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Ho'oraa tinihanga


Rongoā te tinihanga ngā mahi e hua i roto i te kerēme teka ki ngā kairīanga hōtaka ranei, pērā i Medicare i roto i te United States ōrite rānei te kāwanatanga i ngā hōtaka mō te pūtea ki te riro i te kamupene ho'oraaTe reira e rave rahi rerekē ki te kaupapa e whakamahia ana ki te tukino te tiaki i te hauora o te pūnaha e ngā ki te ho'oraa ahumahi. Ko ētahi o ēnei: Pai Ahumahi Mahi (GMP) Maumaui, Tapanga Atu Hokohoko, Pai Utu te Tinihanga, CME Tinihanga, Medicaid Utu i te Pūrongo, me te Hangaia Pūhui raau Taero. Tauira o te tinihanga te wā whakauru i te GlaxoSmithKline tara piriona te whakataunga, Pfizer tara. Pakaru i te tinihanga e taea te whakaora i te whakamahi o te Kerēme Teka Ture, te nuinga nuitia i raro i te qui tam tikanga e utu i te takitahi mō te 'whistleblower', ranei relator (te ture). Te reira e rave rahi rerekē ki te kaupapa e whakamahia ana ki te tukino te tiaki i te hauora o te pūnaha e ngā ki te ho'oraa ahumahi. Whai wāhi te tukino, ki te Pai te Ahumahi Mahi (GMP) ngā Ture e rapu utu i te kamupene ki te whai i te āta rite rawa te whakangao whakaurunga, āta whakangungua kaimahi, pākaha mana i runga i te tukanga ahumahi, e tika ana taiwhanga mana, oti, me te tika i ngā pūkete, ngā pūrongo, e tika ana hua oti te whakamātautau, me te pera i runga i. Ki te etahi maumaui o te Pai Ahumahi Mahi Ture kia te pūtake mō te Kerēme Teka Ture ina tohe ia.

Ahakoa rata kia te whakahau taero mō atu-tapanga whakamahinga mohiotia rite atu-tapanga hokohoko, te Kai me te Drug Whakahaere (FDA) opani tarukino kaihanga i te hokohoko ranei te whakatairanga i te tarukino mō te whakamahi e te FDA kua kore e whakaaetia.

Te kaiwhakanao hetia"misbrands"i te tarukino ki te raau taero o te tapa i ngā mōhiohio e pā ana ki tona akiri whakamahinga.

Te tarukino kei te kiia misbranded kore tona tapa pea e tika ana ngā tohutohu mō te whakamahi.

I te marae kua whakaae ki te FDA e te Kai Tarukino, me te Paku Act (FDCA) titau ngā mōhiohio e kore e anake i runga i pehea ki te hua, ko te ki te kia whakamahia (hei tauira, te inenga, me te whakahaere), engari ano hoki i runga i te katoa te tikanga o te whakamahinga o te hua. I roto i te, whistleblower Rawiri Franklin kaha i roto i te take i raro i te Kerēme Teka Ture ki Warner-Lambert, hua i roto i te tara miriona whakataunga i roto i te Franklin v. Parke-Davis take Te reira i te tuatahi off-label te whakatairanga i te take pai mai ana i raro i te Kerēme Teka i te Ture i roto i te U. s. history Waha tauākī me ngā rauemi i te aroaro o-ahumahi tautoko pūtaiao, me te mātauranga i ngā mahi kia whakarato taunakitanga o te hua o te tikanga whakamahi. Ki te enei tauākī rauemi ranei te whakatairanga i te whakamahia e ko maiorooro ki te hua o te whakaaetia te tapanga, te hua ko te misbranded i raro i te FDCA mō te kore ki te whai tapanga ki te e tika te tohutohu hoki te katoa te tikanga e whakamahia. Te feruri korerotia e te kaiwhakanao ki te rōpū hāhi MIHINARE i roto i te toru marama te pūrongo i raro i te Medicaid Moni te Hōtaka, ko te reira i whakamahia ki te tātai i te Medicaid utunga auau. E parauhia te reira te rite te utu i raro e wātea ana ki te tetahi wholesaler, toa, te kaiwhakarato, te hauora, te tiaki organization (HMO), nonprofit hinonga, te käwanatanga. BP katia utu ki te Indian Ratonga Hauora (IHS), te Tari o te Veterans Affairs (DVA), te Tari o te Korero (DOD), te Public Health Service (PHS), B hipoki hinonga, e Hānga ana, Homai Hōtaka (FSS), state rongoā ki te āwhina i ngā hōtaka, depot utu, me te utu iti. BP ngā moni utu me te utu taonga e contingent ki runga ki te hoko, te rōrahi pä, me te huahoko. Ki te te tinihanga puta rite te kaiwhakanao teka whaiaro-pūrongo ona Utu Pai. I roto i te tikanga ki te whakaiti i nga moni nama ki te āhua i raro i te Medicaid Tarukino Moni i te Hōtaka, te tahi mau kamupene faainoraa a te rauemi meka e pā ana ki te ture takenga mai tūnga o ratou ingoa waitohu raau taero, te MAORI, me te utu pai. Ahakoa te Kāwanatanga o te whakapono pai kitá ki te tiaki kaihanga i te wae moni nui e hāngai ana ki runga ki te kaiwhakanao ake kanohi o te tarukino mana, me te utu, ētahi o ngā kaihanga i murere, me te whānako, takahia ai ratou fatongia ki te mahi pono ki te Kāwanatanga. Ngā aratohu FDA whakamana taka rongoā ki te"pūhui"ranei te uru te rongoā anake i roto i te whakautu ki te rata o te tika whakahaunga. Tenei riro, o te akoranga, e te rata e hiahia ana e te rongoā kia kaha kē atu. Te ture anō i rapua e te whakauru ranei i kaha kē atu rongoā hauora tika, me te kore e arumoni wātea. Ture e liunga ngā pūhui o te kai pērā i te kaha kē atu raau taero e muimui ki te commercially wātea rongoā, e pā papatipu ahumahi o te raau taero i raro i te guise o te pūhui. Federal ture, tae atu ki te Pokapū mo te Medicare and Medicaid Ratonga (CMS) aratohu me te ture o te tahi atu i te Kāwanatanga ki te Hauora Hōtaka, ka rāhuitia e te kapinga o ngā kerēme mō te"i kaha kē atu"te rongoā a, no te te kerēme e tuku i te kamupene e he papatipu whakangao te moni nui o te akiri te raau taero i roto i te ofatiraa o te Hānga ana i te Kai Tarukino, me te Paku Act (FFDCA), i raro i te guise o"pūhui."Kickbacks e utu pērā i te moni, whakapaipai, free hararei, rangatōpū tautoko huihuinga, ranei te tahi atu te hunga e tahoro ana te hakari e whakamahia ana ki te whakawai ngaio hauora ki te whakamahi motuhake ratonga hauora. Tenei i taea e te iti te moni kickback mo te whakamahi o te MRI, no te kore e hiahiatia ana, ranei te hunga e tahoro ana i te tākuta manawanui, e taui te pūtea e te kamupene ho'oraa ki te whakawai te whakahaunga, me te whakamahi o te raau taero.