Healthcare

For routine care and English-language service, international/private hospitals are strongly recommended - the language barrier at public hospitals is a major obstacle. For specialists in specific fields (oncology, cardiology, neurosurgery), China's top-tier Class 3A public hospitals have world-class doctors who may be better than private alternatives. For emergencies, call 120 - you'll be taken to the nearest public hospital, which will treat first and discuss payment later.

At a public hospital: a GP visit costs ¥50–200 ($7–$28), blood tests ¥100–300 ($14–$42), and an MRI ¥600–1,500 ($83–$210). At an international hospital: a GP consultation runs ¥800–1,500 ($110–$210), and an ER visit can easily reach ¥3,000–10,000 ($415–$1,380) for examination, tests, and treatment. Insurance is highly recommended - even a single hospitalization at an international facility can cost ¥50,000–200,000 ($6,900–$27,600).

Many medications that require prescriptions in Western countries are available over the counter at Chinese pharmacies (药店), including certain antibiotics, anti-inflammatories, and cold medications. However, controlled substances, psychiatric medications, and some hormonal treatments require prescriptions from Chinese-licensed doctors. Pharmacists may not speak English - use a translation app or write the generic drug name in Chinese. Brand names differ from Western equivalents.

TCM is deeply integrated into China's healthcare system - many public hospitals have dedicated TCM departments. Acupuncture, herbal medicine, cupping, and tui na massage are widely practiced and often covered by Chinese social insurance. Quality varies enormously - seek recommendations from experienced expats and choose licensed practitioners at established hospitals. Many expats find TCM helpful for chronic pain, stress, and digestive issues alongside Western medicine.

No vaccinations are mandatory for most nationalities entering China, but recommended vaccines include: Hepatitis A and B, Typhoid, Japanese Encephalitis (especially for rural areas), Rabies (if you'll be in areas with stray dogs), and routine boosters (MMR, Tetanus, Flu). Consult a travel medicine clinic 4–6 weeks before departure. COVID-19 vaccination is no longer required for entry as of 2023.