Implementing Health Care Reform Policies in China

China’s health system has spanned the antipodes of potential health system models, ranging from a pure government delivery model to one radically driven by profit incentives, and now China is seeking a hybrid to suit its hybrid economy. After an extensive and remarkably public debate that featured clashes between the “government approach faction” and the “market approach faction,” China has settled on a mixed vision that guarantees a level of basic universal health security while permitting market space to meet additional demands. To realize this vision, the government along with the Central Committee of the Communist Party announced a major comprehensive health reform effort in April 2010, committing RMB 850 billion over three years to the project, even amid a major economic recession.

In this report, American and Chinese experts examine how health reform is being implemented in China, as well as the challenges and opportunity reform is facing.