Public Outcry Over Generic Drugs Highlights Flaws in China’s Healthcare System

Thu Mar 13 2025 07:34:34 GMT+0200 (Eastern European Standard Time)
Public Outcry Over Generic Drugs Highlights Flaws in China’s Healthcare System

Concerns over the ineffectiveness of generic medications lead to public frustration and government acknowledgment in China.


In light of mounting public dissatisfaction regarding the efficacy of generic drugs provided in state hospitals, Chinese authorities are facing scrutiny about their drug procurement system. This controversy not only raises questions about patient safety but also underscores broader issues related to the nation’s strained healthcare resources.

The controversy surrounding the effectiveness of generic drugs in China's public hospitals has ignited a rare wave of public discontent, prompting a governmental response. Doctors have voiced concerns that the country's drug procurement policies, which favor cheap generics over original brand medications, are compromising patient safety in a healthcare system already under pressure from a rapidly aging population.

This discourse began in December when nearly 200 domestic generic drug manufacturers were selected to provide medications to government hospitals. The situation escalated in January after a viral video featuring Dr. Zheng Minhua from Shanghai, where he cited various issues with the drugs—like ineffective antibiotics and laxatives. His statements resonated widely, transforming into a catchy slogan on social media amid discussions that have since faced censorship.

Many individuals shared personal experiences of adverse effects from these generic drugs, with one user recounting how laxatives prescribed for surgery failed to work, leading them to resort to drinking coffee for relief. This distrust has led to increased preference for original medications, despite their higher costs.

As public doubt regarding the quality of generic drugs grows, the Chinese healthcare system is already struggling with increased expenses—with health costs soaring nearly twenty times over the last two decades. Consequently, demands for imported medications, perceived as safer, have risen. Efforts by government authorities to reassure the public about the quality of generics have not alleviated concerns, with many declaring they would prefer to source brand-name drugs themselves.

The drug procurement system, designed in 2018 to lower medicine costs, has led to extraordinarily low prices for generics, raising alarms about their safety and effectiveness. Some medications now sell for mere cents, prompting skepticism over their integrity. Experts warn that decreased prices can catalyze unethical practices that threaten drug quality.

Adding another layer of concern are reports of counterfeit medications, a significant challenge in ensuring the integrity of pharmaceutical products, be they generic or branded. Confidence in the healthcare system has deteriorated, aggravated further by rising incidents of violence against medical staff due to resource shortages and distrust.

Acknowledging these issues, the National Healthcare Security Administration has pledged to take the public's safety concerns into account and seek feedback regarding drug procurement policies. As the system undergoes scrutiny, the fundamental challenge remains: balancing healthcare affordability while ensuring drug safety and efficacy.

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