**China's Generic Drug Crisis Fuels Public Outcry Amid Efficacy Concerns**

Sat Jul 19 2025 11:29:31 GMT+0300 (Eastern European Summer Time)
**China's Generic Drug Crisis Fuels Public Outcry Amid Efficacy Concerns**

China's healthcare system faces rare public backlash over ineffective generic drugs, prompting government response.


Recent allegations from doctors about the safety of generic medications challenge an already strained healthcare framework in China.

In a remarkable event of public discontent, Chinese citizens have expressed their frustrations regarding the growing ineffectiveness of generic drugs administered in public hospitals. This uproar emerged as healthcare professionals voiced concerns over a procurement system favoring cost-cutting measures detrimental to patient safety. State media officials, however, countered that these worries stem from individual perceptions rather than empirical evidence.

The controversy surfaced last December when nearly 200 pharmaceutical companies were awarded contracts to supply medicine to state hospitals, predominantly from domestic generic manufacturers. This issue gained further traction following a viral interview where a Shanghai hospital director, Zheng Minhua, voiced troubling examples of substandard drugs, including ineffective antibiotics and laxatives. His remarks quickly resonated with the public, leading to a social media slogan that encapsulated the sentiment against questionable drug efficacy, despite heavy censorship on platforms like Weibo.

Numerous social media users echoed Zheng's concerns by sharing personal experiences of frustrating treatments, such as one user who noted that laxatives prescribed for surgery failed to work, forcing them to seek alternative remedies. The crisis of confidence in generic medications escalated as some people began to bypass doctors’ prescriptions in favor of original-brand drugs they felt were more reliable.

The government’s reassurances did little to mitigate the rising doubts. Doctors pointed out that the current procurement system, established in 2018 to slash medicine costs, often coerces manufacturers into compromising quality standards to maintain profitability. As a result, concerns surrounding the pricing of essential medications, such as an aspirin tablet sold for less than one cent, have raised eyebrows and prompted discussions about the viability of such low-cost solutions.

Although China has established itself as a formidable player in the global generic drugs market, experts caution that stringent quality control measures must be instituted to maintain public trust in these essential medications. Medical authorities have acknowledged the public's safety concerns, yet it remains to be seen whether meaningful reforms will emerge.

As the aging population continues to push China's healthcare system to its limits, financial constraints in public medical insurance are exacerbating the situation. Violence against medical professionals has intensified, reflecting rising anger among patients over dwindling resources and trust in the healthcare system.

Authorities have begun to recognize the issue but face an uphill battle in implementing swift changes. While they proclaim their commitment to enhancing the procurement framework, the pressing need for improved drug safety standards remains paramount amidst growing public unrest.

The current crisis surrounding China's drug procurement strategy is not just a matter of cost savings but has evolved into a crucial trust issue, pushing the healthcare system into unchartered waters. As the public outcry continues, the response from the government will ultimately determine whether it can restore faith in an essential aspect of public health.

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