Healthcare in China

May 8, 2019

After 1949, China’s government established the country’s first national health system more or less from scratch. However, the US National Library of Medicine reports, “the well-established cooperative medical system for the rural areas collapsed within a short time period after the economic reforms in China in the late 1970s, leaving the vast majority of the rural population without health care. In 1999, only 7% of the 900 million rural residents had some kind of health insurance coverage.”

Then in 2003, China’s government again took steps to reform the health care system that had collapsed in the late 1970s, and as you read this post, you will discover that today 95-percent of China’s population has some level of health care.

InterNations.org says, In 2011, new social insurance legislation set out to reform China’s healthcare system, and there are now three insurance programs providing basic coverage for 95% of the population.”

One: The Urban Employee Basic Medical Insurance (UEBMI) applies to workers and employees living in cities. Their contributions are deducted from their salary via payroll taxes.

Two: The Urban Resident Basic Medical Insurance (URBMI) covers the non-working population in Chinese cities, such as children, the elderly, etc. The scheme is partly financed through contributions from individual households, but mostly through government subsidies.

Three: The New Rural Cooperative Medical System (NRCMS) is supposed to revitalize healthcare in China’s countryside. Funds are raised through a mixture of individual contributions, support from collective enterprises, and government subsidies.

In 1949, the life expectancy in China was only 37 years. In 2018, Reuters reported that China has overtaken the United States in healthy life expectancy at birth for the first time, according to World Health Organization data. Chinese newborns can look forward to 68.7 years of healthy life ahead of them, compared with 68.5 years for American babies, the data – which relates to 2016 – showed.” …

While the quality of lifestyles and health care is improving for China’s citizens, what is happening in the United States? “The United States was one of only five countries, along with Somalia, Afghanistan, Georgia and Saint Vincent and the Grenadines, where healthy life expectancy at birth fell in 2016, according to a Reuters analysis of the WHO data, which was published without year-on-year comparisons in mid-May.”

Lloyd Lofthouse is the award-winning author of My Splendid Concubine, Crazy is Normal, Running with the Enemy, and The Redemption of Don Juan Casanova.

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