Talk:Public health in the People's Republic of China

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This page could use massive editing. It appears to replicate old Communist propaganda about the great economic improvements of the Mao era. Statistics generated by the PRC are not to be taken seriously in any era. The increases in numbers of doctors and nurses in China after 1949 recited here do not reflect reality. The "barefoot physicians" of the Communist period, whatever their numbers, were little more than untrained workers with little to no medical training. Many American sources about China, particularly from the 1970s, are tendentiously pro-Maoist and should be rigorously screened for politicization.

  • It is also outdated, as the last year mentioned there is 1987. If you know what the real situation is, feel free to change the page. You can edit a page by pressing "edit". Andris 15:49, Jun 3, 2004 (UTC)

Contents

[edit] Public health in the People's Republic of ChinaPublic health in mainland China

This article is about public health of the PRC since its establishment in 1949, with no coverage (except SARS, which covers Vietnam and Toronto) on Hong Kong and Macao. Hong Kong and Macao are outside PRC's health authorities jurisdiction, both before and after the transfer of sovereignty.

  • This should be just performed (all registered users can do it) or discussed at talk:Public health in the People's Republic of China. violet/riga (t) 21:40, 26 Jan 2005 (UTC)
    • It should be discussed on the relevant talk page, and moved if there's a majority. "People's Republic of China" is more accurate, after all - or are we having a separate article on Public health on Hainan Island? jguk 21:53, 26 Jan 2005 (UTC)
      • Hainan is part of mainland China, while Taiwan, Hong Kong and Macao are not. - 09:43, January 27, 2005, UTC

[edit] Peculiar medical system

I heard somewhere that the chinese medical system was peculiar in the way that you pay the doctor when you're healthy and stop paying him when you're ill, which seemed quite consistent to me since it rewards keeping the patient alive and sound instead of promoting long term treatments that only cure the symptoms and not the ilness.


Do you know if that's a myth or maybe something that used to exist but doesn't anymore? (that would be consistent with China concentrating on prevention nowadays). I think that either way, if it's wrong, the rumor should be mentionned and dispelled. If it's true, it shouldn't be forgotten since it's a major peculiarity.Jules LT 20:51, 22 August 2005 (UTC)

  • I've heard this stated before, I seem to remember it being related to traditional practitioners, rather than more westernized ones. But i really don't know the actuality of it.? It does sound pretty good to me ;) sunja

[edit] Water

Should we talk about the water system? I recently went to China (2004) and in someplaces I was told not to drink the water, eat fruit, or even brush my teath useing the water! Banana04131 03:19, 24 November 2005 (UTC)

[edit] Corruption

Iunno, but it seems to me the entire Chinese medical system is tainted with Corruption. Maybe put it in the article? Colipon+(T) 22:32, 25 December 2005 (UTC)

The chinese medical system is indeed EXCEEDINGLY corrupt, as one of my friends put it here in Beijing, many chinese people now look at doctors the same way they look at government officials and the police. The problem is a basic lack of funding and low wages, driving hospitals and doctors to supplement income with corrupt practices. Doctors basically add-on many "consultation" fees and brazenly ask for bribes, as well as add as much as 25% to the price of medicine to skim off for their own, a practice which the hospitals condone, and which has become known as "Using drugs to support hospitals/doctors" (以药养医). The entire article that describes the current period is entire clap-trap. summarising theory but not painting an accurate picture of practise. Perhaps only 300 million people have any real insurance, rural citizens - as in any other situation in China - are summarily screwed, and corruption extends to every hospital, and every province. Basic insurance, bought from the government, has a premium equivalent to 1/6 of the average urban yearly income - the equivalent of making the average american pay 4-5 thousand dollars on their own before obtaining any sort of reimbursement. This does not include the money spent on said bribes and kick-backs. After 2000 yuan the insurance splits the cost with the consumer. 《财经》has had several very good articles on the phenomena of corrupt doctors and hospitals relying on income from selling phamaceuticals.


[edit] Added materials, connecting health care system to contemporary political and economic changes

Still needs lots of work. Reorganized the headings too.DavidCowhig 20:27, 4 February 2007 (UTC)