憂原廠藥退場潮 藥師籲仿美自付差額 中時 鄭郁蓁、林周義

降血壓藥「Aprovel安普諾維膜衣錠150毫克」將退出台灣，藥師直言，這恐怕只是原廠藥撤離國內市場的前奏，若政府持續砍藥價、一味鼓勵開立學名藥，恐怕會「劣幣驅逐良幣」，導致原廠藥大舉退出，呼籲政府盡快檢討藥品核價制度，比照美國做法，若民眾想用原廠藥，可自行負擔藥價差額。 「有競爭才有進步！」

基層藥師協會理事長沈采穎表示，學名藥並非不好，但政府持續砍藥價、一味鼓勵開立學名藥，恐怕會導致劣幣驅逐良幣，令原廠藥退出，現在20、30歲的年輕人未來恐怕生不起病。

沈采穎認為，藥品應回歸自由市場，如同台北、屏東房價不一樣。政府應比照美國做法，例如民眾想使用原廠藥需自付100元，想用學名藥則付25元就好，讓民眾有自由選擇藥品廠牌的權利，也避免優質的原廠藥退出台灣市場。

「難道沒看到輸液的教訓？健保價砍到25元一瓶，結果現在要用3倍價格跟國外進口！」藥師公會全聯會理事長黃金舜表示，台灣藥品銷量少，價格又壓低，利潤空間太低，但生意人不可能虧錢，同樣的藥在國外銷售，價格都比賣給台灣高。

黃金舜也支持藥品市場自由化，若民眾想吃原廠藥，可以自付差額，就像是搭高鐵要負擔較高的票價。他直言，健保署不要每次把藥廠找來都是談砍價，應檢討逐年砍藥價政策，否則會有更多藥物退出台灣市場。

藥師公會全聯會已聯絡各大教學醫院，了解接下來還有多少藥品擬退出台灣市場、衝擊有多大。

https://tw.news.yahoo.com/憂原廠藥退場潮-藥師籲仿美自付差額-201000070.html

Anne Murray - Snowbird (with lyrics)

Beneath this snowy mantle cold and clean

The unborn grass lies waiting

For its coat to turn to green

The snowbird sings the song he always sings

And speaks to me of flowers

That will bloom again in spring

When I was young my heart was young then too

Anything that it would tell me

Thats the thing that I would do

But now I feel such emptiness within

For the thing that I want most in lifes

The thing thing that I cant win

Spread your tiny wings and fly away

And take the snow back with you

Where it came from on that day

And if I could you know that I would

Fly away with you

The breeze along the river seems to say

That hell only break me heart again

Should I decide to stay

So little snowbird take me with you

When you go

To that land of gentle breezes

Where the peaceful waters flow

Spread your tiny wings and fly away

And take the snow back with you

Where it came from on that day

The one I love forever is untrue

And if I could you know that I would

Fly away with you

https://www.youtube.com/watch?v=pq9bHd58-LA