNmxkLZPN8o3htQH8x80MZsfQ2hOO8DRGc" data-headimgurl="http://wx.qlogo.cn/finderhead/X4XEGYefSBSYVnBklADRuBGnZHxtZem9swibbCmE9Y1icDD4yJaia0e3w/0" data-username="v2_060000231003b20faec8c7e78d10cad5c60ce835b07750c30d46f2375d2e2b76d9fd609427c4@finder" data-nickname="央视新闻" data-desc="五六十人，半月时间，封闭测算……参与其中的她说：“特别有成就感！”#开讲啦" data-nonceid="11055711288445052964" data-type="video" data-mediatype="undefined" data-authiconurl="https://dldir1v6.qq.com/weixin/checkresupdate/icons_filled_channels_authentication_enterprise_a2658032368245639e666fb11533a600.png" data-from="new" data-width="1080" data-height="1440" data-id="export/UzFfAgtgekIEAQAAAAAAoh8aZ2bPlwAAAAstQy6ubaLX4KHWvLEZgBPEx4NgHnhlbKSFzNPgMIv-gp0omAZv8JH9Abwdvqen" data-isdisabled="0" data-errortips=""></mp-common-videosnap></section><section style="margin-top: 24px;margin-bottom: 0px;text-wrap: wrap;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="outline: 0px;font-size: 50px;text-decoration: underline;visibility: visible;color: rgb(0, 122, 170);"><em style="outline: 0px;visibility: visible;"><strong style="outline: 0px;visibility: visible;">0</strong></em></span><span style="outline: 0px;font-size: 50px;text-decoration: underline;visibility: visible;color: rgb(0, 122, 170);"><em style="outline: 0px;visibility: visible;"><strong style="outline: 0px;visibility: visible;">3</strong></em></span></section><section style="margin-bottom: 16px;text-wrap: wrap;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="font-size: 20px;"><em><strong><span style="outline: 0px;font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;visibility: visible;color: rgb(0, 122, 170);">3.3万元一针的<em style="font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 20px;letter-spacing: 0.544px;text-wrap: wrap;background-color: rgb(255, 255, 255);"><strong><span style="outline: 0px;font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;visibility: visible;color: rgb(0, 122, 170);">天价救命药，</span></strong></em>值吗？</span></strong></em></span></section><p></p><p><span style="font-size: 16px;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;visibility: visible;">医保谈判的意义，在于什么？</span></p><p><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;visibility: visible;font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;background-color: rgb(255, 255, 255);">刘国恩以2021年医保谈判为例解释道，在那一年，一款治疗罕见病脊髓性肌肉萎缩症的药品——诺西那生钠，由70万元一针被砍到3.3万元一针。</span></p><p></p><section>//www.hbrdcm.com/plugin.php?id=wcn_editor:player&url=https%3A%2F%2Fv.qq.com%2Ftxp%2Fiframe%2Fplayer.html%3Fwidth%3D500%26height%3D375%26auto%3D0%26vid%3Dq33124ilz9b&org=http%3A%2F%2Fmp.weixin.qq.com%2Fs%3F__biz%3DMTI0MDU3NDYwMQ%3D%3D%26mid%3D2657602975%26idx%3D1%26sn%3D6e8adebcd15fb3ef71e2abe9cb0c32d9%26chksm%3D7a5d30794d2ab96f78d6e52b788e29a14ae81fde81e9d41aa080b9e8500207fcf2433e97b092</section><p></p><p style="margin-right: 0pt;margin-left: 0pt;font-family: Times New Roman;font-size: 12pt;color: rgb(0, 0, 0);letter-spacing: normal;text-wrap: wrap;"><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;visibility: visible;font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;background-color: rgb(255, 255, 255);">刘国恩说，这可能是单个药品价格降幅最大的案例，它并不是拍脑门定出来的，因为有前面提到的<span style="color: rgb(0, 0, 0);font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;background-color: rgb(255, 255, 255);">三个专家组。<span style="color: rgb(0, 0, 0);font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;background-color: rgb(255, 255, 255);">如</span><span style="color: rgb(0, 0, 0);font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;background-color: rgb(255, 255, 255);">果站在经济学的角度来看，</span></span>3.3万元一针的药品是否值得？</span></p><p><span style="font-size: 16px;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.578px;visibility: visible;"><span style="font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;background-color: rgb(255, 255, 255);">他表示，很多罹患该种</span>疾病的儿童，他们的家庭面临着高额的医药费用负担，而儿童本身能站起来、甚至活到上学年龄的几率都不高。</span></p><blockquote class="js_blockquote_wrap" data-type="2" data-url="" data-author-name="" data-content-utf8-length="149" data-source-title=""><section class="js_blockquote_digest"><section><strong>刘国恩：</strong>在药物经济学里，世界卫生组织有一个不成文的、但是大多数国家都在参考的标准，就是当一个新的医学技术应用到患者身上，<strong>如果能够提高一年有品质的寿命，而不是完全处于植物人的状态，且医学、技术、药品（的费用）不超过这个国家人均GDP的三倍</strong>，那么世界卫生组织就认为这是一个值得去购买和支付的医学技术。</section></section></blockquote><p style="text-align: center;"></p><p></p><section><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;visibility: visible;font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;background-color: rgb(255, 255, 255);">刘国恩说，一支诺西那生钠大概3.3万元，第一年要用6支，即费用接近20万元，事实上已经超过了中国的目前人均收入。显然，专家们在推荐价格的时候，已经考虑到这是一种罕见性疾病，考虑到对儿童的照顾，因此把支付标准大幅地提高到更高的水平。</span></section><section style="margin-top: 24px;"><strong><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;visibility: visible;font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;">“从这个意义上讲，我要特别感谢‘信封<span style="font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;">’</span>后面的专家们，他们给出的价格乍一看似乎有点<span style="font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;">‘</span>灵魂砍价<span style="font-size: 16px;letter-spacing: 0.578px;text-wrap: wrap;">’</span>，但基于中国目前真实的支付能力以及给罕见病儿童的照顾，它还是有科学依据的、靠谱的推荐标准。”</span></strong><span style="text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: var(--articleFontsize);letter-spacing: 0.034em;"></span></section><section style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-wrap: 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