By Åke Blomqvist
Serious problems arose in the health care sector when China introduced market-based methods of economic management, as rising out-of-pocket costs impoverished families and many went without needed care. In response, China has expanded its social insurance system, with different plans now covering 95% of the population. Since 2009, government is more actively managing the primary care system, and controlling the cost of pharmaceuticals. Below, Åke Blomqvist discusses how China’s health policy has drawn on the experience of many different countries, and local governments use a variety of approaches in implementing central health policy guidelines, and suggests that lessons learned from local experiments will influence the system’s future direction.