China’s National Healthcare Security Administration (NHSA) reported that spending from the country’s basic medical insurance fund exceeded RMB 3 trillion for the first time in 2025, reaching RMB 3.01 trillion (US$420 billion), according to its 2025 National Healthcare Security Development Statistical Bulletin. Total fund revenue reached RMB 3.59 trillion, while the annual surplus of the pooled insurance fund stood at RMB 525.8 billion. The insurance fund finances outpatient and inpatient care, prescription drugs, and maternity benefits for enrolled participants.
The report also highlights the growing impact of China’s aging population on the healthcare system. The number of retired participants covered by the employee medical insurance program increased by 3.37 million in 2025, surpassing 103 million, representing a 3.2 percent year-on-year increase—well above the 2 percent growth in actively employed contributors. As a result, the ratio of active workers to retirees continued to decline, falling from 3.0 in 2012 to 2.6 in 2025.
Source: Sohu, July 28, 2026
https://www.sohu.com/a/1055861830_121106832