Why China can provide 1.4 billion people with healthcare coverage
Table of Contents
- [Music] hey how are you good I'm fine as well...
- Repute especially for the rural area all the people are covered by the basic...
- Health of the Chinese people in 2017 - the average life expectancy of the...
- Problem to fix given you know such huge population now people you know their...
- Beijing and Shanghai you will see many people from every part of China they...
- Risk these are all primary care level and they can reduce a lot the need for...
00:01
[Music]
hey how are you good I'm fine as well
hey buddy how are you how are you
I bet the phrase I am fine is one of the
first things you learn when you study
English if I'm good
but saying it right after you leave the
hospital is expensive people know this
because everybody gets sick hey Siri how
00:42
are you I can't complain well yeah of
course you can't complain you're just
software Medicare reform bill is on its
way to the present right now in my home
country American politicians are arguing
over what is the best medical insurance
and it goes nowhere
even though there's dire need for reform
how the government will regulate and
disseminate medical insurance is one of
01:15
the biggest concerns among Americans
because right now most can't afford it
so how does China make it possible for
1.4 billion citizens to get health
coverage let's go find out health care
system is a very complicated system that
is an important issue that all
governments are struggling with
[Music]
with a population of 1.4 billion Chinese
01:48
hospitals treat about eight billion
patients per year to tackle the global
challenge posed by medical insurance
China
firmly believes that an all-around
moderately prosperous society cannot be
achieved without the people's all-around
health public health should be given
priority in the country's development
strategy
[Music]
we understand that this is a human right
that people have the right to be healthy
in China the health care system is
02:19
repute especially for the rural area all
the people are covered by the basic
health insurance China created a very
unique primary care system
[Music]
in China it's marvelous that I don't
have to buy a cup of coffee before being
allowed to use the washroom not only in
the big cities but in the countryside as
well in the small villages there are
well-equipped washrooms prepared for
02:55
everyone in the larger areas of the
countryside they're upgrading the
washroom systems like China's basic
medical insurance system that covers
everybody these small but beautiful
conveniences are available and the best
part it's free for me the most
convenient thing is that you don't have
to feel embarrassed when you're in a
hurry excuse me thank you
toilets are a key indicator in measuring
03:28
the advancement of a country and their
improvement will directly affect public
health in China a toilet revolution is
sweeping across the country in 1993 the
first rural environment health
investigation revealed that only 7.5% of
the rural areas in China have toilets by
the end of 2016 the figure had gone up
to 80 point three percent and China's
target is to reach 85 percent by 2020
the introduction of the toilet
revolution harmlessly processes
03:58
excrement which effectively kills
bacteria and parasites in the excrement
and reduces the breeding of flies and
mosquitoes the oral route transmission
incidence rate in project areas has thus
dropped significantly from thirty seven
point five to twenty two point two per
100,000 people among which the
percentage of dysentery typhoid fever
and hepatitis A patient's dropped by
thirty five point two percent
twenty five point one percent and 37.3%
04:30
consequently epidemic prone diseases are
prevented and controlled right from the
start and the overall medical expenses
reduced
like the universal medical insurance the
measure improves the health condition of
the Chinese people and prevents the
occurrence of diseases the basic medical
insurance system of China is the largest
in the world in addition to cover the
employed urban population it takes care
of the urban unemployed and rural
population effectively safeguarding the
05:00
health of the Chinese people in 2017 -
the average life expectancy of the
Chinese people reach 76.4% rising to
40th place globally - becoming one of
the fastest ascending countries The
Lancet an internationally renowned
medical journal has ranked China among
the top 5 countries in the world with
the greatest medical advancement which
tributes largely to the country's
medical reform basically we'll have two
insurance insurance under the residency
05:32
insurance worker's insurance is the
manly paid by the employer under the
residency insurance and mainly paid by
the government right now the target is
that we will try to achieve with the let
individuals out pocket the payment less
than 30 percent most all governments
then ask their population to cover a
part of the costs that they out of their
own pocket w-h-o suggests a standard
06:01
that cost-sharing should not exceed 20%
despite the rising health spending as a
share of GDP in China and the falling
personal health spending in the total
health expenditure each year China still
lags behind compared to the u.s. in 2017
China's total health expenditure
amounted to 6.2 percent of its GDP and
about $560 per capita where's that of
the u.s. amounted to sixteen point two
06:36
percent of its GDP and about $9,500 per
capita China's health spending per
capita equates to only about one
seventeen to one eight paint that of the
US globally in 2014 the average world
health spending as a share of GDP
already reached nine point nine percent
where's China has yet to reach this
figure even today in 2018 the lancets
healthcare access and quality index
ranked China 48th in the world rising 13
07:07
places from the previous year but the
country must continue its hard work on
the one hand China ranks 48th on the
other hand if you look at the the band
in which China is sitting for its level
of health expenditure it is among the
highest in one of the graphs it's even
the highest achiever with the highest
performance I think the Chinese
healthcare systems do have a lot of
07:38
problem to fix given you know such huge
population now people you know their
living standards increasing they want a
much better high quality health care
the film generated heated debate in
China it tells a story of a small
pharmacy owner traveling alone to India
divided she pirated drugs to help
leukemia patients who can't afford the
patented drugs in China certain drugs
08:19
for major and serious diseases are
rather pricey which often drives
patients and their families into poverty
statistics show that the five-year
survival rate of cancer patients in
China is about 30 percent whereas in
developed countries in Europe and the
United States the rate is between 70 to
80 percent apart from the innovative
medicine swift development and the
advanced medical technology in these
countries another key reason is the
affordability of cancer drugs the costly
08:51
medical expenses are a challenge
demanding urgent solutions in China in
China the men healthcare delivered
institution public hospitals but the
common the fund a counter less than 10
percent so many of the operation money
they need a tool earn from the market
and the other side the costs arising
rapidly it's because we have this
universal coverage and that's why
another health care reform needed keep
09:21
going ah yeah we only finished the first
step
step-by-step China must continue to
intensify its medical insurance reform
to tackle the issues it's facing from
May 1st 2018 most of the imported drugs
particularly ethnic cancer drugs have
become tariff free in China which will
reduce the prices of anti-cancer drugs
left at 20% on October 10th 2018 the
medical insurance began to cover 17
09:52
additional anti-cancer drugs the newly
negotiated drug prices are on average
more than 50% lower and the payment
rates for most imported drugs after
negotiation are lower than the market
prices in surrounding countries or
regions the Chinese government aims to
provide comprehensive lifelong health
care for 1.4 billion people so they may
all receive equal medical services
[Music]
inside larger hospitals in cities like
10:30
Beijing and Shanghai you will see many
people from every part of China they
come with their luggage and family
flooding the best hospitals in the halls
of these hospitals people wait long
lines and even take up temporary
residents longing for medical treatment
the doctors are very busy they don't
even have time to smile the hospital is
one of the craziest places in China
11:00
Oh again can you help me I'm in a lot of
pain here really Clinic in China
community hospitals see few visitors
because people only trust famous doctors
from large hospitals in big cities the
situation is rather widespread Union
Medical College Hospital is one of the
best hospitals in China with so many
11:35
outstanding medical staff working here
the hospital once received over 10,000
patients in a day
in China hospitals like Union Medical
College Hospital providing high standard
medical care and treatment in and around
the area they are based account for only
seven point seven percent of the total
hospitals in China but they received
forty eight point seven percent of the
patients from across the country indeed
12:07
if I were to put my own wish list for
the next ten years it would include a
specific attention to the disparities
that exist between provinces but our
research is offending out you know in
China the income disparity is much
higher than the health disparities
because in the past eight years
government heavily invested the health
and all those results I moved to the
Western to those underdeveloped area
12:37
it's improved health status I think this
is a good sign if we want universal
health coverage we must be providing
high-quality trustworthy primary care
services with more community level
professionals that are able to deal with
most problems of China's health cleaning
for early signs of cancer general
behavioral advice in order to reduce
13:08
risk these are all primary care level
and they can reduce a lot the need for
hospital level care so now we tend to
integrate all the systems from public
health health maintenance primary care
unit area hospital combined together we
take the responsibility for the people's
houses 2019
marks a 10th anniversary of a new round
of intensified health and medical care
reform over the past decade
13:40
China has achieved universal medical
insurance coverage
but from a long-term perspective China
should pursue higher level public
medical insurance so not only can the
people afford treatment for minor
complaints but also for major diseases
moreover they should all enjoy equal
medical resources of high quality more
than that China will ensure the delivery
of comprehensive life cycle health
services for people in China it is known
as the healthy China strategy we should
14:12
be proud of what is being done because
come on me 1.4 billion people not an
easy number to work with healthy China
is not only on the windy provide the
universal coverage for the people to get
the treatment of the diseases
I think the China contribute to the
wards we can find a new way for the
health not only for disease care because
the Harris is the goal
[Music]
you hear that music on the sidewalks and
14:58
in the squares there are people dancing
you will see them dancing they call it
square dancing in China because it
usually happens in the square you know
with the growing number of elderly it is
even more important to have better
medical insurance only with that can
they continue to dance happily
[Music]
15:35
you
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