• Com­ment

Ed­i­tor's note: The In­for­ma­tion Of­fice of the State Coun­cil pub­lished a whitepa­per on the de­vel­op­ment of China’s pub­lic health cause. The fol­low­ing are ex­cerpts of com­ments by Chi­nese hu­man rights and pub­lic health re­searchers.

China Daily - - FRONT PAGE -

A health­care model for de­vel­op­ing coun­tries

China has al­ways at­tached sig­nif­i­cance to pro­tect­ing peo­ple’s health and taken con­crete mea­sures to make pub­lic health and hy­giene an in­te­gral part of the po­lit­i­cal, eco­nomic and so­cial de­vel­op­ment of the coun­try, blaz­ing a trail for the de­vel­op­ment of pub­lic health ac­cord­ing to ex­ist­ing na­tional con­di­tions. This has been praised by the World Health Or­ga­ni­za­tion as a model for de­vel­op­ing coun­tries.

Since the 18th Na­tional Congress of the Com­mu­nist Party of China in late 2012, the Chi­nese gov­ern­ment has made peo­ple’s phys­i­cal well-be­ing an im­por­tant part of build­ing a mod­er­ately well-off so­ci­ety.

China has al­ways en­sured its poli­cies suit the na­tional con­di­tions, and ba­sic pub­lic health, grass­roots health­care and dis­ease preven­tion have been the crux of the coun­try’s pub­lic health work.

China has ba­si­cally built a pub­lic health pol­icy sys­tem cor­re­spond­ing to its so­cial and eco­nomic de­vel­op­ment, and found its own so­lu­tions for med­i­cal care re­form, a dif­fi­cult prob­lem even in de­vel­oped coun­tries. Now China is demon­strat­ing more con­fi­dence, or­der­li­ness and pre­pared­ness in safe­guard­ing peo­ple’s right to health. Zhou Li , a re­searcher at the Hu­man Rights Cen­ter of South­west Uni­ver­sity of Po­lit­i­cal Science and Law

World’s largest ba­sic med­i­cal se­cu­rity net

Pres­i­dent Xi Jin­ping stressed at the na­tional health and hy­giene meet­ing held in Bei­jing last year that China should al­ways make sure the ba­sic pub­lic health and hy­giene cause de­vel­ops in the peo­ple’s in­ter­ests, and rel­e­vant in­sti­tu­tions should be con­stantly im­proved to let the peo­ple en­joy fair, sys­tem­atic and con­tin­u­ous dis­ease preven­tion, treat­ment, re­ha­bil­i­ta­tion and health pro­mo­tion ser­vices.

China has built the world’s largest ba­sic med­i­cal se­cu­rity net. The med­i­cal care in­sur­ance for se­vere dis­eases ef­fec­tively pre­vents fam­i­lies fall­ing into poverty be­cause of ill­ness. By the end of 2015, the in­sur­ance cov­ered all those in­cluded in the na­tional med­i­cal care se­cu­rity sys­tem.

Those with child­hood leukemia, child­hood con­gen­i­tal heart dis­eases, esoph­a­gus cancer, gas­tric cancer, colon cancer, rec­tal cancer and end-stage re­nal dis­ease all re­ceive gov­ern­ment sub­si­dies to pay for their treat­ments.

Man Hongjie, a re­searcher at the Hu­man Rights Cen­ter of Shan­dong Uni­ver­sity

Strik­ing a bal­ance be­tween fair­ness and ef­fi­ciency

Pur­su­ing the high­est level of health is ba­sic hu­man right. The av­er­age life ex­pectancy of Chi­nese res­i­dents was 76.5 years in 2016, com­pared with 35 in 1949. China’s in­fant mor­tal­ity rate has fallen from 50.2 per 1,000 in 1991 to 7.5 per 1,000 last year; and the ma­ter­nal mor­tal­ity rate has dropped from 80 per 100,000 to 19.9 per 100,000 over the same pe­riod.

China’s med­i­cal care sys­tem re­form has al­ways re­lied on the gov­ern­ment’s lead­er­ship, co­or­di­na­tion of mul­ti­ple de­part­ments, and the par­tic­i­pa­tion of the whole so­ci­ety.

The gov­ern­ment pays spe­cial at­ten­tion to dis­ease preven­tion and the pro­vi­sion of 46 free pub­lic health ser­vices, in­clud­ing health­care for preg­nant women, the health man­age­ment of chil­dren and se­nior ci­ti­zens, chronic tu­ber­cu­lo­sis and treat­ment for se­vere psychosis.

It also at­taches great im­por­tance to strik­ing a bal­ance be­tween fair­ness and ef­fi­ciency in the con­struc­tion of a na­tion­wide health­care net­work. The gov­ern­ment en­cour­ages the mar­ket to play de­ci­sive roles in al­lo­ca­tion of re­sources, and in­di­vid­ual ci­ti­zens to as­sume their re­spon­si­bil­i­ties, so as to avoid the trap of “wel­fare so­ci­ety”. Liu Yuanli, a re­searcher at the Pub­lic Health School of Pek­ing Union Med­i­cal Col­lege

15-year ac­tion plan for a healthy China re­leased

China has made pub­lic health a strate­gic pri­or­ity in na­tional de­vel­op­ment since the 18th Na­tional Congress of the CPC in 2012.

Last year, the gov­ern­ment pub­lished a guide­line for the de­vel­op­ment of pub­lic health. Healthy China 2030 is a na­tional ac­tion plan for health that cov­ers such things as the med­i­cal in­dus­try, food and drug safety and man­age­ment of the en­vi­ron­ment.

China has founded the world’s largest ba­sic med­i­cal care se­cu­rity net­work cov­er­ing nearly 1.4 bil­lion peo­ple, and the gov­ern­ment re­gards the ba­sic med­i­cal care and pub­lic health­care in­sti­tu­tions as pub­lic prod­ucts to en­sure all res­i­dents en­joy ba­sic med­i­cal care.

China is com­mit­ted to mak­ing new con­tri­bu­tions to the sus­tain­able de­vel­op­ment of hu­man so­ci­ety by en­sur­ing the pub­lic health of nearly one-fifth of the global pop­u­la­tion.

Fu Wei, a re­searcher at the De­vel­op­ment and Re­search Cen­ter of Na­tional Health and Fam­ily Plan­ning Com­mis­sion

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