Implementing Health Care Reform Policies in China

Challenges and Opportunities

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.

Charles Freeman
Senior Adviser (Non-resident), Freeman Chair in China Studies

Xiaoqing Lu Boynton