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In China, Rx for Ailing Health System

Wall Street Journal Original article ›

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Problems with China's health care system stem form years of underspending. About 1% of GDP went to healthcare in 2006,according to the WHO, ranking China at No. 156 of 196 nations. This underinvestment has caused great hardship to the rural poor who have postponed or been denied access to healthcare because of exorbitant expenses. It shows up in the number of trained medical workers- only 17% of China's medical workers are university graduates. In village and township clinics the number falls to 2%. The government has dedicated $121 billion for health care through 2011. But this may not be enough. Aobut 300 million in the rural areas have no coverage at all. The government's plan is to get farmers insured through county level rural- cooperative insurance plans. These programs begun in 2003, offer only scanty coverage. Outpatient services and medications are not covered and coverage varies from county to county for hospitalization bills. The goal of th health ministry is to get the coverage for hospitalization bills up to 50%.

China's dysfunctional health system and burden on middle class household finances.

12/30/2005

the whole system is geared to providing more expensive care with upfront cash required even if you have insurance or care is refused, and the private sector offers very little insurance. Government insurance coverage is also inadequate. Two thirds of China's people have no insurance at all.

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China's health care reforms and increased spending on health care fall short of what is needed.

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China's increased health care spending of $16 billion by the central government in each of the years 2009-2011 is clearly inadequate. Over 200 million are uninsured and the health care system jacks up the costs so much with expensive tests and pills that the poor tend to shun hospitals. The current plan puts off government financed health coverage for 90% of the population till 2020.

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