瑞金医院普外科主任郑民华等20名上海市政协委员提案《关于在药品集采背景下如何能够用到疗效好的药物》：高血压糖尿病药物、肠镜泻药麻醉药集采后药效不佳，加大药量也不起效。希望放开国产仿制与进口原研药比例限制，把选择权交给医生；落实不良反应报告制度，及时报告疗效存疑的药物。
国家医保局去函上海医保局，要求其联系瑞金医院郑民华，代表国家局致谢并进一步了解具体品种，责成中选企业回应临床关切，确有质量问题的解除采购协议。
要求上海局举一反三，对于临床反映“集采中选药品降价后存在质量问题”的参照跟进，如存在严重质量问题的报药监。欢迎医务人员做药品价格和质量问题的吹哨人。
（东方网，健识局）
BY Lymbo@碎碎念
n the U.S. people generally use Bitcoin as an alternative investment, helping diversify a portfolio apart from stocks and bonds. You can also use Bitcoin to make purchases, but the number of vendors that accept the cryptocurrency is still limited. Big companies that accept Bitcoin include Overstock, AT&T and Twitch. You may also find that some small local retailers or certain websites take Bitcoin, but you’ll have to do some digging. That said, PayPal has announced that it will enable cryptocurrency as a funding source for purchases this year, financing purchases by automatically converting crypto holdings to fiat currency for users. “They have 346 million users and they’re connected to 26 million merchants,” says Spencer Montgomery, founder of Uinta Crypto Consulting. “It’s huge.”
In general, many financial experts support their clients’ desire to buy cryptocurrency, but they don’t recommend it unless clients express interest. “The biggest concern for us is if someone wants to invest in crypto and the investment they choose doesn’t do well, and then all of a sudden they can’t send their kids to college,” says Ian Harvey, a certified financial planner (CFP) in New York City. “Then it wasn’t worth the risk.” The speculative nature of cryptocurrency leads some planners to recommend it for clients’ “side” investments. “Some call it a Vegas account,” says Scott Hammel, a CFP in Dallas. “Let’s keep this away from our real long-term perspective, make sure it doesn’t become too large a portion of your portfolio.” In a very real sense, Bitcoin is like a single stock, and advisors wouldn’t recommend putting a sizable part of your portfolio into any one company. At most, planners suggest putting no more than 1% to 10% into Bitcoin if you’re passionate about it. “If it was one stock, you would never allocate any significant portion of your portfolio to it,” Hammel says.
Lymbo@碎碎念 from tw