this post was submitted on 04 Mar 2026
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[–] TheLeadenSea@sh.itjust.works 58 points 1 day ago (7 children)

I thought China was supposed to be socialist?!

[–] zonnewin@feddit.nl 29 points 20 hours ago

In practice, China is more capitalist (at citizen level) than many European countries.

[–] Canconda@lemmy.ca 10 points 19 hours ago

That's why the "Democratic" part of Social democracy is so critical.

[–] TankovayaDiviziya@lemmy.world 25 points 1 day ago (2 children)

I may have gotten some information incorrect, but I believe that the Chinese welfare system is very complex and even sad to think about. Citizens are only entitled to free healthcare in their home province. Outside of that they are not entitled. It's called the hukou system. Despite the uplifting of millions of Chinese from poverty, the wealth and access to resources is strange in such a way.

[–] ikidd@lemmy.world 15 points 23 hours ago (1 children)

I think it's pronounced the "fuk-you" system.

[–] TankovayaDiviziya@lemmy.world 2 points 23 hours ago

Best comment I've read!

[–] OwOarchist@pawb.social 5 points 1 day ago (2 children)

So ... if you were very sick, why wouldn't you go back to your home province to get that healthcare?

Stupid system, sure, but it seems like a much more reasonable solution than hoping your child wins a lot of money in sports.

[–] Furbag@lemmy.world 19 points 1 day ago (1 children)

Their home province may be rural and not have hospitals equipped to treat certain diseases? China is a big country and not all of it is well developed.

[–] fritobugger2017@lemmy.world 8 points 17 hours ago* (last edited 17 hours ago)

This is the correct answer in a lot of cases and even if their hukou is in a modern place like Shanghai, the best hospitals and latest medical treatments are often not part of the basic medical coverage. Long lines and long waits happen for many services. A two tier system of public and private care exists with the rich able to pay for private doctor, private rooms, and advanced care. I lived in Shanghai for 11 years. Managed to have a heart attack there and got great emergency service at a fraction of the cost in the USA. After care was long lines and long waits at the local hospital so I went to the international clinic for that.

[–] TankovayaDiviziya@lemmy.world 6 points 23 hours ago (1 children)

A lot of Chinese are from the more rural interior and travel to the more prosperous cities, which are closer to the coast, to work. Traveling to their home province to get treatment is more arduous than getting sick itself.

[–] spicehoarder@lemmy.zip 2 points 14 hours ago

Would it also be fair to assume a rural province might not have the specialist you need?

[–] BlameTheAntifa@lemmy.world 7 points 20 hours ago

Look up the term State Capitalism. That is China.

[–] lechekaflan@lemmy.world 5 points 19 hours ago

Socialist in name only.

[–] surewhynotlem@lemmy.world 40 points 1 day ago (1 children)

Yes. And not 100% of procedures are covered by the nationalized healthcare. These are not incongruent things.

Contrast that to America where not 100% of procedures are covered by personal healthcare, and less if your healthcare coverage is "bad".

[–] Yondoza@sh.itjust.works 19 points 1 day ago (1 children)

China has a pretty abismal social safety net. They economy has a lot more central organization than most countries (whose economies are more free market). The social safety net systems in Europe are much stronger than in China, even though they have less centrally planned economies overall.

As with everything, it's hard to fit things into neat groups and the more you analyze something the more nuance there is.

[–] Yliaster@lemmy.world 0 points 19 hours ago (1 children)
[–] Yondoza@sh.itjust.works 1 points 23 minutes ago* (last edited 15 minutes ago)

I can only speculate, but I assume it has to do with the government structure. China's leadership is much more insulated (electorally) from the population than the European leadership. Said another way, European leadership is more accountable to their constituents and social safety nets are popular.

Chinese leadership are more accountable to the party which is just a subset of the population, not the population at large. I assume those in the party are on average better off and have less need for a social safety net, so they are less likely to demand that from the leadership. This is pure speculation though.

[–] OwOarchist@pawb.social 1 points 1 day ago (1 children)

I thought they at least had universal healthcare...