• Hexboare [they/them]@hexbear.net
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    23 hours ago

    you have to pay for healthcare

    Unfortunately this is an issue in China as well

    In 2009, a new round of comprehensive and nationwide healthcare reform was launched by the Chinese government with the aim to solve the problems summarized as getting medical is difficult and expensive (kan bing nan, kan bing gui) [42].

    With this reform, a range of market-oriented policies was introduced into the healthcare industry to enhance the availability of healthcare to meet the people’s diversified needs and intensify competition among hospitals to improve their quality and efficiency [42].

    The mainly specific policies include as follows: (1) separating the operational system within public hospitals administration from the surveillance of governmental regulatory division [43]; (2) relaxing the entrance of private investments in the healthcare system [44]; (3) switching governmental role in the financial model of the healthcare system from supplementary suppliers to supplementary demanders, namely medical insurance. [45]

    With the implementation of pro-competition policies, the hospital market, a most important market in the healthcare industry and also the main focus of this market-oriented reform, changes dramatically no matter in scale and the constitutes [46]. Use the number of hospitals to briefly describe the changes in the hospital market, as shown in Fig. 2 below, the total number of hospitals increased from 20,291 in 2009 to 34,354 in 2019; the private hospitals expanded rapidly and their numbers exceed the public ones in 2015.

    The entire framing of healthcare utilisation and these sorts of insurance models is from the US, so thanks for poisoning minds

    • LaughingLion [any, any]@hexbear.net
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      22 hours ago

      From what I’ve learned from Chinese users is that they do pay for healthcare and they do have insurance. The insurance is essentially “medicare for all” and covers a ton of expenses. You pay like $70 per YEAR for it. That’s so you can go to the hospital and have a baby for like $10 total, for instance. Additionally, you can get private insurance which pretty much covers everything else. So that’s the system the reformed to.

      It is basically if Bernie Sanders won and all his dreams came true to their full fruition.

      We live in the bad place.

      • Hexboare [they/them]@hexbear.net
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        22 hours ago

        It is basically if Bernie Sanders won and all his dreams came true to their full fruition.

        Exactly. I expect the CPC to do better than a “file off the sharp edges” capitalist.

        You live in the bad country because the idea of going to hospital and spending $10 to have a dream, while I think having to spend any money for hospital services is abhorrent.

        It’s not exactly medicare for all and doesn’t capture 100 percent of the population, but China did get to 95 percent insurance coverage pretty quickly.

        (Not as quick as if you’d nationalise healthcare delivery)

        • LaughingLion [any, any]@hexbear.net
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          20 hours ago

          It’s a fair enough criticism, I think. But remember we are contextualizing this through the lens of western capitalism and it does not exist in that environment. I think the comparison is fine but we have to remember that we are merely trying to understand this from a perspective that makes sense to us, which is not exactly how it is existing in reality.

          • Hexboare [they/them]@hexbear.net
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            18 hours ago

            it does not exist in that environment

            The CPC just opened up the ability for foreign firms to run private hospitals.

            I think the first one is a Singaporean real estate company?

            Really grim shit and if you literally invite it in, you will find yourself in the midst of western capitalism

            Announcement below

            China Expands Access for Wholly Foreign-Owned Hospitals: 9 Cities Open for Investment

            Following the initial announcement in September, China released a detailed work plan for wholly foreign-owned hospitals in nine cities: Beijing, Tianjin, Shanghai, Nanjing, Suzhou, Fuzhou, Guangzhou, Shenzhen, and the entire island of Hainan. This prompt follow-up demonstrates a strong commitment to opening up the healthcare sector and supporting foreign investment.

            On November 29, 2024, the National Health Commission (NHC) together with three other government departments announced the detailed work plan for the establishment of wholly foreign-owned hospitals in nine major cities, including Beijing, Tianjin, Shanghai, Nanjing, Suzhou, Fuzhou, Guangzhou, Shenzhen, and the entire island of Hainan.

            This is a prompt follow-up of the pilot policy released in September this year, which lifts bans on foreign-invested enterprises (FIEs) engaging in cell and gene therapy (CGT) in selected free trade zones (FTZs) and permits wholly foreign-owned hospitals in selected cities.

            This reform is part of a broader agenda to modernize key industries, including healthcare and telecommunications, by addressing growing domestic demand and encouraging foreign participation.

  • alcoholicorn@lemmy.ml
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    24 hours ago

    There is some real propaganda they’ve been told though, like that Americans wear their shoes to bed, healthcare is free, you can buy a villa after working as a dishwasher for 3 months, that MAGA is about building a more prosperous America.

    They also overestimate what “I work 40 hours and can’t afford food” means, thinking we literally don’t have enough money for food, rather than are juggling other bills you need to keep having a job, which includes food.

    • Asafum@feddit.nl
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      23 hours ago

      that MAGA is about building a more prosperous America.

      That’s an odd one to tell them. I wonder what the reasoning is for that

      • Zuzak [fae/faer, she/her]@hexbear.net
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        20 hours ago

        From what I’ve seen, some people seem to take it at face value. I think the main thing is just the average person not paying that much attention to US politics. Some people just like him because he’s (objectively) funny. There are definitely people who see through it, but those who do also tend to see through the Democrats’ shit and come out ambivalent. Many people oppose immigration in China (their situation is somewhat different) and aren’t very supportive of LGBT+ rights, so they don’t really fit into the camps of American politics.

      • alcoholicorn@lemmy.ml
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        23 hours ago

        I’ve heard there’s a right-wing media ecosystem for Chinese petite bourgeoisie ex-pats, and they exert outsized influence in mainland media about the rest of the world.