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China's economic recovery
EconomyChina Economy

China’s healthcare costs fuel consumption in ageing society, but alarms are blaring in the medical insurance fund

  • In difficult economic times, Chinese people have become increasingly reluctant to tap into their savings, but they also care more about their health, and for that they’ll spend
  • Beijing’s recent plan to boost household consumption promotes traditional Chinese medicine, online hospitals and rehab services that have boomed in recent years

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Chinese people are investing more in their health and living longer, leading to greater medical expenses that strain the welfare system while boosting consumption and vitality. Illustration: Davies Christian Surya
Mandy Zuoin Shanghai
This is the second part in a series that explores the current state of consumption across China, including a look at the expenses that many families find most pressing.

In the span of just two weeks, Li Ying’s meagre monthly pension of 2,000 yuan (US$275) was gone – all spent on the alleviation of her chronic neck pain.

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Although she lives in one of China’s most affluent areas with relatively strong welfare benefits, Zhejiang province, the 67-year-old farmer opts to lead a frugal life and sees the value in saving up for a rainy day.

It’s perhaps a wise inclination – or at least one shared by many retirees in the face of China’s uncertain economic outlook – but it’s not necessarily the best mentality to drive consumption and fuel economic growth.

Since I turned 64, all manner of ailments, however minor, have been troublesome
Li Ying

However, some expenses cannot be avoided or put off without life-threatening or dangerous implications.

“Since I turned 64, all manner of ailments, however minor, have been troublesome and have cost me more than all of my combined medical bills before that age,” Li said.

Covered by a rural healthcare scheme under which she can be reimbursed for up to 70 per cent of inpatient care, and at most 800 yuan a year for outpatient care, she has had to heavily rely on personal savings to cover the remaining cost of her treatment.

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“This burden is certainly getting heavier as I get older,” she lamented.

SCMP Series
The 3 burdens for China’s middle-class
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