**Public Outcry Sparks Debate Over Quality of Generic Drugs in China**

Thu Mar 13 2025 07:20:21 GMT+0200 (Eastern European Standard Time)
**Public Outcry Sparks Debate Over Quality of Generic Drugs in China**

Amid concerns over the effectiveness of widely prescribed generic drugs, citizens voice their discontent, navigating a complex healthcare landscape.


Doctors and patients alike are raising alarms about the quality of generic drugs supplied in Chinese public hospitals, revealing significant challenges in the current healthcare system impacted by the government's procurement policies.

In China, growing concerns about the effectiveness of generic medications have ignited rare public outrage, prompting an official response from the government. Doctors assert that the country’s drug procurement system, which favors lower-cost generic drugs over established brand-name options, compromises patient safety in favor of economic savings. Despite assurances from officials stating that the problem is perceived rather than factual, public mistrust remains prevalent regarding the quality of medicines dispensed in hospitals.

The conversation around this issue gained momentum last December when a list detailing nearly 200 companies selected to supply medicines to public hospitals was announced. The majority were domestic manufacturers of generic drugs. The conversation escalated in January, after Dr. Zheng Minhua from Shanghai voiced serious concerns in a viral video about generic antibiotics causing adverse reactions and laxatives failing to assist patients. His experiences resonated widely, spawning a trending social media slogan, despite subsequent censorship efforts.

Patients have been sharing distressing stories about ineffective medications, further entrenching the distrust. Individuals have described instances where prescribed generic laxatives did not work, pushing them to seek alternative solutions. Concerns are amplified, especially as many resort to purchasing original brand-name drugs out of fear that generics do not deliver the promised outcomes.

The procurement process, implemented in 2018 to reduce government expenditure on medicines, prioritizes low-cost domestic drugs. While it has reportedly saved residents over $50 billion in five years, it has also led to situations where some companies bid extremely low prices, raising questions about their ability to produce reliable medications. Experts warn that such practices foster steroids of subpar products flooding the market.

Recent discussions among medical professionals highlighted fears about unethical practices influenced by the low procurement prices, leading to quality compromises. Additionally, allegations surfaced about misleading data from generic drug trials, further clouding the assessment of these pharmaceuticals' reliability. However, the National Medical Products Administration dismissed these claims as accidental.

This controversy emerges at a time when China’s healthcare system is already burdened by a quickly aging population. Escalating healthcare costs have driven public medical funds to near depletion in some regions, intensifying concerns over the availability and quality of care.

As public disquiet grows over drug safety, a noted deficiency in access to imported, potentially higher-quality drugs compounds the problem. Responses from authorities have appeared to acknowledge the issue, promising to enhance oversight in procurement processes. Nevertheless, continuous public discourse highlights the ongoing predicament faced by patients reliant on the affordable yet questioned generic medications of the nation’s extensive healthcare system.

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