无论“以物代药”、还是“以械代疗”,背后都是医院在“提成机制”支撑下的弄虚作假行为,这种欺诈性的医疗服务是医改走上歧途的重要原因。医改是在医药事实上分家、药品使用监管失控、假劣医疗器械泛滥的前提下起步的,最终在医院内形成了畸形的运行机制,并导致绝大多数人看不起病,同时使医患矛盾日益复杂尖锐。在这个过程当中,夹杂着大量的刑事犯罪,可是,因为这些犯罪发生在医院,发生在医改进行的过程中,所以从来没有得到过认真严肃的惩处。 Regardless of “substituting drugs by nature” or “institutional therapy”, hospitals are behind the falsification of behaviors under the “recruitment mechanism”. This fraudulent medical service is an important reason for medical reform to go astray. Medical reform started with the de facto separation of medicines, the out-of-control supervision of drug use, and the proliferation of counterfeit medical equipment. Eventually, a deformed operating mechanism was formed in the hospital, which led to the vast majority of people to look down on the disease and at the same time make contradictions between doctors and patients. Increasingly complex and sharp. In the process, a large number of criminal crimes are mixed in. However, because these crimes occurred in hospitals and occurred in the process of medical reforms, they have never received serious and serious punishment.