China's Ministry of Health of the State Council oversees the health services system in the rural collective sector, but plays only a small part in the private sector.
In April 2009, China unveiled a blueprint for health care for the next decade; a much-needed reform to fix the ailing medical system and to ensure fair and affordable health services. The core principle of the reform is to provide basic health care as a "public service" to the people, which requires much more government funding and supervision.
China has no national primary care system, in particular no general practice services. The introduction of a general practice system in parts of urban China began only in 1999. In several cities, notably in Zhejiang, Jiangsu, and Guangdong provinces, general practitioners (GPs) are acquiring a good local reputation and are attracting large numbers of patients.
China is laying out plans to dramatically reform its health care system by expanding coverage for hundreds of millions of farmers, migrant workers and city residents.
But what does it mean for an expat working in China?
It is best to secure a private health insurance policy and life insurance policy before moving to China. Generally, employers provide a health insurance package. If this is not the case, it is recommended to purchase one yourself. It is advisable to get an international plan in a hard currency like the USD, the GBP or the Euro, with an overall annual lifetime limit as a minimum. Cover should include 80% to 100% refunds for all in-patient and medical bills.
The level and quality of medical care in China depends on your location. In far-flung areas you will find yourself miles from the nearest hospital. The big cities, however, do offer many first-class facilities, and you can opt to go to a local Chinese hospital. Although you may not find anyone speaking English in these local hospitals, you'll find yourself paying a low bill at the end of your treatment. There is a tendency, however, to end up with overprescribed medicines as doctors in China get commission on the medicines they prescribe.
Wherever you are moving to in China, make sure you extensively research the best hospitals and clinics in the area - doing your homework will make all the difference to the quality of your health care as an expat.
Expats can go to any clinic or public or private hospital for regular check-ups or medical consultations. Some clinics and hospitals are managed by foreigners and so are more likely to be considerate to the needs of the expatriate community. The costs associated with these private clinics and hospitals will be on par with medical costs in the West.
Remember that you can also opt for alternative medicines and experience the popular traditional Chinese medicine practices such as acupuncture, massage, herbal treatments, and acupressure.
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