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 竹新社
elegram is updating its messaging app with options for auto-deleting messages, expiring invite links, and new unlimited groups, the company shared in a blog post. Much like Signal, Telegram received a burst of new users in the confusion over WhatsApp’s privacy policy and now the company is adopting features that were already part of its competitors’ apps, features which offer more security and privacy. Auto-deleting messages were already possible in Telegram’s encrypted Secret Chats, but this new update for iOS and Android adds the option to make messages disappear in any kind of chat. Auto-delete can be enabled inside of chats, and set to delete either 24 hours or seven days after messages are sent. Auto-delete won’t remove every message though; if a message was sent before the feature was turned on, it’ll stick around. Telegram’s competitors have had similar features: WhatsApp introduced a feature in 2020 and Signal has had disappearing messages since at least 2016.
A project of our size needs at least a few hundred million dollars per year to keep going,” Mr. Durov wrote in his public channel on Telegram late last year. “While doing that, we will remain independent and stay true to our values, redefining how a tech company should operate.
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