The Returning Doctor Wanted to Live Quietly - Chapter 335
Only Noblemtl
Episode 335. Eradication of Corruption (3)
Raw fish served on a concave plate.
It was twisted and dried.
Before I could even finish my meal, I heard a noise from the next room.
Because the content was so shocking, I couldn’t even think about eating it.
And it was the same even as the recording played back.
Prescription note.
White margin.
Hospital support fund.
Overseas business trip support.
Donations in the name of academic fees.
Running small errands.
Drinking service.
Etc. etc.
The recording file played endlessly.
The vice minister’s face rotted as he heard this.
“Is this why you went on strike? You put the lives of patients at risk and went on strike. Is this all you can do?”
“Because we are human.”
“A person?”
“Doctors are people too. They have greed.”
“So you’re exploiting a loophole in the system?”
“Well, is this a problem with the system? Or is it a problem with people?”
“It’s a people problem.”
Jinhyuk shook his head at the vice minister’s answer.
“No, I read an interesting paper. It was about trash cans.”
“What is that… … .”
The reaction was, “What are you talking about out of the blue?”
The Vice Minister of Welfare as well.
His son, Kim Moo-sung.
Everyone tilted their heads.
hereto.
“There was a country that removed all the trash cans on the streets at once.”
“hmm?”
“So people started to illegally dump it. It was inconvenient. So they had no choice but to throw it away.”
“that.”
“I’m sorry, but I’ll keep talking. So whose fault is it? Is it the fault of the government for not having a system in place? Or is it the fault of the citizens who litter?”
“They’re both wrong.”
What happened in Korea in the future.
Jinhyuk drank a glass of water and continued speaking.
“So we did a survey. The overwhelming majority said they just threw it away because there was no trash can.”
“Even the person who was supposed to find the trash can and throw it away just threw it away?”
“Yes. This is not a people problem, it is a system problem.”
Even good citizens have aversion to a flawed government system.
And that it was abandoned due to inconvenience.
Some people blame civic consciousness, but it was wrong to remove trash cans from the streets in the first place.
“People are evil. People are good. There are many arguments about the theory of human nature being good or evil, but I don’t know who is right. But.”
“however…….”
“I know. The system must be tight. It must not have any holes. It must be assumed that human selfishness will be unleashed to the extreme.”
“Shouldn’t we assume that human behavior is rational?”
“Yes, after-the-fact visits. It’s all useless. It’s all a systemic issue.”
“Heh heh.”
Kim Moo-sung’s father burst into a hollow laugh.
A place where we came out because we were told to have a meal.
If the other person wasn’t Lee Jin-hyeok, I wouldn’t have even thought of taking this time.
However, a request from a son who is like a scoundrel.
I came out because it was Lee Jin-hyeok who made me look good.
I was faced with an unexpected reality.
“But this teacher is the only one who doesn’t have a recording. It seems like they met separately. Even my son recorded it, hmm.”
“Because I’m too famous.”
“Then that guy.”
“To be honest, it’s insurance.”
“Is it insurance?”
“Was that too blunt of an answer?”
“Big.”
The Vice Minister of Health and Welfare let out an unpleasant grunt.
But if he is a politician, then he is a politician.
That moment was like a flash. Her complexion immediately changed.
hereto.
“To be honest, I couldn’t trust the Ministry of Health and Welfare. It’s a problem that could be leaked to the medical association and investigated to see who recorded it.”
“Then why did you call me?”
“The Vice Minister is different.”
“… … ?”
“Because your son is also involved in the problem.”
“You can’t trust the Ministry of Welfare. Can you trust me? Because of that guy who’s like a hostage?”
“Yes. Just looking at the status of outside directors at pharmaceutical companies, that’s true.”
The outside director system introduced in 1998.
It was a system that was created because of the IMF, but it was soon distorted.
Not only is there no monitoring of management.
There was a lot of talk about it being used as a lobby passageway.
“More than 20% of the outside directors appointed by Neutral Pharmaceuticals are from the Ministry of Health and Welfare.”
“That’s it. Huh, right.”
“Sangsung Pharmaceutical has 18%, Gimhae Pharmaceutical has 33%, and Hansung Pharmaceutical has 25%.”
“That’s to help with new drug approval or drug price negotiations… … .”
“Whatever the reason, the moment you touch this, it will leak out.”
The implication is that the vice minister must step forward himself.
The vice minister let out a heavy sigh as he watched Jinhyeok mention the connection between the former and current employees.
“Let me go have a smoke.”
* * *
“Ugh, I can’t breathe. Sob. Sob.”
Kim Moo-sung immediately started making a fuss.
A conversation that doesn’t suit him.
To be honest, I’d just like to eat.
I thought you could hand me a recorder.
However, Jang Hyuk-jun and Choi Jae-seong called a consulting staff member to the next room and started working.
Just so you can hear it on purpose.
And I chose a restaurant that doesn’t have good soundproofing.
Kim Moo-sung’s head suddenly turned.
“Ugh. Why didn’t you tell me about this?”
“I thought I’d tell you in advance.”
“I told you that I’m not close with my father.”
“still.”
“Ugh. I don’t know. I don’t know. If something goes wrong like this, I’ll become a public enemy. The end of a traitor, don’t you really know?”
“Didn’t you say you wanted to play Romance of the Three Kingdoms?”
“Huh? Oh, that’s Senior Yoon-Taek.”
“therefore.”
Jinhyuk smiled faintly.
Kim Yun-taek, who is no different from an otaku.
And below him is Kim Moo-sung.
The two of them walked around for a while, nodding along, wondering if the killing was a good match.
The problem is.
‘I don’t have time to play games. I don’t have time to watch anime.’
I don’t have time all the time, so all I do is run the power-up kit and fiddle around with the editor.
As Kim Moo-sung’s eyes wavered, Jin-hyeok drove the wedge in.
“I heard that a lot of stars do that these days.”
“I’ve done that too. There’s a cheat code.”
“Cheat key?”
“Yes, Show me the money.”
A cheat key to get a full supply of resources that cannot be used in multiplayer.
As expected, he was a poor guy.
“If this works out, we can play the game. And you. You’ve already gotten your feet wet. You can’t get off the tiger’s back.”
* * *
The Vice Minister of Welfare returns.
The smell of cigarettes was strong.
His voice was hoarse from the cigarette he smoked.
“The outside director issue is difficult to address.”
“Because there is a conflict of interest. But there are things they can do. They are not the only outside directors.”
“hmm?”
“Let’s start with the doctors who work as outside directors at pharmaceutical companies. This is the status of outside directors. I only picked doctors.”
Jinhyuk took out the documents he had prepared.
These people are professors at a general hospital who also serve as outside directors.
These are executives of the Korean Medical Association who have a foothold in a pharmaceutical company.
A long list of names emerged.
Kim Moo-seong’s father, who had glanced at this, burst into a hollow laugh.
“They’re all in the internal medicine department. There are so many. Wow, really.”
“There is no justification for developing new drugs in the surgical field. Outside directors. It is a legal lobbying channel. You just have to pay them a salary.”
“There’s nothing we can do about the government’s affairs, so let’s at least stop doctors from holding concurrent positions as outside directors?”
“You can’t just block it. First, let’s introduce a mandatory reporting system. And make it public.”
In any case, it is impossible to overcome the justification of seeking advice on new drug development.
He said that doctors should be required to report to the government when they hold concurrent positions at pharmaceutical companies.
This is also a job of plugging holes.
It was not possible to completely eradicate it, but it was a minimal institutional device.
Although he did not say that it would be introduced in the future, the vice minister immediately burst into laughter.
Because I felt like an idiot standing in front of Lee Jin-hyeok.
He made a belated confession.
“The scope of the Ministry of Welfare’s work. From childcare to national pension, elderly policy, population policy, disabled policy, and welfare projects. There are too many. So please understand that this is the case.”
The health care field is only a small part of it.
When Jinhyeok looked at him without answering, Kim Moo-seong’s father smiled.
“I will report directly to my superiors. Please hand me the report.”
If it’s above, there’s only one.
Things were going well.
* * *
The only thing we have prepared right now is the status of outside directors.
Since each pharmaceutical company was disclosing its status, it was easy to find out, so I didn’t have to prepare anything separately.
That would be the case,
There are few off days.
He used to cut up that little bit of off and record it.
There was not enough time.
So Jinhyeok returned to the hospital and belatedly called up his colleagues who were exhausted after finishing their work.
A surgical clinical practice room gathered to keep secrets.
Taehee Lee asked after hearing the story.
“So what do we do now?”
“First, we need to come up with a plan.”
“The government should come up with countermeasures.”
“I told you to report to the higher-ups. It would be better if we made it ourselves. The Ministry of Health and Welfare. The scope of work is too broad. Information could leak out.”
“So, let’s work again?”
“Oh, let’s talk about America. Let’s talk about Japan.”
Everyone had a hard time, but the reaction wasn’t the same as before.
They themselves felt the seriousness of the situation as they recorded it.
Get rid of all the miscellaneous extra money that comes from opening a medical practice.
Only by breaking down the lower barriers could the application rate for the surgical field increase.
We cannot ignore the influence of the other side becoming a department that is avoided because it is too easy to make money.
No, there was no room for improvement unless thoracic surgeon salaries became the highest in the US.
The work began immediately.
“The United States introduced the Sunshine Act to prevent rebates.”
Jang Hyuk-jun’s report.
Jinhyuk asked back.
“The Sunshine Law?”
“Yes, disclose the flow of funds from pharmaceutical companies. Doctors who received money. Pharmacists. Everything is transparently disclosed.”
“Really? How much money do you spend?”
“That’s $4 billion a year, or 30% of pharmaceutical company sales.”
“and.”
Everyone couldn’t help but be amazed.
4 billion dollars.
It was a huge amount of money when converted to Korean Won. Even by today’s standards.
Jinhyuk also stuck out his tongue right away.
“What is the scope of disclosure?”
“Sending me on a trip. Giving me money. Inviting me to a vacation spot. Everything.”
“Hmm.”
“Actually, the Sunshine Act is closer to a prior regulation. There is a separate post-regulation. This is called the Kickback Prohibition Act.”
The explanation went on for a long time.
Jinhyuk shook his head when he heard this.
“I’ll leave that out for reference.”
“Should we use it as reference material?”
“That’s a country where lobbying is legal. So are kickbacks.”
As Jang Hyuk-jun continued working without objection, this time Lee Tae-hee stepped forward.
“I think the Japanese case is appropriate.”
“What about Japan?”
“I was playing around with this thing called Shikiri Price (wholesale price). But they blocked it so I couldn’t play around with it at all.”
“How did you stop it?”
“Everything is full of regulations. Even when you want to open a stall during a festival, you have to meet all the standards. You just have to submit dozens of documents.”
Regulation, and more regulation.
The hole was completely blocked.
They kept the price of medicine low.
For a moment, I thought that deflation was coming.
Other European cases were also shared.
France maintains an anti-gift law system.
Germany’s Unfair Competition Prevention Act.
Even Switzerland’s famous anti-corruption law.
Various systems targeting doctors and pharmacists were listed in an instant.
Before we knew it, dawn was just beginning.
When it was time to go for a free round, Kim Hyun-soo stepped forward.
“But if you look at other countries, they punish both the person who received the rebate and the person who gave it.”
“People often call it the double penalty system.”
“Yes, it’s a double rebate system.”
“Why? Do you think it’s okay?”
“Yes, one strike out is good. Since medical licenses can be easily revoked anyway, wouldn’t everyone be willing to accept a rebate?”
“Hmm.”
Jinhyuk let out a deep sigh.
The rebate dual penalty system that will be implemented in Korea in the future.
It was a poor system.
A pharmaceutical company that has given out hundreds of billions in rebates over the past 10 years.
They only received a fine of 500 million won.
Punishing doctors?
This was also weak.
‘China also regulates with unfair competition laws. Such a ridiculous law… … .’
Jinhyuk clicked his tongue softly and looked up at his watch.
“First of all, let’s meet again in two days.”
* * *
The more meticulous the system, the more likely it is for variants to run rampant.
Rather, it could be vocally transformed.
But everyone worked with sincerity.
That too, from time to time.
At dawn.
“There is a law in the Pharmaceutical Affairs Act that states that if you hold a product explanation session for doctors, you can provide food and beverages worth up to 100,000 won. Won’t this be abused?”
“It says that it needs to be revised.”
“And the double-wage system. Isn’t this amount too large? If it were 3 million won like in other countries, we could split it.”
“Let’s set it at 200,000 won. If you increase the amount, please make sure to include the option to receive it in installments.”
“By the way, what are you going to do about pharmacists being subcontracted to doctors?”
“That’s actually easier.”
“Easy?”
“Yes, we blocked multiple drug prescriptions last time. This time, we can just block the prescription of the same ingredients.”
Let’s release the same ingredient mixture.
Everyone was puzzled.
But soon.
“Gasmorin SR, Mosafide SR, Mofuren SR. Do you know what they have in common?”
“That’s medicine for indigestion.”
“There’s more than that.”
“hmm?”
“Different pharmaceutical companies. Different names. But the factories that make them are the same.”
“Huh? It’s the same?”
“Yes. But if the doctor suddenly changes the medicine because he doesn’t like the pharmacist, there is clearly another medicine with the same ingredients, so it can’t be used.”
“Shall we let it go?”
“yes.”
This means that the bullying that causes employees to “die!” while putting a burden on them will disappear.
The problem was that it was a sensitive issue for all doctors.
But in addition to that.
“And also… … .”
Jinhyuk started to viciously exploit only my weaknesses.
If Han Dong-soo had seen it, he would have definitely said this.
“You, Inma. Are you the devil!! Huh!”
Oh, isn’t it?
I might have praised it.
They said that they carefully cut out the rotten parts to save the essential fruits.