lundi 15 juillet 2013

The Chinese health

China in 2009 launched a health reform, with a three-year plan supported by a special budget of 850 billion yuan (110 billion euros). The first results are there. Now, 98% of the Chinese population is covered by social insurance, although coverage is still very small, even trivial to some. "This is progress, says Professor Gordon Liu, a professor at the Guanghua School of Management of Peking University, but now it remains to raise the share paid by the Social Security compared to the insured, knowing that it is currently only 50% and it is expected to rise to 75%. "Other challenges, he said," to open the health of the private sector, and to the profession of doctor a profession. " The share of health in the Chinese GDP remains low at 5.1% in terms of the effort to other emerging countries.


The health system, however short, that existed during the Maoist era was dismantled when China embarked on the path of reforms thirty years ago. The first victims were poor and rural. There is always a two-tier medicine. One for the "urban workers", which has adequate coverage through their employer. One for rural and urban self-employed. "Medical costs are too high compared to the income of Chinese, said Professor Gordon Liu, the average income is $ 5,000 per year, while the average expenditure for hospitalization is 20,000 yuan ($ 3200)." If one has no money and no connections, the course in a Chinese hospital is difficult, and we can wait long bed or care. Corruption is a scourge. Public hospitals in large cities are monsters, and Beijing has begun to develop a network of community facilities gill territory. It is also to change their economy. Hospitals are funded primarily from the sale of drugs, knowing they make 90% of prescriptions-by puncturing about 15% of sales.

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