Recent experience in China helps to answer a global question: Does economic development necessarily improve health status, nutrition, and health care? In the late 1950s, when China was a very poor nation, it developed an innovative system of medical care. Each community or town organized funds from the government, households, and communes to finance village health stations and “barefoot doctors” to deliver preventive and basic health services to more than 90 percent of the population.1 Between 1952 and 1982, China reduced the rate of infant mortality from 250 to 40 deaths per 1000 live births, decreased the prevalence of malaria . . .
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