据媒体消息，中国工程院院士、积水潭医院原院长田伟，于2024年3月12日，因涉嫌贪腐而被带走调查。
就此，田伟成为了中国医疗系统第一位因涉嫌贪腐被调查的工程院院士。
不过，田伟并不是第一位被卷入经济犯罪的医疗系统院士。
媒体报道，去年8月，中国医学科学院肿瘤医院院长、
中科院院士赫捷被举报违规操作，造成12亿国有资产流失。
虽然赫捷被举报的案件目前尚未有结论，但其涉及金额之巨大，实在是骇人听闻，要知道，这些名为国有的资产并非与你我无关，而是每一位纳税人辛苦挣来的血汗钱。
医药领域的腐败，大到侵吞国有资产，小到向病患索取红包，
在我国早已人尽皆知。
不过，在笔者看来，比这些更可怕的，是下面这套被很多医院用来创收的潜规则。
2023年7月，一段某医院的会议视频在网络上热播，该院院长在会议上公然宣称：
“未来中医是趋势，现在中药是增长点。如果一副中药五六十元，给一个病人开七到十副，一个月收入就能多十多万，你想想看，是不是十来万？你看上月收入，中医馆收了五六万，中药才收两万。中药不管咋说，我们可以在价格上加价……”
据媒体报道，视频中的医院是河南省洛阳市伊川县水寨镇卫生院，因为这段讲话，院长已被停职调查。
然而，这类“黑心”事件并不会因这位院长被处分而结束，该案件并非个例，仅仅是整个行业的冰山一角。
事实上，该院长所描述的“生意经”，在国内早就是一套司空见惯的医院创收潜规则。
对医疗系统稍有了解的人都知道，医生开出某些药物时，医院会得到回扣，医生则会得到奖金（有时也会直接得到回扣），通常来说，药物价格越贵，
开药种类越多，回扣和奖金也就越多。
虽然很多时候病人并不需要这么多药，但对于他们来说，既不了解背后的隐秘，也不敢有所怀疑。
于是，对金钱的贪婪让很多医生丧失基本的职业操守，也因此导致了很多医疗事故，今年年初一则“15岁女孩服用过量感冒药导致肝衰竭”的新闻，相信很多人还记忆犹新，引发事故的原因，就是医生给患者开了本不需要的过量感冒药。
当然，上述这种“丧心病狂”的开药模式风险太高，所以很多医生选择的是一种相对“安全”的模式。
相信很多人都有这样的经验：到医院看病时，医生很少只开一种药，绝大多数情况下，医生开的药物包括西药和中成药，有时还会开汤药。
这种开药模式，与前文所述河南省某医院院长的会议要求不谋而合。
说委婉些叫中西医结合，说直白些，就是“治病靠西药，赚钱靠中药”。
“治病靠西药”这点不难理解，现代医学进入中国后，不但让多种曾经的“不治之症”可被治疗，还让我国人民的平均预期寿命大大提升。
至于“
赚钱靠中药”，可能与一些人的刻板印象不符——在他们认知里，中药价格便宜。
这是一个完完全全的误解，对比药物价格，需要对应同种疾病，比如说，你不能用价格便宜的甘草片，来对标价格昂贵、需终身服用的胰岛素。
真实的情况是：很多人印象里价格昂贵的西药，根本找不到在疗效上可以与其对标的中成药；而疗效类似的中成药，价格往往高于同类西药。
比如同用于缓解感冒症状的布洛芬和连花清瘟。
每100片布洛芬的价格是19.8元，而48粒连花清瘟是22元，布洛芬的服用量是每次一片，每天最多4次；连花清瘟的服用量是每次4片，每天3次。
换算下来，每天服用布洛芬的花费，最多不超过0.8元，而连花清瘟需要1.83元，谁的价格更贵？
至于谁的药效更好，经历过疫情的各位，相信心里都有杆秤。
再看降糖药，100片格列本脲价格为2.4元，而添加了格列本脲的消渴丸，120丸价格15.9元。
谁用来治病，谁用来赚钱，一目了然？
这样的例子还有非常多，这里就不多做对比，有心的读者可以找来对比。
这还只是明码标价的标准药物，至于那些非标准化的汤药、方药，用前文涉案院长的说法，给每个病人开7-10副，且价上加价，其中利润，不言而喻。
与涉及行业大人物动辄上千万甚至上亿的涉案金额相比，这种“开药潜规则”所涉及的金额，单独似乎只是“毛毛雨”，但这一点点雨滴，汇聚起来就可能成为危害巨大的滔天洪水。
有人说，药物既然是商品，价格上当然可以有不同，也应该允许商业竞争。
可问题是，与消费者选择商品不同，药物的竞争并不公平，医学是一门极其专业的学科，普通人对于医学和药物的了解，绝大多数来自其面对的医生，他们既没有选择药物的能力，也没有选择的权利。
是救人还是宰人，只在医生们的一念之间。
西方医学奠基人希波克拉底，要求他之后的所有医学生，在入学的第一课必须学习并宣誓一份名为《
希波克拉底誓言》的誓词。
其中一句是这样的：
“我愿尽余之能力与判断力所及，遵守为病家谋利益之信条，并检束一切堕落及害人行为，我不得将危害药品给与他人，并不作此项之指导……”
这是一名医者，所应遵守的本心。
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