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As the U.S. continues to grapple with what the Supreme Court decision last week will mean for their health care coverage, China has begun to experiment with their own reforms. In the U.S. our policies left millions without health insurance, and individuals struggled with bankruptcy and chronic illnesses. In China, the situation has deteriorated to a point where patients stab their doctors, hospitals have police stations, and demonstrations are held several times a month in front of the public hospital where I work. I’ve written about China’s hospitals before in Storming the hospital and Chinese doctors speak out about China’s health The reforms being tried in all of Shenzhen’s public hospitals and one of Beijing’s look to address one of the key underlying issues – over prescription. When […]


After reading an article about the myriad problems facing China’s health system, I asked the doctors in my medical English class to briefly reflect on the system based on their own ideas and opinions. Of the 17, 15 doctors wrote that China’s system faced serious challenges. The following are excerpts from their papers that I think accurately reflect the challenges currently facing China’s health. I have not fact checked them, and in some cases I’m fairly certain they aren’t accurate, but that the doctors believe these statistics is revealing. This one echoed many of the main points of the other doctors. “For patients, medical services are too expensive. It is said that the average cost is about 500 yuan for a common cold in a […]


Recently I had the chance to discuss the fascinating article, “The Sick Man of Asia” with the doctors at my hospital. The author, Huang Yanzhong, argues that despite China’s seemingly impressive gains in health over the past 60 years, they are lagging behind its economic growth. Furthermore, the author seems to argue that the average Chinese person (as far as health is concerned) saw greater benefits from Mao’s time in power than during Deng, Jiang, and Hu. The author argues that Mao’s regime was able to make large gains because they focused on bringing medicine to rural populations. Huang also shows that the chaos of the Cultural Revolution caused the bureaucratic powers of the Ministry of Health to retreat, while millions of doctors were sent […]


Today my co-worker informed me that she would be sending her 14 year-old son to study in New Zealand, and she was understandably sad about it. For the last year he has struggled to meet the school’s standards, but has been left behind by teachers who care more about their own performance bonuses than helping him reach his potential. He is a good kid, who simply does not fit the model of Chinese education. His family feels like there are no decent choices for educating him in China, but hate to be separated. My co-worker revealed part of the problem when she explained that every night he’s given hours of homework focused on memorizing answers. He doesn’t see the point, and she doesn’t either. After […]


Continued from yesterday  When life satisfaction disconnects from GDP growth, it has to be met in other ways to ensure the Party’s rule, and I believe we are approaching that moment. Today we will be looking at some of those options. Note: while I do not have access to a crystal ball, I’m putting time frames on these issues to emphasize that these are not things that will be changed instantly, and to clarify the order in which they may happen. Lowering Costs (The Present) The Party knows that even though many Chinese people are far richer than their parents, many of them still cannot afford many of the basic appliances that can improve living standards. This is why the gov’t offers generous subsidies to […]


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