A Comprehensive Analysis and Comparison of the U.S.’ and China’s Healthcare System

Abstract

In an era of rapid globalization, understanding healthcare financing systems across diverse nations can offer crucial insights. This research project delves into the inner workings of the United States Medicaid and Medicare program and China's state-sponsored healthcare insurance schemes. Each represents a unique model of public health investment, shaped by distinct political philosophies and social contracts. The analysis reveals that the U.S. Medicaid program, despite its broad reach and comprehensive services, grapples with issues of equitable access and sustainable financing. In contrast, China's multi-tiered system offers a more standardized, although less comprehensive, form of coverage and faces challenges related to service quality and rural-urban disparities. Both nations, however, are in the continuous process of adapting their healthcare models to meet changing demographic and economic needs. By critically examining these two healthcare funding mechanisms, this study contributes to the ongoing dialogue on public health financing, offering recommendations for future policy interventions and reforms in both countries and potentially others.