For many in China, the costs of health care are simply too high.  It was a cost that the state itself bore for many years, however as the country has grown the Chinese citizens themselves now carry the burden of paying for health care.

China’s wealthiest have access to the best money can buy of course, but for China’s vast majority, access to healthcare often does not come so easy. In fact, given China’s policy of pay as you go, for many who are at the bottom of the pyramid, gaining access to even some of the basics is a luxury that many cannot afford.

A point that was hammered home to me while visiting the children at a Shanghai children’s hospital, I found that many of the parents who had children with leukemia and other ailments were having to making huge sacrifices to get the proper care and medications.  Quitting jobs and moving to Shanghai as a first step, many families were actually selling their homes, selling their possessions, and taking out huge loans to pay for the treatments.

Sadly, efforts to raise money though were rarely enough and parents would simply pull their child out of the program until they were able to afford the treatments again…

This is a situation that the recent Shanghai Daily article Cancer pair’s orange lifeline that described the efforts of one couple to be able to afford their own health care treatments

The Chongming couple, who suffer from cancer, are depending on their Mandarin orange harvest to fund their treatment. And it just might not be enough.

To help them raise money, the Jing’an District Cancer Rehabilitation Club recently bought 1,500 kilograms of oranges from Shen for 2,000 yuan (US$293).

and worse yet, they seemed resigned to their fate:

“It’s very hard for us to continue living. We can afford only in half doses of our medicine,” Li said.

“We are doomed to lose money this year. We had planned on my surgery after we raised money from the sale of oranges. But now, I don’t think we can earn enough.”

As a westerner living in China, the above situations are hard for me to understand. that to ride in an ambulance you must pay first, that to see a doctor you must pay first, to have surgery pay first, and so on.

There is no credit. There is not life over limb. It simply is a cash based process that one needs to be able to afford in order to gain access.