Editing People's Republic of China

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=== Healthcare===
=== Healthcare===
In the Mao period, China built one of the developing world's most robust public healthcare systems, based on rural primary care, [[barefoot doctors]], and regular mass campaigns, known as "patriotic health campaigns." Since the beginning of the reform period, China's healthcare system has gone through a number of phases. After an unfortunate period of regression and privatization, China has spent the last decade making rapid progress towards a new universal healthcare system. A 2020 study in the ''British Medical Journal (BMJ)'' summarizes many of the goals and programs of China's recent health reforms:<blockquote>Priority was given to expanding the scope and health service package of the basic insurance coverage, improving provider payment mechanisms, as well as increasing the financing level, fiscal subsidies and reimbursement rates. [...] The government has increased investment in primary care, with initiatives that include strengthening the infrastructure of primary healthcare (PHC) facilities, expanding human resources for primary care through incentives and supporting projects, establishing a general practitioner system and improving the capacity of PHC personnel through training and education, such as general practice training and continuous medical education programmes. [...] The ‘equalization of basic public health services’ policy implemented the national BPHS programme and the crucial public health service (CPHS) programme. [...] This policy seeks to achieve universal availability and promote a more equitable provision of basic health services to all urban and rural citizens.<ref>Wenjuan Tao, Zhi Zeng, et al. ''Towards universal health coverage: lessons from 10 years of healthcare reform in China.'' BMJ Global Health. {{Doi|10.1136/bmjgh-2019-002086}}</ref></blockquote>The New Cooperative Medical Scheme (NCMS) was rolled out in China from 2003-2008 which provided insurance to 800 million rural Chinese. A study found that there was a significant decline in aggregate mortality, with the program saving more than one million lives per year at its peak, and explaining 78% of the entire increase in life expectancy in China over this period.<ref>[https://www.nber.org/papers/w31423 The Largest Insurance Expansion in History: Saving One Million Lives Per Year in China - Jonathan Gruber, Mengyun Lin & Junjian Yi]</ref>The 2020 study goes on to note that China has made significant progress towards meeting its reform goals, and building a developed and equitable universal healthcare system:<blockquote>During the past 10 years since the latest round of healthcare reform, China made steady progress in achieving the reform goals and UHC [i.e. universal health coverage].</blockquote>Another paper, also from the ''BMJ,'' summarizes the recent improvements in China's health outcomes, as well as access to, and cost of, healthcare:<blockquote>The results include the following: out-of-pocket expenditures as a percentage of current health expenditures in China have dropped dramatically from 60.13% in 2000 to 35.91% in 2016; the health insurance coverage of the total population jumped from 22.1% in 2003 to 95.1% in 2013; the average life expectancy increased from 72.0 to 76.4, maternal mortality dropped from 59 to 29 per 100 000 live births, the under-5 mortality rate dropped from 36.8 to 9.3 per 1000 live births, and neonatal mortality dropped from 21.4 to 4.7 per 1000 live births between 2000 and 2017; and so on.<ref>Wenjuan Tao, Zhi Zeng, et al. ''Towards universal health coverage: achievements and challenges of 10 years of healthcare reform in China.'' BMJ Global Health. {{Doi|10.1136/bmjgh-2019-002087}}</ref></blockquote>China’s round of health system reform in 2009 has made good progress. Almost everyone is covered by the social health insurance system and basic public health service package, and unmet health needs and inequities have decreased. In 2003, 29.6% was the proportion of patients who were advised by doctors that they needed treatment in hospital but did not use inpatient care. By 2013, that number dropped to 7.4% In 2000, 50% of health expenditures were out of pocket, this has decreased to 28% in 2017.  In 2000, infant mortality was 25.2%, this decreased to 3.8% by 2017.<ref>[https://www.bmj.com/content/bmj/365/bmj.l2349.full.pdf '''What can we learn from China’s health system reform?''' - 2019 By Qingyue Meng]</ref>
In the Mao period, China built one of the developing world's most robust public healthcare systems, based on rural primary care, [[barefoot doctors]], and regular mass campaigns, known as "patriotic health campaigns." Since the beginning of the reform period, China's healthcare system has gone through a number of phases. After an unfortunate period of regression and privatization, China has spent the last decade making rapid progress towards a new universal healthcare system. A 2020 study in the ''British Medical Journal (BMJ)'' summarizes many of the goals and programs of China's recent health reforms:<blockquote>Priority was given to expanding the scope and health service package of the basic insurance coverage, improving provider payment mechanisms, as well as increasing the financing level, fiscal subsidies and reimbursement rates. [...] The government has increased investment in primary care, with initiatives that include strengthening the infrastructure of primary healthcare (PHC) facilities, expanding human resources for primary care through incentives and supporting projects, establishing a general practitioner system and improving the capacity of PHC personnel through training and education, such as general practice training and continuous medical education programmes. [...] The ‘equalization of basic public health services’ policy implemented the national BPHS programme and the crucial public health service (CPHS) programme. [...] This policy seeks to achieve universal availability and promote a more equitable provision of basic health services to all urban and rural citizens.<ref>Wenjuan Tao, Zhi Zeng, et al. ''Towards universal health coverage: lessons from 10 years of healthcare reform in China.'' BMJ Global Health. {{Doi|10.1136/bmjgh-2019-002086}}</ref></blockquote>The New Cooperative Medical Scheme (NCMS) was rolled out in China from 2003-2008 which provided insurance to 800 million rural Chinese. A study found that there was a significant decline in aggregate mortality, with the program saving more than one million lives per year at its peak, and explaining 78% of the entire increase in life expectancy in China over this period.<ref>[https://www.nber.org/papers/w31423 The Largest Insurance Expansion in History: Saving One Million Lives Per Year in China - Jonathan Gruber, Mengyun Lin & Junjian Yi]</ref>The 2020 study goes on to note that China has made significant progress towards meeting its reform goals, and building a developed and equitable universal healthcare system:<blockquote>During the past 10 years since the latest round of healthcare reform, China made steady progress in achieving the reform goals and UHC [i.e. universal health coverage].</blockquote>Another paper, also from the ''BMJ,'' summarizes the recent improvements in China's health outcomes, as well as access to, and cost of, healthcare:<blockquote>The results include the following: out-of-pocket expenditures as a percentage of current health expenditures in China have dropped dramatically from 60.13% in 2000 to 35.91% in 2016; the health insurance coverage of the total population jumped from 22.1% in 2003 to 95.1% in 2013; the average life expectancy increased from 72.0 to 76.4, maternal mortality dropped from 59 to 29 per 100 000 live births, the under-5 mortality rate dropped from 36.8 to 9.3 per 1000 live births, and neonatal mortality dropped from 21.4 to 4.7 per 1000 live births between 2000 and 2017; and so on.<ref>Wenjuan Tao, Zhi Zeng, et al. ''Towards universal health coverage: achievements and challenges of 10 years of healthcare reform in China.'' BMJ Global Health. {{Doi|10.1136/bmjgh-2019-002087}}</ref></blockquote>In short, while China's healthcare system is not perfect, it is certainly moving in the right direction. As with many other aspects of China's socialist construction, this provides a model for other developing nations; according to the aforementioned ''BMJ'' study:<blockquote>The lessons learnt from China could help other nations improve UHC in sustainable and adaptive ways, including continued political support, increased health financing and a strong PHC system as basis. The experience of the rapid development of UHC in China can provide a valuable mode for countries (mainly LMICs) planning their own path further on in the UHC journey.</blockquote>This is another benefit of China's rise to prominence on the world stage. China demonstrates to the world that it is possible for a desperately poor country to rise from poverty, develop its economy, and meet the needs of its people.
 
In short, while China's healthcare system is not perfect, it is certainly moving in the right direction. As with many other aspects of China's socialist construction, this provides a model for other developing nations; according to the aforementioned ''BMJ'' study:<blockquote>The lessons learnt from China could help other nations improve UHC in sustainable and adaptive ways, including continued political support, increased health financing and a strong PHC system as basis. The experience of the rapid development of UHC in China can provide a valuable mode for countries (mainly LMICs) planning their own path further on in the UHC journey.</blockquote>This is another benefit of China's rise to prominence on the world stage. China demonstrates to the world that it is possible for a desperately poor country to rise from poverty, develop its economy, and meet the needs of its people.


===Democracy and popular opinion===
===Democracy and popular opinion===
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