id author title date pages extension mime words sentences flesch summary cache txt cord-008692-y61sg1q9 Congdon, Nathan G. A Tale of Two Systems: Health Reform in China and the United States 2010-02-25 .txt text/plain 1240 62 52 Governmentaffiliated organizations such as the Disabled People's Federation are active in nearly every county nationwide, partnering with local providers to carry out large-scale cataract screening activities and free or low-cost surgery. While important differences exist between the US and China (high prevalence of hepatitis B, the need for some rural patients to travel long distances for surgery), the preponderance of available data suggests that a practice of universal admission and extensive preoperative laboratory testing for cataract surgical patients is unlikely to be beneficial. Non-governmental organizations and the Chinese government need to limit free surgery to those few areas where patients are truly unable to pay, and to involve local rural surgeons in all programs. By 2050, China's population older than 80 years of age will increase to 83 million, 11 raising significant financial challenges to the long-term sustainability of activities such as the Million Cataract Project, and even such critical programs as NCMS. ./cache/cord-008692-y61sg1q9.txt ./txt/cord-008692-y61sg1q9.txt