Does the PRC’s staggering economic growth confirm the thesis that ‘wealthier is healthier’? Using life expectancy data from three decades, Sanjay Reddy measures China’s advances against those of other countries—and finds explanations for its relatively poor performance in the marketization of health care and shrinkage of state spending since 1980.
SANJAY REDDY
DEATH IN CHINA
Market Reforms and Health
China has undergone one of the most impressive processes of rapid development in world history. [1] Between the start of Deng Xiaoping’s market-oriented reforms in 1978 and 2005, the annual growth rate of national income, according to World Bank data, averaged 9.7 per cent—amounting to more than a twelvefold increase overall. This unprecedented economic growth has been accompanied by qualitative and structural transformations. Prominent among these has been the increasing international integration of the prc into the global economy, reflected in the growing share in national income of China’s international trade, which rose from 14 per cent to almost 70 per cent over the same period. Though this vertiginous growth has been most marked in the cities and in coastal areas, it has been national in its scope.

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