None of what I said detracts from China's success in eradicating extreme poverty.
That said, the majority of Chinese households are still significantly less well off than their peers in other upper middle income countries as stats have shown multiple times.
I don't see why anyone would be so virulently opposed to moving some industrial subsidy spend to expanding healthcare, revamping the current insurance system, providing better quality schools to reduce the cost burden lower tier Chinese households have when spending on education, increasing rural retirement pensions, reforming Chinese income taxes to be less regressive, etc.
Raising household disposable incomes by $2000 a year would help increase GDP growth from 4% to 5% (back of the napkin math) - and that too in a sustainable manner. And this is something that is fairly doable by expanding social services and welfare accessibility. This would also solve much of the overproduction problem that has lead to trade wars globally.
> I don't see why anyone would be so virulently opposed to moving some industrial subsidy spend to expanding healthcare...
This is because many media outlets, whether intentionally or unintentionally, promote the 'China collapse theory,' making it difficult to draw reliable conclusions from curated information.
Take the FT article you cited earlier as an example. As someone living in China with parents who have chronic illnesses, let me describe what healthcare is actually like here:
My father and grandfather both have diabetes. They use NovoRapid insulin at about 40 RMB(6 USD) per pen, requiring 1-2 pens monthly (totaling 100 RMB, 14 USD). Domestic Chinese brands cost roughly half that price.
My mother and I have hyperlipidemia. Lipitor costs about 70 RMB(10 USD) monthly, while domestic alternatives cost around 10 RMB (2 USD).
China's healthcare system features centralized procurement policies where the government negotiates directly with pharmaceutical companies. To have your products included in the insurance formulary and reach more patients, manufacturers must reduce prices.
While this system has some issues (which we could discuss later), nearly all medications—including imported ones—are significantly cheaper in China than in the US.
Two years ago, my grandfather spent his final two weeks in ICU at a cost of 120,000 RMB (16700 USD). Insurance covered 100,000 RMB (14000 USD), leaving us with 20,000 RMB (2700 USD) out-of-pocket.
Regarding insurance coverage:
Rural and urban insurance have different reimbursement rates, but generally cover over 50%.
My parents' retirement income is about 4,000 RMB (560 USD) monthly—relatively high for urban workers. In tier-3/4 cities, most retirees receive over 1,000 RMB
(140 USD)monthly.
Now examining your cited article: Those two farmers never participated in any insurance programs. Having never contributed to:
- Pension funds (hence receiving only the minimum 150 RMB, 20USD monthly—standards vary by city, e.g., ~1,400 RMB,200USD in Shanghai)
- Medical insurance (400 RMB lowest level, 55USD annually, fixed.), making them ineligible for reimbursements. Rural insurance even allows retroactive payments-coverage begins three months after payment, regardless of preexisting conditions.
While such cases exist, they're exceptionally rare. In my entire life, I've only known two families who didn't enroll in insurance—both were wealthy enough to purchase private coverage.
That said, the majority of Chinese households are still significantly less well off than their peers in other upper middle income countries as stats have shown multiple times.
I don't see why anyone would be so virulently opposed to moving some industrial subsidy spend to expanding healthcare, revamping the current insurance system, providing better quality schools to reduce the cost burden lower tier Chinese households have when spending on education, increasing rural retirement pensions, reforming Chinese income taxes to be less regressive, etc.
Raising household disposable incomes by $2000 a year would help increase GDP growth from 4% to 5% (back of the napkin math) - and that too in a sustainable manner. And this is something that is fairly doable by expanding social services and welfare accessibility. This would also solve much of the overproduction problem that has lead to trade wars globally.