Despite China’s economic growth has been impressive during the last years, only now the environmental and health impacts are beginning to be registered. Public health problems have important implications for political stability. In fact, the political factor in China is particularly problematic because the Chinese government is the primary provider and payer of healthcare, unlike in other countries such as the US and the UK. Since political legitimacy in China is performance-based, poor health indirectly hurts the regime’s standing by jeopardizing the country’s economic growth. As a result, healthcare spending as a percentage of GDP declined as China’s economy was growing. China has recently acknowledged that it has a problem which only foreign expertise and capital can fix. Consequently, it is reforming its Foreign Direct Investment (FDI) Catalogue, and associated sector-specific regulations, to accommodate more foreign involvement.The government is giving investors much greater access to the healthcare sector towards foreign direct investment (FDI). It is important to underline that the majority of the people are covered by state health insurance schemes, but coverage is usually limited and a large portion of medical fees are often paid out of pocket. Foreign investments could be a positive tool to improve the situation. Chinese hospitals also suffer a lack of funding and there is a large gap in quality between urban and rural care, often leading to high rates of bribery that has made it harder for China's poor to get access to healthcare. In short, China should put more attention on the healthcare costs carried by the government. The reimbursement scheme between public hospitals, doctors and the national insurance plan need to be fixed. The gLAWcal Team LIBEAC project Wednesday, November 12, 2014 (Source: Healthintelasia.com)

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