The Chinese Healthcare Challenge; Comment on “Shanghai Rising: Avoidable Mortality as Measured by Avoidable Mortality since 2000”

Document Type : Commentary


University of Le Havre, Le Havre, France


Investments in the extension of health insurance coverage, the strengthening of public health services, as well as primary care and better hospitals, highlights the emerging role of healthcare as part of China’s new growth regime, based on an expansion of services, and redistributive policies. Such investments, apart from their central role in terms of relief for low-income people, serve to rebalance the Chinese economy away from export-led growth toward the domestic market, particularly in megacity-regions as Shanghai and the Pearl River Delta, which confront the challenge of integrating migrant workers. Based on the paper by Gusmano and colleagues, one would expect improvements in population health for permanent residents of China’s cities. The challenge ahead, however, is how to address the growth of inequalities in income, wealth and the social wage.


Main Subjects

  1. Gusmano MK, Rodwin VG, Wang C, Weisz D, Luo L, Hua F. Shanghai rising: health improvements as measured by avoidable mortality since 2000. Int J Health Policy Manag 2015; 4: 7-12. doi: 10.15171/ijhpm.2015.07
  2. Study of IHS Global Insight. Financial Times, March 13, 2011.
  3. Yongding Y. China’s Policy Responses to the Global Financial Crisis. Melbourne, Australia: Productivity Commission; 2009.
  4. Rutkowski R. Service Sector Reform in China. Peterson Institute of International Economics; 2015. Available from:
  5. Lewis A. Economic growth with unlimited supply of labor, Manchester school of economic and social studies, 1954, Vol.22.
  6. Xianjin X. [Studies on the problem of migrant labor shortage and the migrant social protection]. Nongye Jingji 2007; 90: 44-6. [in Chinese] 
  7. Fabre G, Rodwin VG. Public health and medical care for the world’s factory: China’s Pearl River Delta Region. BMC Med 2011; 9: 110. doi: 10.1186/1741-7015-9-110       
  8. United Nations. World Population Prospects: The 2010 Revision. New York: United Nations; 2011. Available from:                pdf/WPP2010_Volume-I_Comprehensive-Tables.pdf  
  9. Li H, Li L, Wu B, Xiong Y. The End of Cheap Chinese Labor. J Econ Perspect 2012; 26: 59-60.
  10. General research report on the question of Chinese rural migrants; 2006. Available from:
  11. Xinhua News Agency. [updated April 27, 2012].
  12. Fabre G. The lion’s share: What is behind China’s economic slowdown? [internet]. FMSH Working Paper; October 2013.  Available from:
  13. China Perspectives. Special Issue 2011/2: The Changing World of Chinese Labour, CEFC, Hongkong.
  14. Glassman J. Is America Suffering an Innovation Gap? 2010. Available from:
  15. Fabre G. Urbanisation, Economic Policy and Housing Policy in China, 1949-2000. PhD  in socio-economy of development, direction: Ignacy Sachs, EHESS, Paris, February 1992; The ambiguities of privatisation during transition: the Case of Housing in China, Revue de l’Institut de Recherches Economiques et Sociales, (IRES), 1992. p.139-168.
  16. Chan KW. Achieving comprehensive Hukou reform in China [internet]. 2014. Available from:       2014/achieving-comprehensive-hukou-reform-in-china/
  17. China’s Transition: The Third Plenum One Year On [internet]. Available from:                uploads/sites/2/2014/10/China-Plenum-opt.pdf
  18. URBACHINA program [home page on the internet]. Paris: European Commission. Available from: