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China Healthcare Reforms: An Overview of Recent Developments

 In 2008, the Chinese government unveiled the Healthy China 2020 reforms, which were designed as long-term plans to begin a universal medical care insurance system. The aims were to style a research and technology-based system with inclusive medical health insurance programs and also improving medical care infrastructure to supply affordable care for everyone in the country. Trying to balance the expansion of coverage, the management of costs and the building from the necessary medical care infrastructure can be an immense challenge; however it is one that's being met pragmatically through testing of possible solutions.


There have been limited concrete plans once the initiative first started, however there were small-scale experiments in a few localities around the country. Restrictions on foreign companies participating in joint ventures to manage hospitals were somewhat relaxed, while one municipal health insurance in china for expats in Anhui province was permitted to experiment with splitting hospitals from pharmacies in order to control costs and prevent corruption between pharmaceutical salespeople and hospital staff. This is purported allowing the neighborhood pharmaceuticals authority to regulate bidding over drugs, especially those considered essential, and keep the expenses low


A development that soon followed was the creation of the Essential Drug List (EDL) in 2009, that was a list of 307 pharmaceuticals that were said to be adequately stocked around China in appropriate dosages at prices that the average Chinese Citizen could afford. The Essential Drug List was modified in February, 2012 to expand the set of pharmaceuticals included in the list to 800 drugs.


While the government has made efforts to cut costs and increase the degree of subsidization for patient's care, they've also made many alterations to the social insurance landscape of the nation to be able to better develop the device through which medical care is paid for. In 2011, China's State Council increased the amount of reimbursements for individuals on the urban and rural medical insurance scheme. At the same time there is also much deliberation on what expatriates in China fit to the comprehensive social insurance system which was being constructed.


The scheme which was eventually decided upon was to tax expatriates and the companies which employed them while allowing them use of the social security apparatus including retirement benefits, unemployment insurance, maternity coverage, workplace injury along with subsidized fees at public hospitals. Though the scheme exempts expatriate workers from countries which held bilateral agreements on social insurance with China, such as South Korea and Germany.

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