**Public Outrage Over Ineffective Generic Drugs Sparks Government Response in China**

Wed Mar 12 2025 17:43:51 GMT+0200 (Eastern European Standard Time)
**Public Outrage Over Ineffective Generic Drugs Sparks Government Response in China**

Concerns over the efficacy of generic medications in China lead to a rare government acknowledgment of public dissatisfaction and demand for action.


China's healthcare system faces increasing scrutiny as reports of ineffective generic drugs emerge, igniting public anger and a demand for higher quality standards.

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Public anger is growing in China as issues concerning the effectiveness of generic drugs used in state hospitals have sparked significant debate. Doctors have expressed concerns that the country's drug procurement system, which prioritizes low-cost generic medications over original brand-name drugs, is compromising patient safety. This situation has elicited a rare acknowledgement from the government, who, while perceiving the roots of the issue as rooted in public perception, face a rising wave of distrust towards generic medications.

The controversy began in December following the announcement of nearly 200 domestic manufacturers awarded contracts to supply drugs to public hospitals. The issue escalated in January when Dr. Zheng Minhua, a Shanghai hospital director, publicly criticized the procurement system in a viral video, citing various inefficacies such as ineffective antibiotics and laxatives. His statements resonated with many, leading to widespread discussion on social media platforms like Weibo, where users shared personal testimonies of adverse experiences with generic medications.

Despite the government's attempts to reassure the public, confidence in the quality of drugs has been shaken. Patients have taken to platforms such as Xiaohongshu, sharing their reluctance to trust generic antibiotics prescribed by doctors, choosing instead to source original medications perceived to be more reliable. The concerns are compounded by reports of censored discussions regarding drug procurement and the accessibility of quality medications in public facilities.

China's drug procurement system, introduced in 2018 to reduce state health expenditures, facilitates a bidding process that predominantly favors generic drugs due to their lower production costs. However, industry experts warn that excessively low bidding can jeopardize medication quality. There is growing anxiety regarding the procurement prices incentivizing unethical manufacturing practices, with calls from within the medical community for reforms in quality control and evaluation standards.

In light of an aging population that has increased healthcare demands significantly, the controversy comes at a juncture where the healthcare system is grappled with high costs and scarce resources. Public medical insurance funds are reportedly running low, raising questions about the sustainability of China's healthcare model moving forward. The National Healthcare Security Administration has acknowledged these problems and promised to seek feedback on its procurement policies.

As authorities navigate the fallout from this issue, public sentiments remain polarized. Many individuals feel that while economic savings from lower drug prices are minimal, the risk of consuming potentially defective drugs poses a significant threat to public health. The ongoing dialogue signals a urgent need for improved standards in drug manufacturing and procurement processes that can ensure both affordability and efficacy in China's healthcare system.

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