Healthcare Fee Reform Sees Full Waivers Rise 20-Fold to 280,000, Minister Says
SCMP · 1 SOURCESabout 2 hours ago1 MIN

Summary
Hong Kong's public healthcare fee reform, which took effect on January 1, has dramatically expanded access to free medical care. Health Secretary Lo Chung-mau announced on Saturday that the number of patients receiving full fee waivers has surged from 14,000 to approximately 280,000 in just eight months—a 20-fold increase. The reform aims to shift toward a user-pays model while maintaining protections for vulnerable groups.
Key Points
- Approximately 280,000 patients now receive full fee waivers under Hong Kong's healthcare reform, a 20-fold increase from the previous figure of 14,000
- Health Secretary Lo Chung-mau disclosed the figures on Saturday, defending the overhaul introduced at the start of the year
- The reform raises A&E department costs for non-urgent cases to HK$400 (US$51), up from the previous range of HK$50 to HK$150
- Eligibility for subsidised or free healthcare has expanded significantly from 300,000 to 1.4 million people
- Government subsidies are being gradually reduced from 97.6% to a target of 90% within five years
Why It Matters
The substantial expansion of fee waivers demonstrates the government's effort to balance healthcare sustainability with protection for low-income residents. With Hong Kong facing an ageing population, the reform represents a fundamental shift in how public medical costs are distributed, potentially affecting millions of patients who rely on public hospitals .
The substantial expansion of fee waivers demonstrates the government's effort to balance healthcare sustainability with protection for low-income residents. With Hong Kong facing an ageing population, the reform represents a fundamental shift in how public medical costs are distributed, potentially affecting millions of patients who rely on public hospitals .