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

Wed Mar 12 2025 17:48:54 GMT+0200 (Eastern European Standard Time)
**Public Outcry Over Ineffective Generic Drugs Sparks Government Response in China**

Concerns about the ineffectiveness of generic drugs in Chinese hospitals lead to public anger and government acknowledgment of the issue.


Amid mounting public grievances about the quality of generic drugs, healthcare experts and medical professionals express serious doubts over the efficacy of these medications, prompting a rare response from the Chinese government.

The tension escalated after doctors raised alarms regarding the country’s drug procurement system, which favors low-cost generic options, reportedly compromising patient safety for cost savings. State officials, however, downplayed the situation, attributing perceptions of ineffectiveness to anecdotal experiences. Despite official reassurances, the controversy remains a significant challenge for China’s healthcare infrastructure, already strained by its aging population.

The uproar originated in December when Chinese officials announced a list of nearly 200 domestic generic drug manufacturers awarded contracts to supply state hospitals. This decision sparked an intense debate, particularly after a Shanghai hospital director revealed troubling experiences with various generic medications, such as ineffective antibiotics and laxatives. His concerns resonated widely on social media, leading to a surge of similar testimonials from patients unhappy with their treatment.

As discussions proliferated, many citizens publicly expressed mistrust towards prescribed generic drugs. Some patients began bypassing generic alternatives, opting for brand-name medications after finding that generics often appeared to have different taste or effectiveness. The dialogue turned critical as many posts highlighting the procurement failures were swiftly erased from social media, a move indicative of China’s stringent censorship practices.

The procurement system, aimed at reducing drug costs, mandates local governments to organize tenders for approximately 70% of state hospitals’ medicinal requirements. While this approach has reportedly saved citizens over $50 billion in five years, experts warn that incredibly low bids from manufacturers—like aspirin offered at less than one cent—raise serious concerns about the quality of drugs produced under such tight financial constraints.

A group of doctors proposed that extraordinarily low procurement prices and a lack of oversight may force manufacturers to compromise on production quality, putting patients at risk. Dr. Xia Zhimin’s scrutiny highlighted alarming similarities in trial data between generics and original drugs, inviting further skepticism and calls for enhanced regulatory measures.

With China's healthcare expenditures ballooning significantly, the industry grapples not only with quality assurance but also with rising public dissatisfaction towards medical institutions. Reports of violence against medical personnel have increased, fueled by growing frustration over inadequate resources and support.

Acknowledging these escalating issues, the National Healthcare Security Administration vowed to address quality and safety concerns surrounding the drug procurement system. Despite this struggle, experts reiterate that improvements in evaluation standards and drug production protocols are crucial to rebuilding public trust.

As a Weibo user succinctly stated, the financial savings provided by generic drugs should not come at the cost of patients’ health— a sentiment that captures the crux of the ongoing debate within China’s healthcare system, where the pursuit of affordability must be balanced against the imperative of drug safety.

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