I have come across an article written by Michael Moreton, an American physician who lives in China for over 5 years. According to his observation and practicing experiences, when being asked the following questions, "How is healthcare funded?
He said, "Now that China has moved into a more capitalistic, entrepreneurial era, hospitals have been told that they have to finance some of their own costs. This is not an easy process for hospitals or for patients. Patients are now being asked to pay for some of their care. There is currently no system of private health insurance, although many firms are looking to start such programs."
"How is healthcare delivered?" He answered, "The alarming thing in China is the almost total absence of primary care. Even in cities, there are no independent doctors' offices or neighborhood clinics, so people have to go to the hospital for every healthcare need." (...Drive Americans nuts.)
I think this reflects the transitional state of China moving from communist society to a more open free market society. In a rapidly changing society, it is always accompanied by confusion and chaos. China can not go back to what used to be yet not ready for the structured insurance system private or hybrid. However, compared to other developing nations, China seems to do pretty well given the huge population.
Another thing worthwhile to mention is Chinese traditional doctors work with western style doctors hand by hand in the same clinical setting. Some of western style doctors also integrate part of Chinese medicine into their treatments to patients. In the United States, several medical pioneers are talking about "Integrated Medicine", but China is ahead of the game in applications though they never highlight such accomplishments. From the western perspective, it is unimaginable to see that the absence of private doctors in private offices. In China, it worked well along with their political system and still is working though they are seeking changes. Perhaps we need to allow the multiple paths to occur in healthcare. Every trajectory has its own merits and deficiencies. The worries of many Americans are not considered as threats to Chinese. Every path will find its way to the mountain top with its own twists and turns. We need to keep an open mind regarding healthcare delivery, whatever works most productively and economically is the most important thing. Let's put the argument and bias aside and focus on best solutions.
French society is operated by the principle of "solidarity" that each contributes to social programs according to ability to pay. The french social protection umbrella includes protection related to health,family and old age. Protection against the costs of illness is accomplished primarily through the Sickness Insurance Funds (SIF). According to ITUP report, the idea of rationing healthcare is culturally unacceptable in France. The increasing role of supplementary health insurance allows the French system to avoid rationing. But the structure of French insurance demanding
the employer pays 12.8% of each employee’s salary and employees pays 0.75% of their salary to insurance fund. Is this viable in US? Doubtful...with the financial storm sweeping across the heart of American economics, many corporations are reluctant to take more responsibilities on employees' insurance needs. On top of this, American companies are concerned of their competing edges on global market shares. Any slight change places them to the higher overhead would be opposed. Although there are segments in American society desire to have the French like benefits. The lengthy and restful maternity leave is unlikely to happen in US soil in the foreseeable future. French flower and American soil seem to be unlikely to agree on each other. The French flower transplanting is bound to be choked to wither. I hope to learn more in the class presentation of French endeavors.
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