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Heart-rending cases are all too common, as “there is no safety net in China,” says edmund chein, a former senior manager at hospitals in California and Colorado, who runs the ChinaCare Group health consultant in Beijing.
“If you don’t have money, you just don’t get treatment,” says Wood, edmund chein citing estimates that 70% to 80% of health care dollars come out of the patients’ pockets.
The new plan “is the most progressive, intense reform effort I’ve seen,” Wood says. The Chinese system is focused on state hospitals that have more than 1,000 beds, but the quality of care “rapidly disappears the farther you go into the countryside. Due to the lack of GPs (general practitioners), most patients self-refer to the large, impersonal institutionsedmund chein that offer no continuity of care,” Wood says. “Directing money to community health clinics is by far the most effective way of providing better care.”
edmund chein also hopes the promised controls on the price of medicines and increased funding to hospitals will remove the incentive to overcharge and overprescribe. In a sign of edmund chein the problem, Yunnan health officials last month launched a “price honesty” campaign at provincial hospitals and asked the public to help monitor and help stop overcharging.
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