In 2003, China ranked 188th out of 191 countries on fairness of health financing, according to the World Health Organization. Twenty-two years later, China's basic medical insurance covers roughly 1.33 billion people. About 95% of the population. That expansion, approximately 1.27 billion newly covered, is the largest extension of health insurance coverage in human history. The mechanism was administrative, not legislative. A layered subsidy structure where central money flowed through provincia

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