Concerns Over Ineffective Generic Drugs Ignite Public Outcry in China

Sat Jul 19 2025 11:27:59 GMT+0300 (Eastern European Summer Time)
Concerns Over Ineffective Generic Drugs Ignite Public Outcry in China

Chinese citizens express growing dissatisfaction with the effectiveness of generic drugs, prompting government reassurance amid fears for patient safety.


Rising public concerns regarding the quality of generic medications have sparked unprecedented criticism of the healthcare system in China, which is already facing immense pressure from an aging population and financial strains.

In recent weeks, a surge of anxiety has surfaced in China about the effectiveness of generic drugs supplied by public hospitals, leading to an unusual level of public dissent regarding government policies. While doctors claim that the current drug procurement system favors low-cost generics over effective medications, officials have downplayed these concerns, arguing that perceptions do not reflect reality.

The controversy began in December with the release of contracts for nearly 200 pharmaceutical companies to supply public hospitals. The majority of these contracts went to domestic producers of generic medications, escalating worries about drug quality and efficacy. This debate reached a new height earlier this year when a video featuring Dr. Zheng Minhua, the head of a Shanghai hospital department, virally spread. He highlighted disturbing issues related to the medications, including ineffective antibiotics and laxatives. His comments resonated with many, leading to widespread discussions on social media, though much of it has since faced censorship.

Amidst this backdrop, patients have begun sharing their own negative experiences with generic drugs on platforms like Weibo and Xiaohongshu. One user expressed frustration with a laxative that failed to work, illustrating a growing distrust in prescribed generics. Many have started to seek original brand-name medications instead, believing they are more effective.

The procurement strategy, introduced in 2018 to manage healthcare costs, compels local governments to solicit bids from drug manufacturers for about 70% of the medications needed by state hospitals. This system aims to enhance affordability but often inadvertently pushes manufacturers to compromise on quality in order to remain competitive in pricing. General sentiments toward this arrangement culminated in a trending Weibo topic questioning the safety of medications priced as low as one cent.

While the cost-saving initiatives have reportedly saved Chinese citizens over $50 billion, experts contend that the pressure to achieve low prices may lead to substandard drug production. Concerns have also emerged regarding the reliability of efficacy data for these generics, prompting calls for more stringent quality control measures.

The current drug procurement issues coincide with a broader crisis in the Chinese healthcare sector, exacerbated by a rapidly aging population that is straining medical resources. The financial challenges faced by local governments and public medical insurance funds further complicate the landscape, evidencing an urgent need for reform.

As the government acknowledges the criticism surrounding the procurement system, experts and citizens alike are advocating for improvements in drug evaluation processes and stronger regulations to ensure patient safety. The public calls for change signal a crucial juncture for China's healthcare system, balancing cost effectiveness with the imperative of delivering safe and effective medications to its citizens.

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