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(Edit: Disclaimer: This is my personal opinion and is based on information before 2015)

China is good at controlling public opinions like this. I grew up in a "third line" city and we were always told if we don't have good grades, we end up having to clean the streets. But we were also told there is "social safety" for medicine.

In reality, you need a job and need to pay a monthly fee for "social safety". And in reality, people with low grades can end up in gangs or prison. Only the obedient type can get a hard labor job.

Many of these lucky ones would sleep where they work or stay with families or sleep at "migrant worker hotel/camps". It's not a life anyone would want to live.

In terms of quality of health care, even though all workers pay into "social safety", most cannot be seen by good doctors. For surgeries, they often had to travel to bigger cities and pay out of pocket. And " social safety" mostly covers visits to clinics (baiscally a consultation at a third world version of your Walgreen pharmacy counter).

I know people tend to hate the USA but it's not worse than China.



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