Medicine

China’s Health Programs Successfully Lift Millions Out of Poverty

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Health economicsPoverty alleviation

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This Lancet Commission examines China's Health and Poverty Alleviation Initiative, addressing the critical intersection between healthcare costs and poverty. The report contextualizes global poverty challenges, noting that in 2019, out-of-pocket health expenditures pushed 344 million people into poverty worldwide. By 2020, extreme poverty affected 724 million people globally, with 90 million more than pre-pandemic projections, highlighting how health-related financial burdens significantly contribute to poverty.


Understanding the relationship between healthcare costs and poverty is essential for developing effective poverty reduction strategies and achieving Sustainable Development Goals. China's experience with its Health and Poverty Alleviation Initiative may provide valuable insights for other countries struggling to prevent health expenditures from driving populations into extreme poverty.


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Poverty alleviation is a pressing global challenge that is intricately linked with health, as emphasised by the Sustainable Development Goals (SDGs). In 2019, out-of-pocket health expenditure—health-care costs paid directly by individuals or households rather than covered by insurance or other third-party payers—pushed an additional 344 million people into poverty globally. In 2020, 724 million people were living in extreme poverty, defined as living on less than US$2·15 per person per day at 2017 purchasing power parity, 90 million more than the pre-COVID-19 pandemic UN projection.

Source: [The Lancet Commissions] A Lancet Commission on the Health and Poverty Alleviation Initiative in China