1. Do not die young
41 / 41This section covers three things: accidental and violent deaths such as car crashes, fires and poisoning; the handful of vaccines and screenings with the hardest evidence behind them; and which signals from your body mean you should go and get checked. The figures in the benefit column come from trials that randomised people into groups, from studies that followed a large number of people for many years, or from official statistics. The cost column is the author's rough estimate at going-market prices, there for comparing options against each other; do not quote them.
1Wear a seat belt, in the front and in the back
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
A front-seat passenger with a seat belt on has about half the chance of being killed in a crash. In the front seat of a light truck the fall is 60%. In the United States in 2022, half of the people who died in a vehicle and whose belt use could be determined were not wearing one.
Cost
No money. It adds 2 seconds each time you get in the car.
Benefit
The US National Highway Traffic Safety Administration (NHTSA) estimates that a seat belt lowers the risk of fatal injury for a front-seat car passenger by 45%. For the front seat of a light truck it is 60%. Among people who died in a passenger vehicle in the United States in 2022, 50% of those whose belt use could be determined were not wearing one. The World Health Organization (WHO) puts the reduction in death risk for people inside the vehicle at up to 50%. WHO estimates that 248,099 people died from road traffic injuries in China in 2021, which is 17.4 per 100,000 people
Notes
The back seat needs one too. In the same report, 60% of the people killed in the second row were not belted. The two figures, 45% and 60%, are estimates the US National Highway Traffic Safety Administration (NHTSA) calculated from its crash database, citing Kahane 2015. They are not from a randomised trial. WHO's China death count is modelled, and it runs several times higher than the figure registered by the public security traffic police. The two cover different populations, so only the WHO figure is used here.
Sources · 3 sources
2Wear a helmet on a motorcycle or an electric bike, and fasten the strap
# Value HighGrade ALifespanA little moneyIn passingNo willpower
A motorcycle rider with a helmet and a fastened strap has about 40% lower risk of dying in a crash. Head injuries are about 70% lower. The strap has to be tight. A helmet hanging loose on the head does not count.
Cost
A helmet costs 100 to 300 yuan. Putting it on takes 5 seconds each time.
Benefit
Cochrane pooled several studies together. Helmet use among motorcycle riders lowered the risk of death by 42%. The original value is
OR 0.58, credible range
95% CI 0.50 to 0.68. Head injury fell 69% (
OR 0.31,
95% CI 0.25 to 0.38)
Notes
The strap has to be fastened. A helmet left hanging on the handlebars does not count. The figures above come from motorcycles. There is no direct study of electric bikes, so they are carried over, because head injuries after a crash happen the same way.
Sources
Liu BC et al (2008). Helmets for preventing injury in motorcycle riders. Cochrane Database of Systematic Reviews.
doi.org/10.1002/14651858.CD004333.pub33Fit smoke alarms; add a carbon monoxide alarm if you burn coal or gas indoors in winter
# Value HighGrade BLifespanA little moneyIn passingNo willpower
A working smoke alarm cuts the chance of dying in a home fire by about 60%. In 40% of fires people are asleep when the fire starts, and smell alone will not wake them. If you burn coal or gas indoors in winter, add a carbon monoxide alarm. In 2018 about 11,500 people in China died of carbon monoxide poisoning, and 70% of those deaths in the three winter months happened at home.
Cost
A smoke alarm costs 30 to 100 yuan. A carbon monoxide alarm costs 50 to 150 yuan. After it is fitted, replace the battery once a year.
Benefit
A study in North Carolina took a batch of residential fires and looked back at the households that had one and the households that did not. A working smoke alarm in the home lowered the risk of death by about three fifths. The original value is
OR 0.39, credible range
95% CI 0.18 to 0.83. In fatal fires in occupied homes in the United States from 2018 to 2020, 24% of the homes had no smoke alarm, and 41% of the people were asleep when the fire started. China reported 11,523 carbon monoxide poisoning deaths in 2018. Of those deaths, 72.59% happened at home in month 12, 67.42% in month 1 and 66.48% in month 2
Notes
The reason for the B: on the smoke alarm side there is only one study, and its method was to look back at households that had a fire and households that did not. It was not a randomised trial. There is no study of carbon monoxide alarms lowering mortality on their own. The benefit here is inferred from the pattern that poisoning deaths cluster in winter and in the home.
Sources · 3 sources
- Marshall SW et al (1998). Fatal residential fires: who dies and who survives? JAMA. doi.org/10.1001/jama.279.20.1633
- USFA (2022). Fatal Fires in Residential Buildings (2018-2020), Topical Fire Report Series 22(2). www.usfa.fema.gov/downloads/pdf/statistics/v22i2.pdf
- You J et al (2020). Number of Deaths due to Carbon Monoxide Poisoning by Month and by Place of Death — China, 2018. China CDC Weekly. doi.org/10.46234/ccdcw2020.008
4Replace gas hoses and cookers when they reach end of life, do not repipe the gas yourself, and turn down the gas company when it comes selling
# Value HighGrade CLifespanA little moneyIn passingNo willpower
A compliant hose costs a few tens of yuan. Replacing it at the end of its life is a duty of the user written into the Regulations on the Administration of Urban Gas. Repiping the gas yourself or taking out the gas meter is forbidden by the same regulations. Those regulations also say a gas company cannot require you to buy its designated products and services. A salesman at your door saying the hose "must be replaced" can be refused outright.
Cost
A compliant gas hose costs a few tens of yuan. Replace the cooker every few years. Check whether it has passed its expiry date while you are at it.
Benefit
The regulations make it a duty of the user to "replace in good time gas appliances and connecting pipes that the state has ordered withdrawn or that have reached the end of their service life": once a cooker or a hose reaches end of life, or the state withdraws it, you have to replace it. The regulations also list "installing, modifying or removing indoor gas facilities and gas metering devices without authorisation" as a forbidden act, and that covers repiping the gas and taking out the meter yourself. The regulations also state that a gas operator may not require a user to buy the products it designates, and may not require a user to accept the services it provides
Notes
The text of the regulation can be checked word for word, but it only says that replacing the hose on time is your duty. It does not say how many fewer accidents you get that way. No official figure was found for how much replacing hoses on a schedule cuts gas accidents, so this is graded C only. Some people come to the door in the name of a "safety inspection" and, once they have finished looking, sell a self-closing valve and an alarm. Article 20, paragraph (6) bars a gas company from making you buy the products it designates. You can refuse, and you can also complain. If you smell gas, close the main gas valve first, and for bottled gas close the valve on the cylinder. Then open the door and windows to ventilate, and do not open the exhaust fan. Do not switch lights, the cooker hood and other appliances on or off, and do not touch a lighter. Then get everyone out, leave the scene, and only then call the gas company's emergency number. Carbon monoxide poisoning is another matter, see section 13.
Sources · 3 sources
- State Council (国务院) (2010). Regulations on the Administration of Urban Gas, 城镇燃气管理条例(国务院令第 583 号). Article 27: 「燃气用户应当遵守安全用气规则,使用合格的燃气燃烧器具和气瓶,及时更换国家明令淘汰或者使用年限已届满的燃气燃烧器具、连接管等」 — gas users must follow safe-use rules, use qualified gas appliances and cylinders, and replace in good time any gas appliance or connecting pipe that the state has ordered withdrawn or that has reached the end of its service life. The prohibited acts in Article 28 include 「(一)擅自操作公用燃气阀门」「(二)将燃气管道作为负重支架或者接地引线」「(四)擅自安装、改装、拆除户内燃气设施和燃气计量装置」 — operating a public gas valve without authorisation, using a gas pipe as a load-bearing support or as an earthing conductor, and installing, modifying or removing indoor gas facilities and gas metering devices without authorisation. Article 20 says a gas operator may not 「(六)要求燃气用户购买其指定的产品或者接受其提供的服务」 — require a gas user to buy its designated products or accept the services it provides. Article 29 lets a user complain to the gas authority about charges and service, and 「有关部门应当自收到投诉之日起15个工作日内予以处理」 — the department must handle it within 15 working days of receiving the complaint. www.gov.cn/gongbao/content/2010/content_1758214.htm
- Shenzhen Municipal Housing and Construction Bureau (深圳市住房和建设局) (2024). Gas safety notes, 安全用气小知识(二): 「立即关闭家里的燃气总阀门」「迅速开门、开窗进行通风」「一定不要开、关家里的电灯、抽油烟机等电器」「人员应该迅速撤离,转移到安全的地方,并且及时拨打燃气公司的报警电话」 — close the main gas valve at home, open the door and windows to ventilate, never switch the lights or the cooker hood on or off, and move people out to a safe place and call the gas company's emergency number. zjj.sz.gov.cn/zcjzts/content/post_11882410.html
- Zhangjiagang Municipal Emergency Management Bureau (张家港市应急管理局) (2024). Gas safety knowledge, 燃气安全使用知识: 「不要情急之下打开排气扇进行通风」「应远离现场之后才能打电话求助」 — do not open the exhaust fan in a hurry, and call for help only after you are clear of the scene. www.zjg.gov.cn/zjgszwz/yjaqzs/202411/72b4fad7399c48378302460c6ce2d55b.shtml
5Do not pick, buy or eat wild mushrooms; no local way of telling poison works
# Value HighGrade ALifespanNo moneyIn passingSome willpower
In 2025 alone there were 828 mushroom poisonings nationwide, 2165 people affected and 13 deaths. That year 34 species of mushroom not previously recorded as poisonous were identified. A silver needle does not detect poison, a mushroom that insects have eaten is not safe, and only brightly coloured mushrooms are poisonous. None of these claims holds.
Cost
No money. The hard part is giving up a seasonal wild food.
Benefit
China CDC investigated 828 mushroom poisoning incidents in 2025, involving 2165 people and 13 deaths. The case fatality rate was 0.6%, which means 0.6% of the people poisoned died. From 2019 to 2024 there were 276 to 676 incidents a year, and the case fatality rate ranged from 0.87% to 2.86%. In 2025 alone 138 poisonous mushroom species were identified, of which 34 were recorded in China for the first time as causing poisoning
Notes
If you eat the wrong mushroom, induce vomiting at once, then take the rest of the mushroom, or a photograph of it, to hospital. Poisoning by toxic mushrooms comes in several types, and identifying which mushroom it was decides how the doctor treats you. New species are recorded as poisonous every year, so the assumption that "local people can tell them apart" does not hold in the first place. A silver needle test, boiling it with garlic, the claim that a mushroom insects have eaten is safe, and the claim that only bright colours are poisonous are all wrong.
Sources · 2 sources
- Mushroom Poisoning Outbreaks — China, 2025. China CDC Weekly (2026): 「In 2025, China CDC investigated 828 mushroom poisoning incidents across 27 provincial-level administrative divisions (PLADs), affecting 2,165 individuals and causing 13 deaths - a case fatality rate of 0.6%, the lowest of the past six years. In total, 138 poisonous mushroom species were identified, including 34 newly recorded in poisoning incidents in China.」「From 2019 to 2024, the annual number of incidents ranged from 276 to 676, and the case fatality rate ranged from 0.87% to 2.86%.」doi.org/10.46234/ccdcw2026.120
- the 2024 annual report in the same journal doi.org/10.46234/ccdcw2025.106
6Do not take an electric bike into the corridor or the lift, and do not charge it at home
# Value HighGrade ALifespanNo moneyIn passingSome willpower
The Ministry of Emergency Management's Regulations on Fire Safety Management of High-Rise Civil Buildings forbid taking an electric bike into a corridor or a lift, and forbid charging it at home. Failing to correct this brings a fine of 500 to 1000 yuan on an individual and 2000 to 10000 yuan on a business. The fine is the smaller problem. The larger one is that this fire burns along your only escape route.
Cost
No money. The hard part is parking at the shared charging point downstairs every time and walking a few tens of metres further.
Benefit
The regulation of the Ministry of Emergency Management states the ban in writing: 「禁止在高层民用建筑公共门厅、疏散走道、楼梯间、安全出口停放电动自行车或者为电动自行车充电」, which means electric bikes may be neither parked nor charged in the public entrance hall, the escape corridor, the stairwell or the emergency exit of a high-rise civil building. For failure to correct it, a unit or individual not in business is fined 500 to 1000 yuan and a business is fined 2000 to 10000 yuan
Notes
Do not buy a modified battery, do not use a no-name charger, and do not leave it charging all night. Once a lithium battery catches fire, the whole thing is alight within seconds and it gives off severely toxic smoke. A bike parked in a corridor sets that fire on your only escape route. The figures the Ministry of Emergency Management published are 18,000 electric bike fires nationwide in 2021 and 65 deaths. Of those, 3,782 started inside buildings and killed 60 people, and nearly all the dead were indoors. After the 2024 campaign the number of fires fell 42.2% on the year and casualties fell by more than 90%, and the absolute figures for that year were not published.
Sources · 3 sources
- Ministry of Emergency Management (应急管理部) (2021). Regulations on Fire Safety Management of High-Rise Civil Buildings, 高层民用建筑消防安全管理规定(应急管理部令第 5 号,第三十七条、第四十七条). www.gov.cn/zhengce/zhengceku/2021-08/01/content_5628815.htm
- Ministry of Emergency Management (应急管理部) (2023). Reply letter on proposal No. 00969 of the Fifth Session of the National Committee of the Chinese People's Political Consultative Conference, 关于政协第十三届全国委员会第五次会议第00969号提案答复的函: 「2021年,全国共接报电动自行车火灾1.8万起,造成65人死亡、222人受伤,直接财产损失达2.21亿元,其中发生在建筑物内3782起,造成60人死亡、175人受伤」 — in 2021 the country handled 18,000 electric bike fires, causing 65 deaths, 222 injuries and direct property losses of 221 million yuan, of which 3,782 began inside buildings and caused 60 deaths and 175 injuries. www.mem.gov.cn/gk/jytabljggk/zxwytadfzy/2022zx/202301/t20230119_440918.shtml
- Ministry of Emergency Management (应急管理部) (2025). Press conference on day 15 of month 1 in 2025: 「火灾起数同比下降42.2%,伤亡人数下降超过90%」 — the number of fires fell 42.2% year on year, and the number of casualties fell by more than 90%. www.mem.gov.cn/xw/xwfbh/2025n01y15xwfbh_6337
7Measure your blood pressure, and take drugs to bring it down to target if it is high
# Value HighGrade ALifespanA little moneyIn passingSome willpower
For every 10 mmHg that blood pressure falls, the chance of a major cardiovascular event falls by about a fifth. Stroke falls 27%, heart failure 28%, and the chance of death 13%. Among people aged 35 to 75 in China, 44.7% have high blood pressure and only 7.2% have it properly controlled.
Cost
A home blood pressure monitor costs 100 to 200 yuan. One reading takes 1 minute. Most blood pressure drugs cost a few yuan to a few tens of yuan a month. The hard part is carrying on with them when you have no symptoms.
Benefit
123 trials with more than 610,000 people were pooled. For every 10 mmHg that systolic blood pressure falls, major cardiovascular events are about a fifth lower. The original value is
RR 0.80, credible range
95% CI 0.77 to 0.83. Systolic blood pressure is the higher of the two numbers in a reading. Stroke is about 27% lower (
RR 0.73). Heart failure is about 28% lower (
RR 0.72).
All-cause mortality fell 13% (
RR 0.87,
95% CI 0.84 to 0.91). China screened 1,700,000 people aged 35 to 75: 44.7% had high blood pressure. Among them, 44.7% knew they had it, 30.1% were being treated, and only 7.2% were under control
Notes
Measure your blood pressure once first. Of every 10 people in China with high blood pressure, fewer than 1 is under control, so that single reading is one of the highest-value actions in this book. What counts as target (130 or 140) is still argued over, but "knowing you have high blood pressure and bringing it down" is not disputed.
Sources · 2 sources
- Ettehad D et al (2016). Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet. doi.org/10.1016/S0140-6736(15)01225-8
- Lu J et al (2017). Prevalence, awareness, treatment, and control of hypertension in China (China PEACE Million Persons Project). Lancet. doi.org/10.1016/S0140-6736(17)32478-9
8After 35, if you are overweight, get one fasting glucose test, and repeat it every three years even if it is normal
# Value ModerateGrade ALifespanA little moneyIn passingNo willpower
Drawing one tube of blood for a few tens of yuan can find prediabetes while you have no symptoms at all. The official United States screening advice is this: people aged 35 to 70 who are overweight or obese should be tested. If the result is normal, test again every three years. In the United States overweight starts at a body mass index of 25, and the line comes down to 23 for people of Asian descent; the Chinese standard counts 24 as overweight.
Cost
A fasting glucose test costs a dozen-odd yuan. A glycated haemoglobin test costs a few tens of yuan. One trip to the hospital to draw blood is all it takes.
Benefit
The US Preventive Services Task Force is the body that sets official screening advice in the United States. Its current recommendation is to screen adults aged 35 to 70 who are overweight or obese for prediabetes and type 2 diabetes, even when they have no symptoms at all. Overweight means a body mass index ≥25, and obese means ≥30. For Asian Americans it recommends bringing the line down to a body mass index ≥23, because at the same body mass index people of Asian descent have a higher risk of diabetes. The Chinese industry standard counts a body mass index of 24.0 to 28.0 as overweight and ≥28.0 as obese. That recommendation carries a grade B. It also states: "for adults with normal blood glucose, screening every 3 years is reasonable"
Notes
Finding prediabetes does not mean you have to take drugs. A good share of people can reverse it with lifestyle changes alone. Among Chinese adults only a minority have ever known they had diabetes. Many find out only once complications appear
Sources · 2 sources
- US Preventive Services Task Force (2021). Screening for Prediabetes and Type 2 Diabetes. :「at a lower BMI (≥23) if the patient is Asian American」www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-for-prediabetes-and-type-2-diabetes
- General Office of the National Health Commission (国家卫生健康委办公厅) (2024). Explanation of the Core Knowledge on Managing Residents' Weight, 2024 edition, 居民体重管理核心知识(2024 年版)释义: 「根据《成年人体重判定》(WS/T 428-2013)行业标准……24.0≤BMI<28.0 为超重,BMI≥28.0 为肥胖」. www.gov.cn/zhengce/zhengceku/202407/P020240703481519509521.pdf
9Do not speed, and do not drink and drive
# Value HighGrade BLifespanNo moneyIn passingSome willpower
Every 1% higher average speed raises the chance of killing someone in a collision by about 4%. For alcohol there is no safe line where a little is fine. Risk starts to climb when the alcohol concentration in the blood is still low.
Cost
No money. Driving a little slower takes a few extra minutes on each trip. The hard part is drinking less at a dinner.
Benefit
The World Health Organization (WHO) puts it this way: every 1% rise in average speed raises the risk of fatal accidents by 4%. The risk from drink-driving starts to rise from a very low blood alcohol concentration
Notes
The 1% and 4% for speed and death come from an accident model, not from a randomised trial. On drink-driving WHO gave a direction but no numbers. This section has not checked the original literature on how much drinking raises the risk by how much.
Sources
10Use a child car seat for children under 4, and do not hold them in your arms
# Value HighGrade ALifespanA fair amount of moneyIn passingNo willpower
An infant under one year old in a car seat has about 70% lower risk of fatal injury in a crash. A child aged 1 to 4 has about half the risk. Holding the child in your arms gives no such protection, and in a hard stop you cannot hold on either.
Cost
One costs 300 to 2000 yuan and lasts for years. Buckling the child in adds 1 minute on each trip.
Benefit
The US National Highway Traffic Safety Administration (NHTSA) estimates that a car seat lowers the risk of fatal injury for an infant under one year old in a car by 71%. For a child aged 1 to 4 the figure is 54%. The World Health Organization (WHO) puts the reduction in infant deaths at 71%
Notes
Fix the seat as the instructions say. A wrong fit is the same as no fit. Under the age of one the seat goes in facing backwards, with the child looking toward the rear of the car. The figures above are the official United States estimates calculated from crash data.
Sources · 2 sources
- NHTSA (2024). Occupant Protection in Passenger Vehicles: 2022 Data (DOT HS 813 573). crashstats.nhtsa.dot.gov/Api/Public/ViewPublication/813573
- WHO (2025). Road traffic injuries fact sheet. www.who.int/news-room/fact-sheets/detail/road-traffic-injuries
11If there are children at home, fit window and balcony limiters; window screens do not count as protection
# Value HighGrade BLifespanA little moneyIn passingNo willpower
A window limiter costs a few tens of yuan. New York City fits window guards free of charge in high-risk housing and sends someone to explain them. In one borough, reported child falls dropped by half over three years. New York then passed a law requiring landlords to fit guards in homes where children live. A window screen opens with one push. It does not count as protection.
Cost
A window limiter or a child safety lock costs a few tens of yuan. Fitting it takes ten minutes.
Benefit
New York City ran a programme called Children Can't Fly from 1972. It gave out window guards free in high-risk districts and sent someone to explain them. Reported falls in the Bronx fell 50% from 1973 to 1975. The city then amended its health code. Landlords must now fit window guards in any apartment where a child aged 10 or younger lives
Notes
Do not put a bed, a sofa, or boxes where a child can climb up next to a window or a balcony. A window screen only keeps out mosquitoes. It comes off with one push, so do not treat it as a guard. High-rise living is not the only reason to fit one. In the US data, most falls happened on the second floor or lower.
Sources · 3 sources
- Spiegel CN, Lindaman FC (1977). Children can't fly: a program to prevent childhood morbidity and mortality from window falls. American Journal of Public Health: "Significant reduction in falls resulted, particularly in the Bronx, where reported falls declined 50 percent from 1973 to 1975"
- the 1976 amendment to the New York City health code "to require that landlords provide window guards in apartments where children ten years old and younger reside". doi.org/10.2105/AJPH.67.12.1143
- (2021). Unintentional Window Falls in Children and Adolescents. Academic Pediatrics: 38,840 emergency department visits recorded by the national electronic injury surveillance system from month 1 of 2007 to month 8 of 2017, "The majority of falls occurred in children under the age of 6 and were related to falls from a second story or below". doi.org/10.1016/j.acap.2020.07.008
12Keep children in sight whenever they are near water; wear a life jacket when boating and swimming in open water
# Value HighGrade ALifespanA little moneyA few hoursNo willpower
A child in a life jacket who falls in the water has about half the chance of drowning. Drowning is still the leading cause of death for Chinese children aged 1 to 14. The rural drowning mortality rate is about twice the urban rate.
Cost
A life jacket costs 50 to 200 yuan. It also takes the attention you spend watching the child.
Benefit
A study using United States Coast Guard data matched comparable people in pairs. Among recreational boaters who fell in the water, those wearing a life jacket had about half the risk of drowning death. The adjusted value is
RR 0.51, credible range
95% CI 0.35 to 0.74. In China, drowning mortality under age 20 fell from 6.60 per 100,000 people in 2013 to 3.28 per 100,000 in 2021. The rural rate is about 2 times the urban rate. Drowning is still the leading cause of death for children aged 1 to 14. In 2021, drowning caused 31.1% of injury deaths among people aged 0 to 19, and road traffic caused 27.9%
Notes
The grade A covers only the life jacket. "Keeping children in sight" is a general consensus. On its own it is only grade C, with no randomised trial, and there will never be one. In China, drowning deaths cluster in rural areas, in summer, and among males aged 15 to 19. Going onto the ice to play in winter: see item 41 (bore a hole and measure the thickness before you step onto outdoor ice).
Sources · 3 sources
- Cummings P et al (2011). Association between wearing a personal floatation device and death by drowning among recreational boaters. Injury Prevention. doi.org/10.1136/ip.2010.028688
- Li Z et al (2023). Unintentional Drowning Mortality Among Individuals Under Age 20 — China, 2013–2021. China CDC Weekly. doi.org/10.46234/ccdcw2023.198
- Zhou J et al (2024). Injury Mortality of Children and Adolescents Aged 0–19 Years — China, 2010–2021. China CDC Weekly. doi.org/10.46234/ccdcw2024.057
13Over 60, train balance and leg strength; fix up the bathroom and stairs at home
# Value ModerateGrade ALifespanA little moneyEvery dayA lot of willpower
Balance training such as tai chi two or three times a week cuts falls among older people by about 23%. The number of people who have a fall drops 15%. Non-slip surfaces and grab bars at home cut falls by another two tenths. Falls are the leading cause of injury death among Chinese people over 65. More than half of them happen in the person's own home.
Cost
Train 2 to 3 times a week, 30 minutes of tai chi or balance work each time. A non-slip mat, grab bars, and a night light in the bathroom cost a few tens to a few hundred yuan. The hard part is keeping it up for years.
Benefit
Cochrane pooled 108 trials with 23,407 people. Exercise reduced the number of falls among older people by 23%. The rate ratio for falls is
RaR 0.77, credible range
95% CI 0.71 to 0.83. The number of people with a fall dropped 15% (
RR 0.85). Having someone come to the home for a safety assessment and modifications reduced the fall rate by about two tenths (
RR 0.81,
95% CI 0.68 to 0.97). Tai chi reduced fall risk by about 29% (
RR 0.71). In China, falls are the leading cause of injury death among people over 65. Of the older people's falls monitored in 2018, 55.97% happened in the home
Notes
This applies to people over 60 who live in their own home and are not in a nursing home. The studies above count falls, not deaths. For an older person the road from a fall to a hip fracture and then to death is short. Not being able to see the road also means more falls; for how cataracts affect what you can see, see item 9 in section 17 (cataract surgery). Whether the bones can take a fall: see item 39 in this section (bone density test).
Sources · 3 sources
- Sherrington C et al (2019). Exercise for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews. doi.org/10.1002/14651858.CD012424.pub2
- Gillespie LD et al (2012). Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews. doi.org/10.1002/14651858.CD007146.pub3
- Lu Z et al (2021). Characteristics of Falls Among Older People — China, 2018. China CDC Weekly. doi.org/10.46234/ccdcw2021.013
14Get tested for hepatitis B; if you have no antibodies, get vaccinated
# Value HighGrade ALifespanA little moneyIn passingNo willpower
One test costs a few tens of yuan. In the Qidong trial that followed people for 30 years, people vaccinated at birth were 84% less likely to get primary liver cancer later. 72% fewer of them carried the hepatitis B virus. An adult who tests negative for antibodies gets three more doses, within half a year, for a hundred or two hundred yuan.
Cost
One test costs a few tens of yuan. The 3 doses of hepatitis B vaccine an adult needs cost 100 to 300 yuan in total. Finish them within half a year.
Benefit
The Qidong trial was randomised by group, not by individual, and followed people for 30 years. Newborn vaccination against hepatitis B reduced primary liver cancer by 84%. The credible range is
95% CI 23% to 97%. The share testing positive for hepatitis B surface antigen (
HBsAg) fell by 72% (
95% CI 68% to 75%). That share is the proportion of people found to be carrying the virus. Among the whole Chinese population, the
HBsAg-positive share fell 52% from 1992 to 2014, and 97% among children under 5
Notes
This applies to adults born before 1992 who were never vaccinated or whose antibodies have worn off. The 84% drop in liver cancer comes from people vaccinated at birth. In the same trial, vaccination first given in adolescence was only 21% effective at preventing carriage of the virus. Adult vaccination is mainly about avoiding infection, so the 84% figure does not apply to it. A vaccine does nothing for someone already infected, who needs regular checks in a liver clinic. To know whether you are already infected, look at the hepatitis B surface antigen (
HBsAg) line on the lab report. It is positive when you are infected.
Sources · 2 sources
- Qu C et al (2014). Efficacy of neonatal HBV vaccination on liver cancer and other liver diseases over 30-year follow-up of the Qidong hepatitis B intervention study. PLoS Medicine. doi.org/10.1371/journal.pmed.1001774
- Cui F et al (2017). Prevention of Chronic Hepatitis B after 3 Decades of Escalating Vaccination Policy, China. Emerging Infectious Diseases. doi.org/10.3201/eid2305.161477
15Punctured by a nail or a splinter, or a wound with soil in it: get it treated the same day and ask about a tetanus shot
# Value HighGrade BLifespanA little moneyIn passingNo willpower
Once tetanus develops, about 1 in 10 people dies of it. Deep wounds and wounds with soil in them carry the highest risk. A dirty wound with 5 years or more since the last shot needs one booster. Same-day treatment costs a few tens of yuan. Do not wait until the wound swells.
Cost
Registration and wound treatment cost a few tens of yuan. If the doctor says a shot is needed, the vaccine or the immunoglobulin costs a few tens to a few hundred yuan.
Benefit
Among tetanus cases in the United States, about 1 in 10 ends in death. Deep wounds and wounds contaminated with soil carry more risk. China's 2024 treatment guideline sorts wounds into two tiers. A shallow wound treated within 6 hours and free of soil, faeces, and animal saliva is low risk. A wound is high risk if it is treated only after 6 hours, if it carries any of those, or if it is a puncture, a degloving injury, a crush injury, a burn, a frostbite, or a wound with a foreign body left inside. Someone with 3 or more doses and a last dose under 5 years ago needs nothing. At 5 to 10 years, a high-risk wound needs one booster. At 10 years or more, both tiers need one booster. Someone with fewer than 3 doses, or who cannot remember, must complete the course, and a high-risk wound also needs passive immunisation (an injection that supplies antibodies directly, such as immunoglobulin or antitoxin)
Notes
Let the doctor decide when you reach the hospital. Do not decide it yourself, and do not skip the question because it seems like a hassle. Not every wound needs a shot. The doctor looks at which tier the wound falls into and asks when you had your last dose. Then the doctor decides. "Shots in childhood last a lifetime" is wrong. For a dirty wound, 5 years since the last dose means a booster. Think back to the year of your last tetanus shot before you go.
Sources · 3 sources
- US CDC (美国疾病控制与预防中心). Tetanus: "Tetanus bacteria can get into someone's body through broken skin, usually through injuries." "Tetanus can lead to death (1 in 10 cases in the United States are fatal)." "People who didn't complete the primary series or who aren't up to date with their 10-year tetanus booster shots are also at increased risk." "Vaccination also helps prevent tetanus in people with wounds, depending on their tetanus vaccination history." www.cdc.gov/tetanus/about/index.html
- General Office of the National Health Commission (国家卫生健康委办公厅) (2024). Notice on issuing the Diagnosis and Treatment Standards for Tetanus in Non-newborns (2024 edition) (国卫办医急函〔2024〕381 号; the risk tiers are on page 16 of the appendix, Table 4 on page 20). www.gov.cn/zhengce/zhengceku/202410/content_6982262.htm
- appendix PDF (scan). www.gov.cn/zhengce/zhengceku/202410/P020241023483425528555.pdf
16Women should get the HPV vaccine, the earlier the better
# Value HighGrade ALifespanA fair amount of moneyIn passingNo willpower
In Swedish data from 1,670,000 women, women vaccinated before age 17 were about one eighth as likely to get invasive cervical cancer later. Those vaccinated between 17 and 30 were about half as likely. So the earlier the better.
Cost
The domestic two-valent vaccine is a little over 300 yuan a dose, and the imported nine-valent one about 1300 yuan a dose. The course is 2 to 3 doses. Each trip takes half a day.
Benefit
Sweden followed 1,670,000 women and counted invasive cervical cancer. Women who had the vaccine had a lower rate than women who did not. Vaccination before age 17 cut the rate by about 88% (
IRR 0.12,
95% CI 0.00 to 0.34; the bracket holds the value and its credible range). Vaccination at 17 to 30 cut it by about 53% (
IRR 0.47,
95% CI 0.27 to 0.75)
Notes
The 9 to 14 age group gains the most. Vaccination at 17 to 30 still cuts the rate by more than half. After 30 the gain keeps shrinking. Vaccinated women still need cervical cancer screening, because the vaccine does not replace it, see item 18 (cervical cancer screening for women over 30).
Sources
Lei J et al (2020).
HPV Vaccination and the Risk of Invasive Cervical Cancer. New England Journal of Medicine.
doi.org/10.1056/NEJMoa191733817Women should start breast cancer screening at 40, with a mammogram every two years
# Value ModerateGrade ALifespanA little moneyIn passingNo willpower
Official US screening advice recommends a mammogram every two years for women aged 40 to 74. For women over 75, and for extra ultrasound or MRI on dense breasts, the official conclusion is that the evidence is not enough. When a checkup package tries to charge you for those, you can decline.
Cost
A mammogram costs two or three hundred yuan. Many regions run free screening programmes. One round every two years takes half a day.
Benefit
The US Preventive Services Task Force sets official screening advice in the United States. Its current recommendation is to "recommend screening mammography every two years for women aged 40 to 74 years". Screening mammography is what people call a mammogram. That recommendation carries a grade B. For women aged 75 and over, and for extra ultrasound or MRI on dense breasts, it judges the "existing evidence to be insufficient"
Notes
The starting age differs by country. Some Chinese guidelines and local programmes start at 45. A parent, a child, or a sibling with breast cancer, and anyone carrying a BRCA mutation, is high risk. Those cases need a plan from a doctor, and this item does not apply to them
Sources
18Women over 30 should be screened for cervical cancer, with HPV testing first
# Value HighGrade ALifespanA little moneyIn passingNo willpower
In a trial in rural India, women tested for HPV only once in their lives had about half the risk of dying of cervical cancer. They were about half as likely to be found with late-stage cervical cancer. One test costs a hundred or two hundred yuan, and a negative result holds for 5 years.
Cost
An
HPV test costs 100 to 300 yuan. If the result is negative, one test every 5 years is enough. The swab takes a few minutes.
Benefit
The rural India trial was randomised by group, not by individual. It covered women aged 30 to 59. A single
HPV screening test reduced the risk of dying of cervical cancer by about 48%. The value is
HR 0.52, credible range
95% CI 0.33 to 0.83. The risk of being found with late-stage cervical cancer fell by about 53% (
HR 0.47,
95% CI 0.32 to 0.69)
Notes
Women who have had the
HPV vaccine still need screening, because the vaccine does not cover all the virus types. What makes this study unusual is that it is a randomised screening trial. It measured deaths directly, and it screened only one round.
Sources
Sankaranarayanan R et al (2009).
HPV screening for cervical cancer in rural India. New England Journal of Medicine.
doi.org/10.1056/NEJMoa080851619Start colorectal cancer screening at 45 to 50, with a faecal immunochemical test or a colonoscopy
# Value ModerateGrade ALifespanA little moneyA few hoursNo willpowerDisputed
A faecal occult blood test costing a few tens of yuan every year or two lowers the risk of dying of colorectal cancer by about 16%. Among people who complete at least one round, the drop is 25%. Among people invited to have one colonoscopy, colorectal cancer over the following ten years went from 1.20% to 0.98%.
Cost
A faecal test costs a few tens of yuan, every 1 to 2 years. A colonoscopy costs a few hundred yuan to a little over a thousand, and one every 10 years is enough if the result is negative. Set aside a day for bowel preparation before a colonoscopy.
Benefit
Cochrane pooled several studies. People screened with a faecal occult blood test had about 16% lower risk of dying of colorectal cancer. The value is
RR 0.84, credible range
95% CI 0.78 to 0.90. Among people who took part in at least one round, the drop was about 25% (
RR 0.75). The NordICC randomised trial reported the same pattern. Among people invited to have a colonoscopy, colorectal cancer over 10 years went from 1.20% to 0.98%. The value is
RR 0.82, credible range
95% CI 0.70 to 0.93
Notes
Disputed. NordICC counted people who were invited to have a colonoscopy. Colorectal cancer deaths were 0.28% against 0.31% (
RR 0.90,
95% CI 0.64 to 1.16), and the difference is still inside the error range. That means the mortality benefit of colonoscopy was overstated in the past. The faecal test has the harder evidence on mortality. National guidelines put the starting age between 45 and 50. If someone in the family has had this cancer, start earlier.
Sources · 2 sources
- Hewitson P et al (2007). Screening for colorectal cancer using the faecal occult blood test, Hemoccult. Cochrane Database of Systematic Reviews. doi.org/10.1002/14651858.CD001216.pub2
- Bretthauer M et al (2022). Effect of Colonoscopy Screening on Risks of Colorectal Cancer and Related Death. New England Journal of Medicine. doi.org/10.1056/NEJMoa2208375
20People with cardiovascular disease and older adults should get a flu vaccine every year
# Value HighGrade ALifespanA little moneyIn passingNo willpowerDisputed
In a trial of flu vaccination after a heart attack, deaths within a year fell from 4.9% to 2.9%. People with cardiovascular disease and older adults can get one shot each autumn for 50 to 150 yuan.
Cost
One dose costs 50 to 150 yuan. One shot every autumn.
Benefit
One trial was done after a heart attack, with 2,571 people randomised. Neither the doctors nor the patients knew which shot they received. In the flu vaccine group, all-cause mortality over 12 months was 2.9%. In the placebo group it was 4.9%. The value is
HR 0.59, credible range
95% CI 0.39 to 0.89. A placebo is a control shot with no active ingredient. The
HR for cardiovascular death was 0.59. Another study pooled several studies. In the flu vaccine group, major cardiovascular events occurred in 3.6%, against 5.4% in the control group. The value is
RR 0.66, credible range
95% CI 0.53 to 0.83. Cardiovascular death
RR 0.74 (
95% CI 0.42 to 1.30, and that difference is still inside the error range, so it does not count as statistically significant)
Notes
Disputed. The grade A covers only people with cardiovascular disease. For healthy older adults, the Cochrane review reports one result: flu cases in a season fell from 6% to 2.4%. It rates the certainty of that evidence "low", and the evidence on mortality "extremely low". The review is Demicheli V et al., 2018.
Sources · 3 sources
- Fröbert O et al (2021). Influenza Vaccination After Myocardial Infarction: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial. Circulation. doi.org/10.1161/CIRCULATIONAHA.121.057042
- Behrouzi B et al (2022). Association of Influenza Vaccination With Cardiovascular Risk: A Meta-analysis. JAMA Network Open. doi.org/10.1001/jamanetworkopen.2022.8873
- Demicheli V et al (2018). Vaccines for preventing influenza in the elderly. Cochrane Database of Systematic Reviews. (the Cochrane review named in the notes)doi.org/10.1002/14651858.CD004876.pub4
21Get the shingles vaccine after age 50
# Value ModerateGrade ALifespanA fair amount of moneyIn passingNo willpower
In a phase three trial, this vaccine blocked 97% of shingles. The figure is about the same in every age group. The drawback is that the two shots cost three to four thousand yuan and you pay them yourself. That money buys a 97% drop in the chance of shingles.
Cost
The recombinant shingles vaccine needs two shots, about 3000 to 4000 yuan in total. You pay the whole bill yourself.
Benefit
A phase three trial ran across 18 countries with 15,400 people. People were randomly put into two groups. One group got the vaccine, the other got a control shot. The average follow-up was 3.2 years. Shingles occurred in 6 people in the vaccine group and 210 in the placebo group. Per 1,000 person-years that is 0.3 against 9.1. A person-year means one person watched for one year. The paper puts it as "overall vaccine efficacy against shingles 97.2% (
95% CI 93.7–99.0, P<0.001)". Efficacy by age group runs from 96.6% to 97.9%
Notes
It ranks low for value for money because it is expensive. Shingles itself rarely kills. The trouble is post-herpetic neuralgia, which can last from months to years. After the shot, pain at the injection site and fever are both common. The most severe grade, grade 3 symptoms, was 17.0% against 3.2%
Sources
Lal H, Cunningham AL, Godeaux O, et al. (2015). Efficacy of an adjuvanted herpes zoster subunit vaccine in older adults. New England Journal of Medicine, 372(22), 2087-2096.
doi.org/10.1056/NEJMoa150118422Get the pneumococcal vaccine at 65 or over
# Value ModerateGrade ALifespanA little moneyIn passingNo willpower
Among 84,500 older people in a trial, the 13-valent pneumococcal vaccine blocked about 46% of the pneumonia caused by the types it covers. It blocked 75% of the most dangerous invasive infections. It showed no effect on pneumonia from all causes, so do not expect it to cover every case of pneumonia.
Cost
A few hundred yuan. Some regions give it free to older people.
Benefit
The Netherlands randomised 84,500 people aged 65 and over into two groups. The vaccine was the 13-valent pneumococcal conjugate vaccine. Its efficacy against vaccine-covered pneumococcal pneumonia was 45.6%. The credible range is 95.2% CI 21.8–62.5. Vaccine-covered means the serotypes this vaccine covers. Efficacy against invasive pneumococcal disease was 75.0% (
95% CI 41.4–90.8), the most dangerous type of infection. Against pneumonia from all causes added together, it had no effect
Notes
It only prevents the serotypes it covers. It does not mean you cannot get pneumonia after the shot. The vaccine Chinese older people usually get is the 23-valent polysaccharide vaccine. That is not the same product as the 13-valent conjugate vaccine used in this trial, so the efficacy figures above do not carry over to it
Sources
Bonten MJ, Huijts SM, Bolkenbaas M, et al. (2015). Polysaccharide conjugate vaccine against pneumococcal pneumonia in adults. New England Journal of Medicine, 372(12), 1114-1125.
doi.org/10.1056/NEJMoa140854423Test for Helicobacter pylori and eradicate it if the test is positive
# Value HighGrade ALifespanA little moneyIn passingSome willpower
In a trial in Linqu, Shandong that followed people for 22 years, people whose Helicobacter pylori was eradicated had about half the chance of stomach cancer later. Their chance of dying from stomach cancer was about 40% lower. The test costs a hundred or two hundred yuan. The eradication course takes two weeks.
Cost
A carbon 13 or carbon 14 breath test costs 100 to 200 yuan. Eradication needs four drugs at once, 200 to 500 yuan for two weeks. The hard part is taking them on schedule for the full two weeks.
Benefit
The randomised trial in Linqu, Shandong followed people for 22 years. People treated to eradicate Helicobacter pylori had about half the risk of stomach cancer. The value is
OR 0.48, credible range
95% CI 0.32 to 0.71. The risk of dying from stomach cancer was about 38% lower (
HR 0.62,
95% CI 0.39 to 0.99)
Notes
People can pick up the infection again after eradication, so test and treat the family at the same time. The people in this trial lived in an area with high rates of stomach cancer. People living in a low-incidence area get much less real benefit.
Sources
Li WQ et al (2019). Effects of Helicobacter pylori treatment and vitamin and garlic supplementation on gastric cancer incidence and mortality: follow-up of a randomized intervention trial. BMJ.
doi.org/10.1136/bmj.l501624Heavy smokers get a low-dose chest CT every year
# Value HighGrade ALifespanA little moneyIn passingNo willpower
Heavy smokers who meet the criteria get a low-dose CT every year. Death from lung cancer is 20% lower than with a chest X-ray alone. Overall death is 6.7% lower. The price is the follow-up scan after a suspicious finding, and the worry in between.
Cost
One scan costs 200 to 400 yuan and takes 10 minutes. Add the follow-up scan after a false alarm, and the worry in between.
Benefit
The US NLST randomised trial enrolled 53,454 people. All were 55 to 74 years old, had a smoking history of 30 pack-years or more, and had quit no more than 15 years before. A pack-year is the unit for how much someone smoked: one pack a day for one year. Here is the result. People who had the low-dose CT had a 20.0% relative drop in lung cancer death compared with chest X-ray alone. The credible range is
95% CI 6.8 to 26.7.
All-cause mortality fell 6.7% in relative terms, credible range
95% CI 1.2 to 13.6
Notes
This applies only to high-risk smokers. In the same trial, 24.2% of the people who had the low-dose CT had a suspicious finding. Of those, 96.4% turned out to be false alarms (a false positive). For people who do not smoke, this test is paying money to feel anxious.
Sources
National Lung Screening Trial Research Team (2011). Reduced Lung-Cancer Mortality with Low-Dose Computed Tomographic Screening. New England Journal of Medicine.
doi.org/10.1056/NEJMoa110287325Call 12356 when you are depressed or have suicidal thoughts, and keep no sleeping pills or pesticides at home
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Evidence keeps building for taking lethal things out of reach. Restricting access to painkillers cut suicides involving painkillers by 43%. Barriers at places where people often jump from buildings cut them by 86%. That is why you keep no sleeping pills and no pesticides at home. When you cannot get past something, call 12356 first. It works nationwide and is open at least 18 hours a day.
Cost
It costs nothing. One phone call. Also lock the medicines away and keep pesticides out of the house.
Benefit
One review systematically went through research from the past 10 years. Evidence keeps strengthening for restricting access to lethal means. After painkillers were brought under control, suicides involving painkillers fell 43%. Adding barriers to places where people often jump cut them by 86% (79% to 91%, and the bracket holds the credible range for that figure). Cognitive programmes in schools reduced suicide attempts by about 55% (
OR 0.45,
95% CI 0.24 to 0.85). Drugs for depression and psychotherapy are an important part of preventing suicide. From day 1 of month 5 in 2025, 12356 reaches the national psychological assistance hotline everywhere in China, open for at least 18 hours a day
Notes
The reason for the grade B: most of the evidence on restricting means comes from ecological studies, which compare the numbers before and after a policy. The hotline itself has no evidence of lowering mortality. The urge to kill yourself usually lasts minutes to hours. Moving lethal things one step further away is itself an intervention. For the time scale of that urge and for the long-term outcome after an attempt, see item 32 in this section (tell one person near you the moment the thought appears). For what is left behind after someone is rescued, see item 33 in this section.
Sources · 2 sources
- Zalsman G et al (2016). Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. doi.org/10.1016/S2215-0366(16)30030-X
- National Health Commission (国家卫生健康委) (2024). Notice on the Use of "12356" as the Nationwide Unified Psychological Assistance Hotline Number, 关于应用"12356"全国统一心理援助热线电话号码的通知(国卫医政函〔2024〕259 号). www.gov.cn/zhengce/zhengceku/202412/content_6994470.htm
26Keep a fire extinguisher, a fire blanket, escape respirators and a first aid kit, and check them once a year
# Value ModerateGrade BLifespanA little moneyIn passingNo willpowerDisputed
A fire extinguisher, a fire blanket, an escape respirator and a first aid kit are all on the emergency ministry's list of 11 items for the home. The set costs a few hundred yuan and you buy it once. In the studies with home safety visits, injuries fell by about a quarter.
Cost
A fire extinguisher, a fire blanket, one respirator per person and a first aid kit come to a few hundred yuan as a set. Buy them once, then spend ten minutes checking them every year.
Benefit
The Ministry of Emergency Management's National Basic Household Emergency Supplies Storage Recommended List has 11 items. It lists "fire extinguishers and fire blankets" for "putting out a fire in its early stage" (「灭火器和灭火毯」, 「初起火灾的扑救」), and it adds that a fire blanket "can be worn over the body to escape" (「灭火毯可披覆在身上逃生」). "Respirator" there means a "fire-filtering self-rescue breathing apparatus, for escaping a fire" (「消防过滤式自救呼吸器,用于火灾逃生使用」). "Topical medicines" means "haemostatic powder, adhesive wound dressings, gauze bandages and the like, for treating wounds" (「止血粉、止血贴、纱布绷带等,用于处理伤口」). Cochrane pooled 98 studies and 2,605,044 people. Home safety interventions brought the injury rate down to
IRR 0.89. The credible range is
95% CI 0.78 to 1.01. Interventions delivered in the home cut injuries by about 25% (
IRR 0.75,
95% CI 0.62 to 0.91)
Notes
Disputed. In the same Cochrane summary, the kind of intervention that hands out no equipment cut injuries by about a fifth. The value is
IRR 0.78, credible range
95% CI 0.66 to 0.92. The group that did get equipment did no better. Home visits and home modifications are what cut injuries, so the equipment is graded "medium" and not "large". When you buy an extinguisher, look for the CCC mark, and the needle of a stored-pressure model must rest in the green zone. Smoke alarms and carbon monoxide alarms: see
item 3 in this section. How to use a tourniquet: see
item 12 in section 13. How to choose each item, where to keep it, and how often to replace it: see
docs/家庭应急装备清单.mdSources · 3 sources
- Ministry of Emergency Management (应急管理部) (2020). National Basic Household Emergency Supplies Storage Recommended List, 全国基础版家庭应急物资储备建议清单. www.mem.gov.cn/kp/shaq/202011/t20201129_372149.shtml
- Kendrick D et al (2012). Home safety education and provision of safety equipment for injury prevention. Cochrane Database of Systematic Reviews. doi.org/10.1002/14651858.CD005014.pub3
- Wusheng County Market Supervision Administration (武胜县市场监督管理局) (2025). Consumer advice on portable fire extinguishers, fire doors and windows, and point-type heat (smoke) fire detectors, 手提式灭火器、防火门(窗)、点型感温(烟)火灾探测器消费提示. www.wusheng.gov.cn/gasylbzj/c109568/zzzq/content/content_1988424970198126592.html
27Visible blood in the urine needs one check, even with no pain and even if it clears by the next day
# Value ModerateGrade BLifespanA little moneyA few hoursNo willpower
Among people over 60, one episode of visible blood in the urine means about a 2.8% chance of bladder cancer being found. Between 40 and 59 it is about 1.2%. That figure is not high, but it is high enough that you must go and get it checked once. Go even if the bleeding is gone the next day.
Cost
A routine urine test costs a few tens of yuan and an ultrasound of the urinary tract a hundred or two hundred yuan. If the doctor thinks it is needed, add a cystoscopy, around a thousand yuan.
Benefit
A UK study used the electronic records of community general practices, the first stop in primary care. It compared 4915 bladder cancer cases with 21718 controls. Among people with visible blood in the urine, this is the share who did turn out to have bladder cancer. Over 60 it is 2.8%, credible range
95% CI 2.5 to 3.1. Between 40 and 59 it is 1.2%, credible range 0.6 to 2.3. The technical name for that share is the positive predictive value. Blood in the urine that is visible only under a microscope carries the same meaning. The odds ratio is 20, credible range
95% CI 12 to 33. Over 60 that share is 1.6%, credible range 1.2 to 2.1
Notes
"No pain" is the key point. Blood in the urine from stones or infection comes with colicky pain in the waist or lower belly most of the time, or with frequent urination, urgency, or pain on passing urine. Tumours often cause no sensation at all. The bleeding stops on its own for a few days and comes back, and many people let it pass. Taking an anticoagulant is not a reason to skip the check. After hard exercise, or around a woman's period, you can repeat the test once before deciding. The benefit is graded "small" because only the detection rate is known. There is no effect size for how much an earlier check lowers deaths.
Sources
Price SJ, Shephard EA, Stapley SA, Barraclough K, Hamilton WT (2014). Non-visible versus visible haematuria and bladder cancer risk: a study of electronic records in primary care. British Journal of General Practice, 64(626), e584-e589.
doi.org/10.3399/bjgp14X68140928If erectile function fails, check the cardiovascular system first, and do not treat it as only "that kind of problem"
# Value ModerateGrade ALifespanA little moneyA few hoursNo willpower
Men with erectile dysfunction later have about 40% more cardiovascular disease than other men, and about 60% more heart attacks. The younger the man, the bigger the gap. This problem often shows up before chest pain does. So get your blood pressure, glucose and lipids checked first. Do not buy drugs to push it down on your own.
Cost
Registration costs a few tens of yuan. Measuring blood pressure and drawing blood for glucose and lipids costs a hundred or two hundred yuan. One trip to the hospital, then a few days of waiting for the results.
Benefit
A meta-analysis pooled 14 cohort studies with 92,757 men, followed for an average of 6.1 years. Compared with men without erectile dysfunction, here is the later risk among men who had it. Total cardiovascular events were about 44% higher (
RR 1.44,
95% CI 1.27 to 1.63, and that is the credible range). Heart attacks were about 62% higher (
RR 1.62, 1.34 to 1.96). Cerebrovascular events were about 39% higher (
RR 1.39, 1.23 to 1.57). All-cause death was about 25% higher (
RR 1.25, 1.12 to 1.39). Cardiovascular death showed no difference (
RR 1.19, 0.97 to 1.46). The younger the age, the higher the multiple. Among people whose cardiovascular risk was moderate to begin with, the multiple was higher than in both the high-risk and the low-risk group. Studies that decided with a questionnaire put the multiple at 1.61 (1.38 to 1.86). Studies that asked a single question put it at 1.27 (1.18 to 1.37)
Notes
All 14 of these studies only followed a group of people and watched what happened, so they were not randomised trials. The extra 40% is therefore an association, not a cause. An occasional problem does not count. Only problems lasting three months or more should be treated as a problem. What needs checking is the same as in item 7 and item 8 in this section: blood pressure, fasting glucose, plus lipids, smoking and waist size. Do not buy "aphrodisiac" health products online. The legitimate drugs of this kind are prescription drugs. The label lists nitrates as a contraindication, so anyone using a drug such as nitroglycerin cannot take them. Together they can send blood pressure down suddenly. How to improve it: see item 29 in this section (losing weight and quitting smoking improve erectile function). The benefit is graded "medium", not "large": 44% is the difference in risk between two groups of people, not a measure of how many deaths one check would prevent. Nor is it graded "small": a signal like the one in item 27 in this section (visible blood in the urine) only has a detection rate, while the high blood pressure, diabetes and abnormal lipids found here all have treatments already in hand.
Sources
Vlachopoulos CV, Terentes-Printzios DG, Ioakeimidis NK, Aznaouridis KA, Stefanadis CI (2013). Prediction of cardiovascular events and all-cause mortality with erectile dysfunction: a systematic review and meta-analysis of cohort studies. Circulation: Cardiovascular Quality and Outcomes, 6(1), 99-109. ;DailyMed (the drug label database of the US National Library of Medicine). VIAGRA (sildenafil citrate) tablet, CONTRAINDICATIONS.
doi.org/10.1161/CIRCOUTCOMES.112.966903dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d905dc8d-917f-4ea3-a4ee-a1ecf6967d4e29Losing weight, quitting smoking and controlling blood pressure and glucose improve erectile function
# Value ModerateGrade ALifespanNo moneyEvery dayA lot of willpower
Controlling the risk factors for cardiovascular disease improves erectile function itself. On a questionnaire score, the average gain is 2 to 3 points. The questionnaire has 25 points in total, and 22 or more counts as normal.
Cost
It costs nothing and may save money. The hard part is keeping it up: controlling what you eat, getting moving, and quitting smoking.
Benefit
A meta-analysis pooled 6 randomised controlled trials with 740 men. The interventions were lifestyle change, or drugs to control cardiovascular risk factors, with at least 6 weeks of follow-up. Here is the result: the score on the erectile function questionnaire (IIEF-5) rose by 2.66 points on average (
95% CI 1.86 to 3.47, and that is the credible range). Taking out the 2 trials that used statins (143 people) leaves 4 trials based on lifestyle change alone (597 people), and they still gained 2.40 points (1.19 to 3.61). The IIEF-5 is a questionnaire of 5 questions, worth 25 points in total. The paper splits the scores into five bands: 22 to 25 points counts as no difficulty, and 5 to 7 points counts as severe
Notes
The interventions in these 6 trials differ. Some combined weight loss with exercise, and others used drugs to control blood pressure and lipids. There were only 740 people in total, so the direction is clear but the size of the gain differs from person to person. The benefit is graded "small" because the only endpoint is a questionnaire score. There is no figure for how many illnesses people avoided later. The same three actions do have hard endpoints elsewhere: for quitting smoking see
item 1 in section 2 (quitting smoking, the earlier the better), for weight loss see
item 32 in section 2 (keep
BMI between 20–25), and for blood pressure see
item 7 in this section (measure it, and take drugs if it is high). Taking the drug is not forbidden, as long as a doctor prescribed it. "Health products" sold online often sneak these substances in at an unknown dose. How to tell them apart: see
item 4 in section 28 (do not buy diet pills that promise fast weight loss).
Sources · 2 sources
- Gupta BP, Murad MH, Clifton MM, Prokop L, Nehra A, Kopecky SL (2011). The effect of lifestyle modification and cardiovascular risk factor reduction on erectile dysfunction: a systematic review and meta-analysis. Archives of Internal Medicine, 171(20), 1797-1803. doi.org/10.1001/archinternmed.2011.440
- Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Peña BM (1999). Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. International Journal of Impotence Research, 11(6), 319-326. doi.org/10.1038/sj.ijir.3900472
30Use a condom for the whole of sex, and never share needles
# Value HighGrade ALifespanA little moneyIn passingSome willpower
Using a condom for the whole of sex each time cuts the chance of passing HIV between men and women by more than 70%. "Most of the time" works about as badly as not using one at all. It also blocks syphilis, gonorrhoea and the like.
Cost
One costs a yuan or two. The hard part is not the money. It is using one every time, and putting it on before you start.
Benefit
One study pooled 25 studies with 10676 heterosexual couples. In each couple one partner had HIV and the other did not, which is called serodiscordant. Compared with people who never use a condom, people who used one every time had about 71% lower risk of HIV transmission. The value is
RR 0.29, credible range
95% CI 0.20 to 0.43. Compared with people who use them only now and then, the risk was about 77% lower (
RR 0.23,
95% CI 0.13 to 0.40). The authors conclude that condoms are not perfect, but consistent use "can cut HIV transmission by more than 70%". The same protection covers syphilis, gonorrhoea, chlamydia and other sexually transmitted infections
Notes
The gap between irregular use and no use at all is small. A condom works only if you use one every time, for the whole of sex. Sharing needles is another route of transmission, independent of sex and highly efficient. Injecting drugs, tattoos and body piercing all count. People at high risk can also use preexposure prophylaxis (PrEP), which means taking medicine beforehand to block infection. Pooling 18 studies, in every trial where more than 70% took the pills on time, people taking PrEP had about 70% lower risk of HIV infection than people taking a placebo. The value is a risk ratio of 0.30, credible range
95% CI 0.21 to 0.45. In the trials where fewer people took the pills on time, no protective effect showed. PrEP is a prescription drug. Ask at an infectious disease clinic or the CDC, and do not order it online yourself. What to do after exposure: see
section 13Sources
Giannou FK, Tsiara CG, Nikolopoulos GK, et al. (2016). Condom effectiveness in reducing heterosexual HIV transmission: a systematic review and meta-analysis of studies on HIV serodiscordant couples. Expert Review of Pharmacoeconomics & Outcomes Research, 16(4), 489-499. ;Fonner VA et al (2016). Effectiveness and safety of oral HIV preexposure prophylaxis for all populations. AIDS. (preexposure prophylaxis, PrEP)
doi.org/10.1586/14737167.2016.1102635doi.org/10.1097/QAD.000000000000114531If you have done anything high-risk, get an HIV test once: the CDC does it free and the result stays confidential
# Value HighGrade ALifespanNo moneyIn passingSome willpower
An HIV test at the CDC costs nothing. Without your own consent, no unit and no individual may disclose your name, your address, your work unit or your medical history. A positive result is not a death sentence. People who keep taking the medicine and get the virus down to an undetectable level do not pass it on to their sexual partners. That study followed more than 700 couples and more than 70,000 condomless sex acts, and transmission between partners was zero.
Cost
It costs nothing. One trip to the CDC or a designated medical institution, one tube of blood. The hard part is asking for the test.
Benefit
Article 23 of the Regulations on the Prevention and Control of HIV/AIDS says that the health departments of local people's governments at county level and above will designate medical and health institutions. Those institutions "shall provide free counselling and preliminary screening tests to people who voluntarily seek HIV counselling and testing". Testing early does real work now. Current antiretroviral treatment can push the virus down to undetectable. The World Health Organization's line is that people on antiretroviral treatment with an undetectable viral load will not transmit HIV to their sexual partners. The PARTNER study followed 782 same-sex couples, and in every couple one partner was infected and one was not, which is called serodifferent. The total is 1593 couple-years, which means the follow-up years of each couple added together. There were 76088 condomless sex acts during that time, and 15 new infections. After a phylogenetic analysis comparing the virus genes, all 15 of them did not come from the partner, and transmission between partners was zero. Article 39 of the same regulations states: 「未经本人或者其监护人同意,任何单位或者个人不得公开艾滋病病毒感染者、艾滋病病人及其家属的姓名、住址、工作单位、肖像、病史资料以及其他可能推断出其具体身份的信息。」
Notes
The window period decides when a test counts. The figures from the Guangdong CDC are that a nucleic acid test can detect it after about 1 week, a fourth-generation combined antigen and antibody test after about 2 weeks, and a third-generation antibody test after about 3 weeks. Wait at least 2 weeks before testing, and repeat it every 2 to 4 weeks. Three months after the last high-risk behaviour, more than 99.99% of people can rule out infection. A home test kit showing positive is not a diagnosis, and it has to be confirmed at the CDC or a proper institution. Article 3 of the Regulations says that no unit and no individual may discriminate against infected people or their families, and that marriage, employment, medical care and schooling are protected by law. Article 38 says at the same time that infected people are obliged to tell their sexual partners the fact of the infection or the illness in good time. Screening for the three infections in pregnancy and blocking transmission from mother to baby: see section 27
Sources · 3 sources
- State Council (国务院) (2006). Regulations on the Prevention and Control of HIV/AIDS, 艾滋病防治条例(第三、二十三、三十八、三十九条). (reprinted by the Beijing Municipal Health Commission)wjw.beijing.gov.cn/zwgk_20040/zcwj2022/flfg/202304/t20230408_2992986.html
- Rodger AJ, Cambiano V, Bruun T, et al. (2019). Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study. The Lancet, 393(10189), 2428-2438. doi.org/10.1016/S0140-6736(19)30418-0
- Guangdong Provincial Center for Disease Control and Prevention (广东省疾病预防控制中心). The window period of HIV testing, a plain-language explainer, 艾滋病检测窗口期科普. (the figure for the window period; the original page has been taken down, and the link is a web archive copy dated 2026-09-15)web.archive.org/web/20260915151957/https://cdcp.gd.gov.cn/jkjy/kpydjwjxz/content/post_3441820.html
32Tell one person near you the moment a suicidal thought appears, and hand those few minutes to someone else
# Value HighGrade BLifespanNo moneyIn passingSome willpower
Among people who have attempted suicide, close to half say no more than 10 minutes passed from the thought appearing to the act. Those few minutes are what you have to get through. Three in four had some contact with someone near them during that time and did not speak up. Among people admitted to hospital after self-harm, about 2% died by suicide after 1 year, and about 7% after 9 years or more. The large majority did not later die by suicide.
Cost
It costs nothing. The hard part is speaking up at the time, and admitting that you cannot stay on your own for the next few hours.
Benefit
82 people who had attempted suicide were interviewed within 3 days of admission. 47.6% of them (39 people) said that no more than 10 minutes passed from the first suicidal thought of that episode to the act itself. The people whose process ran longer scored clearly higher on the suicidal intent scale. The score on the impulsivity scale had nothing to do with how long the process took. 76.8% (63 people) said they had some contact with a partner, a family member or a friend during that time. The authors conclude that the window for intervention is usually short and that there is little room for professionals to step in at that stage, so the warning signs and the ways to intervene have to be spread to ordinary people. A separate systematic review pooled 90 follow-up studies. Among people who came to hospital after self-harm, the middle value for self-harm again without dying within 1 year was 16%. Death by suicide within 1 year was 2%. Among those followed for 9 years or more, about 7% died by suicide
Notes
The reason for the grade B: the Deisenhammer study had only 82 people, came from a single hospital, and relied on the survivors' own recall afterwards. The Owens review gives the middle value from 90 studies that each did things differently, not one number pooled from them. The same review also states plainly that the suicide risk of people who have harmed themselves is still several hundred times that of the general population. So "the large majority did not later die by suicide" describes this group as a whole. It is not a guarantee about any one person, and the doctor still has to be seen. Moving lethal means out of reach, and 12356: see item 25 in this section. What to do first when you feel low: see item 18 in section 3. What is left behind after someone is rescued: see item 33 in this section. What you can do when someone near you shows this kind of thought: see item 15 in section 8
Sources · 2 sources
- Deisenhammer EA, Ing CM, Strauss R, Kemmler G, Hinterhuber H, Weiss EM (2009). The duration of the suicidal process: how much time is left for intervention between consideration and accomplishment of a suicide attempt? Journal of Clinical Psychiatry, 70(1), 19-24. doi.org/10.4088/JCP.07m03904
- Owens D, Horrocks J, House A (2002). Fatal and non-fatal repetition of self-harm: systematic review. British Journal of Psychiatry, 181, 193-199. doi.org/10.1192/bjp.181.3.193
33Do not treat surviving as a safety net: after drinking pesticide or inhaling coal gas, emergency care can save the life but not the lungs or the brain
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Paraquat has no antidote, and more than 40% of the people who drink it cannot be saved. It inflames the lungs and hardens them slowly, and the kidneys and the liver are damaged as well. Among the people rescued after coal gas poisoning, close to half have a worse brain than before at six weeks, and a quarter of them still do even with hyperbaric oxygen.
Cost
It costs nothing. You only have to know this in advance.
Benefit
A systematic review of paraquat poisoning: the fatality rate is extremely high, because the poison itself is strong and there is no effective treatment. It is carried into lung tissue against the concentration gradient, which is called active uptake against the concentration gradient, and the result is pneumonia and pulmonary fibrosis, together with kidney damage and liver damage. The review states that gastric lavage should not be done. Haemodialysis and haemoperfusion are unlikely to change the clinical course. The evidence for steroids and for immunosuppressants is weak. The review also says: "the fatality rate is high in every centre, even though treatment varies a great deal". Bangladesh's 10 tertiary hospitals admitted 1420 cases from 2013 to 2024, of which 257 could be analysed: a fatality rate of 43.2%. The common presentations were leg swelling from acute kidney failure at 71.2%, vomiting at 65.8% and abdominal pain at 58.0%. The trial in acute carbon monoxide poisoning was double-blind and randomised, with 76 people in each group. Neither the doctors nor the patients knew which group they were in. At six weeks the people left with cognitive sequelae were 19/76 (25.0%) in the hyperbaric oxygen group. The normobaric oxygen group was 35/76 (46.1%), P=0.007. After adjusting for the other factors,
OR 0.45 (
95% CI 0.22 to 0.92, and the bracket holds the credible range for that number). Another study followed 73 cases: 30% had cognitive sequelae and 12% had white matter hyperintensities in the brain. From day 1 of month 7 in 2014 China withdrew the registration and the production licence for paraquat in liquid form and stopped production. From day 1 of month 7 in 2016 the liquid was no longer sold or used in the country. From day 26 of month 9 in 2020 soluble gel formulations were banned from sale and from use in the country. The document states that cases of suicide by taking paraquat occur from time to time is the direct reason for the tighter regulation
Notes
The reason for the grade B: the people in these studies are poisoning cases, not a single group of suicide attempters, and the carbon monoxide trial also includes people who were poisoned by accident. So the sequelae rates above cannot be read directly as the odds of what happens after a suicide attempt. What can be said is that no method leaves no sequelae. Handling carbon monoxide at the scene: see item 19 in section 13. Swallowing pesticide or medicine, do not induce vomiting and take the bottle to hospital: see item 20 in section 13. Keeping no pesticides and no sleeping pills at home: see item 25 in this section. This book does not compare the fatality rates of different methods and does not set down any specific method
Sources · 5 sources
- Gawarammana IB, Buckley NA (2011). Medical management of paraquat ingestion. British Journal of Clinical Pharmacology, 72(5), 745-757. doi.org/10.1111/j.1365-2125.2011.04026.x
- Chowdhury FR et al (2026). Clinical and Laboratory Profile of Paraquat Poisoning: A Toxicological Crisis in Bangladesh. American Journal of Tropical Medicine and Hygiene, 115, 176-182. doi.org/10.4269/ajtmh.25-0719
- Weaver LK, Hopkins RO, Chan KJ, et al. (2002). Hyperbaric oxygen for acute carbon monoxide poisoning. New England Journal of Medicine, 347(14), 1057-1067. doi.org/10.1056/NEJMoa013121
- Parkinson RB, Hopkins RO, Cleavinger HB, et al. (2002). White matter hyperintensities and neuropsychological outcome following carbon monoxide poisoning. Neurology, 58(10), 1525-1532. doi.org/10.1212/wnl.58.10.1525
- General Office of the Ministry of Agriculture and Rural Affairs (农业农村部办公厅) (2018). Notice on effectively strengthening the supervision and management of paraquat, 关于切实加强百草枯监督管理的通知(农办农〔2018〕17 号). www.gov.cn/zhengce/zhengceku/2018-12/31/content_5442594.htm
34Do not bet a fall from height on "a few days in bed will do": most people in a trauma ICU do survive, and the bill is counted in years
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Among people who fall from a height and are admitted to a trauma ICU, only 5.5% die, but the injuries are severe and the treatment is long. Close to half are hurt in more than three places at once, a little over a third go on a ventilator, and the longest stay in the ICU is 132 days. Half of the falls were from no more than 3 metres. Among the badly injured, fewer than six in ten later go back to work.
Cost
It costs nothing. You only have to see the bill clearly first.
Benefit
A trauma ICU (intensive care unit) in southern Xinjiang has published its figures. From month 4 of 2020 to month 7 of 2024 it admitted 289 falls from a height. The average age of this group was 40.3 years. The median fall height was 3 metres, 26.6% fell from more than 5 metres and 11.4% from more than 10 metres. The median injury severity score (ISS) was 24, the higher that score the heavier the injuries, and 63.3% of the people scored above 20. 47.1% were hurt in more than 3 places and 18.3% in more than 4. 36% needed a ventilator (mechanical ventilation), and the median time on it was 103.5 hours. The median stay in the ICU was 8 days, the shortest 1 day and the longest 132 days. In-hospital or 30-day mortality was 5.5% (16/289). A trauma centre in Germany took in 84 patients with polytrauma and an ISS of 25 or more, polytrauma meaning injuries to several parts of the body at the same time. 58% returned to work during the follow-up period. Age, length of ICU treatment and self-rated health were the predictors. The average cost of a hospital stay nationwide in 2024 (what one stay costs on average) was 9870.0 yuan, 4.3% lower than the year before at that year's prices. In the same year national total health expenditure was 90895.5 hundred million yuan, of which personal health spending was 25007.5 hundred million yuan, 27.5% of the total
Notes
The reason for the grade B: the falls group was counted by one hospital going back through old records, and accidents were not separated from self-inflicted falls. The return-to-work group had only 84 people and was in Germany. Neither group can be read as what happens to one person after a jump from a building. The average cost per hospital stay is a mean taken across all hospital stays in the country, not the cost of a fall injury. It is quoted only to give a lower bound that anyone can check. The original paper gives only the distribution of fall heights, so this item does not state how height maps to outcome. Pressure sores, the one to watch during a long spell in bed: see item 8 in section 17. Deep vein thrombosis and pulmonary embolism: see item 11 in section 13 (one leg swelling suddenly). What to do when the thought appears: see item 32 in this section. What poisoning leaves behind: see item 33 in this section (do not treat surviving as a safety net). Below is the author's own experience: a fall from the fourth floor, expecting beforehand that a fortnight or so would do. In fact it was a year in hospital, four operations, and a metal plate put in. For half a year he could not turn over or sit up on his own, and the family borrowed money for it
Sources · 3 sources
- Chen Y, Li W, Wang X, Zhong Q, Abudurexiti A, Qiu Q, Li J, Luo J (2025). Clinical features and prognostic predictors for patients admitted to trauma intensive care unit due to fall from height in South Xinjiang. International Journal of Emergency Medicine, 18, 142. doi.org/10.1186/s12245-025-00959-4
- Simmel S, Wurm S, Drisch S, Woltmann A, Coenen M (2020). Prädiktion der Rückkehr zur Arbeit nach Polytrauma bei Patienten mit einem ISS von mindestens 25. Die Rehabilitation, 59(2), 95-103. doi.org/10.1055/a-0977-6853
- National Health Commission (国家卫生健康委) (2025). Reading of the 2024 Statistical Bulletin on the Development of Health and Health Services in China, 2024 年我国卫生健康事业发展统计公报解读. www.gov.cn/zhengce/202512/content_7050025.htm
35Do not trade "one kidney less is no big deal" for money: the one that is left has to do the work of two, and 86% of people who sold a kidney said afterwards that their health got worse
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpowerDisputed
Among regular donors who went through layer on layer of screening before donating and had somebody check them afterwards, 31 people per 10,000 had reached end-stage kidney disease 15 years later. Among people just as healthy who did not donate, it was 4 per 10,000. People who sold a kidney had no screening and no follow-up. Six years later 86% said their health was worse, and three in four were still in debt.
Cost
It costs nothing. You only have to see the bill clearly first.
Benefit
The United States compared 96,217 living kidney donors with 20,024 healthy people of similar eligibility who did not donate. The comparison group came from the US National Health and Nutrition Examination Survey (NHANES III). Then they estimated the risk of reaching end-stage kidney disease 15 years after donation. For donors it is 30.8 per 10,000, credible range
95% CI 24.3 to 38.5. For healthy non-donors it is 3.9 per 10,000, credible range
95% CI 0.8 to 8.9, P<0.001. The technical name for end-stage kidney disease is ESRD, and at that point a person needs dialysis or a transplant to stay alive. Estimated lifetime risk of reaching ESRD: donors 90 per 10,000, the general population without screening 326 per 10,000, healthy non-donors 14 per 10,000. Norway ran a comparison too. On one side were 1901 kidney donors, followed for a median of 15.1 years. On the other were 32,621 controls who met the donation criteria, followed for a median of 24.9 years.
All-cause mortality in kidney donors was about three in ten higher (
HR 1.30,
95% CI 1.11 to 1.52). Cardiovascular mortality was about four in ten higher (
HR 1.40, 1.03 to 1.91). Reaching ESRD was about ten times higher (
HR 11.38, 4.37 to 29.6). Total ESRD incidence in that donor group was 302 per million people. The United States also has 3698 kidney donors, 11 of whom developed ESRD, which works out at 180 per million person-years of observation, against 268 in the general population over the same period. 255 of these people came back for a check a mean of 12.2±9.2 years after donating. 85.5% of them had a GFR (glomerular filtration rate) of 60 ml/min/1.73 m² or more. 60 is the lower limit of normal in clinical practice. 32.1% had high blood pressure. 12.7% had proteinuria (protein leaking into the urine). A survey in Chennai, India looked at 305 people who had sold a kidney and interviewed them a mean of 6 years after the sale: 96% had sold to pay off debts and got 1070 dollars on average. After the removal the average household income fell by a third (P<0.001), more people fell below the poverty line, and three in four were still in debt at the time of the survey. 86% reported that their health was worse than before the kidney was removed, and 79% would not advise anyone else to sell a kidney
Notes
Disputed. The Ibrahim study used ordinary people as its comparison group, and its conclusion is that the survival of kidney donors, and their risk of reaching end-stage kidney disease (ESRD), are close to that of ordinary people. Once Muzaale and Mjøen changed the comparison group to people just as healthy and just as eligible to donate, the risk came out clearly higher. The disagreement is about who to compare against, not about the donors. All three studies agree that the absolute risk is small (30.8 per 10,000 at 15 years, that is 30.8 out of 10,000 people). So the point is not that donating a kidney is dangerous. Two other things matter. The kidney that is left really does pay a price, and the rates of high blood pressure and of proteinuria are there to be seen. Every one of these numbers comes from people who were screened before the operation, had somebody checking them afterwards, and could go back to hospital if something went wrong. Selling a kidney on the black market has none of those three things, and the Indian follow-up gives a different outcome. The original studies report only self-reported worse health, proteinuria, high blood pressure and the incidence of end-stage kidney disease. They give no figure for how many people were bedridden, and this item does not supply one. Family limits on lawful donation, fines and criminal liability: see item 22 in section 9 (do not sell your own organs). For people who already need dialysis, direct cross-province settlement and long-term medication: see items 1 and 2 in section 16 (take the medicine as prescribed, cross-province filing for outpatient special-disease treatment)
Sources · 4 sources
- Muzaale AD, Massie AB, Wang MC, Montgomery RA, McBride MA, Wainright JL, Segev DL (2014). Risk of end-stage renal disease following live kidney donation. JAMA, 311(6), 579-586. doi.org/10.1001/jama.2013.285141
- Mjøen G, Hallan S, Hartmann A, et al. (2014). Long-term risks for kidney donors. Kidney International, 86(1), 162-167. doi.org/10.1038/ki.2013.460
- Ibrahim HN, Foley R, Tan L, et al. (2009). Long-term consequences of kidney donation. New England Journal of Medicine, 360(5), 459-469. doi.org/10.1056/NEJMoa0804883
- Goyal M, Mehta RL, Schneiderman LJ, Sehgal AR (2002). Economic and health consequences of selling a kidney in India. JAMA, 288(13), 1589-1593. doi.org/10.1001/jama.288.13.1589
36Do not pick up, take apart or sell metal parts of unknown origin, and keep away from anything carrying the trefoil warning sign
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
Radiation has no smell, no colour and no temperature, and most radioactive sources are a piece of ordinary metal, so "it looks all right" is not a test. The chance of an ordinary person running into one is very low, fewer than 1 accident a year per 10,000 sources. Once you do run into one there is no way back. In 1987 in Brazil someone cut up a radiotherapy machine from a disused clinic as scrap, and 4 people died in the end.
Cost
It costs nothing. Walk around any metal cylinder, lead container or part taken off a machine that you do not recognise. Do not pick it up, do not take it apart, do not put it in your pocket.
Benefit
As of 2025 the country had about 17.8 hundred thousand radioactive sources in use and 35.5 hundred thousand radiation devices. The yearly rate of radiation accidents involving radioactive sources stays below 1 per 10,000 sources. The grading runs like this. Losing, having stolen or losing control of a Class I or Class II source counts as a major radiation accident. Class III is a larger radiation accident. Losing or having stolen a Class IV or Class V source, or exposing people to more than the annual dose limit, is a general radiation accident. Official case: in month 6 of 2020 the ironmaking plant of the Ningxia Iron and Steel Group was carrying out gamma ray testing on a blast furnace pipeline renovation project. One Class II iridium-192 source exposed three workers. Chen had acute radiation skin damage of degree III on the left hand. Liu had degree IV on the left thumb and index finger, and degree III on the middle, ring and little finger. Fan had degree I-II on the left hand. All three received doses well above the dose limits set by the national standard, and the two responsible units had their radiation safety licences revoked and were fined 7 ten thousand yuan. International case: in 1987 in Goiânia, Brazil, a teletherapy machine from a disused clinic was dismantled, a 50.8 TBq caesium-137 source was taken out of it, and the sealed capsule holding the source was broken. About 112,000 people were monitored. 249 of them were contaminated inside the body or outside it. Of those 249, 129 had moderate to severe contamination and 50 needed close medical observation. 4 people died in the end (national and international)
Notes
If you really do run into one: move away, note where it is, do not move it, call 110. The regulations require a report to the environmental protection department, the police and the health department. Distance and time are the only protection that works. A pocket or a plastic bag makes no difference at all. X-ray machines and CT scanners make their rays by turning on the power, and nothing radioactive is left once the power is off. The real danger is the sealed source inside the machine. Radiotherapy machines in hospitals, gamma testing machines on pipes and boilers, well logging tools and level gauges all carry a source. Opening the casing is what exposes the source. And they look exactly like ordinary metal parts. So do not count on telling a source from anything else, and never take apart, sell or carry home a machine part of unknown origin. People who work in scrap collection, dismantling, hardware and building sites carry far more risk than other people, and on a site you go around any cordon marked with the trefoil. A leak at a nuclear power plant is a different kind of accident, and the chance of an ordinary person running into one is lower still. The people who benefit are you and the family with you at the scene.
Sources · 6 sources
- Ministry of Ecology and Environment (生态环境部) (2025). 2024 中国生态环境状况公报. www.mee.gov.cn/ywgz/sthjjcgl/hjzljcypj/202506/t20250605_1120773.shtml
- National Nuclear Safety Administration (国家核安全局) (2026). 2025 年我国核与辐射安全监管工作成效. nnsa.mee.gov.cn/tpxw/202601/t20260107_1140062.html
- Ministry of Ecology and Environment (生态环境部) (2021). 关于一起 γ 射线探伤作业违法违规造成辐射事故案件处理情况的通报. www.mee.gov.cn/xxgk2018/xxgk/xxgk06/202101/t20210121_818216.html
- State Council (国务院) (2019). Regulations on the Safety and Protection of Radioisotopes and Radiation Devices, 放射性同位素与射线装置安全和防护条例(2019 年修订,第三十四、四十二、六十八条). www.mee.gov.cn/ywgz/fgbz/xzfg/201909/t20190918_734315.shtml
- Ministry of Environmental Protection (环境保护部) (2009). 关于建立放射性同位素与射线装置辐射事故分级处理和报告制度的通知(辐射事故分级标准). www.mee.gov.cn/gkml/zj/wj/200910/t20091022_172414.htm
- International Atomic Energy Agency (1988). The Radiological Accident in Goiânia. IAEA, Vienna. www-pub.iaea.org/MTCD/Publications/PDF/Pub815_web.pdf
37If the gambling has gone as far as borrowing money to carry on, or your mood stays low, call 12356 first, then hand your bank card and payment password to your family to manage
# Value HighGrade BLifespanNo moneyIn passingSome willpower
Among people who have gone to hospital about a gambling problem, death by suicide is 15 times that of their peers and overall death 1.8 times. Depression is the signal that tells you in advance who will die by suicide. So if the gambling has gone as far as borrowing to carry on and your mood stays low, call 12356 first.
Cost
It costs nothing. One phone call. Hand over your bank card, your payment password and your borrowing apps to your family to manage. The hard part is admitting first that you cannot stop.
Benefit
A nationwide register study in Sweden picked out 2099 people diagnosed with gambling disorder at a specialist clinic from 2005 to 2016. Gambling disorder means gambling you cannot control, to the point where it damages your life. Compared with Swedes of the same age, these people aged 20 to 74 had 1.8 times the overall mortality and 15 times the suicide mortality (these two figures are standardised mortality ratios, SMR). 67 of them died during follow-up, and 21 of them by suicide. What predicted death by suicide was depression. The authors published a correction in 2023: 12.1 times for men and 16.1 times for women. From day 1 of month 5 in 2025, dialling 12356 anywhere in China reaches a psychological assistance hotline, open for no less than 18 hours a day (Sweden and the national figures)
Notes
The grade B is because there is only one study, and it counts only people who went to a specialist clinic. Their condition is more severe than average, so the 15 times figure does not carry over to everyone who plays cards. Handing the money to your family to manage is what the author has seen work, with no direct research, and on its own it is grade C. The legal lines on gambling: see item 13 in section 9 (no taking a cut, no online gambling). Whether you should pay off a family member's gambling debts: see item 44 in section 8 (gambling debts are not a joint debt of the couple). What to do after a suicidal thought has appeared: see item 32 in this section (tell one person near you first). The people who benefit are you mainly, and when the family spots the first signs they can pull that person into doing the same.
Sources · 3 sources
- Karlsson A, Håkansson A. (2018). Gambling disorder, increased mortality, suicidality, and associated comorbidity: A longitudinal nationwide register study. Journal of Behavioral Addictions, 7(4), 1091–1099. doi.org/10.1556/2006.7.2018.112
- Karlsson A, Håkansson A. (2023). Corrigendum to: Gambling disorder, increased mortality, suicidality, and associated comorbidity. Journal of Behavioral Addictions, 12(1), 302. doi.org/10.1556/2006.2023.10000
- National Health Commission (国家卫生健康委) (2024). Notice on the Use of "12356" as the Nationwide Unified Psychological Assistance Hotline Number, 关于应用"12356"全国统一心理援助热线电话号码的通知(国卫医政函〔2024〕259 号). www.gov.cn/zhengce/zhengceku/202412/content_6994470.htm
38Men who have sex with men and have high-risk sex: ask a designated AIDS hospital about preexposure prophylaxis, and taking it on time cuts infection by more than 70%
# Value ModerateGrade ALifespanA fair amount of moneyA few hoursSome willpower
A person who has not been infected takes an antiviral medicine in advance. That is called preexposure prophylaxis. People who take it on time cut their risk of infection by more than 70%. People who take it now and then get almost nothing out of it. It is a prescription drug: the hospital has to check your body first and then prescribe it, and you go back for regular check-ups afterwards.
Cost
It is a prescription drug, and in most places you pay for it yourself, at a price from a few hundred yuan to several thousand yuan. Before it is prescribed they test for HIV, kidney function and hepatitis B. After that you go back for a check-up every 3 months. The hard part is taking it on time every day.
Benefit
The drug is a combination tablet of emtricitabine and tenofovir. The iPrEx trial had 2499 men who have sex with men and transgender women take the drug daily or take a placebo. The group on the drug had 44% fewer infections (
95% CI 15–63). Among the people whose blood showed the drug, protection was far stronger. The PROUD trial in the United Kingdom had 544 men who have sex with men. The group that started at once had 86% fewer infections than the group that waited a year (90% CI 64–96, 90% credible range). The IPERGAY trial in France had people take the drug on demand, before and after sex, and infections fell by 86% (
95% CI 40–98). A meta-analysis used by the World Health Organization pools the trials. Overall
RR 0.49 (0.33–0.73, lower by about 51%). In trials where more than 70% took the pills on time,
RR 0.30 (0.21–0.45, lower by about 70%). Where fewer than 40% took them on time,
RR 0.95, and the effect is close to nothing. In month 8 of 2020 the National Medical Products Administration (国家药监局) approved this drug for preexposure prophylaxis. Adults and adolescents weighing at least 35 kg can use it (several countries / China)
Notes
The people in the trials were mainly men who have sex with men, so that is the group that should ask. Anyone else with high-risk sex can ask the doctor whether it suits them. Before it is prescribed you must confirm that you have not been infected. Taking it when you are already infected makes the virus resistant, and a self-test strip result is not a basis you can act on. Stopping the drug in someone with hepatitis B can bring on an attack of hepatitis, so that test comes first. The World Health Organization recommends on-demand use for men who have sex with men only, and it fits people averaging fewer than 2 times a week. The way to take it is 2 tablets some time between 2 and 24 hours before sex, then 1 tablet at 24 hours and 1 tablet at 48 hours. Women, and people with hepatitis B, can only take it every day. In the on-demand trials, the group taking the drug had more gastrointestinal and kidney side effects than the placebo group, so the check-ups cannot be skipped. China began a pilot programme among men who have sex with men in 2019, and the 2024 plan says "standardised implementation". No nationwide free policy could be found. Get it from the infectious disease department or the sexually transmitted infection and AIDS clinic of a local designated AIDS hospital, and call the local CDC first to ask which one can prescribe. It does not protect against syphilis, gonorrhoea and the like, so you still need a condom: see item 30 in this section (use a condom throughout). If high-risk sex has already happened, the remedy is item 38 in section 13 (get post-exposure prophylaxis within 72 hours). The people who benefit are you mainly, and it protects your partner as well.
Sources · 7 sources
- Grant RM, Lama JR, Anderson PL, et al. (2010). Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. New England Journal of Medicine, 363(27), 2587–2599. doi.org/10.1056/NEJMoa1011205
- McCormack S, Dunn DT, Desai M, et al. (2016). Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD): effectiveness results from the pilot phase of a pragmatic open-label randomised trial. The Lancet, 387(10013), 53–60. doi.org/10.1016/S0140-6736(15)00056-2
- Molina JM, Capitant C, Spire B, et al. (2015). On-demand preexposure prophylaxis in men at high risk for HIV-1 infection. New England Journal of Medicine, 373(23), 2237–2246. doi.org/10.1056/NEJMoa1506273
- Fonner VA, Dalglish SL, Kennedy CE, et al. (2016). Effectiveness and safety of oral HIV preexposure prophylaxis for all populations. AIDS, 30(12), 1973–1983. doi.org/10.1097/QAD.0000000000001145
- Xu JJ, Huang XJ, Liu XC, et al. (2020). Consensus statement on human immunodeficiency virus pre-exposure prophylaxis in China. Chinese Medical Journal, 133(23), 2840–2846. (Chinese version, 《中国 HIV 暴露前预防用药专家共识》)doi.org/10.1097/CM9.0000000000001181
- World Health Organization (2019). What's the 2+1+1? Event-driven oral pre-exposure prophylaxis to prevent HIV for men who have sex with men (WHO/CDS/HIV/19.8). www.who.int/publications/i/item/what-s-the-2-1-1-event-driven-oral-pre-exposure-prophylaxis-to-prevent-hiv-for-men-who-have-sex-with-men
- General Office of the State Council (国务院办公厅) (2024). Plan for Containing and Controlling AIDS in China (2024–2030), 中国遏制与防治艾滋病规划(2024—2030 年). www.gov.cn/zhengce/zhengceku/202412/content_6992033.htm
39Women over 65 should get one dual-energy X-ray bone density test (DXA), and women past menopause with osteoporosis risk factors do not have to wait until 65
# Value ModerateGrade ALifespanA little moneyIn passingNo willpower
Women over 65, and women past menopause who have osteoporosis risk factors, should have one bone density test. Assess the risk first and give the drug to the high-risk women, and hip fractures fall by about 17%. Worked out per head, among every 1000 women tested about 5 fewer have a hip fracture. All-cause mortality showed no change.
Cost
One dual-energy X-ray bone density test in hospital, shortened to DXA, covering the lumbar spine and the hip. You lie down for a few minutes and it is done. Out of pocket it is generally one or two hundred yuan, and the price varies by place. The heel ultrasound you get at a checkup by standing on the machine can only screen, not diagnose.
Benefit
The recommendation the US Preventive Services Task Force issued in 2025 is this: women aged 65 and over should be screened for osteoporosis (a grade B recommendation). Women past menopause, under 65, but assessed as at high risk of fracture are also recommended for screening (grade B). For men the evidence is not enough, and it says nothing. The evidence review behind that recommendation merged 3 randomised trials with 42009 older European women. Screening works by assessing the fracture risk first, testing bone density in those at high risk, and giving the drug to those found to be at high risk. In the screening group hip fractures were about 17% lower. The original value is
RR 0.83, credible range
95% CI 0.73 to 0.93. Turned into an absolute figure, screening 1000 people saves 5 hip fractures. The British SCOOP trial, one of them, took 12483 women aged 70 to 85; in the screening group hip fractures were about 28% lower (
HR 0.72,
95% CI 0.59 to 0.89), with no difference in mortality. The 2017 edition of the Chinese Medical Association's diagnosis and treatment guideline recommends a bone density test for women over 65 and men over 70. Below those ages, but with one or more osteoporosis risk factors, it recommends a test as well. In the national survey of 2017 to 2018, the prevalence of osteoporosis among women over 40 was 20.6% and among men 5.0% (China)
Notes
Disputed: the primary outcome SCOOP set out in advance was all osteoporotic fractures, and the screening group did not have noticeably fewer of them (
HR 0.94,
95% CI 0.85 to 1.03). What fell was only hip fractures. All three trials did "assess the risk first, then test bone density", and not one compared bone density testing on its own. The evidence review also estimates that 11.8% to 24.1% of the people found were overdiagnosed, which means people who would not have broken a bone for it in their lifetime. Whether men should be tested: the United States says the evidence is not enough, the Chinese guideline sets 70 and over, so follow what your doctor advises. This item is about whether the bones can take a fall; to fall less often see
item 13 (balance and leg strength), and do both. For what to do once osteoporosis has been found, see
item 40 (treating osteoporosis once it is found). The people who benefit are mainly you, and your parents as well.
Sources · 5 sources
- US Preventive Services Task Force, Nicholson WK, Silverstein M, et al. (2025). Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement. JAMA. doi.org/10.1001/jama.2024.27154
- Kahwati LC, Kistler CE, Booth G, et al. (2025). Screening for Osteoporosis to Prevent Fractures: A Systematic Evidence Review for the US Preventive Services Task Force. JAMA. doi.org/10.1001/jama.2024.21653
- Shepstone L, Lenaghan E, Cooper C, et al. (2018). Screening in the community to reduce fractures in older women (SCOOP): a randomised controlled trial. The Lancet. doi.org/10.1016/S0140-6736(17)32640-5
- Chinese Medical Association Branch of Osteoporosis and Bone Mineral Research (中华医学会骨质疏松和骨矿盐疾病分会) (2017). 原发性骨质疏松症诊疗指南(2017). 中华骨质疏松和骨矿盐疾病杂志, 10(5), 413-443 (Table 5, clinical indications for bone density measurement). html.rhhz.net/GUSS/html/cc825127-29a3-47c1-9a95-7a212fdcce55.htm
- Wang L, Yu W, Yin X, et al. (2021). Prevalence of Osteoporosis and Fracture in China: The China Osteoporosis Prevalence Study. JAMA Network Open. doi.org/10.1001/jamanetworkopen.2021.21106
40Treating osteoporosis once it is found, or after a slight fall has broken a bone: ask the doctor for an osteoporosis drug, keep taking it, and do not substitute calcium for it
# Value HighGrade ALifespanA little moneyIn passingSome willpower
People already diagnosed with osteoporosis, or people who have broken a bone in a slight fall, who take the drug as the doctor plans have about half fewer hip fractures, and more than half fewer spinal fractures. Among older people who start a yearly infusion after surgery for a hip fracture, about 35% fewer break a bone again over two years. Calcium supplements alone cannot replace these drugs.
Cost
It needs a prescription, and years of use. The common ones are tablets taken once a week and injections given once a year by drip. When you start, you have to repeat the bone density test every year, and once it is stable every 1 to 2 years. The hard part is carrying on when you feel nothing wrong.
Benefit
A fragility fracture is one that happens in a minor injury or in the course of ordinary activity. The 2017 edition of the Chinese Medical Association guideline names three groups for the drug. First, people who have had a fragility fracture of the spine or the hip. Second, people whose bone density T value is -2.5 or lower, whether or not they have broken a bone. Third, people with low bone mass who have also had a fragility fracture of the wrist, the upper arm or the pelvis, or whose calculated fracture risk is high. The guideline also states that "at present there is not yet sufficient evidence to show that simply taking calcium can replace the other osteoporosis drug treatment" (「目前尚无充分证据表明单纯补钙可以替代其他抗骨质疏松药物治疗」). Cochrane updated its review of alendronate in 2025. Among postmenopausal women who already had osteoporosis or a fracture, hip fractures were about 51% lower in the treated group. The original value is
RR 0.49, credible range
95% CI 0.25 to 0.96. Symptomatic spinal fractures were about 55% lower (
RR 0.45,
95% CI 0.28 to 0.73). The HORIZON trial took 2127 people who had surgery for a hip fracture, average age 74.5. Starting within 90 days of the surgery, a yearly infusion of zoledronic acid was given, with a median follow-up of 1.9 years. New fractures fell from 13.9% to 8.6%, about 35% fewer. Deaths fell from 13.3% to 9.6%, about 28% fewer. The guideline says that within a year of a hip fracture about 20% of people die of complications of one kind or another. In the national survey of 2017 to 2018, only 1.4% of women diagnosed with osteoporosis or who had broken a bone were taking the drug, and only 0.3% of men (China)
Notes
Disputed: a meta-analysis merging 38 trials found no sign that these drugs lower all-cause mortality (
RR 0.98,
95% CI 0.91 to 1.05). Zoledronic acid on its own is not significant either (
RR 0.88,
95% CI 0.68 to 1.13). The authors conclude that these drugs should only be taken to break fewer bones. The figures from Cochrane were rated low to moderate for certainty as well. In women who have not yet broken a bone and whose fracture risk is low, alendronate showed no clear effect on hip fractures (
RR 0.76,
95% CI 0.43 to 1.32). Trials of a few years cannot see the rare side effects such as osteonecrosis of the jaw or atypical femoral fracture, so keep to the review dates and do not change the dose or stop on your own. Some people suit the injection, some suit the tablets, and which one is for you is the doctor's decision. How osteoporosis is found: see
item 39 (bone density test). The people who benefit are mainly you, and your parents as well.
Sources · 6 sources
- Chinese Medical Association Branch of Osteoporosis and Bone Mineral Research (中华医学会骨质疏松和骨矿盐疾病分会) (2017). 原发性骨质疏松症诊疗指南(2017). 中华骨质疏松和骨矿盐疾病杂志, 10(5), 413-443 (Table 10, indications for drug treatment of osteoporosis; the section on calcium; the section on monitoring response). html.rhhz.net/GUSS/html/cc825127-29a3-47c1-9a95-7a212fdcce55.htm
- Wells GA, Hsieh SC, Peterson J, et al. (2025). Alendronate for the primary and secondary prevention of osteoporotic fractures in postmenopausal women. Cochrane Database of Systematic Reviews. doi.org/10.1002/14651858.CD001155.pub3
- Lyles KW, Colón-Emeric CS, Magaziner JS, et al. (2007). Zoledronic acid and clinical fractures and mortality after hip fracture. New England Journal of Medicine. doi.org/10.1056/NEJMoa074941
- Cummings SR, Lui LY, Eastell R, Allen IE (2019). Association Between Drug Treatments for Patients With Osteoporosis and Overall Mortality Rates: A Meta-analysis. JAMA Internal Medicine. doi.org/10.1001/jamainternmed.2019.2779
- Kahwati LC, Kistler CE, Booth G, et al. (2025). Screening for Osteoporosis to Prevent Fractures: A Systematic Evidence Review for the US Preventive Services Task Force. JAMA. doi.org/10.1001/jama.2024.21653
- Wang L, Yu W, Yin X, et al. (2021). Prevalence of Osteoporosis and Fracture in China: The China Osteoporosis Prevalence Study. JAMA Network Open. doi.org/10.1001/jamanetworkopen.2021.21106
41Bore a hole and measure the thickness before you step onto outdoor ice; below 15 cm do not go on, and stay off river ice and the edge of ice-fishing holes
# Value ModerateGrade CLifespanA little moneyIn passingNo willpower
The official line in China is that an adult can go skating only once the ice is 15 cm thick. The floor in the United States and Canada is 10 cm, and that counts only newly formed clear ice. White ice is only half as strong, so the thickness has to be doubled. On the same sheet of ice, the place here may be a foot thick and a few steps away only an inch or two, so you have to measure as you walk.
Cost
The cheapest option is a proper ice rink that someone keeps an eye on, and it costs no extra money. If you insist on wild ice, take an ice drill or an ice chisel and bore a hole to measure the thickness. Then buy a pair of rescue ice picks, which are two sharp spikes with handles worn on the chest. All of that comes to a few tens up to one or two hundred yuan. Measuring every now and then along the way takes extra time.
Benefit
The China Meteorological Administration says in its public guidance that once the ice reaches 15 cm an adult may go skating. The ice on an open-air rink also has to reach 15 cm before it opens. The Beijing Water Authority says a proper natural ice rink needs 15 cm of ice, and then a week with the temperature held between -8℃ and 1℃ and no strong wind, before it may open. Wild ice is often full of holes cut by people fishing, and once cut it never freezes solid again. The Minnesota Department of Natural Resources guideline covers only newly formed clear ice: do not go on below 4 inches (about 10 cm), and at 4 inches you can walk and ice fish. White ice, made when snow melts and refreezes, is only about half as strong as clear ice, so double the thickness. On the same stretch of water the ice may be a foot thick here and an inch or two a few feet away. Ice on moving water is usually dangerous, and especially so near streams, bridges and culverts. Ice at the shore may also be thinner than ice further out. The US National Weather Service gives the same 4-inch floor for walking, ice fishing and skating. The Canadian Centre for Occupational Health and Safety, passing on the advice of the Canadian Red Cross, says that a few people skating or walking together need 15 cm, and a crowded skating party needs 20 cm. These are all safety guidelines. No study has worked out how many fewer deaths following them would bring (nationwide / the United States and Canada)
Notes
Every official guideline says there is no ice that is a hundred per cent safe. Meeting the thickness is only a threshold, not a guarantee. The most dangerous times are the first cold of early winter, when the ice has just formed, and the first thaw of early spring. If you do go through, do not take your clothes off: the air held in thick clothing helps keep you up. Turn back the way you came, because the ice there is the strongest. Put an arm on the ice, drive the spike into it, push with your feet and drag yourself out. Once you are out, do not stand up; roll flat away from the hole, then get warm as fast as you can, and go to hospital if you are badly frozen. If you see someone go through the ice, do not run out and pull them out yourself. What to do is in item 25 in section 13 (do not go into the water yourself when you see someone drowning): shout for help, call 110, and then hand over a pole or throw a rope. The people who benefit are mainly you, and any children you take out onto the ice.
Sources · 7 sources
- China Meteorological Administration (中国气象局) (2019). Walking briskly on ice: how thick does the ice have to be to be safe? 想要冰上健步走,多厚的冰才安全? www.cma.gov.cn/kppd/kppdqxyr/kppdtyqx/201901/t20190124_513302.html
- Beijing Water Authority (北京市水务局) (2024). The proper river and lake ice rinks in Beijing have not met the standard for opening, so do not take the risk of skating on "wild ice". 北京正规河湖冰场还未达开放标准,别冒险滑「野冰」. swj.beijing.gov.cn/swdt/ztzl/fnsbaqztxc/fnszlxx/202412/t20241226_3973959.html
- Minnesota Department of Natural Resources. General ice thickness guidelines. www.dnr.state.mn.us/safety/ice/thickness.html
- Minnesota Department of Natural Resources. Ice safety. www.dnr.state.mn.us/safety/ice/index.html
- Minnesota Department of Natural Resources. Steps for surviving immersion. www.dnr.state.mn.us/safety/ice/survival.html
- National Weather Service. Winter Weather Safety: Ice and Frost. www.weather.gov/safety/winter-ice-frost
- Canadian Centre for Occupational Health and Safety. Working on or near Ice Covered Water - Basic Information. www.ccohs.ca/oshanswers/hsprograms/work_ice.html
2. Do not die slowly
42 / 42This section takes in only two kinds of chronic risk: the ones that move overall mortality a long way, and the ones with hard evidence behind them. The items are in order from best value to worst. A few are marked "randomised trial", meaning people were split at random into two groups and compared; that is the most trustworthy kind of result. The remaining figures come from studies that only follow people and record what happens, without splitting them into groups. The risk ratios such as HR and RR that those studies produce are mixed up with two kinds of confounding: the people were not alike to begin with, and in some cases they only started doing the thing after they became ill. So those figures show direction and rough size only; they do not mean that doing this brings your risk down by exactly that much.
1Quit smoking, the earlier the better
# Value HighGrade ALifespanNo moneyIn passingA lot of willpower
Smokers live on average more than ten years less than non-smokers. Quitting before 40 wipes out about nine tenths of the death risk that going on smoking carries. The earlier you quit, the more you get back.
Cost
No money, and it saves you money instead. A pack a day costs 20–30 yuan, and quitting leaves that money in your pocket. The hard part is the withdrawal period, which usually runs from a few weeks to several months.
Benefit
A US study that followed a group of people, recording only and not assigning groups, found that people who still smoke have a life expectancy more than 10 years shorter than people who have never smoked. Quitting before 40 removes about 90% of the death risk that continuing to smoke carries. People who quit at 25–34 live about 10 years longer, those who quit at 35–44 about 9 years longer, and those who quit at 45–54 about 6 years longer (the source reports these in years of life). Similar Chinese research: in the 2010s, the death risk of urban men who smoke was 1.65 times that of non-smokers (
RR 1.65), and of rural men 1.22 times. Ten years after you stop, the risk carried by smoking has almost gone.
Notes
Breathing other people's smoke kills too: about 603,000 people died worldwide from second-hand smoke in 2004, about 1% of all deaths that year. If you do not smoke, stay away from other people's smoke, and above all keep your children out of it. For how to quit, the specific methods are in the next four items: item 3 (cessation drugs), item 4 (set a quit date), item 5 (go to a smoking cessation clinic), item 6 (e-cigarettes)
Sources · 3 sources
- Jha P et al. (2013). 21st-century hazards of smoking and benefits of cessation in the United States. NEJM. doi.org/10.1056/NEJMsa1211128
- Chen Z et al. (2015). Contrasting male and female trends in tobacco-attributed mortality in China: evidence from successive nationwide prospective cohort studies. Lancet. doi.org/10.1016/S0140-6736(15)00340-2
- Oberg M et al. (2011). Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet. (the two second-hand smoke figures)doi.org/10.1016/S0140-6736(10)61388-8
2Do not smoke at home or in the car, and do not let guests smoke at home
# Value HighGrade ALifespanNo moneyIn passingSome willpower
About 600,000 people a year die worldwide from breathing other people's smoke, and close to 30% of them are children. Long-term exposure to second-hand smoke raises the risk of high blood pressure, heart disease and stroke by around 30%. What you take in at home does more harm than what you take in outside.
Cost
No money, and it takes no time. The hard part is having to ask family and guests not to smoke in the home.
Benefit
In 2004, 603,000 people worldwide died from second-hand smoke, about 1.0% of all deaths, and 28% of them were children. Pooling 57 studies: the odds of hypertension among people exposed to second-hand smoke were about 1.28 times those of people unexposed (odds ratio). Heart disease was 1.39 times, heart attack 1.50 times, and stroke 1.36 times. The risk of second-hand smoke at home is higher than outside the home
Notes
Start with the home, because you spend more time there, and pooled studies show that second-hand smoke at home does more harm than second-hand smoke outside. Children carry 61% of the health loss caused by second-hand smoke. For quitting yourself, see item 1 in this section.
Sources · 2 sources
- Öberg M, Jaakkola MS, Woodward A, Peruga A, Prüss-Ustün A (2011). Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet: 「603,000 deaths were attributable to second-hand smoke in 2004, which was about 1·0% of worldwide mortality. 47% of deaths from second-hand smoke occurred in women, 28% in children, and 26% in men」, 「61% of DALYs were in children」. doi.org/10.1016/S0140-6736(10)61388-8
- (2026). The Associations Between Secondhand Smoke Exposure and Various Cardiovascular Diseases: A Meta-Analysis. Nicotine & Tobacco Research: 57 studies, 「hypertension (OR: 1.28, 95% CI: 1.15 to 1.40), heart disease (OR: 1.39, 95% CI: 1.28 to 1.50), myocardial infarction (OR: 1.50, 95% CI: 1.17 to 1.84), stroke (OR: 1.36, 95% CI: 1.18 to 1.54)」「Home exposure has a higher risk of CVD than non-home exposure」. doi.org/10.1093/ntr/ntaf111
3Do not try to quit on willpower alone, get the medicine first: it can more than double the success rate
# Value HighGrade ALifespanA little moneyIn passingSome willpower
Most people cannot quit on willpower alone. People who take varenicline succeed at more than twice the rate of people who take a placebo. People who use a substitute such as a nicotine patch or chewing gum succeed about 50% more often than people on no drug at all. Using a patch and chewing gum together adds another 20% or so.
Cost
Nicotine patches and chewing gum are over-the-counter, and you can buy them at a pharmacy counter. One course runs 8 to 12 weeks and costs a few hundred yuan to a little over a thousand. Varenicline and bupropion are prescription drugs, so you need a smoking cessation clinic or a respiratory medicine department to prescribe them. The money roughly cancels out against the cigarettes you stop buying over the same period.
Benefit
Pooling 41 randomised trials and 17,395 people, the quitting success rate in the varenicline group was 2.32 times that of the placebo group (
RR 2.32,
95% CI 2.15–2.51, which is the credible range; high-certainty evidence). Varenicline also beat bupropion (
RR 1.36, about 36% higher) and a single kind of nicotine substitute (
RR 1.25, about 25% higher). For nicotine substitutes against no drug: 133 trials and 64,640 people, the success rate was about 55% higher (
RR 1.55,
95% CI 1.49–1.61). A patch plus one fast-acting form (chewing gum or lozenge) beat a single form by about 27% (
RR 1.27,
95% CI 1.17–1.37, 16 trials and 12,169 people, high-certainty evidence).
Notes
The cessation drugs sold in China are the three kinds above, and only the nicotine substitutes are over-the-counter. The common reactions to varenicline are nausea, vivid dreams and poor sleep, so tell your doctor if you have a psychiatric history. A course of nicotine replacement usually runs 8 to 12 weeks, so do not stop suddenly on your own; taper as the doctor says. The medicine only handles the discomfort of the first few weeks of withdrawal. It does not handle the situations where you want to smoke, so use it together with item 4 in this section (set a quit date) and item 5 in this section (go to a smoking cessation clinic).
Sources · 4 sources
- Livingstone-Banks J, Fanshawe TR, Thomas KH, et al. (2023). Nicotine receptor partial agonists for smoking cessation. Cochrane Database of Systematic Reviews, 5, CD006103. doi.org/10.1002/14651858.CD006103.pub8
- Hartmann-Boyce J, Chepkin SC, Ye W, Bullen C, Lancaster T (2018). Nicotine replacement therapy versus control for smoking cessation. Cochrane Database of Systematic Reviews, 5, CD000146. doi.org/10.1002/14651858.CD000146.pub5
- Theodoulou A, Chepkin SC, Ye W, et al. (2023). Different doses, durations and modes of delivery of nicotine replacement therapy for smoking cessation. Cochrane Database of Systematic Reviews, 6, CD013308. doi.org/10.1002/14651858.CD013308.pub2
- Shanghai Municipal Health Commission (上海市卫生健康委员会) (2021). Choosing the right drug makes quitting easier, 选对药物,让戒烟轻松一点: 「市场上可见的戒烟药物主要有三种,即尼古丁替代疗法药物、安非他酮、伐尼克兰」 — the smoking cessation drugs on sale come in three kinds, namely nicotine replacement therapy drugs, bupropion and varenicline. 「尼古丁替代疗法药物属于非处方药(OTC),可通过药店柜台购买;而安非他酮、伐尼克兰属于处方药,须到医院戒烟门诊或呼吸内科就诊,凭医师处方经药师调配后才能得到」 — nicotine replacement therapy drugs are over-the-counter and can be bought at a pharmacy counter, while bupropion and varenicline are prescription drugs, which you can only get by visiting a smoking cessation clinic or a respiratory medicine department at a hospital, on a doctor's prescription, dispensed by a pharmacist. wsjkw.sh.gov.cn/jtyx/20211119/df50681e01ba49f896d54f771d8176ae.html
4Set a quit date and stop in one go on that day, do not taper first
# Value ModerateGrade ALifespanNo moneyIn passingA lot of willpowerDisputed
Many people plan to cut a few cigarettes a day first and taper down to zero. But by the sixth month, 22% of the people who set a date and stopped in one go had not smoked again, against only 15.5% of those who tapered. So set a date and stop in one go on that day.
Cost
No money. You pick one day on the calendar and tell your family and colleagues in advance.
Benefit
697 British smokers were randomly assigned to two groups. One group stopped in one go on the quit date; the other cut their smoking by 75% in the two weeks before the quit date. Both groups had behavioural support from a nurse and used nicotine replacement around the quit date. At week 4, 49.0% of the group that stopped in one go had not relapsed (
95% CI 43.8–54.2, which is the credible range), against 39.2% in the tapering group (34.0–44.4), a relative risk of 0.80 (0.66–0.93). At month 6, 22.0% of the one-go group (18.0–26.6) against 15.5% of the tapering group (12.0–19.7), a relative risk of 0.71 (0.46–0.91). Among people who already preferred to taper, the success rate at week 4 was also lower than among those who preferred to stop in one go (38.3% against 52.2%).
Notes
Disputed. Cochrane used to have a review that compared these two methods head to head, and it concluded that they made little difference (
RR 0.94,
95% CI 0.79–1.13, 10 trials and 3,760 people), but that review was withdrawn in 2019 and is no longer updated. So the best evidence available now is the randomised trial above, and its direction supports stopping in one go. In that trial both groups also started nicotine replacement before the quit date, and that practice has its own evidence: starting early gives a success rate about 25% higher than starting on the quit date itself (
RR 1.25,
95% CI 1.08–1.44, 9 trials and 4,395 people, moderate-certainty evidence). A sensible plan is therefore to set the date first, start the patch two weeks ahead, and stop in one go on the day.
Sources · 2 sources
- Lindson-Hawley N, Banting M, West R, Michie S, Shinkins B, Aveyard P (2016). Gradual Versus Abrupt Smoking Cessation: A Randomized, Controlled Noninferiority Trial. Annals of Internal Medicine, 164(9), 585–592. doi.org/10.7326/M14-2805
- Theodoulou A, Chepkin SC, Ye W, et al. (2023). Different doses, durations and modes of delivery of nicotine replacement therapy for smoking cessation. Cochrane Database of Systematic Reviews, 6, CD013308 (the passage on starting nicotine replacement early). doi.org/10.1002/14651858.CD013308.pub2
5Go to a smoking cessation clinic, or call 12320 to ask whether there is a cessation service near you
# Value ModerateGrade ALifespanA little moneyA few hoursSome willpower
The medicine and having someone check in with you regularly are two separate things, and together they work best. People who take the medicine and also have a dedicated person following them up succeed at close to twice the rate of people who hear only one brief piece of advice. Telephone support counts too: a cessation line that calls you back without being asked raises the success rate by another 20% to 30%.
Cost
The registration fee runs from a few yuan to a few tens of yuan. Behavioural support is usually 4 to 8 sessions, each half an hour to an hour, totalling 5 hours or less. The hotline is free.
Benefit
Pooling 52 trials and 19,488 people, the quitting success rate in the drug plus behavioural support group was 1.83 times that of usual care or brief advice (
RR 1.83,
95% CI 1.68–1.98, which is the credible range; high-quality evidence). In the 43 trials that recruited in healthcare settings it was 1.97 times (1.79–2.18). Telephone counselling counted on its own: among people who had called a cessation line themselves, those who received several unprompted callbacks succeeded about 38% more often than those who only got materials or a single session (
RR 1.38,
95% CI 1.19–1.61, 14 trials and 32,484 people); among people who had not called a line themselves and were offered telephone counselling by the researchers, about 25% more (
RR 1.25,
95% CI 1.15–1.35, 65 trials and 41,233 people). Both are moderate-certainty evidence.
Notes
How to find one in China: search for the 'China Smoking Cessation Platform' mini programme on WeChat, which lists quitlines and cessation clinics by region. You can also call 12320 and ask whether there is a cessation clinic near you. Most of the trials above were done abroad, and the strength of the service varies a lot between clinics in different places, so read the numbers as direction only. For the medicine to go with it, see item 3 in this section (cessation drugs).
Sources · 3 sources
- Stead LF, Koilpillai P, Fanshawe TR, Lancaster T (2016). Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database of Systematic Reviews, 3, CD008286. doi.org/10.1002/14651858.CD008286.pub3
- Matkin W, Ordóñez-Mena JM, Hartmann-Boyce J (2019). Telephone counselling for smoking cessation. Cochrane Database of Systematic Reviews, 5, CD002850. doi.org/10.1002/14651858.CD002850.pub4
- China CDC (中国疾病预防控制中心) (2021). The 'China Smoking Cessation Platform' WeChat mini programme is officially live: 「在健康中国行动控烟行动工作组指导下中国疾病预防控制中心和世界卫生组织驻华代表处联合制作了中国权威戒烟资源库『中国戒烟平台』微信小程序。小程序内容主要包括:戒烟热线、戒烟门诊详细信息,以及线上戒烟服务资源等」 — under the guidance of the tobacco control working group of the Healthy China Action, the China CDC and the WHO Representative Office in China jointly produced the 'China Smoking Cessation Platform' WeChat mini programme, an authoritative library of smoking cessation resources for China. The mini programme mainly carries quitlines, details of cessation clinics, and online cessation services. The footer of the same page gives 「健康咨询电话:12320」 — health consultation number: 12320. www.chinacdc.cn/jkyj/yckz/gzdt/202203/t20220310_296389.html
6Consider e-cigarettes only if you have already failed to quit, and people who do not smoke should stay away
# Value ModerateGrade ALifespanA little moneyIn passingSome willpowerDisputed
People who switch from cigarettes to nicotine e-cigarettes succeed about 60% more often than people who use nicotine patches, and that finding is reliable. But e-cigarettes are not harmless, and there is still no long-term safety data. For people who do not smoke, they bring no benefit at all.
Cost
The device and the pods cost from a few tens to a few hundred yuan a month. In China you can only buy tobacco flavours, and only in shops that hold a tobacco monopoly retail licence.
Benefit
A continuously updated review included 80 randomised trials and 29,861 people. Compared with nicotine replacement therapy, nicotine e-cigarettes raised the quitting success rate by about 61% (
RR 1.61,
95% CI 1.23–2.12, which is the credible range; high-certainty evidence, 11 trials and 4,114 people). In absolute terms, that is about 4 more people in every 100 who quit (1 to 7 more). The rate of serious adverse events was about the same in both groups (risk difference 0.01,
95% CI −0.01 to 0.02, moderate-certainty evidence). Compared with behavioural support alone or no support, about 75% higher (
RR 1.75,
95% CI 1.39–2.20, low-certainty evidence).
Notes
Disputed. The World Health Organization does not recommend e-cigarettes as a smoking cessation method. The reason is that long-term safety data is insufficient, and they get young people started on nicotine. Britain has put them into its cessation services instead. China does not ban e-cigarette sales outright, but it regulates them tightly, and the rules are written into the Measures for the Administration of E-Cigarettes. Only tobacco flavour may be sold; fruit flavours and e-cigarettes you can add e-liquid to yourself may not. You can only buy in a physical shop that holds a tobacco monopoly retail licence. Selling on any other website, online shop or social app outside the national e-cigarette trading platform is illegal, and selling to minors is prohibited. So any fruit-flavoured e-cigarette still on sale is coming through an illegal channel and sits outside the regulatory system. That is how the 'heady' e-cigarettes spiked with synthetic cannabinoids got out, see item 4 in section 22 (do not take a pod someone hands you). The products tested in the review are all regulated nicotine products; e-liquid of unknown origin is not covered. In order, try item 3 in this section (cessation drugs) first, because the evidence there is harder and it is cheaper.
Sources · 2 sources
- Lindson N, Livingstone-Banks J, Butler AR, et al. (2026). Electronic cigarettes for smoking cessation. Cochrane Database of Systematic Reviews, 8, CD010216. doi.org/10.1002/14651858.CD010216.pub11
- State Tobacco Monopoly Administration (国家烟草专卖局) (2022). Measures for the Administration of E-Cigarettes, 电子烟管理办法(国家烟草专卖局公告 2022 年第 1 号,2022 年 5 月 1 日施行). 第十八条: anyone doing e-cigarette retail must apply to the tobacco monopoly administration for a tobacco monopoly retail licence. 第二十二条: 「禁止向未成年人出售电子烟产品。」 — selling e-cigarette products to minors is prohibited. 第二十三条第二款: 「任何个人、法人或者其他组织不得通过本办法规定的电子烟交易管理平台以外的信息网络销售电子烟产品、雾化物和电子烟用烟碱等。」 — no individual, legal person or other organisation may sell e-cigarette products, e-liquids or nicotine for e-cigarettes over any information network other than the e-cigarette trading platform these Measures provide for. 第二十六条: 「禁止销售除烟草口味外的调味电子烟和可自行添加雾化物的电子烟。」 — the sale of flavoured e-cigarettes other than in the tobacco flavour, and of e-cigarettes you can add e-liquid to yourself, is prohibited. www.gov.cn/gongbao/content/2022/content_5697988.htm
7Stop drinking sugary drinks, and switching to sugar-free ones is not a solution
# Value HighGrade ALifespanNo moneyIn passingSome willpowerDisputed
People who drink more than two bottles of sweet drinks a day have about 20% higher death rates in the same period than people who hardly drink them. One to two bottles a day is about 10% higher. Switching to sugar-free did not show a benefit either: people who drink more than two cups of artificially sweetened drinks a day are instead about a quarter higher.
Cost
No money, and it takes no time. Switching to plain water or unsweetened tea even saves money. The hard part is dropping the habit of drinking sweet drinks, sugar-free ones included.
Benefit
The United States has two large studies that followed a group of people. Both only followed records, with no control group, and together cover about 118,000 people and 36,000 deaths. People drinking more than 2 servings a day had a death risk about 21% higher than people drinking less than 1 serving a month (
HR 1.21). People drinking 1–2 servings a day were about 14% higher (
HR 1.14). The European EPIC cohort also only followed records, with no control group, and covers 450,000 people across 10 countries. Comparing people who drink more than 2 cups a day with people who drink less than 1 cup a month: for sugar-sweetened soft drinks the risk was about 8% higher (
HR 1.08,
95% CI 1.01–1.16). For artificially sweetened drinks, the sugar-free versions, about 26% higher (
HR 1.26, 1.16–1.35). For all soft drinks taken together, about 17% higher (
HR 1.17, 1.11–1.22).
Notes
Disputed, and the dispute is about sugar-free drinks. The association with artificially sweetened drinks is stronger than the association with sugary ones, and the cause is probably running the other way: people switch to the sugar-free versions only after they are already overweight or have diabetes. So do not conclude from this that sweeteners are more toxic. It does at least show that the claim 'switching to sugar-free means you are fine' has no evidence behind it. Switching to plain water or unsweetened tea is the safest option. Also, these studies only followed records and did not run a controlled trial, and people who drink a lot of sweet drinks already have worse lifestyles, so the numbers may be too high.
Sources · 2 sources
- Malik VS et al. (2019). Long-Term Consumption of Sugar-Sweetened and Artificially Sweetened Beverages and Risk of Mortality in US Adults. Circulation. doi.org/10.1161/CIRCULATIONAHA.118.037401
- Mullee A, Romaguera D, Pearson-Stuttard J, et al. (2019). Association Between Soft Drink Consumption and Mortality in 10 European Countries. JAMA Internal Medicine, 179(11), 1479-1490. doi.org/10.1001/jamainternmed.2019.2478
Value HighGrade ALifespanNo moneyIn passingSome willpower
People who chew betel quid have about 20% higher death rates in the same period than people who do not. The risk of diabetes and metabolic syndrome is nearly 50% higher. The risk of oral cancer and oesophageal cancer has to be counted separately.
Cost
No money, and it takes no time. You also save the money you spent on betel quid. The hard part is giving up the habit of chewing.
Benefit
Pooling 17 Asian studies and 388,000 people. People who chew betel quid have a death risk about 21% higher than people who do not (relative risk 1.21, P=0.02). The mortality figure covers 179,600 of them. The risk of diabetes is about 47% higher (1.47). The risk of metabolic syndrome is about 51% higher (1.51). Betel quid is itself a known risk factor for oral cancer and oesophageal cancer
Notes
The longer you have chewed and the more you chew each day, the higher the risk of oral cancer. After you quit, the risk falls over time. Betel quid containing tobacco is more dangerous
Sources
Yamada T, Hara K, Kadowaki T (2013). Chewing betel quid and the risk of metabolic disease, cardiovascular disease, and all-cause mortality: a meta-analysis. PLoS One, 8(8), e70679.
doi.org/10.1371/journal.pone.00706799Replace the salt in your home with low-sodium salt (potassium salt)
# Value ModerateGrade ALifespanA little moneyIn passingNo willpowerDisputed
For people who have had a stroke, or who are over 60 and have high blood pressure, replacing the salt at home with low-sodium salt lowers the chance of dying within five years by about 12% and the chance of stroke by about 14%.
Cost
A bag costs a few yuan more than ordinary salt. Switch when you next buy salt and it takes no extra time. The taste barely changes.
Benefit
A randomised trial done in rural China assigned 20,995 people to two groups, all of them people who had had a stroke or hypertensive patients over 60, and followed them for 4.74 years. Result: the group using low-sodium salt had a death risk about 12% lower than the group using ordinary salt (
RR 0.88). Stroke was about 14% lower (
RR 0.86). Major cardiovascular events were about 13% lower (
RR 0.87). For events of high blood potassium, the two groups showed no statistically significant difference.
Notes
Disputed. The PURE study only followed records over the long term, with no control group. It reports that people excreting less than 3 g of sodium a day have about 27% higher risk of death plus cardiovascular events, and people excreting more than 7 g a day about 15% higher. On its results, both too little and too much are bad, and the middle is best. But in the Chinese rural randomised trial cited in this item, low-sodium salt only replaced part of the salt, so sodium intake did not come down that far. Note also that the trial subjects were high-risk older people. Healthy young people get much less from switching salt. People with impaired kidney function, or people taking potassium-sparing drugs, should ask a doctor before switching.
Sources · 2 sources
- Neal B et al. (2021). Effect of Salt Substitution on Cardiovascular Events and Death. NEJM. doi.org/10.1056/NEJMoa2105675
- O'Donnell M et al. (2014). Urinary sodium and potassium excretion, mortality, and cardiovascular events. NEJM. (the PURE side of the dispute)doi.org/10.1056/NEJMoa1311889
10Brush your teeth properly, clean between the teeth once a day, and replace missing teeth promptly
# Value ModerateGrade BLifespanA little moneyIn passingSome willpowerDisputed
People who use floss or interdental brushes every day have about 10% lower death rates in the same period. Older people who have lost all their teeth have about 90% higher death rates. People left with fewer than 20 teeth are about double.
Cost
Dental floss or interdental brushes cost a few tens of yuan a year, and a professional cleaning costs a hundred or two hundred yuan each time. It adds two or three minutes a day. The hard part is making interdental cleaning a daily habit.
Benefit
One study in Japan covered 9,676 people and followed them for 6 years. People who used interdental cleaning tools had a death risk about 11% lower (risk ratio 0.89). People who used tongue-cleaning tools had one about 23% lower (0.77). A separate pooling of several studies looked at older people living in the community. People with not one tooth left had about 1.87 times the chance of dying (odds ratio,
95% CI 1.35–2.59, which is the credible range). People with fewer than 20 teeth had about 2.04 times (1.67–2.49)
Notes
Disputed. These studies only followed records. People with bad teeth often have worse health and worse finances across the board. Whether bad teeth drag the body down, or poor health drags the teeth down, is not clear. But this costs almost nothing, and periodontal disease and missing teeth affect eating on their own
Sources · 2 sources
- Wang K, Matsuyama Y, Kiuchi S, et al. (2026). Routine oral health practices and all-cause mortality. Journal of Dentistry. doi.org/10.1016/j.jdent.2026.106789
- Ko MJ, Seo S, So JS, et al. (2026). Deteriorated oral health and function as risk factors for physical disability and mortality in community-dwelling older adults: a systematic review and meta-analysis. European Geriatric Medicine. doi.org/10.1007/s41999-025-01319-4
11Walk 7000–8000 steps a day, or add up 150–300 minutes of brisk walking a week
# Value ModerateGrade ALifespanNo moneyEvery daySome willpower
People who walk about 7800 steps a day have about a 45% lower chance of dying in the same period than people who walk only 3500. Counted by time it comes out the same: 150–300 minutes of brisk walking a week is about 30% lower than doing no exercise. Past a certain amount it stops falling any further; over 60, 6000–8000 steps is enough. Either way of counting it, hitting one of the two is enough.
Cost
It costs nothing. Counted in steps, that is 60–90 minutes of walking a day, and you can fit it into the commute and the shopping. Counted as exercise time, it is 20–45 minutes a day. The hard part is keeping it up over the years.
Benefit
15 studies that followed one group of people were pooled, only recording, with no groups to compare. The 15 studies cover 47471 people and 3013 deaths. People are split into four bands by steps a day, and the median of the lowest band is 3553 steps a day. The medians of the other three are 5801, 7842 and 10901 steps a day. The death risk in those three bands is about 40%, 45% and 53% lower than in the lowest band (
HR 0.60, 0.55, 0.47). Past 6000–8000 steps a day, people over 60 gain nothing more. People under 60 level off past 8000–10000 steps. A separate analysis pooled several studies: the effect starts at about 3867 steps a day. After that, every extra 1000 steps a day lowers the death risk by about 15%. Counted as exercise time: several cohort studies were pooled together, again only recording, with no groups to compare. People reaching 1–2 times the floor set by the guidelines have a death risk about 31% lower than people who do no exercise (
HR 0.69). That amount is 7.5–15
MET·h a week, which comes to about 150–300 minutes a week of brisk walking. People who did not reach the floor are still about 20% lower (
HR 0.80). People reaching 3–5 times the floor are about 39% lower (
HR 0.61), and that is the bottom of the curve. Adding more on top does not go lower, and does no harm (past 10 times it is
HR 0.69). Another pooled study using accelerometers: the quarter of people with the most moderate-to-vigorous activity have a death risk about 48% lower than the quarter with the least (
HR 0.52). An accelerometer is an instrument worn on the body that measures activity directly.
Notes
Steps and exercise time are the same thing counted a different way; hitting one of the two is enough. The stretch from 4000 steps to 7000 steps is where the value is best, and there is no need to make up ten thousand steps. Note that these studies only followed records: among the people who walk least and move least there are people who were ill to begin with and could not walk. They moved less because they were near the end, not the other way round, so the gap worked out is usually too large. The studies that measured activity with instruments have short follow-up and older participants, and the real benefit is not as large as "a risk 0.52 times as high". But the trend of more movement being better is clear.
Sources · 4 sources
- Paluch AE et al (2022). Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts. Lancet Public Health. doi.org/10.1016/S2468-2667(21)00302-9
- Banach M et al (2023). The association between daily step count and all-cause and cardiovascular mortality: a meta-analysis. European Journal of Preventive Cardiology. doi.org/10.1093/eurjpc/zwad229
- Arem H et al (2015). Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship. JAMA Internal Medicine. doi.org/10.1001/jamainternmed.2015.0533
- Ekelund U et al (2019). Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis. BMJ. doi.org/10.1136/bmj.l4570
12If you have high blood pressure or high blood lipids, take the medicine as prescribed and do not stop on your own
# Value HighGrade ALifespanA little moneyIn passingSome willpower
For every 10 mmHg that blood pressure falls, the chance of dying falls about 13% and the chance of stroke falls about 27%. For every unit that statins take off LDL cholesterol, the chance of dying falls about 10%. People who take their medicine on schedule have a death rate 30% to 45% lower than people who often miss doses.
Cost
Blood pressure pills and statins bought through the volume-based procurement scheme cost from a few yuan to a few tens of yuan a month. One dose a day takes very little time. The hard part is carrying on with them when you feel fine and think you no longer need them.
Benefit
Pooling several randomised trials: for every 10 mmHg that systolic blood pressure falls, the death risk is about 13% lower (
RR 0.87). Systolic blood pressure is the higher of the two numbers in a reading. Major cardiovascular events are about 20% lower (
RR 0.80). Stroke is about 27% lower (
RR 0.73). Heart failure is about 28% lower (
RR 0.72). Statins bring
LDL cholesterol down. For every 1.0 mmol/L that
LDL falls, the death risk is about 10% lower (
RR 0.90). For the same fall, major vascular events are about 22% lower (
RR 0.78). A separate pooling of several follow-up studies, all only followed records with no control group: people who take at least 80% of their doses as prescribed have a lower death risk than people who often miss doses. For statins the figure is about 45% lower (
RR 0.55). For blood pressure pills it is about 29% lower (
RR 0.71).
Notes
Only do this if the doctor has judged that you need the medicine. Healthy people do not. The figures for the group that keeps taking the medicine come from studies that only followed records, and people who manage to keep taking it are more disciplined to begin with, so the benefit is overstated. The figures from the two randomised trial pools above are more reliable. This section has no separate item on blood glucose: the evidence that pushing glucose lower lowers all-cause mortality is not as consistent as it is for blood pressure and blood lipids.
Sources · 3 sources
- Ettehad D et al. (2016). Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet. doi.org/10.1016/S0140-6736(15)01225-8
- Cholesterol Treatment Trialists' (CTT) Collaboration (2010). Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170 000 participants in 26 randomised trials. Lancet. doi.org/10.1016/S0140-6736(10)61350-5
- Chowdhury R et al. (2013). Adherence to cardiovascular therapy: a meta-analysis of prevalence and clinical consequences. European Heart Journal. doi.org/10.1093/eurheartj/eht295
13Sleep about 7 hours a night, and keep a fixed routine
# Value ModerateGrade ALifespanNo moneyEvery daySome willpower
People who get less than 7 hours of sleep over the long term have about a 10% higher chance of dying in the same period. The more chaotic the routine, the higher the risk. The most regular sleepers have a death rate 20% to nearly 50% lower than the least regular. That is, whether the routine is regular tells you more about the risk of death than how long you sleep.
Cost
It costs nothing. You have to set aside the time to sleep, and most people do it by turning time spent on their phone into sleep. The hard part is fixing the hour you get into bed and the hour you get up.
Benefit
16 cohort studies were pooled, only recording, with no groups to compare, covering 1,380,000 people and 113,000 deaths. People who slept short had a death risk about 12% higher (
RR 1.12). People who slept long had it about 30% higher (
RR 1.30). Another pooled analysis split people by how long they slept: the 7-hour band has the lowest risk. Every 1 hour below 7 hours raises the risk about 6% (
RR 1.06). Every 1 hour above 7 hours raises it about 13% (
RR 1.13). UK Biobank has wristband records for about 61,000 people, again only recording, with no groups to compare. People are put into five bands by how regular their routine is. The four more regular bands have a death risk 20%–48% lower than the least regular band. Whether the routine is regular predicts death better than how long you sleep. A separate UK Biobank study used wristbands to measure the sleep times of 51,562 people, and in that time 3,853 of them developed cardiovascular disease. Social jet lag is how much the midpoint of sleep differs between weekdays and at the weekend. People whose social jet lag reached 2 hours or more had a cardiovascular risk about 30% higher (
HR 1.30,
95% CI 1.11–1.54). The same association is there in people whose sleep duration is normal.
Notes
What has to change is sleeping too little and having a chaotic routine; there is no need to deliberately cut your sleep short. People who sleep long have a higher risk, and most of that is the cause running the other way: depression, chronic illness and sleep apnoea make people sleep more. Also, a regular routine is at present supported by two cohort studies, both of which only recorded, with no groups to compare, which on their own are grade B evidence. For making up a night up late: see item 38 in this section (make up for a night up late the next night).
Sources · 4 sources
- Cappuccio FP et al (2010). Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep. doi.org/10.1093/sleep/33.5.585
- Yin J et al (2017). Relationship of Sleep Duration With All-Cause Mortality and Cardiovascular Events: A Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies. JAHA. doi.org/10.1161/JAHA.117.005947
- Windred DP et al (2024). Sleep regularity is a stronger predictor of mortality risk than sleep duration: A prospective cohort study. Sleep. doi.org/10.1093/sleep/zsad253
- Kumar N, Krishnamurthy S (2026). Social jet lag is associated with incident cardiovascular disease independent of sleep duration and cardiac genetic risk. Journal of Internal Medicine. doi.org/10.1111/joim.70133
14Play a racket sport three times a week, 45 minutes each time
# Value ModerateGrade ALifespanA little moneyA few hoursSome willpowerDisputed
People who regularly play tennis, badminton or table tennis have about half the death rate in the same period as people who do not, and cardiovascular death is about 56% lower. Swimmers are about 28% lower. Running and football showed no difference in this dataset.
Cost
Court hire costs a few tens of yuan each time. About 2 hours a week. The hard part is getting enough people and a court together, and turning up every week.
Benefit
A UK follow-up study of 80,300 people compared people who did a given sport with people who did not. People who played a racket sport had a death risk about 47% lower (risk ratio 0.53,
95% CI 0.40–0.69, credible range). Cardiovascular death was about 56% lower (0.44, 0.24–0.83). Racket sports means tennis, badminton and table tennis. For swimmers the two figures are 0.72 and 0.59, for aerobics 0.73 and 0.64, and for cycling 0.85. Running and football showed no statistically significant difference
Notes
Disputed. These studies only followed records. People who take up a sport are healthier to begin with and have more social contact. The fact that running showed no difference also suggests that what matters may be which kind of person picks which sport. Do not read this item as saying running is useless, because this section has other items that go by total activity.
Sources
Oja P, Kelly P, Pedisic Z, et al. (2017). Associations of specific types of sports and exercise with all-cause and cardiovascular-disease mortality: a cohort study of 80 306 British adults. British Journal of Sports Medicine, 51(10), 812-817.
doi.org/10.1136/bjsports-2016-09682215Add up the short bursts of effort, such as stairs and walking fast, to four or five minutes a day
# Value HighGrade ALifespanNo moneyIn passingSome willpowerDisputed
People who do no exercise at all still have a death rate about 40% lower in the same period than people who do none at all, as long as they have three one- or two-minute bursts of effort a day. Cardiovascular death is nearly half lower. Effort here means things like taking the stairs and hurrying to get somewhere.
Cost
No money, and no need to carve out extra exercise time. The hard part is remembering to take the stairs and to walk faster instead of taking the easy way.
Benefit
A UK Biobank study of 25,200 people who did no deliberate exercise in ordinary life. The average follow-up was 6.9 years, and 852 of them died. Some people had 3 bouts a day of short vigorous activity lasting 1–2 minutes each. Compared with people who had none, their death risk and cancer death risk were 38%–40% lower. Cardiovascular death risk was 48%–49% lower. People who totalled 4.4 minutes a day of this activity had a death risk and cancer death risk 26%–30% lower. Cardiovascular death risk was 32%–34% lower
Notes
Disputed. This study measured activity with wearable devices, which is more reliable than asking people to fill in a questionnaire from memory. But it still only followed records, it did not run a controlled trial, and it tracked people for 6.9 years. The subjects were people who did no exercise at all, so this item does not apply to people who already exercise regularly
Sources
Stamatakis E, Ahmadi MN, Gill JMR, et al. (2022). Association of wearable device-measured vigorous intermittent lifestyle physical activity with mortality. Nature Medicine, 28, 2521-2529.
doi.org/10.1038/s41591-022-02100-x16Do 30–60 minutes of strength training a week
# Value ModerateGrade ALifespanNo moneyA few hoursSome willpower
People who do 30–60 minutes of strength training a week have a death rate 10% to 20% lower in the same period than people who do none. Doing more does not make it better. Strength work and aerobic work together work best.
Cost
Bodyweight squats and press-ups cost nothing. Train 1–2 times a week, 20–30 minutes each time. The hard part is fitting it into the week's schedule.
Benefit
Pooling several follow-up studies, all only followed records with no control group: people who do strength training have a death risk 10%–17% lower than people who do not. More is not better: the fall is largest at about 30–60 minutes a week, about 10%–20%, and training beyond that adds nothing. People who do both strength and aerobic work have a lower death risk than people who do neither.
Notes
These studies only followed records, and the activity level was self-reported. The evidence that training too much makes matters worse is very weak, so there is no reason to hold back on that account. Strength training also helps older people avoid falls and keep their muscle, and those points are in section 1.
Sources
Momma H et al. (2022). Muscle-strengthening activities are associated with lower risk and mortality in major non-communicable diseases: a systematic review and meta-analysis of cohort studies. British Journal of Sports Medicine.
doi.org/10.1136/bjsports-2021-10506117Do not sit for long stretches, get up and move from time to time
# Value HighGrade ALifespanNo moneyIn passingSome willpower
The people who sit longest have a death rate in the same period 2.6 times that of the people who sit least. Sitting for a long unbroken stretch carries a separate risk on top of that. But as long as you get 60–75 minutes of moderate activity a day, most of the extra risk from sitting is cancelled out.
Cost
No money, and getting up a few times takes very little time. The hard part is that once you sit down you lose track of time, so set a reminder.
Benefit
A US follow-up study that only followed records, with no control group, measured activity with accelerometers. People were split into four groups by total daily sitting time. The group that sat the most had a death risk 2.63 times that of the group that sat least (
HR 2.63). People were then split into four groups by how long they sat in one unbroken stretch: the group with the longest unbroken sitting had a figure 1.96 times that of the group with the shortest (
HR 1.96). So total sitting time and the length of a single unbroken stretch are each separately associated with the risk. A separate pooled analysis covering more than a million people, only followed records with no control group: people who sit more than 8 hours a day and barely exercise have a death risk 1.59 times that of another group (
HR 1.59). That other group sits under 4 hours a day and is the most active. About 60–75 minutes of moderate activity a day cancels out the extra risk from sitting. The most active group has an
HR of only 1.04 even when sitting more than 8 hours a day, which is not statistically significant.
Notes
The reliable conclusion is that how much you move matters more than how long you sit, and that when activity is enough the risk from sitting largely disappears. Note that these studies only followed records, and the people who sit the most include a large number who were already ill, so a risk as high as 2.63 times clearly contains an element of "became sedentary after falling ill". In the same pooled analysis, the risk of watching more than 3 hours of television a day is present at every activity level, and the most active group only pushes that starting point out to 5 hours.
Sources · 2 sources
- Diaz KM et al. (2017). Patterns of Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults: A National Cohort Study. Annals of Internal Medicine. doi.org/10.7326/M17-0212
- Ekelund U et al. (2016). Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. doi.org/10.1016/S0140-6736(16)30370-1
18Eat less processed meat (ham, bacon, sausage, luncheon meat)
# Value HighGrade ALifespanNo moneyIn passingSome willpowerDisputed
People who eat the most ham, bacon and sausage have a death rate about 20% higher in the same period than people who eat the least. Every extra daily serving of processed meat adds 20% to the figure.
Cost
No money, and it may even save money, and it takes no time. The hard part is cutting back on the mouthful you actually like.
Benefit
Pooling several follow-up studies, all only followed records with no control group: the group that eats the most processed meat has a death risk about 23% higher than the group that eats the least (
RR 1.23). Red meat of all kinds is about 29% higher (
RR 1.29). Unprocessed red meat is about 10% higher (
RR 1.10), but that one is not statistically significant. A separate pooled analysis works from the amount eaten per day. Every extra daily serving of processed meat, so 1 more serving a day, raises the death risk about 23% (
RR 1.23). Every extra daily serving of red meat, 1 more serving a day, raises it about 10% (
RR 1.10).
Notes
Disputed. The NutriRECS guidelines use a standard evidence grading system (
GRADE) and rate these studies as not very reliable. They give one very weak recommendation: carry on eating the way you do now. The two sides disagree about whether the evidence is hard enough, not about the direction. No study says processed meat is good for you. Unprocessed red meat has a small effect and shows no statistically significant difference. What needs controlling is the processed meat.
Sources · 3 sources
- Larsson SC, Orsini N (2014). Red meat and processed meat consumption and all-cause mortality: a meta-analysis. American Journal of Epidemiology. doi.org/10.1093/aje/kwt261
- Schwingshackl L et al. (2017). Food groups and risk of all-cause mortality: a systematic review and meta-analysis of prospective studies. American Journal of Clinical Nutrition. doi.org/10.3945/ajcn.117.153148
- Johnston BC et al. (2019). Unprocessed Red Meat and Processed Meat Consumption: Dietary Guideline Recommendations From the NutriRECS Consortium. Annals of Internal Medicine. (the NutriRECS guidelines, the other side of the dispute)doi.org/10.7326/M19-1621
19Drink less alcohol, or none at all
# Value HighGrade ALifespanNo moneyIn passingSome willpower
Once you are past 100 g of pure alcohol a week, the more you drink the earlier you die. 100 g of pure alcohol is about 2.5 L of beer. People drinking 100–200 g a week at 40 have about half a year less of life; those drinking 200–350 g have one or two years less; those past 350 g have four or five years less. Counted across overall health, the best value is not drinking.
Cost
It costs nothing, it saves money, and it takes no time. The hard part is the awkward moment when someone pushes a drink on you at a gathering.
Benefit
83 prospective studies were pooled, only recording, with no groups to compare, covering 600,000 people who drink. The lowest point of the death risk is at no more than 100 g of pure alcohol a week. That amount is about 2.5 L of beer at 5%, or 300 mL of 40-degree baijiu. People drinking 100–200 g a week at 40 lose about 6 months of life expectancy. People drinking 200–350 g a week lose 1–2 years. Those past 350 g lose 4–5 years. The original reports those three in years of life. The Global Burden of Disease study, GBD 2016, adds up all the different kinds of health loss together, and the amount of drinking with the lowest risk is 0 cups a week. Another pooled analysis corrected for the bias in the design of the studies. People drinking 1.3–24 g a day have a death risk about 7% lower than people who never drink in their lives (
RR 0.93), but that finding showed no statistical difference. People drinking 45–64 g a day are about 19% higher (
RR 1.19). People drinking more than 65 g a day are about 35% higher (
RR 1.35).
Notes
Disputed. The side that argues "drinking less does you good" is a pooled analysis of 34 long-term cohort studies. It reports that people who drink a little have an all-cause mortality lower by as much as 17%–18%. The amount it gives is no more than 4 glasses a day for men and 2 for women. Within that amount, the people who drank more had a lower mortality. The other side argues that people who gave up drinking because of illness, and people who were simply less well to begin with, are mixed into the "do not drink" group. One pooled analysis takes those confounders out, and once it does, the protective effect is gone. The Global Burden of Disease study also gives 0 as the safest. The safe way to read it: drinking less will not clearly cost you life expectancy, and drinking more certainly will. "Starting to drink for the sake of your health" has no basis. For what to do if you want to drink less, see item 21 in this section (count the drinks for the week first, then talk to a doctor). People who drink every day must not stop on their own, see item 20 in this section (do not stop on your own).
Sources · 4 sources
- Wood AM et al (2018). Risk thresholds for alcohol consumption: combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies. Lancet. doi.org/10.1016/S0140-6736(18)30134-X
- GBD 2016 Alcohol Collaborators (2018). Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. doi.org/10.1016/S0140-6736(18)31310-2
- Zhao J et al (2023). Association Between Daily Alcohol Intake and Risk of All-Cause Mortality: A Systematic Review and Meta-analyses. JAMA Network Open. doi.org/10.1001/jamanetworkopen.2023.6185
- Di Castelnuovo A et al (2006). Alcohol dosing and total mortality in men and women: an updated meta-analysis of 34 prospective studies. Archives of Internal Medicine. (the disputed side)doi.org/10.1001/archinte.166.22.2437
20If you drink every day and stopping makes you shake and panic, do not stop on your own
# Value ModerateGrade BLifespanA little moneyA few hoursSome willpower
Someone who drinks heavily every day and stops suddenly gets withdrawal. The mild form is shaking, sweating, palpitations and not being able to sleep; the severe form is seizures or delirium tremens, and that is an emergency that kills. Norway followed more than 30,000 people, and among those who had delirium tremens, 8% a year died afterwards. If you want to stop, go to hospital first and say how much you drink every day.
Cost
One appointment in psychiatry or an addiction medicine clinic costs a few yuan to a few tens of yuan. Severe cases stay in hospital for a few days.
Benefit
A clinical review from 2026 states that people who have drunk heavily for a long time get withdrawal syndrome after stopping suddenly or cutting the amount sharply, showing tremor, autonomic overactivity, anxiety, insomnia, sensory disturbance, seizures and delirium tremens, and that in ordinary internal medicine this is "common and potentially life-threatening". A nationwide register cohort in Norway took in 36287 people diagnosed between 2009 and 2015 with alcohol dependence, alcohol withdrawal state or delirium tremens: the annual mortality was 8.0% in the delirium tremens group, 5.0% in the withdrawal state group and 3.6% in the alcohol dependence group. The standardised mortality ratio in the delirium tremens group was 9.8 (
95% CI 8.9–10.7, and that is the credible range), which means the risk of death is about 9.8 times that of the general population of the same age.
Notes
How to judge it for yourself: if you drink almost every day, a day without drinking brings shaking, sweating, palpitations and not being able to sleep, and you need a drink in the morning to feel comfortable, then having any one of those is enough: do not stop abruptly on your own. What hospitals normally do is give benzodiazepines to see you through those few days, and give thiamine (vitamin B1) as well. The grade B is because the Norwegian cohort says what happened later to people who had delirium tremens, not what happens to people who stop on their own; between the two there is an inference. The drinking still has to stop, only now you stop it in hospital. For how much a week counts as too much see item 19 in this section (drink less alcohol, or none at all), and for what to do if you want to drink less see item 21 in this section (count the drinks for the week first, then talk to a doctor).
Sources · 2 sources
- Caputo F, Lungaro L, Costanzini A, De Giorgio R, Addolorato G (2026). Alcohol withdrawal syndrome in hospitalized patients: a practical review. European Journal of Internal Medicine, 107103. doi.org/10.1016/j.ejim.2026.107103
- Bramness JG, Heiberg IH, Høye A, Rossow I (2023). Mortality and alcohol-related morbidity in patients with delirium tremens, alcohol withdrawal state or alcohol dependence in Norway: A register-based prospective cohort study. Addiction, 118(12), 2352–2359. doi.org/10.1111/add.16297
21If you want to drink less, count the drinks for the week first, then talk to a doctor for a few minutes
# Value ModerateGrade ALifespanNo moneyIn passingSome willpower
A doctor spends a few minutes looking at how much you drink, setting out the risk and setting you a goal, and a year later you drink 20 grams of pure alcohol a week less on average, about half a litre of beer. Talking for longer does not add more. For people who cannot stop, two drugs have been shown to work abroad: for every 12 people treated, about 1 more does not go back to drinking as much as before.
Cost
It costs nothing. Counting the drinks takes one line a day. Asking at the clinic as it comes up does not cost extra either.
Benefit
34 randomised trials and 15197 people were pooled together. People who received a brief intervention drank 20 grams of pure alcohol a week less a year later than people who received the minimum intervention or none at all (
95% CI 12 to 28 grams less, and that is the credible range; moderate quality evidence). The baseline drinking of the participants in these studies averaged 244 grams a week. A brief intervention means advice or lifestyle counselling of no more than 5 sessions and less than 60 minutes in total; talking for longer brought no extra benefit. On the drugs: 122 randomised trials and 22803 people were pooled together, and for every 12 people treated with acamprosate (
95% CI 8 to 26) 1 more does not go back to drinking at all; with oral naltrexone at 50 milligrams a day, for every 12 people treated (8 to 26) 1 more does not go back to heavy drinking.
Notes
The benefit is graded "small" because both bodies of evidence measure how much is drunk, not mortality, and by this book's rule a surrogate endpoint on its own is graded "small". Most of the drug trials were done abroad, the participants mostly met the diagnostic criteria for alcohol dependence, and every trial gave psychosocial support at the same time, so the figures are "the extra benefit on top of that". For the indications of these two drugs in China, and whether they can be prescribed at all, go by what the doctor and the package insert say, and do not order them yourself online. If withdrawal has already appeared, see item 20 in this section (do not stop on your own).
Sources · 2 sources
- Kaner EF, Beyer FR, Muirhead C, et al. (2018). Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database of Systematic Reviews, 2, CD004148. doi.org/10.1002/14651858.CD004148.pub4
- Jonas DE, Amick HR, Feltner C, et al. (2014). Pharmacotherapy for adults with alcohol use disorders in outpatient settings: a systematic review and meta-analysis. JAMA, 311(18), 1889–1900. doi.org/10.1001/jama.2014.3628
22Eat a small handful of nuts every day
# Value HighGrade ALifespanA little moneyIn passingNo willpower
People who regularly eat nuts have about 20% lower death rates in the same period than people who do not. Eating them once a week already shows a difference, about 10%. Eating a handful a day shows the clearest difference of all.
Cost
28 grams a day costs two or three hundred yuan a year. You eat them in passing, and it takes no time.
Benefit
Two US follow-up studies, 119,000 people, more than 300 ten-thousand person-years. A person-year is the number of people multiplied by the number of years each was followed. Compared with people who ate no nuts: people who ate less than 1 time a week had a death risk about 7% lower (risk ratio 0.93,
95% CI 0.90–0.96, the credible range). People eating 1 time a week were about 11% lower (0.89, 0.86–0.93). People eating 2–4 times a week were about 13% lower (0.87, 0.83–0.90). People eating 5–6 times a week were about 15% lower (0.85, 0.79–0.91). People eating 7 or more times a week were about 20% lower (0.80, 0.73–0.86)
Notes
Buy them plain, with no added salt. Nuts are not low in calories, so do not treat them as a snack to eat freely. Note that these studies only followed a group of people over the long term, and nut eaters have better lifestyles across the board, so the figures need discounting.
Sources
Bao Y, Han J, Hu FB, et al. (2013). Association of nut consumption with total and cause-specific mortality. New England Journal of Medicine, 369(21), 2001-2011.
doi.org/10.1056/NEJMoa130735223Replace some of your red meat with fish and poultry
# Value ModerateGrade ALifespanNo moneyIn passingSome willpower
Eating two more servings a week of processed meat or red meat raises the death rate in the same period by about 3%. Swapping the same number of servings for fish or poultry shows no rise. The effect in this section is small, which makes this an in-passing swap rather than something to fight over.
Cost
No money, and it takes no time. This is swapping one kind of meat for another, not buying more. The hard part is shifting what you prefer.
Benefit
Pooling 6 US follow-up studies and close to 30,000 people. Two extra servings of processed meat a week raise the death risk about 3% (risk ratio 1.03,
95% CI 1.02–1.05, credible range). Two extra servings of unprocessed red meat a week also raise it about 3% (1.03, 1.01–1.05). The same amount eaten as poultry gives 0.99 (0.97–1.02), and as fish 0.99 (0.97–1.01). Neither is statistically significant
Notes
Two servings a week makes very little difference, so do not expect to live longer by swapping meat. When you are spending the same money on meat, you can favour fish and poultry
Sources
Zhong VW, Van Horn L, Greenland P, et al. (2020). Associations of Processed Meat, Unprocessed Red Meat, Poultry, or Fish Intake With Incident Cardiovascular Disease and All-Cause Mortality. JAMA Internal Medicine, 180(4), 503-512.
doi.org/10.1001/jamainternmed.2019.696924Replace some of your white rice and white flour with whole grains
# Value HighGrade ALifespanA little moneyIn passingSome willpower
People who eat 90 g more whole grains a day have about 17% lower death rates in the same period. 90 g is about 3 servings. At about 200 g a day the figure is still falling.
Cost
Brown rice, oats and wholemeal bread cost a little more than white rice and white flour, and take no time. The hard part is getting used to the taste.
Benefit
Pooling several follow-up studies, all only followed records with no control group: every 90 g more whole grains a day lowers the death risk about 17% (
RR 0.83). 90 g is about 3 servings. The benefit continues to 210–225 g a day. In a separate pooled analysis, every 1 extra serving a day lowers it about 8% (
RR 0.92).
Notes
You do not have to switch everything to whole grains, because half of it already puts you in the stretch where the benefit is most visible. Note that these studies only followed records, and people who eat whole grains were healthier to begin with, so the figures are too large. Results also differ a lot between studies (I² 83%, and the higher that number, the less the studies agree).
Sources · 2 sources
- Aune D et al. (2016). Whole grain consumption and risk of cardiovascular disease, cancer, and all cause and cause specific mortality: systematic review and dose-response meta-analysis of prospective studies. BMJ. doi.org/10.1136/bmj.i2716
- Schwingshackl L et al. (2017). Food groups and risk of all-cause mortality: a systematic review and meta-analysis of prospective studies. American Journal of Clinical Nutrition. doi.org/10.3945/ajcn.117.153148
25Drink tea three or more times a week
# Value ModerateGrade ALifespanA little moneyIn passingNo willpowerDisputed
People with a habit of drinking tea have about 15% lower death rates in the same period. Measured from 50, they live 1.26 years longer on average, and they spend 1.41 more years free of atherosclerotic cardiovascular disease.
Cost
A few tens to a few hundred yuan a year. Making a cup takes a few minutes and takes very little time.
Benefit
A Chinese study of 100,900 people (China-PAR), half of whom were followed for the full 7.3 years. People with a habit of drinking tea had a death risk about 15% lower (risk ratio 0.85,
95% CI 0.79–0.90, the credible range). Measured from age 50: people with a habit of drinking tea spend 1.41 more years free of atherosclerotic cardiovascular disease, and their life expectancy is 1.26 years longer
Notes
Disputed, and the reason is this: these studies only followed records, and Chinese men who drink tea also have a high rate of smoking and drinking. The authors have already subtracted part of that effect, but not all of it. One more thing: do not drink it scalding hot, and for the temperature of hot drinks see the item in this section on that. Some people worry about mycotoxins in tea. In China, 158 samples of dark tea have been tested and 2 of them came back with aflatoxin, and worked out against the amount of tea people drink, the intake is below the internationally acceptable level. Another study tested 352 samples of tea for 16 mycotoxins, and only ochratoxin A in dark tea came out above the limit on average. Worked out against how much tea people in China drink, neither study found a dietary risk. Keep tea somewhere dry, and do not drink it if it has got damp and gone mouldy. Green tea extract capsules are a different thing: a large dose of concentrated catechins swallowed at once can damage the liver, and brewed tea does not have that problem. So this is about brewed tea only, and do not substitute a green tea extract supplement for it.
Sources · 4 sources
- Wang X, Liu F, Li J, et al. (2020). Tea consumption and the risk of atherosclerotic cardiovascular disease and all-cause mortality: The China-PAR project. European Journal of Preventive Cardiology, 27(18), 1956-1963. doi.org/10.1177/2047487319894685
- mycotoxins in tea: Cui P et al. (2020). Quantitative analysis and dietary risk assessment of aflatoxins in Chinese post-fermented dark tea. Food and Chemical Toxicology. doi.org/10.1016/j.fct.2020.111830
- Zhou H et al. (2022). Mycotoxins in Tea (Camellia sinensis (L.) Kuntze): Contamination and Dietary Exposure Profiling in the Chinese Population. Toxins. doi.org/10.3390/toxins14070452
- green tea extract and liver damage: Hu J et al. (2018). The safety of green tea and green tea extract consumption in adults - Results of a systematic review. Regulatory Toxicology and Pharmacology. doi.org/10.1016/j.yrtph.2018.03.019
26Drink three to four cups of coffee a day, with no sugar and no cream topping
# Value HighGrade ALifespanA little moneyIn passingNo willpowerDisputed
People who drink three to four cups of coffee a day have about 17% lower death rates in the same period than people who do not.
Cost
Brewing it yourself costs a yuan or two a day. Making a cup takes a few minutes and very little of your time.
Benefit
A review pooled the results of 201 summary studies on top of each other, and the original studies underneath those summaries all only followed records with no control group. Result: people drinking 3–4 cups of coffee a day had a death risk 17% lower than people who do not drink coffee (relative risk 0.83,
95% CI 0.79–0.88, the credible range)
Notes
Disputed, and the reason is this: the original authors state that the evidence comes almost entirely from follow-up records, and they also write that 「需要可靠的随机对照试验才能判断是否为因果」 — reliable randomised controlled trials are needed to tell whether the relationship is causal. In plain terms, people have to be randomly split into two groups and compared, because records alone cannot establish cause. Drink it black, because sugar and a cream topping cancel the benefit out. This does not apply to pregnant women, or to people with arrhythmia, anxiety or insomnia.
Sources
Poole R, Kennedy OJ, Roderick P, et al. (2017). Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes. BMJ, 359, j5024.
doi.org/10.1136/bmj.j502427Eat 5 servings of fruit and vegetables a day (about 400 g)
# Value ModerateGrade ALifespanA little moneyA few hoursSome willpower
People who eat 200 g more fruit and vegetables a day have about 10% lower death rates in the same period. People who eat 5 servings a day have about 13% lower rates than people who eat only 2. Eating more than that does not lower it further.
Cost
A few yuan to a dozen-odd yuan a day. Washing and cutting takes some time each day. The hard part is buying every day and eating enough of it every day.
Benefit
Pooling several follow-up studies, all only followed records with no control group: every 200 g more fruit and vegetables a day lowers the death risk about 10% (
RR 0.90). The benefit continues to 800 g a day. Two large US follow-up studies plus a pooled analysis of 26 studies: people eating 5 servings a day had a death risk about 13% lower than people eating only 2 (
HR 0.87). The best combination is 2 servings of fruit and 3 of vegetables, and going beyond that does not lower the risk further.
Notes
5 servings is enough, there is no need to reach 10, and the two studies agree on that point. Note that these studies only followed records and the confounding is obvious: people who eat more vegetables differ from other people in income, education and exercise. So "about 10% lower risk" is already the ceiling.
Sources · 2 sources
- Aune D et al. (2017). Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality: a systematic review and dose-response meta-analysis of prospective studies. International Journal of Epidemiology. doi.org/10.1093/ije/dyw319
- Wang DD et al. (2021). Fruit and Vegetable Intake and Mortality: Results From 2 Prospective Cohort Studies of US Men and Women and a Meta-Analysis of 26 Cohort Studies. Circulation. doi.org/10.1161/CIRCULATIONAHA.120.048996
28Eat less ultra-processed food (chips, instant noodles, cakes, fast food)
# Value ModerateGrade ALifespanNo moneyEvery dayA lot of willpower
People who eat the most ultra-processed food have about a 20% higher chance of dying in the same period than people who eat the least, and 50% higher cardiovascular mortality. But this evidence is graded as not very certain, so discount the figures.
Cost
It costs nothing; you only have to shop in a different place. Either you cook yourself, or you spend time picking ingredients that are barely processed, and that takes some time every day. The hard part is fighting the habit that says "convenient is better" over the long run.
Benefit
An umbrella review pooled several pooled analyses together on top of each other, and the original studies underneath those analyses all only recorded, with no groups to compare. Result: people who eat a lot of ultra-processed food have a death risk about 21% higher than people who eat little (
RR 1.21), and cardiovascular mortality about 50% higher (
RR 1.50). Those two are graded "highly suggestive" and "convincing" respectively. But by the usual way of grading evidence (
GRADE), the certainty is low or very low.
Notes
Disputed, and there are three reasons. First, this classification (
NOVA) puts foods that differ a great deal in nutrition into one class. Second, it overlaps heavily with sugary drinks and processed meat (
items 7 and 18), so there is no way to tell which of them is doing the work. Thir
d, graded by the usual method (
GRADE), the certainty is low as well. So once you have done those two, how much more this one adds cannot be said. The evidence on the other side is the low grade the same review gives; at the moment there is no original study with the opposite conclusion. So do
items 7 and 18 first (no sugary drinks, less processed meat), and then come back to this one.
Sources
Lane MM et al (2024). Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses. BMJ.
doi.org/10.1136/bmj-2023-07731029Cook and heat with electricity or gas instead of coal and firewood
# Value HighGrade ALifespanA fair amount of moneyIn passingNo willpower
People who cook with coal or firewood have about 10% higher death rates in the same period; people who burn coal and wood for heating are about 14% higher. People who have already switched to electricity or gas have a death rate 13%–33% lower than those still burning coal and wood.
Cost
A rural household has to replace the stove and add the fuel bill, which comes to a few hundred yuan a year and sometimes over a thousand. It is a one-off change and does not take time in the long run. City dwellers are basically already on electricity or gas.
Benefit
A Chinese study that followed people with chronic disease over the long term, only followed records with no control group, covering 271,000 adults with no cardiovascular disease. People who used solid fuels such as coal and firewood for cooking had a death risk about 11% higher than people who used electricity or gas (
HR 1.11). People who used solid fuels for heating were about 14% higher (
HR 1.14). Among people who had already switched from solid fuel to clean fuel, compared with those still burning, cooking was about 13% lower (
HR 0.87) and heating about 33% lower (
HR 0.67). Outdoor
PM2.5 is a separate account. Pooling 104 follow-up studies, every 10 µg/m³ of long-term exposure raises the risk of natural-cause death about 8% (
RR 1.08). Natural causes means deaths that were not accidents.
Notes
These studies only followed records. Households that switched fuel are often wealthier as well, so the figure of a risk ratio of 0.67 has the family's income mixed into it. As for outdoor
PM2.5, what one person can do is limited, and it comes down to moving house, wearing a mask and using a purifier. There is no research with mortality as the endpoint for air purifiers, so this section gives no figure for them.
Sources · 2 sources
- Yu K et al. (2018). Association of Solid Fuel Use With Risk of Cardiovascular and All-Cause Mortality in Rural China. JAMA. doi.org/10.1001/jama.2018.2151
- Chen J, Hoek G (2020). Long-term exposure to PM and all-cause and cause-specific mortality: A systematic review and meta-analysis. Environment International. doi.org/10.1016/j.envint.2020.105974
30Let hot things cool before you drink them, and skip tea, soup and coffee that are scalding
# Value HighGrade ALifespanNo moneyIn passingSome willpower
Drinking tea that is very hot gives you 8 times the chance of oesophageal cancer that drinking warm tea does. Even at just "hot" it is 2 times. Drinking it less than two minutes after it is poured carries 5 times the risk of waiting more than four minutes.
Cost
No money, just two or three minutes of waiting each time. The hard part is holding back when you want a drink.
Benefit
In a high-incidence area of oesophageal cancer in northern Iran, 300 patients were compared with 571 people without the disease. Everything below is compared with people who drink warm tea. People who drink "hot" tea had about 2.07 times the odds of squamous oesophageal cancer (odds ratio,
95% CI 1.28–3.35, credible range). People who drink "very hot" tea had about 8.16 times (3.93–16.9). People who drink it less than 2 minutes after pouring had about 5.41 times the odds of people who wait more than 4 minutes (2.63–11.1)
Notes
The International Agency for Research on Cancer classifies hot drinks above 65 ℃ as group 2A, which means probably carcinogenic. The same assessment says coffee itself is not carcinogenic. In China, oesophageal cancer is common in the Chaoshan area of Guangdong and around the Taihang Mountains, and that is linked to the habit of drinking while it is still scalding
Sources · 2 sources
- Islami F, Pourshams A, Nasrollahzadeh D, et al. (2009). Tea drinking habits and oesophageal cancer in a high risk area in northern Iran: population based case-control study. BMJ, 338, b929. doi.org/10.1136/bmj.b929
- Loomis D, Guyton KZ, Grosse Y, et al. (2016). Carcinogenicity of drinking coffee, mate, and very hot beverages. Lancet Oncology, 17(7), 877-878. doi.org/10.1016/S1470-2045(16)30239-X
31Get out in the daylight, and do not avoid the sun all day
# Value HighGrade BLifespanNo moneyIn passingNo willpowerDisputed
Women who deliberately avoid the sun have a life expectancy 0.6 to 2.1 years shorter than the women who get the most sun. People who do not smoke but avoid the sun live about as long as the heaviest smokers in the group that gets the most sun.
Cost
No money. A dozen minutes a day, on the way to work and at the lunch break, is enough.
Benefit
A Swedish study of 29,500 women followed for 20 years. Compared with the group that got the most sun, people who deliberately avoided sun exposure had a life expectancy 0.6 to 2.1 years shorter. The authors write that 「不吸烟但回避晒太阳的人,预期寿命与晒太阳最多组里的吸烟者相当」 — people who do not smoke but avoid sun exposure have a life expectancy on a par with the smokers in the group that gets the most sun
Notes
Disputed, and the reason is this: Sweden lies at a high latitude with little sunshine, so the conclusion cannot be carried straight over to China. And people who avoid the sun may have been frail and housebound to begin with. Also, do not go as far as getting sunburnt. You still need to cover up under the strong midday sun, because sun exposure raises the risk of skin cancer.
Sources
Lindqvist PG, Epstein E, Nielsen K, et al. (2016). Avoidance of sun exposure as a risk factor for major causes of death: a competing risk analysis of the Melanoma in Southern Sweden cohort. Journal of Internal Medicine, 280(4), 375-387.
doi.org/10.1111/joim.1249632Keep your BMI between 20 and 25, and lose weight if you are overweight
# Value ModerateGrade ALifespanNo moneyEvery dayA lot of willpowerDisputed
The death rate is lowest in the BMI 20–25 band. At a BMI of 27.5–30 it is about 20% higher, at 30–35 about 45% higher, and at 35–40 close to double. East Asian people are more sensitive to excess weight, and every 5 points of BMI raises the risk about 40%.
Cost
No money. Diet and exercise both take time every day. This is the item in the whole section that demands the most willpower: controlling what you eat and moving your legs over the long run, and keeping the weight off afterwards is harder than losing it.
Benefit
Individual participant data from 239 follow-up studies pooled together, all only followed records with no control group. The analysis kept only three kinds of people: those who had never smoked, those with no chronic illness when they entered the study, and those who were still alive 5 years later. Result: the death risk is lowest at a
BMI of 20–25. At 25–27.5 it is about 7% higher (
HR 1.07). At 27.5–30 about 20% higher (
HR 1.20). At 30–35 about 45% higher (
HR 1.45). At 35–40 about 94% higher (
HR 1.94). At 40–60 it is 2.76 times (
HR 2.76). Among people above a
BMI of 25, every extra 5 kg/m² raises the risk in East Asian populations about 39% (
HR 1.39).
Notes
Disputed. One side argues that being a little heavier means living longer. Their pooled figures are that overweight people have a death risk about 6% lower, and mildly obese people about 5% lower. The two sides differ mainly over whether to drop three kinds of data: people who smoke, people who are already ill, and the first few years after entry into a study. The reason to drop them is that people who are seriously ill start to lose weight first. The analysis of the 239 studies above dropped those three groups, and the risk from being overweight came back. Note also that no randomised trial has shown that losing weight by itself lowers all-cause mortality. The figures above come from comparing people of different weights side by side, so they do not mean that losing weight lowers your risk by that much. If you want to lose weight there is no need to work on mealtimes, because breakfast and 16:8 intermittent fasting bring no extra benefit, see item 26 in section 6 (do not expect breakfast or 16:8 to help you control your weight)
Sources · 2 sources
- Global BMI Mortality Collaboration (2016). Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents. Lancet. doi.org/10.1016/S0140-6736(16)30175-1
- Flegal KM et al. (2013). Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. (the other side of the dispute)doi.org/10.1001/jama.2012.113905
33Eat chillies four or more times a week
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpowerDisputed
People who eat chillies four or more times a week have about 23% lower death rates in the same period than people who rarely eat them, and cardiovascular death is about a third lower.
Cost
No money, and it takes no time.
Benefit
An Italian study of 22,800 people, half of whom were followed for the full 8.2 years, with 1,236 deaths in total. People who ate chillies 4 or more times a week had a death risk about 23% lower than people who rarely ate them (risk ratio 0.77,
95% CI 0.66–0.90, credible range). Cardiovascular death was about 34% lower (0.66, 0.50–0.86)
Notes
Disputed, and the reason is this: this is a follow-up record study done in the context of a Mediterranean diet, and people who eat hot food may have an overall diet closer to the local tradition. Note too that people with reflux, haemorrhoids or irritable bowel will find that hot food makes the symptoms worse, so there is no need to force yourself.
Sources
Bonaccio M, Di Castelnuovo A, Costanzo S, et al. (2019). Chili Pepper Consumption and Mortality in Italian Adults. Journal of the American College of Cardiology, 74(25), 3139-3149.
doi.org/10.1016/j.jacc.2019.09.06834Have one or two servings of milk or yoghurt a day
# Value HighGrade BLifespanA little moneyIn passingNo willpowerDisputed
People who drink 2 or more servings of milk or yoghurt a day have about 17% lower death rates in the same period than people who do not.
Cost
A few yuan a day, and it takes no time.
Benefit
The PURE follow-up study covers 21 countries and 136,000 people, with an average follow-up of 9.1 years and 6,796 deaths. People who ate two or more servings of dairy a day had a death risk about 17% lower than people who ate none (risk ratio 0.83,
95% CI 0.72–0.96, credible range), trend P=0.0052
Notes
Disputed, and the reason is this: PURE included a large number of middle-income and low-income countries, and in those countries being able to drink milk every day already says the family has some money, and that confounding is hard to remove cleanly. People who cannot digest lactose can switch to yoghurt or low-lactose milk instead, and there is no need to force themselves to drink ordinary milk.
Sources
Dehghan M, Mente A, Rangarajan S, et al. (2018). Association of dairy intake with cardiovascular disease and mortality in 21 countries from five continents (PURE): a prospective cohort study. Lancet, 392(10161), 2288-2297.
doi.org/10.1016/S0140-6736(18)31812-935You do not need to give up eggs, but do not eat three or four a day
# Value ModerateGrade BLifespanNo moneyIn passingNo willpowerDisputed
Every extra half a whole egg a day raises the death rate in the same period by about 7%. Swap that half for egg white, fish, poultry or nuts and the death risk for each of those is lower instead. There is no need to give up eggs, only not to eat three or four a day.
Cost
No money, and it takes no time.
Benefit
A US follow-up study of 521,000 people, with 129,000 deaths. Every extra half a whole egg a day raised the death risk about 7% (risk ratio 1.07,
95% CI 1.06–1.08, the credible range). Swapping that half a whole egg for the same amount of egg white, poultry, fish, dairy or nuts and beans gives a lower death risk, and the death risk is also lower for cardiovascular disease, cancer and respiratory disease
Notes
Disputed, and the dispute is a large one: there are also long-term follow-up studies of large groups of people, and pooled analyses of several studies, that found no link between eggs and mortality. The US dietary guidelines have already dropped the daily limit on cholesterol. What needs avoiding is only three or four eggs a day, and one a day is nothing to worry about.
Sources
Zhuang P, Wu F, Mao L, et al. (2021). Egg and cholesterol consumption and mortality from cardiovascular and different causes in the United States: A population-based cohort study. PLoS Medicine, 18(2), e1003508.
doi.org/10.1371/journal.pmed.100350836Take a bath if you can, and do not only use a shower
# Value HighGrade BLifespanA little moneyA few hoursNo willpowerDisputed
People who bathe almost every day have a cardiovascular event risk about 28% lower than people who bathe fewer than twice a week, and brain haemorrhage about 46% lower.
Cost
A bit more on water and electricity. Half an hour each time.
Benefit
A Japanese study of 30,000 people followed for 19 years, with 2,097 cardiovascular events. People who bathed almost every day had a cardiovascular event risk about 28% lower than people who bathed no more than twice a week (risk ratio 0.72,
95% CI 0.62–0.84, the credible range). Coronary heart disease was about 35% lower (0.65, 0.45–0.94). Stroke was about 26% lower (0.74, 0.62–0.87). Brain haemorrhage was about 46% lower (0.54, 0.40–0.73)
Notes
Disputed, and the reason is this: the result comes from a Japanese population with a bathing culture, and most families in China have no way to bathe every day. Also, do not make the water too hot and do not stay in too long. For older people and people with cardiovascular or cerebrovascular disease, water that is too hot and a bath that is too long are dangerous in themselves, and every year a large number of older people in Japan die suddenly in the bath.
Sources
Ukai T, Iso H, Yamagishi K, et al. (2020). Habitual tub bathing and risks of incident coronary heart disease and stroke. Heart, 106(10), 732-737.
doi.org/10.1136/heartjnl-2019-31575237Keep the nap under half an hour, do not go past an hour, and if you need one or two hours to get through the day, find out why
# Value HighGrade BLifespanNo moneyIn passingNo willpowerDisputed
People who nap for no more than an hour have no higher risk of death or chronic illness, and their minds are a little sharper. People who sleep past an hour have a coronary heart disease risk about 30% higher, and diabetes and obesity about 20% higher. So set an alarm and wake yourself at half an hour. If you genuinely need one or two hours of napping to get through the day, that is a signal to have your body checked.
Cost
No money. Just set an alarm before you lie down, and it takes almost no willpower.
Benefit
An umbrella review pooled 16 meta-analyses covering 244 health outcomes. An umbrella review is a summary of summaries. The conclusion is that people who nap for less than 60 minutes have no higher all-cause mortality or chronic illness risk, and the improvement in thinking is clearest (SMD 0.69,
95% CI 0.37–1.00, the credible range). A short nap of 20 to 30 minutes gives the biggest improvement in athletic performance (SMD 0.99, 0.67–1.31). People who nap for more than 60 minutes have a coronary heart disease risk about 30% higher and a diabetes and obesity risk about 20% higher. A separate study had 1,338 people over 56 wear wristbands to measure naps directly instead of filling in a questionnaire. The longest follow-up was 19 years, and 926 people died during it. Every 1 hour more of napping raises the death risk about 13% (
HR 1.13,
95% CI 1.04–1.23). One extra nap a day adds about 7% (
HR 1.07, 1.02–1.13). People who nap in the morning have a risk about 30% higher than people who nap in the early afternoon (
HR 1.30, 1.03–1.64).
Notes
Disputed. The two studies above both only followed records, with no control group. People who nap for a long time are more likely to have sleep apnoea, anaemia, an underactive thyroid, depression or some other chronic illness to begin with. So how much of the higher death rate among long sleepers is caused by the nap itself is not clear. Causal inference using genes (Mendelian randomisation, 453,000 plus 541,000 people) supports only one thing: the more often you nap, the slightly higher your blood pressure and waist. It did not find a causal effect of napping on coronary heart disease or diabetes. So do not treat "nap less" as a way to lower your death rate. The "find out why" half of this item is the author's advice and is grade C: if you are sleepy in the daytime to the point where you must sleep for a long time, check your night-time sleep first, and check for sleep apnoea if you snore or stop breathing during sleep, then check a full blood count and your thyroid. How to get more out of a short nap is in item 11 in section 3 (sleep 10 minutes when you feel sleepy in the afternoon). How long to sleep at night is in item 13 in this section (about 7 hours a night).
Sources · 3 sources
- Du P, Li J, Hua Z, et al. (2026). Multiple Health Outcomes of Daytime Napping: A Comprehensive Umbrella Review. Public Health Reviews. doi.org/10.3389/phrs.2026.1609013
- Gao C, Cai R, Zheng X, et al. (2026). Objectively Measured Daytime Napping Patterns and All-Cause Mortality in Older Adults. JAMA Network Open. doi.org/10.1001/jamanetworkopen.2026.7938
- Dashti HS et al. (2021). Genetic determinants of daytime napping and effects on cardiometabolic health. Nature Communications. doi.org/10.1038/s41467-020-20585-3
38Make up for a night up late the next night, do not save it up for the weekend
# Value HighGrade BLifespanNo moneyIn passingNo willpower
People who did not make up their sleep the next night after a short night have a death risk about 15% higher than people with a regular routine, and those who cut their sleep a lot and did not make it up are about 42% higher. People who did make it up show no rise in risk. So after a night up late, go to bed early the next night.
Cost
No money. The hour or two you make up is time you wanted to sleep anyway.
Benefit
UK Biobank, 85,618 people, average age 61.8, with wristbands recording sleep day by day and a median follow-up of 8 years. The study first worked out each person's own sleep need, and called a night on which they slept at least 2.5 hours less than that a "short night". The first night after a short night is a "make-up night", and sleeping more than they needed that night counts as having made it up. That gives five patterns. Compared with people who kept a regular routine, people who cut their sleep and did not make it up had an all-cause death risk about 15% higher (
HR 1.15,
95% CI 1.01–1.31, the credible range). People who cut their sleep by more than 3.5 hours in total and did not make it up were about 42% higher (
HR 1.42, 1.24–1.63). Neither of the two groups that made it up showed a significant association, and the figure for making up after a short night was
HR 1.12 (0.98–1.28). Among people who already slept short, cutting sleep without making it up was about 19% higher (1.19, 1.01–1.40), and cutting it a lot without making it up was about 38% higher (1.38, 1.17–1.63). The same result came out of a separate US health survey of 4,586 people.
Notes
This study only followed records, with no control group. People who cannot make up their sleep may have been busier and in worse health to begin with, and that layer cannot be removed cleanly. "Neither of the two groups that made it up showed a rise in risk" only means no difference was found: their point estimates are still above 1, and making it up does not mean nothing happened. So pay back a night up late as soon as you can, and do not use that as a licence to stay up late. The make-up in this study means sleeping a little extra on the first night after a short night, and it does not include paying everything back in one go at the weekend. Turning "stay up late on weekdays, catch up at the weekend" into a weekly habit is called social jet lag, and it is itself linked to cardiovascular disease, see item 13 in this section (about 7 hours a night and a fixed routine). The rule about a fixed wake-up time at the weekend as well is in item 2 in section 3 (fixed wake-up time, at the weekend too), and it does not clash with this item: this one tells you to go to bed early that night, not to sleep until midday the next day.
Sources
Li X, Zhang M, Li Z, et al. (2026). Acute sleep rebound following sleep restriction is associated with reduced mortality risk. Nature Communications.
doi.org/10.1038/s41467-026-72461-139The longer you work night shifts, the higher your cardiovascular risk; if you can move to another post, do it early
# Value ModerateGrade ALifespanA fair amount of moneyA few hoursA lot of willpower
People on night shifts have about 13% more cardiovascular disease than people on other shifts, and 27% more cardiovascular death. And it grows with the years: every 5 years of night shifts adds about another 7% of cardiovascular disease. So count this account by years, and move early if you can. As for night shifts causing cancer, the evidence is much weaker than the story that goes round.
Cost
Moving to another post or another job may mean less money, and the night shift allowance goes with it. Job hunting takes time and the decision is hard. If you weigh this up when you are choosing a job, the cost is zero.
Benefit
23 cohort studies were pooled, only recording, with no groups to compare. People on night shifts have a cardiovascular event risk about 13% higher (
RR 1.13,
95% CI 1.10–1.16, and that is the credible range). Cardiovascular death is about 27% higher (
RR 1.27, 1.18–1.36). By years: every 5 years of night shifts adds about another 7% to the incidence of cardiovascular disease (
RR 1.07, 1.04–1.09), and about another 5% to cardiovascular death (
RR 1.05, 1.03–1.06). By disease: coronary heart disease is about 22% higher (1.22, 1.16–1.28), death from coronary heart disease about 22% higher (1.22, 1.10–1.36), death from ischaemic heart disease about 39% higher (1.39, 1.06–1.84), and death from stroke about 49% higher (1.49, 1.04–2.12). The figure for the incidence of stroke is not significant (1.06, 0.95–1.18).
Notes
All of these are studies that only followed records with no control group. People on night shifts differ from other people to begin with in smoking, weight and income, and that cannot be adjusted away cleanly. On night shifts causing cancer, the evidence is much weaker than the story that goes round. In a pooled analysis of 12 studies and 12,132 breast cancer cases, people who had worked night shifts were only about 5% higher, and the credible range crosses 1 (
RR 1.05, 0.96–1.14). The band with 20 full years is about 25% higher (1.25, 1.01–1.55), but after the authors ran a sensitivity analysis that item is no longer significant, and correcting for possible publication bias brings it close to 1; their own words are that the association is "far from established". A separate study following Chinese men for 16.1 years with 8,202 cancer cases found no association between night shifts and total cancer or most of the common cancers; only pancreatic cancer was higher, by about 59%, in the band with 11 to 20 years accumulated (
HR 1.59, 1.09–2.31). So this item is counted on cardiovascular disease, not on cancer. Not everyone should leave a night shift post; this account, counted by years, is one you have to work out for yourself. If you are already on nights, change what you can: for quitting smoking see
item 1 in this section (quitting smoking, the earlier the better), for blood pressure and lipids see
item 12 in this section (if you have high blood pressure or high blood lipids, take the medicine as prescribed), and for making up the sleep after a night up late see
item 38 in this section (make up for a night up late the next night). There are two other measures worth trying: keeping your eating in the daytime, and shifting your body clock with bright light plus strict darkness in the day. The second is the only one shown to shift the body clock at all. Under ordinary indoor lighting, after six nights in a row the clock does not move at all; swap that for bright light of 7000 to 12000 lux with near-total darkness in the day, and in four days it has turned over completely.
Bright enough light at night, strict blackout while you sleep in the day, and sunglasses on the way home to block the morning light — all three, with none left out; leaving out the last one makes the whole thing wasted. Both measures stop at metabolic markers and sleep: no trial has measured whether following them lowers your cardiovascular risk. Going back to a normal daytime routine on your days off pushes the clock back again. For the doses, the original figures and the rest of the sources, and for how the body tells the time, see
docs/生物钟和夜班.md.
Sources · 4 sources
- Xi J, Ma W, Tao Y, et al (2025). Association between night shift work and cardiovascular disease: a systematic review and dose-response meta-analysis. Frontiers in Public Health. doi.org/10.3389/fpubh.2025.1668848
- Esposito G, Bravi F, Santucci C, et al (2025). Night shift work and breast cancer risk in healthcare workers: a systematic review and meta-analysis. Occupational Medicine. doi.org/10.1093/occmed/kqaf040
- Shen QM, Li ZY, Tan YT, et al (2026). Night shift work and risk of total and site-specific cancer: results from a prospective cohort study among Chinese men. Scandinavian Journal of Work, Environment & Health. doi.org/10.5271/sjweh.4290
- Czeisler CA, Johnson MP, Duffy JF, et al (1990). Exposure to bright light and darkness to treat physiologic maladaptation to night work. New England Journal of Medicine, 322(18), 1253-1259. doi.org/10.1056/NEJM199005033221801
40Buy prepackaged cooking oil with an SC number, not loose oil pressed at home in a small workshop
# Value HighGrade BLifespanNo moneyIn passingNo willpower
Peanuts that go damp and mouldy grow aflatoxin, which is a proven carcinogen and does most of its damage to the liver. After Guangzhou brought small workshops under control, the share of residents who often eat home-pressed oil with abnormal liver function fell by about 35%. In Guangxi, pregnant women who ate home-pressed peanut oil had a risk about nine tenths higher of having a baby with a low birth weight, and about four fifths higher of giving birth early.
Cost
The same money, just a different shop. All you have to do is check whether the package carries a food production licence number beginning with SC. The hard part is persuading older relatives who are used to buying home-pressed oil.
Benefit
Aflatoxin is a group 1 carcinogen designated by the International Agency for Research on Cancer, meaning it certainly causes cancer, and it mainly causes liver cancer. A study in Guangzhou measured aflatoxin B1 in home-pressed peanut oil from small workshops between 2010 and 2022. The median was 1.29 μg/kg, and half of the samples fell between 0.12 and 6.58. After the city brought management rules for small workshops into force, the toxin in the oil fell immediately by 2.865 μg/kg, and then by a further 2.593 each year. The share of residents in the area who often eat home-pressed oil with abnormal liver function fell accordingly (PR 0.650,
95% CI 0.469–0.902, credible range), by about 35%. A study in Guangxi that followed 1,611 pregnant women found that 81.7% ate home-pressed peanut oil. Those who ate it had a risk about nine tenths higher of a baby with a low birth weight (aOR 1.9, 1.1–3.2), and about four fifths higher of preterm birth (aOR 1.8, 1.1–3.0).
Notes
Both studies only followed records and had no control group. The endpoint in the Guangzhou study is a liver function test, not liver cancer or death. The median toxin level in home-pressed oil is in fact below the national limit for peanut oil of 20 μg/kg, and the risk comes from eating it over many years and from occasional high batches. The national limit applies to all peanut oil, but prepackaged oil has to pass production licensing and a factory release test, while small workshops are governed by the management rules of each province and are sampled far less often. The people who benefit most from this item are you and the family you eat with.
Sources · 4 sources
- Lei J, Li Y, Wang Y, et al. (2024). The impact of small food workshops management regulations on aflatoxin B1 in home-made peanut oil and the liver function of high-consumption area residents: an interrupted time series study in Guangzhou, China. Frontiers in Public Health, 12. doi.org/10.3389/fpubh.2024.1484414
- Zhong Y, Lu H, Jiang Y, et al. (2024). Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China. Global Health Action, 17. doi.org/10.1080/16549716.2024.2336312
- IARC (2012). Chemical Agents and Related Occupations. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, Vol 100F. publications.iarc.fr/123
- National Health and Family Planning Commission (国家卫生计生委), State Food and Drug Administration (国家食品药品监督管理总局) (2017). National Food Safety Standard, Limits for Mycotoxins in Food (GB 2761-2017)
41Cook with vegetable oil instead of lard and butter, you do not have to shop around between oils for health reasons, and do not expect flaxseed oil to protect your heart
# Value ModerateGrade ALifespanNo moneyIn passingSome willpowerDisputed
Cutting back on saturated fats such as lard and butter and switching to vegetable oil cuts heart disease, stroke and events like them by about 17%, but shows no change in overall death risk. There is no evidence that soybean oil, corn oil and rapeseed oil differ from each other. Eating more flaxseed oil showed no drop in heart disease risk either.
Cost
It does not cost much more. Vegetable oil is already the main cooking fat in most households. The hard part is dropping the habit of lard for frying and for putting over rice.
Benefit
Cochrane pooled 15 randomised trials and 56,675 people, each lasting at least two years. Cutting back on saturated fat lowered cardiovascular events by about 17% (
RR 0.83, 0.70–0.98).
All-cause mortality was almost unchanged (
RR 0.96, 0.90–1.03), and so was cardiovascular death (
RR 0.95, 0.80–1.12). Switching to polyunsaturated fat, the main component of soybean oil and corn oil, and switching to carbohydrate made no difference. For switching to monounsaturated fat, the main component of rapeseed oil and olive oil, there is too little data to say anything. A second Cochrane review pooled 19 randomised trials and 6,461 people: eating more omega-6, which is linoleic aci
d, gave an all-cause mortality of
RR 1.00 (0.88–1.12) and a cardiovascular event risk of
RR 0.97 (0.81–1.15), showing neither benefit nor harm. A third review pooled 86 randomised trials and 162,796 people: eating more plant-source omega-3, the main component of flaxseed oil and perilla oil, gave an all-cause mortality of
RR 1.01 (0.84–1.20) and a coronary heart disease event risk of
RR 1.00 (0.82–1.22), which is no measurable effect either way.
Notes
Disputed: some people argue that the amount of omega-6 in soybean oil and corn oil promotes inflammation, so you should eat less and switch oils. The randomised trials in the omega-6 review above found no harm, and the authors rated the quality of that evidence low themselves. The benefit is graded "medium" on the basis of the 17% drop in cardiovascular events, since all-cause mortality is unchanged. Whatever oil you use, control the quantity: the dietary guidelines recommend 25 to 30 grams of cooking oil per person per day.
Sources · 4 sources
- Hooper L, Martin N, Jimoh OF, et al. (2020). Reduction in saturated fat for cardiovascular disease. Cochrane Database of Systematic Reviews, (5), CD011737. doi.org/10.1002/14651858.CD011737.pub3
- Hooper L, Al-Khudairy L, Abdelhamid AS, et al. (2018). Omega-6 fats for the primary and secondary prevention of cardiovascular disease. Cochrane Database of Systematic Reviews, (11), CD011094. doi.org/10.1002/14651858.CD011094.pub4
- Abdelhamid AS, Brown TJ, Brainard JS, et al. (2020). Omega-3 fatty acids for the primary and secondary prevention of cardiovascular disease. Cochrane Database of Systematic Reviews, (3), CD003177. doi.org/10.1002/14651858.CD003177.pub5
- Chinese Nutrition Society (中国营养学会) (2022). Dietary Guidelines for Chinese Residents (2022). People's Medical Publishing House
42Turn the cooker hood on when you cook and when you fry, and leave it running from the moment the flame is lit until the food is done
# Value HighGrade BLifespanNo moneyIn passingSome willpower
Chinese women who do not smoke and who never or rarely use the cooker hood when cooking have about twice the risk of lung cancer of women who always use it. Women who have lived in a home with a poorly ventilated kitchen have a risk about 50% higher as well, and this is clearest in households that burn coal.
Cost
If you already have a cooker hood at home, it is only a little more electricity. If you do not, buying one and having it installed costs a few hundred yuan up to over a thousand. The hard part is remembering to switch it on every time you light the fire, and not turning it off because it is noisy.
Benefit
10 case-control studies were pooled together, all of them in non-smoking Chinese women. A case-control study compares people with lung cancer against people without it and then looks back at what their habits were. People exposed to cooking fumes had about 1.74 times the chance of lung cancer (odds ratio,
95% CI 1.57–1.94, the credible range). 4 of the studies compare people exposed to the fumes who did not use a cooker hood, and that is about 2.11 times (1.54–2.89). One study in Taiwan compared 1302 non-smoking women with lung cancer against 1302 women without it. It looked only at women who had cooked for more than ten years. Among those, women who had the cooker hood on for more than two thirds of those years had a risk about half that of women who had it on for less than a third (odds ratio 0.49, 0.32–0.76). A prospective study in Shanghai followed 71,000 non-smoking women from 1996 to 2009 and found 429 cases of lung cancer. Women who said they had lived in a home with a poorly ventilated kitchen had a risk about 49% higher (
HR 1.49, 1.15–1.95). Those who burned coal and had poor ventilation for more than 20 years were about 2.03 times (
HR 2.03, 1.35–3.05). Looking only at whether coal had ever been burned showed no difference (
HR 1.03, 0.84–1.26). Nor was there a difference by which oil was used for cooking.
Notes
Disputed: the figures supporting the cooker hood come mostly from case-control studies. Patients looking back after their diagnosis tend to under-report how often they used the cooker hood, so the figures may be too large. In the prospective Shanghai study the increase in risk fell mainly on households that burned coal with poor ventilation. How much difference the hood makes in households that only burn gas, that study cannot give a separate figure for. So the evidence grade is only B, and the benefit is graded large on the basis of a risk difference of about two times. For not cooking or heating with coal and firewood, see item 29 in this section (cook and heat with electricity or gas instead of coal and firewood). The people who benefit from this item are mainly whoever does the cooking at home.
Sources · 3 sources
- Xue Y, Jiang Y, Jin S, Li Y (2016). Association between cooking oil fume exposure and lung cancer among Chinese nonsmoking women: a meta-analysis. OncoTargets and Therapy, 9, 2987-2992. doi.org/10.2147/OTT.S100949
- Chen TY, Fang YH, Chen HL, et al (2020). Impact of cooking oil fume exposure and fume extractor use on lung cancer risk in non-smoking Han Chinese women. Scientific Reports, 10, 6774. doi.org/10.1038/s41598-020-63656-7
- Kim C, Gao YT, Xiang YB, et al (2015). Home kitchen ventilation, cooking fuels, and lung cancer risk in a prospective cohort of never smoking women in Shanghai, China. International Journal of Cancer, 136(3), 632-638. doi.org/10.1002/ijc.29020
3. Do not waste energy
24 / 24This section counts energy and time only. It looks at four things: how much attention you have available each day, how fast you react, how many mistakes you make, and how long it takes to come back after an interruption. Every number here is measured directly, either in an experiment or from records kept while a group of people is followed over time (a cohort study). These numbers are not converted into lifespan, and not converted into mortality either. Most items in this section have an evidence grade of B. That is how this field is; it does not mean the advice does not hold. Item 19 sets out the expectations you should have when you deal with police, doctors and bank clerks. It cites regulations rather than experiments, so its grade is C. Item 15 (treat pessimistic thoughts as a symptom) and item 22 (treat 「others expect me to be perfect」 as a symptom) cite mortality and suicide risk figures, which are a different measure from the rest of this section and are not compared with the others.
1Turn off notifications you do not need, and keep the phone out of sight while you work
# Value HighGrade BTime and energyNo moneyIn passingNo willpower
When the phone buzzes, your score on an attention task drops even if you neither look at it nor touch it. The drop is about the same as when you actually answer a call or send a text. There is a second case: the phone is simply lying on the desk, you resist looking at it, and the thinking capacity left to you still goes down. The more dependent you are on your phone, the larger the drop.
Cost
No money. Changing the settings takes a few minutes and needs almost no willpower.
Benefit
Merely receiving a notification, without looking at it or touching it, clearly worsens performance on an attention task. The worsening is on a par with actually taking a call or sending a text. This was done in a laboratory, with university students as participants. Two other experiments show that even when people successfully resist looking at the phone, having their own phone next to them still reduces the thinking capacity available to them. People with the strongest phone dependence dropped the most.
Notes
All of these are single tasks in a laboratory. Nobody has measured what happens when you add them up day after day. If your job really has to answer at any hour, leave notifications on for a small number of contacts.
Sources · 2 sources
- Stothart, Mitchum & Yehnert (2015). The attentional cost of receiving a cell phone notification. Journal of Experimental Psychology: Human Perception and Performance. doi.org/10.1037/xhp0000100
- Ward, Duke, Gneezy & Bos (2017). Brain Drain: The Mere Presence of One's Own Smartphone Reduces Available Cognitive Capacity. Journal of the Association for Consumer Research. doi.org/10.1086/691462
2Keep a fixed wake-up time, at weekends as well
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
In the fifth with the most irregular daily routine, the body clock runs about 2.5 hours later than in the fifth with the most regular one. That is the same as living in a time zone shift for years. The more regular the routine, the better the grades.
Cost
No money. Cutting back on lying in at the weekend takes some willpower.
Benefit
61 university students were recorded for 30 days. In the fifth with the least regular routine, the body clock (circadian rhythm) ran about 2.5 hours later than in the fifth with the most regular one. Concretely, the time melatonin release began was 00:08 against 21:32. The stretch of greatest sleepiness was also about 1.8 hours later. The more regular the routine, the better the academic results (correlation
r = 0.37).
Notes
This is the only study, with few participants and no control group. The authors work out that the difference in the body clock comes mostly from how much light people get each day. A fixed wake-up time therefore only works if you get daylight in the morning. For how to make up the occasional night up late, see item 38 in section 2 (make up for a night up late the next night): the method is to go to bed early that night, not to sleep until noon the next day.
Sources
Phillips et al. (2017). Irregular sleep/wake patterns are associated with poorer academic performance and delayed circadian and sleep/wake timing. Scientific Reports.
doi.org/10.1038/s41598-017-03171-43Sleep 7 to 8 hours a night, and do not treat 6 hours as enough
# Value ModerateGrade ATime and energyNo moneyEvery daySome willpower
Two weeks of 6 hours of sleep a night puts your brain's performance at the level of going two days and two nights without closing your eyes. The trouble is that you cannot feel it. Your own sleepiness score rises for the first few days and then stops rising: people sleeping 6 hours score exactly as sleepy as people sleeping 4 hours. So 「6 hours is enough for me」 is itself a symptom of not getting enough sleep.
Cost
No money. It adds 1 to 2 hours a day for sleep. Going to bed earlier takes some willpower.
Benefit
48 healthy adults aged 21 to 38 slept 6 hours a night for 14 days in a row. Their cognitive performance declined cumulatively, down to the level of going 2 nights with no sleep at all. Their own sleepiness scores only rose in the first few days and then barely went up again. There was no difference in self-rated sleepiness between the 6-hour group and the 4-hour group. This was a controlled trial with people randomised into two groups (
RCT). Separately, short periods of no sleep (acute sleep deprivation, no more than 48 hours) have an effect on simple attention lapses of g = -0.776, and on reasoning accuracy g = -0.125. That part pools 70 studies.
Notes
「I do not feel sleepy」 is not evidence that you have slept enough. People who sleep 6 hours a night over the long run have only got used to it in their own estimation; their performance has not caught up. The part pooling several studies is about staying awake all night. 「Sleeping less over the long run」 is supported by one randomised controlled trial. How long you sleep and the risk of death is counted separately: see item 13 in section 2 (about 7 hours a night), which is measured in mortality and finds the lowest risk in the 7-hour band.
Sources · 2 sources
- Van Dongen, Maislin, Mullington & Dinges (2003). The cumulative cost of additional wakefulness. Sleep. doi.org/10.1093/sleep/26.2.117
- Lim & Dinges (2010). A meta-analysis of the impact of short-term sleep deprivation on cognitive variables. Psychological Bulletin. doi.org/10.1037/a0018883
4No caffeine after 2 p.m.
# Value HighGrade ATime and energyNo moneyIn passingSome willpower
A large cup of coffee (400 mg) six hours before bed cuts measured sleep that night by more than an hour. A self-written sleep diary shows no difference at all. An ordinary cup of coffee (107 mg) has to be finished more than 8.8 hours before bed if it is not to disturb sleep. If you go to bed at eleven, the line falls at two in the afternoon.
Cost
No money. If you habitually drink coffee in the afternoon, holding out takes some willpower.
Benefit
Taking 400 mg of caffeine 6 hours before bed, measured total sleep time was 1.1 to 1.2 hours shorter than with a placebo. A placebo here is a control drink with no caffeine in it. The participants' own sleep diaries did not report any difference, so they did not notice it. Pooling several studies (meta-analysis), caffeine cuts total sleep time by 45 minutes on average. The share of the time in bed actually spent asleep (sleep efficiency) falls 7%. A cup of coffee (107 mg) has to be finished more than 8.8 hours before bed if it is not to disturb sleep.
Notes
The Drake study was run in a single laboratory, and the 400 mg it used is on the high side, roughly two or three cups of coffee. If you metabolise caffeine slowly, your cutoff has to be earlier still. Cutting back on caffeine buys back sleep duration, and that adds to item 3 (sleep 7 to 8 hours a night).
Sources · 2 sources
- Drake, Roehrs, Shambroom & Roth (2013). Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of Clinical Sleep Medicine. doi.org/10.5664/jcsm.3170
- Gardiner et al. (2023). The effect of caffeine on subsequent sleep: A systematic review and meta-analysis. Sleep Medicine Reviews. doi.org/10.1016/j.smrv.2023.101764
5Handle email and messages in a few fixed batches a day
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
The same people were compared over two weeks. In the week when email was limited to 3 checks a day, daily stress was clearly lower, while the number of emails sent and received was the same. Without a limit, people checked email 15.5 times a day on average.
Cost
No money. It takes a little time to tell colleagues how often you will reply. Resisting the urge to check email at any moment takes some willpower.
Benefit
124 adults were compared with themselves before and after over two weeks. In the week when email was limited to 3 checks a day, daily stress was clearly lower than in the week with no limit (effect size Cohen's d = 0.37). The number of emails received and replied to over the two weeks did not differ. At the start, with no limit, people checked email 15.5 times a day on average.
Notes
One study only, with a small-to-moderate effect, and it measured stress rather than work output. Nobody has studied instant messaging directly, so that part is an inference by analogy.
Sources
Kushlev & Dunn (2015). Checking email less frequently reduces stress. Computers in Human Behavior.
doi.org/10.1016/j.chb.2014.11.0056When the work needs continuous thought, block out interruptions of even a few seconds
# Value ExceptionalGrade BTime and energyNo moneyIn passingNo willpower
An interruption averaging 2.8 seconds doubles the chance of an error in the operations that follow. An interruption of 4.4 seconds triples it. Field observation also found that it takes an average of 25 minutes to return to the interrupted task, with two other tasks inserted in between. People who are interrupted work faster, but report more stress, more frustration and more effort.
Cost
No money. Close the door, put on headphones, or hang up a do-not-disturb sign.
Benefit
An interruption averaging 2.8 seconds doubles the error rate on tasks carried out step by step in order (sequential tasks). An interruption of 4.4 seconds triples it. This was done in a laboratory. A separate study observed 24 office workers (knowledge workers) in the field. They switched the subject of their work every 11 minutes on average. 57% of work episodes were interrupted. Returning to the interrupted task the same day took 25 minutes 26 seconds on average. 2.26 other tasks were inserted in between. A third experiment with 48 people found that interrupted people worked faster but reported more stress, more frustration, more time pressure and more effort.
Notes
That field study split interruptions into two kinds: ones where somebody else comes to you, and ones you open yourself. Closing the door only blocks the first kind. The second has to be handled together with item 1 (turn off notifications you do not need) and item 5 (handle messages in batches).
Sources · 3 sources
- Altmann, Trafton & Hambrick (2014). Momentary interruptions can derail the train of thought. Journal of Experimental Psychology: General. doi.org/10.1037/a0030986
- Mark, Gonzalez & Harris (2005). No task left behind? Examining the nature of fragmented work. CHI 2005. doi.org/10.1145/1054972.1055017
- Mark, Gudith & Klocke (2008). The cost of interrupted work: More speed and stress. CHI 2008. doi.org/10.1145/1357054.1357072
7Do one thing at a time, and do not answer messages during a meeting
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
Every time you switch tasks you react more slowly and make more mistakes. People who habitually keep several screens open at once have not trained any skill at doing several things at the same time. They do worse on task-switching tests instead.
Cost
No money. Holding back from answering messages during a meeting takes some willpower.
Benefit
After a task switch, reactions are clearly slower and errors more likely. That part comes from a review of several studies. A separate laboratory study used university students. People who routinely use several kinds of media at once (heavy media multitaskers) are more easily pulled off course by irrelevant things and irrelevant memories. They do worse on task-switching tests.
Notes
How much extra time switching back and forth costs varies a lot with the kind of work, so no single figure is given here. The Ophir study is a comparison at one point in time, and it cannot separate "multitasking worsens attention" from "people with worse attention multitask more".
Sources · 2 sources
- Monsell (2003). Task switching. Trends in Cognitive Sciences. doi.org/10.1016/S1364-6613(03)00028-7
- Ophir, Nass & Wagner (2009). Cognitive control in media multitaskers. PNAS. doi.org/10.1073/pnas.0903620106
8No light-emitting screens in the hour before bed; read paper or an e-ink screen instead
# Value ModerateGrade BTime and energyNo moneyIn passingA lot of willpower
Reading a light-emitting screen before bed means falling asleep about 10 minutes later than reading paper. Melatonin is suppressed by 55%. The body clock the next day is pushed back by more than 1.5 hours, so the next morning is sleepier and takes longer to become fully awake.
Cost
No money. Putting the phone down in the hour before bed means fighting habit over the long run, and that needs willpower.
Benefit
In the laboratory the same people did the two conditions in turn (a crossover trial). Reading a light-emitting e-book before bed took about 10 minutes longer to fall asleep than reading paper (25.7 minutes against 15.8 minutes). Evening melatonin was suppressed by 55%. The body clock (circadian rhythm) the next day was delayed by more than 1.5 hours, with melatonin release starting at 22:31 against 21:01. The next morning is sleepier, and it takes longer to be fully awake.
Notes
Few participants, in a laboratory with the conditions well controlled. At everyday phone brightness and everyday usage length the effect may be smaller. How much the phone's night mode helps was not measured in this study.
Sources
Chang, Aeschbach, Duffy & Czeisler (2015). Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. PNAS.
doi.org/10.1073/pnas.14184901129Sleep when bedtime comes; do not stay up for games, short videos or pornography
# Value HighGrade BTime and energyNo moneyIn passingA lot of willpowerDisputed
In 2025 people in China slept an average of 6.97 hours at night and fell asleep at 0:10 on average. People who use a phone or tablet before bed are more than twice as likely to get too little sleep, and 2.7 times as likely to be sleepy during the day. The figures are about the same when the device is merely present in the bedroom and not used. So the simplest method is to keep the phone out of the bedroom.
Cost
No money. The hard part is fighting the "one more episode" habit over the long run. Keeping the phone out of the bedroom is the least effort.
Benefit
In 2025 residents of China slept an average of 6.97 hours at night, and the average time of falling asleep was 0:10 (Chinese Sleep Research Society (中国睡眠研究会)). People who use a portable device before bed are about 2.17 times as likely to get too little sleep (
OR 2.17), about 1.46 times as likely to have poor sleep quality (
OR 1.46) and about 2.72 times as likely to be sleepy during the day (
OR 2.72). With the device merely present in the bedroom and not used, the figures are about the same: 1.79, 1.53 and 2.27 times (
OR 1.79/1.53/2.27). That part pools 20 cross-sectional surveys of 125198 children and adolescents. A separate cross-sectional survey: among 844 adults aged 18 to 94, people who still used a phone after lights out took longer to fall asleep, had a lower share of the time in bed actually spent asleep, and were more tired during the day.
Notes
Disputed. The cost of staying up late itself is in item 3 in this section (sleep 7 to 8 hours a night). What pornography does to ordinary people's energy and thinking cannot be pinned down by the evidence at present, nor even attributed to it. One analysis pooling several studies argues that what gets called a "pornography problem" comes mostly from a mismatch between a person's beliefs and their own behaviour, not from the material itself. Another study pooled data on 280 men. The result was that hours watched had no relation to erectile function during sex with a partner. This entry is only about the sleep time it takes up. For the two figures, 6.97 hours and 0:10, the Chinese Sleep Research Society has not posted the release on its own website (checked in September 2026), so the Health News report reposted by the Fujian Provincial Health Commission is what this entry relies on.
Sources · 5 sources
- Carter et al. (2016). Association Between Portable Screen-Based Media Device Access or Use and Sleep Outcomes. JAMA Pediatrics. doi.org/10.1001/jamapediatrics.2016.2341
- Exelmans & Van den Bulck (2016). Bedtime mobile phone use and sleep in adults. Social Science & Medicine. doi.org/10.1016/j.socscimed.2015.11.037
- Chinese Sleep Research Society (中国睡眠研究会) (2026). 2026 China Sleep Health Research White Paper, as reported by Health News and reposted by the Fujian Provincial Health Commission (福建省卫健委). wjw.fujian.gov.cn/jggk/csxx/xcc/mtbd/202603/t20260323_7114382.htm
- Grubbs JB et al. (2018). Pornography Problems Due to Moral Incongruence: An Integrative Model with a Systematic Review and Meta-Analysis. Archives of Sexual Behavior. (one of the two sides in the disputed note below)doi.org/10.1007/s10508-018-1248-x
- Prause N, Pfaus J (2015). Viewing Sexual Stimuli Associated with Greater Sexual Responsiveness, Not Erectile Dysfunction. Sexual Medicine. (the other side in the disputed note below)doi.org/10.1002/sm2.58
10No major decisions late at night, and no urgent messages
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
When you are rested you learn quickly to avoid the high-risk options. After two nights without sleep you pick the high-risk one time after time instead, and the older you are the clearer that becomes. Nobody has measured how much a few hours of lost sleep matters, but push important decisions until after you have slept.
Cost
No money. You only push things until after you have slept.
Benefit
34 healthy people did the Iowa Gambling Task after 49.5 hours without sleep. It is an experiment used to measure risky decision-making. When they were rested they learned quickly to avoid the high-risk options. After sleep loss they picked the high-risk options more often instead. Older people were affected more. This is one experiment, and there is only this one study.
Notes
The study covers the extreme case of two nights with no sleep at all. What happens to an ordinary person who stays up until two in the morning has not been measured directly. The "do not send messages" half is the author's own experience (grade C), and sending them the next day is not too late.
Sources
Killgore, Balkin & Wesensten (2006). Impaired decision making following 49 h of sleep deprivation. Journal of Sleep Research.
doi.org/10.1111/j.1365-2869.2006.00487.x11If you feel sleepy in the afternoon, sleep 10 minutes, not half an hour
# Value HighGrade BTime and energyNo moneyIn passingNo willpower
A 10-minute nap lifts you on the spot, and the effect holds for two and a half hours. 5 minutes is basically useless. With 20 minutes you have to wait half an hour before it works. After 30 minutes you wake up groggy first, and for that stretch your performance is worse than if you had not slept at all.
Cost
No money. 10 minutes, plus finding somewhere you can lie down or lie on your front.
Benefit
After a night of not enough sleep, a 10-minute nap immediately improves sleepiness, fatigue, energy and cognitive performance, and part of the benefit lasts beyond 155 minutes. A 5-minute nap has almost no benefit. With 20 minutes the benefit only appears after 35 minutes. After 30 minutes there is a stretch of sleep inertia first: performance is worse just after waking, and only improves later.
Notes
This is one laboratory study, and all the participants were healthy young people. If you cannot sleep, do not force it. Whether lying down with your eyes closed for 10 minutes helps is not supported by any research. A nap of more than an hour is instead tied to higher mortality and higher coronary heart disease risk: see item 37 in section 2 (keep the nap under half an hour).
Sources
Brooks & Lack (2006). A brief afternoon nap following nocturnal sleep restriction: Which nap duration is most recuperative? Sleep.
doi.org/10.1093/sleep/29.6.83112When you work in an open-plan office, use earplugs or a quiet room for work that needs memory
# Value ModerateGrade BTime and energyA little moneyIn passingNo willpower
When background noise rises from 39 decibels to 51 decibels, fewer words are remembered, people get more tired, and they want to work less. During a break, watching nature footage with sound restores energy better than listening to office noise.
Cost
Earplugs cost a few tens of yuan. Booking a quiet meeting room takes a little time.
Benefit
Students worked in a simulated open-plan office. When background noise rose from 39 decibels to 51 decibels (dB, LAeq), they remembered fewer words, rated themselves as more tired, and wanted to work less. During breaks, watching nature footage with sound lifted their energy rating more than listening to river sounds or office noise alone.
Notes
One laboratory study only. The most damaging part of the noise is speech you can make out. White-noise headphones help with that, but this study did not test headphones.
Sources
Jahncke, Hygge, Halin, Green & Dimberg (2011). Open-plan office noise: Cognitive performance and restoration. Journal of Environmental Psychology.
doi.org/10.1016/j.jenvp.2011.07.00213Do not work more than 49 hours a week
# Value HighGrade BTime and energyA little moneyIn passingSome willpower
Records from British armaments factories during the First World War show that within 49 hours a week, output rises in proportion to hours worked. Past 49 hours, each extra hour adds less and less. A week of 70 hours produces almost the same as 56 hours, and the extra 14 hours are wasted.
Cost
You may earn some overtime pay less. You may also have to spend effort negotiating with your manager.
Benefit
Output records for workers at British armaments factories in the First World War: within 49 hours a week, output is proportional to hours worked. Past 49 hours the rate of growth in output slows down. The maximum arrives at about 63 hours. Output at 70 hours a week is almost the same as at 56 hours, so the extra 14 hours are wasted.
Notes
The data comes from factories a hundred years ago doing physical work, and the workers were mostly women. The threshold may sit somewhere else in mental work, and the author himself says other occupations may be higher or lower. What is reliable is the direction: past a certain point, more hours add almost no output. The specific figure of 49 is not reliable.
Sources
Pencavel (2015). The Productivity of Working Hours. The Economic Journal.
doi.org/10.1111/ecoj.1216614When you notice yourself replaying the same bad thing, switch to a job that needs your hands
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
Replaying the same bad thing in your head does not produce an answer. It worsens depression, fixes negative thoughts more firmly in place, makes problems harder to solve and harder to act on, and wears out the people near you who are willing to listen. When you notice you are going round in circles, go and do something with your hands.
Cost
No money. The hard part is noticing that you are replaying it (this is called rumination), and noticing takes practice.
Benefit
A review of several studies says that replaying the same bad thing in your head (rumination) worsens depression. It also strengthens negative thinking and weakens the ability to solve problems. It gets in the way of actual action, and it wears out the people near you who are willing to listen. It is associated with anxiety, binge eating, heavy drinking and self-harm.
Notes
The review gives direction only, with no numbers. Switching to another activity is the author's own practice. One sentence is all the literature supports: diverting your attention beats going round in circles. Nobody has compared which activity to switch to.
Sources
Nolen-Hoeksema, Wisco & Lyubomirsky (2008). Rethinking Rumination. Perspectives on Psychological Science.
doi.org/10.1111/j.1745-6924.2008.00088.x15Treat "things will definitely get worse" thoughts as a symptom, not as a fact
# Value ModerateGrade BLifespanNo moneyIn passingSome willpowerDisputed
In a twin study followed for 20 years, each step up in pessimism came with about 13% higher mortality over the same period, and about 20% higher risk of dying from cardiovascular disease. In the other direction, a high optimism score brought no matching benefit. What needs dealing with is pessimism, not "not being positive enough".
Cost
No money. The hard part is treating such a thought as a symptom instead of as a fact.
Benefit
2978 Australian twins over the age of 50, followed for 20 years on average, during which 1068 of them died. Each 1 standard deviation higher on the pessimism scale came with about 13% higher mortality over the same period (risk ratio 1.134). The credible range for that figure is
95% CI 1.065–1.207, P=8.85×10⁻⁵. Cardiovascular mortality was about 20% higher (1.196, 1.045–1.368, P=0.0093). There was no relation to cancer mortality. Optimism scores showed no clear association with mortality either.
Notes
Disputed. This is observation only, with no groups. Some would say that people become pessimistic because they are already ill, and the authors answer that if that were true, cancer mortality would be related as well. Unmeasured factors may still be there. Optimism had no protective effect, so there is no need to force yourself into "positive thinking". What matters is not treating a pessimistic expectation as an accurate forecast of the future.
Sources
Whitfield JB, Zhu G, Landers JG, Martin NG (2020). Pessimism is associated with greater all-cause and cardiovascular mortality, but optimism is not protective. Scientific Reports, 10, 12609.
doi.org/10.1038/s41598-020-69388-y16Cut down on the relationships that drain you, and learn to refuse requests you do not want
# Value ModerateGrade CTime and energyNo moneyIn passingA lot of willpower
One person who drains you does more damage, and does it more reliably, than one supportive person brings benefit. So subtract before you add.
Cost
No money. There will be some social friction in the short term, and you may lose some relationships. Saying no takes real willpower.
Benefit
A survey of 120 widowed women aged 60 to 89: contact that leaves you feeling worse is more consistently and more strongly linked to psychological well-being than contact that feels comfortable. On this result, the damage done by one person who drains you is larger than the benefit brought by one person who supports you.
Notes
The group surveyed is unusual, and it was a one-off questionnaire, so the order of events is not visible. What it measured is well-being, not energy. Placing it in this section is the author's inference. There is no objective standard for which relationships count as "draining", so you have to judge that yourself.
Sources
Rook (1984). The negative side of social interaction: Impact on psychological well-being. Journal of Personality and Social Psychology.
doi.org/10.1037/0022-3514.46.5.109717When you are angry, walk away first and treat the other person as weather, not as an enemy
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
Explaining what just happened from a different angle, or taking the other person's point of view, both bring the emotion down for real, and the second works better. Suppressing it without showing anything does not work. People who punish the offender also ruminate on it for longer afterwards; people who do not retaliate move on faster. People overestimate in advance how good revenge will feel.
Cost
No money. You have to hold back your answer on the spot, turn and walk away, and decide afterwards whether to deal with it. That takes a little practice.
Benefit
Pooling 306 experimental comparisons (a meta-analysis): reinterpreting what happened (cognitive reappraisal) has an effect size on emotion of d = 0.36. Taking the other person's point of view gives d = 0.45. Diverting attention gives d = 0.27. Suppressing the feeling does not work (d = -0.04). Three further experiments show that people who punish the offender ruminate on the person for longer afterwards, while people who do not punish move on faster. People overestimate in advance how good revenge will feel.
Notes
The part pooling several studies measured emotional intensity, not energy, and the effect is small to moderate. The revenge part rests on a single set of experiments, so it is graded B. The empty boat is a parable from the "Mountain Tree" chapter of the Zhuangzi: you are not angry when an empty boat drifts into you, and you are angry when there is a person aboard, yet the collision is the same. That is an analogy, not evidence. If there is real loss, take the legal route in section 8 and 9, which costs far less than losing your temper on the spot.
Sources · 2 sources
- Webb TL, Miles E, Sheeran P (2012). Dealing with feeling: A meta-analysis of the effectiveness of strategies derived from the process model of emotion regulation. Psychological Bulletin. doi.org/10.1037/a0027600
- Carlsmith KM, Wilson TD, Gilbert DT (2008). The paradoxical consequences of revenge. Journal of Personality and Social Psychology. doi.org/10.1037/a0012165
18When you feel low, do the things with the best value for money first: move, get sunlight, sleep on time, talk to somebody, call 12356
# Value HighGrade ATime and energyNo moneyA few hoursSome willpower
For depression, brisk walking and jogging work best, and the harder the exercise the larger the effect; the details are in item 6 in section 22 (when your mood is bad, walk or run). Light works very well on seasonal depression, and also helps depression that is not tied to a season. Online self-help courses based on cognitive behavioural therapy do work, and they work better with someone guiding you when the symptoms are more severe. When you cannot see a way out, call 12356 first.
Cost
No money, or very little. A brisk walk, a jog or a strength session a few times a week. Go out and get some sunlight during the day. Fix your daily routine. When you cannot see a way out, make one phone call.
Benefit
Pooling 218 randomised controlled trials and 14170 people (a network meta-analysis). The comparison group is people doing other activities. Compared with them, walking or jogging for depression has an effect size of g = -0.62 (
95% CI -0.80 to -0.45). Yoga -0.55, strength training -0.49. The harder the exercise the larger the effect. Pooling several light therapy studies: effect size in seasonal depression 0.84 (0.60 to 1.08), in non-seasonal depression 0.53 (0.18 to 0.89). A separate analysis pools the patient-by-patient data from the individual studies. It looks at internet cognitive behavioural therapy (self-help courses online). Guided and unguided, both beat the comparison group. For moderate to severe depression (PHQ-9 over 9 points), the guided version is better. 12356 is the national psychological assistance hotline, open at least 18 hours a day.
Notes
All of these are aids for mild to moderate depression. For moderate to severe depression, or if there are suicidal thoughts, go and see a doctor, and call 12356 first (see item 25 in section 1). Most of the exercise trials have few participants, and you cannot keep secret who is exercising the way you can with a drug. The light research only goes as far as 2003, and the samples are small there too. "Sleep on time" and "talk to somebody" are the author's own experience, with no separate reference. Do not treat "get moving" as a demand made of people with depression; ten minutes of walking counts.
Sources · 4 sources
- Noetel M et al. (2024). Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials. BMJ. doi.org/10.1136/bmj-2023-075847
- Golden RN et al. (2005). The efficacy of light therapy in the treatment of mood disorders: a review and meta-analysis of the evidence. American Journal of Psychiatry. doi.org/10.1176/appi.ajp.162.4.656
- Karyotaki E et al. (2021). Internet-Based Cognitive Behavioral Therapy for Depression: A Systematic Review and Individual Patient Data Network Meta-analysis. JAMA Psychiatry. doi.org/10.1001/jamapsychiatry.2020.4364
- National Health Commission (国家卫生健康委) (2024). Notice on the Use of the "12356" Nationwide Unified Psychological Assistance Hotline Number, 关于应用"12356"全国统一心理援助热线电话号码的通知(国卫医政函〔2024〕259 号). www.gov.cn/zhengce/zhengceku/202412/content_6994470.htm
19Treat police, doctors and bank clerks as staff who work to rules, not as characters: what moves a case along is the paperwork and the deadlines, not your feelings
# Value ModerateGrade CTime and energyNo moneyIn passingSome willpower
Police, doctors and bank clerks all work to the rules of their post, and they are held to account by paperwork, deadlines and supervision. Whether the person is friendly has almost nothing to do with whether your case gets done, or how many days it takes. So take the receipt, write down the deadlines and appeal through the proper channel. Do not try to argue it out until the other person agrees with you.
Cost
No money. What changes is your expectations and the order you do things in. The first time you have to hold back the urge to argue it out until the other person agrees with you.
Benefit
Swap how you handle institutions: from 「begging, getting angry and going over the grievance again and again」 to 「getting the paperwork, noting the deadlines and appealing through the proper channel」. What you save is the time spent repeating yourself and replaying it in your head. This is a one-off change of outlook, not a daily saving of time. What you can check are the deadlines themselves, and they are all written into the documents. A public security case is counted from the day it is accepted, and the investigation period is not more than 30 days; where the case is major or complicated it may be extended by 30 days with the approval of the public security organ one level up. Where a case with a complainant is decided not to be opened, the written notice of refusal has to be served within 3 days. The complainant may apply for reconsideration within 7 days, and the public security organ has to decide within 30 days. If still not satisfied, apply for review at the next level up within a further 7 days.
Notes
The reason for grading C: the judgement that 「most people treat the person behind the counter as a character rather than as somebody at work」 has no literature to cite. Only the half about the rules can be cited: the deadlines, the paperwork and the channels of review are all in the open text. Every figure quoted in this entry comes from the two Ministry of Public Security regulations cited in item 39 in section 8 (the process after calling the police). Following the procedure does not control 「a bad attitude from the other side」, and it does not guarantee that your case gets done; all it changes is your expectations and your first move. Bank clerks and government service windows are the same: what they do leaves a trail, checks are made, and mistakes are held against somebody. So what you should do is keep the receipt, ask for a printed confirmation and complain through the proper channel, instead of guessing on the basis of 「whether he might cheat me」. Where there is a lawful order of priority it is written in the open: emergency care is graded by severity, not by who came first (item 7 in section 24, emergency triage). If you want to thank a doctor who saved you, go through a letter of thanks and the satisfaction survey, see item 11 in section 24. If you are thinking of 「giving a little something so they take more care」, to somebody handling a case or enforcing the law that is the crime of bribery, and the open text sets heavier punishment for it, see item 40 in section 8. When you meet obvious differential treatment, complain about it, and do not copy it as if it were an unwritten rule.
Sources · 2 sources
- Ministry of Public Security (公安部) (2020). Provisions on the Procedures for Handling Criminal Cases by Public Security Organs, 公安机关办理刑事案件程序规定(as amended by Ministry of Public Security Order No. 159, articles 171, 178 and 179). www.gov.cn/gongbao/content/2020/content_5549884.htm
- Ministry of Public Security (公安部) (2013, as amended 2019). Provisions on the Procedures for Handling Administrative Cases by Public Security Organs, 公安机关办理行政案件程序规定(Ministry of Public Security Orders No. 125 and No. 149). www.gov.cn/gongbao/content/2013/content_2321117.htm
20Do not treat 「how other people are doing」 as daily reading: put a limit on the apps that show you people your own age, or turn them off
# Value HighGrade ATime and energyNo moneyIn passingA lot of willpower
People who habitually compare themselves online with people who are doing better tend to be in a worse mood and to have lower self-esteem. People who turned Facebook off for four weeks had a small rise in well-being, but their knowledge of current affairs fell as well. People who limited three social platforms to 10 minutes a day each had lower loneliness and lower depression three weeks later.
Cost
No money. Setting a time limit on an app, or closing the account, takes a few minutes. The hard part is not opening it afterwards, which means fighting the habit over the long run.
Benefit
Pooling several studies (meta-analysis): 54 independent samples, 94 effect sizes, N = 36,583, using a three-level random effects model. The mean correlation between online upward social comparison and psychological maladjustment is
r = 0.330 (
95% CI 0.289–0.370, credible range). Split by the particular outcome. Negative emotions of the social-evaluative kind, such as fear of being looked down on, 0.438; anxiety 0.382. Depression 0.306, low well-being 0.268, low self-esteem 0.263. Age, cultural background and the year the data were collected do not change how strong the association is. Studies that follow people over the long term do not give a stronger result than surveys taken at one point in time. A separate randomised controlled trial, with 2,743 US Facebook users as participants. 61% of them agreed to turn it off for less than 102 dollars. They were randomly assigned to four weeks off or to the comparison group. For an ordinary participant, turning it off frees 60 minutes a day. The subjective well-being index rises by 0.09 standard deviations. Broken down: life satisfaction 0.12, anxiety 0.10, depression 0.09, happiness 0.08. After taking out what multiple comparisons would have turned up by chance, these still hold. The authors give a reference point: psychological interventions that make people more positive. Such interventions give about +0.34 standard deviations on subjective well-being and about -0.23 standard deviations on depression. So this effect is about 25% to 40% of that of ordinary psychological interventions. The cost over the same period: the current affairs knowledge index falls by 0.19 standard deviations, and the degree of political polarisation falls by 0.16 standard deviations. After the experiment ended, Facebook use in the group that had turned it off was still 12 minutes a day below the comparison group (0.31 standard deviations, a fall of 23%). There is also a randomised controlled trial with 143 undergraduates as participants, randomly assigned to two groups. One group limited Facebook, Instagram and Snapchat to 10 minutes a day each; the other used them as usual. Three weeks later, loneliness and depression fell clearly in the limited group. In both groups anxiety and fear of missing out were lower than at the start.
Notes
The 「correlation」 half only says two things turn up together; it cannot be read as one causing the other, and the authors themselves say more long-term studies are needed. The randomised half can speak about cause and effect, but the participants were US Facebook users before the 2018 midterm elections, so carrying the result over to the platforms in China is a stretch. The Hunt study has only 143 undergraduates, and it stands alone. None of the effect sizes is large, so do not expect turning off an app to settle your moods. What you have to block is the 「seeing how other people are doing」 kind of use; contacting family and friends, looking things up and job hunting are not part of it. If you cannot hold the line, start with turning off notifications, turning off 「people you may know」 and turning off recommendations on the home page. For the total screen time account, see items 15 and 16 in section 4 (a hard limit on short videos, no doomscrolling). For what to do first when you feel low, see item 18 in this section (move, get sunlight, sleep on time). For buying things to get your sense of identity back, see item 23 in section 6. For spending more to 「move up a notch」, see item 24 in section 6.
Sources · 4 sources
- Lei Y, Hu S, Sun Y, Zheng L (2026). "Looking up" linked to feeling down: a meta-analysis of online upward social comparison and psychological maladjustment. Frontiers in Psychology. doi.org/10.3389/fpsyg.2026.1825169
- Allcott H, Braghieri L, Eichmeyer S, Gentzkow M (2020). The Welfare Effects of Social Media. American Economic Review, 110(3), 629–676. doi.org/10.1257/aer.20190658
- Allcott H, Braghieri L, Eichmeyer S, Gentzkow M (2019). The Welfare Effects of Social Media. NBER Working Paper No. 25514 (the specific figures quoted in this entry were checked word for word against this version; the published abstract does not contain the numbers). www.nber.org/papers/w25514
- Hunt MG, Marx R, Lipson C, Young J (2018). No More FOMO: Limiting Social Media Decreases Loneliness and Depression. Journal of Social and Clinical Psychology, 37(10), 751–768. doi.org/10.1521/jscp.2018.37.10.751
21When you think everybody saw you embarrass yourself, halve the estimate
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
Walk into a room of people wearing an embarrassing T-shirt, and the wearer thinks nearly half of them can recognise who is printed on it. In fact fewer than a quarter can. In a T-shirt the wearer considers decent, the estimated number is six times the real one. People also tend to underestimate how much the other person likes them after a conversation. So when you think everybody remembers you embarrassing yourself, halving it is still too high.
Cost
No money. You only ask yourself one extra question when you are nervous: did they really see it?
Benefit
Experiment one: participants wore a T-shirt printed with a picture of Barry Manilow and walked into a room with other participants. The wearer estimated on average that 46% of the bystanders could correctly name the person on the shirt. The bystanders' actual accuracy was 23%, so the estimate was exactly twice the real figure. Taking estimate minus actual for each session, the average overestimate was 23 percentage points (
95% CI 9–38, credible range). Dropping the two sessions that had only two and three bystanders, it was 27 percentage points (11–43). Experiment two: participants wore a T-shirt of their own choosing that they considered flattering. The average estimate was 48%, the bystanders' actual accuracy 8%, six times over. A separate series of studies covers three settings: paired conversations between strangers, first-year university roommates, and adult workshops. The result is that people systematically underestimate how much the other person likes them, and also underestimate how much the other person enjoyed the conversation. The authors call this the "liking gap". It is present in conversations of different lengths, and it persists for months between first-year roommates.
Notes
The reason for grading B: these are small laboratory and campus studies, in settings of wearing clothes and talking to strangers. Applied to "colleagues are talking about you" or "you said the wrong thing at the meeting", there is no direct evidence. These numbers show the direction of the overestimate and the rough multiple; they cannot be used as a coefficient. Other people's opinions are not all unimportant either. Where you really are being assessed, such as an interview, a viva, an appraisal or a medical report, the assessment is real, and you should prepare. Discount only that everyday feeling of "everybody is watching me"; what you are dealing with there is your own estimation bias.
Sources · 2 sources
- Gilovich T, Medvec VH, Savitsky K (2000). The spotlight effect in social judgment: An egocentric bias in estimates of the salience of one's own actions and appearance. Journal of Personality and Social Psychology, 78(2), 211–222. doi.org/10.1037/0022-3514.78.2.211
- Boothby EJ, Cooney G, Sandstrom GM, Clark MS (2018). The Liking Gap in Conversations: Do People Like Us More Than We Think? Psychological Science, 29(11), 1742–1756. doi.org/10.1177/0956797618783714
22Treat "others expect me to be perfect" as a symptom, not as a fact
# Value ModerateGrade BLifespanNo moneyIn passingSome willpower
People who always feel that "the people around me expect me to be perfect and will reject me if I fall short" are more likely to have suicidal thoughts. The link between "I expect myself to be perfect" and suicidal thoughts is much weaker, about a third of the first. After subtracting the thoughts people already had, the first feeling is still related to a later increase in thoughts, though the size is small.
Cost
No money. The hard part is treating such a thought as something that needs handling, rather than as an accurate measurement of what others actually require.
Benefit
Pooling several studies (a meta-analysis): 45 studies, N = 11,747 with undergraduate students, medical students, community adults and psychiatric patients as participants, using a random-effects model. Below are the weighted mean correlations with suicidal ideation. Perfectionism concerns
r = .28 (
95% CI .24–.32, credible range; 42 studies, 7,936 people). Perfectionism concerns is a composite that includes socially prescribed perfectionism, worry about making mistakes, doubts about one's own actions, and the gap between reality and one's standards. Socially prescribed perfectionism on its own also gives
r = .28 (.25–.32, 30 studies, 3,640 people). Perfectionism striving
r = .10 (.07–.13, 31 studies, 4,588 people); it is a composite of self-oriented perfectionism and personal standards. Parental criticism
r = .20 (.11–.29). Now the relationship with suicide attempts. Perfectionism concerns
r = .12 (.07–.17, 15 studies, 5,275 people). Socially prescribed perfectionism
r = .19 (.08–.29, 8 studies, 689 people). For the part that follows people over time: after subtracting the suicidal ideation present at the start, socially prescribed perfectionism still moved in the same direction as suicidal ideation at the later follow-up, with a small size. Neither self-oriented nor other-oriented perfectionism shows any association.
Notes
The reason for grading B: most of the studies included are one-off questionnaires, so the order of events is not visible. The correlation is moderate (
r of about .28) and explains only a few percent to a tenth of the difference. What it measured is suicidal ideation and suicide attempts, not death itself, so the benefit is graded small on the grounds of "surrogate endpoint only". The authors themselves say the set of perfectionism concerns and suicide attempts looks like it has publication bias. Publication bias means studies with unflattering results do not get published. Putting the estimated missing studies back in does not change the direction of the conclusion. High standards in themselves are not the problem, and you need not lower them for that reason. The difference lies in where the standard comes from, and in whether failing to meet it makes you feel "I am finished as a person". Like the pessimistic expectations in
item 15 (treat "things will definitely get worse" thoughts as a symptom), this is something that can be treated as a symptom. If you have suicidal thoughts, call 12356 first and move lethal means out of reach, see
item 25 in section 1. For what you can do when someone near you shows such thoughts, see
item 15 in section 8. For depression screening in children, see
item 8 in section 30.
Sources
Smith MM, Sherry SB, Chen S, Saklofske DH, Mushquash C, Flett GL, Hewitt PL (2018). The perniciousness of perfectionism: A meta-analytic review of the perfectionism-suicide relationship. Journal of Personality, 86(3), 522–542.
doi.org/10.1111/jopy.1233323When you are angry, do not rely on smashing things, hitting a punching bag or running a lap to let it out; slow the body down first
# Value ModerateGrade ATime and energyNo moneyIn passingSome willpower
Hitting a punching bag, smashing things and going for a run raise the body's arousal, and overall they do not take the anger away. Slow breathing, mindfulness and meditation calm the body down, and they clearly push anger and the urge to hit somebody down.
Cost
No money. While you are angry, you swap a few minutes for something that slows the heart rate: breathing slowly, sitting down, staying still. The hard part is that letting it out is exactly what you want to do at that moment.
Benefit
Pooling 154 studies (meta-analysis), 184 samples in all, 10,189 people. Methods that calm the body down, such as deep breathing, mindfulness and meditation, reduce anger and aggression. Effect size g = -0.63,
95% CI -0.82 to -0.43 (credible range). The result is stable across people of different sex, race, age and culture. Methods that raise the body's arousal, such as hitting a punching bag, jogging and cycling, have no effect overall. Their effect size is g = -0.02,
95% CI -0.13 to 0.09. The authors' conclusion is that venting anger and going for a run are not effective ways of bringing anger down.
Notes
What is measured is anger and aggression, not energy. Recording the measure as time is the author's own classification: one argument you do not have means one mess you do not have to clean up. For something you can use in the moment, see item 8 in section 22 (cyclic sighing), and item 17 in this section (when you are angry, walk away first). Running is not useless. In the long run it works on a low mood: see item 6 in section 22 (when your mood is bad, walk or run). It just does not suit being used to bring the anger down on the spot. Do not drive, do not send messages and do not make decisions while angry. If somebody is hitting you, leave first and call the police. What needs handling then is not your emotions: see item 43 in section 8 (if you are being abused at home).
Sources
Kjærvik SL, Bushman BJ (2024). A meta-analytic review of anger management activities that increase or decrease arousal: What fuels or douses rage? Clinical Psychology Review.
doi.org/10.1016/j.cpr.2024.10241424When something is weighing on you, write down your thoughts and feelings over several days, but do not expect it to cure anything
# Value ModerateGrade BTime and energyNo moneyIn passingNo willpowerDisputed
Writing a bad thing down brings a benefit on average, and it is a small one. The pooled conclusions are inconsistent, and two of the pooled analyses found no effect. It costs almost nothing, so it is worth trying. If the emotional problem is serious, do not use it instead of seeing a doctor.
Cost
No money. The usual research design is to write 3 to 4 times, for 15 to 20 minutes each time. Write about one thing that upset you, and write your deepest thoughts and feelings about it.
Benefit
One analysis pooled 146 randomised studies (a meta-analysis). The participants wrote down or spoke about something that mattered to them. The average effect is positive and significant, but very small, with effect size
r = .075. Another pooled analysis took in randomised controlled trials only, and pooling 30 trials found no significant effect on either physical health or mental health. Pooling 16 randomised trials in cancer patients and survivors found nothing significant on the psychological, physical or quality-of-life measures. On the psychological measure, g = 0.04,
95% CI -0.06 to 0.14 (credible range).
Notes
Disputed. The supporting side is the pool of 146 studies, with a positive but very small effect. The opposing side is two pooled analyses that took in randomised controlled trials only, and neither found a significant effect. The number of sessions and the length of each one in the Cost field come from the earliest experimental design, and are stated in the abstract of the Mogk review. It costs almost no money and little time, and one person can do it alone. When you do not want to talk to someone, or there is nobody around to talk to, you can use it. What it measures is not energy; recording the measure as time is the author's own classification. If writing makes you feel worse as you go, stop and call 12356 instead, see item 25 in section 1 (12356).
Sources · 3 sources
- Frattaroli J (2006). Experimental disclosure and its moderators: a meta-analysis. Psychological Bulletin. doi.org/10.1037/0033-2909.132.6.823
- Mogk C, Otte S, Reinhold-Hurley B, Kröner-Herwig B (2006). Health effects of expressive writing on stressful or traumatic experiences - a meta-analysis. Psycho-Social Medicine. www.ncbi.nlm.nih.gov/pmc/articles/PMC2736499
- Zachariae R, O'Toole MS (2015). The effect of expressive writing intervention on psychological and physical health outcomes in cancer patients--a systematic review and meta-analysis. Psycho-Oncology. doi.org/10.1002/pon.3802
4. Do not waste time
18 / 18This section counts only time. It looks at how many hours you get back per day, per week and per year, or how much the share of things finished on time can go up. Time is not converted into lifespan here, and not into money either. Where money comes up it gives you the method and not the conclusion. Most items in this section rest on a single study, or on aggregate figures from time-use surveys, so the grades are mostly B and C.
1Turn "I mean to do it" into "when, where, and if this comes up then that"
# Value ExceptionalGrade ATime and energyNo moneyIn passingNo willpower
Rewrite "I am going to do this thing" as "on Tuesday, when I sit down at my desk at 8 in the morning, I write the introduction first". Pooling 94 tests, people who write it that way achieve their goals markedly more often, a medium to large effect. You only change how one sentence is worded. It costs no money and takes no effort.
Cost
No money. It takes 1 to 2 minutes per thing to write one sentence of the form "if ... then ...". For example: "On Tuesday, when I sit down at my desk at 8 in the morning, I write the introduction first".
Benefit
Pooling 94 independent tests, people who first write the intention as "if ... then ..." reach their goals more often. This wording is called an implementation intention in psychology. Effect size d = 0.65, which counts as medium to large. Three things are doing the work: getting started, holding on when you are interrupted, and getting out of something that was never going to work.
Notes
This only works for things you genuinely want to do. If you do not want the goal in the first place, writing more sentences will not help. Also, most of these studies recruited students and mostly looked at health habits, so it may not work as well in a work setting.
Sources
Gollwitzer, P. M., & Sheeran, P. (2006). Implementation intentions and goal achievement: A meta-analysis of effects and processes. Advances in Experimental Social Psychology, 38, 69–119.
doi.org/10.1016/S0065-2601(06)38002-12Write down your exit condition before you start
# Value HighGrade BTime and energyNo moneyIn passingSome willpower
Before you start, write down one sentence: by this date, if I have not hit this mark, I stop. Pooling several studies, this wording really does help people withdraw from something that was never going to work. What you save is all the time you would otherwise have gone on putting in.
Cost
No money. It takes 5 minutes when you start, to write clearly: "by this date, if I have not hit this mark, I stop". The hard part is honouring it on the day; stopping in front of other people loses face.
Benefit
Pooling several implementation intention studies, the result is that a pre-set "if ... then ..." also helps people withdraw from something that was never going to work. The original wording is disengagement from failing courses of action. The time you save is the time you would otherwise have gone on investing.
Notes
Set the exit condition right at the start, while you are still calm. Set it later and the cost already sunk in will pull you. When you judge, look only at future input and future return, see item 3. Also, "being willing to withdraw" is only one sub-finding inside a pool of studies; nobody has worked out on its own how many hours it saves.
Sources
Gollwitzer, P. M., & Sheeran, P. (2006). Implementation intentions and goal achievement: A meta-analysis of effects and processes. Advances in Experimental Social Psychology, 38, 69–119.
doi.org/10.1016/S0065-2601(06)38002-13When deciding whether to continue, count only future input and future return, not what has already gone in
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
Money and time already spent make people keener to carry on. Pooling 98 sets of data, the tendency is reliably there. So when you judge whether to continue, count only how much more you have to put in and how much you can still get back. Leave out what you have already spent.
Cost
No money. The hard part is accepting one thing: the time you put in before is gone and cannot be recovered.
Benefit
Money, energy and time already invested make people keener to continue. In psychology this is called the sunk cost effect. Pooling 98 sets of data, the analysis confirms that the tendency is reliably there. If you steer clear of it, you stop putting time in just because you "do not want to waste it".
Notes
The theatre experiment by Arkes and Blumer ran like this. The University of Ohio theatre sold season tickets and randomly assigned buyers to three prices: full price 15 dollars, 2 dollars cheaper, and 7 dollars cheaper. Over the first half of the season the full-price group attended an average of 4.11 shows, and the other two groups 3.32 and 3.29. Over the second half there was no clear difference between the three groups. Roth and colleagues found that the effect fades with time, and that older people are affected less.
Sources · 2 sources
- Arkes, H. R., & Blumer, C. (1985). The psychology of sunk cost. Organizational Behavior and Human Decision Processes, 35, 124–140. doi.org/10.1016/0749-5978(85)90049-4
- Roth, S., Robbert, T., & Straus, L. (2015). On the sunk-cost effect in economic decision-making: A meta-analytic review. Business Research, 8(1), 99–138. doi.org/10.1007/s40685-014-0014-8
4Estimate the schedule from how long comparable tasks actually took, not from the plan
# Value ExceptionalGrade BTime and energyNo moneyIn passingNo willpower
Students estimated 33.9 days to finish their thesis and actually took 55.5 days, and only 29.7% finished within their own estimate. A second group was asked to recall how long the last comparable job had taken before estimating, and the share finishing on time rose from 29.3% to 60.0%.
Cost
No money. Before estimating, spend a few minutes checking how long the last comparable job actually took.
Benefit
Students expected 33.9 days to finish their thesis and actually took 55.5 days. Only 29.7% finished on time according to their own estimate. The researchers asked a second group to connect past experience to the task in front of them before estimating. In that group the share finishing on time rose from 29.3% in the control group to 60.0%. The optimism that shortens the estimate no longer showed up in that group.
Notes
The Buehler study recruited only Canadian undergraduates. It is a single study with few participants, 37 people and about 40 per group. Estimating from the historical record of comparable projects is called reference class forecasting; Flyvbjerg explains how to do it in engineering. After pooling several studies, Halkjelsvik and Jørgensen found that underestimating is more common than overestimating, but by how much varies a lot with the task and the research method.
Sources · 3 sources
- Buehler, R., Griffin, D., & Ross, M. (1994). Exploring the "planning fallacy": Why people underestimate their task completion times. Journal of Personality and Social Psychology, 67(3), 366–381. doi.org/10.1037/0022-3514.67.3.366
- Flyvbjerg, B. (2006). From Nobel Prize to project management: Getting risks right. Project Management Journal, 37(3), 5–15. doi.org/10.1177/875697280603700302
- Halkjelsvik, T., & Jørgensen, M. (2012). From origami to software development: A review of studies on judgment-based predictions of performance time. Psychological Bulletin, 138(2), 238–271. doi.org/10.1037/a0025996
5Send an agenda before the meeting and do not hold one without it; hold it standing if you can
# Value HighGrade BTime and energyNo moneyIn passingNo willpower
In meetings where an agenda went out beforehand, participants were more likely to think the meeting was useful. In the experiment, meetings held sitting down ran 34% longer than those held standing, and the decisions the two formats produced were no different in quality.
Cost
No money. The organiser spends 5 to 10 minutes before the meeting writing an agenda. Holding a standing meeting needs the participants to go along with it.
Benefit
Two surveys with 958 and 292 people respectively. The result is that in meetings where an agenda went out beforehand, participants were more likely to think the meeting had been effective, and the relationship holds statistically. In another experiment 55 groups held their meeting sitting down and 56 held it standing, and the sitting-down meetings ran 34% longer. The two formats produced decisions of no different quality.
Notes
The standing-meeting experiment used tasks carried out by five-person groups in a laboratory. You cannot carry this conclusion over to long meetings and large conferences. Leach measured how effective participants felt the meeting was, not how much work actually got done.
Sources · 2 sources
- Leach, D. J., Rogelberg, S. G., Warr, P. B., & Burnfield, J. L. (2009). Perceived meeting effectiveness: The role of design characteristics. Journal of Business and Psychology, 24(1), 65–76. doi.org/10.1007/s10869-009-9092-6
- Bluedorn, A. C., Turban, D. B., & Love, M. S. (1999). The effects of stand-up and sit-down meeting formats on meeting outcomes. Journal of Applied Psychology, 84(2). doi.org/10.1037/0021-9010.84.2.277
6Cut the number of meetings; do not meet when writing it down would do
# Value HighGrade BTime and energyNo moneyIn passingSome willpowerDisputed
The more meetings you have in a day, the more tired you are and the more work you feel you have on your hands. Cut one meeting and the time you save is the full length of that meeting, with nothing deducted.
Cost
No money. You need colleagues and your manager to go along with it. The hard part is that writing something clearly takes more effort than saying it out loud.
Benefit
Two surveys of employees working more than 35 hours a week, with 676 and 304 people respectively. How much time meetings take does not have a fixed effect on work attitudes and well-being; it depends on two things: how well the meetings are run, and how much the job depends on other people. Another study had people keep a diary for a week, and the result was that the more meetings you had in a day, the higher the fatigue and the more work you felt you had done. The time you save equals the full length of the meetings you cut.
Notes
Disputed: Rogelberg 2006 found that the relationship between the number of meetings and well-being is not one-sided. In jobs that depend heavily on other people, many meetings are not a bad thing in themselves. Also, no study has compared writing things down asynchronously against holding meetings, so that part is the author's own inference.
Sources · 2 sources
- Rogelberg, S. G., Leach, D. J., Warr, P. B., & Burnfield, J. L. (2006). "Not another meeting!" Are meeting time demands related to employee well-being? Journal of Applied Psychology, 91(1). doi.org/10.1037/0021-9010.91.1.83
- Luong, A., & Rogelberg, S. G. (2005). Meetings and more meetings: The relationship between meeting load and the daily well-being of employees. Group Dynamics: Theory, Research, and Practice, 9(1). doi.org/10.1037/1089-2699.9.1.58
7Break a large task into sub-tasks, then estimate, then start
# Value HighGrade BTime and energyNo moneyIn passingNo willpower
When people estimate how long something will take, they do not automatically break the task up and count the pieces. Listing the sub-tasks first and estimating afterwards stops the estimate coming out too short. Once it is broken up, every small step can be started at once, and it is less easy to put off.
Cost
No money. The splitting itself takes 5 to 15 minutes.
Benefit
When people estimate how long something will take, they do not on their own split a task that has several parts into separate blocks. Writing a literature review, writing the discussion and sorting the references are already several jobs. Listing the sub-tasks first and estimating afterwards reduces the planning fallacy, the mistake of estimating a task too short. Once it is broken up, every small step becomes something you can begin at once, and the procrastination falls with it. The factors that predict procrastination best in the research include how much the task disgusts people and how far back the task has been pushed.
Notes
How far to split: use "each sub-task can be finished in one sitting" as the test, because splitting too finely also costs time. Also, for Kruger and Evans, only the direction was verified from the abstract; the specific percentages were not checked against the full text.
Sources · 2 sources
- Kruger, J., & Evans, M. (2004). If you don't want to be late, enumerate: Unpacking reduces the planning fallacy. Journal of Experimental Social Psychology, 40(5), 586–598. doi.org/10.1016/j.jesp.2003.11.001
- Steel, P. (2007). The nature of procrastination: A meta-analytic and theoretical review of quintessential self-regulatory failure. Psychological Bulletin, 133(1). doi.org/10.1037/0033-2909.133.1.65
8Give things with no external deadline a date of your own
# Value HighGrade BTime and energyNo moneyIn passingSome willpower
When someone else sets the deadline, 80.6% of students finish before it. When the deadline is their own estimate, only 38.7% finish on time. When something gets finished is decided almost entirely by the deadline rather than by your own estimate. So for anything with no deadline, set one yourself and honour it.
Cost
No money. The hard part is that once you set it you have to honour it; ignoring the day when it arrives means you never set it.
Benefit
Among students with an external deadline, 80.6% finished before it. Among those working to their own expected time, only 38.7% finished on time. When something gets finished follows the deadline almost exactly, correlation coefficient
r = 0.82, and the closer this number is to 1 the tighter the fit. The relationship with your own estimate is very weak.
Notes
Tell other people the date you set and it behaves more like one they set. What the research actually verified is that deadlines set by others work. Self-set limits such as a time box or the Pomodoro technique have not been tested directly, so that part is an inference by analogy.
Sources
Buehler, R., Griffin, D., & Ross, M. (1994). Exploring the "planning fallacy": Why people underestimate their task completion times. Journal of Personality and Social Psychology, 67(3), 366–381.
doi.org/10.1037/0022-3514.67.3.3669Read procrastination as avoiding something unpleasant, not as a lack of effort
# Value ModerateGrade ATime and energyNo moneyIn passingSome willpower
Procrastination has little to do with laziness and little to do with personality. What tells you most about whether a person will put something off is how unpleasant the task itself is, how much they believe they can do it, and how easily they are pulled away by what is in front of them. So what helps is making the task less unpleasant and making the first step smaller, not telling yourself off and then forcing yourself through it.
Cost
No money. What changes is the direction of your judgement: first ask where in the task the unpleasant part is, then work out what to do.
Benefit
A meta-analysis pooling 691 correlation coefficients found several things strongly and reliably related to procrastination: how much the task disgusts people, how far away the deadline is, self-efficacy (believing you can do it), impulsivity, and conscientiousness together with its components of self-control, distractibility, orderliness and achievement motivation. Neuroticism, rebelliousness and sensation seeking have only a very weak association with procrastination. The author explains this set of results with temporal motivation theory: how attractive something is right now falls off quickly as the reward moves further away.
Notes
The benefit is graded "medium" because these studies only give direction and do not measure how many hours are saved. The specific moves are in item 1 in this section (write "when, where, and if this comes up then that"), item 7 (break a large task into sub-tasks) and item 8 (give anything with no external deadline a date). These are pools of correlational studies, so they cannot show which causes which.
Sources
Steel P (2007). The nature of procrastination: a meta-analytic and theoretical review of quintessential self-regulatory failure. Psychological Bulletin, 133(1), 65–94.
doi.org/10.1037/0033-2909.133.1.6510Put what you need within reach, move what you would rather not touch further away, and do not rely on resisting it there and then
# Value HighGrade BTime and energyNo moneyIn passingNo willpower
The further away something is, the less of it you take. Put the same snack further away and the amount eaten falls noticeably, a medium-sized effect. Offer fewer options and noticeably fewer people take them. These methods do not rely on you resisting in the moment; a few minutes of setting up is enough.
Cost
No money, a few minutes each time. Put the phone in another room, and leave the book and the laptop open on the desk.
Benefit
A Cochrane review including 24 randomised trials. Putting food further away lowers the amount eaten, standardised mean difference −0.60 (
95% CI −0.84 to −0.36, the credible range; 12 studies, 1098 people, low-certainty evidence), which counts as a moderate effect. Reducing the options available shows a bigger drop in choosing that food, standardised mean difference −1.13 (
95% CI −1.90 to −0.37, 3 studies, 154 people, low-certainty evidence). The regression analysis shows: the further away it is and the fewer the options, the stronger the effect.
Notes
The reason for grading B: all 24 studies in this review are about food, with not one on alcohol or tobacco; 14 were done in laboratories, and all come from high-income countries. So applying "move it further away and you touch it less" to phones and games is an extension in the same direction, with no direct trial. Putting the phone out of sight has been tested directly, see item 1 in section 3 (turn off notifications you do not need, and keep the phone out of sight while you work).
Sources
Hollands GJ, Carter P, Anwer S, et al. (2019). Altering the availability or proximity of food, alcohol, and tobacco products to change their selection and consumption. Cochrane Database of Systematic Reviews, 9, CD012573.
doi.org/10.1002/14651858.CD012573.pub311To make yourself follow through, put money on it, but first ask whether you are willing to stake any
# Value ModerateGrade ATime and energyA little moneyIn passingSome willpower
If you want to force yourself to deliver, you can take a bonus for delivering, or you can put up a deposit that is refunded only if you deliver, plus a bonus. Among people willing to take part in either, those who put up a deposit delivered 13 percentage points more often. But only 13.7% were willing to put up a deposit, against 90% willing to take the bonus, so a deposit only works for people willing to stake money.
Cost
A deposit scheme requires you to put up your own money first, and it is forfeited if you do not deliver. The trial staked 150 dollars.
Benefit
A US randomised trial of 2538 people randomly assigned employees and their family and friends to four incentive programmes or to usual care. The reward scheme (about 800 dollars on delivery) had an acceptance rate of 90.0%, and the deposit scheme (150 dollars up front, plus a 650 dollar reward) 13.7%. Six-month continuous smoking abstinence: the four incentive programmes ran between 9.4% and 16.0%, against 6.0% for usual care. The reward scheme 15.7%, the deposit scheme 10.2%. But among just the 13.7% willing to take part in either, the deposit scheme gave a six-month abstinence rate 13.2 percentage points higher than the reward scheme (
95% CI 3.1 to 22.8, the credible range).
Notes
This trial measured smoking cessation; applying it to writing a thesis or going to the gym is an extension in the same direction, so the benefit is graded "medium". When you pick a scheme, first check whether you will really use it. A method most people refuse has no use for them, however strong the effect. So pick the one you are willing to accept; staking a smaller amount still beats not staking. For how to give up smoking, see item 3 in section 2 (cessation drugs).
Sources
Halpern SD, French B, Small DS, et al. (2015). Randomized trial of four financial-incentive programs for smoking cessation. New England Journal of Medicine, 372(22), 2108–2117.
doi.org/10.1056/NEJMoa141429312Count a new habit in months, not in "21 days"
# Value ModerateGrade BTime and energyNo moneyIn passingA lot of willpower
"You can build a habit in 21 days" has no basis behind it. A study following people for 12 weeks worked out that an action becomes something you do without thinking in as little as 18 days, and in 254 days in the slow cases. Two or three weeks without it becoming easier is normal. Missing a day in between does not reset your progress.
Cost
No money. What it takes is repeating the same action every day in the same setting, for several months.
Benefit
96 volunteers each picked one eating, drinking or activity action, did it every day in a fixed setting (such as "after breakfast") for 12 weeks, and rated how automatic it felt each day. 82 people's data were good enough to analyse, and the model fitted successfully for 62 of them. The time taken to reach 95% of each person's own automaticity ceiling ranged from 18 days to 254 days. The study also found that missing one opportunity to do the action had no substantial effect on how the habit formed.
Notes
There is only this one study, 96 people, and the actions were all simple ones (such as eating a piece of fruit after a meal). How long a complicated thing takes, such as running three times a week or writing every day, has not been tested. So still finding it hard after two weeks is not evidence of failure. To make the repetition actually happen, tie the action to a fixed setting, see item 1 in this section (write "when, where, and if this comes up then that").
Sources
Lally P, van Jaarsveld CHM, Potts HWW, Wardle J (2010). How are habits formed: Modelling habit formation in the real world. European Journal of Social Psychology, 40(6), 998–1009.
doi.org/10.1002/ejsp.67413When procrastination has already affected your life, use self-help material backed by randomised trials rather than going out of your way to find a therapist
# Value ModerateGrade ATime and energyNo moneyA few hoursSome willpower
Procrastination bad enough to be painful can be treated. Work through the cognitive-behavioural self-help material for ten weeks. Doing it with somebody guiding you and doing it entirely on your own both beat doing nothing by a clear margin. Whether somebody guides you or not makes no measurable difference, so working through it on your own works too.
Cost
A self-help book costs a few tens of yuan, and some are free. You put in about ten weeks: one section to read and one exercise to do each week.
Benefit
150 people were randomly split into three groups: self-help with a therapist guiding, self-help with no guidance, and a waiting-list control. After ten weeks the between-group effect size on the pure procrastination scale was d = 0.70 (
95% CI 0.29–1.10, the credible range) in the guided group and d = 0.50 (0.10–0.90) in the unguided group; on the irrational procrastination scale the figures were 0.81 (0.40–1.22) and 0.69 (0.29–1.09) respectively. The proportion reaching a clinically meaningful improvement: 31.3% to 40.0% in the guided group, 24.0% to 36.0% in the unguided group. The two groups did not differ significantly on any outcome.
Notes
The participants were adults in Sweden and the material was in Swedish. There is no ready-made equivalent set in Chinese, so the benefit is graded "medium". The material is made up of the usual components: behavioural activation, behavioural experiments, stimulus control, and teaching about motivation and ways of working. The stimulus control part is item 10 in this section (move what you would rather not touch further away). Where the procrastination comes with clear low mood or anxiety, start with item 18 in section 3 (move, get sunlight, sleep on time, talk to somebody, call 12356).
Sources
Rozental A, Forsell E, Svensson A, Andersson G, Carlbring P (2015). Internet-based cognitive-behavior therapy for procrastination: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 83(4), 808–824.
doi.org/10.1037/ccp000002314Use your own hourly rate to decide which housework to outsource
# Value HighGrade BTime and energyA fair amount of moneyIn passingNo willpower
People in China spend 1 hour 17 minutes a day on housework on average. Among the people who actually did some that day, it was 1 hour 59 minutes. People who spend money to buy time report higher life satisfaction. The same amount of money spent on buying time makes people happier in the moment than the same amount spent on buying things.
Cost
You have to pay for the outsourcing, and how much depends on the service you buy. You also have to spend time once working out your own hourly rate.
Benefit
Residents of China spend 1 hour 17 minutes a day on housework on average. Counting only the people who did housework, the average is 1 hour 59 minutes. These are 2024 survey figures, covering 38,500 households and 107,000 people. A separate study took a sample of 6271 people in four countries and found higher life satisfaction among people who spend money to buy time. The researchers also ran an experiment in real life: the same amount of money spent on buying time brought more happiness in the moment than the same amount spent on physical things.
Notes
Work out your hourly rate first. The formula is one month's take-home income ÷ the hours you actually work in a month. Then see what it would cost to outsource this job. Outsource it when the price is below your hourly rate and you will really spend the saved time on earning money or resting. Everyone's hourly rate and every service price differs, so work out the conclusion yourself. Also, Whillans measured whether buying time made people happy, not how many hours were saved.
Sources · 2 sources
- Whillans, A. V., Dunn, E. W., Smeets, P., Bekkers, R., & Norton, M. I. (2017). Buying time promotes happiness. Proceedings of the National Academy of Sciences. doi.org/10.1073/pnas.1706541114
- National Bureau of Statistics (国家统计局) (2024). Bulletin of the Third National Time Use Survey(第三次全国时间利用调查公报(第二号)). www.stats.gov.cn/sj/zxfb/202410/t20241031_1957216.html
15Set a hard limit on short videos and on aimless scrolling
# Value HighGrade CTime and energyNo moneyIn passingA lot of willpower
People in China spend 5 hours 37 minutes a day online on average. Among those who did go online that day it was 6 hours 3 minutes. In 2018 the same calculation gave only 2 hours 42 minutes. This is the largest figure in this section. Cut one hour a day and a year gives you 365 hours back.
Cost
No money. The actions take only a few minutes: turn off notifications, delete the app, or set a daily time limit on it. The hard part is holding your hand back and not opening it.
Benefit
Residents of China spend 5 hours 37 minutes a day online on average. Counting only the people who did go online that day, the average is 6 hours 3 minutes. 92.9% of people used the internet that day. These are 2024 figures. In 2018 the same calculation gave only 2 hours 42 minutes. This is the largest figure in this section. Cut one hour off that every day and you gain 365 hours a year. Separately, according to the China Internet Network Information Center (中国互联网络信息中心), by June 2025 internet users spent 30.6 hours a week online, 1.9 hours more than half a year earlier. There are 1,068,000,000 short-video users, 95.1% of internet users.
Notes
Time online includes work, study and socialising, so not all of it is waste. The grade is C because no study has worked out how much is saved after a limit and where that saved time goes; all that is available is the aggregate total. For the "scrolling through how other people are doing" part, a randomised trial has measured how much is saved and how mood changes, see item 20 in section 3.
Sources · 3 sources
- National Bureau of Statistics (国家统计局) (2024). Bulletin of the Third National Time Use Survey(第三次全国时间利用调查公报(第二号)). www.stats.gov.cn/sj/zxfb/202410/t20241031_1957216.html
- National Bureau of Statistics (国家统计局) (2019). Bulletin on the 2018 National Time Use Survey(2018年全国时间利用调查公报). www.stats.gov.cn/sj/zxfb/202302/t20230203_1900224.html
- China Internet Network Information Center (中国互联网络信息中心) (2025). The 56th Statistical Report on the Development of China's Internet, 第 56 次《中国互联网络发展状况统计报告》. www.cnnic.net.cn/NMediaFile/2025/0730/MAIN1753846666507QEK67ZS9DH.pdf
16No television and no doomscrolling; take in the news you need at fixed times
# Value HighGrade CTime and energyNo moneyIn passingSome willpower
People over 15 in the United States watch 2.6 hours of television a day, which takes half of all their leisure time. People in China watch 1 hour 40 minutes a day on average, and people aged 75 to 84 watch 3 hours 16 minutes. If you switch the information you need to fixed times, what you save is that whole block.
Cost
No money. The hard part is breaking the habit of opening it on impulse, and you may miss some breaking news.
Benefit
People over 15 in the United States watch 2.6 hours of television a day. Their total leisure time is 5.2 hours, and television takes half of it. These are 2025 figures. Residents of China watch 1 hour 40 minutes of television a day on average, and people aged 75 to 84 watch 3 hours 16 minutes. These are 2018 figures.
Notes
All that is available is the aggregate total. No study has worked out where the saved time goes after watching less television and news. The practice of "taking it in at fixed times" is the author's own experience.
Sources · 2 sources
- U.S. Bureau of Labor Statistics (2026). American Time Use Survey — 2025 Results. www.bls.gov/news.release/atus.nr0.htm
- National Bureau of Statistics (国家统计局) (2019). Bulletin on the 2018 National Time Use Survey(2018年全国时间利用调查公报). www.stats.gov.cn/sj/zxfb/202302/t20230203_1900224.html
17Spend time once learning the keyboard shortcuts and automation of the software you use every day
# Value ModerateGrade BTime and energyNo moneyA few hoursSome willpower
Most people who have used Word for years still click the toolbar icons. In an experiment comparing groups, shortcuts were faster than both menus and icons. Learning this once is a one-off cost, and after that every single operation each day pays it back. The longer you do the same kind of work, the more it pays back.
Cost
No money. You have to put in a few hours to several dozen hours of learning in one go. The hard part is that at first you are slower than with the mouse.
Benefit
The study looked at 251 experienced Word users, most of whom rarely used the faster shortcuts and still worked mainly by clicking the icon toolbar. The experiment comparing groups confirms that of the three methods, menus, icons and shortcuts, shortcuts are the fastest. The time saved accumulates a little with every operation each day. People who do the same kind of work for a long time gain the most.
Notes
Only learn the operations you will use more than ten times a day; learning everything is a different kind of waste. To be clear, that efficiency experiment had only 6 participants, and the abstract does not give the seconds saved per operation.
Sources
Lane, D. M., Napier, H. A., Peres, S. C., & Sándor, A. (2005). Hidden costs of graphical user interfaces: Failure to make the transition from menus and icon toolbars to keyboard shortcuts. International Journal of Human-Computer Interaction.
doi.org/10.1207/s15327590ijhc1802_118Put commute time first when you choose where to live, and shorten the one-way journey
# Value ModerateGrade BTime and energyA fair amount of moneyA few hoursNo willpowerDisputed
The longer your commute, the worse you feel your life is going. That loss is not made up in salary or housing. Cutting 30 minutes off each one-way journey gives you 5 hours a week.
Cost
The cost is high. You may have to pay more rent, or move to a smaller place. Moving itself takes time.
Benefit
Residents of China spend 50 minutes a day on transport on average. Counting only those who travelled on the day, it is 1 hour 2 minutes. These are 2024 figures. German data following the same group of people over the long term shows that the longer your commute, the stably lower your subjective well-being (how well you feel life is going). And that loss is not made up in income or housing. A review bringing several studies together also confirms that the longer the commute, the less satisfied people are with it, and this holds whatever mode of transport they use. Cutting 30 minutes off each one-way journey gives about 5 hours a week.
Notes
Disputed: after pooling several studies, Chatterjee and colleagues found no stable relationship between commute length and overall life satisfaction. They argue that people can broadly trade a long commute back for better work or housing. Also note that the transport activity figures count all travel, not just commuting. And if you can travel outside the peak hours, the same journey takes less time.
Sources · 3 sources
- Stutzer, A., & Frey, B. S. (2008). Stress that doesn't pay: The commuting paradox. Scandinavian Journal of Economics, 110(2), 339–366. doi.org/10.1111/j.1467-9442.2008.00542.x
- Chatterjee, K., et al. (2020). Commuting and wellbeing: A critical overview of the literature with implications for policy and future research. Transport Reviews, 40(1), 5–34. doi.org/10.1080/01441647.2019.1649317
- National Bureau of Statistics (国家统计局) (2024). Bulletin of the Third National Time Use Survey(第三次全国时间利用调查公报(第二号)). www.stats.gov.cn/sj/zxfb/202410/t20241031_1957216.html
5. Do not waste money
44 / 44This section counts money only: how much you can save, how much the yearly return differs, how much a sum of money gives back on average over the long run. Nothing here is converted into years of life or into time. The entries that touch investing only explain how the arithmetic works. They use checked historical data and none of them is investment advice.
1Turn off automatic renewal and renew by hand each time
# Value HighGrade CMoneyNo moneyIn passingNo willpower
What you save is the subscriptions you stopped using long ago and still pay for. Going through the automatic-deduction lists in Alipay, WeChat, Apple and Android takes under 20 minutes. By law a merchant must warn you clearly before taking the money, and must give you a way to cancel at any time that is easy to find and easy to click.
Cost
No money. Work once through the automatic-deduction lists in Alipay, WeChat, Apple and Android. It takes 10 to 20 minutes. After that you tap once more yourself every time something renews.
Benefit
The money you save equals the total of the subscriptions you no longer use but are still billed for. It differs for everyone, so there is no single figure. The regulator requires merchants to notify you clearly before renewal, and to give you a simple way to cancel at any time, with no separate charge for cancelling (China, in force since 2021)
Notes
For a service you really use often, paying yearly is usually cheaper than paying monthly, so leaving renewal on can be the better choice. The ones to turn off are the ones you forgot about months ago and are still paying for.
Sources
State Administration for Market Regulation (国家市场监督管理总局) (2021, amended 2025). Measures for the Supervision and Administration of Online Transactions(网络交易监督管理办法)(SAMR Order No. 37, Article eighteen).
www.samr.gov.cn/zw/zfxxgk/fdzdgknr/fgs/art/2025/art_4b47c79b8d994a42bba4835997688faa.html2Settle your annual individual income tax from March to June, and claim every special additional deduction
# Value HighGrade AMoneyNo moneyIn passingNo willpower
These groups of people usually get money back: anyone who worked only a few months of the year, anyone who changed jobs during the year, and anyone who left out deductions for children's education, a home loan, rent, or supporting an elderly relative. It takes a bit over ten minutes on your phone. If your annual comprehensive income is under 120,000 yuan, or the tax you owe is under 400 yuan, you can skip it.
Cost
No money. You do it in the Individual Income Tax app, and it takes a bit over ten minutes.
Benefit
One settlement puts four kinds of income together: salary and wages, remuneration for personal services, author's remuneration, and royalties. What you overpaid comes back, and what you underpaid you have to pay. Two situations let you skip it: your annual comprehensive income does not exceed 120,000 yuan, or the tax you owe does not exceed 400 yuan. Both conditions come from a 2023 State Taxation Administration announcement, in force until 2027-12-31. In the other direction, the following people usually get money back: people with income in only a few months of the year, people who changed jobs during the year, and people who left out deductions for children's education, a home loan, rent, or supporting an elderly relative
Notes
People who owe tax still have to file, and not filing is illegal. There are seven special additional deductions: children's education, continuing education, serious medical treatment, housing loan interest, housing rent, supporting an elderly relative, and care of children under 3. A housing loan and rent cannot both be claimed; pick one.
Sources · 2 sources
- State Taxation Administration (国家税务总局) (2025). Measures for the Settlement of Comprehensive Individual Income Tax (个人所得税综合所得汇算清缴管理办法) (Article six) and the official explanation. www.gov.cn/zhengce/202502/content_7006465.htm
- Ministry of Finance and State Taxation Administration (2023). Announcement on Continuing the Settlement and Payment of Comprehensive Individual Income Tax. www.gov.cn/zhengce/zhengceku/202308/content_6900594.htm
3The housing provident fund is not only for buying a home: rent, renovation and building fees can all be withdrawn, under the new rules from 20 September 2026
# Value HighGrade AMoneyNo moneyIn passingNo willpower
The provident fund is not frozen unless you buy a home. The new rules list nine situations you can withdraw for, and paying rent, renovating the home you live in, and paying building management fees for the home you live in are all among them. Once you file, the provident fund centre must tell you within 3 days whether it approves the withdrawal.
Cost
No money. You go through the withdrawal procedure once.
Benefit
The amended regulations list nine situations in which you can withdraw. They include paying rent, renovating the home you live in, and paying the building management fees for the home you live in. The housing provident fund management centre must decide within 3 days of accepting your application whether to approve the withdrawal or refuse it
Notes
The money in the account is your own salary plus the part your employer adds. Left alone it earns interest at a very low rate. The regulations also say that when a worker dies, or is declared dead, the heirs and beneficiaries may withdraw the balance. Which documents to file and how the procedure runs are set by the local housing provident fund management centre. Look up your local centre's guide before you go.
Sources · 3 sources
- State Council (国务院) (2026). Decision of the State Council on Amending the Regulations on the Administration of Housing Provident Funds(国务院关于修改《住房公积金管理条例》的决定)(State Council Order No. 844, adopted at the 93rd executive meeting of the State Council on 2026-7-31, 「自2026年9月20日起施行」): Article twenty-four as amended「职工有下列情形之一的,可以提取职工住房公积金账户内的存储余额:(一)支付房租的;(二)购买、建造、翻建、大修自住住房的;(三)偿还购房贷款本息的;(四)装修自住住房的;(五)支付自住住房物业费的;(六)离休、退休的;(七)完全丧失劳动能力,并与单位终止劳动关系的;(八)出境定居的;(九)国务院批准的其他住房消费情形。」(the nine situations in which a worker may withdraw the balance in the account)
- Article twenty-five「住房公积金管理中心应当自受理申请之日起3日内作出准予提取或者不准提取的决定」(the centre decides within 3 days of accepting the application)
- the contribution rate in Article eighteen「均不得低于职工上一年度月平均工资的5%」(no lower than 5% of the worker's average monthly wage the previous year). www.gov.cn/gongbao/2026/issue_12946/202608/content_7079363.html
4Recalculate your phone and broadband plan once a year, downgrade what you do not use, and complain if the carrier refuses to switch you
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
The plan you are on is often tens of yuan a month dearer than the plans on sale now. Tens of yuan a month is several hundred yuan a year thrown away. By law a carrier with no valid reason may not refuse to let you port your number, may not drag its feet and leave it undone, and may not set a separate tariff just for people who port. If they stall, complain.
Cost
No money. One look at the bill takes a bit over ten minutes. The hard part is holding your ground when the service agent refuses to downgrade you.
Benefit
The Ministry of Industry and Information Technology rules state that a carrier may not「无正当理由拒绝、阻止、拖延向用户提供携号转网服务」. It may not「采取拦截、限制等技术手段影响携号转网用户的通信服务质量」. It may not「为携号转网用户设置专项资费方案和营销方案」. An old plan is often tens of yuan a month dearer than the plans on sale now. Staying on it throws away several hundred yuan a year
Notes
First check in the carrier's app how much data and how many minutes you actually used in the last six months, then pick a plan from that. If the agent says the downgrade has to be done at a shop, or that it cannot change during the contract period, ask for the written basis. If they cannot produce one, complain on 12300.
Sources
Ministry of Industry and Information Technology (工业和信息化部) (2019). Provisions on the Administration of Number Porting Services(携号转网服务管理规定)(MIIT 信管〔2019〕242).
www.gov.cn/zhengce/zhengceku/2019-11/13/content_5451483.htm5Do not buy lottery tickets
# Value HighGrade AMoneyNo moneyIn passingNo willpower
By law, the share of sales that lotto and number games set aside as prizes is at least 50%, and for Double Colour Ball it is 51%. That means that for every 1 yuan you put in, you get 0.51 yuan back on average over the long run, a steady loss of 49%. Nationwide lottery sales in 2024 were 623.486 billion yuan, of which 161.031 billion yuan went straight into the public welfare fund and never counted as prizes.
Cost
No money. Not buying is the saving.
Benefit
The Ministry of Finance sets the minimum share of sales that goes to prizes: 50% for lotto and number games, 65% for scratch cards, 73% for sports betting. Double Colour Ball pays out 51% of sales, so out of every 100 yuan in sales only 51 yuan becomes prizes. Put in terms of one person, every 1 yuan put in returns 0.51 yuan on average over the long run, a loss of 49%. Lottery sales nationwide in 2024 were 623.486 billion yuan, of which 161.031 billion yuan went into the public welfare fund and did not come back to the people who bought the tickets (China, 2024)
Notes
Over the long run you lose, and the system fixes that. It has nothing to do with luck. Buying is fine too, but treat it as 2 yuan of entertainment each time, not as saving.
Sources · 3 sources
- Ministry of Finance (财政部) (2015). Notice on Regulating and Strengthening the Management of the Composition Ratios of Lottery Funds(关于规范和加强彩票资金构成比例管理的通知)(财综〔2015〕94). m.mof.gov.cn/czxw/201511/t20151113_1560814.htm
- Ministry of Finance (2025). Ministry of Finance Announcement No. 8 of 2025 (2024 Lottery Public Welfare Fund Raising and Allocation). zhs.mof.gov.cn/zhengcefabu/202508/t20250828_3970977.htm
- Rules of the China Welfare Lottery Double Colour Ball Game(第十四条). mzj.nc.gov.cn/ncsmzj/flcp/202111/5dccc1a5da89434e94a62f8ea0e5887e.shtml
6Walk away from "high returns", "principal guaranteed" and "steady profit"
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
The regulator's own words: a return above 6% should make you ask questions, above 8% is dangerous, and above 10% you should expect to lose your whole principal. Regulated investment products are no longer allowed to promise that the principal is safe or that you will earn. Money lost in illegal fundraising is borne by you alone under the rules, and nobody covers you if it goes wrong.
Cost
No money. All it takes is to stop when you hear those words.
Benefit
In 2018 the former chairman of the banking and insurance regulator said something at the Lujiazui forum. His words were:「收益率超过 6% 的就要打问号,超过 8% 的就很危险,10% 以上就要准备损失全部本金」. The new asset management rules require financial institutions to「不得承诺保本保收益」and to「出现兑付困难时,金融机构不得以任何形式垫资兑付」. So regulated products no longer have a guaranteed principal. Losses from taking part in illegal fundraising are「由集资参与人自行承担」, and nobody pays them back when it goes wrong (China, 2018 and 2021)
Notes
The 6%, 8% and 10% lines are where a regulator drew the boundary from experience. They are not provisions of law. The words were said about cracking down on illegal fundraising, and they target investment products and investment companies that promise high returns. None of this is investment advice.
Sources · 4 sources
- Guo Shouqing (2018). Preventing and Resolving Financial Risks, Striding Over the Major Checkpoints(防范化解金融风险 奋力跨越重大关口)(speech at the 10th Lujiazui Forum, on the National Financial Regulatory Administration website):「在打击非法集资过程中,努力通过多种方式让人民群众认识到,高收益意味着高风险,收益率超过6%的就要打问号,超过8%的就很危险,10%以上就要准备损失全部本金」. www.nfra.gov.cn/cn/view/pages/ItemDetail.html?docId=182418
- reprinted by the Tianjin Municipal Local Financial Administration Bureau. jrgz.tj.gov.cn/ztlm/ztzl/jrjfwphjr/202006/t20200625_2744709.html
- People's Bank of China and others (2018). Guiding Opinions on Regulating the Asset Management Business of Financial Institutions(关于规范金融机构资产管理业务的指导意见)(银发〔2018〕106, Article two and Article six). www.gov.cn/gongbao/content/2018/content_5323101.htm
- State Council (2021). Regulations on the Prevention and Handling of Illegal Fundraising(防范和处置非法集资条例)(State Council Order No. 737, Article twenty-five). www.gov.cn/gongbao/content/2021/content_5588815.htm
7Do not use the minimum payment on a credit card, and do not open instalments or consumer loans to buy things
# Value ModerateGrade CMoneyNo moneyIn passingSome willpower
The minimum payment is not a discount. It is a loan that charges interest every day, which works out at around 18% a year. The moment you use it the interest-free period ends, and interest runs on the unpaid principal from that day to the last. When you look at an interest rate, only the annualised figure counts. The People's Bank of China already requires card issuers to display the annualised rate prominently and forbids showing only a daily rate.
Cost
No money. You have to keep enough cash to pay the statement in full before the due date. The hard part is resisting instalments when a large bill arrives.
Benefit
Before 2020 credit card overdraft rates had a ceiling and a floor: the ceiling was「日利率万分之五」and the floor was 0.7 times the ceiling. Five ten-thousandths a day works out at 18.25% a year, and that is simple interest: at 18.25% a year the interest does not compound into the principal. From 2021 the card issuer and the cardholder set the price themselves. Once you use the minimum payment, interest runs every day on the full unpaid principal and the interest-free period ends at the same time. The People's Bank of China already requires card issuers to display the annualised rate(the rate converted to a whole year)prominently and states that they「不得仅展示日利率、日还款额」. Read the annualised figure before you decide (China, notice of 2020)
Notes
The 18.25% is five ten-thousandths multiplied straight by 365, with no compounding. Compounded monthly it is higher. Some banks give a discount, so go by the annualised rate printed on your own statement. When you really cannot get the cash together, look for a proper channel with a lower rate first, and do not let a minimum payment roll and gather interest.
Sources
People's Bank of China (中国人民银行) (2020). Notice on Promoting the Market-Based Reform of Credit Card Overdraft Interest Rates(关于推进信用卡透支利率市场化改革的通知)(银发〔2020〕327).
xining.pbc.gov.cn/zhengwugongkai/4081330/4406346/4693549/4159909/index.html8Do not tip streamers, do not top up games, do not buy on impulse
# Value ModerateGrade BMoneyNo moneyIn passingSome willpower
Players in China spend about 480 yuan a year each on games, and almost none of it comes back. The law only lets a parent get a refund for money a minor spent without the parent's consent; adults have no such rule. The cheapest defence is to set it up in advance: turn off password-free payment, set a per-payment and daily limit, and unbind the payment method.
Cost
No money. Spend a few minutes on three things: turn off password-free payment, set a limit per payment and per day, and delete the payment methods bound to the app. The hard part is resisting the tap in the moment.
Benefit
This is a large item of spending. Actual sales in China's game market in 2024 were 325.783 billion yuan, with 674 million users, or about 480 yuan per person (worked out by dividing the first figure by the second). Money spent is almost never recovered. There is one exception: when a person with limited capacity for civil conduct (here, a minor) tips or tops up without the guardian's consent, and the guardian asks for the money back,「人民法院应予支持」. A tip or a top-up an adult makes for themselves has no such rule. Separately, minors may play online games only on Fridays, Saturdays, Sundays and public holidays, and only in the 1 hour from 20 to 21 (China, 2020 and 2021)
Notes
It is graded B because nobody has measured directly how much you save by not tipping. All that is available is an aggregate figure for the games industry. Turning off password-free payment and setting limits are rules of thumb, and on their own they would be graded C. The wording of Article nineteen and Article one hundred and forty-five of the Civil Code is already quoted word for word in item 9 in this section (a child tops up and tips with a phone). None of this is investment advice.
Sources · 3 sources
- National Press and Publication Administration (国家新闻出版署) (2024). China's game market revenue exceeded 325,700 million yuan this year, a new high (中国音数协游戏工委《2024 年中国游戏产业报告》). www.nppa.gov.cn/xxfb/ywdt/202412/t20241216_877445.html
- Supreme People's Court (最高人民法院) (2020). Guiding Opinions on the Proper Handling of Civil Cases Involving the Novel Coronavirus Epidemic, Part Two(关于依法妥善审理涉新冠肺炎疫情民事案件若干问题的指导意见(二))(法发〔2020〕17 号, item 9). www.court.gov.cn/zixun/xiangqing/230181.html
- National Press and Publication Administration (2021). Notice on Further Strict Management and the Effective Prevention of Minors Becoming Addicted to Online Games(关于进一步严格管理 切实防止未成年人沉迷网络游戏的通知)(国新出发〔2021〕14 号). www.nppa.gov.cn/xxfb/tzgs/202108/t20210830_666285.html
9A child who tops up and tips with a phone: spending above the age of eight that the parent has not approved can be reclaimed
# Value ModerateGrade AMoneyNo moneyA few hoursSome willpower
Money a child over eight spends, if the amount is plainly out of proportion to the child's age and ability to understand, and the parent neither agrees to it nor accepts the bill afterwards, is an invalid transaction, and you can demand the money back. A child under eight cannot in any case decide to spend money alone. If the parent says nothing at all, the law treats that as refusing to approve the transaction.
Cost
No money. You have to spend time collecting evidence and negotiating with the platform. The platform usually refuses first and refunds later. If you cannot settle it you can only sue, and that takes months to start and the legal fees are yours to pay. So prepare the documents first; going through the platform and 12315 is cheaper. The hard part is that the child will not say anything, and you have to stay patient and get the details.
Benefit
A minor over eight is a person with limited capacity for civil conduct, which means they may only do things suited to their age and ability to understand. A civil legal act not suited to their age and ability to understand is valid only if the legal representative agrees or approves it afterwards: the parent has to say yes in advance, or accept the bill afterwards. A child under eight has no capacity for civil conduct and cannot decide alone; a legal representative acts for them. If the legal representative expresses no view, that counts as a refusal to approve: a parent who stays silent is refusing the bill
Notes
The whole case rests on evidence. You have to show that the child, not you, was operating the phone. Useful material includes: top-ups clustered in school hours or while a parent was at work, the device's usage records, the child's chat and game logs, and a statement from the child. There is no fixed sum that counts as "suited to the age and ability", and a game skin costing tens of yuan is not the same as a tip costing tens of thousands. Stopping it early is cheaper: set a ceiling on password-free payments, turn on the youth mode, and do not tell the child your payment password. For the case where you yourself tip or top up on impulse, see item 8 in this section (do not tip streamers, do not top up games, do not buy on impulse).
Sources
National People's Congress (全国人大) (2020). Civil Code(民法典). Full text as reprinted by the Supreme People's Procuratorate. Article nineteen:「八周岁以上的未成年人为限制民事行为能力人,实施民事法律行为由其法定代理人代理或者经其法定代理人同意、追认;但是,可以独立实施纯获利益的民事法律行为或者与其年龄、智力相适应的民事法律行为。」Article twenty:「不满八周岁的未成年人为无民事行为能力人,由其法定代理人代理实施民事法律行为。」Article one hundred and forty-five:「限制民事行为能力人实施的纯获利益的民事法律行为或者与其年龄、智力、精神健康状况相适应的民事法律行为有效;实施的其他民事法律行为经法定代理人同意或者追认后有效。」「法定代理人未作表示的,视为拒绝追认。」
www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml10Teach your child one sentence: anyone who tells you to use your parent's phone or to read out a verification code is a fraudster
# Value HighGrade BMoneyNo moneyIn passingSome willpower
The six kinds of scam work differently, but the last step is always the same: get the child to use a parent's phone to transfer money or to read out a verification code. So one sentence is enough: anyone who tells you to touch your parent's phone or to read out a code is a fraudster. Add one more: "if you get scammed, tell me first and I will not shout at you". Money can only come back if the child is willing to say so that day.
Cost
No money. Go through the six kinds below with your child, and agree one sentence with them: "if you get scammed, tell me first and I will not shout at you". Also set a ceiling on password-free payments, turn on the youth mode, and do not tell the child your payment password. The hard part is keeping your temper once it really has happened.
Benefit
The Quanzhou anti-fraud centre worked with the Quanzhou education bureau to break down six kinds of fraud that target teenagers. The methods differ, but the last step is the same: get the child to transfer money from a parent's phone. First, trading game accounts and equipment privately at a low price. Xiao Wang transferred 260 yuan privately, and the other party said「未成年人转账违规,账号要冻结」. He tapped a "verification link" on his father's phone, and more than 30,000 yuan left his account. Second, "lifting the anti-addiction limit". The other party threatened「不转账取消,你家长要坐牢」, and the child transferred 7000 yuan from the mother's phone. The text states that the anti-addiction limit is set by the platform and that there is「根本没有『私下解锁』渠道」. Third, refunds for tips. The fraudster posed as an "official customer service" line, said that a minor's tip could be refunded, and asked for「用家长支付宝给指定直播间刷礼物才能退款」. 73,000 yuan was tipped out of the mother's account and she was blocked. The text says「有人加你让你『刷礼物退款』,100% 是诈骗」. Fourth, posing as a classmate or a teacher. The fraudster stole an account and sent a voice message naming the person to borrow money. In the school term they also joined class groups as a fake teacher and sent「交学杂费 500 元」, with the same avatar and nickname as the real teacher, and arranged for a plant in the group to say「已交」. Fifth, fandom. The fraudster pulled the child into a "celebrity fan group, claim an 888 yuan red packet". First the child transferred 48.88 yuan as a "verification". Then they frightened the child with「未成年人参与违规,平台要冻结 8 万,家长要坐牢」. In total they took 16,000 yuan. The text says「真警察、律师绝不会在网上联系未成年人调查,更不会要家长手机操作」. Sixth, using cheap goods on a second-hand platform to lure people off the platform and into a private transfer. The same material also lists three lines a child should not cross. First, do not lend, sell or rent out a bank card or a phone card; if the card is used to move stolen money, that can amount to the crime of assisting the operation of a criminal network, and a record of it can affect entry to postgraduate study and the civil service. Second, "phone bank" part-time work is illegal. Third, in "high-paid jobs" abroad, a person can be controlled the moment they arrive (nationwide, 2025-10)
Notes
It is graded B because what the authorities publish is a breakdown of fraudsters' scripts and a few cases, with no case rate and no statistics on how effective the precautions are. Keep this apart from item 9 (a child tops up and tips with a phone): money a child spends on tipping and top-ups can be reclaimed under the Civil Code. Money taken by a fraudster does not fall under that rule and can only be reported and stopped through item 2 in section 8. Whether it comes back depends on whether the money is still on the account. The core script fraudsters use with children is "you have broken the rules, your parents will go to prison". Say that plainly to your child before it happens; the sentence itself is the signal that this is a scam, and it works better than asking questions afterwards. You must actually keep your promise about "tell me first, I will not shout". Children hide it for fear of being scolded, and that is the common reason the loss grew in these cases. For the adult version of the same trick, and for deepfakes made with AI, see items 3 and 4 in section 8 (hard anti-fraud rules, hang up before any transfer).
Sources
Quanzhou Anti-Fraud Centre (泉州市反诈骗中心) (2025). First Lesson of the School
Term: Anti-Fraud Is a Required Course for Teenagers, and These 6 Traps Must Be Avoided! (reprinted by the Fujian Provincial Public Security Department)
gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202510/t20251028_7026836.htm11Do not buy an extended warranty for electronics (an extended service plan)
# Value HighGrade BMoneyNo moneyIn passingNo willpower
An extended warranty usually sells for 10% to 50% of the original price, and the seller's margin on one is more than ten times what it makes on ordinary goods; that gap is the money you pay extra. For main parts such as the motor in a washing machine or a refrigerator, the state already requires a 3-year warranty. When an extended warranty is very cheap, divide the price of the warranty by the cost of one repair: the result is how likely a breakdown at least once in those years has to be before the warranty pays for itself.
Cost
No money. The price is that once the warranty has run out, a repair has to be paid for out of your own pocket, though that is not very likely.
Benefit
An extended warranty is usually priced at 10% to 50% of the original price of the goods. The industry estimates cited in the research put the average gross margin on an extended warranty at 50% to 60%: of 100 yuan taken, 50 to 60 yuan is profit. That is about 18 times the gross margin on ordinary goods. In 2003 extended warranties were only 3% to 4% of Best Buy's revenue, yet they brought in more than 50% of its profit (United States, retail data from the 2000s). When you find an extended warranty priced far below this range, do the arithmetic yourself: the price of the warranty ÷ the cost of one repair = the breakdown probability needed to break even. It is only worth buying if you think the chance of at least one breakdown in those years is higher than that figure. Take a 25 yuan warranty where one repair costs 300 yuan: the chance of at least one breakdown has to be above about 8% before it pays for itself. The 300 yuan here is only an example, not a statistic. Before you do the arithmetic, subtract the part the state already covers. The state's three-guarantee period runs from the day the invoice is issued: 1 year for a whole washing machine or refrigerator, 3 years for main parts. The main parts of a washing machine are the motor, the timer, the programme controller and the capacitor; of a refrigerator, the compressor, the thermostat and so on. Any stretch of the extended warranty that overlaps the three guarantees is money spent on something you already had (nationwide, since 1995)
Notes
The gross margin figure is the paper quoting somebody else's industry estimate (Business Week 2004), not something the paper measured itself. The calculation above applies to an ordinary person who can find one repair bill out of their own pocket. If you make your living from one machine and have no spare, work it out separately. Screen insurance for a cracked phone screen is a separate calculation too: first estimate how often you drop the phone, then decide whether the premium is worth it. A very cheap extended warranty cannot cost you more than a few tens of yuan. Before buying, check three things: which day it starts from (it runs from the day you buy, so the first few years overlap the three guarantees), whether the shop, the brand or a third-party company stands behind it, and whether the call-out fee and the parts fee are charged on top. Read the manual and the warranty card first: the warranty the brand promises itself may be longer than the three guarantees.
Sources · 2 sources
- Chen T, Kalra A, Sun B (2009). Why Do Consumers Buy Extended Service Contracts? Journal of Consumer Research 36(4):611-623. doi.org/10.1086/605298
- Ministry of Economic and Trade (国家经贸委) and others (1995). Provisions on the Responsibility for Repair, Replacement and Return of Certain Goods(部分商品修理更换退货责任规定)(国经贸〔1995〕458 号, Article eight: the three-guarantee period runs from the day the invoice is issued; annex, Catalogue of Certain Goods Subject to the Three Guarantees (First Batch)《实施三包的部分商品目录(第一批)》: washing machines and household refrigerators, whole unit 1 year, main parts 3 years). State Administration for Market Regulation, administrative normative document. www.samr.gov.cn/zw/zfxxgk/zc/xzgfxwj/art/2019/art_f943e66de125437d92df701e1654c47c.html
12Prefer generic drugs that passed the consistency evaluation and drugs picked in centralised procurement
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpowerDisputed
The second batch of centrally procured drugs cut prices by 53% on average, and the deepest cut was 93%. By April 2026 there had been 11 batches, covering 490 drugs. The active ingredient is the same, so asking one extra question when you are prescribed saves you a large sum.
Cost
No money. When the doctor prescribes and you go to buy, ask one extra question: "do you have the centrally procured generic version?"
Benefit
In the second batch of drugs procured by the state, prices fell by 53% on average and by up to 93%. By 2026-4 there had been 11 batches, covering 490 drugs. 1695 drugs had passed, or were deemed to have passed, the consistency evaluation. That is about 2/3 of the chemical drugs commonly used in clinical practice (China, official figures from 2020 to 2026)
Notes
Disputed: people often say "the consistency evaluation compares the ingredients, not the effect". That is half right. The evaluation is done by giving the drug to healthy volunteers, drawing blood to trace the concentration curve after the drug enters the blood, and comparing that curve with the originator's. Passing means the result falls between 80% and 125%. For drugs where a small difference in dose causes harm, the requirement is stricter. Excipients are the fillers and coatings other than the active ingredient, and they are allowed to differ from the originator's. The rules only require the same active ingredient, dosage form, way of taking it, and therapeutic action. So it is indeed not "give it to patients for a while and see whether they get better". How it performs in patients is answered by a different body of research. The National Healthcare Security Administration has had hospitals run real-world studies. By December 2024 these covered 63 centrally procured drugs, close to a hundred top-tier hospitals, and more than 300,000 patients. The results showed no difference from the originator. Metformin, for example, gave a target attainment rate for glycated haemoglobin of 83.4% in the generic group and 78.9% in the originator group; for fasting blood glucose the order reversed, at 83.8% for the generic group and 87.6% for the originator group. The two groups took turns in the lead. In January 2025 some doctors said publicly that centrally procured drugs "do not bring blood pressure down, do not put patients under, do not work as a laxative". The healthcare security and drug administration authorities checked 7 hospitals in Shanghai and concluded that most of these claims came from hearsay and personal impression, and that the laxative named had not yet started to be used in hospitals at the time. The same investigation did admit that problem drugs had been sampled. Of the more than 1600 selected products in the first 9 batches, 9 lost their qualification because of quality risk. Six of those were imported drugs, including 3 originators, and 3 were domestic. There are two things you can act on. First, if you want to keep taking the originator, it can usually still be prescribed: centrally procured drugs make up 60% to 80% of what a hospital buys, the hospital decides the rest, originators are not banned, and the price is that you pay more yourself. Second, after switching drugs for a chronic condition do not judge by feel. Follow item 3 in section 16 (write every reading in the same notebook) and keep watch over your blood pressure, blood glucose and glycated haemoglobin. If it really does get worse, go to the doctor and ask the doctor to report an adverse drug reaction, and do not stop the drug on your own.
Sources · 6 sources
- National Healthcare Security Administration (国家医疗保障局) (2020). Answers to Reporters' Questions on the Second Batch of State Organised Centralised Drug Procurement and Use. www.nhsa.gov.cn/art/2020/1/17/art_38_2264.html
- National Healthcare Security Administration (2026). State Council Policy Briefing: Improving the Full-Cycle, Full-Channel Mechanism for Forming Drug Prices. www.nhsa.gov.cn/art/2026/4/15/art_14_20221.html
- General Office of the State Council (国务院办公厅) (2016). Opinions on Conducting the Quality and Efficacy Consistency Evaluation of Generic Drugs(关于开展仿制药质量和疗效一致性评价的意见)(国办发〔2016〕8 号). www.gov.cn/zhengce/zhengceku/2016-03/05/content_5049364.htm
- formerly the State Food and Drug Administration (国家食品药品监督管理总局) (2016). Notice on Issuing Three Technical Guidelines Including Selection and Determination of Reference Preparations for Conventional Oral Solid Dosage Forms(关于发布普通口服固体制剂参比制剂选择和确定等 3 个技术指导原则的通告)(2016 年第 61 号), Annex 1 and Annex 3, reprinted by the Hainan Provincial Drug Administration. amr.hainan.gov.cn/himpa/ztzl/fzy/201607/t20160720_1591587.html
- National Healthcare Security Administration (2024). Strict Supervision of the Quality of Centrally Procured Drugs, with full coverage on both company inspections and spot checks of product types. www.nhsa.gov.cn/art/2024/12/30/art_52_15287.html
- National Healthcare Security Administration (2025). Officials of the healthcare security and drug administration departments answered questions from a reporter at the People's Daily health client on issues to do with centrally procured drugs. www.nhsa.gov.cn/art/2025/2/9/art_14_15647.html
13Bind your family once in the medical insurance app, and the money in your employee insurance personal account pays for your spouse, parents and children
# Value HighGrade AMoneyNo moneyIn passingNo willpower
One binding lets the money in your employee medical insurance personal account pay for medical care and medicine for your spouse, your parents and your children. Without the binding, that money can only be used by you, and it sits in the account untouched.
Cost
No money. Do the family mutual-aid binding once, in the medical insurance app where you are insured, or at the handling office.
Benefit
Money in the personal account can pay the part of the medical bill that you yourself must pay when you, your spouse, your parents or your children see a doctor at a designated medical institution. It can also pay the part you must pay when you buy medicine, medical devices or medical consumables at a designated pharmacy. The document also proposes exploring the use of the personal account to pay the personal contributions for family members' urban and rural resident medical insurance.
Notes
Thousands of yuan often sit in one person's personal account while an elderly relative in the same household pays for their own medicine. One binding stays valid indefinitely. Most places call this 家庭共济, and you can do it in the local medical insurance app. Note the line on the other side: the personal account cannot be used for fitness, health supplements and the like. Using it to buy health products at a pharmacy and pocket the money is insurance fraud.
Sources
General Office of the State Council (国务院办公厅) (2021). Guiding Opinions on Establishing a Mutual-Aid Guarantee Mechanism for Outpatient Care under Basic Medical Insurance for Employees(关于建立健全职工基本医疗保险门诊共济保障机制的指导意见)(国办发〔2021〕14 号), item five:「个人账户主要用于支付参保人员在定点医疗机构或定点零售药店发生的政策范围内自付费用。可以用于支付参保人员本人及其配偶、父母、子女在定点医疗机构就医发生的由个人负担的医疗费用,以及在定点零售药店购买药品、医疗器械、医用耗材发生的由个人负担的费用。探索个人账户用于配偶、父母、子女参加城乡居民基本医疗保险等的个人缴费。个人账户不得用于公共卫生费用、体育健身或养生保健消费等不属于基本医疗保险保障范围的支出。」
www.gov.cn/zhengce/zhengceku/2021-04/22/content_5601280.htm14Drink boiled tap water, and do not buy bottled water year after year
# Value HighGrade CMoneyNo moneyIn passingNo willpowerDisputed
Beijing's first-tier water price works out at 0.005 yuan a litre. Bottled water at 1 yuan for 500 millilitres works out at 2 yuan a litre. The two differ by a factor of 400. Tap water follows a mandatory national standard, and boiling it is enough in normal times. If the water supply has a genuine problem and the water smells or runs cloudy, boiling longer will not fix it: stop drinking it and report it.
Cost
Buy a kettle. Boiling takes a little time each time, and a little gas or electricity.
Benefit
Beijing's first-tier residential water price is 5 yuan a cubic metre, which works out at 0.005 yuan a litre. Bottled water at 1 yuan for 500 millilitres works out at 2 yuan a litre, 400 times the price of tap water. Drinking water follows the mandatory national standard GB 5749-2022. That standard was published on 2022-3-15 and came into force on 2023-4-1. The authority in charge is the National Disease Control and Administration (China, 2015 water prices and the 2022 standard)
Notes
Disputed: the dispute is over what "meets the standard" means. The tests cover water leaving the plant and water at the end of the pipe. When the source or the network fails, the water can fall short for a short time. On 16 July 2025 the raw water arriving at the Renhe water plant in Yuhang, Hangzhou, smelt wrong, and tap water in the Renhe and Liangzhu communities smelled. The official conclusion was that algae broke down under low oxygen and produced sulphide compounds. After the source was changed, total coliforms and Escherichia coli were not detected in the water leaving the plant, and every item met the drinking water standard GB 5749-2022. Afterwards 7 officials were held accountable, July water charges were waived, and filters were replaced free of charge. But faecal coliforms from the same source had already been climbing for several months before the incident. At the Taoxi Yongsheng intake the April figure was 10 per litre, May 7300 per litre, June 16000 per litre. The limit for Class III surface water under GB 3838 is 10000 per litre. In the same month Siling Reservoir at 28000 per litre and Mantoushan Reservoir at 24000 per litre were also over the limit. Boiling kills microorganisms. It does not remove the smelly compounds, and it does not remove chemicals dissolved in the water. If the water smells odd or looks yellow and cloudy, stop drinking it, tell the water company and call 12345, and switch to bottled water for the time being. Boiling it a few minutes longer will not help. Even so, this was a local one-off incident and the local authority compensated by the occasion, so it still is not a reason to buy bottled water all year. The "sewer pipe was connected to the wrong place" story going round is a fabricated police notice, and whoever posted it has been criminally detained (see section 9). The 1 yuan for 500 millilitres is an assumed price set so the arithmetic works; recalculate with the real price in your own city. If the secondary water supply in an old building is substandard, you can add a filter, or buy bottled water only in that situation. Water prices differ by place; the Beijing figure is only there to show the scale.
Sources · 6 sources
- Beijing Municipal Development and Reform Commission. Residential Water Price Table. fgw.beijing.gov.cn/bmcx/djcx/jzldj/202003/t20200331_1752796.htm
- State Administration for Market Regulation, National Standards Full-Text Disclosure System. GB 5749-2022 Hygienic Standard for Drinking Water(生活饮用水卫生标准). openstd.samr.gov.cn/bzgk/std/newGbInfo?hcno=99E9C17E3547A3C0CE2FD1FFD9F2F7BE
- Hangzhou Joint Investigation Group (2025). Report on the Investigation of Abnormal Water Supply in Some Communities in Yuhang District, Hangzhou(关于杭州市余杭区部分小区供水异常调查情况通报), of 2025-7-23, reprinted by Xinhua. www.news.cn/20250723/1be62dac3b0b4461a643791ff552e93d/c.html
- Yuhang District People's Government, Hangzhou. Yuhang District April/May/June 2025 Raw Water Quality Monitoring Data(余杭区 2025 年 4 月/5 月/6 月水源水水质监测数据), published by Hangzhou Yuhang Water Holdings Group, tested by Hangzhou Jiashu Environmental Monitoring Co., Ltd., row 24 of annex table 1「粪大肠菌群」. www.yuhang.gov.cn/art/2025/5/8/art_1229204072_59140140.htmlwww.yuhang.gov.cn/art/2025/6/5/art_1229204072_59142885.htmlwww.yuhang.gov.cn/art/2025/7/3/art_1229204072_59146464.html
- Cybersecurity Bureau of the Ministry of Public Security (公安部网络安全保卫局) (2025). Fabricated a false「警情通报」and a false「粪水」rumour
- Shao [某] was criminally detained. www.news.cn/politics/20250722/3178b3bd189c4eb4b293982e92aab438/c.html
15Do not trade shares often, and trade even less when the market soars and crashes
# Value HighGrade AMoneyNo moneyIn passingSome willpower
The American households that traded most often earned 11.4% a year, while the market as a whole returned 17.9% over the same period; the gap is almost all transaction costs. In China's boom and crash of 2014 to 2015, the 85% of households with the smallest accounts traded far too often. They earned 250 billion yuan less than households that simply held on, about three tenths of the money they started with.
Cost
No money. The hard part is resisting the urge to act the moment there is news, and resisting the urge to add to your position while everybody else is making money.
Benefit
This study looked at 66,465 household accounts at a US discount brokerage, from 1991 to 1996. The most frequent traders returned 11.4% a year, which is an average of 11.4% a year. The market as a whole returned 17.9% over the same period, and the average household 16.4%. The average household turned over 75% of its holdings a year, replacing three quarters of what it held. The gross return (the money made before transaction costs) barely differed between the frequent traders and the infrequent ones, so the gap comes mainly from the transaction costs paid on the way in and out (United States, 1991 to 1996). The Chinese figures: the study used daily account data from the Shanghai Stock Exchange, covering all about 40 million accounts. The sample period ran from 2014-7 to 2015-12, 18 months in all. Over those 18 months the Shanghai Composite Index first rose more than 150%. It peaked at 5166.35 on 2015-6-12 and then fell 40% by the end of December. The household accounts were split into four groups by their market value at the start. The smallest group was 85% of all household accounts and the largest 0.5%. The two groups held a similar total value of shares at the start, 880 billion yuan and 808 billion yuan respectively. The result: the smallest 85% lost 250 billion yuan through active trading, and the largest 0.5% made 254 billion yuan. The "loss" here is measured against holding the same shares through the same period and doing nothing. Each of the two figures is about three tenths of that group's starting value of shares, the first 28% and the second 31%. As a comparison, the two and a half years before June 2014 were a calm market. Take any 18 months in that period and the same difference is only 1% to 3% of the starting value. In this boom and crash, the average household turned over its holdings about every three weeks, close to 18 times a year (Shanghai, China, 2014 to 2015; comparison period 2012 to 2014)
Notes
The US data are from the 1990s, and the commission and stamp duty structure of A-shares is different, but the principle that the more you trade the less you keep is the same. The Chinese study does not say do not buy shares. What it works out is that over the same period, the more actively the smallest accounts trade, the more of the money passes to the other party in the transaction. The people who took that money are not institutions but the households with the largest accounts: about 90% of turnover on the Shanghai Stock Exchange in that period came from retail accounts. The "90% of retail investors lose money" figure that circulates online cannot be traced to any official statistic that can be checked, so this item does not use it. Turnover can be compared across the two: in this boom and crash Chinese household accounts turned over close to 18 times a year, while the US households turned over three quarters of their holdings once a year. In the calm years the Chinese gap is only 1% to 3%, so the time to hold back hardest is when the market is hottest. None of this is investment advice.
Sources · 3 sources
- Barber BM, Odean T (2000). Trading Is Hazardous to Your Wealth: The Common Stock Investment Performance of Individual Investors. The Journal of Finance 55(2):773-806. doi.org/10.1111/0022-1082.00226
- An L, Lou D, Shi D (2022). Wealth redistribution in bubbles and crashes. Journal of Monetary Economics 126:134-153. doi.org/10.1016/j.jmoneco.2022.01.001
- the working paper by the same authors, released publicly(2021-10; the figures for China were checked word for word against it). personal.lse.ac.uk/loud/AnLouShi.pdf
16Do not borrow to invest, do not use leverage, do not buy what you do not understand
# Value HighGrade BMoneyNo moneyIn passingSome willpower
If you borrow to buy shares and the price falls through a line, and you cannot top up, you are forced to sell. A loss on the account becomes a real loss there and then, and you do not even get the chance to wait for it to come back. The regulator says a client who has held an account for less than half a year, or whose average daily assets over the last 20 trading days are below 500,000 yuan, cannot open a margin account. That threshold by itself says it is not built for ordinary people.
Cost
No money. The hard part is that in a good market you have to resist the thought of borrowing a little to earn a little more.
Benefit
Leverage means borrowing to buy, and it multiplies your losses. Once you buy on margin, the market value of the collateral can fall below the maintenance margin ratio. The broker sets that line, and it governs what you have pledged with the broker. If the price falls through the line and you cannot add collateral to bring it back, you are force-liquidated and the broker sells for you. A loss on the account becomes a real loss there and then, with no chance to wait for it to come back. The regulator says a client「从事证券交易时间不足半年、缺乏风险承担能力、最近 20 个交易日日均证券类资产低于 50 万元」may not open a credit account. That threshold by itself says it is not a tool for ordinary people (China, 2015)
Notes
"Do not buy what you do not understand" has no direct literature behind it. It is general consensus, and on its own it would be graded C. Investing with a consumer loan or by cashing out a credit card is leverage under another name; for the interest rates, see item 7 in this section (do not use the minimum payment on a credit card). None of this is investment advice.
Sources · 2 sources
- China Securities Regulatory Commission (中国证监会) (2015). Measures for the Administration of Margin Financing and Securities Lending by Securities Companies(证券公司融资融券业务管理办法)(CSRC Order No. 117, Article twelve). www.csrc.gov.cn/csrc/c106256/c1654005/content.shtml
- Shanghai Stock Exchange. Explanation of the Implementation Rules for Margin Financing and Securities Lending Trading(上海证券交易所融资融券交易实施细则解读), investor education material. www.sse.com.cn/services/tradingservice/margin/edu/c/10074042/files/a1f1c4833302451fb9130dbb94116c56.pdf
17Use a broad market index fund instead of an actively managed fund as your long-term holding
# Value HighGrade BMoneyNo moneyIn passingSome willpowerDisputed
The shares that actively managed funds hold between them are already close to the whole market. But the extra management fee they charge comes straight out of what reaches you. If you compare fund performance by reshuffling the returns again and again to strip out luck, very few funds earn back the fee they charge through the extra return they produce.
Cost
No money. The price is giving up the chance of picking the star fund manager. The hard part is that when the index falls you have to bear it too, and you cannot slip out halfway.
Benefit
The overall portfolio of actively managed US equity funds sits close to the market portfolio: the shares these funds hold between them are about the same as the whole market. But the high cost of active management turns straight into a lower net return for investors (what reaches them after fees). The study used bootstrap resampling to reshuffle returns at random again and again and see how far luck alone gets you. The result is that few funds generate excess returns large enough to cover their costs: what a fund earns above the market does not reach the fee it charges (United States, published 2010). S&P Dow Jones Indices publishes this every year: in 2024, 65% of actively managed US large-cap equity funds underperformed the S&P 500. Over the 24 years it tracks, the average was 64% underperforming a year. In the 15 years to the end of 2024, there was no category in which a majority of active funds beat their index
Notes
Disputed: one paper has re-examined this conclusion. It argues that the Fama-French method of resampling the sample again and again does not resample enough. On its algorithm, even a fund whose extra return is genuinely obvious can be judged as indistinguishable from luck. So "almost no fund has skill" may be too strong. China's figures are not as lopsided as America's. S&P Dow Jones figures to June 2025 put the share of actively managed A-share large-cap funds underperforming the S&P China A 300 at 60.5% over 1 year, 69.6% over 3 years and 50.8% over 5 years. This series only goes back 5 years, so there is no longer figure. In China then, whether active funds underperform the index over the long run is still unsettled, but the low fees of an index fund hold either way. None of this is investment advice.
Sources · 4 sources
- Fama EF, French KR (2010). Luck versus Skill in the Cross-Section of Mutual Fund Returns. The Journal of Finance 65(5):1915-1947. doi.org/10.1111/j.1540-6261.2010.01598.x
- S&P Dow Jones Indices (2025). SPIVA U.S. Scorecard Year-End 2024. (the site refuses automated fetching; the figures were checked against the archive of 2025-05-12: )www.spglobal.com/spdji/en/spiva/article/spiva-usweb.archive.org/web/20250512071051/https://www.spglobal.com/spdji/en/spiva/article/spiva-us
- S&P Dow Jones Indices (2025). SPIVA Asia Ex-Japan Scorecard Mid-Year 2025 (Report 1a, the underperformance of China Large-Cap against the S&P China A 300: 1 year 60.5%, 3 years 69.6%, 5 years 50.8%). (the site refuses automated fetching; checked against the archive)web.archive.org/web/20251103165922/https://www.spglobal.com/spdji/en/documents/spiva/spiva-asia-ex-japan-mid-year-2025.pdf
- Harvey CR, Liu Y (2022). Luck versus Skill in the Cross Section of Mutual Fund Returns: Reexamining the Evidence. The Journal of Finance, 77(3). (the dissenting side)doi.org/10.1111/jofi.13123
18Among funds of the same kind, pick the one with the lowest fees
# Value ExceptionalGrade CMoneyNo moneyIn passingNo willpower
A fee one percentage point higher a year leaves you about 18% less after 20 years and about 26% less after 30. Among funds of the same kind, the lowest fee is the only thing about this you can be certain of in advance.
Cost
No money. Before you buy, take one more look at what the management fee, the custody fee and the sales service fee come to together.
Benefit
The difference in fees eats into the principal bit by bit through compounding, which means the slice taken each year builds on itself year after year. A fee 1 percentage point higher a year cuts the final value by 0.99^20 ≈ 18.2% after 20 years, where the final value is what is left in the account at that point, and by about 26% after 30 years. China has run fee reform on public funds since 2023, lowering the fee ceiling for actively managed equity funds (the kind that mostly buy shares and leave the choosing to a fund manager). From 7 July 2023, a newly registered fund of that type charges a management fee of no more than 1.2% and a custody fee of no more than 0.2%. 136 fund companies have also brought the same two fees on their older products down below this line
Notes
The calculation is just the formula worked through, and it assumes both funds earned the same before fees. In reality you also have to count the subscription fee, the redemption fee and the sales service fee on a class C share. None of this is investment advice.
Sources · 3 sources
- China Securities Regulatory Commission (中国证监会) (2023). The CSRC Official in Charge Answers Reporters' Questions on Public Fund Fee Reform. www.csrc.gov.cn/csrc/c100028/c7418692/content.shtml
- Xiamen CSRC Bureau (厦门证监局) (2024).「新注册的主动权益类基金统一执行"管理费率不超过1.2%、托管费率不超过0.2%"的上限标准」. www.csrc.gov.cn/xiamen/c105636/c7511608/content.shtml
- Fama EF, French KR (2010). See item 11 in this section. doi.org/10.1111/j.1540-6261.2010.01598.x
19Do not put all your money into one share, one platform or one property
# Value HighGrade BMoneyNo moneyIn passingSome willpower
If several things do not rise and fall in perfect lockstep, spreading your money leaves the average return unchanged and makes the account swing less. Put the other way round, if everything is in one share, one platform or one property, then when it goes wrong everything about you goes wrong.
Cost
No money. The hard part is accepting one thing: you will not happen to pick exactly the one that does best.
Benefit
As long as several assets do not rise and fall in perfect lockstep, spreading your money leaves the expected return (what you can expect to earn) unchanged and makes the volatility (how far the account moves up and down) smaller. This is the basic result on portfolio choice put forward by Markowitz in 1952, and it has been used ever since. The other way round, if everything is in one share or one platform, its variance is your entire variance, and it moves as much as you do. When it goes wrong there is no hedge, and no other asset can make good the loss
Notes
It is graded B because that classic paper is pure mathematical derivation and does not work out how much spreading saves you in money. Spreading only makes the account move less; it does not promise that you will not lose. Buying a broad market index fund (see item 17 in this section) is itself the cheapest way to spread. None of this is investment advice.
Sources
Markowitz, H. (1952). Portfolio Selection. The Journal of Finance, 7(1), 77–91.
doi.org/10.1111/j.1540-6261.1952.tb01525.x20If you pay income tax, open a personal pension account: 12000 yuan a year comes off before tax. If you pay no income tax, the account does not pay
# Value HighGrade AMoneyNo moneyIn passingNo willpower
For every yuan you put in, the tax you save is your own rate band minus 3%. With the full 12000 yuan in a year, someone at 10% saves 840 yuan, at 20% 2040 yuan, at 30% 3240 yuan. Someone who owes no income tax saves nothing at all and pays 3% on withdrawal, a net loss. You cannot get the money out until you retire.
Cost
Opening the account is free. The real cost is that the money is locked until you retire and you cannot take it out in between.
Benefit
Money paid in can be deducted truthfully from comprehensive income or from business income, up to 12000 yuan a year: whatever you pay in, you can subtract from the income you are taxed on. The return this money earns in the account is not taxed with individual income tax for now. When you draw it later it is not merged into comprehensive income, and is taxed separately at 3%. So what you save is your marginal tax rate minus 3%, multiplied by what you actually paid in. The marginal rate is the band that applies to each extra yuan you earn. Worked out: someone at a marginal rate of 10% saves at most 840 yuan a year, at 20% 2040 yuan, at 30% 3240 yuan. Someone who owes no individual income tax at all (their annual comprehensive income, after every deduction, stays below the threshold) saves nothing when they pay in and pays 3% when they draw out, a net loss. The annual contribution limit accumulates by calendar year and starts again the following year; anything you do not use in one year does not carry over. This policy has applied nationwide since 2024-12-15 (nationwide)
Notes
The account is "closed-loop": once the money is in, you cannot take it out. There are only four ways to draw on it: reaching the age at which you receive the basic old-age pension, total and permanent loss of the capacity to work, settling abroad or in Hong Kong, Macau or Taiwan, and other situations the state specifies. So it is not a saving product; it is a tax arrangement locked up for years. Work out first what you pay on each extra yuan you earn, then decide how much to pay in. Do not lock up your emergency fund to catch a bargain (for the emergency fund, see item 27 in this section). The money in the account still has to be invested in a product you choose yourself, and it can lose money. The rules for choosing that product are the same as in items 17 and 18 in this section (a broad market index fund, prefer low fees). The deduction certificate is issued by the personal pension information management service platform. You can choose when to take the deduction: either when tax is withheld from your pay in the year, or at the settlement the following year (see item 2 in this section for the settlement).
Sources · 2 sources
- Ministry of Finance and State Taxation Administration (财政部、税务总局) (2024). Announcement on Implementing Preferential Individual Income Tax Treatment for Personal Pensions Nationwide(关于在全国范围实施个人养老金个人所得税优惠政策的公告)(Announcement of the Ministry of Finance and the State Taxation Administration No. 21 of 2024, of 2024-12-12). www.gov.cn/zhengce/zhengceku/202412/content_6992498.htm
- Ministry of Human Resources and Social Security and four other departments (2022). Implementation Measures for Personal Pensions(个人养老金实施办法)(Articles seven, eight, nine, twelve and thirteen). www.gov.cn/zhengce/zhengceku/2022-11/05/content_5724783.htm
21Pay per visit at the gym, or buy a short term, unless you have over a year of steady attendance on record
# Value ModerateGrade BMoneyA little moneyIn passingNo willpower
In the three years of American data, members who chose a contract costing more than 70 dollars a month went only 4.3 times a month on average, which works out at more than 17 dollars a visit. A card for 10 visits cost 10 dollars a visit. These people paid about 600 dollars more over the length of their membership. Unless you already have over a year of steady attendance on record, paying per visit or buying a short term is cheaper.
Cost
Paying per visit costs more each time than an annual card spread out. You have to estimate honestly how many times a month you really go.
Benefit
The study looked at three years of data on 7,752 members of 3 American health clubs. Members who chose a contract costing more than 70 dollars a month went only 4.3 times a month on average, which works out at more than 17 dollars a visit. A card for 10 visits cost 10 dollars a visit. These people paid about 600 dollars more over the length of their membership. Separately, monthly members who had not cancelled after more than a year were 17% more likely than annual members to still be there (United States, three years of panel data)
Notes
This is one study, and it used American data. But the reasoning behind it travels: people overestimate how much self-control they will have in future. If you already have a record of going twice a week or more for a full year, an annual card really is cheaper.
Sources
DellaVigna S, Malmendier U (2006). Paying Not to Go to the Gym. American Economic Review 96(3):694-719.
doi.org/10.1257/aer.96.3.69422Get a written contract when you pay money in advance; if the business is at risk stop paying, and before it disappears you can ask for the unspent balance back
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
When a merchant takes your money in advance, it must sign a written contract with you and set out how a refund works. When a merchant runs into serious trouble it must stop taking money, and it must tell you in advance if it is closing or moving. At that point you can demand that it carries on providing the goods or service, or that it refunds the balance you have not spent. A merchant that breaks these rules is fined.
Cost
No money. The hard part is insisting on a written contract at the counter and refusing "top up now and sort it out later".
Benefit
The regulations say that a merchant taking advance payments must enter into a written contract and agree in it how refunds work. A merchant facing serious operational risk must stop taking advance payments. A merchant deciding to close or move must tell consumers in advance. A consumer has the right to require it to carry on performing, or to have the unspent balance refunded. A breach can be fined 1 to 10 times the illegal gains; where there are no illegal gains, the fine is up to 500,000 yuan
Notes
The regulations give you grounds for a lawsuit afterwards; they do not stop anything in advance. If the merchant really disappears, the money has usually gone from the account. So top up less, following item 21 in this section (pay per visit at the gym, or buy a short term), and use these regulations to recover your money if it really goes wrong. Article twenty-seven of the same regulations also says that where a merchant takes a deposit it must agree in advance on the method, procedure and time limit for returning it, and must not set unreasonable conditions on the return.
Sources · 2 sources
- State Council (国务院) (2024). Implementing Regulations for the Consumer Rights Protection Law of the People's Republic of China(中华人民共和国消费者权益保护法实施条例)(State Council Order No. 778, in force from 2024-7-1). Article twenty-two:「经营者以收取预付款方式提供商品或者服务的,应当与消费者订立书面合同,约定商品或者服务的具体内容、价款或者费用、预付款退还方式、违约责任等事项。」「经营者未按照约定提供商品或者服务的,应当按照消费者的要求履行约定或者退还预付款。」「经营者出现重大经营风险,有可能影响经营者按照合同约定或者交易习惯正常提供商品或者服务的,应当停止收取预付款。经营者决定停业或者迁移服务场所的,应当提前告知消费者……消费者……有权要求经营者继续履行提供商品或者服务的义务,或者要求退还未消费的预付款余额。」www.gov.cn/zhengce/zhengceku/202403/content_6940159.htm
- penalties under Article fifty
23Set a 24-hour cooling-off period on large non-essential purchases, and use the seven-day no-questions return when you shop online
# Value ModerateGrade CMoneyNo moneyIn passingSome willpower
What you save is the things you no longer want the next day. Anything bought online can be returned without giving a reason within seven days of receiving it. A few kinds cannot: items made to your specification, fresh goods and things that spoil easily, unsealed digital goods, and newspapers and magazines.
Cost
No money. You get what you wanted a day later instead. You usually pay the return postage yourself. The hard part is not ordering on the day.
Benefit
What you save is the part of an impulse buy that you no longer want the next day. There is no single proportion for how much that is. Goods bought online can be returned without a reason within seven days of receipt. There are four exceptions: items made to order, fresh and perishable goods, unsealed digital goods, and newspapers and magazines (China, in force since 2017)
Notes
The cooling-off period itself is a rule of thumb with no direct literature behind it. Where the cooling-off period does not stop you, the seven-day no-questions return is there to use. Before you return anything, check two things: whether the item is on the list that cannot be returned, and whether the packaging is still intact.
Sources
State Administration for Market Regulation (国家市场监督管理总局) (2020, amended). Interim Measures for the Seven-Day No-Questions Return of Goods Purchased Online(网络购买商品七日无理由退货暂行办法)(SAMR Order No. 31).
www.gov.cn/zhengce/zhengceku/2020-11/03/content_5557118.htm24Do not stock up for big sales or for a struck-through "original price"
# Value ModerateGrade CMoneyNo moneyIn passingSome willpower
People judge whether something is expensive by the first number they see, and later adjustments do not go far enough to correct it. So "was 999, now 499" systematically makes you overstate how cheap it is. By law, the only thing a discount may be measured against is the lowest price the same shop actually sold at in the seven days before the promotion. The crossed-out price does not necessarily reflect a real sale.
Cost
No money. The price is that you also let some genuine discounts go. You have to remember the everyday price of the few things you buy often. The hard part is not stockpiling on the day of the sale.
Benefit
People's judgement gets fixed by the first number they see, and later adjustment usually does not go far enough. So "was 999, now 499" systematically raises your estimate of how much you are saving. The regulator says the baseline for a markdown must be the lowest price actually sold by the same shop in the seven days before the promotion, and the depth of the discount is measured against the lowest price that shop really sold in those seven days. The crossed-out price does not necessarily reflect a real sale (China, in force since 2020)
Notes
The anchoring effect is a laboratory finding, and nobody has worked out how much money stockpiling actually costs you. Stockpiling also carries costs you will not enter in your accounts: things going out of date, taking up space, and "there is some at home, so I will use a bit more". Stock up only in the three cases that all hold: a long shelf life, certain use, and a unit price genuinely below what it used to be.
Sources · 2 sources
- Tversky A, Kahneman D (1974). Judgment under Uncertainty: Heuristics and Biases. Science 185(4157):1124-1131. doi.org/10.1126/science.185.4157.1124
- State Administration for Market Regulation (2020). Interim Provisions on Regulating Promotional Conduct(规范促销行为暂行规定)(SAMR Order No. 32, Article twenty-one). www.samr.gov.cn/zw/zfxxgk/fdzdgknr/fgs/art/2023/art_cae53a080be2401e8f91c6d6291539f8.html
25Buy the pure protection type of insurance first, and treat the "return" and "dividend" parts as not guaranteed
# Value HighGrade CMoneyNo moneyIn passingSome willpowerDisputed
The insurer does not guarantee the dividend and return part of your money. The policy document has to state in bold that future policy dividends are non-guaranteed benefits. The extra premium you pay for a return policy is money handed to the insurer to hold for you, with no guaranteed return and no easy way to take it out.
Cost
No money. A pure protection policy pays nothing back at the end, and it nags at you that the money went for nothing. You have to arrange the saving yourself. The hard part is accepting that this money will not come back.
Benefit
The regulator's rules require the policy document of a participating product to warn in bold that「未来的保单红利为非保证利益,其红利分配是不确定的」. The illustration of benefits is the projection table the insurer shows you, and its spread limit is 4.5% minus the product's assumed interest rate. The assumed rate is the return fixed in the contract. The extra premium in a return policy or a participating policy is a form of saving held on your behalf by the insurer. Its return is not guaranteed, its liquidity is poor, and taking it out is not easy (China, in force since 2023)
Notes
Disputed: for a person who cannot save at all, a return policy forces them to keep paying on schedule, and that is worth something in practice. The advice above is aimed at an ordinary person who can control their own spending. How much better "buy the protection type and invest the premium you saved yourself" really is than "buy a return policy" depends on the product, and this section has no systematic data to cite. None of this is investment advice.
Sources
formerly the China Banking and Insurance Regulatory Commission (中国银保监会) (2022). Rules on Information Disclosure for Personal Insurance Products of One Year or More(一年期以上人身保险产品信息披露规则)(银保监规〔2022〕24).
www.gov.cn/zhengce/zhengceku/2023-01/04/content_5735014.htm26Buy enough third-party liability cover: the compulsory limit is uniform nationwide and low, and anything above it comes out of your own pocket
# Value HighGrade AMoneyA fair amount of moneyIn passingNo willpower
When you are at fault, compulsory insurance pays at most three things: 180,000 yuan for death and disability, 18,000 yuan for medical expenses, and 2,000 yuan for property damage. They are counted separately and cannot be moved between one another. The bill for injuring someone easily goes past these limits, and the excess comes out of your own household budget, so buy enough commercial third-party cover.
Cost
Commercial third-party liability insurance costs several hundred to a thousand yuan a year. The more cover you buy, the cheaper the premium works out per unit of cover.
Benefit
Compulsory traffic accident liability insurance applies a uniform liability limit nationwide. The limit is worked out as four separate items: death and disability, medical expenses, property damage, and the compensation payable when the insured is not at fault. Since the 2020 reform of motor insurance, the total liability limit in force is 200,000 yuan. Within that 200,000 yuan, death and disability is 180,000 yuan, medical expenses 18,000 yuan and property damage 2,000 yuan. When you are not at fault, death and disability is 18,000 yuan, medical expenses 1,800 yuan and property damage 100 yuan. Anything above the limit is borne by the party at fault, so if you hit someone you pay it yourself. A vehicle with no compulsory insurance is impounded, and you are fined 2 times the insurance premium you should have paid
Notes
The regulator sets the limits and they change. These figures are the values in force since the September 2020 motor insurance reform, so check them again before you buy. What matters is the structure: compulsory insurance pays item by item, and an unused balance in one item cannot be moved to cover another. The total bill for injuring someone can go far past it, and no insurance covers the difference. This book does not give a number for how much third-party cover to buy. But it is one of the few places in this book where spending several hundred yuan removes a small chance of a loss that would crush a household.
Sources · 3 sources
- State Council (国务院) (2006, amended 2012). Regulations on Compulsory Traffic Accident Liability Insurance for Motor Vehicles(机动车交通事故责任强制保险条例)(State Council Order No. 462, as amended by State Council Order No. 618) Article twenty-three:「机动车交通事故责任强制保险在全国范围内实行统一的责任限额。责任限额分为死亡伤残赔偿限额、医疗费用赔偿限额、财产损失赔偿限额以及被保险人在道路交通事故中无责任的赔偿限额。」「责任限额由保监会会同国务院公安部门、国务院卫生主管部门、国务院农业主管部门规定。」Article twenty-one, on compensation within the limits
- Article thirty-nine, on having no insurance「由公安机关交通管理部门扣留机动车……处依照规定投保最低责任限额应缴纳的保险费的2倍罚款」. www.gov.cn/gongbao/content/2012/content_2131962.htm
- China Banking and Insurance Regulatory Commission (中国银行保险监督管理委员会) (2020). Guiding Opinions on Implementing the Comprehensive Reform of Motor Insurance(关于实施车险综合改革的指导意见)(银保监发〔2020〕41), item four, sub-item four:「将交强险总责任限额从12.2万元提高到20万元,其中死亡伤残赔偿限额从11万元提高到18万元,医疗费用赔偿限额从1万元提高到1.8万元,财产损失赔偿限额维持0.2万元不变」. (State Council Gazette)www.gov.cn/gongbao/content/2020/content_5567758.htm
27Save 3 to 6 months of living costs as an emergency fund, and keep it where you can withdraw at any time
# Value HighGrade CMoneyNo moneyIn passingSome willpower
Put 3 to 6 months of living costs somewhere you can withdraw from at any time. Then when you lose your job or fall ill you do not have to borrow money at 18% a year, and you do not have to sell your investments at a loss. Money in a bank is covered by deposit insurance, which pays up to 500,000 yuan per bank.
Cost
No money. The price is that this money gives up a higher return and can only sit in a demand account, a money market fund, or a deposit you can withdraw from at any time. The hard part is not touching it while you build it up.
Benefit
With an emergency fund, when you lose your job or fall ill you do not have to borrow, and you do not have to sell investments at a loss. For the annualised rates on consumer loans and the minimum payment on a credit card, see item 7 in this section (do not use the minimum payment on a credit card). Money in a bank is protected by deposit insurance, which pays up to 500,000 yuan per bank (China, 2015)
Notes
"3 to 6 months" is a rule of thumb people use, and no official or academic original source was found for it, so it is graded C. Work out the amount from your own fixed monthly spending, not from your income. None of this is investment advice.
Sources
State Council (国务院) (2015). Regulations on Deposit Insurance(存款保险条例)(State Council Order No. 660, Article five).
www.gov.cn/zhengce/content/2015-03/31/content_9562.htm28Do the comparison before repaying a mortgage early; do not go on feel
# Value ExceptionalGrade CMoneyNo moneyIn passingNo willpower
Repaying a mortgage early is a certain gain of your mortgage rate. So there is only one question to ask: is the after-tax return you can get steadily over the long run higher than your mortgage rate? If it is, do not rush to repay; if it is not, or you cannot tell, then repay. With equal principal and interest, interest takes the larger share in the early years, so the earlier you repay the more you save. The "early repayment calculation" in your bank's app gives you the figure directly.
Cost
No money. It takes half an hour to do the sums. You have to estimate honestly the steady after-tax return you can actually get.
Benefit
The arithmetic works like this. First set
r as the annual interest rate on your mortgage, as your contract states it. On 2026-8-20 the 5-year
LPR above is 3.5%, and the rate actually applied is that
LPR plus or minus a spread. Then set g as the annualised after-tax return on the other investment you could choose: the proportion of this money that you can expect to earn in a year on average by putting it somewhere else. The certain return on repaying early is
r, and each payment you make is an
r earned for certain. If g is reliably greater than
r, keeping the money invested does better. If g is below
r, or if you cannot pin g down at all, repaying early locks in a risk-free
r. With equal principal and interest, interest takes the larger share of your early payments, so the earlier you repay the more interest you save. You can read the figure straight off the bank's app under "early repayment calculation" (China, 2026 rates)
Notes
Only the method is given here, and no conclusion. It is rare for an investment return to beat the mortgage rate reliably. Whichever side you choose, set aside the emergency cash first. Also check whether the contract has a penalty clause for repaying early. None of this is investment advice.
Sources
National Interbank Funding Center, authorised by the People's Bank of China (2026). Announcement of the Loan Prime Rate of 2026-8-20(2026 年 8 月 20 日贷款市场报价利率(
LPR)公告).
www.chinamoney.com.cn/chinese/rdgz/20260820/3399885.html29Trust the platform's rules and the statute when you shop online, not the streamer or the "positive reviews"
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
If a merchant deceives you, they pay three times the price, and where the price is under 500 yuan the compensation is counted as 500 yuan. A platform that knows a seller is infringing and does nothing has to pay alongside them. A deposit may be at most 20% of the contract value; if you break the contract the deposit is not returned, and if the seller breaks it you get it back double. Fake orders and fake positive reviews in a livestream room make the operator liable, and killing the newcomer with big data is expressly forbidden.
Cost
No money. Read the after-sales terms and the deposit rules once more before you order. After the goods arrive, keep the order, screenshots of the livestream replay and your chat logs. The hard part is not being carried away by the streamer's manner.
Benefit
Where an operator commits fraud, it pays three times the price, and where the price is under 500 yuan the compensation is counted as 500 yuan. A platform that knows or should know that a seller is infringing and does not act bears joint liability, and you can claim that compensation from the platform directly. A livestream room and a streamer may not invent transactions, follows, views or likes, and may not publish false information; where this causes harm they bear civil liability. Organising fake transactions or fake reviews to promote someone is fined up to 1,000,000 yuan; where the circumstances are serious, 1,000,000 to 2,000,000 yuan, and the licence may be revoked. A deposit may not exceed 20% of the contract value. If you do not perform, the deposit is not returned; if the seller does not perform, it is returned to you double. Where automated decisions are taken using personal information, unreasonable differential treatment on terms such as the transaction price is forbidden, and that is what is commonly called killing the newcomer with big data (nationwide)
Notes
There is no official comparative data to cite on which platform gives the best value or is least likely to sell you poor goods, so this book does not rank platforms. All that can be checked is the overall spot-check result (see item 32 in this section, checking the national spot-check notices). After the 2025 amendment, false advertising moved from the old Article eight to Article nine. The penalties moved from Article twenty to Article twenty-five. The new law applies from 15 October 2025. Do not copy the old article numbers into anything you write. In that batch of Shandong cases, one company organised 75 fake transactions through "hired hands" on a principal of more than 680,000 yuan and was caught; the notice does not state the fine. For the seven-day no-questions return, see item 23 in this section (use the seven-day no-questions return when you shop online).
Sources · 6 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2013, amended). Consumer Rights Protection Law(消费者权益保护法)(Articles forty-four and fifty-five). (reprinted by the State Administration for Market Regulation)www.samr.gov.cn/zfjcj/tzgg/art/2023/art_615af9ed6bcd4974bf853dd2e02bc663.html
- Cyberspace Administration of China and six other departments (2021). Interim Measures for the Administration of Livestream Marketing(网络直播营销管理办法(试行))(Articles eighteen and twenty-eight). www.gov.cn/zhengce/zhengceku/2021-04/23/content_5601682.htm
- Standing Committee of the National People's Congress (2025, amended). Law Against Unfair Competition(反不正当竞争法)(Articles nine and twenty-five). (reprinted by the National Social Security Fund Council)www.ssf.gov.cn/portal/rootfiles/2025/09/01/1758444945285569-1758444945303119.pdf
- National People's Congress (全国人大) (2020). Civil Code(民法典)(Articles five hundred and eighty-six and five hundred and eighty-seven). www.court.gov.cn/zixun/xiangqing/233181.html
- Standing Committee of the National People's Congress (2021). Personal Information Protection Law(个人信息保护法)(Article twenty-four). (reprinted by the National Bureau of Statistics)www.stats.gov.cn/gk/tjfg/xgfxfg/202503/t20250310_1958923.html
- Shandong Provincial Administration for Market Regulation (山东省市场监管局) (2025). Six Typical Cases of Unfair Competition on the Internet(六起网络不正当竞争典型案例). www.samr.gov.cn/jjj/fbzdjz/art/2025/art_cbaed1c006584baeb6823a6b01325ba4.html
30If something bought in a livestream room goes wrong, ask the platform for the seller's and the seller's agent's details, and the platform must give them
# Value HighGrade AMoneyNo moneyIn passingNo willpower
The most common dead end when something bought in a livestream room goes wrong is that you cannot find out who to sue. At that point you can require the platform to give you the details of the livestream room operator and the person selling, and the relevant business records. The platform has to provide them.
Cost
No money. All it takes is to make the request to the platform.
Benefit
Where a consumer dispute arises, the operator of a livestream marketing platform must, at the consumer's request, provide information on the livestream room operator and the livestream marketing staff, together with the relevant business activity records. The hardest part of enforcing your rights after a livestream purchase is finding out who to sue, and once you have these details you know who to sue
Notes
Record the screen and the streamer's promises before you order. When something goes wrong, ask the platform for the seller's and the seller's agent's details first, and then decide whether to complain or to sue. The same regulations set out three more things. A merchant may not widen the range of goods treated as excluded from the seven-day no-questions return. They may not make "not covered by the no-questions return" the default option. And they may not refuse your return without your confirmation.
Sources
State Council (国务院) (2024). Implementing Regulations for the Consumer Rights Protection Law of the People's Republic of China(中华人民共和国消费者权益保护法实施条例)(State Council Order No. 778, in force from 2024-7-1). :「经营者通过网络直播等方式提供商品或者服务的,应当依法履行消费者权益保护相关义务。直播营销平台经营者应当建立健全消费者权益保护制度,明确消费争议解决机制。发生消费争议的,直播营销平台经营者应当根据消费者的要求提供直播间运营者、直播营销人员相关信息以及相关经营活动记录等必要信息。」「直播间运营者、直播营销人员发布的直播内容构成商业广告的,应当依照《中华人民共和国广告法》的有关规定履行广告发布者、广告经营者或者广告代言人的义务。」
www.gov.cn/zhengce/zhengceku/202403/content_6940159.htm31Unsafe food: besides a refund you can ask for ten times the price, and where the additional compensation is under 1,000 yuan it is counted as 1,000 yuan
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
If the food you bought is past its date or has gone off, the goods themselves, the packaging and the receipt are your evidence, so do not rush to throw them out. You can claim ten times the price or three times the loss, and where that is under 1,000 yuan it is counted as 1,000 yuan. Whether you approach the seller or the manufacturer is your choice, and whichever one you approach must pay first without passing you on.
Cost
No money. Keep the food, the packaging and the receipt. Do not throw them away and do not wash them. Take photographs at once. Go to the merchant or the platform first, and call 12315 if you cannot settle it. If you end up suing it takes months. The hard part is resisting the urge to throw the goods away first.
Benefit
Where you are harmed by food that does not meet food safety standards, you may claim compensation for the loss from the operator, and you may also claim it from the producer. Whoever receives your compensation claim is subject to the first-responsibility rule and must pay first without evasion. That means whoever you approach has to pay you first and cannot pass you to the other party. Besides compensation for the loss, you may also require the other party to pay punitive compensation of ten times the price or three times the loss, and「增加赔偿的金额不足一千元的,为一千元」. There is one exception:「食品的标签、说明书存在不影响食品安全且不会对消费者造成误导的瑕疵的除外」. The judicial interpretation sets out several further rules. First, three conditions have to be met together: the purchase was for personal or household consumption, the food does not meet food safety standards, and there is no evidence that the buyer knew it did not. Meet them and「以其实际支付价款为基数计算价款十倍的惩罚性赔偿金」. Second, where someone buys knowing it does not meet the standards and then claims, the court supports the claim only「在合理生活消费需要范围内」. Buying repeatedly and suing repeatedly is assessed by total purchases within that one range. Third, there are several defects for which the court will not award punitive compensation, provided they cannot mislead the consumer about food safety: irregular lettering or type size, with typos or missing or extra characters; a non-standard way of stating net content or specification; and no storage conditions marked on a food that has no special storage requirement (nationwide)
Notes
The order of the evidence matters more than the amount. Photograph and video first, capturing the packaging, the production date, the foreign object and the purchase record, and only then contact the merchant or the platform. Do not throw the goods away or wash them before you have spoken to anyone. What 12315 does is mediate; it does not rule. If the merchant refuses to admit anything, suing is the only road left; for how small claims are counted, see item 22 in section 8 (online shopping and second-hand transactions where you were deceived). Also note: whether a hair or an insect found in the food counts as failing food safety standards is usually for the market regulation authority to determine or for an appraisal to settle, and it is not for you to decide. So the claim that finding one hair entitles you to 1,000 yuan does not hold. Fraud in an ordinary good is compensated at three times the price, and under 500 yuan is counted as 500 yuan; see item 29 in this section (trust the platform's rules and the statute). Selling food you make yourself has its own rules on which certificates to register for, how to write the label, and why you may not claim it treats disease; for the details see items 8, 9, 10 and 11 in section 12 (food licensing, labelling, the line on therapeutic claims, and the criminal line). The other way round, making a business out of compensation claims has clear red lines. First, deliberately manufacturing a false picture that a merchant is operating unlawfully and then using complaints or lawsuits to demand money is suspected of extortion, and the court must refer the clues and materials to the police. Second, where a lawsuit is brought on the basis of a manufactured picture, the court dismisses the claim; where it constitutes false litigation, a fine or detention is imposed according to the circumstances, and the merchant may in turn sue you for infringement of reputation. The beneficiary tier for this item is you and your family.
Sources · 2 sources
- Standing Committee of the National People's Congress (2025, 3rd amendment). Food Safety Law(食品安全法)(Article one hundred and forty-eight). (National Database of Laws and Regulations, in force from 2025-12-1)flk.npc.gov.cn/detail?id=7b5a76d0461745a08d3f964916b87ef3
- Supreme People's Court (2024). Interpretation on Several Questions of Law Concerning the Application of Law in Cases of Disputes over Punitive Compensation for Food and Drugs(关于审理食品药品惩罚性赔偿纠纷案件适用法律若干问题的解释)(法释〔2024〕9, Articles one, six, seven, eight, twelve, thirteen, fourteen, fifteen and sixteen, in force from 2024-8-22). (Gazette of the Supreme People's Court)gongbao.court.gov.cn/Details/bf531a70471f10d377788f28d3d8f8.html
32Before buying anything large, check the national spot-check notices, 3C certification and the energy efficiency label
# Value HighGrade BMoneyNo moneyIn passingNo willpower
In 2024 the national spot check covered 25,250 batches of products, and 14.3% failed. Online channels were worse: 7297 batches were checked and 23.5% failed, against 15.1% in physical shops. Before buying anything large, spend a few minutes looking up the spot-check notice and then check whether the 3C certificate is genuine. Where an energy efficiency label is required, it must be there.
Cost
No money. It takes a few minutes on the websites of the State Administration for Market Regulation and the certification body.
Benefit
In 2024 the national supervision spot check covered 25,250 batches of products, with a failure rate of 14.3%. Of these, 7297 batches were taken from online channels with a failure rate of 23.5%, 1.8 percentage points higher than the year before. 8055 batches came from physical shops with a failure rate of 15.1%. Certificates for compulsory product certification (3C) can be checked for authenticity in the "certification results" column on the CNCA website. Energy efficiency labels are managed under a mandatory catalogue, and the label must carry the energy efficiency grade, the efficiency index and an energy efficiency information code. Forging or misusing an energy efficiency label, or failing to put one on where it is required, is punished under the Energy Conservation Law (nationwide)
Notes
A spot check takes a selection of goods chosen by the regulator, so the result is not the pass rate of the whole market, and it cannot be used to rank platforms. Nobody has studied how many fewer poor goods you would buy by checking, so this is graded B. The CNCA search platform cx.cnca.cn would not open when this section was checked; take cnca.gov.cn on the front page as the way in. The figures in the spot-check notices are updated every year, so look up the most recent issue when you use them.
Sources · 3 sources
- State Administration for Market Regulation (市场监管总局) (2025). Report on the National Supervision Spot Check of Product Quality in 2024. www.samr.gov.cn/zw/zfxxgk/fdzdgknr/zljds/art/2025/art_02676c16ac634fd9a48ec6ea10eb000d.html
- Certification and Accreditation Administration of the People's Republic of China (国家认监委). The "certification results" search on the official website. www.cnca.gov.cn
- National Development and Reform Commission and formerly the General Administration of Quality Supervision, Inspection and Quarantine (2016). Measures for the Administration of Energy Efficiency Labelling(能源效率标识管理办法)(Order No. 35, Articles three, seven and twenty-seven). www.gov.cn/zhengce/2021-11/30/content_5713245.htm
33Bead bracelets, jade, wristwatches and designer toys: count them as money spent, not as money saved
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
The price of this kind of thing already includes a slice of consumption tax: 20% on a watch of 10,000 yuan or more, 5% on gold, silver and platinum jewellery and on diamonds, 10% on other jewellery and jade, with value-added tax counted separately. You do not get that tax back if you sell it on. If you genuinely like it, buy it as consumption and do not count it as saving.
Cost
No money. Just keep "it will be worth more later" out of your reasons for buying. The hard part is not adding to the budget for the sake of keeping its value.
Benefit
Start on the buying side. The Consumption Tax Item and Rate Schedule sets the rates like this. "High-end watches" 20%. Under "precious metals, precious stones and jewellery", gold and silver jewellery, platinum jewellery, diamonds and diamond ornaments 5%. Other precious jewellery, precious stones and jade 10%. "High-end watch" is defined as「销售价格(不含增值税)每只在 10000 元(含)以上的各类手表」. Now the realising side, under the Measures for the Administration of Pawnshops. Article thirty-six: the pawn period may not exceed 6 months. Article thirty-seven deals with the pawn interest rate, which is the interest on the money the pawnshop lends you. That interest is worked out from the statutory loan interest rate for a 6-month term published by the People's Bank of China and the length of the pawn period. Interest may not be withheld in advance and taken out of the money before it is handed over. Article thirty-eight: for a pawn of movables (pledge a watch, a piece of jade, that kind of thing), the all-in monthly fee may not exceed 42‰ of the principal, and the separate all-in monthly charge may not exceed 4.2% of the amount borrowed. Real property mortgages are 27‰ and pledges of property rights are 24‰. Article forty: if within 5 days of the term ending you neither redeem the pawn nor extend it, the pawn is forfeited and the goods no longer wait for you. Article forty-three: forfeited goods with an appraised value above 30,000 yuan may be entrusted to auction. The auction proceeds have the auction costs and the principal and interest deducted first. The remainder goes back to the pawnor, and if it is not enough the pawnor is pursued for the shortfall (nationwide)
Notes
Work it out properly when you pledge something to a pawnshop: the all-in monthly charge is capped at 42‰ of the amount borrowed, which is about half the borrowed amount over a year, and the interest on the loan is on top of that. This "half a year" figure is a rough calculation made by multiplying the monthly rate straight by 12, and it is there to show the scale, not to be an exact annual rate. The tax rates and the charges are all set out in writing. But there are no official statistics to cite on whether this kind of thing appreciates over the long run, so this book makes no forecast and comments on no category. The only thing to stop is the reasoning that treats consumption as investment: liking it and wearing it happily is fine to buy as consumption; what loses money is adding budget on the grounds of "keeping its value" or "it will sell for more later". Gold splits two ways too: investment bars traded by weight and jewellery sold by the piece are not the same thing. A jewellery price contains design and workmanship charges, and these are usually not counted when you sell it back. A listing price on a second-hand platform is not a transaction price, and should not be read as a market rate.
Sources · 3 sources
- State Council (国务院) (2008). Interim Regulations of the People's Republic of China on Consumption Tax(中华人民共和国消费税暂行条例)(State Council Order No. 539, with the Consumption Tax Item and Rate Schedule attached). www.gov.cn/zhengce/zhengceku/2008-11/14/content_1795.htm
- Ministry of Finance and State Taxation Administration (财政部、国家税务总局) (2006). Notice on Adjusting and Improving Consumption Tax Policies(关于调整和完善消费税政策的通知)(财税〔2006〕33). www.mof.gov.cn/zhengwuxinxi/zhengcefabu/2006zcfb/200805/t20080524_34758.htm
- Ministry of Commerce and Ministry of Public Security (商务部、公安部) (2005). Measures for the Administration of Pawnshops(典当管理办法)(Order No. 8 of 2005, Articles thirty-six, thirty-seven, thirty-eight, forty and forty-three). www.gov.cn/gongbao/content/2005/content_93074.htm
34For jade and gemstones, accept only a test report carrying the CMA mark, and check the laboratory on the issuing authority's website
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Certificates can be forged, so what you need to check is the laboratory that issued the report. An inspection institution that issues reports to the public must be accredited, and the report must carry the CMA mark. The issuing authority publishes the list of institutions on its website, so you can check whether this one is on it. In an official case that was handled, the "national inspection certificate" supplied with the goods had been made by the seller's own contact.
Cost
No money. Check the qualifications of the issuing laboratory once before you order. It takes a few minutes.
Benefit
Start with the rules, under the Measures for the Administration of Qualification Accreditation of Inspection and Testing Institutions. Article two: qualification accreditation is a licensing and appraisal of an inspection and testing institution that「向社会出具具有证明作用的数据、结果」: it is examined first, and only then is it given the qualification to issue certificates. Article fifteen: the qualification accreditation mark consists of the CMA design and the number of the qualification accreditation certificate. Article twenty-one: an institution that issues certifying data and results to the outside world must mark the qualification accreditation mark on its inspection and testing report. Article twenty-two: the accreditation authority must publish on its official website the information on institutions that have obtained accreditation, together with the status of the certificate. Article thirty-four: an institution that, without having obtained accreditation in accordance with the law, issues certifying data and results to the outside world is fined 30,000 yuan. Article thirty-seven: forging, altering or misusing an accreditation certificate or mark is fined up to 30,000 yuan. Now the official cases, taken from the typical cases of "cracking down on fakes and clearing out the sources" in the traditional crafts market published by the State Administration for Market Regulation on 2026-6-4. One: a livestream room in Donghai, Jiangsu claimed the goods were "natural, no acid wash, no optimisation, grade A Burmese". The room also supplied a "national inspection certificate". The test results came back as quartzite jade (dyed), jadeite (treated), glass and plastic. That certificate had been produced by the party's own contact. Two: in the same county another case seized 469 items suspected of being fake natural crystal, and testing found 210 to be natural crystal and 259 synthetic crystal. Three: a shop in Zhenping, Henan privately made a display board for livestreaming. The board read「GIA CMA 中玉珠宝玉石鉴定中心认证合作单位」. The shop had also bought 181 "National Jewellery and Gemstone Quality Supervision and Inspection Centre" conformity marks online. Those marks were sold along with the bracelets (nationwide)
Notes
The names of jade and gemstones have a national standard. A test conclusion is written in a form like「石英岩玉(染色)」「翡翠(处理)」, and the two characters in the brackets are where the price difference lies. "Grade A", "old mine" and "no optimisation" are the seller's words, not a test conclusion. The livestream room selling dyed quartzite jade was using exactly this vocabulary. Other tricks appear in the same batch of cases: faking the mine site, hiring people to play "miners" on the stream, arranging trolls to warm up the mood in the room, and scripting "I urgently need money" or "a relative is seriously ill". There are also claims that goods can "prevent and cure rheumatism, raise immunity, improve sleep quality and unblock blood vessels", and that kind is handled as false advertising. For the general method of checking anything large, see
item 32 in this section (check the spot-check notices and
3C certification). For who to go to when a livestream room goes wrong, see
items 29 and 30 in this section (trust the platform's rules and the statute, and ask the platform for the details when a livestream goes wrong).
Sources · 3 sources
- formerly the General Administration of Quality Supervision, Inspection and Quarantine (国家质量监督检验检疫总局) (2015, published; amended 2021). Measures for the Administration of Qualification Accreditation of Inspection and Testing Institutions(检验检测机构资质认定管理办法)(Articles two, fifteen, twenty-one, twenty-two, thirty-four and thirty-seven). www.gov.cn/zhengce/2021-04/22/content_5723677.htm
- State Administration for Market Regulation (国家市场监督管理总局) (2026). The State Administration for Market Regulation Publishes a Batch of Typical Cases of "Cracking Down on Fakes and Clearing Out the Sources" in the Traditional Crafts Market. www.samr.gov.cn/xw/zj/art/2026/art_1529399cfe874b8780c4496eb0158020.html
- National Standardization Administration (国家标准化管理委员会). GB/T 16552—2017 Naming of Gemstones and Jade(珠宝玉石 名称)(in force, implemented 2018-5-1). openstd.samr.gov.cn/bzgk/gb/newGbInfo?hcno=18FFB042811998A0309E05CF452B2438
35Blind boxes and card draws: count them as money that will not come back
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
The merchant must display the drawing rules, the drawing probabilities and the number of limited-edition items where you can see them, may not rig the result from the back office, and may not set an empty box. On the guaranteed minimum, on money spent and on a cap on the number of draws, the document only encourages merchants to provide one. For a blind box bought online, once the merchant has explained it and you have confirmed it, you cannot use the seven-day no-questions return after breaking the seal.
Cost
No money. Just fix your budget before you buy. The hard part is stopping when the one you wanted did not come up.
Benefit
The basis is the Guiding Principles for Regulating Business Conduct in Blind Box Sales (Trial)(盲盒经营行为规范指引(试行)). Article nine lists a set of key items of information that must be published publicly in a prominent way, so that consumers know them before buying. They are: the name, category and style of the goods, the drawing rules, the distribution of the goods, the number of limited items released, the drawing probabilities, and the range of value of the goods. The same article also sets out three things that are forbidden. It is forbidden to manipulate the result from the back office, to change the drawing probabilities at will, or to induce consumption in disguised ways. It is forbidden to refuse or deliberately delay handing over the blind box by discounting, buying it back or exchanging it. It is forbidden to set an empty box. Article eleven only「鼓励」the operator to establish a guaranteed minimum mechanism and guide rational consumption by setting limits on the time and the money spent and a cap on the number of draws. Article seventeen deals with blind boxes sold over the internet. Where the operator has given full information and reminders and the consumer confirmed at the time of the single purchase, that blind box may be excluded from the seven-day no-questions return once the seal is broken. The operator may not replace the consumer's confirmation with a box ticked by default. Article twenty-one: it is forbidden to carry on or in disguised form carry on gambling in the name of blind boxes. Article twenty-three: it is forbidden to sell blind boxes to minors under 8 years old; selling to minors aged 8 and above requires lawful confirmation that the consent of the relevant guardian has been obtained (nationwide)
Notes
This document is guidance about what an operator should do; by itself it is not a basis for punishment. If something really goes wrong, it is handled under the Product Quality Law, the Law Against Unfair Competition and the Consumer Rights Protection Law. There are three things you can complain about specifically: probabilities that were not published, published probabilities that do not match reality, and an empty box. Before complaining, record the rules on the page and the unboxing on video. Exclusion from the seven-day no-questions return after the seal is broken has a precondition: the merchant gave full information, you confirmed at the time of the single purchase, and a box ticked by default cannot count as your confirmation. Selling to minors is governed separately: a merchant may not sell to a child under 8, and for a minor aged 8 and above it must first confirm that the guardian's consent has been obtained. For getting a refund when a child tops up and tips with a phone, see item 9 in this section (a child tops up and tips with a phone). For the 24-hour cooling-off period on large non-essential purchases, see item 23 in this section (set a cooling-off period on large non-essential purchases). For the cycle of "it fades once I own it, so I buy again", see item 23 in section 6 (do not expect buying things to improve your mood).
Sources
State Administration for Market Regulation (市场监管总局) (2023). Guiding Principles for Regulating Business Conduct in Blind Box Sales (Trial)(盲盒经营行为规范指引(试行))(国市监稽发〔2023〕39, Articles nine, eleven, seventeen, twenty-one and twenty-three).
www.samr.gov.cn/zw/zfxxgk/fdzdgknr/zfjcs/art/2023/art_e2facd76a7fb4e90b03912cffb5e7d53.html36If you care what is in the food, buy prepacked: a bulk counter is not legally required to carry an ingredient list
# Value ModerateGrade AMoneyA little moneyIn passingNo willpower
The law only requires an ingredient list on prepacked food; bulk food is not required to have one. A bulk counter only has to state the name, the production date, the shelf life and who produced it. So "no additives listed" does not mean "none added", only that the law did not require it to be written. If you care, buy the prepacked version, with the ingredient list and the names of the additives printed on it.
Cost
No money. The same thing in prepacked form usually costs a little more. Reading the ingredient list takes seconds.
Benefit
Article sixty-seven of the Food Safety Law provides that prepacked food must carry a label. The label must state nine items. The second is the list of ingredients, and the seventh is「所使用的食品添加剂在国家标准中的通用名称」. Article sixty-eight asks much less of bulk food. The text is: food operators selling bulk food must state on the container or outer packaging of the bulk food「食品的名称、生产日期或者生产批号、保质期以及生产经营者名称、地址、联系方式等内容」. That article does not mention the ingredient list and does not mention additives. Frozen aquatic products are where this difference is clearest. GB 2760—2024 allows phosphoric acid and phosphates to be used in frozen aquatic products as moisture-retaining agents, commonly called water binders. The maximum level of use is 5.0 g/kg, counted as phosphate. Using it within that level is lawful. What causes trouble is going over the level, and glazing to add weight. After the 2025 CCTV 3·15 gala exposed peeled shrimp "adding a water-retaining agent (complex phosphates) over the permitted level and glazing to add weight", the market regulation authorities required companies to "clearly mark on the product label the water-retaining agent (such as phosphates), the net content after deducting the weight of the ice glaze, and the list of ingredients" (nationwide, Food Safety Law, 2025 3rd amendment, in force from 2025-12-1)
Notes
"Not listed" does not mean "not added", only that the law did not require it to be listed. If you want to know what is in it, buy the prepacked version. On frozen peeled shrimp and frozen fish portions, the net content on the prepacked pack is the weight after the ice glaze is deducted. Only the unit price worked out on that basis is the real price. Bulk goods are priced on the label, and they may shrink a long way after thawing. A water binder within the limit is lawful and is not a safety issue; do not treat it as a poison. Going over the level and glazing to add weight are a money problem: you have paid the price of aquatic products and received water. The other way round, the four things a bulk counter must label may also be missing. Name, production date, shelf life, and the name, address and telephone number of the producer and seller: miss any one and Article sixty-eight is breached. You can stop buying, and you can call 12315. For how to label bagged food if you run a shop yourself, see item 9 in section 12 (labels on prepacked food). The beneficiary tier for this item is you and your family, one of the two highest tiers.
Sources · 3 sources
- Standing Committee of the National People's Congress (2025, 3rd amendment). Food Safety Law of the People's Republic of China(中华人民共和国食品安全法)(Articles sixty-seven and sixty-eight, published 2025-9-12, in force 2025-12-1). flk.npc.gov.cn/detail?id=7b5a76d0461745a08d3f964916b87ef3
- National Health Commission and State Administration for Market Regulation (国家卫生健康委员会、国家市场监督管理总局) (2024). National Food Safety Standard, Standard for the Use of Food Additives(食品安全国家标准 食品添加剂使用标准)(GB 2760—2024, appendix A table A.1, item「磷酸及磷酸盐」, food category number 09.02.01 冷冻水产品; A.3 provides that the food additives listed in table A.1 are used within the prescribed scope of use and maximum levels of use). www.gov.cn/zhengce/zhengceku/202403/content_7001729.htm
- Lu'an Municipal Administration for Market Regulation (六安市市场监督管理局) (2025). Reminder and Warning Letter to Enterprises on Aquatic Products and the Use of Water Binders(关于水产制品及使用保水剂的相关企业提醒告诫函), dated 2025-3-24. scjgj.luan.gov.cn/zwzx/tzgg/5414606.html
37Sell shares that are down according to a rule you set in advance; do not try to get even by adding to the position
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
People's instinct is to sell what has gone up and to hold what has gone down. In seven years of records from 10,000 American accounts, shares that had risen were sold at a rate more than half as high again as those that had fallen. The same people were also more eager to add to shares that were down. Yet the losing shares they held on to did 3.4 percentage points worse over the following year, on average, than the ones they sold.
Cost
No money. The hard part is admitting this one has already gone down, and then selling it.
Benefit
The study looked at every trade in 10,000 accounts at one US discount brokerage from 1987 to 1993. The proportion of profitable shares sold (PGR) was 0.148. The proportion of losing shares sold (PLR) was 0.098. The two differ by 0.050, with a t value above 35. By day, a share that has risen is more than 50% more likely to be sold than one that has fallen. The same accounts were also more eager to add to losing shares. The proportion of losing shares bought again was 0.135, against 0.094 for winning shares, with a t value of 19. The study also tested the idea that what you hold on to will come back. The result runs the other way: the sold winners produced an excess return over the following year on average 3.4 percentage points higher than the held losers. Excess return means the part above a market index. The author also worked out an example at the average. Selling 1000 dollars of shares, selling the losing one gave a return over the following year about 4.4% higher than selling the winning one. That 4.4% includes the tax saved by realising the loss sooner. The tax calculation follows the US system (United States, 1987 to 1993)
Notes
This item is about whether to sell; item 15 (do not trade shares often) is about not acting all the time. The two do not conflict. If you set a rule in advance and follow it, you end up acting fewer times. Adding to the position to bring the average cost down is not wrong as arithmetic: buy a little more and the average cost is a little lower. What is wrong is treating it as a way to turn things around. Its real effect is to increase the money you have tied up in this one share, see item 19 in this section (do not put all your money into one share). The tax paragraph is worked out on the US system and does not transfer to China; the rest of the reasoning still holds. This is US account data from the 1980s and 1990s, and transaction costs and tax rules on A-shares are different. None of this is investment advice.
Sources
Odean T (1998). Are Investors Reluctant to Realize Their Losses? The Journal of Finance 53(5):1775-1798.
doi.org/10.1111/0022-1082.0007238If you want overseas assets such as US shares, use a QDII fund or Stock Connect; do not open an account with an overseas broker, and do not use the annual foreign exchange quota
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Overseas brokers such as Tiger, Futu and Longbridge are no longer allowed to open accounts for people in the mainland from May 2026. For accounts already open, within two years you may only sell and transfer the money out; you may no longer buy. The foreign exchange quota may not be used to buy overseas shares either, and anyone who breaks the rules loses the quota for that year and the 2 years after. If you want overseas assets, go through a QDII fund or Stock Connect.
Cost
No money. You can buy a QDII fund in your own bank's or broker's app in a few minutes. The price is that there are fewer products available than at an overseas broker.
Benefit
On 2026-5-22 eight departments, the CSRC, the Ministry of Industry and Information Technology, the Ministry of Public Security, the People's Bank of China, the State Administration for Market Regulation, the National Financial Regulatory Administration, the Cyberspace Administration of China and the State Administration of Foreign Exchange, issued the Implementation Plan for the Comprehensive Rectification of Illegal Cross-Border Securities, Futures and Fund Business Activities(综合整治非法跨境证券期货基金经营活动实施方案). The overall requirement is that「经过2年集中整治,全面取缔境外证券期货基金经营机构非法跨境经营活动」. Overseas institutions may not market or solicit business inside the mainland, and may not「提供相关开户、处理交易指令、资金划转等交易服务」. For people who have already opened an account, the plan says「禁止境外机构为存量投资者在境内非法提供买入交易、转入资金等服务,只允许单向卖出交易并转出资金」. Once the two years are up,「全面关停境内网站、交易软件及配套服务器」. The same day the CSRC announced that it would confiscate all illegal gains of the related onshore and offshore entities of Tiger, Futu and Longbridge, and punish them severely in accordance with the law. The accompanying answers to reporters' questions state that it will「引导境内投资者通过港股通、合格境内机构投资者(QDII)及跨境理财通等合法渠道开展境外投资」. On currency exchange, the Personal Foreign Exchange Purchase Application of the State Administration of Foreign Exchange states that personal foreign exchange purchases「不得用于境外买房、证券投资、购买人寿保险和投资性返还分红类保险等尚未开放的资本项目」. Anyone who breaks the rules goes on the「关注名单」and「当年及之后连续 2 年不享有个人便利化额度」, and may also face an administrative penalty and be referred for anti-money-laundering investigation, with the information entering their personal credit record (nationwide, from 2026-5)
Notes
These documents govern overseas institutions and say nothing about penalties for investors themselves. If you already have an account with an overseas broker, sell within the two years and bring the money back. Each of the three lawful routes has its own conditions for opening an account, so ask your own bank or broker first. The fact that US shares rose a lot in the past does not mean they will in future. Buying a QDII fund follows the same rules as item 17 in this section (a broad market index fund) and item 19 in this section (do not put all your money into one share, one platform or one property): pick a broad index and do not put everything into one market. Cash withdrawals abroad have a separate quota; see item 6 in section 21 (withdrawing cash abroad). None of this is investment advice.
Sources · 4 sources
- China Securities Regulatory Commission (中国证监会) (2026-05-22). Eight Departments Including the CSRC Jointly Issue the Implementation Plan for the Comprehensive Rectification of Illegal Cross-Border Securities, Futures and Fund Business Activities(综合整治非法跨境证券期货基金经营活动实施方案). www.csrc.gov.cn/csrc/c100028/c7634324/content.shtml
- China Securities Regulatory Commission (2026-05-22). The CSRC Official in Charge Answers Reporters' Questions on the Implementation Plan for the Comprehensive Rectification of Illegal Cross-Border Securities, Futures and Fund Business Activities. www.csrc.gov.cn/csrc/c100028/c7634328/content.shtml
- China Securities Regulatory Commission (2026-05-22). The CSRC Seriously Investigates Cases of Illegal Cross-Border Business by Institutions Such as Tiger. www.csrc.gov.cn/csrc/c100028/c7634330/content.shtml
- State Administration of Foreign Exchange (国家外汇管理局) (2021). Personal Foreign Exchange Purchase Application(个人购汇申请书)(Annex 1). www.safe.gov.cn/safe/file/file/20210402/30fab7a9646f417ca9d2f67ff4c1e5f0.pdf
39Insure only the losses you cannot carry yourself; cover the losses you can carry with an emergency fund
# Value HighGrade CMoneyNo moneyIn passingNo willpower
Not all of the premium you pay comes back to you. Part of it pays the insurer's costs and profit. So what is worth buying is a loss that is rare and that the household could not pay for if it happened: a serious illness, a car accident injuring somebody, the wage-earner in the household dying. Leave the small losses that savings can stand to the emergency fund.
Cost
No money. What you have to do is write down the big losses your household might run into and see which ones savings cannot stand. Half an hour.
Benefit
Of the premiums insurers collect, only part is paid out as claims. The rest pays selling and running costs and the company's profit. The regulator requires companies selling personal short-term health insurance to publish an overall claims ratio on their website every six months. It is roughly the share of premiums paid out in claims; to see how much a company pays out, look it up on its own website. So for any one loss, insurance costs you a little money on average over the long run. What you get in exchange is turning one large bill that could crush a household into one small payment a year. The smaller the loss and the more comfortably you can afford it, the worse the exchange. Judged that way, several things this book has already covered are worth buying. One-year medical insurance: see item 20 in section 7 (one-year medical insurance). If you have a car, see item 26 in this section (third-party liability cover). If you travel abroad, see item 4 in section 21 (overseas medical treatment). If somebody at home lives on your income, see item 40 in this section (term life insurance) (nationwide, since 2021)
Notes
It is graded C because there is no official figure that works out which kind of insurance is worth buying; what this gives is a way to weigh it. Insurance against a cracked screen, against a flight delay and the like covers a loss of a few hundred yuan that you can afford; by this standard you do not have to buy it. Critical illness insurance pays the income lost during the years you are off work with an illness; if your savings can carry you through a year or two of that, you can consider not buying it. Basic medical insurance is social insurance and is not weighed by this method: you pay it either way, see item 9 in section 7 (resident medical insurance). What small losses are covered by, see item 27 in this section (emergency fund). The beneficiaries of this item are you and your family.
Sources
General Office of the former China Banking and Insurance Regulatory Commission (中国银保监会办公厅) (2021). Notice on Regulating the Business of Short-
Term Health Insurance(关于规范短期健康保险业务有关问题的通知)(银保监办发〔2021〕7 号: the overall claims ratio is disclosed on the company's website every six months).
www.gov.cn/zhengce/zhengceku/2021-01/12/content_5579193.htm40If someone at home lives on your income, insure the earner first with term life insurance; do not insure the child first
# Value HighGrade CMoneyA fair amount of moneyIn passingNo willpower
Term life insurance covers a fixed number of years, and if the person dies in that time the household receives a sum of money. It is meant for the family that lives on your income, such as when a mortgage is still outstanding or the children are still young. If nobody depends on you, you do not need it. A child earns nothing, and the law also limits how much can be paid out on a death policy for a child.
Cost
Several hundred to several thousand yuan a year, depending on age, cover and the term (the author's rough estimate, no official figure). You have to disclose your health condition truthfully before taking out the policy, which takes half an hour.
Benefit
The regulator defines life insurance as personal insurance with a person's lifespan as the subject, divided into term life, whole life, endowment and the like.
Term life insurance makes payment of the sum insured conditional on the death of the insured, and the insurance period is a fixed number of years. Whole life insurance covers to the end of life. Accident insurance pays out only when an accident causes death or disability, does not pay on death from illness, and cannot replace life insurance. A contract whose payment condition is death requires the consent of the insured person and their agreement to the sum insured, and is otherwise void. A parent taking out death insurance on a minor child is not subject to that restriction, but the total sums paid out on the death of the child may not exceed the limit set by the regulator. The sum insured on life insurance is usually in the hundreds of thousands of yuan, so the benefit is graded large. There is no official figure for how much cover to buy. The author's method is: the unpaid mortgage, plus what the child costs until they reach adulthood, plus a few years of household expenses (nationwide, 2015 amendment)
Notes
It is graded C because officially there are only definitions and limits, and "insure the adult first" is worked out from the question of whose income, if it stopped, the household could not survive without. When a child is hurt, the household does not lose an income. When the earner dies, the mortgage and the cost of the children are still there. When money is limited, buy term life insurance and one-year medical insurance for the earner first, and only then the child's medical insurance. For disclosure and guaranteed renewal, see item 20 in section 7 (one-year medical insurance). The beneficiary tier for this item is tier ②, your spouse and children.
Sources · 2 sources
- formerly the China Insurance Regulatory Commission (中国保险监督管理委员会) (2011). Measures for the Administration of Policy Terms and Premium Rates of Personal Insurance Companies(人身保险公司保险条款和保险费率管理办法)(CIRC Order No. 3 of 2011, Articles eight and twelve). www.gov.cn/gongbao/content/2012/content_2163594.htm
- Standing Committee of the National People's Congress (2015, amended). Insurance Law of the People's Republic of China(中华人民共和国保险法), Articles thirty-three and thirty-four. flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7c4060811
41Regretting personal insurance of more than one year: cancel inside the cooling-off period and almost the whole premium comes back
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Every personal insurance policy of more than one year has a cooling-off period. For a policy bought at a bank it is 15 days from the day you receive the policy, and cancelling in that period costs at most 10 yuan in handling charges. Cancel after the cooling-off period and you only get back what the policy says is refundable, which is usually less than you paid. When the insurer rings to ask whether you understood, do not say you did if you did not.
Cost
No money. Call the insurer's customer service line or go to the counter. It takes a bit over ten minutes. The hard part is finding a quiet half hour within 15 days of signing to read the contract.
Benefit
For personal insurance with an insurance period of more than one year, the regulator requires the policy to state the day the cooling-off period starts from and how many days it runs for. It also requires the policy to state what the policyholder may do during that period. The cooling-off period for long-term health insurance may not be shorter than 15 days. Insurance bought through a bank with an insurance period of more than one year always carries a 15-day cooling-off period in the contract. It runs from the day you receive the policy and sign for it in writing, counted in calendar days. The cover of such a policy has to carry this notice:「您在收到保险合同后15日内有全额退保(扣除不超过10元的工本费)的权利。超过15日退保有损失。」After the cooling-off period you can still cancel the contract at any time. The insurer must, within 30 days, refund the cash value of the policy (the part of it that can be refunded) as the contract provides. The financial regulator's risk warning says that when a long-term personal insurance policy is cancelled after the cooling-off period, the cash value is often lower than the total premium paid. For a new personal insurance policy of more than one year, the insurer must call you during the cooling-off period. The call has to confirm that you know about the loss on cancellation and about your rights during the cooling-off period (nationwide, since 2010 and 2019)
Notes
The cooling-off period is a rule set for personal insurance of more than one year. The rules do not require it for one-year medical or accident insurance, and whether there is one depends on the terms. For a policy not bought at a bank, go by the number of days in the contract and turn to the "cooling-off period" clause first when you get the policy. Savings and participating policies involve the most money, so the cooling-off period is worth using; see item 25 in this section (buy the pure protection type first). The benefit is graded "medium" because what you save is the difference between the premium paid and the cash value, commonly several hundred to several thousand yuan, and there are no official statistics. The beneficiary for this item is you yourself.
Sources · 6 sources
- General Office of the former China Banking and Insurance Regulatory Commission (中国银保监会办公厅) (2019). Measures for the Administration of Insurance Agency Business of Commercial Banks(商业银行代理保险业务管理办法)(银保监办发〔2019〕179, Articles thirty-six, sixty-seven and sixty-eight). www.gov.cn/zhengce/zhengceku/2019-12/03/content_5457853.htm
- formerly the China Banking and Insurance Regulatory Commission (2019). Measures for the Administration of Health Insurance(健康保险管理办法)(CBIRC Order No. 3 of 2019, Article fifteen). www.gov.cn/zhengce/zhengceku/2019-12/04/content_5458542.htm
- formerly the China Banking and Insurance Regulatory Commission (2022). Rules on Information Disclosure for Personal Insurance Products of One Year or More(一年期以上人身保险产品信息披露规则)(银保监规〔2022〕24, the product document must state when the cooling-off period starts, how many days it runs for, and what the rights are). www.gov.cn/zhengce/zhengceku/2023-01/04/content_5735014.htm
- formerly the China Insurance Regulatory Commission (中国保险监督管理委员会) (2010). Basic Service Provisions for Personal Insurance Business(人身保险业务基本服务规定)(CIRC Order No. 4 of 2010, Article fifteen). www.gov.cn/gongbao/content/2010/content_1702219.htm
- Standing Committee of the National People's Congress (2015, amended). Insurance Law of the People's Republic of China(中华人民共和国保险法), Articles fifteen and forty-seven. flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7c4060811
- Ningxia Financial Regulatory Bureau (宁夏金融监管局) (2026-06-16). Risk Warning on Preventing Illegal Policy Cancellation on Behalf of Customers(关于防范非法代理退保的风险提示). www.nfra.gov.cn/branch/ningxia/view/pages/common/ItemDetail.html?docId=1261442&itemId=2188
42Before you sign at the bank counter, check whether you are holding a deposit or an insurance policy
# Value HighGrade BMoneyNo moneyIn passingNo willpower
A bank is allowed to sell insurance on your behalf, but not to call it a deposit. The front cover of an insurance contract must print 「保险合同」and the name of the insurance company in large type, and must not carry the words 「存款」「储蓄」. If it is an insurance company on the cover, the money is not a deposit, and cancelling after the cooling-off period means a loss. People over 65 buying at a bank may in principle only buy products whose return is certain.
Cost
No money. Spend two minutes longer on the front cover of the contract before you sign.
Benefit
The rules state that a bank must not sell insurance mixed together with savings deposits, funds or bank wealth-management products. It must not draw a simple analogy between the return on insurance and the return on a deposit, and must not describe an uncertain return as a guaranteed one. Insurance documents and promotional material must not use the bank's name or logo, and must not carry words such as 「存款」「储蓄」「与银行共同推出」. The front cover of a policy must print 「保险合同」in type no smaller than 72, and the name of the insurance company in type no smaller than 二号. Three kinds of person may in principle be sold only products whose benefit is certain: a policyholder over 65; a buyer of a regular-premium product who is over 60; and a person whose declared annual income is below the local per-capita disposable income of residents. Policies for these three groups must also go to the insurer for manual underwriting, and cannot be issued automatically at the branch. An insurer's staff may not sell insurance inside a bank branch. Insurance sold through a bank with an insurance period of more than one year carries a 15-day cooling-off period, and cancelling after it has run out means a loss (nationwide, from 2019-10)
Notes
It is graded B because the rules are very clear, but there is no official figure for how much the people who were misled lost. This is what older people in the household are most likely to run into when they put money in a bank; go with them and take a look at the cover. If you have already signed, cancel within 15 days under item 41 in this section (cooling-off period). For how to complain if you think you were misled, see item 43 in this section (agent policy cancellation). The beneficiaries of this item are you and the older people at home.
Sources
General Office of the former China Banking and Insurance Regulatory Commission (中国银保监会办公厅) (2019). Measures for the Administration of Insurance Agency Business of Commercial Banks(商业银行代理保险业务管理办法)(银保监办发〔2019〕179 号, Articles thirty, thirty-one, thirty-two, thirty-six, forty-two and forty-nine).
www.gov.cn/zhengce/zhengceku/2019-12/03/content_5457853.htm43If you want to cancel a policy, go to the insurance company yourself; do not use an "agent policy cancellation" service, and if you think you were misled call 12378 to complain
# Value HighGrade BMoneyNo moneyIn passingNo willpower
Most of the "full refund of your premium, no fee if it fails" services online are illegal agent policy cancellation. They take 30% to 50% of the money returned to you, and they want your identity card, your bank card and your verification codes. Once the policy is cancelled, the cover is gone as well. If you think you were misled, go to the insurer's customer service first; if you cannot settle it, call 12378. The whole thing is free.
Cost
No money. Calling the insurer's customer service line yourself, or going to the counter, saves you one or two extra trips compared with handing it to an intermediary.
Benefit
In 2026-2 the National Financial Regulatory Administration, the Cyberspace Administration of China, the Ministry of Public Security, the People's Bank of China and the China Securities Regulatory Commission jointly issued a risk warning. It says that claims such as 「全额退保」are false information and do not match the Insurance Law and other statutes and regulations. "Rights protection agents" charge high service fees, and if you want out halfway you may end up in court for "breaching the contract". They also collect your mobile phone card, your bank card, your policy, your home address and your child's school. If that information is sold on, you may run into telecom fraud and unauthorised charges on your card. A warning from the Ningxia Financial Regulatory Bureau in 2026-6 goes into more detail. These intermediaries agree to take 30% to 50% of the amount refunded as their fee, and charge a high penalty if you drop out halfway. They teach people to make up reasons such as mis-selling or a signature taken by proxy and complain on that basis. Anyone who follows them may breach the Public Security Administration Punishments Law and, in serious cases, may be an accomplice to false accusation or extortion. Cancelling a policy ends the insurer's liability at once. Buying the same kind of insurance later may cost more, or be refused, because you are older or because something has been found in your health. If you really were misled, complain and negotiate with the insurer's official customer service first; if you cannot settle it, call 12378, the bank and insurance consumer complaint hotline, which is free of charge. If you simply cannot afford the premium this month, ask the insurer first whether it offers reduced paid-up cover or a policy loan. Reduced paid-up cover means you stop paying and the sum insured comes down in proportion (nationwide, 2026)
Notes
The Hunan Financial Regulatory Bureau reported a case in 2025. A woman was persuaded by a "friend" to go through an agent policy cancellation and paid a "consulting fee"; in the end the policy was still cancelled at its cash value. Three months after the cancellation she was diagnosed with breast cancer, and the critical illness insurance was already gone. Whether to cancel is yours to work out: if the cover is still worth having and you cannot pay, ask about reduced paid-up cover first. If you are cancelling inside the cooling-off period yourself, see item 41 in this section (cooling-off period). The beneficiary of this item is you yourself.
Sources · 3 sources
- National Financial Regulatory Administration, Cyberspace Administration of China, Ministry of Public Security, People's Bank of China, China Securities Regulatory Commission (2026-02-06). Risk Warning on Unlawful "Rights Protection" Short Videos and Livestream Traps(关于警惕不法「代理维权」短视频及直播陷阱的风险提示), reprinted on the Cyberspace Administration of China's website. www.cac.gov.cn/2026-02/06/c_1772110875635198.htm
- Ningxia Financial Regulatory Bureau (宁夏金融监管局) (2026-06-16). Risk Warning on Preventing Illegal Policy Cancellation on Behalf of Customers(关于防范非法代理退保的风险提示). www.nfra.gov.cn/branch/ningxia/view/pages/common/ItemDetail.html?docId=1261442&itemId=2188
- Hunan Financial Regulatory Bureau (湖南金融监管局) (2025-07-23). Risk Warning on Preventing the Illegal "Agent Policy Cancellation" Grey Market(关于防范非法「代理退保」黑灰产的风险提示). www.nfra.gov.cn/branch/hunan/view/pages/common/ItemDetail.html?docId=1218753&itemId=1480
44Name a specific person as the beneficiary on the policy, and claim the money when something happens: within 5 years for life insurance and 2 years for other insurance
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
If no beneficiary is named, or the beneficiary has died first, the sum insured counts as the estate and has to be used to pay the dead person's debts first. If the beneficiary is written as "wife, [name]" and you later divorce, at the time it counts as though nothing was named. The people in your family need to know the policy exists: for life insurance you have 5 years from learning of the death to claim, and 2 years for other insurance.
Cost
No money. Fill it in once when you take out the policy; to change the beneficiary later you must notify the insurer in writing.
Benefit
The Insurance Law provides that the beneficiary is designated by the insured person or the policyholder. Where the policyholder designates, the insured person's consent is required. There are three situations in which the sum insured counts as the estate of the insured person and is distributed under the rules of inheritance. First, no beneficiary was designated, or the designation is unclear. Second, the beneficiary died before the insured person and there is no other beneficiary. Third, the beneficiary has lawfully lost or given up the right to the benefit and there is no other beneficiary. Where the beneficiary and the insured person died in the same event and the order cannot be established, the beneficiary is presumed to have died first. Money counted as the estate must first clear the taxes and debts of the dead person, and only what is left is divided. The Supreme People's Court's interpretation states that where the beneficiary is written as "name plus relationship" and the relationship has changed by the time it is claimed, that counts as no beneficiary having been designated. Changing the beneficiary without notifying the insurance company does not take effect against the insurer. The statute of limitations for claiming the money is 5 years for life insurance and 2 years for other insurance, both counted from the day you knew or should have known of the event. The sum insured on life insurance is usually in the hundreds of thousands of yuan, so the benefit is graded large (nationwide, 2015 amendment, in force since 2021)
Notes
Once the statute of limitations has passed the insurer can refuse to pay, and it is hard to get the money back through a lawsuit. So at least the people in your family should know which companies you hold insurance with. After a divorce, a remarriage or the birth of a chil
d, go back and change the beneficiary once. After someone dies, collect the money from each place one by one; see
item 9 in section 25 (collecting from each place). Paying off debts with the proceeds of a life insurance policy is not a route; see
item 13 in section 29 (paying off debts). The beneficiary tier for this item is tier ②, your spouse and children.
Sources · 3 sources
- Standing Committee of the National People's Congress (2015, amended). Insurance Law of the People's Republic of China(中华人民共和国保险法), Articles twenty-six, thirty-nine, forty-one and forty-two. flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7c4060811
- Supreme People's Court (2020, amended). Interpretation on Several Questions Concerning the Application of the Insurance Law of the People's Republic of China, Part Three(关于适用《中华人民共和国保险法》若干问题的解释(三)), Article nine, paragraph two, item three, and Article ten. flk.npc.gov.cn/detail?id=ff808181799df4000179ac03d7f21115
- National People's Congress (全国人大) (2020). Civil Code of the People's Republic of China(中华人民共和国民法典), Article one thousand one hundred and fifty-nine. flk.npc.gov.cn/detail?id=ff808081729d1efe01729d50b5c500bf
6. The reverse list
28 / 28This section collects the things that look cheap and effective. Open the original studies and their benefit is close to zero, exactly zero, and sometimes negative. The order rests on two things: how much money people spend on them, and how strong the evidence behind them is. The earlier an item appears, the more worth stopping it is.
1Do not take multivitamins to live longer or prevent cardiovascular disease
# Value HighGrade AMoneyNo moneyIn passingNo willpowerDisputed
14,000 male doctors took multivitamins for eleven years. Major cardiovascular events and deaths were just as common as in those who did not. Pooling 9 trials with more than 50,000 people shows no effect on mortality either. Not buying saves you two hundred to seven hundred yuan a year. This does not cover people who come up genuinely deficient in a nutrient, or pregnant women taking folic acid.
Cost
About 0.5 to 2 yuan a day, 200 to 700 yuan a year. Taking them takes no time, it is one pill. Taking them for a long time builds a habit, and then a day without one feels like something is missing.
Benefit
The PHS II trial enrolled 14,641 male doctors and followed them for 11.2 years (the median; half were followed longer and half shorter). Among those who took the multivitamins and those who did not, the rate of major cardiovascular events was the same. Major cardiovascular events
HR 1.01 (
HR is the risk ratio, where 1 means the two groups are the same). The
95% CI 0.91–1.10 is the credible range for that figure. Mortality was the same too, all-cause mortality
HR 0.94 (0.88–1.02). In 2022 the US Preventive Services Task Force, the body that grades preventive measures in the United States, pooled 9 randomised controlled trials with 51,550 people and found no association between multivitamins and all-cause mortality. It graded them I, which means the evidence does not support a conclusion either way. It looks like good value because "one pill covers every nutrient" sounds sensible and because it costs only a few tenths of a yuan a day
Notes
Disputed: the same cohort of male doctors was also examined for cancer. Among those who took the multivitamins the rate of cancer was about 8% lower (0.86–0.998, P=0.04, which only just clears the bar of "not merely chance"). Death from cancer was about 12% lower (0.77–1.01). That interval crosses 1, so it may be chance. The benefit is small, and it has only been seen in male doctors. This does not cover people who come up genuinely deficient, or pregnant women taking folic acid, or people whose diet is genuinely poor; supplement those as the doctor says.
Sources · 3 sources
- Sesso HD et al. (2012). Multivitamins in the prevention of cardiovascular disease in men: the Physicians' Health Study II randomized controlled trial. JAMA. doi.org/10.1001/jama.2012.14805
- US Preventive Services Task Force (2022). Vitamin, Mineral, and Multivitamin Supplementation to Prevent Cardiovascular Disease and Cancer. JAMA. doi.org/10.1001/jama.2022.8970
- Gaziano JM et al. (2012). Multivitamins in the Prevention of Cancer in Men. JAMA. (the cancer result discussed in the notes)doi.org/10.1001/jama.2012.14641
2Do not take ordinary fish oil to prevent cardiovascular disease
# Value HighGrade AMoneyNo moneyIn passingNo willpowerDisputed
Two large trials enrolled 26,000 people and 15,000 people with diabetes. Among those taking 1 gram of fish oil a day, major cardiovascular events and deaths were just as common as in those who did not. "Eating fish is good for you" does not mean "fish oil capsules are good for you". Not buying saves you four hundred to a thousand yuan a year.
Cost
About 1 to 3 yuan a day, 400 to 1000 yuan a year. Taking them takes no time.
Benefit
The VITAL trial enrolled 25,871 people, gave 1 gram of fish oil a day, and followed them for 5.3 years (median). Neither major cardiovascular events nor mortality differed between the two groups. Major cardiovascular events
HR 0.92 (
HR is the risk ratio, where 1 means the two groups are the same). The
95% CI 0.80–1.06 is the credible range for that figure. It crosses 1, which means no difference can be seen.
All-cause mortality HR 1.02 (0.90–1.15). The ASCEND trial enrolled 15,480 people with diabetes and also used 1 gram a day, followed for an average of 7.4 years, and again found no difference. Serious vascular events
RR 0.97 (0.87–1.08).
All-cause mortality RR 0.95 (0.86–1.05). It looks like good value because many people take "eating fish is good for you" to mean "fish oil capsules are good for you"
Notes
Disputed: one trial did work. The REDUCE-IT trial enrolled 8,179 people who already had cardiovascular disease or diabetes, were all taking statins, and had high triglycerides (135–499 mg/dL). They took 4 g of prescription pure EPA a day, and 17.2% had an event against 22.0% in the comparison group. The risk was about a quarter lower (
HR 0.75, 0.68–0.83). But that is a high-dose prescription drug for high-risk patients, which is not the same as an ordinary person taking a fish oil supplement. Neither does this cover eating fish itself.
Sources · 3 sources
- Manson JE et al. (2019). Marine n-3 Fatty Acids and Prevention of Cardiovascular Disease and Cancer. NEJM. doi.org/10.1056/NEJMoa1811403
- ASCEND Study Collaborative Group (2018). Effects of n-3 Fatty Acid Supplements in Diabetes Mellitus. NEJM. doi.org/10.1056/NEJMoa1804989
- Bhatt DL et al. (2019). Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia. New England Journal of Medicine. (the high-purity prescription fish oil trial discussed in the notes)doi.org/10.1056/NEJMoa1812792
3Do not give vitamin D to people who are not deficient, in the name of living longer
# Value HighGrade AMoneyNo moneyIn passingNo willpowerDisputed
Among people who were not deficient in vitamin D, five years of supplements made no difference to how many developed cancer, cardiovascular disease or died. People who come up genuinely deficient, people with osteoporosis and people who get no sun are not covered here; they supplement as the doctor says.
Cost
About 0.2 to 0.5 yuan a day, 100 to 200 yuan a year. The money is not much; the real cost is believing you have already done something about prevention.
Benefit
The VITAL trial enrolled 25,871 people, gave 2000 IU a day, and followed them for 5.3 years (median). No difference could be seen in cancer, cardiovascular disease or mortality. For the cancers that spread,
HR 0.96 (
HR is the risk ratio, where 1 means the two groups are the same; the
95% CI 0.88–1.06 is the credible range). Major cardiovascular events
HR 0.97 (0.85–1.12).
All-cause mortality HR 0.99 (0.87–1.12). The D-Health trial enrolled 21,315 Australians over 60 years old. They took 60,000 IU a month and were followed for 5 years. This showed no difference either, all-cause mortality
HR 1.04 (0.93–1.18). The mortality rates were 5.3% against 5.1%. It looks like good value because some studies only keep records without intervening at all, find that people with a low vitamin D level die more often, and that finding has been misread as "supplementing it helps"
Notes
Disputed: neither trial deliberately recruited people who were genuinely deficient in vitamin D, so the conclusion only covers people who were not deficient to begin with. People who come up genuinely deficient, people with osteoporosis, people who get no sun, and infants should still supplement as the doctor says. This only looked at all-cause mortality, cancer and cardiovascular disease, and at nothing else.
Sources · 2 sources
- Manson JE et al. (2019). Vitamin D Supplements and Prevention of Cancer and Cardiovascular Disease. NEJM. doi.org/10.1056/NEJMoa1809944
- Neale RE et al. (2022). The D-Health Trial: a randomised controlled trial of the effect of vitamin D on mortality. Lancet Diabetes Endocrinol. doi.org/10.1016/S2213-8587(21)00345-4
4Do not take antioxidant supplements (beta carotene, vitamin E, vitamin A) to prevent cancer
# Value HighGrade ALifespanNo moneyIn passingNo willpower
This one is not merely useless. Pooling 78 trials with close to 300,000 people, people taking antioxidant supplements had a slightly higher mortality rate. In two large trials that recruited smokers specifically, beta carotene raised the rate of lung cancer by 18% to 28% and death by 8% to 17%. Smokers and people exposed to asbestos should be especially careful.
Cost
About 0.5 to 2 yuan a day. For a smoker the real cost is that the risk of lung cancer goes up with it.
Benefit
Cochrane pooled 78 randomised controlled trials with 296,707 people. Among people taking antioxidant supplements, all-cause mortality
RR 1.02 (
RR is the risk ratio, where 1 means the two groups are the same; the
95% CI 0.98–1.05 is the credible range). Looking only at the better-designed trials that are harder to get wrong,
RR 1.04 (1.01–1.07), a little higher. Beta carotene alone
RR 1.05 (1.01–1.09), vitamin E alone
RR 1.03 (1.00–1.05). The ATBC trial enrolled 29,133 male smokers who took 20 mg a day; lung cancer was 18% higher (3%–36%) and all-cause mortality 8% higher (1%–16%). The CARET trial enrolled 18,314 smokers or people exposed to asbestos. Their risk of lung cancer was about 28% higher (
RR 1.28, 1.04–1.57). Their risk of death was about 17% higher (all-cause mortality
RR 1.17, 1.03–1.33). It looks like good value because the chain of reasoning "antioxidants mean anti-ageing, and anti-ageing prevents cancer" sounds like common sense at every step
Notes
In 2022 USPSTF, the official United States body that grades preventive measures, gave beta carotene and vitamin E a grade D, meaning it recommends against them. Smokers and people exposed to asbestos have already been harmed by them. Antioxidants contained in fruit and vegetables are not affected; keep eating those.
Sources · 3 sources
- Bjelakovic G et al. (2012). Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases. Cochrane Database Syst Rev. doi.org/10.1002/14651858.CD007176.pub2
- The Alpha-Tocopherol, Beta Carotene Cancer Prevention Study Group (1994). The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers. NEJM. doi.org/10.1056/NEJM199404143301501
- Omenn GS et al. (1996). Effects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease. NEJM. doi.org/10.1056/NEJM199605023341802
5Do not expect glucosamine or chondroitin to treat knee osteoarthritis
# Value HighGrade AMoneyNo moneyIn passingNo willpowerDisputed
Among people with osteoarthritis of the knee given a placebo for 24 weeks, six in ten also said the pain eased. Taking glucosamine or chondroitin adds only four or five percentage points on top of that, small enough to be chance. Seven hundred to eighteen hundred yuan a year buys you, in effect, the placebo response of those six in ten.
Cost
About 2 to 5 yuan a day, 700 to 1800 yuan a year.
Benefit
The GAIT trial enrolled 1,583 people with knee osteoarthritis and ran for 24 weeks. Among those given a placebo, 60.1% also reported that their pain eased. Glucosamine was only 3.9 percentage points above that (P=0.30). Chondroitin was 5.3 points higher (P=0.17). The two together were 6.5 points higher (P=0.09). All these gaps are too small to rule out chance. The real drug used as the comparator in the same trial, celecoxib, was 10.0 points higher (P=0.008). It looks like good value because "the raw material for cartilage" sounds exactly right for the problem, and because six out of ten people report a benefit from the placebo alone
Notes
Disputed: in the same trial, among the people who hurt most at the start, 79.2% of those taking both improved against 54.3% in the comparison group (P=0.002). The authors say this was found after the fact in the data, so it can only be a lead, not a conclusion. The approaches to knee osteoarthritis that really have evidence behind them are losing weight and strengthening muscle; see section 2.
Sources
Clegg DO et al. (2006). Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis. NEJM.
doi.org/10.1056/NEJMoa0527716Do not rely on vitamin C to prevent colds
# Value ModerateGrade AMoneyNo moneyIn passingNo willpowerDisputed
Taking vitamin C every day will basically not make you catch fewer colds, and starting once the cold has begun works only sometimes. Taking it every day shortens a cold by about 8%, which is about half a day less of feeling unwell; whether that is worth three or five hundred yuan a year is for you to work out. Marathon runners and soldiers marching in cold regions are the exception: among them, taking it halves the number who catch a cold.
Cost
An effervescent tablet costs about 1 to 2 yuan, 300 to 700 yuan a year.
Benefit
Cochrane pooled 29 controlled trials with 11,306 people. Among ordinary people taking vitamin C every day, the number of colds caught does not really fall. The rate of catching a cold
RR 0.97 (
RR is the risk ratio, where 1 means the two groups are the same). The
95% CI 0.94–1.00 is the credible range. In the trials where people started taking it only after the cold had begun, the text says「未见一致效应」: some trials found an effect and some did not. In the same review, taking it every day over the long term shortens how long a cold lasts by about 8% in adults (
95% CI 3%–12%) and by 14% in children (7%–21%). Marathon runners, skiers and soldiers marching in cold regions are the exception. Across 5 trials with 598 people, those who took it caught about half as many colds. Incidence
RR 0.48 (
95% CI 0.35–0.64). It looks like good value because it is cheap, it tastes sweet and sour, and the claim that vitamin C prevents colds has been in circulation for half a century
Notes
Disputed: the same review does find that taking it every day shortens how long a cold lasts. By about 8% in adults (3%–12%) and by 14% in children (7%–21%). Worked out, that is about half a day less illness per cold. Marathon runners, skiers and soldiers marching in cold regions are the exception. Across 5 trials with 598 people, those who took it caught about half as many colds (
RR 0.48, 0.35–0.64). Almost nobody falls into either of those two groups.
Sources
Hemilä H, Chalker E (2013). Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev.
doi.org/10.1002/14651858.CD000980.pub47Do not give yourself a whole-body PET-CT or a tumour marker panel when you have no symptoms
# Value HighGrade ALifespanNo moneyIn passingNo willpower
Among people with no symptoms, the most common result is a scare. More than four in five people who have a whole-body CT have at least one "abnormality" found, and nearly four in ten are called back for further checks, but most of those are benign. Women screened for ovarian cancer markers actually died of ovarian cancer slightly more often, and some had an operation they did not need because of a scare.
Cost
A whole-body PET-CT costs about 7000 to 10000 yuan each time, and you take a dose of ionising radiation. A tumour marker panel costs a few hundred yuan. The real cost comes later: one "abnormality" turns up, it was nothing (this is a false positive), and then the follow-up scan, the tissue sample and the operation all cost money and cause suffering.
Benefit
USPSTF, the United States body that grades preventive measures, gave a grade D to screening asymptomatic women for ovarian cancer with CA-125 and ultrasound, meaning it recommends against it. The evidence is the PLCO trial. Death from ovarian cancer was 0.34% in the screened group and 0.29% in the usual care group.
RR 1.18 (
95% CI 0.82–1.71). Screening did no good. The share who went under the knife needlessly because the result was wrong (a false positive) was 0.2%–3.25% across the trials, and up to 15% of those people had a serious surgical complication. Another study gave 1,192 people without symptoms a whole-body CT screening. 86% had at least one "abnormality" found, and 37% were advised to have further tests. The text says「大多数发现按描述是良性的」. It looks like good value because "screen the whole body once, find it early, treat it early" is so intuitive
Notes
The tumour marker part is backed by randomised controlled trials. The whole-body CT and PET-CT part rests only on follow-up records of what happened to the people who had it, with no control group, so the evidence is a grade weaker, equivalent to B. The screenings that really do have evidence behind them, such as colorectal cancer, cervical cancer, breast cancer, and low-dose chest CT for people at high risk, are a different matter; see section 1. A PET-CT in someone who has symptoms, or who already has a cancer diagnosis, is medical care rather than screening and has to be judged separately.
Sources · 2 sources
- US Preventive Services Task Force (2018). Screening for Ovarian Cancer: US Preventive Services Task Force Recommendation Statement. JAMA(同一份建议另有 USPSTF 官方页). doi.org/10.1001/jama.2017.21926www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening
- Furtado CD et al. (2005). Whole-body CT screening: spectrum of findings and recommendations in 1192 patients. Radiology. doi.org/10.1148/radiol.2372041741
8Do not expect a wristband or watch that counts your exercise to help you lose weight
# Value HighGrade BMoneyNo moneyIn passingNo willpower
Overweight people doing the same diet and exercise plan lost 3.5 kg over two years while wearing a fitness band, and those not wearing one lost 5.9 kg. If you want to lose weight, spending money on a device does not help. The exercise itself is what works.
Cost
The device costs 200 to 2000 yuan. On top of that you have to break your concentration each day to look at the data.
Benefit
The IDEA trial enrolled 471 overweight or obese adults and followed them for 24 months. Everyone followed the same diet and exercise plan; the only difference was whether they wore a wearable device. The group that wore one lost 3.5 kg (
95% CI 2.6–4.5, the credible range). The group that did not lost 5.9 kg (5.0–6.8), which is more. The two groups differ by 2.4 kg (1.0–3.7, P=0.002). It looks like good value because "you cannot manage what you cannot measure" sounds sensible, and because the device only has to be bought once
Notes
There is only one trial here, and it used the devices worn on the arm in the early 2010s, so it does not show that all wearables are useless. Exercise itself does work; see section 2. The conclusion is one sentence: if you want to lose weight, a device is not money you have to spend.
Sources
Jakicic JM et al. (2016). Effect of Wearable Technology Combined With a Lifestyle Intervention on Long-term Weight Loss: The IDEA Randomized Clinical Trial. JAMA.
doi.org/10.1001/jama.2016.128589Do not pay a premium for organic food in the name of being "healthier"
# Value HighGrade BMoneyNo moneyIn passingNo willpower
There is no strong evidence that organic food is more nutritious. Only 3 studies have looked at how people's health turned out after eating it, and none found a difference. Organically grown produce does test positive for pesticide residues about 30 percentage points less often, but a positive test is not the same as exceeding the limit. Eating more fruit and vegetables does help, and whether they are organic makes no difference to that.
Cost
Usually 1 to 3 times the price of the same kind of ordinary food.
Benefit
One systematic review brought together 17 studies carried out in people and 223 studies measuring food composition. The conclusion is that there is「缺乏有力证据表明有机食品比常规食品显著更有营养」. Only 3 of those studies looked at people's health after eating the food, and they looked at allergies and symptomatic infections; no difference was found between the two. The share of organically grown produce testing positive for pesticide residues is about 30 percentage points lower, but a positive test is not the same as exceeding the limit. It looks like good value because "no pesticides is safer, and safer is healthier" sounds like common sense at every step
Notes
Very few studies look directly at how people's health turns out after eating it. So the conclusion is "there is no evidence that it is better", not "it has been proved to have no benefit". The effect on the environment, on animal welfare and on taste are not covered here. Eating more fruit and vegetables does work, and whether they are organic makes no difference to that.
Sources
Smith-Spangler C et al. (2012). Are organic foods safer or healthier than conventional alternatives?: a systematic review. Ann Intern Med.
doi.org/10.7326/0003-4819-157-5-201209040-0000710Do not spend a lot of money on health supplements and other health products, herbal pastes or tonics to "look after your health"
# Value ExceptionalGrade CMoneyNo moneyIn passingNo willpower
The common ingredients — multivitamins, fish oil, vitamin D — have each been checked one by one in the first six items of this section, and none of them showed a benefit. The sentence 「保健食品不是药物,不能代替药物治疗疾病」on the pack is one the authority in charge of health foods requires to be printed. This money is usually spent on buying something for your parents and carrying it to their door. The thought behind it is not the problem; the choice of product is.
Cost
From several hundred yuan to more than 10,000 yuan. Once it is packaged as a gift set, the price often goes up several times over.
Benefit
What you get back is the money you did not spend. The reasons are in the first 6 items of this section: the commonest ingredients in health products — multivitamins, fish oil, vitamin D, antioxidants, glucosamine, vitamin C — have shown none of the expected benefits in randomised controlled trials, and the figures for each are in the Benefit field of those 6 items. The regulator's rules only say what a product may claim; they are not evidence that it does nothing. The State Administration for Market Regulation requires the front of a health food package to carry one sentence in no less than 20% of the area: 「保健食品不是药物,不能代替药物治疗疾病」. The same rules also pin down what a health food may be used for, limiting it to 「补充膳食营养物质、维持改善机体健康状态或者降低疾病发生风险因素」. It looks like good value because "it does not cure, it only looks after you" can never be called wrong, and nobody can prove otherwise. And when you spend this money on a gift, what you are relying on is affection, not evidence
Notes
The conclusion is "there is no evidence in favour", not "it has been proved ineffective", so it is only graded C. For a product that lists its ingredients, look up the matching study as in the earlier items. If you really are short of a nutrient, or you are being treated for something, do what the doctor says. What should be rejected is the product, not the thought. If older people bought it themselves and are already taking it, as long as it has not replaced a medicine they are taking and has caused no harm, there is no need to go and argue the point; arranging the vaccinations and the screening they are due is more important. The same money spent on the following is better value, and every one of them can be traced in this book. Going with an older person for the annual flu vaccine: see item 20 in section 1. The shingles vaccine after the age of 50: see item 21 in section 1. The pneumococcal vaccine over the age of 65: see item 22 in section 1. Buying a blood pressure monitor and keeping them on their prescribed blood pressure medicine until their readings are at target: see item 7 in section 1. Modifying the bathroom and stairs at home and practising balance and leg strength with them: see item 13 in section 1. Cancer screening at the age for it: go with them once, see items 17 to 19 in section 1. For an older person already bedridden, pressure ulcer prevention and long-term care insurance: see items 7 and 8 in section 17. If you are bringing something to their door, fruit, rice and flour, or something they like to eat, is more use than a herbal paste. The two things really worth stopping are these: investing in a retirement plan where you pay money up front, and anything that would replace a medicine they are taking; see item 5 in section 17
Sources
State Administration for Market Regulation (国家市场监督管理总局) (2019). Press Conference Held by the State Administration for Market Regulation on the Guidelines for Warning Wording on Health Food Labels and the Administrative Measures for the Catalogue of Health Food Raw Materials and Health Functions.
www.samr.gov.cn/tssps/sjdt/tpxw/art/2023/art_4b658b824b1b4b0ba57c09a56cc93aad.html11Do not take probiotics long term when you have no bowel problem
# Value ModerateGrade BMoneyNo moneyIn passingNo willpower
Pooling 45 trials in healthy adults, probiotics do not change the bacteria in the gut for long; they go back to where they were when you stop, and blood lipids do not improve either. Specific situations such as diarrhoea caused by antibiotics have their own evidence and are not covered here.
Cost
About 2 to 5 yuan a day, 700 to 1800 yuan a year.
Benefit
One review pooled 45 trials in healthy adults and concludes that it「未能支持益生菌能引起肠道菌群的持久改变,也未能改善健康成人的血脂」. The bacteria in the gut do change, but only temporarily, and they go back when you stop. It looks like good value because "gut health" is broad enough that nothing can be said against it, and because one bottle a day comes to very little per bottle
Notes
The same review does report a few small improvements in healthy people, such as more formed and suitable stools and more lactobacilli in women's vaginas. Diarrhoea caused by antibiotics, and one particular strain used for one particular condition, each have their own evidence and have to be judged separately. This item is only about healthy people taking it daily as a supplement.
Sources
Khalesi S et al. (2019). A review of probiotic supplementation in healthy adults: helpful or hype? Eur J Clin Nutr.
doi.org/10.1038/s41430-018-0135-912Do not force yourself into cold showers in the name of "strengthening immunity"
# Value ModerateGrade BMoneyNo moneyIn passingNo willpowerDisputed
In the trial of 3018 people, those who took cold showers asked for fewer sick days off, 29% fewer by number, but the total number of days off was the same as everyone else's, so they were not less ill. A 2025 pooling of 11 trials found that immediately after cold water the markers of inflammation in the body actually rose briefly, and the immune markers did not change. Take cold showers if you enjoy them, but do not treat it as an investment in your health.
Cost
No money. Every shower is uncomfortable for 30 to 90 seconds, and keeping it up through winter takes willpower. People with cardiovascular disease also have to be careful, because cold stimulation is a risk for them.
Benefit
The Netherlands ran a randomised controlled trial with 3,018 people who took a cold shower for 30, 60 or 90 seconds after a hot one. They took 29% fewer sick days by number (
IRR 0.71, which is a ratio of counts). But the text states「病假天数没有显著组间差异」: the total number of days off was the same in both groups. Quality of life, work productivity and anxiety also showed no meaningful difference. A 2025 systematic review pooled 11 randomised trials with 3,177 people. Immediately after the cold immersion, and again 1 hour later, the markers of inflammation in the body rose rather than fell. The immune markers did not change. Stress fell only at the 12-hour time point. The authors themselves say the evidence is「受限于
RCT 少、样本小」, which means there are too few randomised trials and each one has too few people in it. It looks like good value because it is free, and because "suffering makes it work" is a very smooth intuition
Notes
Disputed: the number of sick days taken really did fall by 29%, and that gap does not look like chance. But the total number of days ill did not fall, so it looks more like "going to work even when ill" than genuinely being less ill. Cold water used to help athletes recover after training is a separate question and is not covered here. A cold shower does no harm to a healthy person in itself; just do not treat it as an investment in your health.
Sources · 2 sources
- Buijze GA et al. (2016). The Effect of Cold Showering on Health and Work: A Randomized Controlled Trial. PLOS ONE. doi.org/10.1371/journal.pone.0161749
- Cain T et al. (2025). Effects of cold-water immersion on health and wellbeing: A systematic review and meta-analysis. PLOS ONE. doi.org/10.1371/journal.pone.0317615
13Do not buy detox, colon cleansing, enzyme or alkaline water products
# Value HighGrade CMoneyNo moneyIn passingNo willpower
The detox industry is large, but very little clinical evidence supports it, and nobody has properly tested the detox diets sold on the market. When people looked at whether dietary acid load, alkaline water and cancer are related, only 1 study met the standard, and it showed no association.
Cost
Several hundred to several thousand yuan. The kinds that work by starving you may also drive your blood sugar down and leave you short of nutrients.
Benefit
The conclusion of that review is that「尽管排毒产业蓬勃发展,支持这些饮食的临床证据非常少」, and that there are「没有针对商业排毒饮食的随机对照试验」. A separate systematic review looked specifically at whether dietary acid load, alkaline water and cancer are related: it went through 8,278 publications and found only 1 that met the standard for inclusion, and that one showed no association either. What the authors wrote is that「向公众推广碱性饮食和碱性水用于癌症预防或治疗是不合理的」. It looks like good value because the two premises, "there are toxins in the body that need to come out" and "an acid constitution causes cancer", sound a good deal like physiology
Notes
All that can be said is "not supported by evidence", so this is graded C. Clearing out the waste your metabolism produces is what the liver and kidneys do. As long as those two organs are not diseased, you do not need to do anything extra to "detox".
Sources · 2 sources
- Klein AV, Kiat H (2015). Detox diets for toxin elimination and weight management: a critical review of the evidence. J Hum Nutr Diet. doi.org/10.1111/jhn.12286
- Fenton TR, Huang T (2016). Systematic review of the association between dietary acid load, alkaline water and cancer. BMJ Open. doi.org/10.1136/bmjopen-2015-010438
14Do not force yourself to drink water to reach "eight glasses a day"
# Value ModerateGrade CMoneyNo moneyIn passingNo willpower
People have gone looking for the source of "eight glasses a day" and found not one study supporting it. Food and other drinks already carry a great deal of water, so there is no need to drink that much. Drink when you are thirsty and look at the colour of your urine; that is enough. People working in the heat, people exercising hard, people who have had kidney stones, and older people who no longer feel thirsty should drink on purpose.
Cost
No money. It takes a little time and attention to keep track, and you get up more often at night.
Benefit
One literature review looked specifically at the "8x8" claim, which means eight glasses of eight ounces of water a day. Its conclusion is that it「未找到任何支持 8×8 的科学研究」. It also writes that「对数千名成年人的食物与液体摄入调查强烈提示不需要如此大量」, because food and other drinks already supply a great deal of water. The claim looks like good value because water is free, because 8 is a tidy number, and because "drink more water" never sounds wrong wherever it comes up
Notes
What is being rejected is the number "you must drink so many glasses a day", not the idea that drinking more water is harmful. Drink when you are thirsty and look at the colour of your urine; that is enough. People working at high temperatures, people exercising hard, people who have had kidney stones, and older people who no longer feel thirsty should drink on purpose, and that is a separate matter.
Sources
Valtin H (2002). "Drink at least eight glasses of water a day." Really? Is there scientific evidence for "8 x 8"? Am J Physiol Regul Integr Comp Physiol.
doi.org/10.1152/ajpregu.00365.200215Do not pay for fortune telling, tarot or horoscopes to make decisions
# Value HighGrade BMoneyNo moneyIn passingNo willpower
There is a classic classroom experiment in which the "personal personality analysis" the students received was in fact the same for everyone, and most of them thought it was accurate. That is why fortune telling seems accurate. An astrologer picks correctly about as often as chance. The cost is not only a few tens of yuan: a fortune-telling gang in Xixian, Henan collected incense money and "support packages" of up to 3888 yuan, and the main offender was sentenced to eleven years.
Cost
No money. The hard part is giving up a shortcut to a decision and having to think it through yourself afterwards.
Benefit
In the classic classroom experiment, the "personal analysis" students received after a personality test was in fact the same for everyone, yet most of them thought it accurate. The author's conclusion is「被本人或分析者接受,不能证明解释正确」. The 39 students rated how accurate the analysis was on a scale from 0 to 5, and 34 of them gave it 4 or 5, which works out at an average of about 4.26 using the distribution in the table. That is why fortune telling always seems accurate; the phenomenon is called the Barnum effect. Astrology has also been put through a double-blind test, published in Nature. The astrologer had to pick, out of three personality test profiles, the one that matched the chart. Out of 116 they picked 40, while pure chance would have picked 38.5, and the astrologers predicted beforehand that they would pick 58.5. Official case: the Xixian Procuratorate in Henan reported an online fortune-telling fraud gang that first drew people in with free palm readings and then took "incense money" and "support packages" of up to 3888 yuan. There were more than 50 victims, more than 200 ten thousand yuan of stolen funds was recovered, and the main offender was sentenced to eleven years' imprisonment with a fine of 100,000 yuan
Notes
Each of those two is a single study. Forer's paper does not state the average score directly; the 4.26 is worked out from the distribution in table 1. Nothing here says it predicts accurately, and no belief is being judged. Spending a few tens of yuan on it as entertainment is not what is at issue; the losing move is using it to decide about leaving a job, getting married or investing.
Sources · 3 sources
- Forer BR (1949). The fallacy of personal validation: A classroom demonstration of gullibility. Journal of Abnormal and Social Psychology 44(1):118-123(表 1 评分分布:2 分 1 人、3 分 4 人、4 分 18 人、5 分 16 人,N=39). doi.org/10.1037/h0059240
- Carlson S (1985). A double-blind test of astrology. Nature 318:419-425(表 2:首选 116 份,挑中 40 份,随机期望 38.5,占星师预计 58.5;「The data are consistent with chance, inconsistent with astrological hypothesis」). , full text on the second author's homepage doi.org/10.1038/318419a0muller.lbl.gov/papers/Astrology-Carlson.pdf
- Supreme People's Procuratorate (最高人民检察院) (2026). Xixian, Henan: Three Years of Continuous Tracking Taken to a Batch of Online Fortune-Telling Fraud Gangs(河南息县:历经三年持续追踪打掉一批网络算命诈骗团伙). www.spp.gov.cn/zdgz/202607/t20260728_732935.shtml
16Do not buy blue-light glasses to "protect your eyesight", and do not believe that "your eyes are ruined after a few months in front of a screen"; but a swollen, red eye is an emergency
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Blue-light filtering lenses do not work. Not buying them saves you the several hundred to several thousand yuan. Compared with ordinary lenses, people wearing them are neither less tired nor able to see more sharply, and no evidence has been found that they protect the back of the eye. Eye strain and dryness from looking at a screen do settle. What really damages the eye is welding arc light, ultraviolet light and laser light, and an acute attack of glaucoma.
Cost
No money, and you also save the several hundred to several thousand yuan added to the price of the lenses.
Benefit
The Cochrane 2023 systematic review included 17 randomised controlled trials of between 5 and 156 people each, with follow-up ranging from less than a day to 5 weeks. Because there was too little data, the trials enrolled very different people, and the follow-up times did not match, the authors did not pool them into one overall figure. The results below are all against lenses with no blue-light filter. Where follow-up was shorter than a week, self-reported eye fatigue "may make little or no difference" and the certainty of the evidence is low. In one trial of 120 people the two groups differed by 9.76 units. The credible range of that difference is
95% CI −33.95 to 53.47. A range that crosses both signs means no difference can be made out. Critical flicker fusion frequency is an objective measure of eye fatigue; the two groups "may be almost identical", with low certainty. The best corrected visual acuity "is probably not affected". The two groups differ by 0.00 logMAR (
95% CI −0.02 to 0.02). This outcome rests on 1 study and 156 people, with moderate certainty. Any effect on daytime alertness could not be established (2 trials, 42 people, very low certainty). The review also found no evidence that these lenses protect the macula at the back of the eye
Notes
Looking at a screen brings eye strain and dry eye, which show up as soreness, dryness and blurred vision after a while. Resting and blinking more often eases them. That they settle does not mean "you have damaged your eyes". This is the consensus of ophthalmology, not the conclusion of the Cochrane review in the Sources field, so it is graded C only. What really causes irreversible eye damage in a short time is a strong light source such as welding arc light, ultraviolet light or laser light. Eye injury from welding arc light is called photophthalmia and is a legally recognised occupational disease. What keeps it off you is goggles and a face shield, not blue-light lenses, see item 10 in section 19 (protection against dust, noise and chemical toxins). What all-night screen work needs protection against is not the screen itself but one exception: a swollen, red eye, a rainbow ring around a light, and headache, nausea and vomiting mean an acute attack of angle-closure glaucoma, which can destroy the optic nerve within days; go to the eye emergency department the same day, see item 6 in section 13 (eye emergency). A dilated pupil in the dark and the lens being pushed forward by looking down for a long time are what trigger it; those at high risk are over 50, far-sighted, or have a shallow anterior chamber. Dry eye from the screen can also turn into a chronic condition that needs a doctor, not something a night's sleep cures. If your eyes keep bothering you, or your eyesight really is going down, go to the eye department and find the cause, rather than changing lenses and counting that as the end of it. For preventing myopia in children and teenagers, see items 4, 12 and 9 in section 30 (2 hours outdoors a day, dilated refraction testing, not buying products that "cure myopia").
Sources
Singh S, Downie LE, Anderson AJ, Keller PR, White SJ, Ang M, Wolffsohn JS (2023). Blue-light filtering spectacle lenses for visual performance, sleep, and macular health in adults. Cochrane Database of Systematic Reviews, 8, CD013244.
doi.org/10.1002/14651858.CD013244.pub217Do not treat blood donation as a health practice: "detox, lower cholesterol, prevent heart attacks" has no support from randomised trials, while donating too often really does run you out of iron
# Value ModerateGrade ALifespanNo moneyA few hoursSome willpower
The claim that donating blood detoxifies, lowers cholesterol and prevents heart attacks does not hold up. People who keep giving blood were already healthier to begin with; take that layer out and the fall in mortality from one extra donation a year shrinks from nearly a fifth to 7.5%. In the trials that actually separated people into groups, there was no difference in deaths. In the other direction, donating too often really does make people weak and sensitive to the cold, and the reason is iron deficiency.
Cost
No money. One donation, with the forms, the blood draw and the time sitting afterwards, takes about an hour. For weeks afterwards your body is making up the iron you lost.
Benefit
The Kuopio study in Finland followed 2862 men aged 42 to 60 for an average of nearly 9 years. Of the 153 who had given blood in the 24 months before counting began, 1 (0.7%) had an acute heart attack. Among the 2529 who had not given blood, 316 (12.5%) had one (the difference between the two proportions P<0.0001). Once the effect of age and other coronary heart disease risk factors was taken out, those who had given blood had about 88% lower risk of heart attack. Relative risk 0.12 (
95% CI 0.02–0.86, P=0.035). But this comes only from follow-up records, with no control group. The Nordic SCANDAT database holds 1,182,495 donors and 9,526,627 person-years of follow-up in total, of whom 15,401 died. Taking out only characteristics such as age and sex, giving blood one extra time a year was associated with 18.6% lower mortality (
95% CI 16.8%–20.4%). Taking out also the layer of "you only stay allowed to give blood if you stay healthy", the reduction is only 7.5% (5.7%–9.4%). The authors conclude that it「不能解释为有益健康的确凿证据」. The FeAST randomised controlled trial enrolled 1277 patients with symptomatic lower limb arterial disease and randomised them to two groups, one having blood drawn every 6 months on a fixed schedule to reduce iron, the other as a comparison. The main measure was all-cause mortality, 125/636 (20%) against 148/641 (23%).
HR 0.85 (
HR is the risk ratio, where 1 means the two groups are the same).
95% CI 0.67–1.08, P=0.17. Taken together, death plus heart attack and stroke among the survivors was 180 (28%) against 205 (32%),
HR 0.88 (0.72–1.07, P=0.20). Neither showed a difference. The INTERVAL randomised trial enrolled 45,263 people giving whole blood. They were split into three different intervals between donations. For men they were 12, 10 and 8 weeks, for women 16, 14 and 12 weeks. With the interval shortened, noticeably more blood was collected over two years (the 8-week group of men gave 1.69 units more than the 12-week group,
95% CI 1.59–1.80). Quality of life, physical activity and cognitive function showed no difference between the groups. But there was more discomfort from giving blood, including tiredness, breathlessness, dizziness, lightheadedness and restless legs (legs so uncomfortable at night that you cannot lie still). At the same time the average haemoglobin and ferritin were lower, and there were more deferrals for low haemoglobin (all items P<0.0001). Iron deficiency affects how much heat the body makes: 10 women with iron deficiency anaemia, 8 people whose iron stores were exhausted but who were not yet anaemic, and 12 control women soaked in water at 28 ℃ for 100 minutes. The anaemia group had a rectal temperature of 36.0±0.2 ℃ against 36.2±0.1 ℃ in the control group (P=0.001). Oxygen consumption was 5.28±0.26 against 5.99±0.29 mL·min⁻¹·kg⁻¹ (P=0.04). The two thyroid hormones, thyroxine and triiodothyronine, were also lower (P<0.002). The claim looks sound because people who give blood are healthy people who have been screened again and again, and because the hypothesis that "letting iron out protects the heart" has not been confirmed in a randomised trial
Notes
What is being rejected is donating blood for the sake of your own health, not blood donation itself. The blood is for someone else, so on this book's beneficiary tiers it falls in tier ④ (a stranger). What does come back to you is the share the system gives you. Article fourteen of the Blood Donation Law provides that a person who has given blood unpaid is exempt from the collection, storage, separation and testing charges when using blood in hospital themselves, and that the spouse and immediate family may be exempt or pay less according to the provincial government's rules. The National Health Commission notice of January 2024 states that 28 provinces already let donors and their relatives have the cost deducted at discharge for blood used in hospitals in the same province. Those who have received the voluntary blood donation award can also, under the local "three free" policy, travel on public transport free, visit government-run parks free, and be exempt from the ordinary outpatient consultation fee at public hospitals. If you are going to give blood, keep to the statutory intervals. Article nine of the Blood Donation Law provides for 200 millilitres each time in general, and no more than 400 millilitres. The interval between the two must be at least 6 months. The recommended ages are 18 to 55. Do not shorten the interval to the minimum in order to collect an honour or a group quota. Women, people of low body weight and people with heavy menstrual bleeding are already short of iron; anyone who donates repeatedly can pay for one ferritin test. If you feel constantly tired or cold after donating, or your legs are uncomfortable at night and you cannot stop moving them (this is called restless legs), do not assume your "base qi" is damaged; have a blood count and a ferritin test. If you come up deficient, take iron as the doctor says and lengthen the interval between donations. The human evidence on feeling cold rests on 10 people; it explains why this happens, it is not a statement of how many people it happens to.
Sources · 7 sources
- Salonen JT, Tuomainen TP, Salonen R, Lakka TA, Nyyssönen K (1998). Donation of blood is associated with reduced risk of myocardial infarction. The Kuopio Ischaemic Heart Disease Risk Factor Study. American Journal of Epidemiology, 148(5), 445-451. doi.org/10.1093/oxfordjournals.aje.a009669
- Ullum H, Rostgaard K, Kamper-Jørgensen M, et al. (2015). Blood donation and blood donor mortality after adjustment for a healthy donor effect. Transfusion, 55(10), 2479-2485. doi.org/10.1111/trf.13205
- Zacharski LR, Chow BK, Howes PS, et al. (2007). Reduction of iron stores and cardiovascular outcomes in patients with peripheral arterial disease: a randomized controlled trial. JAMA, 297(6), 603-610. doi.org/10.1001/jama.297.6.603
- Di Angelantonio E, Thompson SG, Kaptoge S, et al. (2017). Efficiency and safety of varying the frequency of whole blood donation (INTERVAL): a randomised trial of 45 000 donors. Lancet, 390(10110), 2360-2371. doi.org/10.1016/S0140-6736(17)31928-1
- Beard JL, Borel MJ, Derr J (1990). Impaired thermoregulation and thyroid function in iron-deficiency anemia. American Journal of Clinical Nutrition, 52(5), 813-819. doi.org/10.1093/ajcn/52.5.813
- Standing Committee of the National People's Congress (全国人大常委会) (1997). Blood Donation Law of the People's Republic of China(中华人民共和国献血法)(Articles two, nine and fourteen). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf5e71801f9
- National Health Commission and others (国家卫生健康委等) (2024-01-08). Notice on Further Improving Incentive and Reward for Voluntary Blood Donors(关于进一步做好无偿献血者激励奖励工作的通知). www.gov.cn/zhengce/zhengceku/202401/content_6924875.htm
18Do not rely on a general health check package to prevent disease; do the few screenings with evidence behind them, by age and sex
# Value HighGrade AMoneyNo moneyIn passingNo willpower
People who go for a general health check regularly have the same mortality as people who do not, and they die of cardiovascular disease and cancer just as often. Doing the few screenings with evidence behind them, by age and sex, is enough. Over 35 you can have your blood pressure taken free once a year; over 65 you get one free health check a year.
Cost
No money, and you also save the several hundred to several thousand yuan a year that the package costs. What you take on instead is remembering which tests to have and how often.
Benefit
The 2019 update of the Cochrane review included 17 randomised controlled trials. For all-cause mortality it pooled 11 of those trials, 233,298 participants and 21,535 deaths. The general health check group was the same as the comparison group,
RR 1.00.
RR is the risk ratio, where 1 means the two groups are the same.
95% CI 0.97–1.03 is the credible range. For death from cardiovascular disease it pooled 9 trials, 170,227 people and 6,237 deaths,
RR 1.05 (
95% CI 0.94–1.16). For death from cancer it pooled 8 trials, 139,290 people and 3,663 deaths,
RR 1.01 (
95% CI 0.92–1.12). Neither showed a difference either. The authors' conclusion is that general health checks are "unlikely to be beneficial". The national basic public health service programme gives residents aged 35 and above one free blood pressure measurement a year, and gives people aged 65 and above one free health check a year. This free health check includes a physical examination, a full blood count, a routine urine test, fasting blood glucose and an electrocardiogram. Liver function covers alanine aminotransferase, aspartate aminotransferase and total bilirubin. Kidney function covers serum creatinine and blood urea nitrogen. Blood lipids cover total cholesterol, triglycerides, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol. Finally there is an abdominal ultrasound of the liver, gallbladder, pancreas and spleen (nationwide)
Notes
What is being rejected is "using an annual package as a way of preventing disease", not the claim that no test should be done. And the free blood pressure measurement over 35 and the free health check over 65 are part of the national basic public health service programme anyway, so they cost you nothing. Do have any test you have a reason to have. Blood pressure, blood glucose and hepatitis B: see items 7, 8 and 14 in section 1. Breast, cervical and colorectal: see items 17, 18 and 19 in section 1. Helicobacter pylori and low-dose CT: see items 23 and 24 in section 1. Bone density testing for women over 65: see item 39 in section 1 (bone density testing). If you have had high-risk behaviour, go and be tested: see item 31 in section 1. What age to start at and how often to repeat are written there. Check-ups arranged by your employer and paid for by somebody else are still worth going to; what should be stopped is buying a package with your own money and adding items to it. If you already have a chronic illness, if you have symptoms, or if a doctor has ordered a test for your condition, none of that counts: that is medical care, not screening. The commonest items in a package with no evidence behind them are tumour markers and whole-body imaging, see item 7 in this section (a whole-body PET-CT and tumour marker package). What to do about a high uric acid finding you have never had an attack from, or gallstones you have never felt: see item 19 in this section (asymptomatic high uric acid) and item 20 (asymptomatic gallstones). Separately, most of the trials Cochrane included were carried out in high-income countries, where seeing a doctor is easy to begin with; this conclusion should not be carried over unchanged to places where medical resources are tight.
Sources · 2 sources
- Krogsbøll LT, Jørgensen KJ, Gøtzsche PC (2019). General health checks in adults for reducing morbidity and mortality from disease. Cochrane Database of Systematic Reviews, 1, CD009009. doi.org/10.1002/14651858.CD009009.pub3
- National Health and Family Planning Commission (国家卫生计生委) (2017). National Basic Public Health Service Specification (Third Edition)(国家基本公共卫生服务规范(第三版))(health management for older people, health management for patients with high blood pressure). www.nhc.gov.cn/ewebeditor/uploadfile/2017/04/20170417104506514.pdf
19Do not start urate-lowering drugs because a check-up found high uric acid and you have never had an attack
# Value ModerateGrade ALifespanNo moneyIn passingNo willpower
The American College of Rheumatology recommends that people whose uric acid is above the limit but who have never had an attack of gout and have no gouty tophus should not start urate-lowering drugs. You have to treat 24 people for 3 years to prevent one attack. The hope that it protects the kidney has also fallen through: kidney function fell just as fast in the people taking the drug as in those taking a placebo. Treat it after the first real attack.
Cost
No money, and it saves the long run of medicine and repeat testing as well as the risk of a dose you did not need.
Benefit
The American College of Rheumatology's 2020 gout guideline covers asymptomatic hyperuricaemia. It means a blood urate above 6.8 mg/dL, with no previous attack of gout and no tophus under the skin. The guideline conditionally recommends that these people do not start any urate-lowering drug. The drugs include allopurinol, febuxostat and probenecid. The certainty of the evidence is graded "high". The footnote under the table states「按归因风险计算,需治疗 24 名患者 3 年才能预防一次痛风发作」. The CKD-FIX randomised controlled trial enrolled 363 people. They had stage 3 or stage 4 chronic kidney disease, with no history of gout but at risk of progression. One group took 100–300 mg of allopurinol a day and the other a placebo. The trial ran for 104 weeks.
eGFR is the measure of kidney function, in units of mL/min/1.73 m². In one group it changed by -3.33 a year (
95% CI -4.11 to -2.55). In the other it changed by -3.23 a year (-3.98 to -2.47). The two differ by -0.10 (-1.18 to 0.97), P=0.85, so kidney function fell at the same speed. Serious adverse events 46% against 44%. The PERL randomised controlled trial enrolled 530 people with type 1 diabetes and early to mid-stage diabetic kidney disease, who took allopurinol for 3 years and then stopped for 2 months to wash the drug out. Allopurinol did bring blood urate down from 6.1 to 3.9 mg/dL. But once the drug was stopped, the two groups differed in the kidney measure GFR by only 0.001 mL/min/1.73 m². The credible range for that difference is
95% CI -1.9 to 1.9, P=0.99. Urinary albumin leakage was in fact 40% higher in the allopurinol group (0 to 80). It looks like good value because the intuition "if a measure is out of range, take a drug to push it down" runs so smoothly
Notes
What is being rejected is "start lifelong urate-lowering drugs before you have ever had an attack", not the idea that high uric acid does not matter. The same guideline lists the exceptions. Starting the drug can be considered in three situations. First, a first attack that comes at the same time as stage 3 or worse chronic kidney disease. Second, blood urate above 9 mg/dL (about 535 µmol/L). Third, a history of urinary stones. People who have already had an attack, people with tophi, and people whose scans show bone already eroded should take the drug; for the details see item 9 in section 16 (once gout is diagnosed, take urate-lowering drugs long term). About 7.4% of Han Chinese carry a genotype called HLA-B*5801, against 0.7% of white people. People with this type are more likely to develop a severe and potentially fatal drug rash on allopurinol, and the risk of hypersensitivity syndrome among Asian people is 3 times that of white people. This is a drug you can perfectly well do without for now, and there is no reason to take on that extra risk. Before you do start, have this genotype tested; see item 9 in section 16 (once gout is diagnosed, take urate-lowering drugs long term). Those two kidney trials were done in people with chronic kidney disease and type 1 diabetes, and cannot be turned into "high uric acid is completely harmless for the kidney". All they rule out is the one practice of taking a drug to lower uric acid in order to protect the kidney.
Sources · 3 sources
- FitzGerald JD, Dalbeth N, Mikuls T, et al. (2020). 2020 American College of Rheumatology Guideline for the Management of Gout. Arthritis Care & Research, 72(6), 744-760(表 1 及其脚注). doi.org/10.1002/acr.24180
- Badve SV, Pascoe EM, Tiku A, et al. (2020). Effects of Allopurinol on the Progression of Chronic Kidney Disease. New England Journal of Medicine, 382(26), 2504-2513. doi.org/10.1056/NEJMoa1915833
- Doria A, Galecki AT, Spino C, et al. (2020). Serum Urate Lowering with Allopurinol and Kidney Function in Type 1 Diabetes. New England Journal of Medicine, 382(26), 2493-2503. doi.org/10.1056/NEJMoa1916624
20Do not have a preventive cholecystectomy because a check-up found gallstones you have never felt from (asymptomatic gallstones)
# Value HighGrade ALifespanNo moneyIn passingNo willpowerDisputedHas items to verify
Of the people who have stones in the gallbladder and have never felt pain, about 80% stayed without symptoms over nearly nine years. Leave the stones alone and the chance of an emergency such as cholecystitis or pancreatitis each year is about one in a thousand to three in a thousand. Removing the gallbladder is not risk-free either: about 1.5% of people have the bile duct injured. So the European and British guidelines both say that if there are no symptoms, do not operate yet.
Cost
No money, and you also save one operation under general anaesthetic and one hospital stay. What you take on instead is remembering which signals mean you have to go to hospital at once.
Benefit
The Italian MICOL population survey put 11,229 people aged 29 to 69 through an ultrasound. 856 were found to have gallstones, of whom 580 had no symptoms, and they were followed for 8.7 years on average. Of those 580 people, 453 (78.1%) stayed without symptoms, 61 (10.5%) developed mild symptoms and 66 (11.4%) developed severe symptoms. In the whole follow-up period 189 cholecystectomies were done, 41.3% of them on people with no symptoms. The authors' conclusion is that "expectant management is still an effective approach for most patients"; expectant management means watching and waiting without an operation. A US HMO kept follow-up statistics; an HMO is a managed care organisation. Of 691 people with diagnosed gallstones, followed for 78±61.6 months on average, the 135 with no symptoms were followed for 58±50.2 months (median 46.3 months), and only 10% developed symptoms of gallstones while 7% had an operation. Of the 50 deaths in the whole group only 2 had anything to do with the biliary tract, and both were in the group with symptoms. The authors' conclusion is that "patients with silent stones do not require surgery before symptoms appear"; silent stones are stones that stay quiet and do not attack. The British NICE guideline CG188 says it in these words at clause 1.2.1: "for a person with a normal gallbladder and biliary tract in whom asymptomatic gallstones are found incidentally, it should be explained that no treatment is needed until symptoms appear". The European Association for the Study of the Liver put the risks on both sides together in its 2016 gallstone guideline. In people with no symptoms, about 0.7% to 2.5% develop symptoms each year. Acute cholecystitis, acute pancreatitis, obstructive jaundice (the bile duct blocks and the person turns yellow) or cholangitis occur in 0.1% to 0.3% a year. Only after the first attack of colic do complications rise to 1% to 3% a year, so most people feel pain once before anything serious happens. On the operation side, in 51041 cholecystectomies in the Swedish national registry, 1.5% injured the bile duct. About a fifth of those (0.3%) were a partial or complete division of the bile duct. Among people whose bile duct was injured, mortality within a year was 3.9%; among those whose duct was not, 1.1%. The guideline also says that 10% to 40% of patients still have discomfort after the operation, or feel better for a while and then have it again. The guideline's conclusion is that an operation in a person with no symptoms, whether open or laparoscopic, does not lengthen life, because the risk of death and complications from the operation itself is greater than the risk of not operating. Waiting until symptoms appear also costs less in total. A 1983 modelling exercise gave specific figures: a preventive removal in a 30-year-old man costs 4 days of life on average compared with watching and waiting, and 18 days at 50. To this day no randomised trial has compared operating with not operating. Preventive removal looks good value because of the intuition that "it will hurt sooner or later, so better to take it out in one go while you are young"
Notes
Disputed. The 2021 Chinese expert consensus on biliary surgery lists some asymptomatic gallstones among the indications for surgery. An explanatory article in the same journal states that this is one of the core points of the dispute. The full text of the consensus is behind a subscription, and the exact circumstances it lists were not checked against the original (TODO: to be verified). The other objection concerns small stones: small stones under 5 millimetres are more closely related to pancreatitis. A Dutch modelling exercise says that preventive removal in these people may lengthen life or shorten it, depending on how common pancreatitis is and how deadly. The European guidelines also list exceptions: calcification of the gallbladder wall (a porcelain gallbladder), and a gallbladder polyp over 1 centimetre at the same time; these two should be removed. When you are having a different major operation on the abdomen, removing the gallbladder at the same time can be considered. This item describes one situation only: the stones are in the gallbladder and have never caused pain. Stones in the common bile duct are a different matter. Clause 1.3.1 of the same guideline states plainly that a common bile duct stone must be cleared from the duct and the gallbladder removed, whether there are symptoms or not. If any of the following appears, go to hospital the same day, and do not ride this conclusion out: persistent colicky pain in the right upper abdomen or upper abdomen, fever with chills, yellowing of the whites of the eyes or the skin, or dark urine. When a doctor who has looked at your images advises an operation, ask which of the reasons it is: involvement of the bile duct, a polyp growing at the same time, an abnormal gallbladder wall. Do not use this conclusion to argue against him. It only blocks "operating for no reason at all, simply because stones were found". Both studies above followed a group of people forwards without a control group. But what they have to answer is what happens if you leave the stones alone, not which treatment is better, so they fit here. Separately, the two of them followed people for 4 to 9 years; with longer follow-up the share who develop symptoms goes up
Sources · 10 sources
- Festi D, Reggiani ML, Attili AF, et al. (2010). Natural history of gallstone disease: Expectant management or active treatment? Results from a population-based cohort study. Journal of Gastroenterology and Hepatology, 25(4), 719-724. doi.org/10.1111/j.1440-1746.2009.06146.x
- McSherry CK, Ferstenberg H, Calhoun WF, Lahman E, Virshup M (1985). The natural history of diagnosed gallstone disease in symptomatic and asymptomatic patients. Annals of Surgery, 202(1), 59-63. doi.org/10.1097/00000658-198507000-00009
- National Institute for Health and Care Excellence (2014). Gallstone disease: diagnosis and management. NICE guideline CG188, clauses 1.2.1 and 1.3.1. www.nice.org.uk/guidance/cg188/chapter/Recommendations
- European Association for the Study of the Liver (2016). EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. Journal of Hepatology, 65(1), 146-181. doi.org/10.1016/j.jhep.2016.03.005
- Törnqvist B, Strömberg C, Persson G, Nilsson M (2012). Effect of intended intraoperative cholangiography and early detection of bile duct injury on survival after cholecystectomy: population based cohort study. BMJ, 345, e6457. doi.org/10.1136/bmj.e6457
- Ransohoff DF, Gracie WA, Wolfenson LB, Neuhauser D (1983). Prophylactic cholecystectomy or expectant management for silent gallstones. A decision analysis to assess survival. Annals of Internal Medicine, 99(2), 199-204. doi.org/10.7326/0003-4819-99-2-199
- Gurusamy KS, Samraj K (2007). Cholecystectomy versus no cholecystectomy in patients with silent gallstones. Cochrane Database of Systematic Reviews, CD006230. doi.org/10.1002/14651858.CD006230.pub2
- the other side: Venneman NG, Buskens E, Besselink MG, et al. (2005). Small gallstones are associated with increased risk of acute pancreatitis: potential benefits of prophylactic cholecystectomy? American Journal of Gastroenterology, 100(11), 2540-2550. doi.org/10.1111/j.1572-0241.2005.00317.x
- Biliary Surgery Group, Surgical Branch of the Chinese Medical Association, and Biliary Surgery Committee, Surgeons Branch of the Chinese Medical Doctor Association (2022). Expert consensus on the surgical treatment of benign gallbladder diseases (2021 edition). 中华外科杂志, 60(1), 4-9. (full text requires a subscription, not obtained)doi.org/10.3760/cma.j.cn112139-20210811-00373
- Same as above (2022). 《胆囊良性疾病外科治疗的专家共识(2021版)》解读, Interpretation of the Expert Consensus on the Surgical Treatment of Benign Gallbladder Diseases (2021 Edition). 中华外科杂志, 60(4), 337-342. doi.org/10.3760/cma.j.cn112139-20220119-00031
21Do not cut out calcium in order to prevent kidney stones
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpowerDisputed
Men with calcium oxalate stones are often told to eat less calcium, and the trial result is the other way round. Men with recurrent stones who ate calcium normally while cutting back on animal protein and salt had only half as many recurrences over five years as those on a low calcium diet. The British guideline also says not to restrict calcium.
Cost
No money. It also saves you trouble, because you no longer have to watch what contains calcium every day.
Benefit
One randomised controlled trial ran for 5 years and enrolled 120 men with recurrent calcium oxalate stones and also high urinary calcium, which is called idiopathic hypercalciuria. They were randomised into two groups. One group ate calcium normally, 30 mmol a day. That group also cut back on animal protein (52 g a day) and on salt (50 mmol of sodium chloride a day). The other group ate the traditional low calcium diet, 10 mmol a day. Over 5 years recurrence was 12/60 against 23/60. The uncorrected relative risk was 0.49 (
95% CI 0.24–0.98, the credible range), P=0.04, so the normal calcium group had half the risk of recurrence. During follow-up, urinary calcium fell in both groups by about 170 mg a day. But urinary oxalate differed. In the low calcium group it rose by 5.4 mg a day on average, while in the normal calcium group it fell by 7.2 mg a day. Paragraph 1.8.1 of the British NICE guideline NG118 states that daily calcium intake should not be restricted. For adults, 700 to 1,200 mg a day. For children and teenagers, 350 to 1,000 mg a day depending on age. Cutting out calcium looks like good value because of the intuition "stones are made of calcium, so eat less of it"
Notes
Disputed: this trial was only done in men, and all of them had recurrent calcium oxalate stones with high urinary calcium, so it cannot be applied directly to every kind of stone. The intervention group also changed three things at once, eating calcium normally, eating less animal protein and eating less salt, so not all of the benefit can be put down to not cutting out calcium; the lower salt and the less animal protein are doing work too. What is being rejected is "deliberately cut out anything containing calcium", not "you should take more calcium". What is changed here is calcium in your daily meals; calcium supplements are a separate question, and if you have had stones, ask your treating doctor whether to take them. For drinking more water, see item 8 in section 16 (after a kidney stone, drink 2.5–3 litres a day).
Sources · 2 sources
- Borghi L, Schianchi T, Meschi T, et al. (2002). Comparison of two diets for the prevention of recurrent stones in idiopathic hypercalciuria. New England Journal of Medicine, 346(2), 77-84. doi.org/10.1056/NEJMoa010369
- National Institute for Health and Care Excellence (2019). Renal and ureteric stones: assessment and management. NICE guideline NG118, Article 1.8.1. www.nice.org.uk/guidance/ng118/chapter/Recommendations
22Do not buy crystals, bead bracelets or pixiu for "turning your luck", "bringing in money" or "nurturing people"
# Value ModerateGrade BMoneyNo moneyIn passingSome willpower
There is no checkable evidence that wearing one changes your luck, brings in money or nurtures people. It works the same way fortune telling seems accurate: the description is vague enough that you fit yourself into it. When a merchant goes on to claim the goods treat disease, that is false advertising, and in 2026 livestream rooms were punished for it. Buying them as decoration is fine.
Cost
No money. All you have to do is keep "turning your luck" and "nurturing people" out of your reasons for buying it. The hard part is keeping up when everyone around you is wearing one and saying it works.
Benefit
The classic classroom experiment showed that everyone received the same vague "personal analysis" yet most thought it accurate; the phenomenon is called the Barnum effect. It explains where the feeling of "things did go better after I put it on" comes from. What that author concluded is that「被本人接受不能证明解释正确」. Official case: the State Administration for Market Regulation published on 2026-6-4 a batch of typical cases of "cracking down on fakes and clearing out the sources" in the traditional crafts market. One was a jewellery shop in Sihui, Guangdong, which invented the material of the goods in its livestream room. It also claimed that the goods could "prevent and cure rheumatism, raise immunity, improve sleep quality and unblock blood vessels". The shop misled and deceived consumers by staging scripted performances. This breaches Article nine, first paragraph of the Law Against Unfair Competition (nationwide)
Notes
The conclusion is one sentence: its claimed effects cannot be checked, and it has shown no predictive power at all. No belief or custom is being judged here, and this is not aimed at giving gifts, at keeping a memento, or at passing something down in the family. Two things have to be kept apart: the effects a merchant claims are set out in writing and can be complained about, while claims like "turning your luck" have no research behind them and cannot be proved false either, so only your own budget can hold them in check. Before buying, treat it as an ordinary piece of jewellery and ask yourself one question: "if it changed nothing at all, would I still pay this?" For how to check the material and the certificate, and why treating it as an investment does not work out, see items 33 and 34 in section 5 (bead bracelets and watches counted as money spent, and jade recognised only from a CMA report). For paying for fortune telling, see item 15 in this section (fortune telling, tarot and horoscopes).
Sources · 2 sources
- Forer BR (1949). The fallacy of personal validation: A classroom demonstration of gullibility. Journal of Abnormal and Social Psychology. doi.org/10.1037/h0059240
- State Administration for Market Regulation (国家市场监督管理总局) (2026). The State Administration for Market Regulation Publishes a Batch of Typical Cases of "Cracking Down on Fakes and Clearing Out the Sources" in the Traditional Crafts Market(市场监管总局公布一批传统工艺市场「打假清源」典型案例). www.samr.gov.cn/xw/zj/art/2026/art_1529399cfe874b8780c4496eb0158020.html
23Do not expect buying things to improve your mood or your sense of who you are
# Value ModerateGrade BMoneyNo moneyIn passingA lot of willpowerDisputed
The more a person values money and material things, the less happy they say they are, but the association is weak and it does not show what leads to what. Other research has found that spending money on an experience makes people happier than spending it on things. So when you feel low, spending on going out or on a meal with someone is more likely to help than filling a shopping basket.
Cost
No money. The hard part is not ordering when you feel low.
Benefit
One meta-analysis (pooling many studies) covered 259 independent samples and 753 effect sizes. The result: the more a person values material things, the lower the well-being they report. On the most commonly used multidimensional scale the correlation is
r = -0.19 (ρ = -0.24 after correction). On scales that measure only the single aspect "valuing money", the association is even weaker,
r = -0.08 to -0.11. Split by which outcome is being examined, the strength differs. The strongest associations are with risky health and consumption behaviour and with negative self-evaluation,
r = -0.28 to -0.44. The weakest are with life satisfaction and negative mood,
r = -0.13 to -0.15. The authors also ran a mediation analysis (to see what the effect travels through), and the result suggests that this negative association may come from unmet psychological needs. Another study: in two surveys of different populations, respondents said that money spent on an experience made them happier than money spent on things. In the laboratory experiments that followed, the good mood recalled after spending money on an experience was also higher than that recalled after spending it on things (the national standard does not apply; both studies used foreign samples)
Notes
Disputed: most of the studies included asked a group of people at one point in time whether two things moved together, which cannot show which came first. The authors say in their own conclusion that more experiments and long-term follow-up are needed to see the direction. So this cannot be read as "buying things makes people unhappy"; it can only be read as "do not expect buying things to make you happy". And the association is weak:
r = -0.19 accounts for a few percentage points of difference, and people differ from each other a great deal. Both studies used foreign samples, and there is no comparable data for the Chinese population that can be cited. Nothing here argues against spending money on something you like. What is being argued against is using shopping as a way of managing your mood, because that leaves your first reaction the next time you feel low still being to order something. The specific actions for saving money are in
section 5. What really has evidence behind it when you feel low is in the second half of
section 22 and in
section 29. For budget added in order to be "one notch above other people", see
item 24 in this section (moving up one notch).
Sources · 2 sources
- Dittmar H, Bond R, Hurst M, Kasser T (2014). The relationship between materialism and personal well-being: A meta-analysis. Journal of Personality and Social Psychology, 107(5), 879-924. doi.org/10.1037/a0037409
- Van Boven L, Gilovich T (2003). To do or to have? That is the question. Journal of Personality and Social Psychology, 85(6), 1193-1202. doi.org/10.1037/0022-3514.85.6.1193
24Do not spend more to move up one notch among the people around you, by changing house, car or circle
# Value ModerateGrade BMoneyNo moneyIn passingSome willpower
Comparing people with the same income, the more a neighbour earns, the lower that person reports their own sense of well-being. This only happens with neighbours who have the same education as you and whom you see often. So the extra money you spend to move into a place where everybody is better off than you buys yourself a move down a notch. But when your own income rises, you do feel better off: the absolute level still counts.
Cost
No money. All you have to do is ask one more question before you add to your budget: is this extra money buying the thing itself, or your position among these people? The hard part is keeping up when everybody around you has changed.
Benefit
Two waves of the US National Survey of Families and Households (NSFH) revisited the same group of people. The author matched this data to local median income. Local median income (PUMA) is estimated from a 5% sample of the 1990 census. After subtracting the person's own income and a set of personal characteristics, the result was this: the higher a neighbour's income, the lower the person's own reported sense of well-being. The effect is large, it holds under a different specification, and it is highly significant. The author puts it this way: the drop in well-being from "a neighbour's income rising" is of the same order as the drop from "your own income falling by the same amount". Changed to comparing one person with themselves before and after (adding individual fixed effects), the sign of the coefficient is unchanged and its size is similar; only the significance falls to the 10% level. Narrowed further to comparisons within one state and one wave of the survey (adding state and wave fixed effects), the result is basically unchanged. That means it is not caused by "people who love moving to poorer places being happier to begin with", nor by some unmeasured factor at state level. The effect is stronger in people who are often in contact with their neighbours and not significant in people whose contact is with friends outside the neighbourhood. There is no difference between renters and people who own their home, which does not support the explanation "prices are high in expensive places, so there is less money to spend in reality". Sense of well-being falls only with the income of neighbours who have the same education, and barely responds to the income of neighbours with a different education. And it is carried mainly by satisfaction with one's own material circumstances, not by satisfaction with family life or anything else. Lastly, if your own income and your neighbour's income rise together by the same proportion, sense of well-being still rises
Notes
There are several reasons for the B: the data come from a questionnaire that revisited the same group of people repeatedly, there is only this one study, and the sample is from another country; what is measured is a sense of well-being the respondent reports himself, not money. The author did use statistical methods to rule out several kinds of interference, such as comparing one person with himself over time and comparing within one state and one wave, but it is not a randomised trial after all. There is also no comparable data on the Chinese population that can be cited. The benefit is graded medium, following the standard set in item 23 in this section (do not expect buying things to improve your mood). The money saved could indeed reach tens of thousands of yuan. But there is no figure behind "how much sense of well-being that money buys", so it is not recorded as large on the tens-of-thousands scale. Nothing here argues against spending money on a bigger house, a quieter development or a shorter commute: those buy the thing itself. The one reason to stop is "my colleagues have all upgraded and I cannot be worse off than them". How a place to live should be ranked, see item 18 in section 4 (put commute time first when choosing where to live). Buying things to manage your mood, see item 23 in this section (do not expect buying things to improve your mood). Always comparing upwards online, see item 20 in section 3 (do not read "how others are doing" every day).
Sources · 2 sources
- Luttmer EFP (2005). Neighbors as Negatives: Relative Earnings and Well-Being. The Quarterly Journal of Economics, 120(3), 963–1002. doi.org/10.1093/qje/120.3.963
- Luttmer EFP (2004). Neighbors as Negatives: Relative Earnings and Well-Being. NBER Working Paper No. 10667 (the wording and order of magnitude cited in this item were checked word for word against this version). www.nber.org/papers/w10667
25Do not believe that "willpower is like a muscle and runs out after a while"
# Value HighGrade ATime and energyNo moneyIn passingNo willpower
The popular line is that once you spend self-control on something, it is easier to give in next, so you should save your willpower. 23 laboratories and 2141 people redid this experiment with the same protocol, and the result is very close to zero. Stop explaining yourself with "I ran out of willpower today", and stop paying for courses that teach you how to save up willpower.
Cost
No money. What has to change is one belief.
Benefit
One preregistered multi-lab replication, 23 laboratories and 2141 participants in all, redid the sequential task paradigm following the standardised protocol of Sripada and others: first a task that consumes self-control, then a second task that requires self-control. The pooled result shows a very small ego depletion effect, and the 95% confidence interval includes 0 (d = 0.04,
95% CI −0.07 to 0.15). The authors discuss whether the model that "self-control is a limited resource" still holds in the light of that. A separate preregistered replication of the same paradigm, 36 laboratories and 3531 people, gave an effect size of d = 0.06, again too small to count.
Notes
What is being rejected is the model that "self-control is a resource that gets used up", not the claim that "people get tired". Not getting enough sleep and working too long in a row do lower your efficiency; that is a different matter, handled by the items on sleep and working hours in section 3. The approach that genuinely has randomised trials behind it is changing the environment and changing how you write things down, see item 10 in section 4 (move what you do not want to touch further away) and item 1 in section 4 (write it as "what time, where, and what I do when this comes up"). Fixing what you wear and what you eat is still worth doing, because it costs almost nothing. What it saves is those few minutes and those few moments of hesitation, not willpower; do not expect it to make you judge better in the afternoon. The other items in this section count money; this one counts time and energy, and the two are not converted into each other.
Sources · 2 sources
- Hagger MS, Chatzisarantis NLD, Alberts H, et al. (2016). A Multilab Preregistered Replication of the Ego-Depletion Effect. Perspectives on Psychological Science, 11(4), 546–573. doi.org/10.1177/1745691616652873
- Vohs et al. (2021). A Multisite Preregistered Paradigmatic Test of the Ego-Depletion Effect. Psychological Science. doi.org/10.1177/0956797621989733
26Do not expect breakfast or 16:8 to help you control your weight; pick an eating schedule you can keep up
# Value ModerateGrade ALifespanNo moneyIn passingNo willpowerDisputed
The popular line is that skipping breakfast makes you overeat at lunch and dinner, so that you eat more over the day. The trials do not show that: people who skip breakfast ate a couple of hundred fewer calories a day and weighed slightly less. Compared with simply eating less, 16:8 made no difference in weight over a year. People who never eat breakfast do have about 17% more cardiovascular disease, but no difference in all-cause mortality.
Cost
No money. What you save is the energy spent every day arguing with the clock about meals.
Benefit
Start with the claim that skipping breakfast makes you eat more later. One meta-analysis pooled 13 randomised trials. People assigned to eat breakfast took in 259.79 kcal a day more than those who did not (
95% CI 78.87–440.71, which is the credible range). They weighed 0.44 kg more (0.07–0.82). People who skipped breakfast did not make it up at lunch or dinner. These trials were all short: an average of 7 weeks for weight, an average of 2 weeks for intake. Next, methods like 16:8, where eating is confined to a fixed number of hours. One trial put 116 overweight adults on it for 12 weeks. The group that ate only between noon and 8 in the evening differed from the group eating three regular meals a day by −0.26 kg (−1.30 to 0.78), which is not significant. Another trial, in Guangzhou, enrolled 139 patients with obesity and followed them for 12 months. Time-restricted eating on top of calorie control lost 1.8 kg more than calorie control alone (−4.0 to 0.4), again not significant. Finally, whether never eating breakfast does harm. In a pooling of 2.38 million people, people who skipped breakfast had about 17% higher risk of cardiovascular disease (
OR 1.17, 1.09–1.26) and about 49% higher cardiovascular mortality (
OR 1.49, 1.20–1.84). But these are record-only studies with no grouping. In the original study that followed people for 17 to 23 years, the risk ratio for all-cause mortality was 1.19, with a credible range of 0.99 to 1.42, which crosses 1 and so cannot be called a difference.
Notes
Disputed. The 17% on cardiovascular disease comes from record-only studies with no grouping. People who skip breakfast are already more likely to smoke, drink, sit for long hours and have a low income, and these factors cannot be fully adjusted away. So how much of that 17% is caused by breakfast itself cannot be said. The all-cause mortality figure already crossed 1. There is a dispute about 16:8 as well: pooling 30 trials and 1341 people, and given that both groups ate the same total amount, the time-restricted eating group lost 1.46 kg more (−2.65 to −0.26), at the cost of 0.41 kg more lean body mass lost. But most of those trials are short, and the longest and strictest of them, the twelve-month trial, says there is no difference. Long fasts also have something to do with the gallbladder. In a cross-sectional survey of 6,547 people, every hour that the first meal of the day was pushed later raised the share found to have gallstones by about 5% (
OR 1.05, 1.02–1.08); people whose first meal fell between 9 and 14 o'clock had about 49% more than those who ate earlier (
OR 1.49, 1.24–1.77). The mechanism is that the longer bile sits in the gallbladder the more likely stones come out of it. But this is a survey taken at one point in time, and it is also possible that the gallbladder problem came first and the eating habits changed afterwards. The Kailuan cohort in China followed people for 5.6 years and recorded 369 gastrointestinal cancers: people who skipped breakfast had 2.32 times the risk of colorectal cancer (1.34–4.01) and 5.43 times the risk of gallbladder and extrahepatic bile duct cancer (1.34–21.93). The second of those has a credible range as wide as 21.93, which means too few events; it can only be read as a lead. Taken together, the effect of meal timing on weight control is small, and it is not worth spending energy on. As for whether never eating breakfast is good for you over the long run, all the existing evidence is association and cannot show cause and effect, but the direction is consistently unfavourable; if you want to be on the safe side, eat breakfast as normal, just do not expect it to help you lose weight. The main causes of gastritis and gastric ulcer are not an empty stomach but Helicobacter pylori and long-term use of painkillers; for the test, see
item 23 in section 1 (test for Helicobacter pylori and eradicate it if positive). What to do about gallstones found on a check-up that have never caused pain, see
item 20 in this section (a check-up found gallstones you have never felt from, do not have a preventive cholecystectomy). For weight control, what really has evidence behind it is what you eat and how much, see
item 27 in section 2 (5 portions of fruit and vegetables a day),
item 28 in section 2 (eat less ultra-processed food) and
item 32 in section 2 (keep
BMI between 20–25). This does not apply to people with diabetes, people taking diabetes medication, or people who are pregnant; a missed meal can bring hypoglycaemia, so follow the doctor's instructions. Extreme fasting and induced vomiting are a different matter, see
item 1 in section 28 (do not control your weight with extreme dieting, fasting or induced vomiting).
Sources · 8 sources
- Sievert K, Hussain SM, Page MJ, et al. (2019). Effect of breakfast on weight and energy intake: systematic review and meta-analysis of randomised controlled trials. BMJ. doi.org/10.1136/bmj.l42
- Lowe DA, Wu N, Rohdin-Bibby L, et al. (2020). Effects of Time-Restricted Eating on Weight Loss and Other Metabolic Parameters in Women and Men With Overweight and Obesity. JAMA Internal Medicine. doi.org/10.1001/jamainternmed.2020.4153
- Liu D, Huang Y, Huang C, et al. (2022). Calorie Restriction with or without Time-Restricted Eating in Weight Loss. New England Journal of Medicine. doi.org/10.1056/NEJMoa2114833
- Zhang H, Zhang S, Liu Y, et al. (2025). The association between skipping breakfast and cardiovascular disease: a meta analysis. Frontiers in Cardiovascular Medicine. doi.org/10.3389/fcvm.2025.1565806
- Rong S, Snetselaar LG, Xu G, et al. (2019). Association of Skipping Breakfast With Cardiovascular and All-Cause Mortality. Journal of the American College of Cardiology. doi.org/10.1016/j.jacc.2019.01.065
- Fernandes-Alves D, Teixeira GP, Guimarães KC, Crispim CA (2026). Systematic Review and Meta-analysis of Randomized Clinical Trials Comparing Time-Restricted Eating With and Without Caloric Restriction for Weight Loss. Nutrition Reviews. doi.org/10.1093/nutrit/nuaf053
- Sun T, Zhang L, Lu Y, et al. (2024). Non-linear relationship between the first meal time of the day and gallstone incidence in American adults. Frontiers in Nutrition. doi.org/10.3389/fnut.2024.1521707
- Liu T, Wang Y, Wang X, et al. (2023). Habitually Skipping Breakfast Is Associated with the Risk of Gastrointestinal Cancers: Evidence from the Kailuan Cohort Study. Journal of General Internal Medicine. doi.org/10.1007/s11606-023-08094-7
27Do not believe that masturbation harms the body or that abstaining improves you; what matters is whether it has got in the way of sleep, work and relationships
# Value ModerateGrade BLifespanNo moneyIn passingNo willpowerDisputed
No study says masturbation harms the body. A large American study found the opposite: men who ejaculated more often had about a fifth less prostate cancer. A British study found that men with a higher frequency in their twenties and thirties had higher risk, so neither can be used as a reason to exercise your body. Many people who think they are "addicted to pornography" feel that way more because the activity is at war with their own morality.
Cost
No money. What you save is the money on "tonify the kidney" remedies and "abstinence" courses, and the long worry of blaming yourself.
Benefit
Start with the body. One American study followed 31925 men up to 2010. Each man reported himself how many times a month he ejaculated, and they were grouped by that number. Compared with men reporting 4 to 7 times a month, men reporting more than 21 times had a prostate cancer
HR 0.81 (
95% CI 0.72–0.92, about 19% lower), worked out using the frequency at age 20 to 29. Using the frequency at age 40 to 49,
HR 0.78 (0.69–0.89, about 22% lower). Most of the reduction was in low-risk prostate cancer. On the other side, a British case-control study compared 431 patients diagnosed before the age of 60 with 409 controls. Men who masturbated frequently in their twenties and thirties had higher risk, while men who were frequent in their fifties had lower risk. Now the pornography material. A systematic review with a meta-analysis argues that many people feel they are "addicted" more because the behaviour does not line up with what they believe, and not only because of how much they watch (United States / United Kingdom)
Notes
Disputed. Both prostate cancer studies are record-only with no control group, and the frequency is the man's own recollection, so the conclusion can only go as far as "no evidence of harm was seen"; it cannot be turned into advice to do it more. The authors of the British study say themselves that the fifties finding may be that people became ill first and then ejaculated less often. The abstract of the pornography paper gives no effect size, so only the direction is stated here. The benefit is graded small because what falls is mainly low-risk prostate cancer, not death. The signals that really should send you to a psychiatrist or a clinical psychologist are these: staying up late over it, missing work because of it, it damaging your relationship with your partner, and not being able to stop when you want to. For staying up late, see item 9 in section 3 (do not stay up late for games, short videos or pornography). If you are worried that watching pornography has caused erectile problems, get that checked first following item 28 in section 1 (if erectile function has gone wrong, check the cardiovascular system first). For the legal consequences of posting in groups or selling material, see item 4 in section 9 (watching pornography by yourself is your own business). The beneficiary is you yourself.
Sources · 3 sources
- Rider JR, Wilson KM, Sinnott JA, et al. (2016). Ejaculation Frequency and Risk of Prostate Cancer: Updated Results with an Additional Decade of Follow-up. European Urology, 70(6), 974–982. doi.org/10.1016/j.eururo.2016.03.027
- Dimitropoulou P, Lophatananon A, Easton D, et al. (2009). Sexual activity and prostate cancer risk in men diagnosed at a younger age. BJU International, 103(2), 178–185. doi.org/10.1111/j.1464-410x.2008.08030.x
- Grubbs JB, Perry SL, Wilt JA, Reid RC. (2019). Pornography Problems Due to Moral Incongruence: An Integrative Model with a Systematic Review and Meta-Analysis. Archives of Sexual Behavior, 48(2), 397–415. doi.org/10.1007/s10508-018-1248-x
28Do not pay for "sexual orientation conversion" or "homosexuality treatment", and do not send family members either
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpowerDisputed
The expert panel of the American Psychological Association, having read the studies, said that this kind of conversion cannot change sexual orientation and may do harm. In one American survey, people who had been through conversion had nearly ninety per cent more suicidal ideation. In China a psychiatric hospital forcibly admitted a man in the name of "sexual preference disorder", and the court found it an infringement and awarded him 5000 yuan.
Cost
No money. What you save is the money going into conversion organisations, psychological clinics and "ex-expose yourself" businesses. The hard part is the family insisting on sending someone.
Benefit
The American Psychological Association's 2009 task force report says that efforts to change sexual orientation are「不太可能成功,并且有一定的伤害风险」. On sending a minor into a coercive or residential conversion programme, the report advises that neither parents nor children should consider it. One nationally representative American survey visited 1518 sexual minority adults, about 7% of whom had been through conversion, and eight in ten of those came from religious people. After taking out age, adverse childhood experiences and similar factors, people who had been through conversion had an odds ratio of 1.92 for suicidal ideation at some point in their life (
95% CI 1.01–3.64, about ninety per cent higher). Planning suicide
OR 1.75 (1.01–3.06). Suicide attempts with no injury or minor injury
OR 1.88 (1.01–3.50). Another study visited 245 people aged 21 to 25. Among those not converted during puberty, 22.0% had attempted suicide. Where parents themselves tried to change their child's sexual orientation, the figure was 48.1%. Where parents also took the child to a therapist or a religious figure, it was 62.8%. The World Health Organization's classification ICD-10 states that「性取向本身不被视为一种障碍」. In 2017 a court in Yicheng District, Zhumadian, Henan heard a case in which a psychiatric hospital forcibly admitted a man in the name of "sexual preference disorder". The court found that he「病情一般,也无自杀、伤人、毁物等行为或危险,不符合应当强制治疗的条件」. The court ordered the hospital to apologise publicly and pay 5000 yuan in mental comfort compensation (United States / China)
Notes
Disputed. Sullins 2022 recalculated the same data and took out the suicidal ideation that was already there before the conversion. Worked out that way, conversion is no longer positively associated with suicidal ideation (
OR 0.44, 0.20–0.94). The organisation Sullins belongs to is opposed to homosexuality, and the original authors wrote a reply. So how much harm there is is still disputed, but no evidence has come back from the other side on the point that it cannot work. It is graded B because the harm figures all come from surveys asking people to recall afterwards. As far as the law is concerned, inpatient treatment follows the principle of consent, and only a person with a severe mental disorder who is a danger to themselves or others can be admitted involuntarily. Psychological counsellors are not allowed to carry out psychotherapy. Deliberately sending someone who is not mentally ill into hospital for treatment carries a liability to compensate. If you are in long-term pain about this, go to a psychiatric or clinical psychology department; the goal is to relieve the pain. For what a family should do once a child has said it, see
item 15 in section 30 (a child says they like the same sex). The beneficiaries are you and your family.
Sources · 8 sources
- American Psychological Association Task Force on Appropriate Therapeutic Responses to Sexual Orientation (2009). Report of the Task Force on Appropriate Therapeutic Responses to Sexual Orientation. www.apa.org/pi/lgbt/resources/therapeutic-response.pdf
- Blosnich JR, Henderson ER, Coulter RWS, Goldbach JT, Meyer IH. (2020). Sexual Orientation Change Efforts, Adverse Childhood Experiences, and Suicide Ideation and Attempt Among Sexual Minority Adults, United States, 2016–2018. American Journal of Public Health, 110(7), 1024–1030. doi.org/10.2105/AJPH.2020.305637
- Ryan C, Toomey RB, Diaz RM, Russell ST. (2020). Parent-Initiated Sexual Orientation Change Efforts With LGBT Adolescents: Implications for Young Adult Mental Health and Adjustment. Journal of Homosexuality, 67(2), 159–173. doi.org/10.1080/00918369.2018.1538407
- World Health Organization. ICD-10 Version:2019, F66 Psychological and behavioural disorders associated with sexual development and orientation. icd.who.int/browse10/2019/en#/F66
- Standing Committee of the National People's Congress (全国人大常委会) (2018, amended). Mental Health Law(精神卫生法)(Articles twenty-three, thirty and seventy-eight). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7448a066d
- Guangxi Zhuang Autonomous Region Procuratorate website reprinting the Beijing News (广西壮族自治区人民检察院网站转载新京报) (2017). Final verdict in the Zhumadian "coercive treatment of homosexuality" case(驻马店「同性恋强制治疗案」终审). www.gx.jcy.gov.cn/jblm/shgz/201709/t20170920_2068489.shtml
- the other side: Sullins DP. (2022). Sexual Orientation Change Efforts Do Not Increase Suicide: Correcting a False Research Narrative. Archives of Sexual Behavior, 51, 3377–3393. doi.org/10.1007/s10508-022-02408-2
- Blosnich JR, Coulter RWS, Henderson ER, et al. (2023). Correcting a False Research Narrative: A Commentary on Sullins (2022). Archives of Sexual Behavior, 52(3), 885–888. doi.org/10.1007/s10508-022-02521-2
7. How to get by with no money
22 / 22This section counts money and protection. How much you can receive, how much you can be spared, what services you can get and what conditions you have to meet are all written down here, and nothing is converted into years of life. The policies change every year and differ from place to place, so go by the amounts and the thresholds published for your own area in that year. The items are ordered like this: those that cost no money, need little paperwork and work fast come first. Those that take years of qualifying, and those that differ a lot between places, come later. Those resting on experience alone, with no official document, are put last.
1If you have lost your job, apply online first for unemployment insurance benefit
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
If your employer and you have paid in for a full year, and you did not resign of your own accord, you can get the money once you have completed unemployment registration. 1 year to under 5 years, at most 12 months. 5 to under 10 years, at most 18 months. 10 years or more, at most 24 months. While you are receiving it, unemployment insurance pays your medical insurance for employees.
Cost
No money. You can submit the application on your phone, and there are three ways in: the 「掌上 12333」 app, the electronic social insurance card mini-program in WeChat or Alipay, and the National Social Insurance Public Service Platform. A social insurance card or an identity card is enough to do it, and in most areas you do not have to go in person. The condition is that you have completed unemployment registration first.
Benefit
Three conditions have to be met at the same time. First, your employer and you have paid unemployment insurance for a cumulative 1 year or more. Second, you did not resign of your own accord (the law calls this "employment interrupted not by the person's own wishes"). Third, you have completed unemployment registration and you are willing to look for work. How long you can receive it is calculated by the years you have paid in. A cumulative 1 year to under 5 years, at most 12 months. 5 to under 10 years, at most 18 months. 10 years or more, at most 24 months. How much is paid each month is set by the provincial government, and every province differs. The amount sits below the local minimum wage and above means-tested income support in cities. The national target is to raise it gradually to 90% of the minimum wage standard. While you are receiving unemployment insurance benefit you still take part in basic medical insurance for employees and get the benefits under it. The basic medical insurance contribution that would be due is paid out of the unemployment insurance fund, and you pay none of it yourself (nationwide, the regulations in force since 1999)
Notes
If you resigned of your own accord, that is not "employment interrupted not by the person's own wishes" and you cannot receive anything. So do not sign "voluntary resignation for personal reasons" when you leave, see item 7 in section 19. Unemployment insurance benefit is counted from the day you complete unemployment registration, so registering a month late means losing a month of money. The first thing to do after you leave is to go and register. Registration needs a certificate of leaving issued by the employer, see item 17 in section 19 (certificate of leaving). Whether a non-compete agreement has to be honoured, and what to do when the company will not pay compensation, see item 12 in section 11 (signed a non-compete agreement). While you are receiving it, unemployment insurance pays your medical insurance for employees. The amounts differ a great deal from province to province, so go by what the place you are insured in has published. The "minimum wage 90%" comes from the 2017 guiding opinions of the Ministry of Human Resources and Social Security and the Ministry of Finance (人社部发〔2017〕71 号), which say in so many words 「逐步将失业保险金标准提高到最低工资标准的90%」. That is a target, not what is paid at 90% now. The original page on the ministry's own website would not open, so that sentence was checked against the quotation inside the Liaoning provincial department's document.
Sources · 4 sources
- State Council (国务院) (1999). Regulations on Unemployment Insurance(失业保险条例)(State Council Order No. 258, Articles fourteen, sixteen, seventeen and eighteen; Article sixteen:「失业保险金自办理失业登记之日起计算」). xzfg.moj.gov.cn/front/law/detail?LawID=517
- Ministry of Human Resources and Social Security. Guide to Applying for Unemployment Insurance Benefits, National Human Resources and Social Security Government Service Platform(全国人社政务服务平台·失业保险待遇申领办事指南). www.12333.gov.cn/portal/common/bszn/sydysl?pfaId=202105281700000004
- Employment Department of the National Development and Reform Commission (2022). The unemployment insurance benefit standard will be raised step by step to 90% of the minimum wage(失业保险金标准,将逐步提高至最低工资的 90%). www.ndrc.gov.cn/fggz/jyysr/jysrsbxf/202206/t20220627_1328819.html
- Liaoning Provincial Department of Human Resources and Social Security (2019). Notice on Further Adjusting the Standards for Unemployment Insurance Benefit(关于进一步调整失业保险金标准的通知):「为落实《人力资源社会保障部财政部关于调整失业保险金标准的指导意见》(人社部发〔2017〕71号〕"逐步将失业保险金标准提高到最低工资标准的90%"等要求」. ; Standing Committee of the National People's Congress (全国人大常委会) (2010). Social Insurance Law(社会保险法)(Article forty-eight). (reprinted by the State Taxation Administration's database of policies and regulations)rst.ln.gov.cn/rst/zfxx/zc/ywfl/shbx/2024092014161280895/index.shtmlfgk.chinatax.gov.cn/zcfgk/c100009/c5192937/content.html
2If your wages are owed to you, complain to labour inspection first and then apply for labour arbitration; neither route costs anything, and most cases finish within a few months
# Value HighGrade AMoneyNo moneyA few hoursSome willpower
Neither route costs money. First call 12333 or go to the labour inspection office at the human resources and social security bureau and make a complaint. It has to finish the investigation within 60 working days of opening the case, and it can order the company to pay by a deadline; if the company still does not pay, it has to pay 50% to 100% on top. If that does not work, apply for labour arbitration, which finishes within 45 days. But "case closed" does not mean "the money has arrived": if the company has no assets and the owner has run off, you may win and still get nothing.
Cost
No money; neither the complaint nor the arbitration costs anything. You need your employment contract, payslips, attendance records, transfer records and chat records, and 1 to 3 trips to the human resources and social security bureau or the arbitration commission. Applying for arbitration has a time limit of 1 year (the law calls it the arbitration limitation period). Where you are still working for this employer and your wages are being withheld, that 1-year limit does not apply. If you have already left, you must apply within 1 year of the day you left. The hard part is making the trips one after another and assembling the evidence document by document, and losing heart in between.
Benefit
The first step is a complaint. Call 12333, or go to the labour inspection office of the local human resources and social security bureau and make a complaint. The law requires the investigation to be finished within 60 working days of opening the case, and where the circumstances are complicated it may be extended by a further 30 working days. If the facts are confirmed, the office can order the company to pay by a deadline. If it still does not pay by the deadline, it has to pay an extra compensation of 50% to 100% of the amount due. In 2024 inspection agencies nationwide handled 137,000 cases and recovered 8.65 billion yuan in wages for 654,000 people. If you have an IOU or a wage sheet and the unpaid wages are clear, you can also apply straight to a basic-level court for a payment order. A payment order is the court's command to the company to pay, and the court issues it within 15 days of accepting the application. The second step is to apply for arbitration. The law requires the case to be closed within 45 days of acceptance, with a possible further extension of 15 days. Somebody claiming wages can apply for advance enforcement: part of the award is enforced without waiting for the whole case to be decided. Where the amount owed is no more than 12 times the local monthly minimum wage, the award is final on arbitration and the company cannot sue. In 2024, 4,257,000 cases were handled nationwide and 4,156,000 were closed. The amount closed was 93.47 billion yuan. The mediation success rate was 79.6%, the arbitration closure rate 98.2% and the arbitration finality rate 73.7%. When people say this drags on for "half a year to a year", they mean the cases that go on to court after the arbitration: 6 months at first instance (3 months under the summary procedure), then another 3 months at second instance. In 2024 courts closed 88,000 cases of claims for labour remuneration and recovered 28.54 billion yuan, and 998 people were sentenced for the crime of refusing to pay labour remuneration (nationwide)
Notes
A complaint and arbitration are useful, but you have to tell "case closed" apart from "the money has arrived". The 98.2% closure rate says only that the procedure has run its course. If the company has no assets and the owner has run off, you can still win and still get nothing. The Supreme People's Court publishes only the total actually enforced (2.3 trillion yuan in 2024) and "the completion rate for enforcement stays high"; there is no official figure for how much of the unpaid wages in these cases actually reached the people who were owed them. The bulletin does not define "arbitration finality rate"; this item reads it as "not taken to court again after the award". Unpaid wages above a certain amount are enough for a criminal case to be opened. One kind is owing one person for more than 3 months, in an amount from 5000 to over 20,000 yuan. The other is owing 10 people or more, totalling from 30,000 to over 100,000 yuan. In both cases, if the order to pay is not obeyed, that is enough to open a case. The higher courts and procuratorates of each province set and publish the exact figure for their own province within that range, so look up your own figure before complaining and raise it in person when you do. Migrant workers on a construction site also have a separate rule on a dedicated wage account and on the main contractor paying first; going to the main contractor works better than going to the foreman. Both routes assume there is an employing entity. A workshop or shop without a licence still counts, and you can complain and go to arbitration. Private work for a household or an individual, such as working as a nanny, is not a labour relationship and has to go to court: see item 22 in this section (first find out who employed you). Migrant workers applying for legal aid to recover wages are not asked whether they are in financial difficulty. The text of the Labour Contract Law and the Civil Procedure Law is quoted from the reprints on the State Taxation Administration's and the Guizhou provincial market regulation bureau's websites (both gov.cn), because the pages on the National People's Congress website would not open. The Criminal Law Amendment (Eight) could not be fetched from the National People's Congress website and was checked by opening it with curl instead
Sources · 10 sources
- Ministry of Human Resources and Social Security (2025). Statistical Bulletin on the Development of Human Resources and Social Security in 2024(2024 年度人力资源和社会保障事业发展统计公报). www.mohrss.gov.cn/SYrlzyhshbzb/zwgk/szrs/tjgb/202506/W020250616518526345602.pdf
- Supreme People's Court (2025). Work Report of the Supreme People's Court(最高人民法院工作报告). www.gov.cn/yaowen/liebiao/202503/content_7013680.htm
- State Council (国务院) (2004). Regulations on Labour Security Supervision(劳动保障监察条例)(State Council Order No. 423, Articles nine, seventeen and twenty-six). www.gov.cn/gongbao/content/2004/content_63042.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Law on Mediation and Arbitration of Labour Disputes(劳动争议调解仲裁法)(主席令第八十号, Articles twenty-seven, forty-three, forty-four, forty-seven, fifty and fifty-three). chinajob.mohrss.gov.cn/h5/c/2022-07-15/356212.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2012, amended). Labour Contract Law(劳动合同法)(Articles thirty, eighty-five). fgk.chinatax.gov.cn/zcfgk/c100009/c5193025/content.html
- Standing Committee of the National People's Congress (全国人大常委会) (2023, amended). Civil Procedure Law(民事诉讼法)(Articles one hundred and nine, one hundred and fifty-two, one hundred and sixty-four, one hundred and eighty-three, two hundred and twenty-five and two hundred and twenty-seven). amr.guizhou.gov.cn/zwgk/xxgkml/jcxxgk/zcfg/fl/202401/t20240129_83645867.html
- Standing Committee of the National People's Congress (全国人大常委会) (2011). Criminal Law Amendment (Eight), 刑法修正案(八)第四十一条, that is Article two hundred and seventy-six, paragraph one of the Criminal Law. www.npc.gov.cn/cwhhdbdh/c6626/c14002/c14003/201905/t20190523_390477.html
- Supreme People's Court (2013). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases of Refusal to Pay Labour Remuneration(关于审理拒不支付劳动报酬刑事案件适用法律若干问题的解释)(法释〔2013〕3 号, Article three). www.court.gov.cn/fabu/xiangqing/5041.html
- State Council (国务院) (2019). Regulations on the Payment of Wages to Migrant Workers(保障农民工工资支付条例)(State Council Order No. 724, Articles ten, twenty-six, thirty, thirty-one, thirty-two and forty-one). www.gov.cn/gongbao/content/2020/content_5469641.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2021). Legal Aid Law(法律援助法)(Articles thirty-one and forty-two). www.beijing.gov.cn/zhengce/zhengcefagui/qtwj/202504/t20250402_4053713.html
3If you cannot afford to sue, apply for legal aid; wage claims, support payments and work injury cases are already within scope
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
Claiming wages, claiming support payments for parents, claiming social insurance or means-tested income support, and losses from having done a brave and selfless act can all get free legal aid. Call 12348, or go to the local legal aid centre. You no longer have to go back to your home town to get a certificate of economic hardship; stating your situation truthfully yourself is enough. Where the death penalty may be imposed, and defendants who are blind, deaf, mute or minors, are assigned a lawyer as of right.
Cost
No money. Legal aid charges the person receiving it not one yuan.
Benefit
The State Council's regulations set out six kinds of civil case covered by legal aid. The text of the regulations is:「依法请求国家赔偿的;请求给予社会保险待遇或者最低生活保障待遇的;请求发给抚恤金、救济金的;请求给付赡养费、抚养费、扶养费的;请求支付劳动报酬的;主张因见义勇为行为产生的民事权益的」. Put plainly: claiming state compensation, claiming social insurance benefits or means-tested income support, claiming a pension or relief payment, claiming support payments for parents, children or dependants, claiming wages, and claiming civil rights arising from having done a brave and selfless act. On the criminal side, defendants who may be sentenced to death, and defendants who are blind, deaf, mute or minors, are assigned a lawyer regardless of their financial situation
Notes
The Legal Aid Law has applied since 2022-1-1, and one thing changed. You used to have to「提交经济困难证明」. Now you only have to state your financial situation truthfully yourself, and no longer have to go back to your home town for a certificate. The way in is the legal aid centre or the public legal service centre in your area, and you can also call 12348.
Sources · 2 sources
- State Council (国务院) (2003). Regulations on Legal Aid(法律援助条例)(State Council Order No. 385, Articles ten, eleven and twelve). www.gov.cn/zhengce/zhengceku/2008-03/28/content_6944.htm
- Ministry of Justice official (司法部有关负责人) (2021). Answers to Reporters' Questions on Implementing the Legal Aid Law(就贯彻实施法律援助法答记者问). www.gov.cn/zhengce/2021-12/29/content_5665114.htm
4If you have nowhere to turn, go to a rescue station; it provides food, a bed and a ticket home
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
A rescue station provides food and a bed, takes you to hospital if you are ill, and helps you contact your family. If you cannot afford to get home it issues a ticket. The stay is generally no more than 10 days. Coming and going are both voluntary; it is not a detention centre and it pays out no cash. The ticket is issued to your registered place of residence or your place of residence, so work out where you are going back to before you set off.
Cost
No money. You can go to the local rescue management station yourself, or tell a police officer or the civil affairs department and ask them to take you there. On arrival you have to register your name and belongings truthfully. The hard part is having to tell a stranger that you have no money and nowhere to go.
Benefit
A rescue station provides food and shelter that meet hygiene requirements. Anyone who falls ill there suddenly is taken to hospital for treatment. It also helps you contact relatives and your employer. If you cannot afford the ticket back to your registered place of residence or your place of residence, it issues you a travel voucher, which is the train or boat ticket. Your registered place of residence is your home town; your place of residence is where you live now. The period of rescue is generally no more than 10 days. It can be extended while you wait for family to collect you, for treatment, or for placement. When police and other administrative bodies meet a person who is homeless and begging while carrying out their duties, they should tell that person where to seek help. For people with disabilities, minors, the elderly and those who have difficulty moving, they should guide and accompany them there (nationwide, since 2003)
Notes
Seeking help and leaving are both voluntary; it is not a detention centre. What it provides is basic food and a bed, and no cash. The travel voucher is issued to your registered place of residence or your place of residence, so work out where you are going before you set off.
Sources · 2 sources
- State Council (国务院) (2003). Measures for the Assistance and Management of Homeless and Begging Persons with Nowhere to Live in Cities(城市生活无着的流浪乞讨人员救助管理办法)(State Council Order No. 381, Articles five, six and seven). www.gov.cn/gongbao/content/2003/content_62246.htm
- Ministry of Civil Affairs (民政部) (2003). Detailed Implementation Rules for the Measures for the Assistance and Management of Homeless and Begging Persons with Nowhere to Live in Cities(城市生活无着的流浪乞讨人员救助管理办法实施细则)(Ministry of Civil Affairs Order No. 24, Articles eleven and twelve). www.gov.cn/gongbao/content/2003/content_62510.htm
5To find work, start with free public employment services and the day labour market, not with an agency that charges
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Government bodies such as employment service centres and human resources markets introduce jobs, give vocational guidance, answer policy questions and register you for employment and unemployment, and none of it costs anything. The law also states in writing that they may not make money out of these services. Registration and publication of information at a day labour market are free as well. Do unemployment registration while you are there, because you need it both to receive unemployment insurance benefits and to be recognised as a person with difficulty finding work.
Cost
No money. Register with a public employment service body at county level or above, such as an employment service centre or a human resources market. The local day labour market will also take registrations. If you do not know the address, call 12333 and ask.
Benefit
The law requires all of the following to be free: consultation on employment policies; information on where jobs are going and where workers are needed; vocational guidance and job placement; registering for employment and for unemployment; and employment assistance for people with difficulty finding work. These bodies may not carry out profit-making activities and may not make money out of these services. Registration and publication of job information for day labourers is also free to the public, and has been brought within the scope of public employment information services. Day labourers who have been out of work a long time (that is, who go a long time without finding work) and other day labourers in difficulty, such as those from low-income households, are to be given more help (nationwide)
Notes
Unemployment registration is the preliminary step both for receiving unemployment insurance benefits and for being recognised as a person with difficulty finding work, so do it while you are there. For day labour paid off by the day, check the money on the spot, keep the other party's contact details and a record of the work done.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2007, amended 2015). Employment Promotion Law(就业促进法)(Article thirty-five). www.gov.cn/guoqing/2021-10/29/content_5647636.htm
- Ministry of Human Resources and Social Security and four other departments (2022). Opinions on Strengthening the Construction of Day Labour Markets and Improving Job Search and Recruitment Services(关于加强零工市场建设 完善求职招聘服务的意见)(人社部发〔2022〕38). www.gov.cn/zhengce/zhengceku/2022-07/09/content_5700177.htm
6If something sudden happens, apply for temporary assistance
# Value ModerateGrade BMoneyNo moneyA few hoursNo willpower
If something sudden happens at home, such as a fire, a car crash or a family member falling suddenly seriously ill, and basic living costs are crushed for a time, you can apply to the township government or the sub-district office for temporary assistance. You do not have to be on means-tested income support already. More often than not it is a single payment, and the amount differs a great deal from place to place.
Cost
No money. Apply to the township government or the sub-district office and set out clearly what has happened at home, such as a fire, a traffic accident, a family member falling suddenly seriously ill, or an unavoidable cost that has suddenly gone up. After review and public notice, the county-level civil affairs department approves it. Prepare the documents from the list your local office gives you; it usually takes 1 to 2 trips.
Benefit
Two kinds of household can receive temporary assistance. One is households which, because of an accident or a family member falling suddenly seriously ill, cannot hold together even the most basic costs of food, shelter and medical care for a time. The other is households on means-tested income support whose unavoidable costs have suddenly risen beyond what they can bear. Which events are covered and how much money is given is set and published by the local government at county level or above (national system, amounts set locally, since 2014)
Notes
You do not have to be on means-tested income support already. More often than not it is a single payment, and the amount differs a great deal from place to place, so go by what your area published that year.
Sources
State Council (国务院) (2014, revised 2019). Interim Measures on Social Assistance(社会救助暂行办法)(State Council Order No. 649, Articles forty-seven, forty-eight and forty-nine).
www.gov.cn/gongbao/content/2019/content_5468952.htm7If your income is below the local means-tested income support line, apply for means-tested income support
# Value HighGrade AMoneyNo moneyA few hoursSome willpower
Divide the whole family's income by the number of people; if the result is below the local means-tested income support line and the family's property is also within the rules, you can apply. At the end of 2024, the urban line averaged 798.1 yuan per person per month nationwide and the rural line 593.9 yuan. What is paid is the difference between the line and what each member of the household has per month. If you own a house, a car and savings, or your children can support you, the application may be turned down.
Cost
No money. A family member who lives with you submits one written application to the township government or the sub-district office where your household registration is. If it is awkward for you to do it yourself, you can ask the village committee or the residents' committee to do it for you. You have to accept a check of the family's income and property. It usually takes 2 to 3 trips, with your identity card, household register and proof of income and property. The hard part is laying your finances open to be checked, and then waiting through the public notice.
Benefit
Divide the whole family's income by the number of people; if the result is below the local means-tested income support standard and the family's property is also within the range set, you can receive means-tested income support. At the end of 2024, the average urban standard was 798.1 yuan per person per month and the rural standard 593.9 yuan. Urban means-tested income support covered 6,250,000 people and rural support covered 33,615,000. The payment is made monthly and is the difference: the local standard minus the household's income per head. If the local standard is 798.1 yuan and everyone in the household has 500 yuan a month, each person receives 298.1 yuan a month, not 798.1 yuan. The standard is set this way: take the local per-capita consumption expenditure of the previous year, multiply it by a set ratio, and adjust it again from time to time. Put plainly, it is what the average person locally spent the year before, worked out with a discount (national average, different in every place)
Notes
Means-tested income support is the last line of defence, and you have to apply at your registered place of residence. If the house, car or savings at home go over the local standard, or your children are able to support you, the application may be turned down. Once it is approved there are other benefits as well: there is a subsidy for resident medical insurance (resident medical insurance: see item 9), medical care can go through medical assistance (medical assistance: see item 10), and applying for legal aid does not require a check on financial hardship (legal aid: see item 3).
Sources · 3 sources
- State Council (国务院) (2014, revised 2019). Interim Measures on Social Assistance(社会救助暂行办法)(State Council Order No. 649, Articles nine, ten and eleven; Article twelve:「县级人民政府民政部门按照共同生活的家庭成员人均收入低于当地最低生活保障标准的差额,按月发给最低生活保障金」). www.gov.cn/gongbao/content/2019/content_5468952.htm
- National Bureau of Statistics (2025). Social services developing well and public wellbeing rising — a statistical report on social livelihood since the 「十四五」. www.gov.cn/lianbo/bumen/202509/content_7042627.htm
- Ministry of Civil Affairs (民政部) and four other departments (2024). Guiding Opinions on Further Improving the Determination and Adjustment of the Minimum Living Guarantee Standard(关于进一步做好最低生活保障标准确定调整工作的指导意见)(民发〔2024〕16 号). www.gov.cn/zhengce/zhengceku/202403/content_7007237.htm
8If you hold a disability certificate, apply for the two disability subsidies
# Value HighGrade AMoneyNo moneyIn passingNo willpower
A disabled person in a household on means-tested income support can receive a living allowance. A disabled person whose level is graded one or two and who needs long-term care can receive a care allowance. Both can be received at the same time. Each province sets the standard and the differences are large, so ask the sub-district office. Take the second-generation disability certificate and go once to the sub-district office or the township.
Cost
No money. Take your disability certificate to the sub-district office or the township and submit one application.
Benefit
The State Council set down two subsidies. The first is the living allowance for disabled people in difficulty, and the document defines who it is for as「低保家庭中的残疾人,有条件的地方可逐步扩大到低收入残疾人及其他困难残疾人」. That means disabled people in means-tested households come first, and where local resources allow it can be extended to low-income disabled people and other disabled people in difficulty. The second is the care allowance for severely disabled people, and the document defines who it is for as「残疾等级被评定为一级、二级且需要长期照护的重度残疾人」. The two can be received at the same time
Notes
The standard is set by the provincial government and differs a great deal from place to place, from a few tens of yuan to several hundred yuan a month. The application needs the second-generation disability certificate. If it is awkward for you to go in person, a family member can do it for you.
Sources
State Council (国务院) (2015). Opinions on Establishing a System for a Living Allowance for Disabled People in Difficulty and a Care Allowance for Severely Disabled People(关于全面建立困难残疾人生活补贴和重度残疾人护理补贴制度的意见)(国发〔2015〕52).
www.gov.cn/zhengce/zhengceku/2015-09/25/content_10181.htm9Do not let the 400 yuan a year of resident medical insurance lapse; households in difficulty get reductions
# Value HighGrade AMoneyA little moneyIn passingNo willpower
You pay from 400 yuan a year, and the government adds around 700 yuan a year per head. People in extreme difficulty are fully funded and people on means-tested income support are funded a set amount. Letting it lapse has a price: if you did not enrol during the annual window, or did not pay in consecutive years, there is a 3-month period after you pay in during which medical costs are not reimbursed, and each further year of non-payment adds one more month in principle.
Cost
The part you pay yourself is no less than 400 yuan per person per year. That is the national standard for 2024 and 2025, and places may set a higher figure. You have to pay it during the fixed annual window for contributions. People in extreme difficulty are fully funded, and the government pays the whole amount. People on means-tested income support are funded a set amount, and the government pays a fixed part.
Benefit
Besides the part you pay yourself, the government adds a per-head subsidy. In 2024 it was no less than 670 yuan, and in 2025 it was raised by 30 yuan to no less than 700 yuan, while the personal contribution stays at no less than 400 yuan (医保发〔2025〕22, as reported in the provincial documents). The 2026 government work report says it will be raised by a further 24 yuan. For people on means-tested income support and people in extreme difficulty, medical expenses that meet the conditions and are left after medical insurance has paid can be claimed once more through medical assistance at a proportion of no less than 70%. The cost of a gap in payment is a waiting period. If you did not enrol during the annual contribution window, or did not pay in consecutive years, there is a fixed 3-month waiting period for benefits after you pay, during which medical costs are not reimbursed. For each further year of non-payment, in principle 1 more month is added (since 2025, nationwide)
Notes
The 2025 notice of the National Healthcare Security Administration (医保发〔2025〕22) has not been published on the administration's own website or on the Chinese government website. The two figures, 700 yuan and 400 yuan, agree in the documents of Hebei and Anhui, and the Anhui document states that they were set by this notice. While you are receiving unemployment insurance benefits, unemployment insurance pays your medical insurance for employees, so there is no need to enrol twice.
Sources · 6 sources
- National Healthcare Security Administration (国家医保局) (2024). Policy Interpretation of the Notice on Doing Well in 2024 on Basic Medical Insurance for Urban and Rural Residents(关于做好 2024 年城乡居民基本医疗保障有关工作的通知政策解读)(医保发〔2024〕19). www.nhsa.gov.cn/art/2024/8/26/art_105_13634.html
- Hebei Provincial Healthcare Security Administration and others (2025). Notice on Doing Well in 2025 on Basic Medical Insurance for Urban and Rural Residents(关于做好 2025 年城乡居民基本医疗保障有关工作的通知)(冀医保发〔2025〕6, a local document). www.renqiu.gov.cn/renqiu/ybjbmwj/202510/6d90754638a248cba655e94ea518a3bb.shtml
- Anhui Provincial Healthcare Security Administration and others (2025). Notice on Doing Well in 2025 on Basic Medical Insurance for Urban and Rural Residents(关于做好 2025 年城乡居民基本医疗保障有关工作的通知), reprinted by the Huaibei Municipal Healthcare Security Bureau:「按照国家医保局、财政部、国家税务总局《关于做好2025年城乡居民基本医疗保障有关工作的通知》(医保发〔2025〕22号)要求」「居民医保人均财政补助标准较上年提高30元,达到每人每年不低于700元」. ybj.huaibei.gov.cn/zcwj/zcwj/58004084.html
- General Office of the State Council (国务院办公厅) (2021). Opinions on Improving the Medical Insurance and Assistance System for Major and Serious Diseases(关于健全重特大疾病医疗保险和救助制度的意见)(国办发〔2021〕42). www.gov.cn/gongbao/content/2021/content_5659514.htm
- General Office of the State Council (2024). Guiding Opinions on Perfecting the Long-Term Mechanism for Enrolment in Basic Medical Insurance(关于健全基本医疗保险参保长效机制的指导意见)(国办发〔2024〕38). www.gov.cn/zhengce/content/202408/content_6965741.htm
- National Healthcare Security Administration (2026). The 2026 Government Work Report Mentions These Healthcare Security Tasks(2026 年政府工作报告提到这些医保工作). www.nhsa.gov.cn/art/2026/3/5/art_14_19809.html
10If you fall seriously ill, go through medical insurance, the insurance for serious illness, medical assistance and out-of-area registration first, and do not touch online loans
# Value HighGrade AMoneyNo moneyA few hoursSome willpower
The order is fixed. Before being admitted to hospital in another province, file the registration in the National Healthcare Security Administration WeChat account and settle directly on discharge, so you do not have to pay the whole amount up front. If you still cannot afford it after reimbursement, apply to the township or the sub-district office for medical assistance. While you are employed you have a medical period of 3 to 24 months, depending on how long you have worked, and the company cannot dismiss you during it. Do not touch online loans or private high-interest borrowing.
Cost
No money. The order is fixed, one step at a time. First, before being admitted to hospital in another province, file the registration in the 「国家异地就医备案」 mini-program in the WeChat account of the National Healthcare Security Administration (国家医保局). Second, settle the bill directly on discharge. Third, if what you still have to pay after reimbursement is still too much, apply to the township government or the sub-district office for medical assistance. Fourth, if you are still working, take sick leave for the medical period; the medical period is the stretch during which you are off work because of illness and cannot be dismissed, and if it is a work injury you go through work injury insurance. Fifth, if you cannot pay off the credit card, ask the bank for an instalment plan yourself. Sixth, if it is still not enough, raise money on a personal fundraising platform designated by the Ministry of Civil Affairs. The documents are mainly the diagnosis certificate, the list of expenses and the settlement statement, and it takes 2 to 4 trips. The hard part is being ill and having to make the trips for the paperwork one after another.
Benefit
The state calls basic medical insurance, the insurance for serious illness and medical assistance together the "three-tier system", each tier catching what the tier above did not. For people on means-tested income support and people in extreme poverty, medical costs that meet the conditions are assisted at no less than 70%. A seriously ill patient who was not poor before and has been made poor by being treated can apply for further assistance on their own initiative. If you filed the registration before being admitted to hospital in another province, you can settle directly on discharge instead of paying the whole amount up front and claiming it back afterwards where you are insured. Being off work through illness carries a medical period of 3 to 24 months, the exact length set by how many years you have worked. During it the company may not terminate the employment contract, and sick pay may not be less than 80% of the local minimum wage. A worker with a work injury has a period of paid leave for recovery, which is the stretch spent healing without working; the original wages and benefits still go ahead, paid monthly by the unit, and generally for no more than 12 months. Where credit card debt goes beyond your ability to repay and you are willing to pay it, you can negotiate a personalised instalment plan with the bank, laying the debt out again as a repayment plan, for up to 5 years, and once the agreement is signed the bank has to stop chasing you for the money. A personal fundraising platform raising money online for the person themselves has to be designated by the civil affairs department of the State Council. The platform has to check whether the request for help is genuine. Money that comes in can only be paid to the person asking for help, or to an account that person has provided (nationwide)
Notes
What proportion medical assistance pays, and the most it pays in a year, are set by the place you are insured in. The medical period comes in six bands, decided by how many years you have worked altogether and how many you have worked at this unit. Once the medical period is over the company may lawfully terminate your contract, so work out in advance which band you are in. People taken in as an emergency are also on the list of people who have to file the registration. The National Healthcare Security Administration's page does not say whether an emergency counts as automatic registration, or whether it can be filed afterwards, so telephone the place you are insured in. Do not touch online loans or private high-interest borrowing. The courts protect lending only up to four times the one-year
LPR (on not borrowing at a high rate of interest: see
item 15). The part above that line is not protected, and the principal still has to be repaid. Lying in a hospital bed you have no energy to bring that kind of case anyway. A sudden serious illness or injury is a different matter: you have to call 120 whether you have money or not, and the hospital may not refuse, shirk or delay treatment, and the emergency costs for that part are paid by the emergency medical assistance fund; see
item 8 in section 24 (an emergency has to be treated first). The original page of 劳部发〔1995〕309 号 would not open on the human resources ministry's own website, and the text is taken from a provincial reprint.
Sources · 8 sources
- General Office of the State Council (国务院办公厅) (2021). Opinions on Improving the Medical Insurance and Assistance System for Major and Serious Diseases(关于健全重特大疾病医疗保险和救助制度的意见)(国办发〔2021〕42 号). www.gov.cn/gongbao/content/2021/content_5659514.htm
- National Healthcare Security Administration (国家医保局) (2025). How do you get reimbursed directly for treatment in another province? www.nhsa.gov.cn/art/2025/3/16/art_14_16010.html
- Ministry of Labour (劳动部) (1994). Provisions on the Medical Period for Enterprise Employees Who Fall Ill or Are Injured away from Work(企业职工患病或非因工负伤医疗期规定)(劳部发〔1994〕479 号, Articles two and three). www.gov.cn/zhengce/2022-08/31/content_5711269.htm
- Ministry of Labour (劳动部) (1995). Opinions on Several Questions Concerning the Implementation of the Labour Law(关于贯彻执行《劳动法》若干问题的意见)(劳部发〔1995〕309 号, item 59). (reprinted by the Jilin provincial human resources and social security department)hrss.jl.gov.cn/ldgx/ldyggl/201608/t20160824_2401358.html
- State Council (国务院) (2010, revised). Regulations on Work Injury Insurance(工伤保险条例)(State Council Order No. 586, Articles thirty and thirty-three). www.gov.cn/gongbao/content/2011/content_1778064.htm
- China Banking Regulatory Commission (银监会) (2011). Measures for the Supervision and Administration of Commercial Bank Credit Card Business(商业银行信用卡业务监督管理办法)(CBRC Order No. 2 of 2011, Article seventy). www.gov.cn/gongbao/content/2011/content_1893974.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2023). Decision on Amending the Charity Law(关于修改慈善法的决定)(Article one hundred and twenty-four). www.gov.cn/yaowen/liebiao/202312/content_6923390.htm
- Ministry of Civil Affairs (民政部) and five other departments (2024). Measures for the Administration of Personal Fundraising Service Platforms Online(个人求助网络服务平台管理办法)(Order No. 75, Articles three, eleven, thirteen and seventeen). www.gov.cn/gongbao/2024/issue_11646/202410/content_6980857.html
11If you lose your identity card, replace it at once; if you need it urgently, get a temporary identity card
# Value ModerateGrade AMoneyA little moneyIn passingNo willpower
For a replacement, the card is issued within 60 days of the day you hand in the form. If you need it urgently, apply on the spot for a temporary identity card, which is issued within 3 days and is valid for 3 months. Without an identity card you cannot get a job, book accommodation, open an account or receive a subsidy; it is the precondition for every bit of paperwork.
Cost
There is a document handling fee. This is a statutory charge, and the amount is set by the state, so go by what your area publishes. Apply at the police station where your registered residence is; it takes 1 trip.
Benefit
Counting from the day you submit the Application Form for a Resident Identity Card(居民身份证申领登记表), the public security organ must issue the card within 60 days. During the period of a first issue, a renewal or a replacement, if you need the card urgently you can apply for a temporary resident identity card. The public security organ must issue it within 3 days of receiving the application, and it is valid for 3 months (nationwide)
Notes
Without an identity card you cannot get a job, book accommodation, open an account or receive a subsidy; it is the precondition for every bit of paperwork. The Identity Card Law was amended in 2011, and the text quoted in this item is the one published in 2003, so go by the provisions now in force. Whether it can be done out of your area is set by the local public security notice.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2003). Resident Identity Card Law(居民身份证法)(主席令第四号, Articles twelve and twenty). www.gov.cn/gongbao/content/2003/content_62254.htm
- Ministry of Public Security (公安部) (2005). Measures for the Administration of Temporary Resident Identity Cards(临时居民身份证管理办法)(MPS Order No. 78, Articles two, seven, nine, twelve and seventeen). www.gov.cn/zhengce/2021-12/25/content_5712922.htm
12After registering as unemployed, seek recognition as a person with difficulty finding work and get a social insurance subsidy or a public-interest post
# Value HighGrade BMoneyNo moneyA few hoursSome willpower
Once you are recognised, if you pay your own social insurance you can get a subsidy, in principle no more than two thirds of what you actually paid, for at most 3 years. If you are taken on by an employer, or placed in a public-interest post, the employer's share of social insurance is subsidised as well. The wage for a public-interest post is set by reference to the local minimum wage. These posts do not pay much, but they come with social insurance, which makes them good for a transition. The social insurance subsidy is mostly paid after the fact, so you have to put the money up first.
Cost
No money. Apply for the recognition at the public employment service body at the sub-district or community level. The conditions for recognition differ from place to place, and the common ones are older age, long-term unemployment, a household on means-tested income support, disability, and a household with nobody in work. You have to complete unemployment registration before you can apply. The hard part is checking condition by condition whether you qualify, and having to pay the social insurance money up front.
Benefit
Once you are recognised, people with no employer who pay their own social insurance (this is called flexible employment) can receive a social insurance subsidy. The subsidy standard is in principle no more than 2/3 of what you actually paid, for at most 3 years. People taken on by an employer, or placed in a public-interest post, get a subsidy on the pension, medical and unemployment insurance the employer actually pays. A public-interest post is one the government pays to create; its subsidy is set by reference to the local minimum wage. In government-created public-interest posts, people with difficulty finding work are placed first. There is also a one-off job-seeking subsidy for college graduates. It covers graduates from households on means-tested income support, households with nobody in work, and people in extreme difficulty. Graduates who are disabled, or who took a national student loan, also count. This money is claimed in the academic year in which you graduate (national framework, conditions and amounts set locally)
Notes
A public-interest post does not pay much, but it comes with social insurance, which makes it good for a transition. The social insurance subsidy is mostly paid after the fact, so you have to put the money up first. For the specific conditions, call 12333 or ask the sub-district office.
Sources · 2 sources
- Ministry of Finance and Ministry of Human Resources and Social Security (财政部、人力资源社会保障部) (2023, revised). Measures for the Administration of Employment Subsidy Funds(就业补助资金管理办法)(财社〔2017〕164, issued in revised form in 2023-12). www.gov.cn/zhengce/zhengceku/202401/content_6926462.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2007, amended 2015). Employment Promotion Law(就业促进法)(Articles fifty-two and fifty-three). www.gov.cn/guoqing/2021-10/29/content_5647636.htm
13While unemployed, go and claim the vocational training subsidy, the work placement subsidy and the social insurance subsidy, instead of paying for a training course
# Value ModerateGrade AMoneyNo moneyA few hoursSome willpower
You do not have to pay for the training yourself. Attending training and obtaining the required certificate gives a vocational training subsidy, and the same person can receive it at most 3 times. College graduates who have not found work within two years of leaving, and unemployed young people aged 16 to 24, can take part in a work placement and receive a basic living allowance during it. Check the "vocational training subsidy catalogue" on the local human resources bureau website first, and do not pay to join a course of your own accord.
Cost
No money. The training itself takes a good deal of your time. The hard part is that you have to finish the course and pass the certificate before you get the subsidy.
Benefit
The rules of the Ministry of Finance and the Ministry of Human Resources and Social Security list a set of employment subsidy fund programmes, which is the money the government sets aside to subsidise employment. Attending training and obtaining a certificate that meets the requirements gives a vocational training subsidy, and the same person can receive it at most 3 times. The subsidy for people with difficulty finding work who pay their own social insurance (flexible employment) runs for at most 3 years; where fewer than 5 years remain to the statutory retirement age, it can be extended to retirement. The subsidy for college graduates who pay their own social insurance runs for at most 2 years, and for those taken on by an employer at most 1 year. College graduates who have not found work within 2 years of leaving, and unemployed young people aged 16 to 24, can take part in a work placement and receive a basic living allowance during it
Notes
The specific subsidy catalogue and the amounts are set by each province, so check the "vocational training subsidy catalogue" on the local human resources bureau website first. College graduates in the year of graduation from households on means-tested income support or with nobody in work, and those with student loans outstanding or who are disabled, have a separate one-off job-seeking and entrepreneurship subsidy.
Sources
Ministry of Finance and Ministry of Human Resources and Social Security (2023). Measures for the Administration of Employment Subsidy Funds(就业补助资金管理办法)(Articles five, seven and ten).
www.gov.cn/zhengce/zhengceku/202401/content_6926462.htm14When job hunting, do not only send out resumes; use a system: learn the skills, set the goal, ask people for help
# Value ModerateGrade AMoneyNo moneyA few hoursA lot of willpower
People who have had job search counselling were 2.67 times as likely to find work as people who had not. The parts that do the work are these: learning specific job search skills, explaining yourself clearly, setting a definite goal, going out and asking, and asking people for help. Asking people for help, in practice, means asking an acquaintance to refer you inside.
Cost
No money. It takes 1 to 2 hours a day, for several weeks in a row. You do not have to take a paid course; free vocational guidance from a public employment service body will do instead. The hard part is turning up every day when nobody is watching, and being the one who asks for help.
Benefit
Pooling 47 controlled studies of job search counselling. These studies used experimental or quasi-experimental designs, all of which grouped participants for comparison. The result: the group that had counselling was 2.67 times as likely to find work as the group that did not (
OR 2.67, that is the ratio of the odds). The components of counselling that do the work are these. First, teaching job search skills. Second, improving self-presentation (explaining yourself clearly). Third, raising self-efficacy (believing you can do it). Fourth, encouraging active outreach. Fifth, setting goals. Sixth, seeking social support (asking people for help). Counselling that both teaches skills and lifts motivation has the largest effect
Notes
Most of these studies were done in Europe and the United States, in the form of packaged small-group courses. Moving them to China is applying results from elsewhere, not measurements taken here. Seeking social support, in practice, means getting an acquaintance to introduce you and refer you inside; do not be embarrassed to ask.
Sources
Liu S, Huang JL, Wang M (2014). Effectiveness of job search interventions: a meta-analytic review. Psychological Bulletin 140(4): 1009–1041.
doi.org/10.1037/a003592315Do not pay deposits, do not hand over documents, do not sign a "training loan", do not join a pyramid scheme, do not borrow at usurious rates
# Value HighGrade AMoneyNo moneyIn passingSome willpower
An employer may not withhold your identity card, may not take a deposit, and may not take money under another name. If an agency does not find you a job, it must refund the agency fee. Training loans where you pay the training fee before starting work, and pyramid schemes that pay by recruiting heads, are both scams named by the authorities. Interest above 4 times the one-year LPR is not supported by the courts, but the principal still has to be repaid.
Cost
No money. Refuse on the spot when you hear "pay first and then start work", "train first and then we find you a job", or "recruit heads". Keep the chat logs and the transfer receipts. The hard part is that the more desperate you are for money, the more you want to gamble, and saying "no" there and then is not easy.
Benefit
A company may not withhold your identity card or other documents, may not require you to find someone to guarantee you, and may not take your money or property under another name. A breach is ordered to be returned, with a fine of 500 yuan or more and up to 2000 yuan per person. Employment agencies likewise may not withhold documents or take deposits, and if they did not find you a job they must refund the agency fee. Inducing you to pay a training fee first, or to take out a loan first, under the name of recruitment is the "recruitment to training" and "training loan" scam that the Ministry of Human Resources and Social Security and four other departments have named. Taking commission by recruiting heads, and requiring payment before you can join, is a pyramid scheme, and those taking part can be fined up to 2000 yuan. The part of the interest on private lending that exceeds 4 times the one-year
LPR at the time the contract was signed is not supported by the courts. This new rule replaces the old method of three bands set by the 24% and 36% lines (nationwide, from 2020-8)
Notes
4 times the
LPR is the ceiling on interest the courts are willing to protect, not a licence to borrow without repaying; the principal still has to be repaid. This judicial interpretation was changed once more in December 2020 and the article numbers shifted, so go by the text now in force. The more urgently you need money, the more likely these schemes are to come after you. Go through the proper channels earlier in this section first: unemployment insurance benefits, a complaint to labour inspection, legal aid, a rescue station, temporary assistance.
Sources · 6 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law(劳动合同法)(主席令第六十五号, Articles nine and eighty-four). www.gov.cn/gongbao/content/2007/content_711013.htm
- Ministry of Labour and Social Security (劳动保障部) (2007). Provisions on Employment Services and Employment Administration(就业服务与就业管理规定)(Ministry of Labour and Social Security Order No. 28, Articles fourteen, fifty-five and fifty-eight). www.gov.cn/zhengce/2022-11/28/content_5711307.htm
- Ministry of Human Resources and Social Security and four other departments (2026). Risk Warning on "Recruitment to Training" and "Training Loans" and Similar Risks(警惕「招转培」「培训贷」等风险提示). chinajob.mohrss.gov.cn/h5/c/2026-05-18/543038.shtml
- State Council (国务院) (2005). Regulations on the Prohibition of Pyramid Schemes(禁止传销条例)(State Council Order No. 444, Articles two, seven and twenty-four). www.gov.cn/gongbao/content/2005/content_80604.htm
- Supreme People's Court (最高人民法院) (2020). Decision on Amending the Provisions on Several Questions Concerning the Application of Law in Cases of Private Lending(关于修改《关于审理民间借贷案件适用法律若干问题的规定》的决定)(法释〔2020〕6, Article twenty-six). www.court.gov.cn/fabu/xiangqing/249031.html
- Supreme People's Court (2020). The Judicial Ceiling on the Interest Rate on Private Lending Is Adjusted to "4 Times the One-Year LPR"(民间借贷利率司法保护上限调整为「一年期 LPR 的 4 倍」). www.court.gov.cn/zixun/xiangqing/249051.html
16If housing is hard to find, put your name down for public rental housing first
# Value HighGrade BMoneyNo moneyA few hoursNo willpower
You have to meet three conditions at once: you have no housing locally, or your housing is below the floor area standard; your income and property are below the standard; and if you are a migrant worker you must also have stable employment locally for the required number of years. The waiting period is published locally. This is slow water that cannot quench a present thirst, but joining the queue costs nothing, and the earlier you register the earlier your turn comes.
Cost
Applying costs nothing. Submit documents to the housing security department of the city or county, and you also have to agree in writing to their verifying what you have reported. If the documents are incomplete, they will tell you in one go what else to supply. The waiting time for a queue is called the waiting period, and it is generally no more than 5 years.
Benefit
You can apply if you meet all three conditions. First, you have no housing locally, or your housing is below the prescribed floor area standard. Second, your income and property are below the prescribed standard. Third, migrant workers must have stable employment locally for the prescribed number of years. The specific conditions are set and published by the municipalities directly under the central government and by the housing security departments of cities and counties. A person registered on the waiting list is called a waiting applicant, and the housing security department must arrange a unit for them within the waiting period (national framework, the thresholds and the rent set locally, since 2012)
Notes
This is slow water that cannot quench a present thirst, but joining the queue costs nothing, and the earlier you register the earlier your turn comes. Places also have other kinds such as affordable rental housing, which work differently; look on the website of your local housing and urban-rural development department.
Sources
Ministry of Housing and Urban-Rural Development (住房和城乡建设部) (2012). Measures for the Administration of Public Rental Housing(公共租赁住房管理办法)(Ministry of Housing and Urban-Rural Development Order No. 11, Articles seven, eight and ten).
www.gov.cn/gongbao/content/2012/content_2226147.htm17Push housing and food down to the minimum: a shared room monthly instead of a daily rental, and cooking for yourself or a subsidised canteen instead of takeaway
# Value HighGrade BMoneyNo moneyA few hoursSome willpower
In the national per-capita spending of 2025, food came to 29.3% and housing to 21.7%; the two together are over half, so cutting them is the most effective. On the author's experience, daily lets and hourly rooms work out dearer over a month than a shared room, and cooking for yourself is cheaper than takeaway. When you are looking for work, ask whether food and housing are included; a post that includes them takes those two big items off the table.
Cost
Finding a room takes 1 to 3 days. The deposit is usually 1 month's rent (the author's rough estimate). Cooking for yourself takes 30 to 60 minutes a day. The hard part is cooking every day and resisting the takeaway.
Benefit
In 2025, the national average per-capita consumption expenditure was 29476 yuan a year. Of that, food, tobacco and alcohol came to 8631 yuan, or 29.3%. Housing came to 6397 yuan, or 21.7%. The two together are over half, so cutting them is the most effective. Elderly meal assistance services are open to all older people and take the form of elderly canteens, elderly meal tables and meal points, with separate subsidies for elderly people in difficulty. For comparison: as of 2026-1-1, the lowest first-tier monthly minimum wage among the provinces was Qinghai at 2080 yuan and the highest was Shanghai at 2740 yuan (nationwide, 2025 to 2026)
Notes
Daily lets and hourly rooms work out far dearer than a shared room over a month, but that is a judgement from experience with no official figure behind it. Whether the elderly meal points are open to people who are not elderly, and what they charge, differs by place. When you are looking for work, ask whether food and housing are included; a post that includes them takes those two big items straight off the table. The original table on the human resources ministry website would not open, so the figures were taken from the reprint on the Sichuan provincial department's page.
Sources · 3 sources
- National Bureau of Statistics (国家统计局) (2026). Resident Income and Consumption Expenditure in 2025(2025 年居民收入和消费支出情况). www.stats.gov.cn/sj/zxfbhjd/202601/t20260119_1962321.html
- Ministry of Civil Affairs and ten other departments (民政部等十一部门) (2023). Action Plan to Develop Elderly Meal Assistance Services(积极发展老年助餐服务行动方案)(民发〔2023〕58). www.gov.cn/govweb/zhengce/zhengceku/202310/content_6911233.htm
- Sichuan Provincial Department of Human Resources and Social Security (四川省人力资源和社会保障厅) (2026). Minimum Wage Standards of All Provinces, Autonomous Regions and Municipalities(全国各省、自治区、直辖市最低工资标准情况), as at 2026-1-1, reprinting the table on the human resources ministry website. rst.sc.gov.cn/rst/ylbxjwjgzxx/2026/7/10/89a8ef06cc264d29b282d7c62f362a6b.shtml
18Do not panic when social insurance contributions lapse: the pension counts cumulatively, and medical insurance follows the rules
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
The pension is counted by cumulative years, not consecutive years. A gap does not reset it, and a cumulative 15 years by the retirement age lets you draw it monthly. If you have paid medical insurance for employees for the required number of years, you do not pay again after retirement; the number of years differs by place, so call 12393 and ask where you are insured. What really is affected is eligibility for things that require continuous contributions, such as buying a home, settling household registration and points.
Cost
No money. Resident old-age insurance and resident medical insurance can be paid by you year by year. Where medical insurance for employees has lapsed, you do not have to spend money finding someone to pay it for you just to avoid a gap.
Benefit
Basic old-age insurance is counted by cumulative years of contribution, and a gap in the middle does not reset it. At the statutory retirement age, a cumulative total of 15 years lets you draw the pension monthly. If it is short, you can keep paying until you reach 15 years. If you take work in a different place (officially, across pooling regions), the old-age insurance relationship follows you and the years of contribution keep adding up. Where the cumulative contribution to medical insurance for employees reaches the period set by the state, you do not pay again after retirement. The cost of a gap in resident medical insurance is a waiting period: for a time after you start paying again, medical costs are not reimbursed (see item 9 in this section for resident medical insurance) (nationwide)
Notes
The number of years after which medical insurance for employees stops at retirement is written into the law as "the period set by the state", and the figure actually applied differs by place and is often different for men and women, so call 12393 or ask the healthcare security bureau where you are insured. A gap mainly affects local eligibility that requires a certain number of consecutive months, such as buying a home, settling household registration and points; those rules are set by each place, so look them up locally. Paying someone to "hang" your contributions for you can mean the money goes nowhere and carries legal risk, and is not recommended.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2010, amended 2018). Social Insurance Law(社会保险法)(Articles sixteen, nineteen and twenty-seven). www.gov.cn/guoqing/2021-10/29/content_5647616.htm
- General Office of the State Council (国务院办公厅) (2024). Guiding Opinions on Perfecting the Long-Term Mechanism for Enrolment in Basic Medical Insurance(关于健全基本医疗保险参保长效机制的指导意见)(国办发〔2024〕38). www.gov.cn/zhengce/content/202408/content_6965741.htm
19If you have been in prison, gone bankrupt or been put on the judgment defaulter list, the law leaves you a way to start again; finish the paperwork first
# Value ModerateGrade AMoneyNo moneyA few hoursA lot of willpower
A person released after serving a sentence may not be discriminated against in employment, education or social insurance, and the government helps with resettlement where life is difficult. Where the person was under 18 at the time of the offence and was sentenced to 5 years or less, the record is sealed and does not have to be reported when joining the army or looking for work. Being on the defaulter list lasts 2 years, and once the money is paid the court should remove the name within 3 working days. An adult's criminal record is not sealed and must be reported truthfully when joining the army or taking a job.
Cost
There is no handling fee. If you have been released after serving a sentence, report to the justice office or the sub-district office at your registered or actual place of residence and apply for resettlement and assistance from the government. If you are on the judgment defaulter list, pay off what you owe and then ask the enforcement court to remove your name. In Shenzhen an individual who has been insured for a full 3 years can apply for personal bankruptcy. Every step means preparing documents and attending an interview, and there is an observation period of 1 to 3 years. The hard part is telling people about the past again and again, and getting through the observation period.
Benefit
A person released after serving a sentence lawfully enjoys the same rights as other citizens and is not discriminated against in employment, education or social insurance. Those in difficulty are helped into a placement, with assistance and support in accordance with the law, by the government of their registered or actual place of residence (Prisons Law, revised 2026, in force from 11/1). A central document of 2010 requires strengthened vocational training for them, inclusion in means-tested income support where they qualify, and the establishment of transitional placement bases. Where a person was under 18 at the time of the offence and was sentenced to 5 years or less, the criminal record is sealed and does not have to be reported when joining the army or looking for work; where the person applies for a certificate of no criminal record, it is issued within 3 working days. Being placed on the judgment defaulter list lasts 2 years. Once the money is repaid, or in situations such as a settlement with the other party, the court should remove the name within 3 working days. The Shenzhen Special Economic Zone Personal Bankruptcy Regulations are currently the only personal bankruptcy rules in force; after bankruptcy is declared, the 3-year observation period is served, and debts that cannot be paid are written off. An enterprise legal person that cannot pay a debt when it falls due and owes more than it has (this is called insolvent) can apply for reorganisation, settlement or bankruptcy liquidation, and the debts are settled along with the enterprise (nationwide, personal bankruptcy only in Shenzhen)
Notes
An adult's criminal record is not sealed. Article one hundred of the Criminal Law requires a truthful report of any criminal penalty when joining the army or taking a job. Civil service, judges, lawyers and teachers have further statutory restrictions in their vetting. The text of the Prisons Law in force before 1 November 2026 corresponds to Articles thirty-seven and thirty-eight, so go by the article numbers in the text as it comes into force. The original page of Zhong Ban Fa [2010] 5 could not be found on the central government website, so it was taken from the district government reprint. During the observation period for personal bankruptcy you may not take first class on a plane, spend heavily or buy a house; compensation for deliberately harming someone's person or one of the 8 other kinds of debt is not written off; and an exemption obtained by fraud may still be revoked. Being removed from the judgment defaulter list does not mean your credit record becomes clean as well; those are two separate systems.
Sources · 7 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2026). Prisons Law(监狱法)(revised 2026, Articles fifty-nine, sixty and sixty-two). www.spp.gov.cn/spp/fl/202604/t20260430_726746.shtml
- General Offices of the CPC Central Committee and of the State Council (中共中央办公厅、国务院办公厅) (2010). Notice Forwarding the Opinions of the Central Committee on Comprehensive Governance of Public Security on Further Strengthening the Resettlement and Assistance of Persons Released After Serving a Sentence or Released from Labour Education(转发《中央社会治安综合治理委员会关于进一步加强刑满释放解除劳教人员安置帮教工作的意见》的通知)(中办发〔2010〕5). (reprinted by the Ziyang district government of Yiyang)www.hnziyang.gov.cn/jc_zy/63/84/content_19460.html
- Standing Committee of the National People's Congress (2018). Criminal Procedure Law(刑事诉讼法)(2018 amendment, Article two hundred and eighty-six). www.spp.gov.cn/zdgz/201810/t20181027_396818.shtml
- Supreme People's Court, Supreme People's Procuratorate, Ministry of Public Security and Ministry of Justice (2022). Implementation Measures for the Sealing of Criminal Records of Minors(关于未成年人犯罪记录封存的实施办法)(Articles nine and fifteen). (reprinted by the Hunan provincial public security department)gat.hunan.gov.cn/gat/jwgk/zfxxgk/xxgkml/zcfgjjd/zcfg/202205/t20220531_24795836.html
- Supreme People's Court (2017, amended). Several Provisions on the Publication of Information on the List of Judgment Defaulters(关于公布失信被执行人名单信息的若干规定)(Articles two and ten). www.court.gov.cn/fabu/xiangqing/37182.html
- Standing Committee of the Shenzhen Municipal People's Congress (深圳市人大常委会) (2020). Regulations on Personal Bankruptcy in the Shenzhen Special Economic Zone(深圳经济特区个人破产条例)(Articles two, twenty-three, ninety-five, ninety-seven and one hundred and three). sf.sz.gov.cn/xxgk/xxgkml/zcfg/content/post_8586018.html
- Standing Committee of the National People's Congress (全国人大常委会) (2006). Enterprise Bankruptcy Law(企业破产法)(主席令第五十四号, Articles two and seven). www.gov.cn/gongbao/content/2006/content_413952.htm
20Before serious illness, put a one-year medical insurance policy or a critical illness policy in place on top of basic medical insurance, and look for the four words 「保证续保」
# Value HighGrade BMoneyA little moneyIn passingNo willpower
This kind of insurance makes up what you still have to pay yourself after medical insurance has reimbursed, and the earnings you lose while you are off work. Before you buy, look for the four words 「保证续保」, meaning the renewal is guaranteed: without those four words the policy may be withdrawn from sale or repriced next year. You have to disclose your health condition truthfully; if you hide it, the claim will be refused. Take out basic medical insurance first, and consider this only afterwards.
Cost
For a young person, a one-year expense-reimbursement medical insurance policy costs several hundred yuan a year. Expense reimbursement means it pays back what you have actually spent. A critical illness policy starts at several thousand yuan a year (the author's rough estimate, no official figure). Before taking out the policy you have to disclose your health condition truthfully, which takes half an hour in one go.
Benefit
Officially these products come in two kinds. Medical insurance reimburses the medical costs you have actually spent. Disease insurance pays a single lump sum of the amount agreed in the contract as soon as one of the diseases named in the contract is diagnosed. Both make up what you still have to pay yourself after medical insurance has reimbursed, and the earnings you lose while you are off work. A policy whose insurance period is one year or less, and whose terms do not say the renewal is guaranteed, is short-term health insurance. Only one that runs for more than a year, or one whose terms say the renewal is guaranteed, is long-term health insurance. A guaranteed renewal means that when the policy is renewed at the end of the period, the company has to go on at the original terms and the agreed rate. An insurance company may not induce the same person to buy again an expense-reimbursement medical insurance policy with the same or a similar cover. If you buy two, the same money can only be reimbursed once. There is an industry-wide standard for the disease definitions used in a critical illness policy, covering 28 serious conditions and 3 mild ones. Malignant tumour, acute myocardial infarction and the after-effects of a stroke are the core conditions (nationwide, from 2019 and 2020)
Notes
The grade is B because the official documents give only definitions and rules, with no figure for "how much you save by having bought it". "Million-yuan medical insurance" is the name used when it is sold; under the regulations it counts as short-term health insurance. If the terms do not say 「保证续保」, it may be withdrawn from sale or repriced next year, so look for those four words in the terms before you buy. Two expense-reimbursement medical insurance policies cannot reimburse the same money twice, so do not stack them. If you already have an illness and take out a policy without disclosing it truthfully, the claim will be refused when something happens. Truthful disclosure has a two-year limit: once the contract has been in force for two years, the insurance company can no longer terminate it on the ground that you did not disclose truthfully, and it has to pay out. If deliberate non-disclosure is found within those two years, a case arising before the contract is terminated is not covered and the premium is not refunded. Which losses are worth putting insurance behind, see item 39 in section 5 (losses you cannot carry). Take out resident medical insurance (item 9) first, and consider this only afterwards. The specifications for the disease definitions are issued by the industry association under the guidance of the regulator; they are not a government document.
Sources · 4 sources
- China Banking and Insurance Regulatory Commission (银保监会) (2019). Measures for the Administration of Health Insurance(健康保险管理办法)(CBIRC Order No. 3 of 2019, Articles two, four and forty-one). www.gov.cn/zhengce/zhengceku/2019-12/04/content_5458542.htm
- Insurance Association of China (中国保险行业协会) and Chinese Medical Doctor Association (中国医师协会) (2020). Answers to Reporters' Questions on the Specifications for the Use of Disease Definitions in Critical Illness Insurance(重大疾病保险的疾病定义使用规范(2020 年修订版)答记者问). www.iachina.cn/art/2020/11/5/art_8616_104705.html
- China Banking and Insurance Regulatory Commission (银保监会) (2020). Notice on Matters Concerning the Use of the Experience Rate Table for Critical Illnesses of Life Insurance in China (2020), 关于使用《中国人身保险业重大疾病经验发生率表(2020)》有关事项的通知(银保监发〔2020〕51 号). www.gov.cn/zhengce/zhengceku/2020-11/06/content_5557791.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2015, amended). Insurance Law of the People's Republic of China(中华人民共和国保险法)Article sixteen (on truthful disclosure, and no termination two years after the contract is formed). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7c4060811
21If you really have nowhere to sleep, a 24-hour premises is only good for one emergency night; go to a rescue station first
# Value ModerateGrade CMoneyA little moneyIn passingSome willpower
The waiting areas at airports and railway stations will see you through the night, and they have toilets and power sockets. But no official data says it is safe. Keep your belongings on your body, do not take food or drink offered by strangers, and do not go to secluded corners. Do not sleep under bridges, by rivers or on building sites at night. A rescue station provides food and a bed free; go there first.
Cost
The waiting areas at airports and railway stations usually cost nothing. Fast food restaurants and internet cafés require you to spend a little. You will not sleep properly and there is a risk of having your belongings stolen. The hard part is not daring to really sleep all night.
Benefit
It sees you through the night, there are toilets, and you can charge your phone. No official figure
Notes
The safety risk is real. Keep your belongings on your body, do not take drink or food offered by strangers, and avoid secluded corners. Do not sleep rough under bridges, by rivers or on building sites at night. Sleeping rough in extreme weather can kill. The rescue station in item 4 provides food and a bed free, so go there first. Some premises clear everyone out in the middle of the night; do not pick a fight with the security staff.
Sources
the author's own experience, no official document
22If you are owed work pay, first find out who employed you: an unlicensed workshop or a foreman can still be taken to labour inspection, and only private work for a household or an individual goes to court
# Value HighGrade AMoneyNo moneyIn passingNo willpower
An unlicensed workshop or shop that owes wages can still be complained about to labour inspection and taken to labour arbitration, and the owner personally can be pursued. Where a foreman subcontracted work on a construction site and does not pay, the main contractor or the building owner pays. Only private work for a household or an individual, such as working as a nanny, is not a labour dispute, and that has to go to court to be sued.
Cost
No money. First work out three things: whether the other side is running a shop, a factory or a business; whether the work was subcontracted down from a company or a construction site; and whether you are working in somebody's home. Whether they hold a licence you can look up on the National Enterprise Credit Information Publicity System.
Benefit
Article two of the Labour Contract Law limits the employing entity to organisations such as enterprises, sole proprietorships and private non-enterprises; a natural person is not among them. The judicial interpretation on labour disputes from the Supreme People's Court lists several kinds of dispute that are not labour disputes. First, disputes between a household or an individual and a domestic worker. Second, disputes between an individual craftsman and a helper or an apprentice. Third, disputes between a rural contracted household and the person it employs. These go to court as ordinary civil disputes, with the statute of limitations at 3 years. An employing entity with no business licence is not covered by that exception. Article ninety-three of the Labour Contract Law provides that where an employing entity does not have the qualification to operate lawfully and the worker has already performed labour, that entity or its investor shall pay labour remuneration, economic compensation and damages. Article twenty-nine of that interpretation provides that where a dispute arises between a worker and an employing entity that has not registered a business licence, whose business licence has been revoked, or whose term of business has expired while it still carries on, the employing entity or its investor shall be named as a party. Article thirty-three of the Regulations on Labour Security Supervision provides that where there is no business licence, or the licence has been lawfully revoked, and there is labour and employment activity, the labour and security administration department shall carry out labour security supervision. Where an individual contractor unlawfully recruits workers and causes loss to them, the organisation that awarded the contract and the individual contractor bear joint and several liability for compensation (Article ninety-four of the Labour Contract Law). Where the building owner or the general construction contractor awards or subcontracts the works to an individual or to a unit without the qualification to operate lawfully, and this leads to unpaid wages for migrant workers, the building owner or the general construction contractor shall pay (Article thirty-six of the Regulations on the Payment of Wages to Migrant Workers) (nationwide)
Notes
Work through these in this order. First check whether the work came down from a company or a construction site; if it di
d, go to the company that awarded it or to the main contractor. The dedicated wage account on a construction site and the main contractor paying first are in
item 2 (complain to labour inspection first if your wages are owed). Then check whether the other side is running a business: a shop, a factory, a workshop; whether they hold a licence or not, it goes to inspection and arbitration, and at the arbitration name the owner as a party as well. Only private work for a household or an individual goes to court. In court you bring the case and produce the evidence yourself, and at first instance the ordinary procedure takes 6 months from the start. Legal fees are not part of the litigation costs a court orders the loser to pay, so a lawyer has to be paid out of your own pocket; if you cannot afford it you can apply for legal aid, see
item 3 (legal aid). If you have an IOU you can apply first for a payment order, and a small amount goes through small-claims procedure, see
item 22 in section 8 (deceived in an online purchase or a second-hand transaction, small claims). The statute of limitations is 3 years, see
item 19 in section 8 (enforcing your rights has a time limit). No route guarantees the money arrives; if the other side has no assets, you can win and still get nothing.
Sources · 7 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2012, amended). Labour Contract Law(劳动合同法)(Articles two, ninety-three and ninety-four). (reprinted by the State Taxation Administration's database of policies and regulations)fgk.chinatax.gov.cn/zcfgk/c100009/c5193025/content.html
- Supreme People's Court (2020). Interpretation (One) on the Application of the Law in Handling Labour Dispute Cases(关于审理劳动争议案件适用法律问题的解释(一))(法释〔2020〕26 号, Articles two and twenty-nine). www.court.gov.cn/fabu/xiangqing/282121.html
- State Council (国务院) (2004). Regulations on Labour Security Supervision(劳动保障监察条例)(State Council Order No. 423, Article thirty-three). www.gov.cn/gongbao/content/2004/content_63042.htm
- State Council (国务院) (2019). Regulations on the Payment of Wages to Migrant Workers(保障农民工工资支付条例)(State Council Order No. 724, Article thirty-six). www.gov.cn/gongbao/content/2020/content_5469641.htm
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一百八十八条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- State Council (国务院) (2006). Measures for the Payment of Litigation Costs(诉讼费用交纳办法)(State Council Order No. 481, Articles six and twenty-nine). www.gov.cn/ziliao/flfg/2006-12/29/content_483682.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2023, amended). Civil Procedure Law(民事诉讼法)(Articles one hundred and fifty-two and two hundred and twenty-five). (reprinted by the Guizhou provincial market regulation bureau)amr.guizhou.gov.cn/zwgk/xxgkml/jcxxgk/zcfg/fl/202401/t20240129_83645867.html
8. Do not put yourself at risk: law and property safety
44 / 44This section counts money and personal freedom, and is not converted into lifespan. It covers three things: what responsibility the law places on you, how much compensation you save by following it, and what rights you have in procedure once something has happened. Every article number has been checked against the official text. The order is this: items where one accident costs the most and the action takes the least effort come first. Items that have to be arranged in advance come next. Items resting on experience alone, with no official document behind them, come last.
1After a traffic accident, stop, help the injured, call the police, and do not drive away
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
If you drive away, the accident counts as entirely your fault by default. Your driving licence is revoked and you can never sit the driving test again. There is a more practical layer on top of that: commercial vehicle damage cover and third-party liability cover pay nothing at all for fleeing the scene, so a claim of several hundred thousand yuan comes out of your own pocket. Staying to help the injured and call the police takes an hour or two at the most.
Cost
No money. Stop, put on your hazard lights, help the injured, call the police, and wait for the traffic officer. That takes an hour or two at the most. If nobody was hurt in a minor accident and both sides agree on what happened, take photographs first. Then write down the other driver's name, phone number, plate number, driving licence number, insurance document number, and which parts of the vehicle you struck. Once both sides have signed, you can leave the scene and sort it out between yourselves.
Benefit
The side that drives away carries the whole responsibility for the accident. Responsibility can only be reduced if you can prove that the other side was also at fault. Driving away also means your driving licence is revoked and you can never sit the test again. If the accident amounts to the crime of causing a traffic accident, driving away carries 3 to 7 years. If a death results from driving away, the sentence is 7 years or more. Insurance does not cover it either: in commercial motor insurance, vehicle damage cover and third-party liability cover pay nothing for 「交通肇事逃逸」「故意破坏、伪造现场、毁灭证据」, so a claim of several hundred thousand yuan comes out of your own pocket (nationwide)
Notes
If anyone is hurt, help them first and then call the police. If you have to move the scene in order to help someone, mark where the vehicle and the person stood to begin with. 「I brushed it and did not feel a thing, so I drove off」 can still be counted as fleeing afterwards, so call the police if you are unsure. The insurance point quotes the model clauses, which are a standard template for the industry. What your own claim actually pays out depends on the policy in your hands.
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2021). Regulations on Road Traffic Safety, 道路交通安全法(2021 年修订,第七十、一百零一条). (reprinted by the Beijing Municipal Public Security Traffic Management Bureau)jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/205308/index.html
- State Council (国务院) (2017). Regulations for the Implementation of the Regulations on Road Traffic Safety, 道路交通安全法实施条例(国务院令第 405 号,2017 年修订,第八十六、九十二条). xzfg.moj.gov.cn/front/law/detail?LawID=75
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第一百三十三条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- China Insurance Association (中国保险行业协会) (2020). Model Clauses for Commercial Motor Insurance, 机动车商业保险示范条款(2020 版)(第九、二十二条). www.iachina.cn/art/2020/9/4/art_24_104621.html
2If you find out you have been scammed, call 110 or 96110 at once and ask for the payment to be stopped. Do not investigate it yourself first
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
The short period right after the money leaves your account is the only window you get. During that period the police can stop the payment urgently and freeze the funds quickly, and the bank must comply. Once the money has been passed on and scattered, it is basically unrecoverable. So call 110 or 96110 first, and do not start looking into it yourself. When 96110 rings you, a police officer is trying to stop you from being scammed. Answer it.
Cost
No money. Make one call and give the time of the transfer, the amount, and the account it went to. Keep the transfer screenshot and the chat records.
Benefit
The police have the power to look up the funds involved immediately, stop payment urgently, and freeze them quickly. Banks and payment institutions must comply. Money that has been frozen is returned to the victim through the proper procedure. Once the money has been transferred on and scattered, the chance of recovering it drops sharply, so the earlier the stop is asked for the better it works. 96110 is the national anti-fraud warning hotline, and a call from it means the police are trying to stop you, so answer it (nationwide, in force from 2022-12)
Notes
Anyone who claims to be from the courts, the procuratorate or the police and tells you to move money into a 「安全账户」 is running a scam. The law only says 「建立止付冻结制度」, which means letting the bank hold the money down. How much comes back to you depends on whether the money was still on the account when you reported it. The description of the 「国家反诈中心」 app and of 96110 is taken from the Fujian Provincial Public Security Department page, because the Ministry of Public Security's own page would not open.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2022). Law of the People's Republic of China on the Prevention and Control of Telecom and Online Fraud, 反电信网络诈骗法(第二十、三十四条). www.spp.gov.cn/spp/fl/202209/t20220902_575631.shtml
- Fujian Provincial Public Security Department (2023). 96110 来电,请务必接听. (a provincial public security page)gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202303/t20230306_6126156.htm
3Learn the four hard anti-fraud rules: do not trust a caller, do not reveal information, do not open links, check again before any transfer. The seven commonest scams all have this shape
# Value HighGrade BMoneyNo moneyIn passingSome willpower
If anyone asks you to transfer money, share your screen, install an unfamiliar app, open a link, or read out a verification code, hang up first and then call back on the official number to check. The seven commonest categories are task-based rebates, fake investment and wealth management, online loans, impersonating customer service, impersonating the courts, the procuratorate or the police, pig-butchering romance scams, and sex-bait task scams. All of them start by getting you to transfer money. Recognising one before it happens costs far less than chasing the money afterwards.
Cost
No money. Learn the 「三不一多」 rule, read through the seven categories below, and install the 「国家反诈中心」 app. Always answer 96110. If anyone asks you to transfer money, share your screen, install an unfamiliar app, open a link, or read out a verification code, hang up first and then call the official number to check. The hard part is that the other person usually pushes hard, and you have to hold out against that and hang up.
Benefit
The law requires the government and the departments concerned to explain the methods of telecom and online fraud to the public. The police set up a warning and deterrence system together with the financial, telecommunications and cyberspace departments, and warn people in time when they are about to be defrauded. 96110 is that national warning and deterrence hotline, and calls from it must be answered. The Ministry of Public Security reported in 2026-6 that the 10 most frequent types of fraud account for 85% of all telecom fraud cases. Task-based rebates are the most frequently reported, at 25%. Fake online investment and wealth management causes the largest losses, about 40% of all losses. The Fujian Provincial Public Security Department sets out the identifying signs category by category. Task-based rebates: 「喊你一起赚钱的大概率是想赚你的钱」, and the principal is not refunded if you never finish the task list. Fake investment and wealth management: the group's 「水军」 post returns, small rebates come first and then you are told to put in more, and withdrawal requires 「缴税」. Online loans: 「贷款并不需要交保证金、做银行流水账,一旦遇上了,一定是假的」. Impersonating customer service: you are told your membership will deduct automatically and affect your credit record, and you are pushed into transferring money to cancel it. Impersonating the courts, the procuratorate or the police: 「公检法机关不存在所谓的『安全账户』,凡是通过电话、QQ、微信、网络等办案、做笔录的『公检法机关』,都是诈骗」. Pig-butchering romance scams: 「对于从未见过面,只见到照片或者视频的『恋人』,不可轻信」, and the person never appears on video, has never met you face to face, and always has an urgent need for money. Sex-bait task scams: the meeting is proposed and then there is a 「做任务」 to do, and the more you pay the more they ask for. Recognising a scam before it happens costs far less than stopping the payment afterwards. How much a stop can recover depends on whether the money was still on the account when you reported it. How to ask for a stop: see item 2 in this section (call 110 or 96110 and ask for a stop) (nationwide, in force from 2022-12)
Notes
Anyone claiming to be the courts, the procuratorate, the police, customer service, your leader or a platform's risk-control team, and asking you to 「配合调查」「取消会员」「刷单返利」「投资内幕」, is running the same routine. A real loan asks for no deposit, and the courts, the procuratorate and the police have no 「安全账户」. Remembering those two sentences blocks off most of it. The grade is B because this slogan is only the official publicity line, with no figure for how much less often people get scammed after learning it. The slogan and the breakdown of the seven categories are taken from a provincial public security department page. The 10 most frequent types of fraud reported by the Ministry of Public Security in 2026 also include impersonating an e-commerce or logistics customer service desk, loan and credit reporting, fake online game transactions, online dating and networking, impersonating a leader or an acquaintance, and airline ticket refunds and changes. The routine is the same in every case, and it ends with you being asked to transfer money.
Sources · 10 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2022). Law of the People's Republic of China on the Prevention and Control of Telecom and Online Fraud, 反电信网络诈骗法(第八、二十、三十四条). www.spp.gov.cn/spp/fl/202209/t20220902_575631.shtml
- Ministry of Public Security (公安部) (2026). Ministry of Public Security press conference: briefing on the current situation and characteristics of telecom and online fraud crimes, and the key points for preventing them (2026-6-12):「以上这10类案件就占了全部电诈案件的85%。其中,刷单返利诈骗发案最高,占所有电诈案件的25%;虚假网络投资理财诈骗损失最高,约占全部电诈案件损失的40%」. www.mps.gov.cn/n2254536/n2254544/n2254552/n10491781/index.html
- Fujian Provincial Public Security Department (2023). 96110 来电,请务必接听. (a provincial public security page, containing the slogan 「来电不轻信,信息不透露,链接不点击,转账多核实」 and the warning 「警惕 192 开头的诈骗电话」)gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202303/t20230306_6126156.htm
- Fujian Provincial Public Security Department (2023 to 2024). Spot-the-scam columns: 刷单 gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202307/t20230703_6196881.htm
- 投资理财 gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202312/t20231220_6362145.htm
- 贷款 gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202312/t20231207_6326741.htm
- 冒充客服 gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202310/t20231020_6279505.htm
- 冒充公检法 gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202309/t20230913_6255863.htm
- 杀猪盘 gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202308/t20230818_6232030.htm
- 色诱刷单 gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202403/t20240307_6410612.htm
4A face on a video and a voice on the phone are not verification. Hang up before any transfer and call back on an old number from your own contacts
# Value HighGrade BMoneyNo moneyIn passingSome willpower
Seeing a face and hearing a voice do not count as verification. As soon as money is involved, hang up first, then call back on an old number from your own contacts, or ask someone who knows you both. If the other person says the 「信号不好」「在开会」 and refuses to do a live video call, treat it as a scam straight away.
Cost
No money. One extra phone call, a few minutes of waiting. Post fewer full-face videos and long voice messages on public accounts. The hard part is that the other person often pushes hard, and you have to hold out against transferring on the spot.
Benefit
The Ministry of Public Security's cyber security bureau gives three methods. The first is action verification: ask the person to turn their head in one continuous movement, or to cover their face completely with a palm and then move it away quickly. The original text says 「目前的 AI 技术在模拟这些复杂的面部遮挡和光影变化时,容易出现卡顿、模糊或扭曲」. The second is listening to the details of the voice: 「AI 生成的语音有时会缺乏自然的呼吸停顿、情感起伏,或者带有轻微的机械感、背景杂音异常」. The third is checking through several channels. The original text calls this 「最核心的一招」: 「挂断后直接拨打对方常用且你熟悉的电话号码(不要回拨可疑来电号码),或者通过你们共同认识的第三人进行侧面核实」. The slogan is 「视频语音莫轻信,动作验证多核实」. Legally, face swaps and cloned voices have long been banned for fraud. Face generation, face replacement, synthesised speech and voice imitation all have to carry a prominent label. No organisation or individual may maliciously delete, alter, forge or conceal that label. But the platforms are the ones who follow the rule, and a fraudster will not add one, so the absence of an AI label cannot be turned into evidence that the person is real. The Ministry of Public Security's criminal investigation bureau has published a case: a 14-person gang was found with more than 50,000 synthesised dynamic face videos (5 万多条) and more than 500,000 records of citizens' personal information (50 多万条), and the police seized 60 cloud servers (nationwide, the labelling duty applies from 2025-9-1)
Notes
When you call back, use an old number from your own contacts. Do not call back the number that appeared on the display, and do not use a new number the other person sends in the chat. If they cite a 「信号不好」「在开会」 and refuse a live video call or the action you asked for, treat it as a scam. Action verification is only an aid. The AI keeps getting better, and the only steady method is the third one, checking through several channels. If you have already transferred the money, see item 2 in this section (call 110 at once and ask for a stop). To keep your own face and voice from being collected, see section 14. The grade is B because what the authorities give are identifying methods and cases, with no figure for how much the fraud rate falls once you check this way. The Ministry of Public Security's own site (mps.gov.cn) returned 521 for every page again this time, so the original text of the cyber security bureau and the criminal investigation bureau was taken from the Fujian Provincial Public Security Department's reprints.
Sources · 4 sources
- Ministry of Public Security, Cyber Security Bureau (公安部网安局) (2025). 眼见≠为实,警惕 AI 新型诈骗! (reprinted by the Fujian Provincial Public Security Department)gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202509/t20250922_7013008.htm
- Cyberspace Administration of China, Ministry of Industry and Information Technology and Ministry of Public Security (国家互联网信息办公室、工业和信息化部、公安部) (2022). Provisions on the Administration of Deep Synthesis of Internet Information Services, 互联网信息服务深度合成管理规定(第六、十六、十七条,2023 年 1 月 10 日施行). www.gov.cn/zhengce/zhengceku/2022-12/12/content_5731431.htm
- Cyberspace Administration of China, Ministry of Industry and Information Technology, Ministry of Public Security and National Radio and Television Administration (国家广播电视总局) (2025). Measures for the Labelling of Content Generated by Artificial Intelligence, 人工智能生成合成内容标识办法(第十条,2025 年 9 月 1 日施行). www.cac.gov.cn/2025-03/14/c_1743654684782215.htm
- Ministry of Public Security, Criminal Investigation Bureau and CCTV News (2026). 警方查获 5 万多条合成动态人脸视频 谁在「复制」你的脸? (reprinted by the Fujian Provincial Public Security Department)gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202603/t20260330_7117146.htm
5If you are accused or summoned, get a lawyer first. Do not settle privately and do not delete records
# Value ModerateGrade APersonal freedomA fair amount of moneyA few hoursSome willpower
The first time you are called in for questioning you can already have a lawyer. Once the lawyer asks to see you, the detention centre must arrange it within 48 hours at the latest, and the conversation is not monitored. Questions that have nothing to do with this case, you may decline to answer.
Cost
A fair amount of money. Legal fees start at several thousand yuan. If you cannot afford it you can apply to a legal aid organisation for a free lawyer. When you are questioned, answer only what concerns this case and leave the rest to the lawyer. The hard part is staying calm on the spot instead of rushing to explain yourself.
Benefit
From the first interrogation, or from the moment a compulsory measure is taken against you (your personal freedom being restricted), you have the right to appoint a lawyer. While the case is still with the public security organ for investigation you may appoint a lawyer, and nobody other than a lawyer can act as your defender. When the lawyer applies to see you, the detention centre must arrange it within 48 hours at the latest, and the meeting is not monitored. Nobody may be forced to give evidence that they are guilty. You have the right to refuse to answer questions that do not relate to the case. A summons to appear, and a compulsory summons, last at most 12 hours, and at most 24 hours in particularly major and complicated cases. A summons to appear is a notice telling you to come and be questioned; a compulsory summons takes you there by force. You may not be summoned over and over until you amount to someone being held in custody. Fabricating facts to frame somebody else and get them held criminally liable carries 3 years or less, and 3 to 10 years where serious consequences follow. If the case is withdrawn after you have been detained or arrested, if no prosecution is brought, or if you are acquitted, you may apply for state compensation, calculated day by day at the previous year's national average daily wage of employees (nationwide)
Notes
Do not go and find the other side privately, and do not go to their family. Any private settlement can be read as you admitting the facts. Your chat records, call records and travel records are the material that proves you innocent, and deleting them deletes your own evidence. If you got the facts wrong, or if the report you made did not hold up later, that is not the crime of framing. This item makes no distinction between men and women. For the three items it opens out into, see items 33, 34 and 35 in this section (the party that fabricated the facts, insufficiency of evidence means an acquittal with appeal and retrial, and state compensation after custody calculated by the day).
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2018). Criminal Procedure Law, 刑事诉讼法(2018 年修正,第三十四、三十五、三十九、五十二、一百一十九、一百二十条). www.spp.gov.cn/zdgz/201810/t20181027_396818.shtml
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百四十三条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2012). State Compensation Law, 国家赔偿法(2012 年修正,第十七、三十三条). (reprinted by the National Bureau of Statistics)www.stats.gov.cn/gk/tjfg/xgfxfg/202503/t20250306_1958899.html
6Go and explain yourself as soon as something happens: a voluntary surrender cuts the sentence by up to 40%, and letting the case go out of time is a dead end
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
A voluntary surrender can cut the sentence by up to 40%, and where the circumstances are minor the punishment can be remitted altogether. If you only tell the truth after they have come for you, that still cuts the sentence by up to 20%. Running away and refusing to admit anything gets you neither. Hiding for a few years so the case goes stale does not work either: once a case has been opened, the time you spend in hiding does not count towards the limitation period.
Cost
No money. Go yourself to the public security organ to report, or stay where you are and call the police, and then describe what happened truthfully. The hard part is holding out against the thought that you should wait a while longer and nobody will ever look into it.
Benefit
Article sixty-seven of the Criminal Law: a person who reports himself of his own accord after committing a crime and truthfully states his own crime has surrendered voluntarily. A person who surrenders voluntarily may be given a lighter or mitigated punishment, and where the crime is minor the punishment may be remitted. A person who did not report himself but truthfully stated his own crime (a confession) may be given a lighter punishment; where a truthful statement prevents especially serious consequences, the punishment may be mitigated. The two supreme courts' sentencing guidelines set out the percentages in black and white. The baseline sentence is the term that comes out of the facts of the case first, and each percentage below is a reduction from that baseline. A voluntary surrender can reduce the baseline sentence by up to 40%; where the crime is minor it can reduce it by more than 40% or the punishment may be remitted under the law. Within a confession, truthfully stating your own crime reduces it by up to 20%, truthfully stating a same-kind but heavier offence that the judicial organs do not yet know about reduces it by 10% to 30%, and truthfully stating in a way that prevents especially serious consequences reduces it by 30% to 50%. A guilty plea coupled with a request for punishment reduces it by up to 30%; where there is also a voluntary surrender, a major confession, restitution or compensation, or forgiveness by the victim, it reduces it by up to 60%, and where the crime is minor by more than 60% or the punishment may be remitted under the law. The limitation period for prosecution falls into four bands according to the maximum statutory sentence: 5 years, 10 years, 15 years and 20 years (Article eighty-seven of the Criminal Law). But Article eighty-eight of the Criminal Law states that once the procuratorate, the public security organ or the state security organ has opened a case for investigation, or once the court has accepted the case, evading investigation or trial is not subject to the limitation period (nationwide, the sentencing ranges in force from 2021-7-1)
Notes
The person who benefits from this item is you. A voluntary surrender is only a mitigating circumstance, the crime is still found, and the court decides how much comes off; the sentencing guidelines require leniency to be applied strictly for violent crimes and drug crimes. Traffic accidents have their own calculation. Staying at the scene, helping the injured and reporting to the public security organ counts as reporting yourself of your own accord, but because these are statutory duties in any case, leniency is applied strictly. Reporting yourself after driving away still counts as a surrender, but the heavier of the two statutory bands is used as the baseline, and only then is it decided whether to reduce it and by how much. How to do that: see item 1 in this section (after a traffic accident, stop, help the injured and call the police). Getting a lawyer first and telling the truth do not conflict: see item 5 in this section (get a lawyer first if you are accused). What the lawyer checks for you is whether the written record is right, not whether you can come up with a better story.
Sources · 3 sources
- National People's Congress (全国人大). Consolidated text of the Criminal Law of the People's Republic of China, as amended by Criminal Law Amendment Eleven, 中华人民共和国刑法(经刑法修正案十一修正的整合文本)第六十七、八十七、八十八条. flk.npc.gov.cn/detail?id=ff808181796a636a0179822a19640c92
- Supreme People's Court and Supreme People's Procuratorate (2021). Guiding Opinions on Sentencing for Common Crimes (Trial), 关于常见犯罪的量刑指导意见(试行)(法发〔2021〕21 号,2021 年 7 月 1 日施行)三(六)(七)(十四), full text reprinted by the Zhangye City People's Procuratorate of Gansu Province. www.zhangye.jcy.gov.cn/info/1039/2086.htm
- Supreme People's Court (2010). Opinions on Certain Specific Questions Concerning Voluntary Surrender and Meritorious Service, 关于处理自首和立功若干具体问题的意见(法发〔2010〕60 号)一. Supreme People's Court Gazette. gongbao.court.gov.cn/Details/f3089058d37e11cd16d801530934ae.html
7After drinking, do not touch the steering wheel, not on an electric scooter and not even to move the car a short way
# Value HighGrade APersonal freedomA little moneyIn passingSome willpower
Drive after drinking and your licence is taken away for 6 months and you are fined one or two thousand yuan. A second offence brings detention and revocation. Drunk driving revokes the licence straight away, bars you from taking the test again for 5 years, and is pursued as the crime of dangerous driving, which leaves you with a criminal record. That record affects political review and some jobs. Insurance does not cover it either: if you drive after drinking, car insurance pays nothing. 「Just moving it a short way」 counts as driving.
Cost
A little money. A hired driver or a taxi costs several tens of yuan. Agree before the gathering who is not drinking that day. The hard part is holding your ground when people at the table press you to drink.
Benefit
Driving after drinking results in your driving licence being withdrawn for 6 months and a fine of 1000 to 2000 yuan. A repeat offence brings detention of up to 10 days and revocation of the licence. Drunk driving revokes the licence outright, bars you from taking the test again for 5 years, and is pursued as the crime of dangerous driving, carrying a short custodial sentence and a fine; a short custodial sentence means a few months locked up. Commercial drivers get heavier treatment: drink driving brings 15 days of detention, a 5000 yuan fine and a 5-year ban on driving; drunk driving brings a 10-year ban, and after that you can never drive commercially again. If drinking or drunk driving causes a serious accident that amounts to a crime, the ban on driving is for life. Commercial motor insurance pays nothing for driving after drinking or after taking drugs (nationwide)
Notes
Drunk driving is a crime and leaves a criminal record, which affects your own political review and some professional qualifications. The line between 「饮酒」 and 「醉酒」 is drawn by the alcohol content in the blood, and the exact thresholds are set by national standards. This section has not verified those numbers, so do not estimate by feel which side of the line you are on.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2021). Regulations on Road Traffic Safety, 道路交通安全法(2021 年修订,第九十一条). (reprinted by the Beijing Municipal Public Security Traffic Management Bureau)jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/205308/index.html
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Criminal Law Amendment (Nine), 刑法修正案(九)(第八条,即刑法第一百三十三条之一). www.spp.gov.cn/spp/fl/201802/t20180205_364562.shtml
- China Insurance Association (中国保险行业协会) (2020). Model Clauses for Commercial Motor Insurance, 机动车商业保险示范条款(2020 版)(第九、二十二条). www.iachina.cn/art/2020/9/4/art_24_104621.html
8Lend your bank card, phone card or payment account to nobody. Passing transactions through your own account is not a side job
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Renting out, lending or selling your bank card, phone card or payment account to somebody else is illegal in itself. The fine is 1 to 10 times the illegal gains, with a maximum of 200,000 yuan where there are no gains at all, up to 15 days of detention in serious cases, an entry in your credit record and limits on what your account can do. If you know the other person is going to commit a crime and still help them receive and pass on money, that is the crime of assisting information network criminal activity, and it carries up to 3 years.
Cost
No money. If someone says 「lend me the card so I can move some money through it, I will give you a few hundred yuan」, say no.
Benefit
Renting out, lending, or buying and selling telephone cards, bank accounts, payment accounts or internet accounts is illegal in itself. Where there are no illegal gains, a fine of 1 to 10 times the illegal gains is imposed. Where there are no illegal gains, the fine can be as high as 200,000 yuan. In serious cases, detention of up to 15 days is imposed. You may also have the fact recorded in your credit record, have the functions of your account limited, and have non-counter business suspended, so that you can only deal with the counter in person. If you know that somebody is using the internet to commit a crime and still provide them with payment and settlement help, then in serious cases that constitutes the crime of assisting information network criminal activity, which carries 3 years or less together with a fine (nationwide)
Notes
Saying 「I did not know what he was going to do with the card」 will not hold up. Investigators reason back from the outside circumstances to whether you knew: having taken a fee, and having flows that are plainly abnormal, can each count as knowledge. If the card was used to receive the proceeds of a crime, then even if you are not finally criminally liable, the account is frozen and you are sanctioned.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2022). Law of the People's Republic of China on the Prevention and Control of Telecom and Online Fraud, 反电信网络诈骗法(第三十一、四十四条). www.spp.gov.cn/spp/fl/202209/t20220902_575631.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Criminal Law Amendment (Nine), 刑法修正案(九)(第二十九条,即刑法第二百八十七条之二). www.spp.gov.cn/spp/fl/201802/t20180205_364562.shtml
9Check your own credit report twice a year for free, and look for loans and cards you did not take out
# Value HighGrade AMoneyNo moneyIn passingNo willpower
You may check your own credit report twice a year online for free, and it takes about ten minutes. Use the website of the People's Bank of China Credit Reference Center, or your mobile banking app. Do not use a third-party 「查征信」 app, because those apps are collecting your information. A bad record is kept for 5 years from the day the matter ends, and once that is past it has to be deleted. If you dispute it you can raise the dispute, and you must get a written reply within 20 days.
Cost
No money. You can do it online in about ten minutes.
Benefit
The administrative regulation states that 「个人信息主体有权每年两次免费获取本人的信用报告」, so you may obtain your own credit report free of charge twice a year. The retention period for adverse information is 「自不良行为或者事件终止之日起为 5 年;超过 5 年的,应当予以删除」. If you dispute the report you may raise the dispute, and the credit agency, or the institution that supplied that piece of information, must reply to you in writing within 20 days of receiving the dispute.
Notes
If your identity card has been used by somebody else to take out an online loan or a card, you often only find out when a mortgage application is refused, and by then several years have gone by. The way in is the website of the People's Bank of China Credit Reference Center, or your mobile banking app. Do not use a third-party 「查征信」 app, because those apps are collecting your information in the first place.
Sources
State Council (国务院) (2013). Regulations on the Administration of Credit Reporting, 征信业管理条例(国令第 631 号,第十六条、第十七条、第二十五条).
www.gov.cn/zhengce/zhengceku/2013-01/29/content_2303.htm10If a fight breaks out, call the police and do not swing first. Whoever swings first almost always loses out
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Hitting somebody brings 5 to 10 days of detention and a fine of five hundred to a thousand yuan. Hitting in a group, hitting an elderly person, a pregnant woman, a child or a person with a disability, and hitting repeatedly, brings 10 to 15 days of detention and a fine of one or two thousand yuan. Causing a minor injury is a criminal case carrying up to 3 years, and a serious injury carries 3 to 10 years. Two people hitting each other is not self-defence, and whoever swings first almost always loses out. Backing off to somewhere with people around you and calling the police works better than hitting back.
Cost
No money. Back off to somewhere with people around you and call the police, so that the other person's movements stay on the cameras. The hard part is holding back from answering back and from pushing.
Benefit
Assaulting another person or intentionally injuring them carries 5 to 10 days of detention and a fine of 500 to 1000 yuan. Assaulting in a group, assaulting an elderly person, a pregnant woman, a child or a person with a disability, assaulting repeatedly, or assaulting several people at once, carries 10 to 15 days of detention and a fine of 1000 to 2000 yuan. A group fight is dealt with as picking quarrels and provoking trouble, which carries up to 15 days of detention and a fine of 2000 yuan; picking quarrels and provoking trouble means making trouble out of nothing and starting a brawl. Intentionally injuring another person's body and constituting a crime carries 3 years or less, and causing serious injury carries 3 to 10 years. Two people hitting each other is called a mutual fight in law, and is not self-defence. But if the other person struck first and did so clearly excessively, or if you have already tried hard to get out of the way and the other person goes on hitting you, your counterblow will generally be found to be self-defence. It is only when you go past the limit that it becomes excessive self-defence, and two conditions have to be met: it clearly exceeds what was necessary, and it causes serious harm. Even where it really is excessive, the punishment should be mitigated or remitted (nationwide, in force from 2026-1-1)
Notes
After the 2025 revision, every article number in the Law on Penalties for Administration of Public Security changed. Assaulting another person moved from Article forty-three of the old law to Article fifty-one, and material quoting the old numbers is out of date. How the 「轻伤」 in 「a minor injury means you go to prison」 is counted is set by the assessment standards, and this section has not verified that. Once the other person is on the ground, or has run off, the infringement has ended, and chasing after them to hit them is not self-defence.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第三十、五十一条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二十、二百三十四条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Supreme People's Court, Supreme People's Procuratorate and Ministry of Public Security (2020). Guiding Opinions on the Proper Application of the Self-Defence System, 关于依法适用正当防卫制度的指导意见(法发〔2020〕31 号, items 6, 9, 11 and 14). www.court.gov.cn/zixun/xiangqing/251611.html
11An unavoidable attack can be hit back, but only against the person who is attacking you right now. When he stops, you stop
# Value ModerateGrade APersonal freedomA fair amount of moneyA few hoursSome willpower
While the other person is infringing on you or on somebody else, hitting out to stop them and injuring them carries no criminal liability. If they are committing homicide, murder, robbery, rape, kidnapping or another violent crime that seriously endangers personal safety, killing or injuring them is still not excessive. But you may only hit the person who is attacking you right now, and when he stops you stop. Even if the final finding is in your favour, you may be opened a case on first and locked up for a few days.
Cost
A fair amount of money. Legal fees start at several thousand yuan, and if you cannot afford it you can apply for legal aid. The cost comes mostly afterwards: you are often opened a case on the charge of intentional injury first, you have to cooperate with the investigation, and sometimes you are locked up for ten-odd days first. The hard part is staying steady through those days.
Benefit
The Criminal Law states what counts as self-defence: a person, the public interest, or the person, property or other rights of yourself or somebody else is being unlawfully infringed. Hitting out to stop it and injuring the person doing the infringing is self-defence and carries no criminal liability. The same article also says:「正当防卫明显超过必要限度造成重大损害的,应当负刑事责任,但是应当减轻或者免除处罚」. A further provision says:「对正在进行行凶、杀人、抢劫、强奸、绑架以及其他严重危及人身安全的暴力犯罪,采取防卫行为,造成不法侵害人伤亡的,不属于防卫过当,不负刑事责任」. The joint guiding opinions of the two supreme courts and the Ministry of Public Security draw the line more finely. Excessive self-defence requires both 「明显超过必要限度」 and 「造成重大损害」, and neither can be left out. 「造成重大损害」 means leaving the person doing the infringing with grievous bodily harm or dead; a minor injury or anything lighter does not count. The infringement only counts as finished once the person really has lost the ability to infringe, or really has given it up. The defence has to be directed at the person doing the infringing. Where the unlawful infringement is trivial and slight, and it is obvious that it is only a trivial infringement, stopping it by a means sufficient to cause grievous bodily harm or death is not treated as an act of self-defence. The costs of the process have official cases. Procuratorate Case No. 47, the Yu Haiming case: on the evening of 2018-8-27 the police opened a case for investigation on the charge of intentional injury. On 1 September the Kunshan Municipal Public Security Bureau found the conduct to be self-defence under the third paragraph of Article twenty of the Criminal Law and withdrew the case. Procuratorate Case No. 45, the case of Chen: a student was beaten up by a group of 9 people and stabbed back, leaving 3 people with grievous bodily harm. The police opened a case for investigation on suspicion of intentional injury and took him into criminal detention. The procuratorate found the conduct to be self-defence and did not approve the arrest, and only then did the police let him go. Where, after detention, the police consider that arrest is needed, they must refer the case to the procuratorate for review and approval within 3 days (that is, whether the procuratorate approves the arrest). In special circumstances this may be extended by 1 to 4 days. For a major suspect who is on the run, who has committed offences repeatedly, or who committed the offence as a gang, it may be extended to 30 days. The procuratorate then decides within 7 days (nationwide)
Notes
The default move is still the one in item 10 in this section, backing off and calling the police (if a fight breaks out, call the police and do not swing first). Two people hitting each other is not self-defence, and neither is chasing after the other person once they are on the ground or have run off. Only consider hitting back at the moment when there is nowhere left to retreat. There are three things to do afterwards. First, after calling the police, do not leave the scene. Second, protect the cameras and the witnesses as fast as you can; the guiding opinions require the police to fetch the video and audio recordings from the scene at the earliest opportunity and to question witnesses at the earliest opportunity. Third, before you are formally questioned by the police, get a lawyer: see item 5 in this section (get a lawyer first if you are accused). If the case is later withdrawn, if no prosecution is brought, or if you are acquitted, the days you were held can be claimed as state compensation day by day: see item 35 in this section (state compensation after custody). Defending somebody else is equally allowed by law. But walking into a fight between strangers empty-handed is a separate risk: see item 37 in section 13 (coming across a group fight). The people who benefit from this item are mainly you and your family.
Sources · 4 sources
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二十条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Supreme People's Court, Supreme People's Procuratorate and Ministry of Public Security (2020). Guiding Opinions on the Proper Application of the Self-Defence System, 关于依法适用正当防卫制度的指导意见(法发〔2020〕31 号, items 5, 6, 7, 10, 11, 13, 14 and 19). www.court.gov.cn/zixun/xiangqing/251611.html
- Supreme People's Procuratorate (2018). Twelfth Batch of Guiding Cases (Procuratorate Case No. 45, the Chen justifiable-defence case, and Procuratorate Case No. 47, the Yu Haiming justifiable-defence case), 第十二批指导性案例(检例第 45 号陈某正当防卫案、检例第 47 号于海明正当防卫案). www.spp.gov.cn/spp/jczdal/201812/t20181219_402920.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2018). Criminal Procedure Law, 刑事诉讼法(2018 年修正,第九十一条), full text reprinted by the People's Procuratorate of the Ningxia Hui Autonomous Region. www.nx.jcy.gov.cn/zwsy/qwfb/202011/t20201119_608817.html
12If somebody has wronged you — unpaid wages, dismissal, money taken from you — go through a complaint, arbitration or a lawsuit, and do not go and settle it yourself
# Value ModerateGrade APersonal freedomNo moneyA few hoursA lot of willpower
Go by the legal route and the worst outcome is that the money does not come back. Take revenge and the money still does not come back, and on top of that you pay with your own life. The case in Wuxi: a student whose surname is Xu failed to get his diploma and was unhappy with his internship allowance, went at people with a knife, killing 8 and injuring 17; he was sentenced to death and the sentence has been carried out. Unpaid wages go to a complaint and arbitration, and in 2024 that route recovered 8.65 billion yuan for 654,000 people nationwide.
Cost
No money; neither the complaint nor the arbitration costs anything. You have to make a trip or two and then wait several months. The hard part is holding back through those months without doing anything.
Benefit
The legal route has official figures. In 2024 labour inspection nationwide handled 137,000 cases and recovered 8.65 billion yuan in wages for 654,000 people. Another 998 people were sentenced for the crime of refusing to pay labour remuneration. How to complain to labour inspection about unpaid wages, and how to apply for labour arbitration, see item 2 in section 7. The price list on the route of revenge is written into Article two hundred and thirty-two of the Criminal Law:「故意杀人的,处死刑、无期徒刑或者十年以上有期徒刑;情节较轻的,处三年以上十年以下有期徒刑」. The official case: the student whose surname is Xu failed his examinations, did not get his certificate of graduation, and was also unhappy with his internship allowance. On 2024-11-16 he returned to Wuxi Institute of Arts and Technology with a knife and attacked, killing 8 people and injuring 17. At first instance he was sentenced to death for intentional homicide and deprived of political rights for life, and on 2025-1-20 the Supreme People's Court approved the sentence for execution. What he was unhappy about was the school and that allowance; the people hurt were his fellow students, and he did not get a single yuan of that allowance either (nationwide)
Notes
An intern who is still studying generally does not count as having established a labour relationship with the unit. If the internship allowance cannot be obtained, you can only ask the school to coordinate, or sue in court; the labour arbitration route is not available. If you did private work for a household or an individual and were not paid, that also has to go to court, see item 22 in section 7 (first find out who employed you). For how exactly to complain and how to go to arbitration when your wages are owed, see item 2 in section 7. For the red lines when collecting a debt, see item 15 in section 9 (do not hold anybody hostage or lock anybody up when collecting a debt). The legal route may fail to get the money back either, because a case being closed does not mean the money has arrived. Take revenge and the money still does not come back, and on top of that you pay with your own life.
Sources · 5 sources
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百三十二条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Xinhua News Agency (新华社) (2024). 江苏宜兴一校园发生持刀伤人事件致 8 死 17 伤. (reproducing the Yixing police statement, with the casualty figures and the words on the motive)www.news.cn/20241117/65a18fddb453469ebe91c78eda669893/c.html
- Supreme People's Procuratorate (2025). 无锡校园持刀伤人案罪犯徐加金被执行死刑. www.spp.gov.cn/spp/zdgz/202501/t20250120_680197.shtml
- Ministry of Human Resources and Social Security (2025). Statistical Bulletin on the Development of Human Resources and Social Security in 2024(2024 年度人力资源和社会保障事业发展统计公报). www.mohrss.gov.cn/SYrlzyhshbzb/zwgk/szrs/tjgb/202506/W020250616518526345602.pdf
- Supreme People's Court (2025). Work Report of the Supreme People's Court(最高人民法院工作报告)(「对驾车冲撞行人的樊维秋、校园持刀行凶的徐加金等判处死刑」). www.gov.cn/yaowen/liebiao/202503/content_7013680.htm
13Never take it out on people who have nothing to do with it: driving into a crowd and attacking in a public place are convicted as endangering public security by dangerous means, which starts at three years, and if somebody dies it is the death penalty
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Driving into a crowd and attacking in a public place are convicted as endangering public security by dangerous means. Not one person hurt is still three years at the least. If somebody dies, it is ten years or more, life imprisonment, or the death penalty. The Zhuhai case: Fan Weiqiu was dissatisfied with the division of property on his divorce, drove into the crowd exercising at the sports centre, killed 35 and injured 43, was sentenced to death, and the sentence has been carried out.
Cost
No money. The hard part is suppressing the thought while you are angry.
Benefit
Article one hundred and fourteen of the Criminal Law:「放火、决水、爆炸以及投放毒害性、放射性、传染病病原体等物质或者以其他危险方法危害公共安全,尚未造成严重后果的,处三年以上十年以下有期徒刑」. Not one person hurt is still three years at the least. Article one hundred and fifteen: causing grievous bodily harm or death, or causing major loss to public or private property, carries ten years or more of imprisonment, life imprisonment, or the death penalty. The official case: Fan Weiqiu's marriage had broken down and he was dispirited with life, and he was also dissatisfied with the result of dividing up the property on divorce, and 「决意通过驾车冲撞人群方式发泄私愤」. On the evening of 2024-11-11 he drove into the crowd exercising at the Zhuhai Sports Centre, killing 35 people and injuring 43. At first instance he was sentenced to death for endangering public security by dangerous means and deprived of political rights for life, and the sentence was approved for execution by the Supreme People's Court on 2025-1-20. The people he hit were runners he had never met (nationwide)
Notes
「I am not going to live anyway」 is not a discount at sentencing. The Supreme People's Court's work report for 2025 states the line on cases like this:「对挑战法律和道德底线的罪大恶极者,坚决依法从严从重从快惩处」. Merely saying it is already illegal. Saying you will set fire to the place, blow it up or poison it, and disturbing public order, carries 5 to 10 days of detention and a fine of up to 1000 yuan. Writing a threatening letter, or threatening somebody's personal safety in some other way, is illegal in the same way, and carries up to 5 days of detention or a fine of up to 1000 yuan (the Law on Penalties for Administration of Public Security, in force from 2026-1-1). If the thought has got as far as that, see item 14 in this section (treat a thought of 「taking somebody down with me」 as an emergency).
Sources · 5 sources
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第一百一十四、一百一十五条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Xinhua News Agency (新华社) (2024). 广东珠海驾车撞人事件造成 35 人死亡 43 人受伤. (reproducing the Zhuhai municipal public security bureau statement)www.news.cn/20241112/29c6af4f6ee4455b92832f3c2b13a93a/c.html
- Supreme People's Procuratorate (2024). 樊维秋以危险方法危害公共安全案一审宣判,判处死刑,剥夺政治权利终身. www.spp.gov.cn/spp/zdgz/202412/t20241227_677757.shtml
- Supreme People's Procuratorate (2025). 珠海驾车撞人案罪犯樊维秋被执行死刑. www.spp.gov.cn/spp/zdgz/202501/t20250120_680196.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第二十九、五十条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
14If a thought of 「taking somebody down with me」 or of going down together comes to you, treat it as an emergency: leave the scene, hand the car keys and the knife to somebody else, and call 12356
# Value HighGrade BPersonal freedomNo moneyIn passingSome willpower
The window between a thought of this kind arriving and your doing something about it is very short. Of 82 people who had attempted suicide, 47.6% said that no more than 10 minutes passed between the first thought and the attempt. So what is needed is not to "think it through", but first to put one step between the steering wheel, the knife, the gas valve, the rope and yourself, and get through those ten minutes. Then call 12356.
Cost
No money. The hard part is admitting that something is wrong with you at this moment, and the hard part is handing the things over to somebody else.
Benefit
The window between a thought of this kind and the attempt is very short. In interviews with 82 people who had attempted suicide, carried out within three days of admission, 47.6% said that no more than 10 minutes passed between the first thought and carrying it out. A 10-year systematic review (which pulls together and sorts through the research of ten years) concludes that the evidence on restricting lethal means keeps getting stronger. After controls on painkillers, the suicides connected with them fell by 43%. After fall points were fitted with protection, suicides fell by 86% (79% to 91%). Putting one step between the steering wheel, the knife, the gas valve, the rope and yourself is a way of waiting out those ten minutes. 12356 is the nationwide psychological assistance hotline, and it is answered for no less than 18 hours a day (nationwide, from 2025-5-1)
Notes
The grade is B because both pieces of evidence come from the literature on suicide, and there is no direct research applying them to "the urge to hurt somebody else". The Deisenhammer study also has only 82 people in it, all at a single hospital. When you are not in a fit state, do not drive, and do not go onto a shift where you are responsible for somebody else's safety either; hand the shift over first. For hurting yourself, see item 25 in section 1 (call 12356 when there are thoughts of suicide). For what to do first when your mood is low, see item 18 in section 3.
Sources · 3 sources
- Deisenhammer EA et al. (2009). The duration of the suicidal process: how much time is left for intervention between consideration and accomplishment of a suicide attempt? Journal of Clinical Psychiatry. doi.org/10.4088/JCP.07m03904
- Zalsman G et al. (2016). Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. doi.org/10.1016/S2215-0366(16)30030-X
- National Health Commission (2024). Notice on the Application of 「12356」 as the Nationwide Psychological Assistance Hotline Number(关于应用「12356」全国统一心理援助热线电话号码的通知)(国卫医政函〔2024〕259 号). www.gov.cn/zhengce/zhengceku/202412/content_6994470.htm
15When someone close to you says 「nobody is going to have a good time」「I am taking the children with me」, do not treat it as an angry remark: an immediate family member can take them for treatment, and the police must act on a report
# Value ModerateGrade APersonal freedomA little moneyA few hoursSome willpower
When a member of the family says 「nobody is going to have a good time」 or 「I am taking the children with me」, an immediate family member can take them straight to hospital, and the hospital may not refuse to diagnose them. Where hands have already been laid on, or where something is plainly about to happen, admission to hospital does not need the person's own consent. If you cannot tell an angry remark from a real intention, call 12356 and ask, or report it to the police so an officer comes. Covering for them does not help them.
Cost
A little money. Registration and consultation fees run from several tens to several hundred yuan. Accompanying them to hospital takes half a day to a whole day. The hard part is talking them into going with you.
Benefit
Article twenty-eight, paragraph two of the Mental Health Law says:「疑似精神障碍患者发生伤害自身、危害他人安全的行为,或者有伤害自身、危害他人安全的危险的,其近亲属、所在单位、当地公安机关应当立即采取措施予以制止,并将其送往医疗机构进行精神障碍诊断」. The same article also provides:「医疗机构接到送诊的疑似精神障碍患者,不得拒绝为其作出诊断」. Article twenty-nine requires the hospital to keep a person brought in this way in the hospital, to assign a qualified psychiatrist to diagnose them at once, and to issue a conclusion in good time. Article thirty states that hospital treatment is in principle voluntary. There is one exception, though: where the diagnosis shows a person with a severe mental disorder, and that they 「已经发生危害他人安全的行为,或者有危害他人安全的危险的」. This group is to be admitted for hospital treatment without their own consent being required. Threatening to hurt somebody is itself grounds for reporting it to 110 directly. Writing a threatening letter, or threatening somebody's personal safety in some other way, carries up to 5 days of detention or a fine of up to 1000 yuan. Threatening to commit a crime endangering public security, such as arson, explosion or throwing a dangerous substance, and disturbing public order, carries 5 to 10 days of detention and may carry a fine of up to 1000 yuan (nationwide, the Law on Penalties for Administration of Public Security in force from 2026-1-1)
Notes
Judged by who benefits, this item counts a spouse, parents or children living with you. You are usually one of the people covered by 「nobody is going to have a good time」, and the law gives the right to have somebody admitted precisely to immediate family members, so an outsider cannot act and can only report it to the police. Admission for treatment is only for a real signal of danger. Angry remarks during an argument do not count, and it cannot be used to lock a disobedient relative up in hospital. The same law also says that where a further examination or an assessment finds the person does not have a severe mental disorder, the hospital may not keep them in hospital (Article thirty-five). If you cannot tell, call 12356 and ask first, or report it to the police so an officer comes. The investigation into Germanwings flight 9525 concluded that neither the authorities nor the employer could have done anything to stop the first officer from flying that day, because 「无论是他本人,还是任何其他人——医生、同事或者家属——都没有告知他们」. All 150 people on board died: 2 pilots, 4 cabin crew and 144 passengers.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第二十九、五十条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2012, amended 2018). Mental Health Law, 精神卫生法(第二十八、二十九、三十、三十五条). www.gov.cn/guoqing/2021-10/29/content_5647635.htm
- Bureau d'Enquêtes sur l'Aviation (BEA), France (2016). Final Report BEA2015-0125.en: Accident on 24 March 2015 at Prads-Haute-Bléone to the Airbus A320-211 registered D-AIPX operated by Germanwings. bea.aero/uploads/tx_elydbrapports/BEA2015-0125.en-LR.pdf
16Do not abuse people online, do not spread rumours, and do not repost what you have not checked. If you are piled on, keep the evidence first and then call the police
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Publicly abusing somebody or fabricating rumours to defame them carries up to 5 days of detention or a fine of up to 1000 yuan, and where the circumstances are relatively serious, 5 to 10 days of detention. Serious cases amount to the crime of insult or the crime of defamation, which carries 3 years or less. Reposting does not excuse you. The other way round, when you are the one being piled on, in principle you have to sue for insult and defamation yourself, so the screenshots, the screen recordings and the links have to be kept by you.
Cost
No money. Think for ten seconds before you post. When you are attacked, take screenshots and screen recordings, and save the links and the account IDs, complain to the platform first, and then call the police. The hard part is holding back from abusing back while you are being abused.
Benefit
Publicly insulting another person, or fabricating facts to defame them, carries up to 5 days of detention or a fine of up to 1000 yuan; where the circumstances are relatively serious, 5 to 10 days of detention. Sending insulting or threatening messages repeatedly, harassing, pestering or following somebody, or secretly filming and spreading somebody's private life, is punished the same way. Deliberately spreading a rumour and disturbing public order carries 5 to 10 days of detention. Where the circumstances are serious, it constitutes the crime of insult or the crime of defamation, which carries 3 years or less. Where defamation is committed over the internet and the victim has difficulty collecting evidence, the victim may ask the court to require the public security organ to assist (nationwide, the Law on Penalties for Administration of Public Security in force from 2026-1-1)
Notes
The two crimes of insult and defamation are in principle dealt with only on complaint, which means you have to go to court yourself. The police generally do not open a case of their own accord, and the evidence has to be gathered by you. There are two exceptions. The first is 「严重危害社会秩序和国家利益的除外」, cases which the public security organ may handle directly (the second paragraph of Article two hundred and forty-six of the Criminal Law). The second is defamation committed online where you genuinely have difficulty collecting the evidence yourself, in which case the court may require the public security organ to help with the investigation (the third paragraph of the same article, added by Criminal Law Amendment Nine). Reposting still makes you liable, and passing on something you know to be false also counts as fabricating facts. For what to do after you are piled on online, see item 37 in this section (keep the evidence first, then choose your route). The article number for insult and defamation moved from Article forty-two of the old law to Article fifty of the new one.
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第二十九、五十条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百四十六条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Criminal Law Amendment (Nine), 刑法修正案(九)(第十六条,增加刑法第二百四十六条第三款). www.spp.gov.cn/spp/fl/201802/t20180205_364562.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Criminal Law Amendment (Nine), 刑法修正案(九)(第二百四十六条新增第三款), full text reprinted by the National Petition Office. www.gjxfj.gov.cn/gjxfj/fgwj/flfg/webinfo/2017/03/1601761496614423.htm
17Read the whole document before you sign, do not sign for other people, and do not sign a blank sheet
# Value HighGrade AMoneyNo moneyIn passingSome willpower
Once you have signed, it counts. 「I did not read it clearly」 and 「I thought it was something else」 do not hold up in court. So spend a few more minutes reading it from beginning to end, ask on the spot about anything you do not understand, and take a photograph to keep. Do not sign for other people, do not sign a blank sheet, and write the purpose on a photocopy of your identity card. An electronic signature and a face-recognition confirmation count as signing in the same way.
Cost
No money. Spend a few more minutes reading a contract, an IOU, a guarantee or an employment document from beginning to end. Ask on the spot about anything you do not understand, and take a photograph to keep. The hard part is taking the time to read it through in front of the other side.
Benefit
A contract formed in accordance with the law is protected by the law and binds both parties who signed it. Once you have signed, you must perform it in full as agreed. 「I did not read it clearly」 and 「I thought it was something else」 do not hold up in court. If you do not sign, you do not take on debts and responsibilities that are not yours (nationwide)
Notes
「Do not sign for other people, do not sign a blank sheet, and state the purpose on a photocopy of your identity card」 is drawn from experience, and there is no separate official document setting it out. The purpose behind all three is the same: do not let your signature be fitted into a contract that is legally valid and that you are then forced to honour. An electronic signature and a face-recognition confirmation count as signing in the same way.
Sources
National People's Congress (全国人大) (2020). Civil Code, 民法典(第四百六十五、五百零九条).
www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml18Write a clear IOU when you lend money, and before you guarantee somebody else's loan decide whether you are willing to repay it for them
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
An IOU has to state everything: lender, borrower, amount, interest rate, term, method of repayment, and both sides must sign. Send the money by transfer and do not hand over cash, because a complete document is what makes a lawsuit possible. Before you guarantee somebody, check whether the document says 「连带」. Under a general guarantee you wait your turn: the creditor has to sue the borrower first and fail to collect, and only then does it come to you. If you have signed a joint and several guarantee, the creditor can come straight to you.
Cost
No money. Use a sheet of paper to write out the lender, the borrower, the amount, the interest rate, the term and the method of repayment, and have both sides sign. Send the money by transfer so there is a trace, and do not hand over cash.
Benefit
A loan contract should take written form, and its contents generally include the kind of loan, the currency, the purpose, the amount, the interest rate, the term and the method of repayment. Only a complete document is good for suing. Where a security contract does not state which kind of security is given, or states it unclearly, it counts as general security. The guarantor under general security can wait his turn: the person owed the money has to sue or go to arbitration first, then apply for enforcement against the borrower's property, and only if the debt is still unpaid after enforcement does it become your turn to repay for him. In the other direction, once you have signed a 「连带责任保证」 you lose that layer of protection, and the person owed the money can come straight to you (nationwide)
Notes
On money you have lent out, a court does not protect the part of the interest above four times the
LPR: see
section 7. Writing your identity card number on the IOU and noting 「借款」 is drawn from experience. Whether the guarantee says 「连带」 decides whether you queue up behind the borrower or stand beside him when the money is demanded, so read it before you sign.
Sources
National People's Congress (全国人大) (2020). Civil Code, 民法典(第六百六十八、六百八十一、六百八十六、六百八十七条).
www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml19Enforcing your rights has a time limit: 3 years for the statute of limitations in a civil case and 1 year for labour arbitration, and the other side only has to say 「too late」
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
The statute of limitations in a civil case is 3 years, running from the day you knew your rights had been infringed. Once it has passed the court will not act of its own accord, and all the other side has to do is say 「too late」 in court: the money is still there, it just cannot be recovered. One demand message that leaves a trace is enough to restart the 3 years. Labour disputes have their own rules, and the arbitration limitation period is 1 year.
Cost
No money. Do not chase a debt only in your head. Use WeChat, text message, email or a registered letter so that there is a trace.
Benefit
The Civil Code provides that「向人民法院请求保护民事权利的诉讼时效期间为三年」. It runs from「权利人知道或者应当知道权利受到损害以及义务人之日起计算」, that is, from the day you knew you had been wronged and knew whom to go to. The longest period is 20 years from the day the right was infringed. Once the period has expired,「义务人可以提出不履行义务的抗辩」. The court will not examine the limitation period of its own accord, but if the other side raises it in court it takes effect: the money is still there, it just cannot be recovered. Four things interrupt the period, and each interruption restarts the 3 years from the beginning. First, you ask the person who owes you to perform. Second, the other side agrees to perform. Third, you sue or apply for arbitration. Fourth, any other circumstance of equivalent effect. Where repayment is agreed in instalments, it runs from the day the last instalment falls due. Four kinds of claim are not subject to the limitation period: a request to stop an infringement, remove an obstruction or eliminate a danger; a request for the return of your own immovable property and of movables that have been registered; child support, support for parents and support for a spouse; and any other circumstances provided by law. Labour disputes have their own rules: the arbitration limitation period is 1 year, running from the day you knew or should have known that your rights had been infringed. But「劳动关系存续期间因拖欠劳动报酬发生争议的,劳动者申请仲裁不受本条第一款规定的仲裁时效期间的限制;但是,劳动关系终止的,应当自劳动关系终止之日起一年内提出」(nationwide)
Notes
This is probably the cheapest thing in the whole book. One demand message that leaves a trace restarts the 3 years, and doing nothing can throw away the right to win a case you were going to win. Agreeing in advance that 「I will not rely on the limitation period」 does not count, and neither does agreeing between the two sides to lengthen or shorten the 3 years. In the other direction, if the other side still agrees to repay after the period has expired, it can no longer refuse on the grounds of the limitation period. Money already paid voluntarily cannot be demanded back. For IOUs and security, see item 18 in this section (IOUs and security). For the stages of enforcement, see item 20 in this section (if you are sued or enforced against, report your assets honestly). Overtime pay and unpaid annual leave go through labour arbitration: see items 1 and 2 in section 19.
Sources · 2 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一百八十八、一百八十九、一百九十二、一百九十三、一百九十五、一百九十六、一百九十七条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Law on the Mediation and Arbitration of Labour Disputes, 劳动争议调解仲裁法(第二十七条). (reprinted by the Ankang Municipal Human Resources and Social Security Bureau)rsj.ankang.gov.cn/Content-2150407.html
20If you are sued or enforced against, report your assets honestly, repay what you can, and do not put your flat or your money into a relative's or a company's name
# Value HighGrade APersonal freedomNo moneyA few hoursSome willpower
Putting your flat into a company's name and transferring your money to a relative is exactly what the crime of refusing to enforce describes, and it carries 3 years or less, or 3 to 7 years where the circumstances are especially serious. Relatives and companies who help hide the money or do the transfer are treated as accomplices, and the money is still recovered. Refusing to report, or reporting falsely, carries up to 100,000 yuan on an individual and up to 15 days of detention. Genuinely having no money is not this crime.
Cost
No money. Report your assets as the court requires: what you have now, and what you had in the year before the day you received the enforcement notice. Repay what you can. Where you cannot, negotiate a settlement or instalments with the applicant for enforcement, who is the party you are owed the money by.
Benefit
Transferring property away is itself a circumstance of guilt. The Standing Committee of the National People's Congress has given an interpretation of Article three hundred and thirteen of the Criminal Law. The interpretation lists 「被执行人隐藏、转移、故意毁损财产或者无偿转让财产、以明显不合理的低价转让财产,致使判决、裁定无法执行」 directly as 「有能力执行而拒不执行,情节严重」. Hiding money, transferring money away, deliberately smashing your own things, giving them away free and selling them at a giveaway price so that the judgment cannot be enforced all count. A 2024 interpretation from the two supreme courts, the Supreme People's Court and the Supreme People's Procuratorate, added ten more. They include disposing of your own property rights through a sham settlement or a sham transfer. They also include buying somebody else's property at a conspicuously unreasonable high price, and providing security for somebody else's debt. All of these deliberately hollow out the property you could have used to pay. The crime of refusing to enforce carries 3 years or less. Where the circumstances are especially serious, it carries 3 to 7 years and a fine. Especially serious means circumstances such as these: obstructing enforcement through false litigation, false arbitration or false notarisation. Gathering a crowd to storm the enforcement scene. Besetting, detaining or beating the enforcement officers. Causing the applicant for enforcement to commit suicide or self-harm through refusing to enforce. An outsider who is not a party to the case, who knows the situation and colludes with the party or who helps hide money and transfer assets, is dealt with as an accomplice to the crime of refusing to enforce. Property disposed of unlawfully must be recovered in accordance with the law, or an order for restitution or compensation must be made. Transferring assets after the defendant has received the notice to respond and before the judgment takes effect counts in the same way. In civil law, the creditor may ask the court to revoke a gift or a transfer at a conspicuously unreasonable low price. Where a party refuses to report assets or reports them falsely, the court may impose a fine, up to 100,000 yuan on an individual, and may impose detention of up to 15 days (nationwide, the interpretation of the two supreme courts in force from 2024-12)
Notes
The version circulating online of 「put the flat in the company's name as staff accommodation and transfer all the money to a relative」 is not a loophole. It is exactly the gift given away free and the sham transfer that the judicial interpretation names. Relatives and companies that help you carry it out count as accomplices, and property that can be recovered is still recovered. In the other direction, genuinely having no money is not this crime. Deciding whether you are someone who 「has the money but will not pay」 means deducting first the cost of your own living and that of the family you support. If you repay part or all of it before the procuratorate prosecutes, and the circumstances are minor, no prosecution may be brought. If you repay before the first instance judgment, a lighter punishment or even none may be imposed. For what to do after being put on the list or placed under a consumption restriction, see item 21 in this section (a consumption restriction, or being put on the judgment defaulter list). For how to recover once you have performed, see item 19 in section 7 (how to start again after being on the judgment defaulter list).
Sources · 6 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2002). Interpretation of Article three hundred and thirteen of the Criminal Law of the People's Republic of China, 关于《中华人民共和国刑法》第三百一十三条的解释. www.gov.cn/gongbao/content/2002/content_61738.htm
- Supreme People's Court and Supreme People's Procuratorate (2024). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases of Refusing to Execute Judgments and Rulings, 关于办理拒不执行判决、裁定刑事案件适用法律若干问题的解释(法释〔2024〕13 号,第三、四、五、六、八、十一、十二条), published on the Supreme People's Court page, with the full text checked against the reprint by the Guangzhou Prison of Guangdong Province. www.court.gov.cn/fabu/xiangqing/447931.html
- gzjy.gd.gov.cn/zxxx/content/post_4608108.html
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Criminal Law Amendment (Nine), 刑法修正案(九)(第三十九条,修改刑法第三百一十三条). www.spp.gov.cn/spp/fl/201802/t20180205_364562.shtml
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第五百三十八、五百三十九、五百四十条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2023, amended). Civil Procedure Law, 民事诉讼法(第一百一十四、一百一十八、二百五十二条), reprinted by the Guizhou Provincial Administration for Market Regulation: amr.guizhou.gov.cn/zwgk/xxgkml/jcxxgk/zcfg/fl/202401/t20240129_83645867.html
21If you are put under a consumption restriction or on the judgment defaulter list, first find out which provision put you there, and apply for correction where it can be corrected
# Value ModerateGrade AMoneyNo moneyA few hoursSome willpower
First work out whether you have been placed under a consumption restriction or put on the judgment defaulter list, because these are two different things. There are only six circumstances in which a person goes on the judgment defaulter list, and the period is 2 years. In seven circumstances, such as where performance has been completed, the court shall remove the entry within 3 working days. The restriction bars nine kinds of consumption, and a seat on a G-series high-speed train counts. What living or running the business requires can be applied for one item at a time.
Cost
No money. Go to the enforcement court and find out which provision you were included under. Have ready the receipts for money you have repaid and for judgment you have complied with, or have ready security documents. Consumption that living or running the business requires must be applied for one item at a time. The hard part is making the trips and lodging the applications yourself.
Benefit
There are only six circumstances in which a person is put on the judgment defaulter list. First, having the ability to perform but refusing to perform. Second, obstructing or resisting enforcement by fabricating evidence or by violent threat. Third, evading enforcement through false litigation, false arbitration, or by concealing or transferring property. Fourth, breaching the system for reporting assets. Fifth, breaching a consumption restriction order. Sixth, refusing without good cause to perform a settlement agreement reached in enforcement. Where sufficient and valid security has been provided, or where property that has already been seized, attached or frozen is enough to discharge the debt, the court may not put the person on the list under the first heading, having the ability to perform but refusing to perform. A person under enforcement who is a minor may not be put on the list. The period on the list is 2 years. Where there is violent threat obstructing or resisting enforcement and the circumstances are serious, or where there are several instances of bad faith, the period may be extended by 1 to 3 years. In seven circumstances, such as where performance has been completed, where a settlement agreement has been performed, or where the court has ruled that enforcement is concluded, the court shall remove the person within 3 working days. A person who has performed diligently or who corrected the bad faith early may also be removed early. A natural person under a consumption restriction may not make nine kinds of high-consumption purchase that are not necessary for living and working. First, taking a flight, a soft sleeper berth on a train, or a cabin of second class or above on a ship. Second, staying at a star-rated hotel or above, a hotel, a nightclub or a golf course and spending heavily. Third, buying immovable property, or newly building, extending or doing high-end decoration on a house. Fourth, renting a high-end office building, hotel or apartment as office space. Fifth, buying a vehicle that is not necessary for running the business. Sixth, travel and holidays. Seventh, paying the high fees of a private school for your children. Eighth, buying insurance or wealth management products with large premiums. Ninth, taking any seat on a G-series high-speed train, or a first-class seat or above on any other high-speed train. Where one of these is necessary for living or for running the business, you must apply to the court and may only do it once the application is approved. Where genuinely valid security is provided, or where the applicant for enforcement agrees, the court may lift the restriction (nationwide)
Notes
A consumption restriction means high consumption is restricted. The provisions came out in 2010 and were amended in 2015 by 法释〔2015〕17 号, when the title was changed to 「Several Provisions on Restricting High Consumption and Related Consumption by Persons Subject to Enforcement」, and this item follows the amended text now in force. Three parts of the 2015 change matter. First, a ninth category was added, so every seat on a high-speed train counts. Second, the limitation 「paid for out of their property」 was removed: the old wording was 「不得有以下以其财产支付费用的行为」. Third, where a unit is placed under a consumption restriction, the person who actually controls it is restricted too, but private consumption and spending your own money can be applied for to the enforcement court. The judgment defaulter list and a consumption restriction are two different things, and you may only run into one of them. Neither of them means a blemish on your credit record, and being removed from the list does not change your credit record: see item 19 in section 7 (how to start again after being on the judgment defaulter list). Whether a spouse or a child spending their own earnings is restricted is not set out in the text now in force, so if you run into it, ask the enforcement court.
Sources · 2 sources
- Supreme People's Court (2017, amended). Several Provisions on the Publication of Information on the List of Judgment Defaulters, 关于公布失信被执行人名单信息的若干规定(第一、二、三、四、十条). www.court.gov.cn/fabu/xiangqing/37182.html
- Supreme People's Court (2015, amended). Several Provisions on Restricting High Consumption and Related Consumption by Persons Subject to Enforcement, 关于限制被执行人高消费及有关消费的若干规定(法释〔2015〕17 号,第三、八、九条):「(九)乘坐G字头动车组列车全部座位、其他动车组列车一等以上座位等其他非生活和工作必需的消费行为」. www.court.gov.cn/fabu/xiangqing/15046.html
22If you are scammed in an online purchase or a second-hand sale, complain to the platform first, then call the police, and then work out whether it is worth suing
# Value ModerateGrade AMoneyA little moneyA few hoursSome willpower
Start with the platform. A platform holds a deposit and has rules for penalties, so it deals with it fastest. Then report it to the police: being scammed of more than 3000 yuan is enough to meet the threshold for opening a case for fraud, and where the criminal standard is not met it is dealt with administratively, with 5 to 10 days of detention. If you intend to sue, a dispute over an online purchase can be sued in the court where the goods were received, small amounts go through small claims, the case is concluded within 2 months, and it can be opened online.
Cost
A little money. Neither a complaint to the platform nor a report to the police costs anything. When you sue, the acceptance fee is 50 yuan where the amount in dispute is up to 10,000 yuan, and it is halved again if the case goes through the summary procedure, is settled, or is withdrawn. Opening the case, the hearing and enforcement each take at least half a day to a day, and opening the case online saves the running about. You have to keep the order, the chat records, the transfer records and the delivery note. The hard part is not giving up halfway through all the running about.
Benefit
Fraud of 3000 yuan up to more than 10,000 yuan is the 「数额较大」 that constitutes the crime of fraud, which carries 3 years or less, together with a fine or a fine alone, and each province sets its own local standard within that range. Where the criminal threshold is not met, it is dealt with as an administrative penalty: 5 to 10 days of detention, or a fine of up to 2000 yuan. Where the circumstances are relatively serious, 10 to 15 days of detention and a fine of up to 3000 yuan. In civil law, a dispute over an online purchase contract may be sued in the court where the goods were received, and there is no need to travel to where the seller is. Where the amount in dispute is below 50% of the average annual wage of employed persons in the province for the previous year, the small claims procedure applies. A small claims judgment is final at first instance: once it is pronounced it takes effect and cannot be appealed. The case is concluded within 2 months of being opened, and within 3 months under the summary procedure. Civil litigation can be conducted on an online platform, with the same effect as offline (nationwide, the Civil Procedure Law in force from 2024-1, the Law on Penalties for Administration of Public Security from 2026-1)
Notes
Whether it is worth fighting for can be worked out like this: multiply your hourly wage after tax by the time you have to put in, then add the court's acceptance fee. Count opening the case, the hearing and, if needed, an application for enforcement at half a day to a day each. Compare the result with the amount you want back, then discount it and estimate whether a win would really be enforced. Whether to go ahead is your own decision on the basis of that arithmetic. After the 2025 revision of the Law on Penalties for Administration of Public Security every article number changed: theft and fraud moved from Article forty-nine of the old law to Article fifty-eight. After the 2023 revision of the Civil Procedure Law, small claims is in Article one hundred and sixty-five. Do not copy material citing the old numbers at either of these two places. 「Complain to the platform first」 comes from experience: a platform holds a deposit and has rules for penalties, so it deals with it fastest. The document number of 法释〔2011〕7 号 is not shown on the procuratorate's own web page and still has to be checked against the original page of the Supreme People's Court.
Sources · 6 sources
- Supreme People's Court and Supreme People's Procuratorate (2011). Interpretation on Several Specific Questions Concerning the Application of the Law in Handling Criminal Cases of Fraud, 关于办理诈骗刑事案件具体应用法律若干问题的解释(法释〔2011〕7 号,第一条). www.spp.gov.cn/spp/sfjs/201802/t20180201_363736.shtml
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百六十六条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第五十八条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2023, amended). Civil Procedure Law, 民事诉讼法(第十六、一百六十四、一百六十五、一百六十八条). (reprinted by the Shanghai Municipal Development and Reform Commission)fgw.sh.gov.cn/ys-syjf-zc-2.4.1-h5/20240408/073febdb2b04464390546232d4089f51.html
- Supreme People's Court (2022, amended). Interpretation on the Application of the Civil Procedure Law, 关于适用《民事诉讼法》的解释(第二十条). www.court.gov.cn/zixun/xiangqing/353651.html
- State Council (国务院) (2006). Measures for the Payment of Litigation Costs, 诉讼费用交纳办法(国务院令第 481 号,第十三、十五、十六条). www.gov.cn/zhengce/zhengceku/2008-03/28/content_6929.htm
23Large gifts during dating and marriage: think before you hand them over, because in principle you cannot get them back afterwards
# Value HighGrade AMoneyNo moneyIn passingSome willpower
Once the money has been handed over, in principle you cannot get it back. A gift can only be withdrawn freely before it has passed into the other person's name. Once the registration is complete, it can only be set aside in three circumstances: the other person seriously injures you or an immediate family member of yours, they should be supporting you and do not, or they fail to perform an obligation they agreed to. So before a large transfer, work out whether it is a loan or a gift.
Cost
No money. Before a large transfer, ask yourself one question: is this a loan or a gift. If it is a loan, write an IOU and put 「借款」 in the transfer reference. The hard part is saying that out loud.
Benefit
A gift can be revoked until it has passed into the other person's name, and the law calls that moment the transfer of the property right. Once the transfer or the registration is complete, only three circumstances allow it to be revoked: the recipient seriously injures you or an immediate family member of yours; they should be supporting you and do not; or they fail to perform an obligation agreed in the gift contract. Gifts of small value given at a memorable occasion such as a festival or a birthday, and everyday spending made in order to express or improve affection, are not bride price, and on a break-up they are not returned as bride price (nationwide)
Notes
The saying that 「a special figure such as 520 or 1314 is usually treated as a gift」 is common in practice, but this section has not found the original text from the Supreme People's Court and does not offer it as a conclusion. A gift that has been notarised cannot simply be withdrawn on a whim. Whether a transfer is a loan or a gift finally turns on the evidence, and one line in a chat log saying 「I am borrowing this money for now」 is worth far more than arguing about it afterwards.
Sources · 2 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第六百五十八、六百六十三条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Supreme People's Court (2024). Provisions on Several Questions Concerning the Application of the Law in Handling Disputes over Bride Price, 关于审理涉彩礼纠纷案件适用法律若干问题的规定(法释〔2024〕1 号,第三条). www.court.gov.cn/fabu/xiangqing/423442.html
24Pay the bride price by transfer and note the purpose, and keep the chat records. Money taken from you on the promise of marriage can be demanded back
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
Demanding property on the ground of marriage is forbidden by law, and a court will support a demand for its return. You can demand it back where there was no marriage registration, where there was a registration but the couple genuinely did not live together, and where the bride price paid before the wedding leaves the party who paid in financial difficulty. Where there is a registration and the couple did live together, it is generally not returned. So send the bride price, the three golds and the money paid on first entering the bride's family by transfer and note the purpose. Whoever pays the money keeps the evidence, and men and women are treated the same.
Cost
No money. Send the bride price, the three golds and the money paid on first entering the bride's family by transfer, and write the purpose into the transfer reference. Anything agreed by word of mouth should leave a trace in the chat records, or be confirmed by a family member who is present.
Benefit
The law forbids demanding property on the ground of marriage. Where one party takes property by invoking marriage and the other party demands it back, the court supports that. Three circumstances allow a demand for return: no marriage registration was done; the registration was done but the couple genuinely did not live together; or the bride price was paid before the wedding and it left the party who paid in financial difficulty. Where there is a registration and the couple did live together, it is generally not returned. But where they lived together only briefly and the bride price was excessively high, the court settles the proportion to be returned by looking at how the money was actually spent, whether there was a dowry, whether there were children, and whether either party was at fault. Where there is no registration but the couple did live together, the same proportional approach applies (nationwide, in force from 2024-2)
Notes
Whether bride price counts as 「数额过高」 depends on the per-capita disposable income where the paying party lives and on that family's circumstances, and there is no single national figure. How much is to be returned is decided case by case by the judge. The rules are the same for the party who pays and the party who receives: whoever pays the money keeps the evidence.
Sources · 3 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零四十二条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Supreme People's Court (2024). Provisions on Several Questions Concerning the Application of the Law in Handling Disputes over Bride Price, 关于审理涉彩礼纠纷案件适用法律若干问题的规定(法释〔2024〕1 号,第二、五、六条). www.court.gov.cn/fabu/xiangqing/423442.html
- Supreme People's Court (2020). Interpretation (One) on the Application of the Marriage and Family Book of the Civil Code, 关于适用《民法典》婚姻家庭编的解释(一)(法释〔2020〕22 号,第五条). www.court.gov.cn/fabu/xiangqing/282071.html
25Do not be afraid of property owned before the marriage: write down the house being put in the other person's name, and any contribution by parents
# Value ModerateGrade AMoneyA little moneyA few hoursSome willpower
Property you owned before the marriage is yours, and it does not become joint property just because you have been married a long time. A couple can agree in writing that property from before and after the marriage belongs to each of them. One thing to watch: if you have agreed to put the other person's name on the house, you can still change your mind before the transfer is registered; once it is registered it is theirs. On divorce, the party who hides money, transfers it away, squanders it or fabricates debts can be given less, or nothing.
Cost
Writing a property agreement yourself costs no money; having it notarised costs extra. When your parents pay, ask them to write down a short statement. The whole thing takes a few hours in one go. The hard part is bringing up money with your family.
Benefit
Property owned before the marriage is personal property, and it does not become joint property just because you have been married a long time. A couple can agree in writing that property from before the marriage and income from after it belong to each of them, belong to both, or that part is joint; that agreement binds both sides. Where parents contributed to buying a home before the marriage, that counts as a gift to their own child, unless it is stated expressly that it is for the two of them. Where parents contribute after the marriage, it is handled by the agreement; where there is no agreement, it is handled on the principle of joint property. Where, before or during the marriage, one party agrees to gift a property to the other, or to make it jointly owned by the two, the party making the gift can withdraw it before the transfer is registered; after registration it is the other party's. On divorce, the party who hides, transfers, sells or squanders joint property, or fabricates debts, can be given less, or nothing (nationwide)
Notes
A property agreement is just as valid between a man and a woman. If you want to use it against a debt your spouse owes to somebody else, the creditor has to know the agreement exists. If they do not know, it does not bind them. The agreement is valid without notarisation too; notarising only saves an argument about signatures and dates later. How to write down whether money from parents buying a home is a loan or a gift, see item 11 in section 10 (parents contribute to buying a home).
Sources · 2 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零六十三、一千零六十五、一千零九十二条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Supreme People's Court (2020). Interpretation (One) on the Application of the Marriage and Family Book of the Civil Code, 关于适用《民法典》婚姻家庭编的解释(一)(法释〔2020〕22 号,第二十九、三十一、三十二条). www.court.gov.cn/fabu/xiangqing/282071.html
26Check the other person's marital status before you marry, and money taken under the pretence of marriage is pursued as fraud
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
A bigamous marriage is void. Marrying again while you already have a spouse, or marrying somebody you know has a spouse, carries 2 years or less. Money taken under the pretence of marriage is pursued as fraud: a relatively large amount carries 3 years or less, an especially large amount carries 3 to 10 years, and an especially especially large amount carries 10 years or more or life imprisonment. Before the registration, look at the marital status on the other person's identity card and household register.
Cost
No money. Before the registration, look at the marital status on the other person's identity card and household register. For large sums moving between you, keep the transfer records and the chat records.
Benefit
A bigamous marriage is void. Marrying again while you already have a spouse, or marrying somebody you know has a spouse, carries 2 years or less. Fraudulently obtaining public or private property in a relatively large amount carries 3 years or less and a fine. An especially large amount carries 3 to 10 years. An especially especially large amount carries 10 years or more or life imprisonment, together with a fine or confiscation of property (nationwide)
Notes
「Marriage fraud」 is not a charge in itself. Whether it can be dealt with as fraud depends on whether the other person meant from the start to take the money for themselves, told a set of lies to get it, and the case has to be opened by the public security organ for investigation. Whether an amount is 「数额较大」 is set by the judicial interpretation, which local areas may adjust, and this section has not verified it. The victims of marriage fraud are not divided by gender: there are cases of the bride price being taken and cases of the dowry being taken.
Sources · 2 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零五十一条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百五十八、二百六十六条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
27For a home visit to repair an appliance, inspect a car or do decoration, ask the price before the work starts and stay beside the work the whole time
# Value ModerateGrade BMoneyNo moneyIn passingSome willpower
Appliance repair must state the charging standard, must give a service receipt and an invoice, may not falsely report a fault, and may not deliberately replace a part that is working properly; in serious cases it carries a fine of up to 30,000 yuan. Every business must mark its prices clearly and may not add a charge on top. So find out the price and the parts before the work starts, get the receipt and the invoice afterwards, and keep the old parts. If you have been overcharged, call 12315 first.
Cost
No money. Before the work starts, find out the charging standard and which parts are going to be replaced, and photograph the quote or ask for it in writing. After the work, get a service receipt and an invoice, and keep the old parts. You also have to stand beside the work for an hour or two. The hard part is watching the whole way through without walking away.
Benefit
Appliance repair businesses must state the charging standard for the service and for parts, the quality standards, the warranty period and the complaint telephone number. They must give the consumer a service receipt and an invoice for the charge, and fill in the items repaired and the details truthfully. They may not list, exaggerate or fabricate repair items, may not falsely report a faulty part, and may not deliberately replace a part that is working properly. In serious cases, a fine of up to 30,000 yuan. All businesses must mark their prices clearly, may not add a charge on top of the marked price, and may not charge anything that has not been marked. Luring with a low price and then settling at a high price, and false discounts, are price fraud. A business must mark the items, the contents, the price and the method of calculation of a service in a prominent way, and may not make false or misleading publicity (nationwide)
Notes
If you have been overcharged, call 12315 first. The penalty is carried out by the commerce and the market regulation departments, and you do not have to bring a lawsuit yourself. The grade is B because the rules are official but there is no figure for 「how much less you spend by standing beside the work」, and it rests mainly on experience. Asking the price, keeping the receipt and keeping the old parts are worth doing for anybody, whoever they look like. The appliance measures only cover appliance repair; for vehicle inspection and decoration, refer to the provisions on clear price marking and to the implementing regulations. The higher-level Consumer Rights Protection Law also sets out both rights. Article eight says you have the right to require the business to explain the contents, specifications and charges of the service. Article ten says you have the right to refuse a forced transaction.
Sources · 4 sources
- Ministry of Commerce (商务部) (2012). Measures for the Administration of the Appliance Repair Service Industry, 家电维修服务业管理办法(商务部令 2012 年第 7 号,第五、七、九、十四条). www.gov.cn/gongbao/content/2012/content_2231695.htm
- State Administration for Market Regulation (市场监管总局) (2022). Provisions on Clear Price Marking and the Prohibition of Price Fraud, 明码标价和禁止价格欺诈规定(市场监管总局令第 56 号,第五、八、十九条). www.gov.cn/gongbao/content/2022/content_5699926.htm
- State Council (国务院) (2024). Implementing Regulations for the Consumer Rights Protection Law of the People's Republic of China, 中华人民共和国消费者权益保护法实施条例(国务院令第 778 号,第九、十条). www.gov.cn/zhengce/zhengceku/202403/content_6940159.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2013, amended). Consumer Rights Protection Law, 消费者权益保护法(第八、十条):「消费者有权根据商品或者服务的不同情况,要求经营者提供……服务的内容、规格、费用等有关情况」「有权拒绝经营者的强制交易行为」. (National Database of Laws and Regulations)flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7670606ef
28Do not act as a nominal legal representative, and do not lend your identity card to somebody registering a company
# Value ExceptionalGrade BPersonal freedomNo moneyIn passingNo willpower
The law presumes that the legal representative is the person who is really in charge, and 「I was only the name on it and knew nothing」 is not a reason to escape liability. Where the legal representative causes harm to somebody in carrying out duties, the company pays first and can then come back to you if you were at fault. Once you have been named, the Company Law allows you to resign, and the company has to appoint a new legal representative within 30 days.
Cost
No money. If somebody asks you to 「just be the name on it and not be involved in anything」, say no.
Benefit
The legal representative is taken to be the director or manager who actually runs the company's affairs, and the law presumes that you are the person in charge. Where the legal representative causes harm to somebody in carrying out duties, the company pays first, and after paying it may recover the money from the legal representative who was at fault. Directors and senior executives owe the company duties of loyalty and of diligence, that is, faithfulness to the company and thoroughness in the work. Where a person causes harm to somebody in carrying out duties and themselves acted with intent or with gross negligence, they have to pay out of their own pocket as well. 「I did not know」 is not a ground in law for escaping liability (nationwide, in force from 2024-7)
Notes
The text of the Company Law only says who bears the liability. The more common consequence of being a name on the paper is this: when the company is enforced against by the court, the legal representative is put under a consumption restriction as well, and tax and administrative penalties may reach you too. Those consequences come from other laws and from enforcement rules, and this section has not checked the original text, so the grade is B. Once you have been named, the Company Law allows you to resign, and the company has to appoint a new legal representative within 30 days.
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2023). Company Law, 公司法(2023 年修订,第十、十一、一百八十、一百九十一条).
www.gov.cn/yaowen/liebiao/202312/content_6923395.htm29Do not carry things through the border for strangers, and do not collect parcels of unknown origin on their behalf
# Value ExceptionalGrade BPersonal freedomNo moneyIn passingNo willpower
The advice the Consular Affairs Department of the Ministry of Foreign Affairs gives citizens going abroad is this: do not carry luggage or items for other people, especially prohibited items, or things you do not understand. If drugs or smuggled goods really are found in your luggage, 「I did not know what was in there」 is for you to prove. Receiving a courier parcel on somebody else's behalf in China is the same, especially when you are asked to pay first and get the money back afterwards.
Cost
No money. Just say no.
Benefit
The Consular Affairs Department of the Ministry of Foreign Affairs advises citizens going abroad to 「请务必避免为他人携带行李物品,特别是违禁物品或不了解的物品」. This is so that you do not unknowingly carry prohibited items for somebody else and end up bearing legal responsibility. If drugs or smuggled goods are found in your luggage, it is for you to prove 「I did not know what was in there」
Notes
The official guidance page of the General Administration of Customs and the Ministry of Public Security on this subject would not open, so this item quotes only the page of the Consular Affairs Department. The original text also gives principles and no article of law, so the grade is B. Receiving a courier parcel on somebody else's behalf in China is the same, especially when you are asked to pay first and refunded afterwards.
Sources
Consular Affairs Department of the Ministry of Foreign Affairs (外交部领事司) (2023). 对准备出国的中国公民有哪些建议.
cs.mfa.gov.cn/gyls/lscs/201106/t20110615_876383.shtml30A dog must be on a lead: without one, an accident is strict liability, so whether or not you are at fault you pay, and you pay to the end
# Value HighGrade AMoneyNo moneyIn passingSome willpower
Where a dog injures somebody, in principle you pay whether or not you are at fault. Only if you can prove that the other person acted deliberately or was grossly negligent can the payment be reduced or fall away altogether. If you broke the rule and did not put the dog on a lead, the only ground left for reduction is 「deliberate provocation by the person harmed」, so not using a lead shuts off your one way out. Where a vicious dog that is forbidden to be kept injures somebody, there is no ground for escaping liability at all.
Cost
A little money. A lead costs several tens of yuan. The hard part is remembering to put it on every time you go out.
Benefit
Where an animal you keep causes harm to somebody, the person who keeps it, or the person looking after it at the time, has to pay; the law calls this bearing tort liability. Only where it can be proved that the person harmed deliberately provoked the animal, or was grossly negligent, need nothing be paid or less be paid. Where management rules have been breached and safety measures not taken, such as failing to put the dog on a lead, only 「deliberate provocation by the person harmed」 is left as a ground for reduction. Where a dangerous animal such as a vicious dog that is forbidden to be kept causes harm, there is no ground for escaping liability at all
Notes
The compensation for a dog bite covers medical costs, lost earnings, the rabies vaccine and the immunoglobulin, and ten thousand yuan or more in one go is common. Where the injury is serious, or where a child is hurt, the figure is higher still. Abandoning the dog does not free you either: if it injures somebody while it has been abandoned or is on the run, it still counts against the original owner. For what to do after a bite, see section 13.
Sources
National People's Congress (全国人大) (2020). Civil Code, 民法典, full text reprinted by the Supreme People's Procuratorate. 第一千二百四十五条:「饲养的动物造成他人损害的,动物饲养人或者管理人应当承担侵权责任;但是,能够证明损害是因被侵权人故意或者重大过失造成的,可以不承担或者减轻责任。」第一千二百四十六条:「违反管理规定,未对动物采取安全措施造成他人损害的,动物饲养人或者管理人应当承担侵权责任;但是,能够证明损害是因被侵权人故意造成的,可以减轻责任。」第一千二百四十七条:「禁止饲养的烈性犬等危险动物造成他人损害的,动物饲养人或者管理人应当承担侵权责任。」第一千二百四十九条:遗弃、逃逸的动物在此期间造成损害,由原饲养人或者管理人承担责任
www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml31If the other person is drunk to the point of unconsciousness, asleep, or may be under 14, do not have sex
# Value HighGrade BPersonal freedomNo moneyIn passingSome willpower
Where the other person is drunk to the point of unconsciousness or asleep, they cannot express consent, and having sex with them is rape in law, with a basic sentence of 3 to 10 years. Afterwards you will almost never be able to prove that the other person consented at the time. The only reliable thing to do is not to have sex, and at the end of the drinking session to hand the person over to their own friends or family. How the age is assessed: see item 18 in section 9 (under 14).
Cost
No money. The price is stopping the thing at that moment. The hard part is stopping on the spot.
Benefit
Article two hundred and thirty-six of the Criminal Law: a person who rapes a woman by force, coercion or other means shall be sentenced to fixed-term imprisonment of not less than three years but not more than ten years. 「Other means」 is not limited to laying hands on somebody: where the other person is unconscious or asleep and cannot give valid consent, it falls within those four characters. Rape of a woman in a serious circumstance, and cases such as raping several women, shall be sentenced to fixed-term imprisonment of not less than ten years, life imprisonment or the death penalty. The same article also provides that intercourse with a girl under the age of fourteen is punished as rape and punished more severely; how a girl under that age is recognised: see item 18 in section 9 (under 14). A legal education article from the People's Procuratorate of the Xicheng District of Beijing says that a person who 「麻醉、灌醉后实施性侵的,同样构成强奸罪」. What matters is 「whether the victim's true wishes inside were violated」, and whether the victim resisted at the time 「并非关键」. Article two hundred and thirty-seven of the Criminal Law deals with forced indecency: a person who forcibly molests another person by force, coercion or other methods shall be sentenced to fixed-term imprisonment of not more than five years, or criminal detention (nationwide)
Notes
The grade is B because the article says only the four characters 「其他手段」. 「Getting somebody drunk and having sex is still rape」 comes from a legal education article by a procuratorate, not from a judicial interpretation. The article on rape speaks only of women. A man attacked this way is dealt with under the crime of forced indecency, so it makes no difference whether the other person is a man or a woman. If you are the one harmed, for what to do first see item 42 in section 13 (after being sexually assaulted). If you are blackout drunk yourself, the two risks of being accused and of being blackmailed are present at the same time: see item 32 in this section (call the police if the other person holds something over you and demands money).
Sources · 3 sources
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百三十六条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- National People's Congress (全国人大) (2020, amended). Criminal Law, 刑法(第二百三十七条). (reprinted by the Beijing Municipal Public Security Traffic Management Bureau, consolidated text)jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- People's Procuratorate of the Xicheng District of Beijing (北京市西城区人民检察院) (2018). 她们为什么不再沉默……. www.bjjc.gov.cn/c/xicheng/xjjsl/320654084.jhtml
32After sex or a nude video chat, if the other person threatens to call the police, to send the photographs to your workplace or to tell your employer, pay nothing, delete nothing, and call the police
# Value HighGrade AMoneyNo moneyIn passingSome willpower
Demanding money with 「I am going to call the police」 or 「I will send the photos to your workplace」 is extortion. Pay nothing, delete no record, and call the police on the spot, because paying the first instalment only leads to a second. If the other person really does publish the photographs, that is one more charge against them. Extortion of more than 2000 to 5000 yuan carries 3 years or less, and 30,000 to 100,000 yuan or more carries 3 to 10 years.
Cost
No money. Screenshot the other person's account, the chat records and the payment code, and take your phone to the police station. The hard part is resisting the thought of 「paying first to settle it」.
Benefit
Article two hundred and seventy-four of the Criminal Law: a person who extorts public or private property, in a relatively large amount or by repeated extortion, shall be sentenced to fixed-term imprisonment of not more than three years, criminal detention or public surveillance, and to an additional or alternative fine. Criminal detention is short-term confinement; public surveillance means no confinement but a restriction on freedom; an additional or alternative fine means a separate fine on top, or a fine alone. Where the amount is especially large or there are other serious circumstances, the sentence is fixed-term imprisonment of not less than three years and not more than ten years, together with a fine. Where the amount is especially especially large or there are other especially serious circumstances, the sentence is fixed-term imprisonment of not less than ten years, together with a fine. The two supreme courts also have an interpretation: Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases of Extortion, 关于办理敲诈勒索刑事案件适用法律若干问题的解释(法释〔2013〕10 号, in force from 2013-4-27). Article one of that interpretation sets three bands of amount. Extorting public or private property worth from two thousand yuan up to more than five thousand yuan is recognised as 「数额较大」. From thirty thousand yuan up to more than one hundred thousand yuan is recognised as 「数额巨大」. From three hundred thousand yuan up to more than five hundred thousand yuan is recognised as 「数额特别巨大」. Article three: extorting three or more times within two years is to be recognised as 「多次敲诈勒索」 (nationwide). Article one thousand and thirty-two of the Civil Code: no organisation or individual may infringe another person's right to privacy by means such as prying into it, disturbing it, leaking it or making it public. Article one thousand and thirty-three prohibits disturbing the peace of private life by telephone, text message, instant messaging and the like. So if the other person really does publish the photographs, that is one more charge against them. The warning on similar cases from the Fujian Provincial Public Security Department says in the original words:「一定要保存好证据,及时拨打 110,切勿继续转账」
Notes
The three bands of amount are set by each province itself, within the range the judicial interpretation gives. More than 2000 to 5000 yuan counts as 「数额较大」. More than 30,000 to 100,000 yuan counts as 「数额巨大」. More than 300,000 to 500,000 yuan counts as 「数额特别巨大」. Which figure applies in your province is settled by the local standard. Extorting three or more times within two years counts as 「repeated」 even when each amount is small. Do not delete the chat records or the photographs, cancel the account or block the person and call it a day: that deletes your own evidence as well, see item 5 in this section (get a lawyer first if you are summoned, and delete nothing). If a case really is opened, those records are at the same time the material that proves your account. Do not try to 「negotiate instalments」 either. Extortion over nude video chats is mostly done by groups outside the country, who record the screen while reading your contacts with a trojan. 「Sending it to your family」 is a line they use, and a case can still be opened after you report. Blackmailing somebody with 「I will tell your family that you like people of the same sex」 is the same kind of extortion. In Yancheng, Jiangsu, a man met someone on a dating app for men and used this to get away with 14,500 yuan; after the victim reported him he was prosecuted, and he had already been convicted twice for the same method. Forcing somebody into sex with nude photographs is pursued as rape. In Xiangshan, Zhejiang, a man tricked several women on a social platform into sending nude photographs and then threatened to publish them, and 10 victims were identified. One of them called the police as soon as she was threatened; the two had never met in person, and the procuratorate still handled it as an attempted rape, prosecuting him for rape and for forced indecency. So do not send nude photographs to people you meet online. In the other direction, if you are the victim going after the infringer for compensation, a high amount does not by itself make it extortion: see item 36 in this section (claiming compensation as the victim). If the photographs really do reach the internet, you may notify the platform to remove them. Article one thousand one hundred and ninety-five of the Civil Code gives you the right to require the platform to delete, block or disconnect the link, and the notice has to include preliminary evidence of the infringement and your real identity information. If the platform does not act in time, it and the person who posted share liability for the enlarged part of the damage.
Sources · 7 sources
- National People's Congress (全国人大) (2020, amended). Criminal Law, 刑法(第二百七十四条). (reprinted by the Beijing Municipal Public Security Traffic Management Bureau, consolidated text)jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2013). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases of Extortion, 关于办理敲诈勒索刑事案件适用法律若干问题的解释(法释〔2013〕10 号). www.court.gov.cn/zixun/xiangqing/5310.html
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零三十二、一千零三十三条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千一百九十五条):「权利人有权通知网络服务提供者采取删除、屏蔽、断开链接等必要措施。通知应当包括构成侵权的初步证据及权利人的真实身份信息」「未及时采取必要措施的,对损害的扩大部分与该网络用户承担连带责任」. (National Database of Laws and Regulations)flk.npc.gov.cn/detail?id=ff808081729d1efe01729d50b5c500bf
- Fujian Provincial Public Security Department (2024). 因为一条「约炮」信息,我背上 23 万的债务. gat.fujian.gov.cn/ztzl/fjjffpzxrx/spjq/202403/t20240307_6410612.htm
- Procuratorial Daily (检察日报) (2018). 两次获刑不思悔改 曝光隐私要挟网友(徐州市鼓楼区人民检察院网站转载). xzgl.jsjc.gov.cn/jianwu/baxiang/201804/t20180409_420934.shtml
- Procuratorial Daily (检察日报) (2022). 男子以公布裸照威胁10名女性与其发生关系,大数据筛查「报警」!(最高人民检察院网站). www.spp.gov.cn/zdgz/202212/t20221212_595435.shtml
33If somebody reports you on facts they made up, you can ask for them to be pursued: 5 days of detention where an administrative penalty applies, and 3 years or less where a crime applies
# Value ModerateGrade APersonal freedomNo moneyIn passingSome willpower
Fabricating facts to accuse and frame somebody, in the hope of getting them held criminally liable or given an administrative penalty, is itself illegal. It carries up to 5 days of detention or a fine of up to 1000 yuan. Where the circumstances are relatively serious, 5 to 10 days of detention. Where it reaches the level of a crime it is the crime of framing, which carries 3 years or less. But a mistake, or a report that turned out wrong, does not count; to pursue the other party you have to prove that the framing was deliberate.
Cost
No money. Report the case to the public security organ and explain that the other party fabricated it. The hard part is producing something that shows they invented it deliberately.
Benefit
The Law on Penalties for Administration of Public Security, revised on 2025-6-27 and in force from 2026-1-1, deals with false accusation in Article fifty. Fabricating facts to accuse and frame another person, in the hope of having them criminally prosecuted or given an administrative penalty, is to be punished. It is punishable by up to five days of detention, or a fine of up to one thousand yuan. Where the circumstances are relatively serious, it is punishable by five to ten days of detention, and may additionally carry a fine of up to one thousand yuan. Article two hundred and forty-three of the Criminal Law is the crime of framing. Fabricating facts to accuse and frame another person, intending that they be criminally prosecuted, where the circumstances are serious, is punishable by fixed-term imprisonment of not more than three years, criminal detention or public surveillance. Where serious consequences result, the sentence is fixed-term imprisonment of not more than ten years. A state organ functionary who commits the offence in the previous paragraph is punished more severely, which means the court picks the heavier end of the same band. Where a person was not deliberately framing but simply reported wrongly, or where a report turned out to be untrue, the two preceding paragraphs do not apply. A mistake, or a wrong report, is not pursued under either paragraph (nationwide)
Notes
To pursue the other party, showing only 「I did not do it」 is not enough. You also have to show that they 「fabricated the facts」 and did so 「deliberately」. The second is much harder to prove, so the pursuit may not succeed. There are no published national figures for cases of false accusation that are opened and dealt with, and this book could not find any, so it gives no rate and no breakdown by gender. For the evidence and the remedies after you are accused, see items 34 and 35 in this section (insufficient evidence should mean an acquittal, and state compensation).
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第五十条). (full text reprinted by the Beijing Municipal Public Security Bureau)gaj.beijing.gov.cn/wsgs/2024zcwj/zcfg/202506/t20250630_4134266.html
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百四十三条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
34Insufficient evidence should mean an acquittal, and a confession forced out of you should be excluded; and after a conviction there is still a petition and a retrial
# Value HighGrade APersonal freedomNo moneyA few hoursSome willpower
The threshold for a conviction is written into the Criminal Procedure Law: the evidence on which the case is decided must be proved true through the statutory procedure, and reasonable doubt has to be excluded taking all the evidence in the case together. Where that cannot be done, an acquittal is what should follow. A confession obtained by torture and testimony obtained by violent threat have to be excluded and cannot be the basis of a judgment. After the judgment takes effect, you, your legal representative and your immediate family can still petition.
Cost
Going through the procedure costs nothing, but a petition and a retrial both take a great deal of time. You normally need a lawyer, and legal fees start at several thousand yuan. If you cannot afford it you can apply for legal aid: see item 5 in this section (get a lawyer first if you are accused). The hard part is going on waiting round after round without giving up.
Benefit
Article fifty-five of the Criminal Procedure Law: evidence must be true and sufficient, which means that the evidence on which a conviction rests has been proved true through the statutory procedure, and that the facts found have, taking all the evidence in the case together, excluded any reasonable doubt. Excluding reasonable doubt means that, taking all the evidence together, the facts found must not leave open another explanation that could still be argued. Article fifty-six: statements by a suspect or defendant obtained by torture and other illegal methods, and witness statements and statements by victims obtained by violence, threat and other illegal methods, must be excluded. Where evidence that ought to be excluded is found during investigation, examination for prosecution or trial, it must be excluded in accordance with the law and may not be used as the basis of a recommendation to prosecute, a decision to prosecute or a judgment. Article two hundred, paragraph (three): where the evidence is insufficient and the defendant cannot be found to have committed the crime, an acquittal must be pronounced on the ground that the evidence is insufficient and the charge cannot be made out. Article two hundred and fifty-two gives you a route to a petition. A party, their legal representative, or an immediate family member may lodge a petition with the people's court or the people's procuratorate against a judgment or ruling that has already taken legal effect. But a petition does not suspend the enforcement of the judgment or ruling. Article two hundred and fifty-three lists the circumstances in which the people's court must retry the case (nationwide)
Notes
These are the floor that the system itself sets out, and the outcome is not guaranteed. This book has no official figures it can check on the acquittal rate in Chinese criminal cases or on how often a petition succeeds, so it gives no percentage and does not judge any individual case. There are three things you can do yourself. First, appoint a lawyer after the first interrogation: see item 5 in this section (get a lawyer first if you are accused). Second, read the written record word by word before you sign it. Third, do not admit something you did not do in order to 「get out sooner」; a guilty plea buys leniency but not acquittal. Where the statutory conditions are met, the court must retry the case.
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2018). Criminal Procedure Law, 刑事诉讼法(2018 年修正,第五十五、五十六、二百、二百五十二、二百五十三条).
www.spp.gov.cn/zdgz/201810/t20181027_396818.shtml35If the case is withdrawn, no prosecution is brought or you are acquitted after custody, apply for state compensation, and it is paid by the day
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
Where a case is withdrawn after you have been detained or arrested, where no prosecution is brought, or where you are acquitted, you can apply for state compensation. The days you were held are paid day by day, and from 2026-5-18 that is 495.94 yuan a day, or about 180,000 yuan a year. Where the consequences are serious, a payment for mental distress is added on top. Where the offence was so trivial that it was not prosecuted, nothing is paid. Nor is anything paid where the limitation period has expired, where you were below the age, or where you gave a false statement yourself.
Cost
No money. Apply to the organ that took the decision to detain you, arrest you, prosecute you or convict you.
Benefit
The State Compensation Law sets out several circumstances in Article seventeen in which the victim has the right to compensation. The first is detention: a citizen was detained in breach of the Criminal Procedure Law, or was lawfully detained but the statutory time limit was exceeded, and afterwards it is decided to withdraw the case, not to prosecute, or a judgment declares the person not guilty and ends the criminal pursuit. The second is arrest: after an arrest measure is taken against a citizen, it is decided to withdraw the case, not to prosecute, or a judgment declares the person not guilty and ends the criminal pursuit. The third is retrial: the case is retried through the trial supervision procedure and the person is found not guilty although the sentence in the original judgment has already been carried out. The trial supervision procedure is the procedure for taking a judgment that has already taken legal effect and hearing it again. Article thirty-three: where a citizen's personal freedom is infringed, the daily compensation is calculated at the previous year's national average daily wage of employees. Article thirty-five: where mental harm is caused, the person responsible must, within the scope of the effect of the infringing act, eliminate the effect, restore the person's reputation and apologise, and where serious consequences result must pay a corresponding payment for mental distress. Article nineteen lists six circumstances in which the state does not compensate. First, the person was detained or convicted because they gave a false confession themselves or fabricated other evidence of guilt. Second, a person who bears no criminal responsibility under Article seventeen or eighteen of the Criminal Law was detained, such as a person below the age of criminal responsibility, or a person with a mental disorder who causes harm while unable to recognise or control their own conduct. Third, a person whom the Criminal Procedure Law provides is not criminally responsible was detained. This includes cases where the circumstances are plainly trivial and the harm is small, so that it is not treated as a crime, and where the limitation period for prosecution has expired, and where the suspect has died. It also includes a minor offence after which the procuratorate decides not to prosecute, which is what is usually meant by relative non-prosecution, also called discretionary non-prosecution. It also includes non-prosecution after a minor has passed the probationary period of conditional non-prosecution, and non-prosecution after a settlement is reached with the victim. Fourth, personal conduct of case-handling personnel that is unrelated to the exercise of their duties. Fifth, harm caused by deliberate acts of your own, such as injuring or harming yourself. Sixth, any other circumstance provided by law. Article seven of the 2015 judicial interpretation on criminal compensation from the two supreme courts confirms it again: where a person who bears no criminal responsibility and a person dealt with by relative non-prosecution are held in custody, the state does not compensate. But where, after prosecution, the court wrongly sentences the person to criminal detention, fixed-term imprisonment or life imprisonment and that has been carried out, the period of continued detention after the judgment became final must still be compensated. Article eight of that interpretation: where the case-handling organ refuses to compensate on the ground that 「you gave a false confession yourself」 or 「you injured yourself yourself」, the burden of proof is on the case-handling organ. The Supreme People's Procuratorate issued a notice in 2026-5. The National Bureau of Statistics published on 2026-5-15 that the average annual wage of employed persons in urban non-private units nationwide in 2025 was about 129,000 yuan (129441 yuan). The daily average wage calculated from that comes to 495.94 yuan. From 2026-5-18, when procuratorates at every level make a state compensation decision, compensation for infringing a citizen's personal freedom is calculated at 495.94 yuan a day. The previous standard was 475.52 yuan a day, in force from 2025-5 (nationwide)
Notes
The standard that is calculated by the day is updated every May, using the previous year's average annual wage of employed persons in urban non-private units published by the National Bureau of Statistics. Look up the figure for the year you are using it in; do not simply apply the one written in this item. Once you have the decision not to prosecute, read the basis it gives. If it says 「no criminal facts」 or 「insufficient evidence」, you can apply for compensation. If it says 「the circumstances of the offence are trivial」, or that the limitation period has expired, in principle the days you were held cannot be compensated. If you disagree with relative non-prosecution, you may petition to the procuratorate within 7 days of receiving the decision. The payment for mental distress is set by the case-handling organ according to the consequences, and there is no single formula. The organ that owes you the money is the one that decided to detain you, whether that is the police, the procuratorate or the court, so go to that one first. If you are not satisfied with how it is dealt with, apply further up under the procedure of the State Compensation Law. For how it is actually calculated, see the decision in the Guo Li case in item 36 in this section (claiming compensation as the victim). Guo Li was held for 1826 days. The compensation is calculated at the standard of the year the decision was made, not the year he was held, and it used the 2016 national average daily wage of employees of 258.89 yuan. The part covering loss of personal freedom came to about 473,000 yuan (472733.14 yuan), and a payment for mental distress of about 165,000 yuan (165450 yuan) was added on top. The 88.88 million yuan he applied for as ten years of payment for mental distress was not supported beyond that. You also need to know what is not payable: the decision treated lost earnings, compensation for physical health, property loss, legal fees and the living allowance in the detention centre as falling outside the scope of state compensation.
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2012, amended). State Compensation Law, 国家赔偿法(第十七、十九、三十三、三十五条). (reprinted by the National Bureau of Statistics)www.stats.gov.cn/gk/tjfg/xgfxfg/202503/t20250306_1958899.html
- Supreme People's Procuratorate (2026). 最高人民检察院公布最新侵犯公民人身自由的赔偿金标准. www.spp.gov.cn/xwfbh/wsfbh/202605/t20260519_727675.shtml
- Supreme People's Court and Supreme People's Procuratorate (2015). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Compensation Cases, 关于办理刑事赔偿案件适用法律若干问题的解释(法释〔2015〕24 号,第七、八条). www.court.gov.cn/zixun/xiangqing/16409.html
- National People's Congress (全国人大) (2018). Criminal Procedure Law, 刑事诉讼法(2018 年修正,第十六、一百七十七、一百八十一、二百八十四、二百九十条). . Article nineteen of the State Compensation Law and that interpretation cite the article numbers of the 2012 Criminal Procedure Law(第十五条、第一百七十三条第二款、第二百七十三条第二款、第二百七十九条), which after the 2018 amendment correspond in order to 第十六条、第一百七十七条第二款、第二百八十四条第二款、第二百九十条www.spp.gov.cn/zdgz/201810/t20181027_396818.shtml
36As the victim claiming compensation, go through 12315, a lawsuit or a lawyer; do not go on your own to an appointment the other side sets, and do not tie "I will pay" to "I will not make it public" in one sentence
# Value HighGrade BPersonal freedomNo moneyIn passingSome willpower
As the victim, claiming compensation from the party who infringed your rights has a legal basis, and it does not automatically become extortion just because you ask for a high amount. But the price may be high: Guo Li was first sentenced to five years for extortion and was only later acquitted on retrial. So use a route that leaves a record, do not go on your own to a place the other side names, and do not say out loud "I will pay" and "I will not make it public" as one condition.
Cost
No money. You put it in through 12315, by suing in court, or by instructing a lawyer. If you meet the other side to talk, record the whole conversation. The hard part is holding back and not talking to the other side alone.
Benefit
The official case: in 2008, after the authorities announced that some batches of 「施恩」 brand infant formula contained melamine, the examination result for Guo Li's daughter read 「双肾中央集合系统内可见数个点状强回声」. Guo Li claimed compensation from the seller and from Shien many times, and made the matter public in the media. In 2009-6 the two sides reached an agreement: Shien paid 400,000 yuan in compensation, and Guo Li issued written material saying he would not continue to pursue the case and gave up his claim for damages. The company then reported him to the police, and the Chaonan County People's Court sentenced him to five years' imprisonment for extortion. The Guangdong Provincial Procuratorate put forward a proposal for retrial. The proposal held that 「现有证据不足以证实郭利主观上具有非法占有的目的」. As the statutory guardian, Guo Li 「有权利向奶粉的生产厂家索赔,其索赔行为有法律依据」. The proposal also says that 「消费者对损害其合法权益的行为,有权通过大众传播媒介予以揭露、批评」. On 2017-4-7 the Guangdong High People's Court acquitted Guo Li on retrial. The reason was that 「原审认定郭利以非法占有为目的,使用威胁、要挟的方法,强行索取财物行为的事实不清,证据不足,郭利的行为性质未超出民事纠纷的范畴」. Guo Li was held in custody for 1826 days, from 2009-7-23 to 2014-7-22 (Guangdong, judgment changed on retrial in 2017)
Notes
The grade is B because this is one case, not a proportion that can be generalised. It also establishes two things: claiming compensation is lawful in itself, and you may still end up being investigated by the police as a case. The lowest-risk route is to hand the claim to a lawyer, or to sue in court yourself, and not to come into contact with the other side alone. Be especially careful when the other side invites you to their own locality to "settle it face to face": the report to the police and the opening of a case usually happen where they are. Once you have signed a settlement, follow the agreement; signing it and then starting a second, much larger claim is the thing most easily read as "duress". What to do after a case has been opened, see items 5, 34 and 35 in this section (get a lawyer first, insufficient evidence should mean an acquittal, state compensation). Where the other side uses hold-up material to demand money from you, see item 32 in this section (being blackmailed with a police report or photographs).
Sources · 2 sources
- Guangdong Provincial Procuratorate (2017). 广东省检察院再审建议对郭利案改判无罪. (Guangdong Provincial Procuratorate website)www.gd.jcy.gov.cn/jcyw2/201704/t20170411_1975029.shtml
- Compensation Committee of the Guangdong High People's Court (2018). 国家赔偿案件((2018)粤委赔 11 号): 郭利以再审无罪为由申请、广东省潮州市中级人民法院赔偿. www.gdcourts.gov.cn/caipanwenshuxuandeng/caipanwenshuxuandeng/content/post_1045709.html
37If you are piled on online: turn on the protection, preserve the evidence first, and then choose between the three routes of the platform, an injunction and the police
# Value ModerateGrade APersonal freedomNo moneyA few hoursSome willpower
On the spot, do three things first: turn on the platform's protection settings, save the content with the quick evidence tool, and report it through the quick entry. Afterwards you can apply to the court for an injunction, so that the other person has to stop first. You can also sue in court yourself, and where collecting evidence is hard you can ask the police to assist. Where the consequences are especially serious and the impact especially bad, the procuratorate prosecutes, and you do not have to produce the evidence yourself.
Cost
No money. Spend a few minutes on the spot on protection and on evidence. If you get as far as applying for an injunction or bringing a private prosecution, you have to go to the court, and you may need a lawyer. The hard part is storing the evidence first when you are being attacked, instead of trading insults.
Benefit
Article 15 of 法发〔2023〕14 号 is about injunctions. The right holder has evidence that the actor is carrying out, or is about to carry out, an unlawful act infringing their personality rights. If it is not stopped in time, the lawful rights and interests of the right holder will suffer damage that is hard to make good. Where the right holder applies under Article nine hundred and ninety-seven of the Civil Code, the people's court may in accordance with the law make an injunction against an infringement of personality rights. An injunction against an infringement of personality rights is a court order telling the other party to stop. Article 11 of that interpretation is about collecting evidence. In a case prosecuted by private prosecution, 「被害人提供证据确有困难的,可以要求公安机关提供协助」. The public security organ shall identify the actor in good time and collect evidence such as how far the material has spread and what effect it has had. An internet service provider shall provide the necessary technical support. 「经公安机关协助取证,达到自诉案件受理条件的,人民法院应当决定立案」. Where evidence cannot be collected, the public security organ shall explain in writing. A case prosecuted by private prosecution is a case the victim takes to court themselves. Article 12 of that interpretation lists five circumstances which are to be recognised as the 「严重危害社会秩序」 meant in the second paragraph of Article two hundred and forty-six of the Criminal Law. First, serious consequences such as mental disorder or suicide for the victim or for an immediate family member of the victim, together with a bad social impact. Second, taking ordinary members of the public at random as the target, with the information spreading widely and drawing large numbers of vulgar and malicious comments, together with a bad social impact. Third, insulting or defaming several people, or spreading repeatedly, together with a bad social impact. Fourth, organising or directing people to spread a large amount on several platforms, together with a bad social impact. Fifth, other cases. Article 4 of that interpretation: organising a 「人肉搜索」, unlawfully collecting citizens' personal information and publishing it to an unspecified number of people is, where the circumstances are serious, convicted and punished as the crime of infringing citizens' personal information. Article twenty-three of the Provisions on the Governance of Cyberbullying Information requires platforms to provide these protection options. Block unknown users, or a particular user. Limit the visibility of what you post. Ban reposting or comments. Receive private messages from friends only, or refuse all private messages. Article twenty-five requires a quick evidence-collection function. Article twenty-six requires a quick complaint and report entry in a prominent position. Article fifteen requires a platform that finds anything suspected of breaking the law to report it to the public security organ in good time
Notes
The order follows 「fast and cheap」. The platform is the fastest and the cheapest, so preserve the evidence and report first. The court is the slowest and the most expensive, so decide whether to sue only at the end. You carry the costs of all three routes yourself. An injunction is something you apply for yourself. A private prosecution means opening the case and gathering the evidence yourself in court. To have the procuratorate take the case on and turn it into a public prosecution, you have to run into one of the five circumstances listed in item 12 of 法发〔2023〕14 号; if you do not, you have to sue yourself. There are two things not to do. First, do not trade insults: answering back turns you into the person who is punished under
item 16 in this section (no abuse online, no rumours). Second, do not delete the content from your own account, because that is the evidence. When you cannot take it any more, call 12356: see
item 25 in section 1. To require the platform to remove your personal information, see
item 8 in section 14. For the situation where you helped a stranger, were filmed, and were circulated online, see
docs/遇到陌生人出事该不该停.md.
Sources · 3 sources
- Supreme People's Court, Supreme People's Procuratorate and Ministry of Public Security (2023). Guiding Opinions on Punishing Cyberbullying Illegal and Criminal Activity According to Law, 关于依法惩治网络暴力违法犯罪的指导意见(法发〔2023〕14 号, items 4, 11, 12 and 15). www.court.gov.cn/zixun/xiangqing/412992.html
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第九百九十七条), full text reprinted by the Supreme People's Procuratorate. www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Cyberspace Administration of China, Ministry of Public Security, Ministry of Culture and Tourism and National Radio and Television Administration (文化和旅游部、国家广播电视总局) (2024). Provisions on the Governance of Cyberbullying Information, 网络暴力信息治理规定(第十五、二十三、二十五、二十六条,2024 年 8 月 1 日施行). State Council Gazette. www.gov.cn/gongbao/2024/issue_11526/202408/content_6969181.html
38The route of 「buy the insurance first, then do it」 is blocked from end to end in law: you get not one yuan of the money, and intentional homicide and insurance fraud are punished together
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
All four doors are shut. Buying a policy on a family member that pays out only on their death, behind their back, is a void contract. Where the applicant deliberately causes the death of the insured person, the insurer does not pay. Deliberately killing an heir loses the right of inheritance. The Criminal Law also makes this a separate offence of insurance fraud, punished together with intentional homicide, with the death penalty available at the top. You get not one yuan of the money.
Cost
No money.
Benefit
Article thirty-four of the Insurance Law: a contract whose condition of payment is the death of the insured person is void unless the insured person has consented and recognised the amount of the insurance. The insured person is the person covered. Parents taking out insurance for a minor child are not subject to that limit. Article thirty-nine: where the applicant designates a beneficiary, the consent of the insured person is required. The applicant is the person paying for the insurance, and the beneficiary is the person who receives the money when something happens. Article forty-three deals with deliberate harm. Where the applicant deliberately causes the death, disability or illness of the insured person, the insurer is not liable to pay the insurance benefit. Where the applicant has paid premiums for two years or more, the cash value is refunded to the other rights holders. Where a beneficiary deliberately causes the death, disability or illness of the insured person, or deliberately attempts to kill the insured person, that beneficiary loses the right to benefit. Paragraph two of Article twenty-seven: where the applicant or the insured person deliberately brings about the insurance event, the insurer may terminate the contract and is not liable for compensation or payment, and except as provided in Article forty-three the premiums are not refunded. Article one thousand one hundred and twenty-five of the Civil Code: a person who deliberately kills an heir loses the right of inheritance. Paragraph one, item five of Article one hundred and ninety-eight of the Criminal Law lists 「投保人、受益人故意造成被保险人死亡、伤残或者疾病,骗取保险金」 as insurance fraud. Where the amount is relatively large, the sentence is up to 5 years and a fine of 10,000 to 100,000 yuan. Where the amount is especially large, it is 5 to 10 years. Where it is especially especially large, it is 10 years or more. Paragraph two: where conduct of that kind also constitutes another crime, it is punished under the rule of combined punishment for several crimes, which means the sentences for several crimes are worked out together. Article two hundred and thirty-two: intentional homicide is punishable by the death penalty, life imprisonment, or fixed-term imprisonment of not less than ten years. The case is the Zhang Songsong case in Xuancheng, Anhui. In the early hours of 2016-7-18 he drove into a pond and his wife drowned. Less than half a month before it happened, he had taken out 4 policies on his wife, each for 1,000,000 yuan. He was arrested on 7-25. The court convicted him of intentional homicide and insurance fraud together and sentenced him to a suspended death sentence and a fine of 50,000 yuan
Notes
The person who benefits from this item is you, and what it avoids is the death penalty or life imprisonment. The casualties and the judgment in the case are taken from the original text of the typical case published by the procuratorate, and the entry does not set out details beyond what the investigation disclosed. Fraud against insurers that involves no loss of life, such as faking an accident or inflating the loss, is also a crime, and the people who testify for you are counted with you: see item 21 in section 9 (faking an accident or inflating the loss to claim insurance). Taking out insurance for your family is normal in itself; what has to be guarded against is the thought of 「buy the insurance, then do it」. Treat an impulse to hurt a family member as an emergency: see items 14 and 15 in this section (the thought arising in yourself, and the harsh words said by someone close).
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2015, amended). Insurance Law of the People's Republic of China, 中华人民共和国保险法第二十七、三十四、三十九、四十三条. flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7c4060811
- National People's Congress (全国人大) (2020). Civil Code of the People's Republic of China, 中华人民共和国民法典第一千一百二十五条. flk.npc.gov.cn/detail?id=ff808081729d1efe01729d50b5c500bf
- Standing Committee of the National People's Congress (全国人大常委会). Criminal Law of the People's Republic of China, consolidated text as amended by Criminal Law Amendment Eleven, 中华人民共和国刑法(经刑法修正案十一修正的整合文本)第一百九十八条、第二百三十二条. flk.npc.gov.cn/detail?id=ff808181796a636a0179822a19640c92
- Anhui Provincial People's Procuratorate, reprinting Legal Daily (2020-01-13). 杀妻骗保牵出案中案(安徽省人民检察院民事虚假诉讼监督典型案例). www.ah.jcy.gov.cn/jczt/jjslhyqkjc/mtjj/202001/t20200113_2758841.shtml
39Ask for a case acceptance receipt when you call the police, and for a written notice if no case is opened: you can apply for reconsideration within 7 days and for review within a further 7 days, and the procuratorate can order the police to open a case
# Value ModerateGrade APersonal freedomNo moneyIn passingSome willpower
After you report a case, get the case acceptance receipt on the spot: it is the only proof that you reported. If the police decide not to open a case, they must give you a written notice of non-acceptance. If you are not satisfied you may apply for reconsideration within 7 days, and if you are still not satisfied, apply for review within a further 7 days. You can also approach the procuratorate and ask it to supervise the police into opening a case.
Cost
No money. Ask one extra question on the spot and get the case acceptance receipt into your hands. Afterwards chase the progress on the dates set out above. The hard part is going back to ask, again and again.
Benefit
Article one hundred and seventy-one of the Provisions on the Procedures for Handling Criminal Cases by Public Security Organs, as amended by Ministry of Public Security Order No. 159, is about the case acceptance receipt. The original text says:「公安机关接受案件时,应当制作受案登记表和受案回执,并将受案回执交扭送人、报案人、控告人、举报人」. Article one hundred and seventy-four:「对接受的案件,或者发现的犯罪线索,公安机关应当迅速进行审查」. Article one hundred and seventy-eight is about whether a case is opened. After accepting a case and reviewing it, where the organ finds that there are criminal facts that need to be pursued criminally and that the case is within its own jurisdiction, the case is opened with the approval of the person in charge of the public security organ at county level or above. Where no case is opened you still get a piece of paper:「对有控告人的案件,决定不予立案的,公安机关应当制作不予立案通知书,并在三日以内送达控告人」. Article one hundred and seventy-nine is about what to do if you are not satisfied. The original text says:「控告人对不予立案决定不服的,可以在收到不予立案通知书后七日以内向作出决定的公安机关申请复议;公安机关应当在收到复议申请后三十日以内作出决定」. It goes on:「控告人对不予立案的复议决定不服的,可以在收到复议决定书后七日以内向上一级公安机关申请复核;上一级公安机关应当在收到复核申请后三十日以内作出决定。对上级公安机关撤销不予立案决定的,下级公安机关应当执行」. Where the case is major or complicated, the time limit for reconsideration and for review may be extended, but it 「不得超过三十日,并书面告知申请人」. Article one hundred and twelve of the Criminal Procedure Law: a case must be opened where there are criminal facts that need to be pursued criminally; where no case is opened,「将不立案的原因通知控告人。控告人如果不服,可以申请复议」. Article one hundred and thirteen:「被害人认为公安机关对应当立案侦查的案件而不立案侦查,向人民检察院提出的,人民检察院应当要求公安机关说明不立案的理由。人民检察院认为公安机关不立案理由不能成立的,应当通知公安机关立案,公安机关接到通知后应当立案」. Article sixty-one of the Provisions on the Procedures for Handling Administrative Cases by Public Security Organs says the same thing. For a case within the unit's own jurisdiction, it 「应当立即调查处理,制作受案登记表和受案回执,并将受案回执交报案人、控告人、举报人、扭送人」. The time limit for handling a public security case is that it 「自受理之日起不得超过 30 日;案情重大、复杂的,经上一级公安机关批准,可以延长 30 日」, and the period of an assessment does not count towards it. Article nine of the Regulations on the Supervision of Public Security Organs deals with complaining about the police. The original text says:「督察机构对群众投诉的正在发生的公安机关及其人民警察违法违纪行为,应当及时出警,按照规定给予现场处置,并将处理结果及时反馈投诉人」(nationwide)
Notes
The person who benefits is you. Reporting a case does not mean it will be dealt with, but whether it is dealt with and how quickly are both set out in writing, with time limits. Remember the three steps in order. First, get the case acceptance receipt on the spot and write down the case number and the unit that accepted it. Second, if nothing has come of it by the deadline, go and ask about the progress on the dates set out above, and ask 「which stage the case is at」 rather than 「why is nobody dealing with me」. Third, once you have the notice of non-acceptance, read the reason, apply for reconsideration within 7 days and for review within a further 7 days, and at the same time ask the People's Procuratorate to supervise the opening of the case; the three routes do not conflict. A public security case is the sort of thing that covers a fight or petty theft. The time limit for handling runs from the day the case is accepted and does not exceed 30 days. Where the case is major or complicated it may be extended by a further 30 days with the approval of the public security organ at the level above. Time spent on assessments does not count. If you were treated badly, complain through the supervision channel; the case itself still follows the process for opening a case. Finding lost property and disputes between neighbours were never criminal cases in the first place, and the public security organ handles them as administrative cases or through mediation, or may only register them for the record, so do not read them as 「nobody dealt with my report」. For the process for stopping a payment after you have been scammed, see item 2 in this section (call 110 at once and ask for a stop). For being piled on online, see item 37 in this section (preserve the evidence first, then choose a route).
Sources · 5 sources
- National People's Congress (全国人大) (2018). Criminal Procedure Law, 刑事诉讼法(2018 年修正,第一百一十二、一百一十三条). flk.npc.gov.cn/detail?id=ff8080816f135f46016f1d1b81b01351
- Ministry of Public Security (公安部) (2020). Decision on Amending the Provisions on the Procedures for Handling Criminal Cases by Public Security Organs (Ministry of Public Security Order No. 159) and the full text as amended, 关于修改《公安机关办理刑事案件程序规定》的决定(公安部令第 159 号)及修正后全文. www.gov.cn/gongbao/content/2020/content_5549884.htm
- Ministry of Public Security (公安部) (2013, amended 2019). Provisions on the Procedures for Handling Administrative Cases by Public Security Organs (Ministry of Public Security Order No. 125, as amended by Order No. 149), 公安机关办理行政案件程序规定(公安部令第 125 号,第 149 号修改决定). www.gov.cn/gongbao/content/2013/content_2321117.htm
- www.gov.cn/zhengce/zhengceku/2018-12/31/content_5428593.htm
- State Council (国务院) (2011). Regulations on the Supervision of Public Security Organs, 公安机关督察条例(国务院令第 603 号,第九条). www.gov.cn/zhengce/zhengceku/2011-09/08/content_6138.htm
40Do not hand money or gift cards to the people handling a case or enforcing the law: bribery is punished for the giver too, and bribing supervision, enforcement or judicial staff is one of the cases treated as heavier
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
"Spend a little money and sort it out" is a separate crime under the Criminal Law, and the person caught is not only the one who took the money. Bribery carries 3 years or less. A serious case carries 3 to 10 years, and a particularly serious case 10 years or more or life imprisonment. Bribing supervision, administrative enforcement or judicial staff is one of the cases the law expressly treats as heavier. Money handed over because you were extorted, where you received no improper benefit, is not bribery.
Cost
No money. It is only a matter of not doing it.
Benefit
Article three hundred and eighty-nine of the Criminal Law defines bribery:「为谋取不正当利益,给予国家工作人员以财物的,是行贿罪」. The same article also says:「在经济往来中,违反国家规定,给予国家工作人员以财物,数额较大的,或者违反国家规定,给予国家工作人员以各种名义的回扣、手续费的,以行贿论处」. It also leaves an exception:「因被勒索给予国家工作人员以财物,没有获得不正当利益的,不是行贿」. The sentences are in Article three hundred and ninety of the Criminal Law (amended by Criminal Law Amendment Twelve, in force from 2024-3-1). The text is:「对犯行贿罪的,处三年以下有期徒刑或者拘役,并处罚金;因行贿谋取不正当利益,情节严重的,或者使国家利益遭受重大损失的,处三年以上十年以下有期徒刑,并处罚金;情节特别严重的,或者使国家利益遭受特别重大损失的,处十年以上有期徒刑或者无期徒刑,并处罚金或者没收财产」. There are seven circumstances that count as heavier:「(一)多次行贿或者向多人行贿的;(二)国家工作人员行贿的;(三)在国家重点工程、重大项目中行贿的;(四)为谋取职务、职级晋升、调整行贿的;(五)对监察、行政执法、司法工作人员行贿的;(六)在生态环境、财政金融、安全生产、食品药品、防灾救灾、社会保障、教育、医疗等领域行贿,实施违法犯罪活动的;(七)将违法所得用于行贿的」. The last paragraph leaves room for a lighter sentence where the briber volunteers beforehand:「行贿人在被追诉前主动交待行贿行为的,可以从轻或者减轻处罚。其中,犯罪较轻的,对调查突破、侦破重大案件起关键作用的,或者有重大立功表现的,可以减轻或者免除处罚」(nationwide)
Notes
The person who benefits is you yourself. Do not expect a bribe to get you off. The other side has colleagues, records, cameras and supervision inspectors: what you hand over is evidence against them when they are investigated, and it is evidence of your own crime, and this kind of bribery is expressly one of the heavier cases. If you really meet somebody demanding a favour, use the route in item 39 (ask for the case acceptance receipt when you call the police): keep the receipt and the documents, and report it to the supervision organ or the discipline inspection organ. The exemption in the third paragraph of Article three hundred and eighty-nine of the Criminal Law is "extorted and no improper benefit received"; the moment you use the opportunity to get something you could not otherwise have got, that condition is not met. Red envelopes given to hospital staff follow a different set of rules, see item 11 in section 24.
Sources · 2 sources
- Standing Committee of the National People's Congress. Criminal Law of the People's Republic of China, consolidated text as amended by Criminal Law Amendment Eleven(中华人民共和国刑法(经刑法修正案十一修正的整合文本))第三百八十九条. flk.npc.gov.cn/detail?id=ff808181796a636a0179822a19640c92
- Standing Committee of the National People's Congress (2023). Criminal Law Amendment (Twelve) of the People's Republic of China(中华人民共和国刑法修正案(十二))(item five, amending Article three hundred and ninety of the Criminal Law; in force from 2024-3-1). flk.npc.gov.cn/detail?id=ff8081818c3ce31f018cb6a6bc412f55
41Turn on the recorder for phone calls and meetings that could turn: you do not need the other person's consent first for a conversation you are party to
# Value HighGrade AMoneyNo moneyIn passingNo willpower
For a loan, a debt owed to you, compensation, a refund or a labour dispute, what was said on the phone can be clear at the time and leave nothing behind, and a few months later the two sides can each tell a different story. A conversation you are party to can be recorded, and not telling the other person in advance does not by itself stop it being used as evidence. What you may not do is eavesdrop, snoop on somebody's privacy, break into somebody's home to record, or threaten the other person into talking.
Cost
No money. Turn on call recording on your phone, or use a recording app. Record from beginning to end, and once you have finished keep the original file unedited and unoverwritten.
Benefit
Article sixty-six of the Civil Procedure Law lists audio-visual materials and electronic data as evidence. Article one hundred and six of the Supreme People's Court interpretation of the Civil Procedure Law excludes only three methods of obtaining evidence: those that seriously infringe another person's lawful rights and interests, those that violate a mandatory provision of law, and those that seriously contradict public order and good morals. 「Telling the other person in advance」 is none of these. Article fifteen of the Supreme People's Court rules on evidence in civil litigation: where a recording or a video is used as evidence, the original carrier holding it has to be produced, for example the original mobile phone. Article ninety: audio-visual materials and electronic data that raise doubts may not be used on their own to find the facts. An article by a judge, reprinted on the Supreme People's Court website, says the same thing: a recording has to be lawfully obtained, true in its content, unedited, and relevant to the case (nationwide)
Notes
The people who benefit are you and your family. In a recording, try to get the person, the matter, the amount and the time to line up. Do not only ask 「when are you going to give it to me」; ask it naturally as 「the 50,000 yuan you borrowed last year, when are you going to repay it」. Hand the recording to the court, the arbitration commission or the police to use; do not put it online, because publishing what other people have said can bring privacy and reputation trouble: see item 16 in this section (no abuse online, no rumours). Having a recording does not mean you will win, because the court still weighs the other evidence for truthfulness and relevance. A recording only settles what can be proved; whether to sue at all, and how long it takes, has to be worked out separately. For the material to store before you leave a job, see item 8 in section 19 (save your payslips and attendance records before you leave). The basis of this item is the rules of civil litigation; how evidence is used in criminal and administrative cases is governed separately.
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2023, amended, in force 2024-1-1). Civil Procedure Law, 民事诉讼法(第六十六条), full text reprinted by the Shanghai Municipal Development and Reform Commission. fgw.sh.gov.cn/ys-syjf-zc-2.4.1-h5/20240408/073febdb2b04464390546232d4089f51.html
- Supreme People's Court (2022, second amendment). Interpretation on the Application of the Civil Procedure Law of the People's Republic of China, 关于适用《中华人民共和国民事诉讼法》的解释(第一百零六条). www.court.gov.cn/fabu/xiangqing/353651.html
- Supreme People's Court (2019, amended). Several Provisions on Evidence in Civil Litigation, 关于民事诉讼证据的若干规定(第十四、十五、九十条). www.court.gov.cn/zixun/xiangqing/212721.html
- Liu Danni (刘丹妮) (2023). 电影《消失的她》中的法律(人民法院报,最高人民法院官网转载). www.court.gov.cn/zixun/xiangqing/406032.html
42When something happens at a scene, film the wide shot first, then how things are positioned, then the damage and the injuries, and do not delete the original photographs and video
# Value HighGrade CMoneyNo moneyIn passingNo willpower
If you only film a close-up of one scratch on a car or one object on the ground, nobody will know a few days later where it was. First film a wide shot that takes in the junction, the house number, the vehicle, the people and the surroundings, then film how things are positioned in relation to each other, then film the details. If you have to move anything or move the vehicle, film it before you do. Keep the original photographs and the original video on your phone, and do not keep only a copy that has been through a messaging app.
Cost
No money. Hold your phone and film continuously for several tens of seconds to a few minutes. Make sure you are safe first, and do not delay helping or dealing with it.
Benefit
Article sixty-six of the Civil Procedure Law lists physical evidence, audio-visual materials and electronic data as evidence. Article fourteen of the Supreme People's Court rules on evidence in civil litigation lists images, audio and video as electronic data. Article fifteen requires the original of electronic data to be produced, so using a video as evidence means producing the original carrier. Photographs and video preserve the state of a scene while it is still changing, and can then be matched against the police report, the repair record, the medical record and what witnesses say. The order of 「wide shot, positions, detail」 comes from experience; the law does not prescribe it (nationwide)
Notes
The people who benefit are you and your family. The grade is C because the order of filming is only drawn from experience; the article only says that photographs and video can be evidence and that the original has to be produced. If somebody is hurt, if there is a fire or a gas leak, or if any other danger is still there, help first and get clear first, and do not delay that to take photographs. For what to do at the scene of a traffic accident, see item 1 in this section (after a traffic accident, stop, help the injured and call the police).
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2023, amended, in force 2024-1-1). Civil Procedure Law, 民事诉讼法(第六十六条), full text reprinted by the Shanghai Municipal Development and Reform Commission. fgw.sh.gov.cn/ys-syjf-zc-2.4.1-h5/20240408/073febdb2b04464390546232d4089f51.html
- Supreme People's Court (2019, amended). Several Provisions on Evidence in Civil Litigation, 关于民事诉讼证据的若干规定(第十四、十五条). www.court.gov.cn/zixun/xiangqing/212721.html
43If you are being abused at home: call the police first so that there is a record of the officers sent, then apply to the court for a personal safety protection order; you do not have to divorce first, and it costs nothing
# Value ModerateGrade APersonal freedomNo moneyA few hoursA lot of willpower
Among women killed worldwide, more than one third were killed by a partner, and it is often the end of long-term domestic abuse. Among women who are beaten, those whose throats have been squeezed are more than 7 times as likely to be killed later as those whose throats have not been. So call the police after an assault, and then apply to the court for a protection order. The court generally answers within 72 hours.
Cost
No money. Applying for a personal safety protection order costs no court fee, and no security has to be deposited. What it costs is the time spent calling the police, having an injury assessed and writing the application. The hardest part is saying this out loud to your own family.
Benefit
Start with the risk. Taking the data of 66 countries together, which is what a systematic review does. Of the cases of women killed, 38.6% were done by an intimate partner, and the figure for men is 6.3%. The authors say that murders of this kind are usually the last step in a long period of abuse. Another study compared 506 homicide and attempted homicide cases with 427 women who were abused but did not come to that. Women whose partner had previously strangled them were 6.70 times as likely to face an attempted killing as women who had not been strangled (
OR 6.70,
95% CI 3.91-11.49). The risk of being killed was 7.48 times (
OR 7.48,
95% CI 4.53-12.35). Now the law. A victim and an immediate family member may report to the police. The public security organ must send officers in good time, stop the abuse, investigate and collect evidence, and help with medical treatment and injury assessment. Where the circumstances are relatively minor, the public security organ may issue a warning letter to the other party. A person who is suffering domestic violence, or who faces a real risk of it, may apply to the court for a personal safety protection order. Once the court accepts the case it must rule within 72 hours, and within 24 hours where the situation is urgent. The order may prohibit violence, and may prohibit harassment, following and contact with you and your immediate family, and it may require the other party to move out of your home. The order lasts at most 6 months, and it can be extended on application before it runs out. The application does not depend on a divorce. The court may issue it as soon as it finds a domestic violence 「存在较大可能性」. Where the other party breaches the order, the court may impose a fine of up to 1000 yuan and detention of up to 15 days. Where it amounts to a crime, it is dealt with as the crime of refusing to execute a judgment or ruling. Regular insults, threats, following and harassment, and being left without food or warmth, also count as domestic violence
Notes
The people who mainly benefit are you and your family. The homicide figures come from outside China, and there are no published Chinese statistics on the same measure. Build up the evidence: the record of officers sent, a warning letter, the result of an injury assessment, medical records, a written guarantee from the other person, chat records and recordings can all be used. For recordings, see item 41 in this section (recordings). A protection order does not need a lawyer, and there is usually an answer within days. Divorce or compensation is a separate case, where six months or more in the ordinary procedure at first instance is normal and legal fees are yours to pay. A victim of domestic violence may apply for legal aid, and the court may defer, reduce or waive the court fee. A protection order is not a guarantee of personal safety; if there is danger in front of you, call 110 first. Where the victim is forced or frightened and cannot apply themselves, an immediate family member, the public security organ, the women's federation, the residents' committee or the villagers' committee may apply on their behalf. If the person being abused is a friend or a colleague, you can go with them to the police and to hospital. If you see somebody in a stranger's home being beaten, calling 110 is enough. Do not step in and pull them apart yourself, and the reason is in item 10 in this section (call the police when a conflict starts).
Sources · 5 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Anti-Domestic Violence Law, 反家庭暴力法(第二、十三、十五、十六、十九、二十三、二十八、二十九、三十、三十四条). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7f9d60889
- Supreme People's Court (2022). Provisions on Several Questions Concerning the Application of the Law in Handling Personal Safety Protection Order Cases, 关于办理人身安全保护令案件适用法律若干问题的规定(法释〔2022〕17 号,第一、三、六、十、十二条). www.court.gov.cn/zixun/xiangqing/366021.html
- Supreme People's Court (2016). Reply on Procedural Questions Concerning Personal Safety Protection Order Cases, 关于人身安全保护令案件相关程序问题的批复(法释〔2016〕15 号,第一、二项), full text reprinted by the Pingyuan County People's Court. qdzy.sdcourt.gov.cn/dzpyfy/393141/393283/1461545/index.html
- Stöckl H et al. (2013). The global prevalence of intimate partner homicide: a systematic review. Lancet. doi.org/10.1016/S0140-6736(13)61030-2
- Glass N et al. (2008). Non-fatal strangulation is an important risk factor for homicide of women. Journal of Emergency Medicine. doi.org/10.1016/j.jemermed.2007.02.065
44If a member of your family has run up gambling debts, do not rush to pay them for them: the law does not protect gambling debts, and money borrowed to gamble is not a joint marital debt
# Value HighGrade BMoneyNo moneyIn passingSome willpower
Money owed at a gambling table is not protected by the courts. Nor is money that a creditor lent knowing it was going to be used for gambling. Money one spouse borrowed for gambling cannot be counted as a debt the two of you have to pay together. Without a trial, the court cannot make the spouse who did not borrow the money answer for it.
Cost
No money. The hard part is holding out when the creditor comes to the door and your family cries and pleads. If the creditor really does sue, you have to respond to the case.
Benefit
A 2017 notice from the Supreme People's Court sets out four points. A debt incurred by one party in gambling, drug taking and other illegal and criminal activity is not protected by law. Where the creditor knew or should have known that the money was borrowed to gamble or to take drugs, and lent it anyway, it is not protected by law. Where one party borrows in their own name and uses the money for illegal and criminal activity, and demands that it be treated as a joint marital debt, the court does not support that. Without a judicial procedure, the party who did not borrow cannot be required to bear civil liability (nationwide, in force from 2017)
Notes
The grade is B because this is an internal court notice with no figures in it, and whether the creditor knew has to be shown with evidence. The notice was issued under the Marriage Law as it stood at the time; for how a joint marital debt is recognised after the Civil Code came into force, see item 12 in section 10 (a large sum borrowed by a spouse). Money the creditor did not know was going to gambling still has to be repaid, only the person who borrowed it repays. To show that the money went on gambling you need the transfer records, the records of the gambling platform, or the materials from the public security organ, so keep them as you go. If the creditor really does sue, six months or more in the ordinary procedure at first instance is normal, and three months under the summary procedure. Each side pays its own legal fees, and the losing side does not bear the other's. If the creditor blocks the door or detains somebody, see item 15 in section 9 (do not detain anybody to collect a debt) and call the police. If the person himself has gambled to the point of wanting to die, see item 37 in section 1 (gambling, borrowing to keep gambling, call 12356 first). The people who mainly benefit are the spouse and immediate family.
Sources
Supreme People's Court (2017). Notice on the Proper Handling of Cases Involving Marital Debt According to Law, 关于依法妥善审理涉及夫妻债务案件有关问题的通知(法〔2017〕48 号,第二、四条).
www.court.gov.cn/fabu/xiangqing/36982.html9. Legal lines ordinary people cross
23 / 23This section counts two things: your personal freedom and your money. In the items below, ordinary people commonly think 「it is nothing」, and in fact end up with detention, a fine, and in the heavier cases a prison sentence. Each item gives the specific figures in the articles of law, together with the cases published through official channels. The Law on Penalties for Administration of Public Security cited in this section is the version revised in 2025 and in force from 2026-1-1, and its article numbers differ from those of the old law. The Criminal Law cited here is the consolidated text as amended by Criminal Law Amendment Eleven, reprinted by the Beijing Municipal Public Security Traffic Management Bureau, and each entry says which amendment is involved. The items are ordered from high to low by 「easiest to step on by accident」 plus 「heaviest consequences」.
1Do not repost disaster, epidemic or police messages of unknown truth in a group chat, do not doctor photographs, and do not use AI to fake a scene
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
For a disaster, epidemic or police message, knowingly passing it on when you know it is false is punished as heavily as writing it yourself. The same goes when you did not write it yourself: 5 to 10 days of detention and a fine of 1000 yuan. Disturbing public order carries 3 years or less, and serious consequences carry 3 to 7 years. Doctored pictures and fake scene images made with AI both count as writing it yourself.
Cost
No money. Before you repost, look at it and see whether it is an official notice. If you are unsure, do not repost it, and do not doctor the picture or add 「it is said that」. The hard part is holding out against the urge to be the first to pass on the news.
Benefit
Deliberately spreading a rumour, or falsely reporting a danger, an epidemic, a disaster or a police incident, and disturbing public order, carries 5 to 10 days of detention, and a further fine of up to 1000 yuan may be imposed. The lighter band is up to 5 days of detention, or a fine of up to 1000 yuan. Fabricating a false danger, epidemic, disaster or police incident and putting it online for spread carries 3 years or less. Knowingly passing on something false as though it were true falls in the same band. The condition is that public order is badly disturbed, which the article words as 「严重扰乱社会秩序」. Where serious consequences result, it carries 3 to 7 years (nationwide)
Notes
Knowingly reposting something false and writing it yourself are dealt with by the police under the same article. 「I was only reposting it」 is no excuse. Doctored pictures and fake scene images generated by AI count as writing it yourself in the same way. The Ministry of Public Security published several batches of typical cases of online rumours about disasters and dangers in 2025. The Ministry's website would not open while this section was being written, so no specific case is cited here.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第二十九条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Criminal Law Amendment (Nine), 刑法修正案(九)(第三十二条,即刑法第二百九十一条之一第二款). www.spp.gov.cn/spp/fl/201802/t20180205_364562.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百九十一条之一). (reprinted by the Beijing Municipal Public Security Traffic Management Bureau)jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
2Do not post or repost pictures, stickers or comments that insult martyrs, and do not make fun of the national flag or the national anthem
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Making fun of martyrs, the national flag or the national anthem carries 5 to 10 days of detention, or a fine of 1000 to 3000 yuan. The heavier cases carry 10 to 15 days of detention. Where it amounts to a crime it carries 3 years or less. One man posted 2 messages defaming Yuan Longping in a 499-member villagers' WeChat group and was sentenced to 6 months' public surveillance: he was not sent to prison, but his movement was restricted.
Cost
No money. On content involving martyrs, the national flag, the national emblem or the national anthem: do not comment, do not doctor the picture, do not repost. The hard part is holding back from joining in when somebody in the group continues a joke.
Benefit
Where a person's name, likeness, reputation or honour as a hero or martyr is infringed by means such as abuse or fabricating facts, and the public interest is harmed, the band below applies: 5 to 10 days of detention, or a fine of 1000 to 3000 yuan. Desecrating or denying the deeds and spirit of martyrs, or producing and spreading remarks, pictures, audio or video that glorify a war of aggression, and disturbing public order, falls in the same band. The heavier band is 10 to 15 days of detention, and a further fine of up to 5000 yuan may be imposed. Where it reaches 「情节严重」, it amounts to a crime and carries 3 years or less. Insulting the national flag or the national emblem in a public place, altering the words or music of the national anthem, or singing the anthem in a distorted and disparaging way, where the circumstances are serious, also carries 3 years or less. The official case: Xiao posted 2 messages defaming and insulting Yuan Longping in a 499-member villagers' WeChat group and was sentenced to 6 months' public surveillance, which is a punishment that does not mean going to prison but does restrict your movement. Qiu used a Weibo account with 250 余万 followers to post 2 pieces of content distorting the deeds of the soldiers guarding the border, and was sentenced to 8 months, and had to make a public apology in national media (nationwide)
Notes
This article of the Law on Penalties for Administration of Public Security was only added in the 2025 revision. Before that, the only routes were the Criminal Law, or a civil public interest litigation brought by the procuratorate. In the eyes of a court, a WeChat group of several hundred people counts as a public place.
Sources · 5 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第三十五条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2018). Law on the Protection of Heroes and Martyrs, 英雄烈士保护法(第二十二、二十六条). www.spp.gov.cn/spp/gyssshmhsh/201912/t20191202_440079.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Criminal Law Amendment (Eleven), 刑法修正案(十一)(第三十五条,即刑法第二百九十九条之一). www.spp.gov.cn/zdgz/202012/t20201227_503682.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百九十九条、第二百九十九条之一). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court (2022). Ten Typical Cases Involving the Protection of the Rights and Interests of Martyrs (Case Two, Case Three), 涉英烈权益保护十大典型案例(案例二、案例三). www.court.gov.cn/zixun/xiangqing/382301.html
3Close the page once you have read something on an overseas site: do not screenshot it, repost it or move it into a group chat, and do not join in under the comments
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
These provisions punish passing things on, not looking at them. Reposting, moving into a group chat and joining in under the comments all count as spreading when a case is handled. Where it goes as far as inciting subversion or inciting division, it carries 5 years or less, and 5 years or more for those who lead it. Books and audio or video about terrorism and extremism are the exception: knowingly still holding them, where the circumstances are serious, carries 3 years or less.
Cost
No money. Close the page and the matter is finished. Do not archive it, do not repost it, do not move it onto a domestic platform. Do not use an account that can be matched to your own identity to post political content on an overseas platform over the long term. Do not accept fees or funding from overseas institutions, organisations or individuals. The hard part is holding back from screenshotting and sharing content that startles you.
Benefit
Using rumour, defamation or any other means to incite others to subvert the state power of the country or to overthrow the socialist system carries 5 years or less. Those who lead it, whom the article calls 「首要分子」, and those whose crimes are serious, carry 5 years or more, with fixed-term imprisonment reaching at most 15 years. Inciting the division of the country or undermining national unity carries the same terms. Where this is done in collusion with an overseas institution, organisation or individual, the punishment is heavier. Where an institution, organisation or individual inside or outside the country pays to fund somebody else's conduct, the person directly responsible carries 5 years or less, and where the circumstances are serious, 5 years or more. Stealing, spying on, buying or illegally providing state secrets or intelligence to an overseas institution, organisation or person carries 5 to 10 years. In this item, especially serious circumstances carry 10 years or more or life imprisonment, and relatively minor circumstances carry 5 years or less. Crimes endangering national security all carry an additional deprivation of political rights of 1 to 5 years, during which the right to vote and the right to hold public office are taken away. A fine and confiscation of property may also be imposed, taking the person's property into state ownership. There are provisions on administrative penalties as well. No individual or organisation may use the internet to carry out activities endangering national security, honour and interests. Nor may they incite subversion of the state power of the country or overthrow of the socialist system. Nor may they incite the division of the country or the undermining of national unity. Whoever publishes or transmits this kind of information is punished under the relevant laws and administrative regulations (nationwide). There is also a category that is complete without any spreading at all. Knowingly and illegally holding material that promotes terrorism or extremism, where the circumstances are serious, is enough for conviction. The material here includes books, audio and video materials, or other items. The sentence is up to 3 years' fixed-term imprisonment, criminal detention, which is short-term confinement, or public surveillance, which is confinement-free but restricts your movement. A fine may be imposed in addition or instead, so the fine can come with the sentence or on its own. The basis is Article one hundred and twenty of the Criminal Law, item six, added by Criminal Law Amendment Nine
Notes
The provisions cited in this item punish inciting others, passing things on, and providing things to other people. Merely looking is not among them. Material about terrorism and extremism is the exception written into the article, and simply holding it can already amount to a conviction (Article one hundred and twenty, item six), so this category must never be stored. Once you have seen it, that is where it ends: do not screenshot and store it, do not repost it, do not add a comment, and do not pull other people into reposting it. Both reposting and joining in under the comments count as spreading when a case is handled, and 「I was only reposting it」 is no excuse. Content that comes from an overseas platform may also attract a heavier penalty. If you are unsure whether something is true, do not join in either: see item 1 in this section (do not repost messages of unknown truth). For how the circumvention tools themselves are punished, see item 11 in section 11. Passing this kind of content on brings you no practical good, while the price is a prison sentence, deprivation of political rights and confiscation of property. Publicly checkable cases of this kind appear only in overseas media and in documents released by families, such as a blogger who had long posted political commentary on an overseas platform being sentenced to 7 years in 2023. This book has not obtained a judgment that can be checked through official channels, so it writes from the articles alone and attaches no case.
Sources · 3 sources
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第四十五、五十五、五十六、一百零三、一百零五、一百零六、一百零七、一百一十一、一百一十三条,这几条未经修正案修改). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Cybersecurity Law, 网络安全法(2025 年修正,2026 年 1 月 1 日施行,第十三条第二款、第七十一条第一项). www.cac.gov.cn/2025-12/29/c_1768735112911946.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Criminal Law Amendment (Nine), 刑法修正案(九)(新增第一百二十条之六), full text reprinted by the National Petition Office. www.gjxfj.gov.cn/gjxfj/fgwj/flfg/webinfo/2017/03/1601761496614423.htm
4Pornographic video is yours alone to watch: do not post it in a group chat, do not sell 「the material」, and do not set up a group
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Watching it yourself is not within the penal provisions. Posting it into a group chat once counts as spreading it to the whole group, and carries 10 to 15 days of detention and a further fine of up to 5000 yuan; where the circumstances are serious it carries 2 years or less. Selling 「the material」 to make money carries 3 years or less, and at the top life imprisonment. Setting up a distribution group of more than 30 people, the person who sets it up, the administrators, and the people who mainly post into it are all treated as committing the crime.
Cost
No money. Do not repost it, do not save it into a group chat's files, and do not become the owner or an administrator of that kind of group.
Benefit
Spreading obscene information online carries 10 to 15 days of detention, and a further fine of up to 5000 yuan may be imposed. The lighter band is up to 5 days of detention, or a fine of 1000 to 3000 yuan. Where the material involves minors, the punishment is heavier. Spreading obscene material at the level of 「情节严重」 carries 2 years or less. Selling or spreading it in order to make money carries 3 years or less and a fine. In this item, serious circumstances carry 3 to 10 years, and especially serious circumstances carry 10 years or more or life imprisonment. Setting up a group whose main purpose is spreading obscene electronic information, with 30 or more members, is handled as a crime. Causing serious consequences is the same. The person who set the group up, the administrators, and the people who mainly posted into it are all convicted of the crime of spreading obscene material (nationwide)
Notes
Both of these laws punish 「spreading」, and watching privately is not within them. But posting into a group chat once already counts as spreading to the whole group. What 「情节严重」 means in terms of quantity is set by the judicial interpretation, and this section has not verified the specific figures.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第八十条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第三百六十三、三百六十四条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2010). Interpretation (Two) on Several Questions Concerning the Application of the Law in Handling Criminal Cases of Producing, Copying, Publishing, Selling or Spreading Obscene Electronic Information by Means of the Internet, Mobile Communication Terminals and Voice Messaging Platforms(第三条). www.spp.gov.cn/zdgz/201002/t20100204_25001.shtml
5If a 「side job」 wants you to receive money, take out cash or make transfers through your own card, do not do it whatever fee you are offered
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
This kind of side job earns a few hundred yuan, and the price is a criminal record. One man went to an agreed place with his identity card and 1 bank card, helped with the transfers and withdrawals, and earned a little over 500 yuan. The procuratorate did not prosecute him, but the police still detained him for 10 days and fined him 1000 yuan. Another handed his own and other people's bank cards and phone cards to a gang to receive money and take out cash, and was sentenced to 2 years and 3 months with a fine of 22,000 yuan.
Cost
No money. Turn down that kind of 「a few hundred a day for carrying a card to the bank」 work.
Benefit
Knowing that money and goods come from a crime and still helping to transfer, buy or sell them, or helping to conceal them in some other way, carries 3 years or less, with a fine imposed in addition or instead, so the fine can come with the sentence or on its own. The official case: Wang, on instructions, took his identity card and 1 bank card to an agreed place and helped with the transfers and withdrawals, and earned a little over 500 yuan. The procuratorate did not prosecute him, but the police detained him for 10 days under the Law on the Prevention and Control of Telecom and Online Fraud and fined him 1000 yuan. Man handed his own bank cards and phone cards, and those of other people, to the gang to receive money, transfer it and take out cash, and was sentenced to 2 years and 3 months with a fine of 22,000 yuan (nationwide)
Notes
For the consequences of lending your bank card to somebody and of passing transactions through it for them, see item 8 in section 8 (lending a bank card to somebody). This item is about taking out cash and making transfers yourself. 「I did not know where the money came from」 is not necessarily accepted when a case is handled. A fee that is absurdly high, being asked to verify with your face, and transactions that look abnormal however you look at them are enough between them to establish that you did in fact know. The lightest outcome is still 10 days of detention and a criminal record.
Sources · 3 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第三百一十二条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Procuratorate (2023). Typical Cases of Procuratorates Punishing Telecom and Online Fraud and Related Crimes According to Law (Case Nine), 检察机关依法惩治电信网络诈骗及其关联犯罪典型案例(案例九). www.spp.gov.cn/xwfbh/wsfbt/202311/t20231130_635188.shtml
- Supreme People's Court and Supreme People's Procuratorate (2025). Typical Cases of Punishing the Crime of Concealing or Disguising Criminal Proceeds and the Proceeds of Crime According to Law (Case Five), 依法惩治掩饰、隐瞒犯罪所得、犯罪所得收益犯罪典型案例(案例五). www.spp.gov.cn/xwfbh/wsfbt/202508/t20250825_704514.shtml
6If somebody draws you into 「packaging the materials」 for a loan and offers you a cut of the loan amount, do none of it
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Helping somebody to 「package the materials」 to get a loan and taking a share of it is handled as fraud. In one case a gang of 126 people packaged people with no job as 「high-quality customers」 and fraudulently obtained more than 30 million yuan in loans from more than 80 banks. The people who came forward to sign took three tenths of the loan amount as a fee, and of the 80 people sentenced, 76 got 1 year and 4 months to 6 years and 6 months. The debt belongs to whoever the loan is in the name of.
Cost
No money. Simply say no. Do not lend your identity card or your own credit record to somebody else, do not sign a loan contract you have not read, and do not go to the bank to sign on somebody else's behalf.
Benefit
Obtaining loans, bill acceptances, letters of credit, guarantees and the like from a bank or another financial institution by deceptive means. Where this causes major losses to the bank or another financial institution, it carries 3 years or less. A fine is imposed in addition or instead, so the fine can come with the sentence or on its own. Where especially major losses result, or where there are other especially serious circumstances, it carries 3 to 7 years and a fine. The threshold at which the police open a case and start to investigate is a direct economic loss of 500,000 yuan or more. Where the intention from the start was not to repay, and the loan is obtained by fabricating a reason for bringing in capital, a false economic contract, false supporting documents or a false title deed, that is the crime of loan fraud. In this item, obtaining 50,000 yuan is enough to open a case, and it carries 5 years or less with a fine of 20,000 to 200,000 yuan. An especially large amount, or other serious circumstances, carries 5 to 10 years, and an especially especially large amount carries 10 years or more up to life imprisonment. Forging, altering, buying or selling official documents, certificates or seals of state organs carries 3 years or less, and where the circumstances are serious, 3 to 10 years. The official case: a gang of 126 people packaged people with no job as 「high-quality customers」 across 16 provinces and cities, and fraudulently obtained more than 3000 余万元 in loans from more than 80 bank branches. The 「blank customers」 who came forward to take out the loans took three tenths of the loan amount as a fee. The procuratorate pursued 105 of the 「blank customers」. Of the 80 people sentenced at first instance in 2026, 76 were sentenced for the crime of loan fraud to 1 year and 4 months to 6 years and 6 months, together with a fine. Another 4 people, because they took out cash for the gang, were convicted of loan fraud and of money laundering together, with the two crimes worked out as one sentence. Those 4 were sentenced to 2 years and 4 months to 7 years and 6 months (nationwide). The crime of fraudulently obtaining loans in this item follows the text of the Criminal Law as it has stood since 2021-3 under Criminal Law Amendment Eleven
Notes
In that case, the statement 「I meant to repay it」 was not accepted. The procuratorate found that these people had no job and no fixed assets, could not possibly repay, and had spent the money they were given, and on that basis found that they had never intended to repay. People who took out cash for the gang may also pick up a separate count of money laundering. Whoever's name the loan is in, and whoever signed the contract, is the borrower. Even where it is not a crime, the debt and the entry in your credit record are yours. Taking the money and running abroad settles nothing: once a case has been opened, however many years you stay away it can still be pursued. If you have been sentenced and have not served your sentence, or you are being treated as a suspect or a defendant, you may not leave the country. Where a civil case is not closed, the court may stop you from leaving the country; where a person under enforcement does not perform, the court may also restrict their leaving the country. For taking out cash and making transfers on somebody else's behalf, see item 5 in this section (a 「side job」 that wants you to receive money through your own card). For how to find out that somebody has taken out a loan in your name, see item 9 in section 8.
Sources · 6 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Criminal Law Amendment (Eleven), 刑法修正案(十一)(第十一条,修改刑法第一百七十五条之一). www.spp.gov.cn/spp/fl/202012/t20201227_503700.shtml
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第八十八、一百九十三、二百八十条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Supreme People's Procuratorate and Ministry of Public Security (2022). Provisions (Two) on the Standards for Opening Cases and Pursuing Criminal Cases under the Jurisdiction of Public Security Organs, 关于公安机关管辖的刑事案件立案追诉标准的规定(二)(第二十二、四十五条). www.spp.gov.cn/spp/xwfbh/wsfbt/202204/t20220429_555906.shtml
- Supreme People's Procuratorate (2026). 骗贷流水线背后藏洗钱黑手(检察日报). www.spp.gov.cn/spp/zdgz/202604/t20260428_726494.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2012). Exit and Entry Administration Law, 出境入境管理法(第十二条). (National Immigration Administration)www.nia.gov.cn/n741440/n741547/c1013311/content.html
- Standing Committee of the National People's Congress (全国人大常委会) (2023, amended). Civil Procedure Law, 民事诉讼法(第二百六十六条). (reprinted by the Guizhou Provincial Administration for Market Regulation)amr.guizhou.gov.cn/zwgk/xxgkml/jcxxgk/zcfg/fl/202401/t20240129_83645867.html
7Do not withdraw money from a bank card you pick up; contact the owner or hand a phone or wallet you find to the police, and do not pocket it
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Keeping something you found and using it yourself, where the amount reaches 「数额较大」 and you refuse to hand it over, carries 2 years or less, and an especially large amount carries 2 to 5 years. Using a bank card you found to take money out of an ATM is heavier: it counts as using another person's credit card, and a relatively large amount carries 5 years or less with a fine of 20,000 to 200,000 yuan. For this one the police open a case directly; the owner does not have to sue.
Cost
No money, and it takes a few minutes. Make one call to find the owner, or take the thing to the police station.
Benefit
Where you find something somebody has lost, you must return it to the owner, notify them promptly so that they can collect it, or hand it to the public security organ or another department. Keeping something somebody has left behind for your own use, where the amount reaches 「数额较大」 and you refuse to hand it over, constitutes the crime of embezzlement and carries 2 years or less. An especially large amount carries 2 to 5 years. Using another person's credit card that you found on an automated teller machine falls under 「冒用他人信用卡」. Where it amounts to a crime it is handled as credit card fraud: a relatively large amount carries 5 years or less, with a fine of 20,000 to 200,000 yuan. An especially large amount, or other serious circumstances, carries 5 to 10 years, with a fine of 50,000 to 500,000 yuan (nationwide)
Notes
The crime of embezzlement is dealt with only on complaint, which means the owner has to sue in court themselves and the police do not take it up of their own accord. But taking out cash with a card you found is different: the owner does not have to sue, and the police open the case directly. What 「数额较大」 comes to in money is set by the judicial interpretation, and this section has not verified it. After you have handed something over to the department concerned, the owner has to pay a storage fee when they come to collect it (Article three hundred and seventeen of the Civil Code).
Sources · 3 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第三百一十四条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第一百九十六、二百七十条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Procuratorate (2008). Reply on How to Characterise the Act of Picking Up Another Person's Credit Card and Using It on an Automated Teller Machine (ATM), 关于拾得他人信用卡并在自动柜员机(ATM 机)上使用的行为如何定性问题的批复. www.spp.gov.cn/spp/flfg/sfjs/201208/t20120830_47871.shtml
8Claim a discount in your own real identity, do not buy virtual numbers to register batches of accounts, and do not rely on a loophole to claim it again and again
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Claiming a coupon once, in your own real identity, on one account, is not within the penal provisions. Registering fake users in bulk, or placing orders yourself and then taking the orders yourself in order to claim more, is handled as fraud: 3000 yuan is enough for 3 years or less, and 30,000 yuan or more is 3 to 10 years. One rider used virtual numbers at 0.1 yuan each to run up coupons and cashed out more than 90,000 yuan, and 12 people in the same case were all sentenced.
Cost
No money. Turn down the work in the 「deal groups」 that hand out wool-pulling tasks. If you find a loophole in a platform, leave it alone. The hard part is holding out against treating a discount as income you can copy in bulk.
Benefit
Fraudulently obtaining public or private property in a relatively large amount carries 3 years or less, with a fine imposed in addition or instead, so the fine can come with the sentence or on its own. An especially large amount, or other serious circumstances, carries 3 to 10 years and a fine. An especially especially large amount, or other especially serious circumstances, carries 10 years or more or life imprisonment, with a fine or confiscation of property. For the three bands of relatively large, especially large and especially especially large, each province sets its own local standard within the ranges below. Relatively large is 3000 yuan up to more than 10,000 yuan. Especially large is 30,000 yuan up to more than 100,000 yuan, and especially especially large is more than 500,000 yuan. Teaching the method to other people, or selling a 「tutorial」, carries 5 years or less under the crime of teaching criminal methods, where the circumstances are serious 5 to 10 years, and where they are especially serious 10 years or more or life imprisonment. Those who buy and sell phone numbers and verification codes upstream and downstream are handled under the crime of infringing citizens' personal information, which carries 3 years or less, and where the circumstances are especially serious, 3 to 7 years. Batch account systems, systems that switch network addresses automatically, and receiving platforms that take in bulk verification text messages are themselves expressly forbidden by Article fourteen of the Law on the Prevention and Control of Telecom and Online Fraud. Illegally buying and selling, renting out or lending telephone cards and internet accounts, and helping somebody else pass real-name verification, fall under Article thirty-one. A breach of Article fourteen means all the money you earned is confiscated and a fine of 1 to 10 times that amount is imposed. Where you earned nothing, or earned less than 50,000 yuan, the fine is up to 500,000 yuan, and in serious cases there is detention of up to 15 days. A breach of Article thirty-one carries the same 1 to 10 times, and where you earned nothing, or earned less than 20,000 yuan, the fine is up to 200,000 yuan, and in serious cases detention of up to 15 days. Taking part in telecom and online fraud without reaching the level of a criminal sentence carries 10 to 15 days of detention, with the money earned confiscated and a further fine of 1 to 10 times. Where you earned nothing, or earned less than 10,000 yuan, the fine is up to 100,000 yuan. The first official case: the food delivery rider Liu bought virtual phone numbers at 0.1 yuan each and registered new users on a platform. He placed orders using the newcomer coupon of 29 off 15, then resold the goods to small shops to cash in. He also used the virtual numbers to invite one another and claimed reward payments of 2 yuan to 20 yuan. He and the rider Tan defrauded more than 90,000 yuan and more than 70,000 yuan respectively. The procuratorate of the Yangpu District of Shanghai prosecuted 12 people, and the court sentenced them to 3 years and 6 months down to 3 months' criminal detention. The second official case: Wang exploited the time gap between a shop's refunds and the recovery of virtual lottery coins. He took out 1156 refunds, collected 224 figurines, and the amount was more than 249,000 yuan. He also cashed out on a second-hand platform, and the court sentenced him for fraud to 3 years suspended for 4 years, with a fine of 30,000 yuan. During the trial he returned the proceeds and paid the fine in advance, 330,000 yuan in all. The third official case: the newcomer coupons and driver subsidies of a ride-hailing platform were taken by fake orders in which you book your own ride and then accept the order yourself, across more than 70 cities in 19 provinces, for more than 200 余万元 (2,000,000 yuan). The procuratorate of the Longcheng District of Chaoyang, Liaoning prosecuted 163 people, all of whom were found guilty. The principal offenders, Huang and Cai, were convicted of fraud, of infringing citizens' personal information and of teaching criminal methods together, with the three crimes worked out as one sentence, and each was sentenced to 3 years and 6 months. A further 34 minor accomplices were let off by a decision not to prosecute, and the cases were still referred to the police for an administrative penalty (nationwide)
Notes
The line is not drawn at 「how much did you take」 but at whether you fabricated anything. Joining an activity in your own real identity, claiming once on one account and using the coupon yourself is a discount the platform gave you. Registering fake users in order to claim more, fabricating transactions, or hiding the fact that you have already had a refund is what makes the other party hand the goods over believing it is genuine, and that is handled as fraud, with the amount only deciding how long the sentence runs. An amount too small to be a crime still has consequences: the platform can close the account, claw back the discount, and demand the return of money that should not have come to you. Taking part in telecom and online fraud without reaching the level of a crime still brings the band of detention and a fine. 「Somebody in the group is running it and pays me per task」 does not change the nature of your own part. Teaching the method to other people, and reselling accounts and phone numbers, are separate charges, and several crimes are worked out together. The person who benefits is you. For writing your own script and selling scripts, see item 3 in section 11. For selling cards and accounts, see item 8 in section 8 (lending a bank card to somebody) and item 16 in this section (lending your identity card to somebody).
Sources · 7 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百五十三条之一、第二百六十六条、第二百九十五条). (reprinted by the Beijing Municipal Public Security Traffic Management Bureau)jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2011). Interpretation on Several Specific Questions Concerning the Application of the Law in Handling Criminal Cases of Fraud, 关于办理诈骗刑事案件具体应用法律若干问题的解释(法释〔2011〕7 号,第一条). www.spp.gov.cn/spp/sfjs/201802/t20180201_363736.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2022). Law of the People's Republic of China on the Prevention and Control of Telecom and Online Fraud, 反电信网络诈骗法(第十四、三十一、三十八、四十二、四十四条). www.spp.gov.cn/spp/fl/202209/t20220902_575631.shtml
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第九百八十五条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Supreme People's Procuratorate (2021). 剑指电信网络诈骗|不法分子盯上了电商经济的漏洞(检察日报). www.spp.gov.cn/spp/zdgz/202106/t20210607_520557.shtml
- Supreme People's Procuratorate (2025). 如此「薅羊毛」涉嫌诈骗(检察日报). www.spp.gov.cn/spp/zdgz/202508/t20250826_704625.shtml
- Supreme People's Procuratorate (2024). 辽宁朝阳龙城区:办理系列电信网络诈骗案(法治日报). www.spp.gov.cn/spp/zdgz/202401/t20240124_641099.shtml
9Throw nothing out of a balcony or a window, and that includes cigarette ends, rubbish bags and bottles
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Throwing something out of a window can mean 5 days of detention and a fine of 1000 yuan even when it hits nobody, and where the circumstances are serious, 10 to 15 days of detention. Hitting somebody changes the charge: one man threw empty bottles and glass cups from the 21st floor into a playground below after drinking, hit a 13-year-old pupil and caused grievous bodily harm, and was sentenced to 10 years. Another threw 8 bricks from the 32nd floor and killed 1 person, and in 2024 the death sentence was approved.
Cost
No money, and no time either. Put cigarette ends, rubbish bags and bottles in the bin inside the flat, and do not throw them out of a window or off a balcony.
Benefit
Throwing things down from a building or another high place, where there is a risk of injuring somebody, damaging property or endangering public security, carries up to 5 days of detention, or a fine of up to 1000 yuan. Where the circumstances are serious, 10 to 15 days of detention, and a further fine of up to 1000 yuan may be imposed. Where the circumstances are serious enough for the crime of throwing objects from a height, it carries 1 year or less, with a fine imposed in addition or instead, so the fine can come with the sentence or on its own. Where somebody is injured or killed, it is handled under a heavier charge. The official case: Li, after drinking, threw empty bottles and glass cups from the 21st floor into the playground below, hit a 13-year-old pupil and caused serious bodily harm of grade two, and was sentenced to 10 years for endangering public security by dangerous means. Zhou threw 8 bricks from the 32nd floor into a crowd and killed 1 person, and in 2024 the Supreme People's Court approved the death sentence (nationwide)
Notes
You can be detained even when it hits nobody, because the article only requires 「a risk」. The Civil Code has a separate civil compensation rule on throwing objects from a height (Article one thousand two hundred and fifty-four). The original text would not open while this section was being written, so it is not quoted here.
Sources · 5 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第四十三条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Criminal Law Amendment (Eleven), 刑法修正案(十一)(第三十三条,即刑法第二百九十一条之二). www.spp.gov.cn/zdgz/202012/t20201227_503682.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百九十一条之二). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court (2024). Typical Cases of Punishing Crimes Endangering Public Security According to Law (Case One), 依法惩治危害公共安全犯罪典型案例(案例一). www.court.gov.cn/zixun/xiangqing/429522.html
- Supreme People's Court (2025). 专访最高法副院长李勇:让高空抛物行为人都能被处罚. www.court.gov.cn/zixun/xiangqing/458381.html
10Do not buy imitation guns, steel pellet guns or air guns online, and do not buy a 「toy gun」 of unknown origin
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
A steel pellet gun or air gun bought online counts as a firearm once its muzzle energy reaches 1.8 joules per square centimetre. Holding one without a licence carries 3 years or less, and where the circumstances are serious, 3 to 7 years. One couple sold 「toy guns」, and 18 of the 43 were found on examination to be firearms; they were not prosecuted only because it could not be proved that they knew.
Cost
No money. If you want to shoot, go to a proper shooting range.
Benefit
Holding or hiding a firearm without a licence carries 3 years or less, and where the circumstances are serious, 3 to 7 years. A non-standard gun that cannot fire standard ammunition counts as a firearm as soon as its muzzle energy is greater than or equal to 1.8 joules per square centimetre. Muzzle energy means the energy the bullet carries per square centimetre as it leaves the barrel. Many steel pellet guns and air guns bought online exceed that figure. From 2018 the Supreme People's Court and the Supreme People's Procuratorate require that, for an air gun with a low figure, the appearance, the materials, the price, the intended use and whether the person knew should be weighed up before deciding whether to convict. The official case: the couple Zhao sold 「toy guns」 at a market and 43 of them were seized, of which 18 were found on examination to meet the standard for a firearm. Because there was not sufficient evidence that they knew these were firearms, they were not prosecuted on the ground that the evidence was in doubt (nationwide)
Notes
The key to that case not being prosecuted was the finding that they were 「not aware」. For an adult who deliberately goes online to buy a steel pellet gun or an air gun, afterwards saying you did not know it was a gun is very hard to establish. How crossbows and controlled knives are dealt with is not checked in this section, so nothing is written about it.
Sources · 3 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第一百二十八条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2018). Reply on Questions Concerning Conviction and Sentencing in Criminal Cases Involving Guns and Air-gun Pellets Powered by Compressed Gas, 关于涉以压缩气体为动力的枪支、气枪铅弹刑事案件定罪量刑问题的批复(法释〔2018〕8 号). www.spp.gov.cn/xwfbh/wsfbt/201803/t20180328_372604.shtml
- Supreme People's Court (2018). 《批复》的理解与适用. www.court.gov.cn/zixun/xiangqing/88472.html
11Register a drone you have bought under your real name first, do not fly over airports, military areas or controlled airspace over a city, and do not defeat the height limit
# Value HighGrade APersonal freedomNo moneyIn passingNo willpower
Flying without real-name registration carries a fine of up to 200 yuan, and where the circumstances are serious, 2000 to 20,000 yuan. Flying in controlled airspace without approval carries a fine of up to 500 yuan, and in serious cases the drone is confiscated and a further fine of 1000 to 10,000 yuan imposed. Where the circumstances are relatively serious there can also be 5 to 10 days of detention. One man paid to defeat the height limit, flew to close to 3000 metres to photograph the clouds, posted it online, and was detained for 5 days.
Cost
No money. Real-name registration is free and takes a few minutes. Before every flight, check through an official channel whether the place you intend to fly over is controlled airspace.
Benefit
Flying without completing real-name registration: ordered to be rectified, and a fine of up to 200 yuan may be imposed; where the circumstances are serious, a fine of 2000 to 20,000 yuan. Flying a micro, light or small drone in controlled airspace without approval: ordered to stop flying, and a fine of up to 500 yuan may be imposed. In this item, where the circumstances are serious, the drone is confiscated and a fine of 1000 to 10,000 yuan is imposed. Violating the airspace management rules in order to fly, where the circumstances are relatively serious, carries 5 to 10 days of detention. The official case: Li paid to defeat the height limit, flew the drone to close to 3000 metres to photograph the clouds and posted it, and was detained for 5 days. Zhang defeated the height limit and the no-fly zone restrictions for more than 20 sorties on behalf of other people and earned more than 15,000 yuan. He was convicted of providing programs or tools for intruding into or illegally controlling computer information systems. He was sentenced to 6 months, suspended for 1 year, together with a fine (nationwide, in force from 2024-1)
Notes
Flying a micro or light drone in airspace where flight is permitted does not need approval. A micro drone is one whose empty weight is under 0.25 kg. The airspace where flight is permitted is everywhere outside controlled airspace, and the areas around airports, military facilities and government organs are mostly controlled airspace. The Ministry of Public Security's own page would not open while this section was being written, so the reprint by the Hubei Provincial Public Security Department is cited instead.
Sources · 3 sources
- State Council and Central Military Commission (国务院、中央军委) (2023). Interim Regulations on the Flight Administration of Unmanned Aircraft, 无人驾驶航空器飞行管理暂行条例(国令第 761 号,第十、十九、四十七、五十一条). www.gov.cn/zhengce/content/202306/content_6888799.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第四十六条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Hubei Provincial Public Security Department (2026). 公安部公布依法打击无人机「黑飞」违法犯罪八起典型案例(转载人民公安报). gat.hubei.gov.cn/bmdt/gayw/202602/t20260205_5870949.shtml
12Do not film people in secret, and do not install cameras in a rented flat, a guesthouse room or a hotel room
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Filming in secret, peeping and spreading another person's privacy carries up to 5 days of detention or a fine of up to 1000 yuan, and where the circumstances are relatively serious, 5 to 10 days of detention. Using equipment made for secret filming and causing serious consequences carries 2 years or less. Two people fitted equipment into rooms in three hotels and filmed in secret remotely, and were sentenced to 1 year and 3 months and 1 year respectively. A camera in your own home does not count; a camera in a room somebody else lives in does.
Cost
No money, and no time either. Do not film people in secret, and do not install cameras in a rented flat, a guesthouse room or a hotel room.
Benefit
Peeping, filming in secret, wiretapping or spreading another person's privacy carries up to 5 days of detention, or a fine of up to 1000 yuan. Where the circumstances are relatively serious, 5 to 10 days of detention, and a further fine of up to 1000 yuan may be imposed. Illegally using equipment made solely for wiretapping or secret photography and causing serious consequences carries 2 years or less. Equipment made solely for wiretapping or secret photography means equipment designed specifically for listening in and filming in secret. The official case: Yan and Yan bought secret-photography equipment online, fitted it into several rooms in three hotels and filmed in secret from a distance, and were sentenced to 1 year and 3 months and 1 year respectively (nationwide)
Notes
Once secret footage is sold or circulated, it is handled separately as, for example, the crime of producing or selling obscene material for profit, and in the same batch of cases there are 10-year sentences. A camera in your own home does not count; a camera in a room somebody else uses does.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第五十条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百八十四条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court (2024). Typical Cases of Punishing the Crime of Illegally Producing, Selling or Using Wiretapping and Secret Photography Equipment According to Law (Case Two), 依法惩治非法生产、销售、使用窃听、窃照设备犯罪典型案例(案例二). www.court.gov.cn/shenpan/xiangqing/449581.html
13Mahjong and cards are fine to play, but do not take a cut, do not be the banker, do not set up the game for a fee, and do not play online gambling
# Value HighGrade BPersonal freedomNo moneyIn passingSome willpower
Small amounts of cards among friends and relatives are not something the law touches. Taking a cut of the game, being the banker or arranging the game in order to collect money changes the nature of it: taking part in gambling where the stakes are relatively large carries up to 5 days of detention or a fine of up to 1000 yuan. Gambling in a group and making a living out of gambling carry 3 years or less, and opening a gambling house carries 5 years or less. What counts as 「stakes relatively large」 is set locally, and there is no single national figure.
Cost
No money. Small amounts of play for fun among friends and relatives are fine. Do not take a cut of the game, do not be the banker, do not set up the game in order to collect money. The hard part is holding out when somebody else is organising it.
Benefit
Providing the conditions for gambling in order to make money, or taking part in gambling where the stakes are relatively large, carries up to 5 days of detention, or a fine of up to 1000 yuan. Where the circumstances are serious, 10 to 15 days of detention and a fine of 1000 to 5000 yuan. Gathering people to gamble in order to make money, or making a living out of gambling, carries 3 years or less and a fine. Opening a gambling house carries 5 years or less and a fine, and where the circumstances are serious, 5 to 10 years (nationwide)
Notes
There is no single national figure for what counts as 「stakes relatively large」, each area sets its own, so this item is only given grade B. Taking a cut of the game, and collecting bets on behalf of an online gambling platform, are often handled as opening a gambling house when a case is dealt with. The original text of the relevant judicial interpretation has not been checked in this section. No official case was found either.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第八十二条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第三百零三条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Criminal Law Amendment (Eleven), 刑法修正案(十一)(第三十六条,开设赌场刑期提高到五年以下、五年以上十年以下). www.spp.gov.cn/zdgz/202012/t20201227_503682.shtml
14Do not eat wild game, and do not buy, sell or keep protected animals as pets
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Eating an animal under national key protection means the animal is confiscated and a fine of 2 to 20 times its value is imposed. Buying, transporting or selling precious and endangered animals carries 5 years or less, and where the circumstances are serious, 5 to 10 years. Animals bred in captivity and traded as pets are generally not a crime: one man sold more than 40 artificially bred parrots and was not prosecuted. Animals taken from the wild, and animals of unknown origin, are not covered by that.
Cost
No money. For pets, buy only breeds of lawful origin that have been bred in captivity.
Benefit
Eating a wild animal under national key protection, or buying one in order to eat it, means the animal is confiscated and a fine of 2 to 20 times its value is imposed. Breeding wild animals under national key protection without a licence means confiscation and a fine of 1 to 10 times. Illegally buying, transporting or selling precious and endangered wild animals under national key protection, and products made from them, carries 5 years or less and a fine. In this item, serious circumstances carry 5 to 10 years, and especially serious circumstances carry 10 years or more. Hunting, buying, transporting or selling other terrestrial wild animals in order to eat them carries 3 years or less where the circumstances are serious. The official case: the farmer Wang and 2 others sold 40-odd artificially bred Fischer's lovebirds, a species under national second-class protection, for a total of under 400 yuan, and in 2021 the procuratorate decided not to prosecute. From 2022 the Supreme People's Court and the Supreme People's Procuratorate make it clear that, where artificial breeding technology is mature, the operation is already at scale, and the animals are bred, traded and transported as pets, it is generally not handled as a crime (nationwide)
Notes
「Generally not treated as a crime」 refers only to animals bred in captivity and kept as pets. Animals taken from the wild and animals of unknown origin are not covered. Which animals count as being under national key protection is settled by the list. Checking the list before you buy is less trouble than explaining it afterwards.
Sources · 5 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2022). Wildlife Protection Law, 野生动物保护法(2022 年修订,第三十一、五十一、五十三条). (reprinted by the Ministry of Ecology and Environment)www.mee.gov.cn/ywgz/fgbz/fl/202302/t20230220_1016885.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第三百四十一条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Criminal Law Amendment (Eleven), 刑法修正案(十一)(第四十一条,即刑法第三百四十一条第三款). www.spp.gov.cn/zdgz/202012/t20201227_503682.shtml
- Supreme People's Court and Supreme People's Procuratorate (2022). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases of Damaging Wild Animal Resources, 关于办理破坏野生动物资源刑事案件适用法律若干问题的解释(法释〔2022〕12 号,第十三条). www.spp.gov.cn/spp/xwfbh/wsfbt/202204/t20220407_553506.shtml
- Supreme People's Procuratorate (2023). 鹦鹉小案 民生大案. www.spp.gov.cn/spp/zdgz/202302/t20230211_601023.shtml
15Do not detain anybody to collect a debt, do not lock anybody up, and do not follow them home and refuse to leave
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
The money really is owed to you, and you still may not detain anybody or lock anybody up. The article says so in terms: detaining or locking somebody up in order to collect a debt is handled as unlawful detention just the same. The lighter cases carry 10 to 15 days of detention and a fine of 1000 to 2000 yuan. Where it amounts to the crime of unlawful detention it carries 3 years or less, causing grievous bodily harm carries 3 to 10 years, and causing death carries 10 years or more. To collect a debt, sue in court.
Cost
No money. If the other side owes money and will not pay, sue in court. For how to write an IOU, see item 18 in section 8 (an IOU). The hard part is holding back from using force, and from following them to their home, when the other side defaults.
Benefit
Illegal restriction of another person's personal freedom, unauthorised entry into another person's home, or an illegal search of another person's body carries 10 to 15 days of detention and a fine of 1000 to 2000 yuan. The relatively minor cases carry 5 to 10 days of detention and a fine of up to 1000 yuan. Unlawful detention carries fixed-term imprisonment of not more than 3 years, criminal detention, which is short-term confinement, public surveillance, which is confinement-free but restricts your movement, or deprivation of political rights. Causing grievous bodily harm carries 3 to 10 years, and causing death carries 10 years or more. Detaining or locking somebody up in order to collect a debt is punished under this same set of rules, and that holds even when the debt is real (nationwide)
Notes
「He really does owe me money」 does not help here. The article says in terms that detaining or locking somebody up in order to collect a debt is handled as unlawful detention. There are several cases on the Chinese courts' online service of people being locked up over a lawful debt, with sentences of 7 months to 1 year. That website would not open while this section was being written, so nothing is cited here.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第四十七条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百三十八条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
16Do not lend out your identity card: do not use someone else's, and do not register, open a card or buy a ticket on someone else's documents
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Lending, renting or transferring your identity card to another person draws a warning and a fine of up to 200 yuan. Impersonating with someone else's identity card, or using one you obtained by deception, draws 200 to 1000 yuan, or up to 10 days of detention. Using a forged document or someone else's in a place where the rules require you to identify yourself by name — buying a train ticket, staying in a hotel — means a custodial sentence or public surveillance in serious cases.
Cost
No money. If somebody asks to borrow it, say no. If you have to hand over a photocopy, write on the copy which single thing this one is for.
Benefit
Renting out, lending or transferring your resident identity card to another person draws a warning and a fine of up to 200 yuan. Impersonating with someone else's identity card, or using one obtained by deception, draws 200 to 1000 yuan, or up to 10 days of detention. Buying, selling or using a forged or altered identity card falls in the same bracket. Some activities are required by national rules to present identification. In those, using a forged, altered or stolen document means a prison sentence in serious cases. The documents covered include the identity card, passport, social security card and driving licence. The penalties are detention (short-term confinement) or public surveillance (no confinement but restricted movement), with a fine imposed alongside or separately: conviction can carry a fine, and sometimes the fine is all there is (nationwide)
Notes
An identity card that has been lent out can be used to register a company or to open a bank account; what follows from each is in items 28 and 8 in section 8 (do not act as a nominal legal representative, do not lend your bank card to anyone). Buying a train ticket or staying in a hotel with someone else's identity card is one of the "activities where identification must be provided" the law mentions. No official case was found for this item. Going to an internet cafe is the same, and uses your own card: internet cafes must check the identity card they register, keep the registered details and the browsing records for at least 60 days, and the public security and culture departments may call for them at any time. Whose card you use to get online, whatever was done on that machine in that period is recorded against that person.
Sources
National People's Congress (全国人大) (2011). Resident Identity Card Law(居民身份证法)(2011 amendment, Articles 16 and 17). (reprinted by the Beijing Municipal Public Security Traffic Management Bureau);National People's Congress (全国人大) (2020). Criminal Law(刑法)(as amended by Criminal Law Amendment (Eleven), Article 280, paragraph one). ;State Council (国务院) (2002). Regulations on the Administration of Business Premises for Internet Access Services(互联网上网服务营业场所管理条例)(State Council Order No. 363, Article 23).
jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/203777/index.htmljtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.htmlwww.gov.cn/gongbao/content/2002/content_61788.htm17Cooperate when the police stop you or take you away: do not push, do not hit, do not grab the body-worn camera, and after a drink be even more careful
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Obstructing law enforcement on the spot brings a warning or a fine of up to 500 yuan, and where the circumstances are serious, 5 to 10 days of detention. Laying hands on a police officer is a separate band: biting, slapping, kicking, wrestling to the ground or throwing things, where it amounts to a minor injury or worse, counts as violence against a police officer and carries 3 years or less. Using a firearm, a controlled knife or driving into an officer carries 3 to 7 years. Swinging your arms free and pulling away, which is ordinary resistance, does not count.
Cost
No money. Do not use force on the spot. If you have an objection, raise it afterwards: a complaint, an application for administrative reconsideration, or a lawsuit in court. The hard part is holding your temper through the few minutes you are stopped for, especially after a drink.
Benefit
Obstructing a state functionary who is lawfully carrying out duties brings a warning or a fine of up to 500 yuan. Where the circumstances are serious, 5 to 10 days of detention, and a further fine of up to 1000 yuan may be imposed. Where the person obstructed is the people's police, the punishment is heavier. Violence against a people's police officer who is lawfully carrying out duties carries 3 years or less. Using a firearm, a controlled knife or driving into the officer, in ways that seriously endanger the officer's personal safety, carries 3 to 7 years. Only biting, slapping, kicking, wrestling to the ground or throwing objects in a way that causes a minor injury or worse counts as 「violence against an officer」. Swinging your arms free, pulling away and kicking your legs, which is ordinary resistance, does not count (nationwide)
Notes
The Supreme People's Procuratorate reported in 2021 that in the first month after assaulting the police became a separate charge, it approved the arrest of 405 people. Of 42 cases in Jiangsu, 47.6% arose from making a scene after drinking. Of 16 cases in Hubei, 12 were only punching, kicking and biting. Laying hands on an auxiliary police officer is handled under the crime of obstructing official duties. No official case setting out the facts of an individual case was found for this item.
Sources · 5 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第六十一条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Criminal Law Amendment (Eleven), 刑法修正案(十一)(第三十一条,即刑法第二百七十七条第五款). www.spp.gov.cn/zdgz/202012/t20201227_503682.shtml
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百七十七条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2025). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases of Assaulting the Police, 关于办理袭警刑事案件适用法律若干问题的解释(高检发释字〔2025〕1 号,第一、八、十二条). www.spp.gov.cn/xwfbh/wsfbt/202501/t20250116_679579.shtml
- Supreme People's Procuratorate (2021). 袭警罪入刑一月 检察机关批捕 405 人. www.spp.gov.cn/xwfbh/wsfbh/202105/t20210517_518308.shtml
18If the other person is under 14 you must not have sex, and 「she agreed」 is not a reason
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Where the other person is under 14, it makes no difference whether she agrees: it is handled as rape and punished more severely, with a basic sentence of 3 to 10 years. Where the other person is under 12, you are always found to have 「ought to have known」. Between 12 and 14, whether she may be a minor can be seen from her development, her manner and her clothing, and if you go ahead you are found to have 「known」. Saying you genuinely did not know is held to a very strict standard by the courts.
Cost
No money. If you are not sure how old the other person is, do not have sex.
Benefit
Having sex with a girl under the age of fourteen is handled as rape and punished more severely, with a basic sentence of 3 to 10 years. The line the Supreme People's Court takes is this: where force, coercion or another coercive means is used, it is rape whether or not you knew the other person was a minor. Where no coercive means is used, somebody under 12 is always found to be one you 「ought to have known」. Between 12 and 14, where it is visible from physical development, speech and manner, and clothing that she may be a minor, and you go ahead, you are found to have 「known」. The exception of 「genuinely did not know」 is applied very strictly (nationwide)
Notes
The original text of the joint opinion of the two supreme courts and the two ministries on handling criminal cases of sexual assault against minors, and the page for the Supreme People's Court's reply of 2003, both would not open while this section was being written. So the standard for 「known」 is taken from the answer on the Supreme People's Court's own website. The term used in the article is 「幼女」. This item makes no distinction between a man and a woman.
Sources · 2 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百三十六条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court (2015). 关于「与十四周岁以下幼女发生性关系是否要明知才构成犯罪」的答复. www.court.gov.cn/hudong/xiangqing/13363.html
19Work out the bill before you hit anybody: detention, compensation, a prison sentence
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
The bill for one swing: 5 to 10 days of detention plus a fine of 500 to 1000 yuan. Causing a minor injury is a criminal case carrying 3 years or less, and causing serious injury carries 3 to 10 years. The money is counted separately: one man who broke three of the other person's ribs paid 113,000 yuan to settle it, which is why he was not prosecuted. Another who broke the other person's radius paid nothing and was sentenced to 10 months.
Cost
No money, and no time. The hard part is the few seconds before you swing.
Benefit
Assaulting another person or intentionally injuring them carries 5 to 10 days of detention and a fine of 500 to 1000 yuan. Assaulting in a group, assaulting a person with a disability, a pregnant woman, an elderly person or a child, assaulting repeatedly, or assaulting several people at once, carries 10 to 15 days of detention and a fine of 1000 to 2000 yuan. Causing a minor injury amounts to the crime of intentional injury, which carries fixed-term imprisonment of not more than 3 years, criminal detention, which is short-term confinement, or public surveillance, which is confinement-free but restricts your movement. Causing serious injury carries 3 to 10 years. In civil law you also have to pay medical costs, lost earnings, meaning the money you did not earn because you could not work, nursing costs, travel costs, the meals allowance for a hospital stay, and nutrition costs. Where the person is left permanently disabled, you additionally pay disability compensation. Disability compensation is the per-capita disposable income of urban residents for the previous year in the place where the trial court sits, multiplied by 20 years. For a victim over 60 years old, one year is deducted for each year above that, and above 75 years it is counted as 5 years. In 2022 procuratorates nationwide accepted more than 70,000 cases of minor injury, most of them arising from marriage, family or neighbour disputes or from chance events. The Supreme People's Procuratorate's typical case: Lu broke three of the other person's ribs, an injury of grade two, and paid 113,000 yuan to settle the matter, which is why he was not prosecuted. Shi broke the other person's radius, also grade two, paid nothing, and was sentenced to ten months' imprisonment (nationwide, the Law on Penalties for Administration of Public Security in force from 2026-1-1)
Notes
For how to avoid a conflict, why the first person to swing loses out, and where the boundary of self-defence lies, see item 10 in section 8 (conflict and self-defence). For the bill for laying hands on somebody out of anger, see items 11 to 14 in section 8. A fight arising from a civil dispute and of relatively minor circumstances can be mediated by the police. Where a minor injury has been caused, if you agree compensation with the other person and actually pay it, the punishment can be lighter and there may even be no prosecution, but not one yuan of the compensation can go unpaid. What counts as a minor injury is set by the assessment standards, and this section has not verified that. Lost earnings and nursing costs are calculated on actual income and on the number of days lost, and there is no single figure.
Sources · 5 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第九、五十一条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百三十四条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Supreme People's Court (2022, amended). Interpretation on Several Questions Concerning the Application of the Law in Trying Cases of Personal Injury Compensation, 关于审理人身损害赔偿案件适用法律若干问题的解释(法释〔2022〕14 号,第六至十二、十五条). www.court.gov.cn/zixun/xiangqing/357071.html
- Supreme People's Procuratorate and Ministry of Public Security (2023). Guiding Opinions on Properly Handling Cases of Minor Injury According to Law, 关于依法妥善办理轻伤害案件的指导意见. www.spp.gov.cn/spp/xwfbh/wsfbt/202303/t20230302_604352.shtml
- Supreme People's Procuratorate (2023). 检察机关依法妥善办理轻伤害案件典型案例. www.spp.gov.cn/xwfbh/dxal/202303/t20230302_605116.shtml
20If you cannot raise a child after it is born, registration with the civil affairs department is the only lawful way out: handing the child over for money can be punished as trafficking, and walking away is abandonment
# Value HighGrade APersonal freedomNo moneyA few hoursNo willpower
There is a way out when you cannot raise a child, but only one lawful one: register the adoption with the civil affairs department, and the adoption only comes into existence from the day of registration. Handing the child over privately, especially for money, can turn a 「送养」 into the crime of trafficking children, which starts at 5 years or more. Leaving the child where they are and refusing to support them, where the circumstances are serious, is the crime of abandonment, which carries 5 years or less.
Cost
No money. To register an adoption, go to the civil affairs department at county level or above, hand in the documents, and wait for the review and the adoption assessment, which takes some time.
Benefit
Article two hundred and forty of the Criminal Law:「拐卖妇女、儿童的,处五年以上十年以下有期徒刑,并处罚金」. Where there are aggravating circumstances, the sentence is fixed-term imprisonment of not less than ten years or life imprisonment, with a fine or confiscation of property. 「情节特别严重的,处死刑,并处没收财产」. Article 17 of the Opinions on Punishing the Crime of Trafficking Women and Children According to Law sets out how to tell selling your own biological child apart from a private adoption. The test is 「关键在于行为人是否具有非法获利的目的」, that is, whether you meant to make money out of it. Three circumstances can be found to be selling your own biological child, and are convicted as trafficking a woman or child. The first is 「将生育作为非法获利手段,生育后即出卖子女的」. The second is 「明知对方不具有抚养目的,或者根本不考虑对方是否具有抚养目的,为收取钱财将子女『送』给他人的」. The third is 「为收取明显不属于『营养费』『感谢费』的巨额钱财将子女『送』给他人的」. In the other direction, where the purpose is not money, you really are pressed by hardship and hand the child over privately, taking only a small payment for nutrition and thanks: that is a private adoption and is not convicted as trafficking. Now look at Article two hundred and sixty-one of the Criminal Law. 「对于年老、年幼、患病或者其他没有独立生活能力的人,负有扶养义务而拒绝扶养,情节恶劣的,处五年以下有期徒刑、拘役或者管制」. Article one thousand and ninety-four of the Civil Code says there are only three kinds of person who may hand a child over: the guardian of an orphan, a child welfare institution, and biological parents who have special difficulties and cannot support the child. Article one thousand one hundred and five: 「收养应当向县级以上人民政府民政部门登记。收养关系自登记之日起成立」
Notes
Whether to have a child at all is not discussed here. After the child is born, this order saves the most trouble. First, give birth in hospital; for the antenatal check and the hospital delivery see section 27. The medical certificate of birth is the precondition for every formality that comes after it. Second, if you are going to hand the child over, go straight to the civil affairs department at county level or above and do not go through an intermediary. The moment the money changes hands the nature of it can change. Within a year after the birth, if you find yourself with 「thoughts of harming yourself or the child」, treat it as an emergency. For the list of things that need a hospital straight away during pregnancy and after the birth, see item 7 in section 27. The check at 42 days after the birth is also a screening for postnatal depression: see item 16 in section 27. If you have suicidal thoughts, call 12356: see item 25 in section 1. This item has no case attached: the official typical cases of trafficking your own biological child were not checked case by case in this round, so only the articles and the text of the opinion are cited.
Sources · 3 sources
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百四十、二百六十一条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Supreme People's Court, Supreme People's Procuratorate, Ministry of Public Security and Ministry of Justice (2010). Opinions on Punishing the Crime of Trafficking Women and Children According to Law, 关于依法惩治拐卖妇女儿童犯罪的意见(法发〔2010〕7 号,第 17 条). Supreme People's Court website. www.court.gov.cn/fabu/xiangqing/977.html
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零九十四、一千一百零五条), full text of the adoption book reprinted by the Yancheng Municipal People's Government. xxgk.yczf.gov.cn/xzf/ycmzj/fdzdgknr/fgwj_41995/202112/t20211203_1506640.shtml
21Do not fake an accident and do not inflate a loss to claim insurance: that is the crime of insurance fraud, and the people who testify for you, repair your car or assess it count with you
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Inventing an accident or inflating a loss in order to claim insurance is the crime of insurance fraud: a relatively large amount carries 5 years or less with a further fine of 10,000 to 100,000 yuan. People who help by giving evidence, by assessing, or by valuing property, where they deliberately produce false certificates, are convicted as accomplices with you. In one case in Xuancheng, Anhui, 8 people were sentenced to 2 to 4 years and each fined 10,000 yuan.
Cost
No money, no time, and you simply do not do it.
Benefit
Article one hundred and ninety-eight of the Criminal Law lists five circumstances. First, the applicant deliberately fabricates the subject matter of the insurance, inventing an insured party that does not exist. Second, the applicant, the insured or the beneficiary fabricates a false cause for an insurance event that happened, or exaggerates the extent of the loss. Third, an insurance event that never happened is fabricated. Fourth, the applicant or the insured deliberately causes the insured event of property damage. Fifth, the applicant or the beneficiary deliberately causes the death, disability or illness of the insured person. A relatively large amount carries fixed-term imprisonment of not more than 5 years or criminal detention, and a fine of not less than 10,000 yuan and not more than 100,000 yuan. An especially large amount, or other serious circumstances, carries 5 to 10 years, and a fine of 20,000 to 200,000 yuan. An especially especially large amount, or other especially serious circumstances, carries 10 years or more, and a fine of 20,000 to 200,000 yuan or confiscation of property. The last paragraph of this article covers the people who help: the assessor, the witness and the property valuer for an insurance event. Where they deliberately issue false supporting documents or create the conditions for somebody else to commit insurance fraud, they are handled as accomplices in the insurance fraud and are convicted together with the person who committed it. Article twenty-seven of the Insurance Law: where no insurance event occurred but one is claimed, the insurer may terminate the contract and does not refund the premiums. Where forged or altered supporting material is used, or a false cause of the accident is fabricated or the extent of the loss exaggerated, the insurer does not pay the part that has been over-reported, and anything already paid has to be returned or compensated. The case: in the Zhang Songsong case in Xuancheng, Anhui, 8 people including Wang Xin were sentenced for the crime of insurance fraud to terms of imprisonment ranging from 4 years down to 2 years, each of them with a fine of 10,000 yuan. A false lawsuit that came out of this case involved an assessed loss of 20,000 yuan, and the party obtained standing to sue by forging a vehicle transfer agreement; the court awarded more than 70,000 yuan. That civil judgment, already in force, was set aside on retrial on 2019-9-26. The Measures for Work on Anti-Insurance Fraud require that risk information be verified at both ends of the business, the underwriting end and the claims end. They also call for exploring the building of an industry anti-fraud information platform covering several lines of insurance, and an anti-fraud intelligence centre. These platforms screen suspected fraud data centrally, and the leads are checked by industry associations, anti-fraud organisations and insurers. Anything suspected of being a crime is reported to the public security organ in good time. The financial regulator and its local offices are to establish a sound mechanism linking administrative enforcement and criminal justice with the public security organs, the people's procuratorates and the people's courts (nationwide, issued on 2024-7-31)
Notes
The several practices below that people assume are harmless all fall within these five. After a minor accident, asking a repair shop to 「report a bit more」. Counting an old injury or old damage into this occasion. Crashing into a friend and then reporting it, or inventing one where nothing happened. For how to buy car insurance, see item 26 in section 5 (buy enough third-party liability cover). Where you take out insurance on a family member and then deliberately cause their death, the article says in terms that the crimes are punished together: see item 38 in section 8 (taking out insurance on a family member). Medical insurance follows a different set of rules, and running a medical insurance card with nothing behind it, or cashing out a personal medical insurance account, is handled as fraud: see the Notes in item 13 in section 5.
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会). Criminal Law of the People's Republic of China, consolidated text as amended by Criminal Law Amendment Eleven, 中华人民共和国刑法(经刑法修正案十一修正的整合文本)第一百九十八条. flk.npc.gov.cn/detail?id=ff808181796a636a0179822a19640c92
- Standing Committee of the National People's Congress (全国人大常委会) (2015, amended). Insurance Law of the People's Republic of China, Article twenty-seven, 中华人民共和国保险法第二十七条. flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7c4060811
- National Financial Regulatory Administration (国家金融监督管理总局) (2024). 关于印发《反保险欺诈工作办法》的通知. www.gov.cn/gongbao/2024/issue_11586/202409/content_6975080.html
- Anhui Provincial People's Procuratorate, reprinting Legal Daily (2020-01-13). 杀妻骗保牵出案中案. www.ah.jcy.gov.cn/jczt/jjslhyqkjc/mtjj/202001/t20200113_2758841.shtml
22Do not sell your own organ, and do not help other people find a donor: a kidney fetches a little over 20,000 yuan, the same kidney resold goes for 200,000 yuan, the money is confiscated and a fine of 10 to 20 times the transaction amount is imposed
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
A living organ may only be donated to a spouse, a direct blood relative or a collateral blood relative within three generations, and buying or selling is illegal either way. In one case in Beijing the person selling a kidney got a little over 20,000 yuan, while the same kidney sold to a patient fetched 180,000 to 220,000 yuan. The money is confiscated and a fine of 10 to 20 times the transaction amount is imposed. For what losing a kidney costs the body afterwards, see item 35 in section 1 (the remaining kidney does the work of two).
Cost
No money, no time, and you simply do not do it.
Benefit
Article five of the Regulations on the Donation and Transplantation of Human Organs:「任何组织或者个人不得以任何形式买卖人体器官,不得从事与买卖人体器官有关的活动」. Article ten:「任何组织或者个人不得获取未满 18 周岁公民的活体器官用于移植」. Article eleven:「活体器官的接受人限于活体器官捐献人的配偶、直系血亲或者三代以内旁系血亲」. Article thirty-seven sets out how buying and selling human organs is punished. Buying or selling human organs, or engaging in activity connected with buying or selling human organs, is investigated by the health commission of a local people's government at county level or above. First the illegal gains are confiscated, taking away the whole of the money from the transaction. Then a fine of 10 times or more and not more than 20 times the transaction amount is imposed. Where medical personnel take part, their practice certificates are revoked and they are permanently barred from working in health care. Where a crime is constituted, criminal liability is pursued under the law (nationwide, in force from 2024-5-1, and the former Regulations on Human Organ Transplantation is repealed at the same time). Article two hundred and thirty-four-one of the Criminal Law:「组织他人出卖人体器官的,处五年以下有期徒刑,并处罚金;情节严重的,处五年以上有期徒刑,并处罚金或者没收财产」. There are three further circumstances, convicted and punished under Article two hundred and thirty-four and Article two hundred and thirty-two of the Criminal Law. First, taking somebody's organ without their consent. Second, taking the organ of a person under eighteen years old. Third, forcing or deceiving somebody into donating an organ. These are handled as intentional injury or intentional homicide. The first case: the Zheng Wei case, 15 defendants, heard on final instance by the Beijing First Intermediate People's Court on 2014-8-20, involved 51 kidneys and an amount of more than 1034 万元 (10,340,000 yuan). What the person selling the kidney, the donor side, got was, in the words of the judgment, 「换来的仅仅是 2 万到 2.5 万元不等的报酬」, a payment ranging from 20,000 to 25,000 yuan. What the waiting patient's side, the recipient side, paid was 「以前是一个肾 18 万或 19 万,后来是 21 万或 22 万」. The place the kidneys were taken out in was a four-storey building rented at 7,500 yuan a month, and the nurse in charge of the gang testified that the place was 「脏乱不堪,连抢救设备都没有」. The organiser Zheng Wei was sentenced to 12 years' imprisonment for the crime of organising the sale of human organs, and the other 14 got 3 and a half years to 9 years. The second case: the 「boy sells his kidney for an Apple phone」 case published by the Supreme People's Procuratorate. Wang, aged 17, had his right kidney removed in Chenzhou on the evening of 2011-4-28. The operation was carried out in a department run by a contractor inside a hospital with no transplant qualification. On 5-2, when he was discharged, he received 22,000 yuan, and the recipient side paid the middleman 150,000 yuan and 10,000 US dollars, with the principal offender making more than 56,000 yuan. After the operation Wang had impaired kidney function, and 「伤情构成重伤、三级伤残」
Notes
The person who benefits is you. On the surface this transaction is 「a one-off 20,000 yuan」, and in reality it is trading an organ for a mobile phone. The assessment in the boy kidney case found grievous bodily harm and a grade three disability, and months of rest did not mend it. In that case the prosecution found that 5 defendants had infringed Article two hundred and thirty-four, paragraph two, of the Criminal Law, and prosecuted them for intentional injury. One of the reasons was that the medical personnel did not check before the operation whether the 「donor」 was a minor, and cut out the right kidney anyway. If the same thing happens today, the people who do the recruiting are handled under the crime of organising the sale of human organs, and taking the organ of a person under eighteen years old is still convicted and punished as intentional injury under Article two hundred and thirty-four. The operations run by the black intermediaries are done in a rented flat or a borrowed space, with no assessment beyond the tissue match and no follow-up after the operation, so if a complication arises there is nobody to answer for it. If you really want to donate to a relative, take the route in Article eleven: have it done at a medical institution with transplant qualifications, reviewed by an ethics committee, and charge nothing throughout. Donating organs from your own body after death is free of charge and is outside the scope of this item. For what losing a kidney costs the body afterwards, see item 35 in section 1 (the remaining kidney does the work of two). When the shortage of money has got you to the point of considering selling an organ, look first at the assistance channels in section 7 (unemployment insurance, temporary assistance, means-tested income support). For the traps of online loans and of 「packaging the materials」 loans, see item 6 in this section.
Sources · 4 sources
- State Council (国务院) (2023). Regulations on the Donation and Transplantation of Human Organs, 人体器官捐献和移植条例(国务院令第 767 号,第五、十、十一、三十七条). www.gov.cn/zhengce/zhengceku/202312/content_6920196.htm
- Standing Committee of the National People's Congress (全国人大常委会). Criminal Law of the People's Republic of China, consolidated text as amended by Criminal Law Amendment Eleven, 中华人民共和国刑法(经刑法修正案十一修正的整合文本)第二百三十四条之一. flk.npc.gov.cn/detail?id=ff808181796a636a0179822a19640c92
- Supreme People's Procuratorate (2012-04-09). 「少年卖肾买苹果手机」案诉至法院. www.spp.gov.cn/gs/201204/t20120409_34342.shtml
- Official website of the Langfang Intermediate People's Court of Hebei, reprinting (2014-09-02). 全国最大贩肾案终审 组织者摘肾 51 枚获利千万. lfzy.hebeicourt.gov.cn/article/detail/2014/09/id/1430881.shtml
23Do not buy sex: the default band is 10 to 15 days of detention, not a fine and nothing more
# Value ModerateGrade APersonal freedomNo moneyIn passingSome willpower
Getting caught is not a matter of paying a fine. The default band written into the article is 10 to 15 days of detention, and a further fine of up to 5000 yuan may be imposed. Only where the circumstances are relatively minor is it up to 5 days of detention or a fine of up to 1000 yuan. And if you go while knowingly having syphilis or gonorrhoea, that is a crime carrying 5 years or less.
Cost
No money, no time, and you simply do not do it.
Benefit
Article seventy-eight of the Law on Penalties for Administration of Public Security: a person who sells sex or buys it is detained for not less than ten days and not more than fifteen days, and may additionally be fined up to five thousand yuan. Where the circumstances are relatively minor, the detention is up to five days or the fine up to one thousand yuan. Soliciting in a public place is punishable by up to five days' detention or a fine of up to one thousand yuan. Article seventy-nine: a person who lures, harbours or introduces another to sell sex is detained for not less than ten days and not more than fifteen days, and may additionally be fined up to five thousand yuan. Where the circumstances are relatively minor, the detention is up to five days or the fine between one thousand and two thousand yuan. Article eighty-seven: where personnel of the hotel, catering, cultural and entertainment, or taxi businesses, or of similar units, tip off the person breaking the law or provide the conditions for the above activities in any other way while the public security organ is investigating prostitution, the detention is not less than ten days and not more than fifteen days. Article three hundred and sixty of the Criminal Law is the crime of spreading a sexually transmitted disease: a person who knowingly has syphilis, gonorrhoea or another serious sexually transmitted disease and sells or buys sex is sentenced to fixed-term imprisonment of not more than five years, criminal detention or public surveillance, and is fined (nationwide, the Law on Penalties for Administration of Public Security in force from 2026-1-1)
Notes
The detention here is administrative detention, and you go into the detention centre; it is not a case of paying a fine and walking out. Arranging introductions for others and providing premises for them are punished as heavily as buying sex yourself, and that is what Article seventy-nine is for. Somebody who works in a hotel or a KTV and tips off the customers is likewise detained for 10 to 15 days under Article eighty-seven. Article three hundred and sixty of the Criminal Law used to have a second paragraph, the crime of soliciting a girl under 18, and Criminal Law Amendment Nine of 2015 deleted it. Such a case is now handled directly as rape and punished more severely: see item 18 in this section (if the other person is under 14 you must not have sex). Signs reading 「home service massage」 or 「massage and physiotherapy」 do not change the nature of it, and the case is judged on what actually took place. For the risk of catching a sexually transmitted disease or HIV, see item 30 in section 1 (use a condom throughout) and item 38 in section 13 (get the blocking drug within 72 hours). For what to watch out for in the venues themselves, see section 22.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第七十八、七十九、八十七条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Standing Committee of the National People's Congress (全国人大常委会). Criminal Law of the People's Republic of China, consolidated text as amended by Criminal Law Amendment Eleven, 中华人民共和国刑法(经刑法修正案十一修正的整合文本)第三百六十条. (reprinted by the Beijing Municipal Public Security Traffic Management Bureau)jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Criminal Law Amendment (Nine), 刑法修正案(九)(第四十三条,删去刑法第三百六十条第二款). www.spp.gov.cn/spp/fl/201802/t20180205_364562.shtml
10. Is dating and marriage worth it
20 / 20This section breaks 「whether marriage is worth it」 into separate accounts for money, time, health, legal risk and the quality of the relationship, and works them out one at a time. Each account uses only figures whose source can be looked up, and the sources are limited to official statistics or a meta-analysis, which pools the data from several studies and recalculates it. No moral judgement is made here, and no conclusion is drawn on your behalf. The health accounts are worked out on the basis of the risk of death, the time accounts on the basis of minutes per day, and the legal accounts on the basis of what the articles of law say. These three ways of calculating are not converted into one another. For the method of breaking the accounts down, the list to fill in and the common mistakes, see docs/结婚划不划算.md.
1Meet more people rather than fixating on one: whether two people get on cannot be predicted before you meet
# Value ModerateGrade ATime and energyNo moneyA few hoursSome willpower
Two speed-dating studies had people fill in more than 100 mate-preference questionnaires before they met. The questionnaires can work out who on the whole finds it easy to like other people and who on the whole is well liked; they cannot work out whether there is chemistry between these two particular people. Whether you get on is only known once you have met. So meeting more people is better value than betting everything on one person.
Cost
No money. The time goes on meeting more people, and not on going over the same person again and again. The hard part is holding out against fixating.
Benefit
In two speed-dating studies, participants filled in more than 100 self-report scales related to mate preferences before they met, that is, questionnaires they scored themselves on. The researchers used a random forest model, which is one kind of algorithm that looks for patterns. The model can work out 「how easy it is on the whole for a person to like other people」, and these questionnaires account for 4% to 18% of the variance in that, where variance means the difference between one person and another, so the questionnaires only account for a small part of it. The model can also work out 「how popular a person is on the whole」, accounting for 7% to 27%. But it cannot work out 「whether there is chemistry between these two particular people」, and no combination of traits and preferences before the meeting will do it either. The same group of researchers had earlier run a speed-dating experiment. Before the event participants reported their own ideal-partner preferences, such as whether they weigh looks more than economic prospects. That preference does not predict the interest they feel on the day for a particular person
Notes
The two studies only show that it cannot be worked out before you meet. They do not show that no amount of effort is of any use. Whether you get on is only known once you have met, so the time is better spent meeting more people and really seeing each one of them than putting it all on one person. The people in the studies were all university students in Europe and North America. The dating environment in China is different, so discount the figures before applying them to yourself.
Sources · 2 sources
- Joel S, Eastwick PW, Finkel EJ (2017). Is romantic desire predictable? Machine learning applied to initial romantic attraction. Psychological Science, 28(10), 1478-1489. doi.org/10.1177/0956797617714580
- Eastwick PW, Finkel EJ (2008). Sex differences in mate preferences revisited: do people know what they initially desire in a romantic partner? Journal of Personality and Social Psychology, 94(2), 245-264. doi.org/10.1037/0022-3514.94.2.245
2Stop once the other person has clearly refused, because going on pestering them is an administrative offence, not 「sincerity」
# Value ModerateGrade APersonal freedomNo moneyIn passingA lot of willpower
The other person has clearly said no, and you go on sending messages and going to wait for them, and from 2026-1 that is an administrative offence. It carries up to 5 days of detention, or a fine of up to 1000 yuan. Where the circumstances are relatively serious, 5 to 10 days of detention. The police can also order you not to have contact with the other person, and breaching that order carries a further 5 to 10 days of detention.
Cost
No money, and no time. The hard part is holding out: no more messages, and no more waiting outside.
Benefit
The Law on Penalties for Administration of Public Security, in force from 2026-1-1, lists pestering and following as a separate offence. The article says: 「多次发送淫秽、侮辱、恐吓等信息或者采取滋扰、纠缠、跟踪等方法,干扰他人正常生活的」. This conduct is punishable by up to five days' detention, or a fine of up to one thousand yuan. Where the circumstances are relatively serious, it is punishable by five to ten days of detention, and a fine of up to one thousand yuan may be added. This item has one more layer: with the approval of the person in charge of the public security organ, the behaviour may be ordered to stop and the person may be barred from having contact with the victim for a set period. Breaching the no-contact order carries a further five to ten days of detention
Notes
There is no research behind the belief that 「pursuing somebody to the end will move them」, but the detention and the no-contact order are in black and white. The record left behind can also affect sitting the civil service examination, sitting a public institution post, political review, and the professional qualifications required for some jobs. The line between pursuing somebody and harassing them does not depend on what you think, it depends on whether the other person has clearly said no.
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2025, revised). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(第五十条第一款第五项、第二款). (reprinted by the Supreme People's Procuratorate)
www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml3To judge whether the other person is interested, look at behaviour and not at 「signals」: who starts it, who arranges the next one, who follows up
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpowerDisputed
52 pairs of strangers were set talking for about ten minutes and then each judged whether the other person was flirting. The result is that 「the other person was not flirting」 is judged fairly accurately, while 「the other person was flirting」 cannot be picked up. Changing to 261 people watching videos to make the judgement gives the same conclusion. So stop guessing at expressions and tone, and look at behaviour: who starts it, who arranges the next meeting, and whether the other person follows up when you do not push.
Cost
No money, and not much time. The hard part is changing the habit: stop reading the other person's expressions and tone, and start recording facts instead.
Benefit
Two studies measured how accurately people can identify flirting. The first had 52 pairs of strangers who did not know each other talk in pairs for 10 to 12 minutes. Afterwards each reported whether they themselves had been flirting and whether they thought the other person had been. The result is that 「没有发生调情的互动被判断得更准,发生了调情的互动反而判断得更差」. The second used 26 one-minute videos and 261 observers to make the judgement, and reached the same conclusion. People can tell reasonably reliably that 「the other person was not flirting」, but have a hard time telling that 「the other person was flirting」
Notes
Disputed. Other research holds that it is not that men overestimate women's sexual interest, but that women underreport their own intentions when filling in a questionnaire. Who is the more accurate judge is still unsettled. But both sides agree on one thing: inferring another person's thoughts backwards from small cues such as expression and tone has a low accuracy rate. Visible behaviour is far more reliable: whether the other person starts things, whether they arrange the next meeting, and whether they follow up when you do not push.
Sources · 2 sources
- Hall JA, Xing C, Brooks S (2015). Accurately detecting flirting: error management theory, the traditional sexual script, and flirting base rate. Communication Research, 42(7), 939-958. doi.org/10.1177/0093650214534972
- Perilloux C, Kurzban R (2015). Do men overperceive women's sexual interest? Psychological Science, 26(1), 70-77. (disputed side)doi.org/10.1177/0956797614555727
4Whether a relationship is good depends mainly on how you feel in it, not on the other person's circumstances
# Value ModerateGrade ATime and energyNo moneyIn passingSome willpower
What says most about whether a relationship is good is your own feeling in it, not the other person's circumstances. Such as whether you feel the other person is serious and whether they appreciate you, and how often the two of you argue. Your own feeling is between two and four times as good a predictor as what your partner says. But whether the relationship gets better or worse later is something no questionnaire can really work out.
Cost
No money, and not much time. The hard part is changing where you look: put the checklist for choosing a partner away and watch how things go instead.
Benefit
A machine learning analysis of 29 laboratories and 43 longitudinal couples datasets, where longitudinal means following the same couples and recording them all the way through. The items that predicted the quality of the relationship best all came from how the people themselves felt about the relationship: feeling the other person's commitment, feeling appreciated, sexual satisfaction, feeling that the other person is satisfied, and conflict. The strongest of the items about the individual were life satisfaction, negative mood, depression, avoidant attachment and anxious attachment. At the start of the study these items about the relationship explained at most 45% of the variance, where variance means the difference in relationship quality between one couple and another, and 45% is the part of it these items can account for. By the end of the study they explained at most 18%. And the predictive power of 「the items people report themselves」 is between two and four times that of 「the items the partner reports」. Adding individual differences and the partner's reports on top of your own reported feelings about the relationship adds no predictive power at all
Notes
The same study also found that whether the relationship got better or worse during the study could not really be worked out from any set of self-report measures in the questionnaire. So for judging whether the relationship in front of you is good, asking yourself how you feel is more accurate than checking the other person's list of circumstances. Do not expect to be able to predict how it will turn out later. For the account that ties how a relationship is going to how your health is going, see item 17 in this section (treat how a relationship is going as a health account).
Sources
Joel S, Eastwick PW, Allison CJ, et al. (2020). Machine learning uncovers the most robust self-report predictors of relationship quality across 43 longitudinal couples studies. Proceedings of the National Academy of Sciences, 117(32), 19061-19071.
doi.org/10.1073/pnas.19170361175To close the distance, take turns answering a set of questions that go from light to deep, and do not learn scripts
# Value ModerateGrade BTime and energyNo moneyIn passingNo willpower
Two strangers take turns answering 36 questions that go from light to deep, and after 45 minutes they are much closer than people who only chatted for the same length of time. What does the work is taking turns telling the truth and going a layer at a time deeper, not any script. This only shows that they were closer at the time, not that it can grow into a long-term relationship.
Cost
No money. It takes 45 minutes.
Benefit
Strangers were paired up and made to take turns answering three sets of questions that get progressively deeper, 36 questions in all. The questions run from 「who would you most like to invite to dinner」 to 「when was the last time you cried in front of somebody else」. Closeness after 45 minutes was significantly higher than in the control group, which chatted for the same length of time. It was also higher than the average rating that students in that study gave for the most intimate relationship they actually have
Notes
The experiment was only run once, on university students, and it only measured closeness over a short period. It did not measure whether the relationship can grow into a long-term one. The closeness in the experiment came from two people taking turns and going a layer at a time deeper into their own real situation, not from any script, any routine or one side performing. So when you talk, you can 「say something true yourself, and ask one question just as deep」, taking turns on both sides.
Sources
Aron A, Melinat E, Aron EN, Vallone RD, Bator RJ (1997). The experimental generation of interpersonal closeness: a procedure and some preliminary findings. Personality and Social Psychology Bulletin, 23(4), 363-377.
doi.org/10.1177/01461672972340036Long distance is not worse than living in the same city, and the real hurdle is the first three months after moving in together
# Value ModerateGrade BTime and energyA fair amount of moneyEvery dayA lot of willpower
A long-distance relationship is in fact steadier while you are apart, because you see each other less and it is easy to think of the other person as better than they really are. The real hurdle comes after you have moved in together. In the tracking data about half of long-distance couples reached the point of being in the same city, and the other half ended while they were still apart. Of the half that reunited, one third broke up within 3 months.
Cost
A fair amount of money. You have to pay for travel, and pay for the time on the way there and back. You meet less often than people in the same city. The hard part is coping for a long time with not seeing each other.
Benefit
Two studies reach the same conclusion. A long-distance relationship is steadier than one in the same city while the two are apart. The reason is that the degree to which a long-distance couple imagines the other person to be better than they really are is markedly higher, and the studies measured idealisation distortion, romantic love, relationship memories and perceived agreement. And the less you meet, the better the picture. But that steadiness only holds while the two are still apart, and once they are in the same city, long-distance couples break up more easily. The proportion given by the study that tracked couples moving from long distance to the same city is this: about half of long-distance couples reached the point of moving in together, and the other half ended while they were apart. Of the half that reunited, one third broke up within 3 months of the reunion. The longer the gap between meetings while they were apart, and the stronger the idealisation, the less steady they are after the reunion
Notes
The people in these studies were dating relationships among university students in the United States, not marriages, and the studies are fairly old, so do not apply the absolute proportions directly. Another study surveyed 717 people long distance and 425 people in the same city. The difference in the quality of the two kinds of relationship was very small, and whether a relationship is good depends mainly on the two people's own circumstances and on the relationship itself. So when deciding whether to go long distance, do not use 「long distance always falls apart」 as your reason. What needs preparing in advance is the few months after the reunion, when there is less room to do things independently, more is known about each other, and conflict and jealousy both increase.
Sources · 3 sources
- Stafford L, Merolla AJ, Castle JD (2006). When long-distance dating partners become geographically close. Journal of Social and Personal Relationships, 23(6), 901-919. doi.org/10.1177/0265407506070472
- Stafford L, Merolla AJ (2007). Idealization, reunions, and stability in long-distance dating relationships. Journal of Social and Personal Relationships, 24(1), 37-54. doi.org/10.1177/0265407507072578
- Dargie E et al. (2015). Journal of Sex & Marital Therapy, 41(2), 181-202. (the long-distance study referred to in the notes)doi.org/10.1080/0092623X.2013.864367
7Read the registration data before you listen to your elders: what the marriage rate and the divorce rate each measure
# Value ModerateGrade ATime and energyNo moneyIn passingNo willpower
In 2024 there were 6,106,000 marriage registrations nationwide, about one fifth fewer than the year before, and 3,513,000 divorces. The claim online that the divorce rate is over half takes these two figures and divides one by the other, which comes to about 57.5%. But the people divorcing and the people marrying are not the same people, so it cannot be read as half of marriages ending in divorce. The marriage rate of 4.3‰ and the divorce rate of 2.5‰ in the bulletin are worked out by dividing by the national population.
Cost
No money. Read the marriage registration section of the Ministry of Civil Affairs' annual bulletin, which takes a few minutes.
Benefit
In 2024 there were 6,106,000 marriages registered nationwide in accordance with the law, 20.5% fewer than the year before, and a marriage rate of 4.3 per thousand. In the same year there were 3,513,000 divorces completed in accordance with the law, of which 2,622,000 were divorces registered with the civil affairs departments and 891,000 were divorces granted by a court through judgment or mediation, and a divorce rate of 2.5 per thousand. The bulletin states that the marriage (divorce) rate = the number of marriages (divorces) in the year / the average total population in the year × 1,000‰. This is a 「crude rate」: the denominator is the whole population, not the married population
Notes
The 「divorce rate over 50%」 you often see online is the number of divorces in the year divided by the number of marriages in the year, 351.3 / 610.6 ≈ 57.5%. This is called the 「divorce-to-marriage ratio」. The two figures being divided are not about the same group of people, and the bulletin has no such indicator, so it cannot be read as 「half of marriages end in divorce」. To work out 「the probability that a particular marriage ends in divorce」, you have to follow the same group of married people all the way through, and this section found no such official data.
Sources · 2 sources
8Count the health benefit, but discount it because the data is observational
# Value ModerateGrade ALifespanNo moneyIn passingNo willpowerDisputed
The chance of dying in the same period is about 12% lower for married people than for the unmarried, and about 24% higher for people who have never married than for married people. But this is only two things happening at once, not an effect of getting married. People who are healthy, earn more and have more social contact are both more likely to marry and more likely to live longer. These figures come almost entirely from Europe and North America, and for use in China they are a sense of scale at best.
Cost
No money, and no time. You only have to remember one thing: these figures say that married people have a lower mortality rate, which is two things happening at once, not that marriage makes you live longer.
Benefit
A meta-analysis on older people, which pools several studies and recalculates them, covered 53 comparisons and more than 250,000 people in all. The all-cause mortality risk ratio for married people relative to unmarried people was
RR 0.88,
95% CI 0.85 to 0.91, where
RR is the risk ratio and CI is the credible range, so the chance of dying in the same period is about 12% lower. In the same analysis, widowed was 1.11, divorced or separated 1.16 and never married 1.11, which are about 11%, 16% and 11% higher respectively. There is no difference between men and women. The most conservative estimate is
RR 0.94, about 6% lower. A second meta-analysis compared never married with married, using 95 articles and more than 500 million people. The result was
HR 1.24 (1.19 to 1.30), so the chance of dying in the same period is about 24% higher. And the older the age group, the smaller the gap. A further meta-analysis split by sex, covering 21 studies and more than 7,890,000 individuals, found that for both men and women being unmarried went together with all-cause mortality, cancer mortality and cardiovascular mortality. On the men's side the gap in cardiovascular mortality and in all-cause mortality is larger. Unmarried men, relative to unmarried women, had 31% more stroke deaths and 9% more all-cause deaths
Notes
Disputed. What the dispute is about is that married people were selected from the start: people who are healthy, earn more and have more social contact are both more likely to marry and more likely to live longer. All three meta-analyses use observational data on existing groups, that is, records that were followed but not split into a control and a treatment group. The authors themselves write about publication bias and methodological limits. Roelfs also found that the more rigorous the study, the smaller the gap that comes out. These figures are mostly about European and North American populations, and for China they are a sense of scale at best.
Sources · 3 sources
- Manzoli L, et al. (2007). Marital status and mortality in the elderly: a systematic review and meta-analysis. Soc Sci Med 64:77–94. doi.org/10.1016/j.socscimed.2006.08.031
- Roelfs DJ, et al. (2011). The rising relative risk of mortality for singles: meta-analysis and meta-regression. Am J Epidemiol 174(4):379–389. doi.org/10.1093/aje/kwr111
- Wang Y, et al. (2020). Sex differences in the association between marital status and the risk of cardiovascular, cancer, and all-cause mortality: a systematic review and meta-analysis of 7,881,040 individuals. Glob Health Res Policy 5:4. doi.org/10.1186/s41256-020-00133-8
9Work out the time account from unpaid work, and settle the division of tasks before you register
# Value HighGrade ATime and energyNo moneyA few hoursSome willpower
In the national time use survey, unpaid work such as housework and looking after family takes men 1 hour 52 minutes a day on average and women 3 hours 29 minutes. The survey does not break the figures down by whether people are married, so there is no official figure for 「how much more housework there is after marriage」, and this gender gap can only be used as an upper limit. The division of tasks can be negotiated into a different shape before you register.
Cost
No money. Spend an hour or two before the wedding turning the unpaid work, such as housework, looking after the old and the young, and whose job will give way, into a clear division of tasks, and then work to it. The hard part is laying it out and talking it through rather than letting it drag.
Benefit
The 2024 National Time Use Survey. Unpaid work means things like housework and looking after family that bring no pay. Among the people who did this kind of work on the day, it took 2 hours 45 minutes a day on average, of which men accounted for 1 hour 52 minutes and women 3 hours 29 minutes. The share of people who did this kind of work during the day is 67.5% for men and 83.9% for women. Housework among residents averages 1 hour 17 minutes a day, and 1 hour 59 minutes counting only the people who did it, which is 28 minutes less than in 2018. Looking after and caring for family averages 30 minutes a day, and 1 hour 46 minutes counting only the people who did it. The 2018 figures are: housework 45 minutes for men and 2 hours 6 minutes for women, and looking after and caring for children 17 minutes for men and 53 minutes for women
Notes
Both surveys only break the figures down by sex, by urban or rural area and by age, and not by whether people are married. So there is no official figure for 「how much more housework there is after marriage」, and the gender gap can only be used as an upper limit. The figures are national averages, and the two of you can quite well negotiate a different division of tasks.
Sources · 3 sources
10Start with the default rules in the law for the money, then decide whether to put them in writing
# Value HighGrade AMoneyNo moneyA few hoursSome willpower
Without a written agreement, the law treats the wages and bonuses earned after the wedding, income from running a business and from investment, and property inherited or received as a gift, as jointly owned by the two of you. Property owned before the wedding, and property that a will or a gift contract says goes to one of you alone, is personal property. The two of you can agree in writing that everything stays separate, and once you have signed it binds you. The party who put in more work bringing up children and looking after the elderly can ask for compensation on divorce.
Cost
No money. Read the articles on property in the marriage and family book of the Civil Code. If you need to, the two of you sign a written property agreement; the law only requires it to be in writing, and there is no need to have it notarised. The hard part is saying the money things out in advance.
Benefit
The default rules where nothing else is agreed are these: wages, bonuses and remuneration for labour earned after the wedding, income from production, business operations and investment, income from intellectual property, and property inherited or received as a gift, belong jointly to the couple (Article one thousand and sixty-two). Property owned before the wedding, compensation for personal injury, property that a will or a gift contract makes clear goes to one of them alone, and articles for personal use are personal property (Article one thousand and sixty-three). The two of them may agree in writing that property before and after the wedding belongs to each of them separately, belongs to both jointly, or is partly separate and partly joint, and that agreement has legal force for both (Article one thousand and sixty-five). The party who has taken on more obligations by bringing up children, looking after the elderly or helping the other party with their work has the right to ask for compensation on divorce (Article one thousand and eighty-eight)
Notes
There are no official figures for bride price, for the wedding or for the marital home, so this item gives no numbers. How much the compensation under Article one thousand and eighty-eight comes to is first for the two of you to talk about; if that fails, the court decides it, and there is no fixed formula. A written property agreement works for both sides: the higher earner has a use for it, and so does the party who does a lot of the unpaid work of housework and care.
Sources · 2 sources
- National People's Congress (全国人民代表大会) (2020). Civil Code of the People's Republic of China, 中华人民共和国民法典(2021 年 1 月 1 日起施行,第一千零六十二、一千零六十三、一千零六十五、一千零八十八条), National Database of Laws and Regulations. flk.npc.gov.cn/detail?title=%E4%B8%AD%E5%8D%8E%E4%BA%BA%E6%B0%91%E5%85%B1%E5%92%8C%E5%9B%BD%E6%B0%91%E6%B3%95%E5%85%B8&id=ff808081729d1efe01729d50b5c500bf
- full text of the articles reprinted in the Supreme People's Court Gazette. gongbao.court.gov.cn/Details/7f184078694d811fb3314f6af9accf.html
11When your parents put money towards a flat, write down at the point of the transfer whether it is a loan or a gift
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
Money from parents before the wedding is by default for their own child. Money put in after the wedding with no agreement counts as joint marital property. From 2025-2, where one party's parents paid the whole amount after the wedding and did not state that it was only for their own child, the court can award the flat to the child who provided the funding on divorce and then decide whether the other side is to be compensated. If it is to be a loan, write it down on the day and have both sides sign.
Cost
No money. On the day the money goes out, write a single page saying whether it is a gift to you or a loan to you, and have both the parents who put the money in and the children sign it. If it says a loan, have both of you sign it too, and write the same sentence in the transfer reference.
Benefit
Where parents contributed towards a home for the couple before the wedding, it is treated as a gift to their own child alone. Where the parents have clearly stated that the gift is to both, that is excluded. Money put in after the wedding is dealt with by agreement. Where there is no agreement, or the agreement is unclear, it is dealt with on the principle of joint marital property. There is one more rule from 2025-2-1. Where during the marriage one party's parents paid the whole amount and the gift contract does not say it is only for their own child, then on the division of property at divorce the court may award the flat to the child of the person who provided the funding. Once it has been awarded, several factors are weighed together to decide whether the other side is to be compensated and how much. Those factors are whether the couple lived together and had children together, the fault that led to the divorce, the size of each party's contribution to the family, and the market price of the flat at the time of the divorce. Where one party's parents put in part of the money, or where both sets of parents put money in, the flat is awarded to one of the parties on the basis of the source and the proportion of the funding, with reasonable compensation (nationwide)
Notes
Writing it down is useful for both sides. The parents who put in the money no longer have to hope for an IOU to turn up at the divorce in order to protect their contribution. Once Interpretation (Two) is in force, who provided the money is itself a basis for dividing the flat, and whose name is on the title no longer decides who owns it. The party who accepted the funding also no longer has to wait until the divorce to find out what that money was. If it is to be treated as a loan, then treat it as one properly: both sides agree that it is a loan, agree how it is to be repaid, write that in the transfer, and keep a record of the repayments where necessary. Leave out any one of those and you will be explaining it in court.
Sources · 3 sources
- Supreme People's Court (2020). Interpretation (One) on the Application of the Marriage and Family Book of the Civil Code, 关于适用《民法典》婚姻家庭编的解释(一)(法释〔2020〕22 号,第二十九条). www.court.gov.cn/fabu/xiangqing/282071.html
- Supreme People's Court (2025). Interpretation (Two) on the Application of the Marriage and Family Book of the Civil Code, 关于适用《民法典》婚姻家庭编的解释(二)(法释〔2025〕1 号,第八条). www.court.gov.cn/zixun/xiangqing/452771.html
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零六十二条第一款第四项). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
12A large sum your spouse borrowed alone does not become your debt if you neither signed nor afterwards approved it
# Value HighGrade AMoneyNo moneyIn passingSome willpower
Money your spouse borrowed behind your back does not automatically become your debt, as long as it clearly goes beyond the household's everyday spending and you neither signed nor later accepted it. The person owed the money has to prove that it was used for life together or for a business run together. But money spent on a flat, where that really did become a home you live in together or share, is a level the other side can often prove.
Cost
No money. Do not sign as a 「joint borrower」 or 「guarantor」 on your spouse's IOU or guarantee. And do not write things like 「we will repay this money」 in a chat, because that can be read as your having afterwards approved the debt. The hard part is saying nothing when you are being pressed.
Benefit
Debts incurred in the following situations are joint marital debts. First, where both spouses signed. Second, where one spouse afterwards approved it, that is, accepted the debt afterwards, so that both of you acknowledge it. Third, where during the marriage one spouse borrowed in their own name for the everyday needs of the family. Money borrowed in one spouse's own name that clearly goes beyond the household's everyday spending is not a joint marital debt. The exception is where the creditor, the party owed the money, can prove that the money was used for life together or for joint production and business operations, or where both of you acknowledge the debt. Money spent on a flat clearly goes beyond the everyday needs of the household, and the burden of proof lies with the party claiming the debt, so the person owed the money has to produce the evidence. But if that money really did become a home the couple lives in together or shares, the creditor can often reach the level of 「used for life together」. So the step that does more good is the one in item 11 in this section (writing down whether the money from parents is a loan or a gift) (nationwide, in force from 2021)
Notes
When property is divided at a divorce and the other side's parents suddenly produce a loan agreement signed only by your spouse, there are two steps. The first is to ask whether the loan actually happened. If you say the money was never handed over and can make your reasons hold together, the court will weigh several things together. First the size of the loan, how the money was handed over, and the two parties' financial positions, and then how you normally do transactions, whether there is a matching change in the property, and what the witnesses say. Where the other side can produce nothing but a transfer receipt, it is still for them to prove that the loan exists. The second step, once the loan exists, is to ask whether it is a joint debt. For the general rules on IOUs and guarantees, see item 18 in section 8
Sources · 2 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零六十四条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Supreme People's Court (2020, second amendment). Provisions on Several Questions Concerning the Application of the Law in Trying Cases of Private Lending, 关于审理民间借贷案件适用法律若干问题的规定(第十五、十六条). (Supreme People's Court Gazette)gongbao.court.gov.cn/Details/94b6623974526df7d2430a3c73f050.html
13To register you only need your identity card and a signed statement; you do not need the household register, you pay nothing, and the certificate is issued on the spot
# Value ModerateGrade AMoneyNo moneyIn passingNo willpower
From 2025-5, registering needs only two things: your own identity card and a signed statement. The statement says that you have no spouse, and that you are not a direct blood relative of the other party nor a collateral blood relative within three generations. You do not have to bring the household register, and you do not have to go back to the household registration place of one party to do it. The registration costs nothing, and if you qualify the certificate is issued on the spot.
Cost
No money. Both of you have to be there in person. Once it is done it usually takes a few tens of minutes.
Benefit
The new Regulations on Marriage Registration, in force from 2025-5-10, changed the documents needed for mainland residents to marry. The article says only two things have to be produced:「(一)本人的居民身份证;(二)本人无配偶以及与对方当事人没有直系血亲和三代以内旁系血亲关系的签字声明」. The household register is no longer a required document. The registration authority is 「县级人民政府民政部门或者省、自治区、直辖市人民政府按照便民原则确定的乡(镇)人民政府」. The restriction in the old regulations, 「到一方当事人常住户口所在地」, has been removed. The regulations also state that「婚姻登记机关办理婚姻登记,不得收取费用」, and that「对当事人符合结婚条件的,应当当场予以登记,发给结婚证」
Notes
There are only four situations in which the registration authority will not do it: the legal age for marriage has not been reached, the two of you are not both entirely willing, one or both of you already have a spouse, or the two of you are direct blood relatives or collateral blood relatives within three generations. The only things that could cost money are side services such as photographs and photocopies. The registration itself costs nothing, so if you are asked for a 「工本费」 or a 「rush fee」, refuse and complain. For the 30-day cooling-off period for divorce registration, see the item on the cost of getting out in this section
Sources
State Council (国务院) (2025). Regulations on Marriage Registration, 婚姻登记条例(国令第 804 号,第二、六、八、十条).
www.gov.cn/zhengce/zhengceku/202504/content_7017752.htm14Have a premarital medical check once before the wedding, and if there is a serious illness you must tell the other party honestly before you register
# Value ModerateGrade BLifespanA little moneyIn passingNo willpower
If you have a serious illness and did not tell the other party honestly before the registration, the other party can ask the court to annul the marriage. The application has to be made within one year of finding out. The medical check itself has not been a precondition for the certificate since 2003, and whether you go is voluntary. The cost depends on local policy, and it takes half a day.
Cost
A little money. In most areas it is free or reduced for people of the right age. Paying yourself costs only a few hundred yuan. It takes half a day.
Benefit
The legal consequence of concealment is clear. The new Regulations on Marriage Registration provide that「一方当事人患有重大疾病的,应当在结婚登记前如实告知另一方当事人;不如实告知的,另一方当事人可以依据民法典第一千零五十三条的规定向人民法院请求撤销婚姻」. The state treats the premarital medical check as the first line of defence against birth defects. The current targets are that「婚前医学检查率、孕前优生健康检查目标人群覆盖率分别保持在 70% 和 80% 以上」. The document also requires that「推进婚前医学检查机构与婚姻登记场所就近设置方便群众」, and promotes「婚姻登记、婚前医学检查、生育指导『一站式』服务」. The Civil Code provides that where one party has a serious illness they must tell the other honestly before the marriage registration, and where they do not, the other party may ask the people's court to annul the marriage. An application to annul a marriage must be made within one year from the day the person knew or should have known the ground for annulment
Notes
The medical check has not been a step you have to take before the certificate since 2003, and whether you go is voluntary. But the rule on「a serious illness not disclosed honestly」 does give the other party the right to go to court to have the marriage annulled, and the application has to be made within one year of finding out. There is no national rule making the check free. The 2020 notice of the National Health Commission and four other departments only says「积极倡导各地结合实际推行免费婚前检查」. So whether it is free and which items are covered are set locally; ask at the local maternal and child health centre, or at the one-stop window at the marriage registration office.
Sources · 4 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零五十三条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- State Council (国务院) (2025). Regulations on Marriage Registration, 婚姻登记条例(国令第 804 号,第十二条). www.gov.cn/zhengce/zhengceku/202504/content_7017752.htm
- General Office of the National Health Commission (国家卫生健康委办公厅) (2023). 出生缺陷防治能力提升计划(2023—2027 年)(国卫办妇幼发〔2023〕9 号). www.gov.cn/zhengce/zhengceku/202308/content_6900320.htm
- National Health Commission and four other departments (国家卫生健康委等五部门) (2020). Notice on Strengthening Premarital Health Care, 关于加强婚前保健工作的通知(国卫妇幼函〔2020〕205 号):「积极倡导各地结合实际推行免费婚前检查」. www.gov.cn/zhengce/zhengceku/2020-05/22/content_5513902.htm
15Work out the cost of getting out: a divorce by agreement has a 30-day cooling-off period, and a divorce by litigation has statutory conditions
# Value HighGrade AMoneyNo moneyA few hoursSome willpower
A divorce by agreement is not finished once it is signed. Within 30 days of submitting the application, either party may withdraw it. At the end of that period you also have to collect the certificate in person within 30 days, and not doing so counts as withdrawing. If the other side does not agree, you can only sue. The court tries mediation first, and where there is domestic violence, bigamy, or two years of living apart, and mediation fails, it grants the divorce.
Cost
No money. Before the wedding, spend some time reading: if you do have to get out, how long it takes and what procedure it follows. The hard part is thinking about splitting up before you have married.
Benefit
A divorce by agreement requires a written divorce agreement, and both parties must apply in person at the marriage registration authority (Article one thousand and seventy-six). Within 30 days from the day the registration authority receives the application, either party may withdraw it. Within 30 days after that period ends, both parties must collect the divorce certificate in person, and not collecting it is treated as withdrawal (Article one thousand and seventy-seven). Where one side does not agree, the route is litigation, and the court should try mediation first. Where there is bigamy or cohabiting with another person, domestic violence or abuse and abandonment, repeated gambling or drug use that has not been corrected, or two years of living apart because of a breakdown in the relationship, and mediation has no effect, the divorce is to be granted. Where a divorce was refused and the two have since lived apart for another year, a fresh suit is to be granted (Article one thousand and seventy-nine). In 2024 there were 3,513,000 divorces nationwide, of which 891,000 went through a court judgment or mediation
Notes
The cooling-off period applies only to a divorce by agreement. There is no cooling-off period for a divorce by litigation, but that takes longer. Court fees and legal fees differ from place to place, so this item gives no figures. A high cost of getting out is not a reason not to marry, but you should know it before you do.
Sources · 3 sources
- National People's Congress (全国人民代表大会) (2020). Civil Code of the People's Republic of China, 中华人民共和国民法典(第一千零七十六、一千零七十七、第一千零七十九条). gongbao.court.gov.cn/Details/7f184078694d811fb3314f6af9accf.html
- Ministry of Civil Affairs (民政部) (2020). Notice on Implementing the Provisions on Marriage Registration in the Civil Code of the People's Republic of China, 关于贯彻落实《中华人民共和国民法典》中有关婚姻登记规定的通知(民发〔2020〕116 号). www.gov.cn/zhengce/zhengceku/2020-12/04/content_5567010.htm
- Ministry of Civil Affairs (民政部) (2025). 2024 年民政事业发展统计公报. Citation the same as item 7 in this section (what the marriage rate and the divorce rate each measure)
16Keep a separate account for 「marrying because of the older generation」, and do not mix it with your own
# Value ModerateGrade CTime and energyNo moneyIn passingSome willpower
The benefits that go to the older generation, that is peace of mind, face and no more being nagged, are real. But they do not automatically become your health benefit or your relationship quality. The time account, the money account and the cost of getting out, on the other hand, are all borne by you. Draw two columns on paper and write out which benefits are yours and which belong to the older generation, and whether the deal is worth it is obvious at a glance.
Cost
No money. Draw two columns on a piece of paper. One column is which benefits in this marriage are your own, which the earlier items in this section can work out. The other is which benefits belong to the older generation: peace of mind, face, and the pressure to marry stopping. The hard part is keeping the older generation's column separate and not merging it into your own.
Benefit
The benefit to the older generation is real. But it does not automatically turn into your health benefit (item 8) or into relationship quality (item 4, whether a relationship is good depends on how you feel in it). And the time account (item 9), the money account (items 10 to 12) and the cost of getting out (item 15) are all borne by the parties themselves. Once the books are kept separately, whether 「marrying to complete a task」 is good value is something you can see for yourself
Notes
The older generation's column can also be counted as a heavy one, and how you weigh it is your own decision. For the list to fill in, see
docs/结婚划不划算.mdSources · 2 sources
- the author's own experience, a methodological suggestion
- for the figures see the earlier items in this section
17Treat how a relationship is going as a health account: in an argument, argue about the thing and not the person, and do not insult or sneer
# Value ModerateGrade BLifespanNo moneyIn passingSome willpower
Couples with a good relationship are somewhat healthier and have a somewhat lower risk of death. The association is small, on a par with the association between diet and health. In one experiment, couples who stayed hostile throughout their fights healed the small wounds the experiment produced at only six tenths the rate of couples who stayed calm.
Cost
No money. In an argument, stick to the thing in front of you, do not insult, do not sneer and do not bring up old grievances. The hard part is keeping your mouth shut while you are angry.
Benefit
Pooling 126 studies and more than 72,000 people, which is what a meta-analysis does. The better the quality of the marriage, the better the health, with a correlation coefficient
r between .07 and .21. A correlation coefficient of 0 is no relationship at all and 1 is changing in perfect step. The correlation with a lower risk of death is
r = .11. A smaller cardiovascular reaction during conflict is
r = -.13. The authors say that all these effects are small, on a par with the association between health habits such as diet and health. In another crossover experiment, 42 healthy couples each stayed in hospital twice, for 24 hours each time. Once they had a mutually supportive conversation, and once they discussed a subject on which they disagreed. After the argument, the blister wounds the experiment produced healed more slowly. For the couples who showed more hostility on both occasions, the wounds healed at only 60% the rate of the couples with low hostility. On the morning of the day after the argument, their blood markers of inflammation (IL-6, tumour necrosis factor) had also risen more.
Notes
The reason for grade B is that most of the pooled studies are only records that were followed, with no control group. So it cannot be told whether a bad relationship makes you ill or poor health makes the relationship worse. In some studies the association is still there after age and income are taken out. Robles also states in the original paper that some of the results are subject to publication bias. The studies that compared men and women explicitly found basically no difference between the sexes. This section found no pooled analysis directly comparing the mortality of a 「marriage with a bad relationship」 with not marrying at all, so 「a bad marriage does more harm than not marrying」 can only be an inference. The wound experiment has only 42 couples in it. 「Argue about the thing and not the person, do not insult and do not sneer」 is a practice the author worked out from the 「hostile behaviour」 in the experiment, and no study compares it directly. Where the arguments are fierce and cannot be changed, the two of you can go together to couple therapy, see item 20 in this section (couple therapy). Where it has come to hitting, or to long-term verbal abuse and threats, that is no longer a matter of communication but of domestic violence: see item 43 in section 8 (if you are being abused at home). For deciding whether to go through with it, see item 15 in this section (the cost of getting out).
Sources · 2 sources
- Robles TF, Slatcher RB, Trombello JM, McGinn MM (2014). Marital quality and health: a meta-analytic review. Psychological Bulletin. doi.org/10.1037/a0031859
- Kiecolt-Glaser JK et al. (2005). Hostile marital interactions, proinflammatory cytokine production, and wound healing. Archives of General Psychiatry. doi.org/10.1001/archpsyc.62.12.1377
18Same-sex partners: while you are both clear-headed, get the power of attorney, the voluntary guardianship and the will done. In law you are not close relatives, and without these documents you have no right to sign and no right to inherit
# Value ModerateGrade APersonal freedomA little moneyA few hoursSome willpower
Close relatives in law are a spouse, parents, children and siblings, and a partner is not among them. Without the documents in place, when one of you falls seriously ill the other cannot decide for them. When one of you dies, the other inherits not one yuan. The three documents each cover a stretch: the power of attorney for while you are alive, voluntary guardianship once the capacity to make decisions is lost, and the will for after your death.
Cost
A little money. Voluntary guardianship and a will are done at a notary office, and the notary fees differ from place to place, starting at a few hundred yuan. A will you write by hand costs nothing. It takes one or two half-days from start to finish. The hard part is the two of you having to sit down and talk about illness and death.
Benefit
The close relatives listed in Article one thousand and forty-five of the Civil Code are a spouse, parents, children, siblings, grandparents on both sides, and grandchildren on both sides. The statutory heirs in Article one thousand one hundred and twenty-seven are first a spouse, children and parents, and then siblings and grandparents on both sides. A partner is in neither list. Article one thousand two hundred and nineteen deals with surgery, special examinations and special treatment. Where it cannot or should not be explained to the patient, the medical personnel must explain it to the patient's 「close relatives」 and obtain their consent. There are three ways to make up the gap. First, article thirty-three allows an adult and 「another individual who is willing to be the guardian」 to agree in advance, in writing, who the guardian is. Once the person has lost all or part of their capacity for civil conduct, that person becomes the guardian, and the guardian is the statutory agent. Second, Article one hundred and sixty-five provides that a written power of attorney must state the name of the agent, the matters to be handled, the scope of the authority and the period, and must be signed or sealed by the principal. When the principal dies, the mandate ends. Third, Article one thousand one hundred and thirty-three allows a will to be made leaving personal property to an individual other than a statutory heir. An article posted on the Hubei Provincial Department of Justice website by the Yichang Municipal Bureau of Justice states that same-sex partners can have a voluntary guardianship agreement notarised, naming the other partner as their future guardian (nationwide)
Notes
The status a partner has in an inheritance is 「legatee under a will」, not heir. Once you know of the bequest, you have to express your acceptance within 60 days, and not expressing it counts as declining. The partner themselves, and anybody who stands to benefit from the will, cannot be a witness to it. Where several wills have been made, the last one governs: see item 2 in section 17 (a later will overturns an earlier one). Whether a voluntary guardian may sign the consent form for an operation differs from hospital to hospital, so ask the hospital you normally use in advance. If the family does not accept these documents, it comes to a court case: six months or more in the ordinary procedure at first instance, and legal fees are yours to pay. So get the documents done at a notary office where you can. For a flat bought together and money saved together, write a separate agreement on the basis of what each of you actually put in. For how voluntary guardianship works, see item 1 in section 17 (naming a future guardian in writing). The people who benefit are you and your partner.
Sources · 2 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第二十三、三十三、一百六十五、一百七十三、一千零四十五、一千一百二十四、一千一百二十七、一千一百三十三至一千一百四十、一千一百四十二、一千二百一十九条). (National Database of Laws and Regulations)flk.npc.gov.cn/detail?id=ff808081729d1efe01729d50b5c500bf
- Yichang Municipal Bureau of Justice (宜昌市司法局) (2021). 意定监护公证:通向彩虹的公证之路. 湖北省司法厅网站「实践荟萃」栏目. sft.hubei.gov.cn/fbjd/sjhc/202101/t20210108_3208602.shtml
19Do not marry while concealing your sexual orientation, and do not treat a marriage in name only as the easy way out: in law it is a real marriage, and the only way out is a divorce
# Value ModerateGrade AMoneyNo moneyIn passingA lot of willpower
Marrying while concealing your sexual orientation is not void in law and cannot be annulled, so the only way out is a divorce. A marriage in name only is a real marriage as well, and the money earned and the debts incurred after it count as the couple's. The side that was kept in the dark can, on divorce, ask for a larger share of the property and for compensation for mental harm, but whether the court agrees is not settled.
Cost
No money. The hard part is standing up to the pressure from the family to marry, which may take years to bear.
Benefit
Article one thousand and fifty-one of the Civil Code says a marriage is void in only three situations: bigamy, a relationship of close relation that is forbidden for marriage, and not having reached the legal marriageable age. Articles one thousand and fifty-two and one thousand and fifty-three say only two situations can be annulled: marrying under coercion, and concealing a serious illness before the wedding. Article seventeen of Interpretation (One) on the Marriage and Family Book of the Civil Code provides that where a request is made to confirm a marriage void on any ground other than those three, the court rules to reject it. So the only way out is a divorce. A marriage in name only is a lawful marriage once registered. Article one thousand and sixty-two provides that wages, bonuses and remuneration for labour after the wedding are joint marital property. Article one thousand and sixty-four provides that a debt signed for jointly by the two, and a debt one of them took on for the everyday needs of the household, are joint marital debts. For damages on divorce, see Article one thousand and ninety-one, which is limited to bigamy, cohabiting with another person, domestic violence, abuse or abandonment of a family member, and 「having some other serious fault」. Article two of Interpretation (One) limits 「cohabiting with another person」 to living with an 「opposite-sex partner outside marriage」. So a same-sex relationship can only be argued as 「some other serious fault」. The compensation includes payment for mental harm, which the side kept in the dark has to claim at the same time as suing for the divorce; if the divorce is refused, it is not supported. Since the Civil Code came into force, no judgment of this kind published by a court has been found. Under the old law, an article posted on the website of the Jiangsu High People's Court in 2013 discussed a case in which a wife sued for divorce because her husband had concealed that he was homosexual. The article set out two views. One held that homosexuality was not among the faults defined by the law at the time, so neither a larger share of the property nor mental compensation should be supported. The author preferred the other: treat the side kept in the dark as the 「party without fault」, give her extra consideration when the property is divided, and pay her mental consolation money as well (nationwide)
Notes
The larger share of the property and the mental compensation rest on a single analytical article that does not say how the case finally came out, so whether you can get it depends on the particular court. The Civil Code has one more ground than the old law, 「some other serious fault」, which gives the side kept in the dark something to argue with. The text of the law itself is grade A. Where both parties in a marriage in name only have same-sex partners, the partners are not protected by the marriage law between them, and the property has to be set out separately: see item 18 in this section (same-sex partners: voluntary guardianship and a will). A divorce from a marriage in name only also has to go through the 30-day cooling-off period or a court case: see item 15 in this section (a divorce by agreement has a 30-day cooling-off period). Where the agreement says that compensation is given up, a later suit will not be supported. The person who benefits first is the spouse who was kept in the dark, and second is yourself: once the concealment is found out, the divorce, the division of property and the custody of any children all arrive together.
Sources · 3 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零五十一至一千零五十四、一千零六十二、一千零六十四、一千零七十九、一千零八十七、一千零九十一条). (National Database of Laws and Regulations)flk.npc.gov.cn/detail?id=ff808081729d1efe01729d50b5c500bf
- Supreme People's Court (2020). Interpretation (One) on the Application of the Marriage and Family Book of the Civil Code, 关于适用《中华人民共和国民法典》婚姻家庭编的解释(一)(法释〔2020〕22 号,第二、十七、八十六至九十条). flk.npc.gov.cn/detail?id=ff80808177e75f880178006736f21aaf
- Zhu Laikuan, Wang Hongjuan (2013). 因同性恋导致离婚能否主张损害赔偿?江苏法院网. www.jsfy.gov.cn/article/26621.html
20When a relationship is stuck in repeated arguments and cold shoulders, the two of you go to couple therapy together: waiting on your own will not get better on its own
# Value ModerateGrade ATime and energyA fair amount of moneyA few hoursA lot of willpower
Couples stuck in a bad patch who finish couple therapy together are markedly more satisfied with the relationship, and about seven in ten improve. Couples who only sit on the waiting list change very little. But the effect fades: followed to the fifth year, about half are still clearly better and about a quarter have already separated or divorced.
Cost
It costs money. Each session is charged separately, the prices differ from one hospital to another, and this item gives no figures. In the studies it is generally once a week, and one trial ran for about 8 months from start to finish. The hard part is that both of you have to go, and that you have to keep going to the end.
Benefit
A meta-analysis in 2020 pooled 58 studies and 2092 couples. After couple therapy, the change in relationship satisfaction was g = 1.12 (credible range 0.92–1.31), which the authors call a large effect. g is an effect size, see the glossary in the README. For the couples allocated to the waiting list, over the same period g = 0.12 (−0.04 to 0.29), with no clear improvement. The worse the relationship was at the start, the more it improved. A review in 2012 puts it at 70% of the couples who took the treatment improving. Another randomised trial took 134 couples with long-standing and serious discord and gave them about 8 months of one of two behavioural couple therapies. At the end the change in satisfaction was d = 0.90 and 0.71. By year 5, 50.0% and 45.9% of the couples respectively were still clearly better. What the authors mean by clearly better, they call 「an improvement of clinical significance」. At the same time 25.7% and 27.9% had already separated or divorced
Notes
Disputed. The dispute is over how long the effect lasts. In another meta-analysis that included only randomised trials, at the end g = 0.60 and after six months 0.44. At 12 months only the behavioural couple therapy still has data, g = 0.06, and almost nothing has been kept. Another review pooling 20 meta-analyses says an effect of clinical significance appears in 40% to 50% of people. 「Seven in ten improve」 and 「four to five in ten clearly improve」 use different criteria, so do not compare them. The five-year trial had no untreated control group, so it cannot be said whether divorces went up or down. The 2020 synthesis covered only opposite-sex couples, and this item found no randomised trial in China either, so discount it before you apply it to yourself. Where to go in China: the Mental Health Law requires psychotherapy to be done inside a medical institution, and a psychological counsellor may not carry out psychotherapy. You can ask the psychiatry department or the psychology department of a hospital whether they do couples therapy. When you look for an organisation outside a hospital, first ask what qualifications the people have and what training they have had. If there is domestic violence, do not go together first. The 2016 meta-analysis states that its conclusion applies only to mild to moderate violence between the two of you arising out of conflict. Violence characterised by controlling the other person or by serious harm is not covered. People in the field also worry about revenge after the sessions. If you have been hit, see item 43 in section 8 (if you are being abused at home) first. For how to talk during an argument see item 17 in this section (argue about the thing and not the person), and for deciding whether to go through with it see item 15 in this section (the cost of getting out). The people who benefit are you and your spouse.
Sources · 7 sources
- Roddy MK, Walsh LM, Rothman K, Hatch SG, Doss BD (2020). Meta-analysis of couple therapy: effects across outcomes, designs, timeframes, and other moderators. Journal of Consulting and Clinical Psychology, 88(7), 583-596. doi.org/10.1037/ccp0000514
- Lebow JL, Chambers AL, Christensen A, Johnson SM (2012). Research on the treatment of couple distress. Journal of Marital and Family Therapy, 38(1), 145-168. doi.org/10.1111/j.1752-0606.2011.00249.x
- Christensen A, Atkins DC, Baucom B, Yi J (2010). Marital status and satisfaction five years following a randomized clinical trial comparing traditional versus integrative behavioral couple therapy. Journal of Consulting and Clinical Psychology, 78(2), 225-235. doi.org/10.1037/a0018132
- Rathgeber M, Bürkner PC, Schiller EM, Holling H (2019). The efficacy of emotionally focused couples therapy and behavioral couples therapy: a meta-analysis. Journal of Marital and Family Therapy, 45(3), 447-463. (the disputed side)doi.org/10.1111/jmft.12336
- Shadish WR, Baldwin SA (2003). Meta-analysis of MFT interventions. Journal of Marital and Family Therapy, 29(4), 547-570. (the disputed side)doi.org/10.1111/j.1752-0606.2003.tb01694.x
- Karakurt G, Whiting K, van Esch C, Bolen SD, Calabrese JR (2016). Couples therapy for intimate partner violence: a systematic review and meta-analysis. Journal of Marital and Family Therapy, 42(4), 567-583. doi.org/10.1111/jmft.12178
- Standing Committee of the National People's Congress (全国人大常委会) (2018 revision). Mental Health Law, 精神卫生法(第二十三、五十一条). (National Database of Laws and Regulations)flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7448a066d
11. Lines programmers and tech workers cross
17 / 17The measures in this section are personal freedom and money, and what you get back is 「not being locked up」 and 「not having to pay」. People who write code and do technical work often treat the things below as 「only a technical problem」, but they correspond to a specific charge in the Criminal Law, or to a specific sum you have to pay in civil law. Each item gives the figures in the articles of law, together with the cases published on the websites of the Supreme People's Procuratorate and the Supreme People's Court. The Criminal Law is cited from the consolidated text as amended by Criminal Law Amendment Eleven, reprinted by the Beijing Municipal Public Security Traffic Management Bureau. The items are ordered from high to low by 「what a technical worker is most likely to think is harmless × the heaviest consequences」. Item 1 is the general one: how to judge before you act, and what to do first once something has happened.
1Ask three questions before you act: whose interests have you harmed, how capable the other side is of pursuing it, how much evidence have you left; and get a criminal lawyer as soon as you are pursued
# Value HighGrade CPersonal freedomNo moneyIn passingSome willpower
Before you act, ask one question: will the vendor, the platform or the company report it to the police? Server logs, payment records and group chat records can all be produced when a case is handled. If you are held in criminal detention, the decision on whether to arrest you is made within at most 37 days. From the first questioning you can already have a lawyer, and those 37 days are when getting a criminal lawyer does the most good.
Cost
No money. Before you act, replace the question 「can this be done technically」 with another one: will the vendor, the platform or the company report it to the authorities? The hard part is holding out against the thought that 「nobody will do anything about something this small」, because server logs, payment records and group chat records are all produced by default when a case is handled.
Benefit
Any unit or individual that finds facts of a crime has the right to report it to the authorities. Where the case-handling organ finds facts of a crime, a case must be opened. After you have been held in criminal detention, the police must apply for approval of the arrest within 3 days, that is, ask the procuratorate to arrest you formally. In special circumstances this may be extended by 1 to 4 days. In cases such as being on the run, where offences are committed in several places in succession, it may be extended to 30 days. The procuratorate then has 7 days to decide. Added together, the decision on whether to arrest is made within at most 37 days. From the first interrogation, or from the moment a compulsory measure is taken against you, that is detention or arrest, you may appoint a lawyer. While the case is still with the police for investigation you may appoint a lawyer. When the lawyer applies to see you, the detention centre must arrange it within 48 hours at the latest. Where the possible sentence is public surveillance, criminal detention or some punishment lighter than prison, or where only an additional punishment is imposed with no principal punishment, you may be released on bail pending trial: pay a deposit or find a guarantor and go home while the case is handled. Release on bail lasts at most 12 months (nationwide)
Notes
Those 37 days are counted from detention to the procuratorate's decision on whether to approve the arrest; they are not a limit on how long you may be held. After the arrest is approved there is still the custody period during the investigation, and the counting continues from there. Those 37 days are also when a lawyer who knows the field is most useful: getting to see you, handing the procuratorate a written view that the arrest should not be approved, and applying for release on bail. Looking for a lawyer after the prosecution has begun is too late. Every other item in this section is about the same thing: whether the other side has grounds to report you.
Sources
National People's Congress (全国人大) (2018). Criminal Procedure Law, 刑事诉讼法(2018 年修正,第三十四、三十九、六十七、七十九、九十一、一百一十、一百一十二条).
www.spp.gov.cn/zdgz/201810/t20181027_396818.shtml2Do not make or sell game cheats and cheats, including AI assistance that only reads the screen and never touches memory
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Selling cheats to 20 users, or earning 5000 yuan, is enough for 3 years or less, and especially serious cases carry 3 to 7 years. One man made wallhack and aimbot cheats, sold more than 80,000 yuan of them in 3 months, and was sentenced to 1 year suspended for 1 year with a fine of 5000 yuan. Another used server-side programs to run a private server, took in more than 20,000,000 yuan of top-ups, and got 4 years at the most, with a fine of up to 10,000,000 yuan.
Cost
No money. The price is giving up this kind of contract work and the income from 「small tools」. The hard part is that the money comes in quickly and it is not obvious who would come after you.
Benefit
Providing programs or tools made specifically for intruding into or illegally controlling computer information systems, where the circumstances are serious, carries 3 years or less, with a fine imposed in addition or instead. An additional fine means a fine on top of the sentence; instead means a fine alone. Especially serious circumstances carry 3 to 7 years and a fine. The threshold for 「serious circumstances」 is providing the tool to more than 20 users, or illegal gains of more than 5000 yuan. Illegal gains means the money you earned out of it. Deliberately going around or breaking the technical protection measures the rights holder has put in place may also amount to the crime of infringing copyright, which carries 3 years or less, and 3 to 10 years where it is serious. The official cases: Wang and others made and sold cheats that read and modified the game's memory to give wallhacks and aimbots. They sold more than 80,000 yuan in 3 months and made over 30,000 yuan. He was sentenced to 1 year suspended for 1 year, with a fine of 5000 yuan. A suspended sentence of 1 year means he was sentenced to 1 year but does not go in at first, and if he does not offend again during that year he does not have to serve it. Xiang and others sold the 「TZ」 series of cheats with sales of more than 200,000 yuan, and Xiang was sentenced to 3 years suspended for 3 years with a fine of 20,000 yuan. Liu and others obtained the game's server-side program, changed the parameters and ran a private server, taking in more than 2000 余万元 in top-ups. The sentence was 4 years to 2 years and 6 months, with a fine of from 10,000,000 yuan down to 1,300,000 yuan (nationwide)
Notes
The cheat cases that have been published are all the kind that read and write game memory and get round the anti-cheat. No official case has yet been seen for assistance that 「only takes screenshots and only simulates key presses」. But the ticket-grabbing case in item 3 shows that not touching memory and only sending requests can still amount to the crime of illegally obtaining data. Whether it is a crime in the end, and under which charge, is settled by the case-handling organ on the basis of the material handed in when the vendor reports it, and not by the author. Selling to 20 users is enough for 「serious circumstances」, and that is a small number.
Sources · 4 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百八十五条第三款、第二百一十七条第六项). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2011). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases Endangering the Security of Computer Information Systems, 关于办理危害计算机信息系统安全刑事案件应用法律若干问题的解释(第三条). (reprinted by the Shenzhen Municipal Public Security Bureau)ga.sz.gov.cn/ZWGK/ZCFG/ZCJD/content/post_1304363.html
- Supreme People's Procuratorate (2026). 上海静安:严惩制售游戏外挂黑灰产共护清朗网络空间. www.spp.gov.cn/spp/zdgz/202608/t20260825_735480.shtml
- Supreme People's Procuratorate (2021). 2020 年度检察机关保护知识产权典型案例(案例五). www.spp.gov.cn/spp/xwfbh/wsfbt/202104/t20210425_516525.shtml
3Do not write or sell ticket-grabbing, flash-sale, order-brushing or coupon-collecting scripts, not even one that only 「clicks the button automatically」
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
A script does not change memory and does not crack anything; it is simply faster at sending requests than a person, and it is still convicted. Earning 5000 yuan, or causing the other side a loss of 10,000 yuan, is enough. One man used a purchased 12306 account to grab more than 200 tickets on other people's behalf and earned more than 20,000 yuan, and was sentenced to 1 year and 6 months suspended for 1 year and 6 months, with a fine of 5000 yuan. Another sold ticket-grabbing software for a ticketing app on an online shop, was found to have engaged in unfair competition, and was ordered to pay 20,000 yuan.
Cost
No money, and no time either.
Benefit
Intruding into a computer information system, or using other technical means to obtain the data inside it, where the circumstances are serious, carries 3 years or less, with a fine imposed in addition or instead, and especially serious circumstances carry 3 to 7 years. The threshold for 「serious circumstances」 is illegal gains of more than 5000 yuan, or a loss of more than 10,000 yuan. The official cases: one man used a cheat to import purchased 12306 accounts in bulk and submitted ticket requests densely with many threads. He grabbed more than 200 train tickets on other people's behalf and made over 20,000 yuan. The court convicted him of the crime of illegally obtaining computer information system data and sentenced him to 1 year and 6 months suspended for 1 year and 6 months, with a fine of 5000 yuan. Zheng sold ticket-grabbing software for a ticketing app on an online shop, was found to have engaged in unfair competition, and was ordered to pay 20,000 yuan (nationwide)
Notes
The script in the ticket-grabbing case does not change memory and does not crack anything; it is only 「faster than a person」, and it is still convicted under article 285 of the Criminal Law. Both taking money to grab tickets for others and selling the script count as making a profit. For the case where you use it once yourself, no official case was found.
Sources · 4 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百八十五条第二款). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2011). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases Endangering the Security of Computer Information Systems, 关于办理危害计算机信息系统安全刑事案件应用法律若干问题的解释(第一条). ga.sz.gov.cn/ZWGK/ZCFG/ZCJD/content/post_1304363.html
- Supreme People's Procuratorate (2026). 上海静安:查办利用外挂软件批量代抢火车票牟利案. www.spp.gov.cn/spp/dfjcdt/202607/t20260707_731426.shtml
- Supreme People's Court (2025). 2024 年人民法院知识产权典型案例(案例七,抢票软件不正当竞争案). enipc.court.gov.cn/zh-cn/news/view-4205.html
4Let a crawler crawl only public pages that need no login, do not get round the anti-crawler measures, do not touch personal information, and do not sell what you crawl
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Data that needs a login, a token or a cracked signature counts as getting round the protection, and carries 3 years or less, with 3 to 7 years where it is serious. Crawling personal information is more troublesome. 50 records of movement, communications, credit reporting or property count as serious circumstances. 500 records of accommodation, health or transactions, 5000 records of anything else, or 5000 yuan earned, are the same.
Cost
No money. A crawler is a program that turns web pages automatically and pulls the data off them. Before you crawl, read the robots file and the interface authorisation note; robots is the file a site puts in its own root directory saying which pages may not be crawled. Do not crawl data that needs a login, needs a token, which is a temporary access credential, or that can only be got by cracking a signature. The hard part is that technically this data is there for the taking once you start, and holding out depends on nothing but your own restraint.
Benefit
The sentencing for getting round the protection in order to take data out of a system is the same as in item 3 in this section (ticket-grabbing, flash-sale and order-brushing scripts): 3 years or less, or 3 to 7 years. Illegally obtaining, selling or providing citizens' personal information amounts to 「serious circumstances」 on any one of the following: more than 50 records of movement trajectories, communications content, credit reporting or property information; more than 500 records of accommodation, call records, health or transaction information; more than 5000 records of any other personal information; and illegal gains of more than 5000 yuan. Serious circumstances carry 3 years or less, with a fine imposed in addition or instead, and especially serious circumstances carry 3 to 7 years. The official cases: the software developer Li disguised a function that stole photographs from people's phone galleries as an 「attractiveness detection」 app, got 1751 face photographs, and also sold social engineering database material; he was sentenced to 3 years suspended for 3 years. A social engineering database is a database that collects personal information leaked from many places. One internet technology company used a crawler to take shop and order data from a food delivery platform, causing a loss of more than 40,000 yuan, and was prosecuted for the crime of illegally obtaining computer information system data (nationwide)
Notes
The 2017 judicial interpretation provides that 「handing information that was lawfully collected on to somebody without that person's consent」 also counts as 「providing」. Exporting a table of users to an outside partner at work falls under that same sentence. 5000 records is only the size of a small spreadsheet.
Sources · 4 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百八十五条第二款、第二百五十三条之一). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2017). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases of Infringing Citizens' Personal Information, 关于办理侵犯公民个人信息刑事案件适用法律若干问题的解释(第三、四、五条). www.spp.gov.cn/xwfbh/wsfbt/201705/t20170509_190088.shtml
- Supreme People's Procuratorate (2022). Typical Cases of Procuratorates Punishing the Crime of Infringing Citizens' Personal Information According to Law (Case Two), 检察机关依法惩治侵犯公民个人信息犯罪典型案例(案例二). www.spp.gov.cn/spp/xwfbh/wsfbt/202212/t20221207_594915.shtml
- Supreme People's Procuratorate (2025). 检察机关依法惩治侵害企业数据安全犯罪 服务保障企业创新发展(案例一). www.spp.gov.cn/xwfbh/wsfbh/202501/t20250124_680670.shtml
5Do not take development contracts for gambling, fraud or pornography apps, and do not set up payment channels or unblock accounts for a 「client」
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Taking that kind of work, where the quote is high and the requirement is vague, makes you an accomplice to a gambling gang. It is punished as the crime of opening a gambling house, which carries 5 years or less and 5 to 10 years where it is serious, and that is heavier than the 3 years at the most you get for merely helping. In one esports prediction app, 28 people who wrote the code were sentenced to 1 year to 3 years and 6 months. Unblocking QQ accounts for a fraud gang brought 1 year and 6 months and a fine of 20,000 yuan.
Cost
No money. The price is turning down that kind of outsourcing work, where the quote is high and the requirement is vague. The hard part is that what the other side pays is often well above the going rate.
Benefit
Knowing that somebody is using the internet to commit a crime and still providing them with technical support, payment settlement or help of that kind, where the circumstances are serious, carries 3 years or less, with a fine imposed in addition or instead. Where it also constitutes another crime, it is punished as the heavier one. Opening a gambling house carries 5 years or less and a fine, and serious circumstances carry 5 to 10 years. The official cases: after the Zhangsheng group developed gambling games it 「sold the network on as a package」 and took site-building fees and reporting fees, with nearly 7 billion yuan involved. Zhang Sheng was sentenced to 9 years and 9 months, with a fine of 50 million yuan. The 79 people responsible for the outsourced development, including Wang Qiang, got between 6 months and 9 years and 9 months. Chen Dong and others developed and ran an esports prediction app, with the technical team writing code in Hainan, and 28 people were convicted of the crime of opening a gambling house with sentences of 3 years and 6 months down to 1 year, together with fines. Zhang opened a studio that unblocked QQ accounts frozen by a fraud gang, and was sentenced to 1 year and 6 months with a fine of 20,000 yuan (nationwide)
Notes
「Knowing」 does not require the other side to have spelled out the purpose. A quote plainly above the market rate, features that are top-up and withdrawal plus odds, and a client who will not say what the thing is for are all used, when a case is handled, to work out that you knew. Technical staff who develop gambling apps are handled as accomplices to the crime of opening a gambling house, and not under the crime of assisting information network criminal activity, which is capped at 3 years. The crime of assisting information network criminal activity is short for 「the crime of assisting information network criminal activity」.
Sources · 4 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百八十七条之二、第三百零三条第二款). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Procuratorate (2023). 建赌博网站并出售,涉案近 70 亿元. www.spp.gov.cn/spp/zdgz/202307/t20230711_621248.shtml
- Supreme People's Procuratorate (2022). 上海闵行区:办理一起新型开设网络赌场案. www.spp.gov.cn/spp/zdgz/202208/t20220805_569952.shtml
- Supreme People's Procuratorate (2025). 依法惩治帮助信息网络犯罪活动及相关犯罪典型案例(案例一). www.spp.gov.cn/xwfbh/wsfbt/202507/t20250728_702377.shtml
6Hand over your account access when you leave: do not delete the database, do not leave a back door and do not change the password to lock the system, even if the company owes you money
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
The account and password were given to you by the company, which does not mean you can still use them after you leave; logging in counts as illegal control and carries 3 years or less. Deleting data so that the system will not run carries 5 years or less, and especially serious consequences carry 5 years or more. One senior engineer who was dismissed used the original administrator account to log into the company server and delete data and logs, causing a loss of more than 120,000 yuan, and was sentenced to 3 years suspended for 5 years with a fine of 30,000 yuan.
Cost
No money. If the company owes you wages, get them back through labour arbitration rather than doing it yourself (for labour arbitration see section 7). The hard part is holding back, while you are angry, from touching the system.
Benefit
Illegally controlling a computer information system, where the circumstances are serious, carries 3 years or less, with a fine imposed in addition or instead, and especially serious circumstances carry 3 to 7 years. Deleting or modifying the functions or data of a system so that it cannot run normally, where the consequences are serious, carries 5 years or less, and especially serious consequences carry 5 years or more. The official cases: after the senior IT engineer Ly was dismissed he logged into the company shared server with the original administrator account. He changed the password, deleted data and logs, and caused a loss of more than 120,000 yuan. He was sentenced to 3 years suspended for 5 years, with a fine of 30,000 yuan. Bai, an employee of a software company, deliberately put faulty code into an upgrade program, so that a customer's system could no longer be logged into, causing a loss of more than 40,000 yuan, and was prosecuted for the crime of destroying a computer information system (nationwide)
Notes
The account and password were given to you by the company, which does not mean you can still use them after you leave. Logging in with the original account is already 「illegal control」. The loss is worked out as the cost of restoring the data, and a few tens of thousands of yuan is enough to open a case.
Sources · 3 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百八十五条第二款、第二百八十六条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Procuratorate (2024). 检察机关「依法惩治网络犯罪 助力网络空间综合治理」典型案例(案例六). www.spp.gov.cn/xwfbh/wsfbh/202402/t20240223_644505.shtml
- Supreme People's Procuratorate (2025). 检察机关依法惩治侵害企业数据安全犯罪 服务保障企业创新发展(案例七). www.spp.gov.cn/xwfbh/wsfbh/202501/t20250124_680670.shtml
7Do not take source code, customer lists or technical documents away when you leave, do not upload them to your own cloud drive, and do not reuse them at your next employer
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Code you wrote yourself is owned by the company as far as copyright goes, and a customer list counts as a trade secret, so taking either is taking the company's property. One employee who left took the source code of a security screening system to a new company, and he was sentenced to 5 years and fined 500,000 yuan, while the new company was fined 4,000,000 yuan. Another exploited a flaw in a system to download more than 33,000 design files and was sentenced to 1 year and 10 months. The company can also bring a separate civil claim against you.
Cost
No money. Before you leave, delete the company material from your own computer and cloud drive. The hard part is that some of those files you wrote line by line yourself and you are reluctant to let them go.
Benefit
Breaching a confidentiality obligation by disclosing trade secrets or using them yourself, where the circumstances are serious, carries 3 years or less, with a fine imposed in addition or instead, and especially serious circumstances carry 3 to 10 years together with a fine. The Anti-Unfair Competition Law also lists two things as infringement: taking trade secrets by means of 「electronic intrusion」, which is intruding into a system by technical means; and inciting or helping other people to breach a confidentiality obligation. The official cases: Sun and others, who had left the company, took the source code and core algorithms of a security screening system and used them in their new company's products; Sun was sentenced to 5 years and fined 500,000 yuan, and the new company was fined 4,000,000 yuan. Tian exploited a flaw in a system to download more than 33,000 design files and was sentenced to 1 year and 10 months, with a fine of 100,000 yuan. The engineer Yang saved the source code of an app module on a personal computer and in the cloud, and after changing jobs made a similar app, and was prosecuted for the crime of infringing trade secrets (nationwide)
Notes
「Code you wrote yourself」 is owned by the company as far as copyright goes; see item 13 in this section (code written with company resources belongs to the company). Taking it is taking the company's property. A customer list is business information and is likewise a trade secret. On top of any prison sentence, the company can bring a separate civil claim.
Sources · 5 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百一十九条). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Anti-Unfair Competition Law, 反不正当竞争法(2025 年修订,第十条). www.spp.gov.cn/spp/fl/202506/t20250627_699862.shtml
- Supreme People's Procuratorate (2025). 检察机关知识产权保护典型案例(案例七). www.spp.gov.cn/xwfbh/wsfbh/202504/t20250423_693691.shtml
- Supreme People's Procuratorate (2020). 2019 年度检察机关保护知识产权典型案例(案例十六). www.spp.gov.cn/xwfbh/wsfbh/202004/t20200425_459623.shtml
- Supreme People's Procuratorate (2025). 检察机关依法惩治侵害企业数据安全犯罪 服务保障企业创新发展(案例五). www.spp.gov.cn/xwfbh/wsfbh/202501/t20250124_680670.shtml
8Do not run your own programs on somebody else's computer, server or camera, and do not mine cryptocurrency on company machines
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Controlling somebody else's computer, server or camera without permission is a crime at 20 machines or more, carrying 3 years or less, and especially serious cases carry 3 to 7 years. Where it does not reach a crime, there is still up to 5 days of detention, and a fine of 50,000 to 500,000 yuan is possible. Somebody who has been punished criminally is barred for life from key posts in network security management and network operations.
Cost
No money, and no time either.
Benefit
Illegally controlling a computer information system, where the circumstances are serious, carries 3 years or less, with a fine imposed in addition or instead, and especially serious circumstances carry 3 to 7 years. Illegally controlling 20 or more machines counts as 「serious circumstances」. Where it does not reach a crime, the police confiscate the illegal gains, detain the person for up to 5 days, and may impose a fine of 50,000 to 500,000 yuan. Where the circumstances are relatively serious, detention is 5 to 15 days and a fine of 100,000 to 1,000,000 yuan may be imposed. For 5 years after an administrative penalty, and for life after a criminal penalty, a person may not take a key post in network security management or network operations. The official cases: Li bought the IP addresses of network cameras, used software to control 105 cameras to spy on people, and was sentenced to 3 years suspended for 5 years with a fine of 20,000 yuan. Wu and others planted a trojan on phone motherboards, controlled more than 330 余万 phones and sent verification codes back, and were sentenced to 2 years to 4 years and 6 months (nationwide)
Notes
No case of mining cryptocurrency on a company server published by the Supreme People's Procuratorate or the Supreme People's Court was found, so this item is written from the provision on 「controlling somebody else's system without permission」. 「Being barred for life from key posts」 is an extra consequence that the Cybersecurity Law attaches on top of a fine or a sentence, and for a technical worker it is heavier than a fine.
Sources · 5 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百八十五条第二款). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2011). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases Endangering the Security of Computer Information Systems, 关于办理危害计算机信息系统安全刑事案件应用法律若干问题的解释(第一条). ga.sz.gov.cn/ZWGK/ZCFG/ZCJD/content/post_1304363.html
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Cybersecurity Law, 网络安全法(2025 年修正,2026 年 1 月 1 日施行,第二十九、六十六条;2016 年文本为第二十七、六十三条,终身禁业为修正后的第六十六条第三款). www.cac.gov.cn/2025-12/29/c_1768735112911946.htm
- Supreme People's Procuratorate (2022). 山东滨州开发区:办理一起非法控制计算机信息系统案. www.spp.gov.cn/spp/dfjcdt/202205/t20220518_557113.shtml
- Supreme People's Procuratorate (2021). 充分发挥检察职能 推进网络空间治理典型案例(案例六). www.spp.gov.cn/xwfbh/wsfbh/202101/t20210125_507452.shtml
9Do not test somebody else's system without written authorisation, and 「out of good intentions」 and 「reporting it afterwards」 are not reasons for acquittal
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Whether you are convicted depends on whether you had authorisation and how much you got, not on your intention. Getting 500 sets of ordinary account details, or earning 5000 yuan, or causing the other side a loss of 10,000 yuan, is enough for 3 years or less. To prove a vulnerability people often export a table of users, and one export easily passes 500 sets at a time. Having account details in hand and using them outside the scope of the authorisation is still intrusion.
Cost
No money. Before joining a vendor's SRC or a public bug bounty, get a document that sets out the scope of the authorisation, the list of targets and the period you may test for. An SRC is the security emergency response centre the vendor runs itself, which takes reports of vulnerabilities from outside. Once you have confirmed that the vulnerability exists, stop. The hard part is giving up having 「a quick try while you are at it」.
Benefit
The systems of ordinary companies and individuals are computer information systems outside the fields of state affairs, national defence construction and frontier science and technology. Intruding into such a system, or using other technical means to obtain the data stored, processed or transmitted in it, where the circumstances are serious, carries fixed-term imprisonment of not more than 3 years or criminal detention, with a fine imposed in addition or instead. Especially serious circumstances carry 3 to 7 years and a fine. There are several standards for 「serious circumstances」: more than 10 sets of identity authentication information for online financial services such as payment settlement, securities trading and futures trading, meaning account details and the like; more than 500 sets of other identity authentication information; illegal control of more than 20 computer information systems; and illegal gains of more than 5000 yuan, or an economic loss of more than 10,000 yuan. 5 times the figures above is 「especially serious」. The official case: Procuratorate Case No. 36 settled a sentence,「超出授权范围使用账号、密码登录计算机信息系统,属于侵入计算机信息系统的行为」. That means that where you had the account details to begin with but used them outside the scope of the authorisation, the act itself counts as intrusion. In that case three people used accounts, passwords and tokens they had access to at work, logged into the company's internal system from another city, downloaded data that was not within the scope of their work, and sold it online, making illegal gains of 37000 yuan. The three were sentenced to 4 years, 3 years and 9 months, and 4 years, and each was fined 40,000 yuan (nationwide)
Notes
Procuratorate Case No. 36 is itself a case about selling data for profit. It is cited only for the sentence 「logging in outside the scope of your authorisation is still intrusion」, and not to say that good-faith testing is punished just as heavily. What you meant to do, and whether you reported it afterwards, cannot cancel the charge; they can only affect how heavy the punishment is and whether there is a prosecution. A vendor thanking you first and reporting you afterwards are not contradictory, and being thanked is not authorisation. While this section was being written, no good-faith testing case that could be checked word for word was found on the websites of the Supreme People's Court or the Supreme People's Procuratorate, so only the articles and the penalty standards are written out. If you are going to do this, go through a vendor's public SRC, or a written engagement for the assessment, and put the scope, the targets and the time window into the document. Prove the vulnerability with the least evidence, and do not take data in bulk. The band below a crime still brings an administrative penalty and a bar on the work, and the amount of the fine and the period are the same as in item 8 in this section (do not run your own programs on somebody else's machines). For what to do after finding a vulnerability, see item 10 in this section (report it as the rules require).
Sources · 3 sources
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百八十五条第一款、第二款). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
- Supreme People's Court and Supreme People's Procuratorate (2011). Interpretation on Several Questions Concerning the Application of the Law in Handling Criminal Cases Endangering the Security of Computer Information Systems, 关于办理危害计算机信息系统安全刑事案件应用法律若干问题的解释(第一条). (reprinted by the Shenzhen Municipal Public Security Bureau)ga.sz.gov.cn/ZWGK/ZCFG/ZCJD/content/post_1304363.html
- Supreme People's Procuratorate (2017). Ninth Batch of Guiding Cases (Procuratorate Case No. 36, the Wei Menglong, Gong Xu and Xue Dongdong case of illegally obtaining computer information system data), 第九批指导性案例(检例第 36 号,卫梦龙、龚旭、薛东东非法获取计算机信息系统数据案). www.spp.gov.cn/spp/jczdal/201710/t20171017_202593.shtml
10Report a vulnerability as the rules require: before the fix, do not publish the details, do not release an exploit and do not hand it to anybody overseas
# Value HighGrade APersonal freedomNo moneyIn passingNo willpower
Individuals are covered by the Provisions on the Administration of Security Vulnerabilities in Network Products as well. Until the vendor has come up with a fix, you may not publish the vulnerability, and you may not publish the details of a vulnerability in a system that is in use. You may not release programs and tools made specifically to exploit the vulnerability, and when you publish you must say at the same time how to fix it. A vulnerability that has not been made public may not be handed to any overseas organisation or individual other than the product provider.
Cost
No money. Report the vulnerability to the product provider, or to an official platform. Until the vendor has fixed it, do not publish the details and do not release verification code.
Benefit
This set of provisions covers three kinds of party: network product providers and network operators inside China, and organisations or individuals engaged in discovering, collecting and publishing vulnerabilities. No organisation or individual may use a vulnerability to carry out activities endangering network security, and may not unlawfully collect, sell or publish vulnerability information. Publishing vulnerability information to the public has to keep to five rules. First, you may not publish before the product provider has provided a fix. Second, you may not publish details showing that a network, information system or device in use by a network operator has a vulnerability. Third, you may not deliberately exaggerate the danger and the risk, and may not use vulnerability information for malicious hype or fraud. Fourth, you may not publish or provide programs and tools made specifically for exploiting a vulnerability to carry out activities endangering network security. Fifth, when you publish, you must publish the fix or the precautions at the same time. In addition, vulnerability information that has not been made public may not be given to any overseas organisation or individual other than the product provider. The provisions encourage reporting vulnerabilities to four official platforms. First, the network security threat and vulnerability information sharing platform of the Ministry of Industry and Information Technology. Second, the vulnerability platform of the National Centre for Reporting Network and Information Security Information. Third, the vulnerability platform of the National Computer Network Emergency Technical Response Coordination Center. Fourth, the vulnerability database of the China Information Security Evaluation Center. Where vulnerability information is collected or published in breach of the provisions, the Ministry of Industry and Information Technology and the Ministry of Public Security deal with it in accordance with their respective duties under the law. Where a situation provided for in the Cybersecurity Law is constituted, it is punished under that law. Publishing network security information such as system vulnerabilities to the public must comply with the relevant state provisions. A breach leads to an order to rectify and a warning from the competent department, and a fine of 10,000 yuan up to 100,000 yuan may be imposed. Where the breach is not rectified or the circumstances are serious, the fine is 100,000 yuan up to 1,000,000 yuan. It may also order the relevant business to be suspended, order a cessation of operations, or order the website or the application to be closed. It may also revoke the relevant business licence or the business licence. The person in charge who is directly responsible and the other persons directly responsible are fined 10,000 yuan up to 100,000 yuan (nationwide)
Notes
The provisions put individuals squarely among the parties they cover, and 「I am only an amateur」 is not one of the exceptions. Submitting a vulnerability in a domestic system to an overseas bug bounty platform falls squarely under 「an unpublished vulnerability may not be given to anybody overseas」. Whether you are entitled to test at all is one question, and see item 9 in this section (do not test somebody else's system without written authorisation); what to do with a vulnerability once you have it is a separate question. A vulnerability found lawfully can still be punished for the way it is published, and a vulnerability found without authorisation is a problem both in the testing and in the publishing. Of the reporting channels, the Ministry of Industry and Information Technology platform and CNCERT are the most used. The provisions do not make a separate category for 「the vendor has been notified and still does not fix it」; in practice you keep a record of the negotiation and the reporting, and report to an official platform as well.
Sources · 2 sources
- Ministry of Industry and Information Technology, Cyberspace Administration of China and Ministry of Public Security (工业和信息化部、国家互联网信息办公室、公安部) (2021). Provisions on the Administration of Security Vulnerabilities in Network Products, 网络产品安全漏洞管理规定(工信部联网安〔2021〕66 号,第二、四、九、十、十四条,2021 年 9 月 1 日施行). www.gov.cn/gongbao/content/2021/content_5641351.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Cybersecurity Law, 网络安全法(2025 年修正,2026 年 1 月 1 日施行,第二十八、六十五条;2016 年文本为第二十六、六十二条,规定第十四条援引的是 2016 年文本的条号). www.cac.gov.cn/2025-12/29/c_1768735112911946.htm
11Do not sell circumvention tools or VPN accounts, and do not set up this kind of node for other people
# Value ExceptionalGrade BPersonal freedomNo moneyIn passingNo willpower
Setting up your own line out of the country, or using an international channel other than the public channels of the state, can lead to an order to stop connecting to the internet and a warning, a fine of up to 15,000 yuan and confiscation of the illegal gains. Making a business out of it can be handled by the case-handling authorities as the crime of illegal business operation, and serious circumstances carry 5 years or less. This item is about selling and setting up nodes. For your own use, the ceiling on the penalty is a warning plus a fine.
Cost
No money, and no time either.
Benefit
Connecting directly to an international network must use an international entry and exit channel provided by the public telecommunications network of the state. No unit or individual may set up or use any other channel: you may neither build your own line out of the country nor use one somebody else has built. A breach leads to an order from the police to stop connecting to the internet and a warning, and a fine of up to 15,000 yuan may be imposed in addition, with the illegal gains confiscated. Making a business out of it can be handled by the case-handling authorities as the crime of illegal business operation. Serious circumstances carry 5 years or less, with a fine of 1 to 5 times the illegal gains imposed in addition or instead. Especially serious circumstances carry 5 years or more (nationwide)
Notes
While this section was being written, no published case involving circumvention tools was found on the websites of the Supreme People's Court or the Supreme People's Procuratorate, and the way places handle it varies a great deal, so the grade is B. For your own use, the heaviest penalty is the warning plus a fine written in Article fourteen of the interim provisions.
Sources · 2 sources
- State Council (国务院) (1997). Interim Provisions on the Administration of International Networking of Computer Information Networks, 计算机信息网络国际联网管理暂行规定(第六、十四条). (reprinted by the Chongqing Municipal Rural and Agricultural Committee)nyncw.cq.gov.cn/wsdw/zz/zhfb/wlyxxaq/202406/t20240619_13306645.html
- National People's Congress (全国人大) (2020). Criminal Law, as amended by Criminal Law Amendment Eleven, 刑法(根据刑法修正案(十一)修正,第二百二十五条第四项). jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html
12If you have signed a non-compete, send a written demand when the company does not pay the monthly compensation after you leave, and you can terminate it once 3 months have gone by; and for a post that never touched trade secrets you can ask the court to rule the clause has no effect
# Value HighGrade AMoneyNo moneyIn passingNo willpower
A non-compete means you may not go and work for a competitor for a period after you leave, at most 2 years, and the company has to pay compensation month by month. Where no amount is agreed, it is 30% of the average wage over the 12 months before you left, and not less than the local minimum wage. If the company goes 3 months without paying for its own reasons, you can ask for it to be terminated. From 2025, for a post where you never knew and never touched a trade secret, you can ask the court to rule that the clause has no effect.
Cost
No money. When you leave, keep the original of the non-compete and the evidence that the company has not paid you month by month.
Benefit
A non-compete can bind only senior management, senior technical staff, and other people who are under a confidentiality obligation. The period is at most 2 years. The company must pay economic compensation month by month over that period. Where no compensation amount is agreed, it is 30% of the average wage over the 12 months before you left, and not less than the local minimum wage. Where the company goes 3 months without paying for its own reasons, the worker may ask for the non-compete to be terminated. Where the company terminates it of its own accord, it must pay an extra 3 months' compensation. From 2025, a worker in a post where they did not know and did not touch a trade secret may ask the court to rule that the clause has no effect. Where the agreed scope goes beyond the part of the secret they actually knew, the part beyond it is void. The official case: a pharmaceutical company sued its chief technology officer Zheng for 7,100,000 yuan in liquidated damages. The court found that the products of his new employer were not substitutes for those of the original company, that the scope of the non-compete should be limited to the secrets he actually knew, and dismissed all the claims (nationwide)
Notes
The other way round, where the agreement is valid, the company has paid month by month, and you still go to work for a competitor, you have to pay the liquidated damages as agreed. Having paid, you may also be required to serve out the rest of the non-compete period. A non-compete agreed during employment counts as well, even where the company pays nothing extra for it.
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2012). Labour Contract Law, 劳动合同法(2012 年修正,第二十三、二十四条). (reprinted by the Fushun Municipal Emergency Management Bureau)yjglj.fushun.gov.cn/008/20260622/d846d3c2-df3d-4c4c-af16-898ede43e1ee.html
- Supreme People's Court (2020). Interpretation (One) on Several Questions Concerning the Application of the Law in Trying Labour Dispute Cases, 关于审理劳动争议案件适用法律问题的解释(一)(第三十六至四十条). www.court.gov.cn/zixun/xiangqing/282121.html
- Supreme People's Court (2025). Interpretation (Two) on Several Questions Concerning the Application of the Law in Trying Labour Dispute Cases, 关于审理劳动争议案件适用法律问题的解释(二)(法释〔2025〕12 号,第十三至十五条). www.court.gov.cn/zixun/xiangqing/472691.html
- Supreme People's Court (2025). 劳动争议典型案例(案例四). www.court.gov.cn/zixun/xiangqing/472681.html
13Code written in working hours or with company resources belongs to the company; make your own open-source project with your own time and your own equipment, and do not mix in company code
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
Software written mainly with the company's equipment, intranet or business data, and for which the company carries the responsibility, is owned by the company as far as copyright goes; you keep only the right of authorship, and where the contract says so it is the same. Code you write after work is the company's too, if you used a company computer or business data. An invention made with company resources belongs to the company as far as the patent goes.
Cost
No money. Read the intellectual property clause in the employment contract when you join. The hard part is that personal work and the company's work often share one computer and have to be kept apart.
Benefit
A work created to complete a task of the unit is a work of employment, that is, something made while doing your job. In the general case the copyright belongs to the author, the unit has the right of priority use within the scope of its business, and for 2 years the author may not licence a third party to use it in the same way. But there are two kinds of situation that are different. One is works such as engineering designs and software created mainly using the material and technical conditions of the unit and bearing its responsibility. The other is works that the contract agrees belong to the unit. In these two kinds the author keeps only the right of authorship. The material and technical conditions of the unit means the company's equipment, intranet and business data. An invention created by carrying out a task of the unit, or created mainly by using the material and technical conditions of the unit, is a service invention, and both the right to apply for a patent and the patent obtained belong to the unit (nationwide)
Notes
Software written straight into the category of 「copyright belongs to the unit」 almost never falls, for a programmer, into the category of 「copyright belongs to the author, and the unit has priority use for two years」. 「Written after work」 still counts as being made mainly with the equipment and materials of the unit as soon as a company computer, intranet or company business data is used. To keep a personal project clean, use your own machine, do not touch the company repository, and do not overlap with the company's business.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Copyright Law, 著作权法(2020 年修正,第十八条). www.npc.gov.cn/npc/c2/c30834/202011/t20201119_308796.html
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Patent Law, 专利法(2020 年修正,第六条). www.npc.gov.cn/npc/c2/c30834/202011/t20201119_308800.html
14When you build a product on GPL and other open-source code, open the source as the licence requires or change the licence; do not treat it as 「nobody polices this」
# Value ModerateGrade BMoneyNo moneyIn passingSome willpower
Infringing copyright is made good by the other party's loss or by the money you earned, and where the infringement is deliberate and the circumstances serious the damages can reach 1 to 5 times that. One company hired a competitor's former employee and produced substantially similar software, arguing that the other party's software was under GPLv2 and should have been open source. The Supreme People's Court held that whether the other party had opened its source made no difference to its copyright, and still ordered the infringement to stop and awarded 500,000 yuan in damages.
Cost
No money. Before you use somebody else's open-source code, read its licence once (the conditions the author has written down). The
GPL family requires a product that uses it to release its own source as well, which clashes with selling closed-source software; where it clashes, change to another one. The hard part is giving up a library you have got used to.
Benefit
For infringement of copyright, the damages are the right holder's actual loss, or the money the infringer earned. Where neither can be worked out, the figure is set by reference to what a normal purchase of that licence would cost. Where the infringement is deliberate and the circumstances serious, damages of 1 to 5 times may be awarded. Where the public interest is harmed, the illegal gains may also be confiscated and a fine imposed. Official case: (2021) Supreme People's Court Intellectual Property Chamber Final No. 51. The defendant hired the plaintiff's former employee and developed gateway software substantially similar to the plaintiff's software. The defendant argued that the plaintiff's software was based on GPLv2 and should have been open source in the first place. The Supreme People's Court held that 「开发者自身是否违反 GPLv2 协议和是否享有软件著作权是两个独立问题」, that is, whether the developer has himself breached the GPLv2 agreement and whether he holds the software copyright are two separate questions, and ordered the infringement to stop with 500,000 yuan in damages (nationwide)
Notes
What the case shows is that 「the other side used
GPL code」 is not a reason for you to copy it. The other way round, there is already a binding judgment in China from a
GPL author suing a commercial user that had not opened the source, but this section did not find the text on the Supreme People's Court website, so nothing is cited. The grade is B because keeping to an open-source licence can only be governed through contracts and the general provisions of the Copyright Law; there is no dedicated article.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Copyright Law, 著作权法(2020 年修正,第五十三、五十四条). www.npc.gov.cn/npc/c2/c30834/202011/t20201119_308796.html
- Supreme People's Court Intellectual Property Tribunal (最高人民法院知识产权法庭) (2022). Copyright infringement case involving open-source software((2021)最高法知民终 51 号). ipc.court.gov.cn/zh-cn/news/view-3042.html
15Collect only the personal information your app genuinely needs, get a guardian's consent for anyone under 14, and write the privacy policy clearly
# Value ModerateGrade BPersonal freedomNo moneyIn passingSome willpower
Collect only the information the business genuinely needs, and get a guardian's consent for anyone under 14. A breach first brings an order to rectify, and the app may be taken down. Refusing to rectify brings a fine of up to 1,000,000 yuan, and the person in charge 10,000 to 100,000 yuan. Serious cases bring a fine of up to 50,000,000 yuan or 5% of the previous year's turnover, and 100,000 to 1,000,000 yuan for the person in charge, and the people who write the code and build the product may count as the person in charge.
Cost
No money. Before you ship, go through the list of permissions the app asks for alongside the privacy policy, and leave out any permission you do not need. The hard part is that the product side always wants to keep a little more data 「that might come in useful later」.
Benefit
Processing personal information must have a clear and reasonable purpose, must be directly related to that purpose, and must use the method that affects the individual's rights and interests least. Processing personal information requires the individual's consent, or must fall within a statutory situation. For anyone under 14 years of age, the consent of a parent or guardian must be obtained. A breach leads the regulator to order rectification, give a warning and confiscate the illegal gains, and to order the offending app to suspend or stop providing its service. Refusing to rectify brings a fine of up to 1,000,000 yuan, and a fine of 10,000 to 100,000 yuan on the person in charge who is directly responsible and the other persons directly responsible. Serious circumstances bring a fine of up to 50,000,000 yuan, or up to 5% of the previous year's turnover, and 100,000 to 1,000,000 yuan for those responsible. Those people may also be barred for a set period from being directors, supervisors or senior executives of the relevant companies. Where selling or providing personal information amounts to a crime, see item 4 in this section (nationwide)
Notes
In practice,「the person directly responsible」very often lands on the people who write the code and build the product. The Ministry of Industry and Information Technology regularly reports apps taken down for breaches; this section did not verify which particular batch of reports it was, so nothing is cited.
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2021). Personal Information Protection Law, 个人信息保护法(第六、十三、三十一、六十六条).
www.npc.gov.cn/npc/c2/c30834/202108/t20210820_313088.html16Before a website or app goes live, do the ICP filing first, and keep the logs for 6 months or more as the graded protection rules require
# Value ModerateGrade APersonal freedomA little moneyA few hoursNo willpower
The filing costs nothing and the process through your cloud provider takes about a few weeks; a server inside China with no filing gets the site shut down. A filing that says it charges nothing but in fact charges a fee is fined 100,000 to 1,000,000 yuan. The logs have to be kept for a full 6 months, and a refusal to put it right, or consequences following from it, is fined 10,000 to 100,000 yuan.
Cost
The filing is free, and going through your cloud provider's process takes about a few weeks. The graded protection assessment is charged according to the level. Graded protection (等保) is a set of security measures the state grades by how important the system is and then requires a website or system to put in place; a small site generally does not need the assessment.
Benefit
Commercial internet information services are run under a licence, and non-commercial ones under a filing. Without a licence, or without a filing, you may not carry on at all. Where there is no filing, the telecommunications authority orders it to be put right, and where it is not put right the website is ordered closed. Operating without a licence brings confiscation of the illegal gains and a fine of 3 to 5 times the illegal gains, or a fine of 100,000 to 1,000,000 yuan. A website whose home page does not show the filing number is fined 5,000 to 50,000 yuan. A network operator has to work out security management rules under the graded protection system (等保), guard against attacks, keep network logs for not less than 6 months, and classify, back up and encrypt its data. Failure to comply brings an order to put it right and a warning. A refusal to put it right, or consequences following from it, is fined 10,000 to 100,000 yuan, and the person in charge 5,000 to 50,000 yuan (nationwide)
Notes
Without a filing, a server inside China cannot resolve the domain at all. How to file, how much you are fined for not showing the filing number, and how to check whether a provider is qualified, see item 4 in section 26 (a server inside China needs a filing). Two traps are common: filing as a non-commercial personal site and in fact charging money; changing the domain or the entity and not going to change the filing. Keeping the logs for 6 months is both a duty and self-protection: if something happens, it proves it was not you.
Sources · 2 sources
- State Council (国务院) (2011). Measures for the Administration of Internet Information Services, 互联网信息服务管理办法(2011 年修订,第四、十九、二十二条). www.gov.cn/gongbao/content/2011/content_1860864.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Cybersecurity Law, 网络安全法(2025 年修正,2026 年 1 月 1 日施行,第二十三、六十一条;2016 年文本为第二十一、五十九条). www.cac.gov.cn/2025-12/29/c_1768735112911946.htm
17Before offering a generative AI service to the public, do the security assessment and the algorithm filing as the rules require, and label the generated content
# Value ModerateGrade BPersonal freedomNo moneyA few hoursNo willpower
A generative AI service aimed at the public that can affect public opinion or mobilise people needs a security assessment and an algorithm filing before it goes live, and if you change it or shut it down you have to do the change and the cancellation. Generated images and video have to carry a label. A small tool for your own use that is not open to the public does not have to do any of this. A breach is punished under the Cybersecurity Law and the other laws.
Cost
No money, but you have to go through the process at the cyberspace administration department, which takes some time. A small tool of your own that is not open to the public does not trigger any of this.
Benefit
A provider of generative artificial intelligence services with the attributes of public opinion or the capacity for social mobilisation must carry out a security assessment in accordance with state provisions, and must go through the algorithm filing under the algorithm recommendation provisions, together with the later change and cancellation formalities. The attributes of public opinion or the capacity for social mobilisation mean being able to affect how the public sees something, or being able to organise and mobilise people. The provider must label generated content such as images and video. The measures came into force on 2023-8-15 (nationwide)
Notes
These measures do not themselves say how much the fine is. A breach means going back to the Cybersecurity Law, the Data Security Law and the Personal Information Protection Law to find the penalty, which is why the grade is B. Civil cases in which content generated with AI infringed somebody's copyright or likeness were not checked against the original text on the website of the Supreme People's Court, so nothing is cited.
Sources
Cyberspace Administration of China and six other departments (国家互联网信息办公室等七部门) (2023). Interim Measures for the Administration of Generative Artificial Intelligence Services, 生成式人工智能服务管理暂行办法(第十二、十七条).
www.gov.cn/zhengce/zhengceku/202307/content_6891752.htm12. Starting a business: do not lose the family savings
23 / 23This section counts money and legal liability, and is not converted into lifespan. When you open a shop or incorporate a company, which step puts your own money, your family's money and your spouse's money at risk together? What does the law say, and can you keep them apart in advance? The items that most easily lose the family savings and are also the easiest to avoid come first. So the items about signing papers come early, and the methods that need you to do the work yourself come later. Anything written from experience alone, with no literature behind it, is graded C.
1Start a business only with money you can afford to lose, and do not touch the family savings or borrow to open
# Value HighGrade BMoneyNo moneyIn passingSome willpower
A sole proprietor's debts are paid out of the money and property in your own name. If it is not clear whether the business was run by the whole family, the family's assets are used. Incorporating a company is not a safe harbour either: when the company cannot pay a debt, the capital you promised to contribute and have not yet paid in can be demanded from you early. So decide how much to put in on the basis of 「all of it lost and I still pay the mortgage and my medical bills」.
Cost
No money. Before you start, set yourself a number: losing all of it would not affect your mortgage payments, your children or your medical care. Do not invest more than that. Money from family members and borrowed money do not count towards that number. The hard part is holding back from putting in more when the business looks like it is taking off.
Benefit
Losing is not only about the money. Where a sole proprietorship business owes debts and the business was run by you alone, payment comes from the money and property in your own name (personal liability, 以个人财产承担). If the business was run by the whole family, or it is not clear who ran it, payment comes from the family's money and property (family liability, 以家庭财产承担). A debt signed by both husband and wife is a joint debt that both of them repay. One spouse's later agreement counts too. Money one spouse borrowed in their own name is still repaid by both, as long as the creditor can show the money went into a business the two of them ran together. On the company side there is a parallel rule: when the company cannot pay a debt that has fallen due, a creditor may demand early payment of the capital the shareholder subscribed to within the registered capital but has not yet paid in by the due date (认缴出资) (nationwide)
Notes
「亏得起」 means this: if the money is lost entirely, you still do not have to sell your home or borrow from relatives to plug the hole. For how many businesses survive, and for how many years on average, no verifiable official statistics could be found on the National Bureau of Statistics (国家统计局) or State Administration for Market Regulation (国家市场监督管理总局) websites this time. So the text gives no figures and only the legal consequences. That is why the grade is B.
Sources · 2 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第五十六、一千零六十四条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2023). Company Law, 公司法(2023 年修订,第四十七、五十四条). www.gov.cn/yaowen/liebiao/202312/content_6923395.htm
2Do not sign a personal guarantee for company loans, and never let your spouse sign one either
# Value HighGrade AMoneyNo moneyIn passingSome willpower
What you signed is a 「连带责任保证」: when the company cannot pay, the creditor can bypass the company and come straight to you. With a 「一般保证」, the creditor has to sue the company or go to arbitration first, and only what is still missing after the company's assets are sold off comes to you. If your spouse signs as well, both families' assets go in together, and for you personally the 「limited」 in a limited liability company stops counting.
Cost
No money. When a bank, a supplier or a landlord asks you to sign a 「股东个人连带担保」 or asks for 「配偶签字」, stop for a moment. Signing that page means you personally give up the protection that 「the company's debts do not reach the individual」 (giving up limited liability). Do not sign if you can avoid it. If you must sign, sign only a 「一般保证」 and write down the largest amount you are guaranteeing. The hard part is that the other side often says 「no signature, no loan」. You have to hold out against that.
Benefit
The sentence on the guarantee document means exactly this: 「the debtor does not pay, and you pay instead」. Where it is written as a 「连带责任保证」, the creditor does not have to approach the company and can come to your door. Where it is written as a 「一般保证」, the creditor has to sue the company or apply for arbitration first, then ask the court to sell off the company's assets in enforcement against the debt. Only the shortfall after the sale is yours to make up. A debt signed by both husband and wife is a joint debt that both of them repay. One spouse's later agreement counts too. Once your spouse signs, both families' assets go in together (nationwide, in force from 2021)
Notes
When a bank lends to a small or micro business, it almost always asks a shareholder to sign a joint and several guarantee. You can still get the loan. What matters is understanding what that page gives up before you sign, and keeping the guaranteed amount inside the 「can afford to lose」 figure from item 1 in this section (start a business only with money you can afford to lose). For the general rules on promissory notes and guarantee documents, see item 18 in section 8.
Sources
National People's Congress (全国人大) (2020). Civil Code, 民法典(第六百八十一、六百八十七、六百八十八、一千零六十四条).
www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml3Choose the right entity before you open: a sole proprietorship and an ordinary partner pay to the end, only a limited liability company is 「limited」
# Value HighGrade AMoneyA little moneyA few hoursNo willpower
A sole proprietorship and an ordinary partner pay to the end: whatever is owed is paid. A shareholder of a limited liability company pays only the amount promised at registration. But whatever you promised has to be paid in real money within 5 years: put in 1,000,000 and you may owe 1,000,000. Mixing the company's books with your own also makes the 「limited」 part fail.
Cost
Registration is done on the local government services website and takes a few hours. After a limited liability company is set up you have to keep books and file tax returns every month, and that is a running cost: doing it yourself takes time, paying someone to keep the books costs money, and prices differ by place.
Benefit
The debts of a sole proprietorship business are paid from the individual's money and property, or from the family's money and property. A partner in an ordinary partnership enterprise bears unlimited joint and several liability for the partnership's debts. That means whatever is owed is paid, and payment does not end until it is made. A creditor can also pick out one partner alone and demand the whole amount. A limited partnership is different: a limited partner inside it pays no more than the amount promised (以认缴出资为限). A shareholder of a limited liability company likewise pays no more than the amount promised (以认缴出资额为限). But the 「limited」 part fails in three situations. First, the money promised has to be paid in within 5 years of the company being established, and when the company cannot pay a debt that has fallen due, a creditor can demand early payment. Second, money already put in and then withdrawn (抽逃出资) has to be returned. Third, the company is used as a shell to hide from creditors. A company with only one shareholder that cannot show the company's money and the shareholder's own money are kept separate also counts as the third case. Under these two practices, the company's debts are yours to pay as well (joint and several liability, 承担连带责任) (nationwide, in force from 2024-7)
Notes
The condition for the 「limited」 part is that company money and private money stay apart: do not mix the company account and your personal account, do not pay household expenses out of the company's money, and keep complete records. Do not put a large figure in the registered capital just because it looks better. Whatever you subscribe for has to be paid in real money within 5 years. Put in 1,000,000 and you have created a potential debt of 1,000,000.
Sources · 3 sources
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第五十六条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2006). Partnership Enterprise Law, 合伙企业法(2006 年修订,第二条). www.gov.cn/gongbao/content/2006/content_413955.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2023). Company Law, 公司法(2023 年修订,第四、二十三、四十七、五十三、五十四条). www.gov.cn/yaowen/liebiao/202312/content_6923395.htm
4Do not act as a nominal shareholder, and do not hold shares on someone else's behalf
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
Once your name is on the register you are a shareholder in law. The money promised at registration has to be paid in on time, and if you cannot pay it you must make up the shortfall and also compensate the company for its loss. If another shareholder did not really pay in money when the company was set up, you share that shortfall as well. Someone else runs the business, and the debt sits under your name.
Cost
No money. If someone says 「lend me your ID to register as a shareholder」 or 「the shares go under your name for now」, refuse every time.
Benefit
A shareholder on the register is a shareholder in law. You have to pay in the whole amount promised, to the last cent, by the deadline set in the company's articles of association (full payment of subscribed capital, 足额缴纳认缴出资). If you do not pay on time, you must make up the shortfall and also compensate the company for its loss. If a shareholder did not really pay in money when the company was set up, the other shareholders present at the time share that shortfall (joint and several liability, 承担连带责任). When the company cannot pay a debt that has fallen due, a creditor can demand early payment of money whose deadline has not yet arrived. The person actually running the business is not on the register, and the debt sits under your name (nationwide, in force from 2024-7)
Notes
Between a nominal shareholder and the person who really put in the money, a nominee agreement holds unless the law makes it invalid. But if the person who really put in the money wants the registration changed to their own name, more than half of the other shareholders have to agree. If the nominal shareholder sells or pledges the shares, the court handles it under the good-faith acquisition rules of the Civil Code. Where the buyer was unaware, paid a reasonable price and completed the registration, the person who put in the money cannot get the shares back and can only claim compensation from the nominal shareholder. A draft for comment on a replacement for this judicial interpretation came out in September 2025, and the whole document is repealed once the final version takes effect. Use the 2020 revision, which was still in force as of September 2026. For the risk of being a nominal legal representative, see item 28 in section 8.
Sources · 5 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2023). Company Law, 公司法(2023 年修订,第四十七、四十九、五十、五十四条). www.gov.cn/yaowen/liebiao/202312/content_6923395.htm
- Supreme People's Court (最高人民法院) (2020 revision). Provisions on Several Issues Concerning the Application of the Company Law of the People's Republic of China (III), 关于适用《中华人民共和国公司法》若干问题的规定(三)(法释〔2011〕3 号,2014 年法释〔2014〕2 号、2020 年法释〔2020〕18 号两次修正,第二十四、二十五条):「如无法律规定的无效情形,人民法院应当认定该合同有效」「实际出资人未经公司其他股东半数以上同意,请求公司变更股东……人民法院不予支持」「名义股东处分股权造成实际出资人损失,实际出资人请求名义股东承担赔偿责任的,人民法院应予支持」. In plain terms: unless the law gives a ground of invalidity, the contract is valid
- an actual investor who asks the company to change the shareholder registration without the consent of more than half the other shareholders is not supported by the court
- where a nominal shareholder disposes of the equity and the actual investor suffers a loss, the court supports the actual investor's claim for compensation against the nominal shareholder. (National Laws and Regulations Database, 国家法律法规数据库)flk.npc.gov.cn/detail?id=ff808181799def980179ac07a9ca117c
- Supreme People's Court (最高人民法院) (2025). Interpretation on Several Issues Concerning the Application of the Company Law of the People's Republic of China (draft for comment), 关于适用《中华人民共和国公司法》若干问题的解释(征求意见稿)第九十条. www.court.gov.cn/zixun/xiangqing/477881.html
5Before you take a franchise, check the Ministry of Commerce filing, get the written disclosure, and put the 「cooling-off period」 into the contract
# Value HighGrade AMoneyNo moneyA few hoursNo willpower
Under the rules the brand itself must first run 2 company-owned stores and operate them for at least 1 year, and it must file with the commerce authorities within 15 days after signing. Before you sign, it has to give you written material on 12 items: the franchise fee, how the deposit is refunded, whether the existing stores make money, and so on. If you cannot find a filing, if they will not hand over the material, or if they want your money before letting you see the contract, walk away.
Cost
No money. Go to the Ministry of Commerce's 「商业特许经营信息管理系统」 website and check whether the brand has filed. Then require the other side to give you, before signing, written material covering everything it has to disclose, together with the contract text. A few hours is enough.
Benefit
The rules require the brand (called the franchisor, 特许人, in the rules) to run at least 2 company-owned stores it operates itself, for more than 1 year. Counting from the day the first franchise contract is signed, it must file with the commerce authorities within 15 days. Failing to file, it is fined 10,000 to 50,000 yuan. Failing to file after the deadline, it is fined 50,000 to 100,000 yuan and the filing is published. Before you sign, it must hand you written material covering everything it has to disclose, 12 items in total. These include which kinds of franchise fee are charged and how much each is, the circumstances in which the deposit is refunded, how many franchise stores there are now and how the business is doing. They also include a summary of the audited accounts for the past 2 years, and the lawsuits and arbitrations of the past 5 years. The contract must also state that the franchisee can withdraw on its own say-so within a period after signing (unilateral termination, 单方解除). If the brand conceals information or gives false information, the franchisee can terminate the contract (nationwide, in force from 2007-5)
Notes
If you cannot find a filing, if they will not hand over the disclosure documents, or if they want your money before showing you the contract, walk away. The 「cooling-off period」 is the stretch after signing when you can still withdraw on your own say-so. The number of days is set by the contract; the regulation only says 「a certain period」, so ask for the number of days to be written into the contract when you sign. The 「average sales volume, gross profit and net profit of existing franchise stores」 the brand discloses should be questioned about their source, because the measures require the brand to explain where the figures came from.
Sources · 3 sources
- State Council (国务院) (2007). Regulations on the Administration of Commercial Franchise, 商业特许经营管理条例(国务院令第 485 号,第七、八、十二、二十二、二十三、二十五条). www.gov.cn/zhengce/zhengceku/2008-03/28/content_4179.htm
- Ministry of Commerce (商务部) (2012). Measures for the Administration of Commercial Franchise Information Disclosure, 商业特许经营信息披露管理办法(商务部令 2012 年第 2 号,第五、九条). www.gov.cn/gongbao/content/2012/content_2177025.htm
- Ministry of Commerce (商务部). 商业特许经营信息管理系统. txjy.syggs.mofcom.gov.cn
6Settle the name, premises, business scope and registered capital before you register, and with complete papers you get the licence on the spot
# Value ModerateGrade AMoneyNo moneyA few hoursNo willpower
The registration itself is free, and the registration fee stopped being collected in 2015. There are only five sets of documents to submit: the application form, proof of identity or qualification, documents for the premises, the articles of association or the partnership agreement (a sole proprietorship submits none of these), plus anything else the rules name. With complete papers the licence is issued on the spot; if it cannot be issued on the spot it is done within 3 working days. Whatever you were charged is most likely an agent's errand fee.
Cost
The registration step itself is not charged for. The registration fee for enterprises and sole proprietorships has not been collected since 2015-1-1. Do it yourself on the local government services website, or go to the government service hall and do it there; either way it takes a few hours. Cutting the company seal, paying someone to keep the books, and renting a registered address (address hosting) are services you buy in the market, not fees the government charges.
Benefit
The regulation fixes the documents to be submitted at five. 「(一)申请书」. 「(二)申请人资格文件、自然人身份证明」. 「(三)住所或者主要经营场所相关文件」. 「(四)公司、非公司企业法人、农民专业合作社(联合社)章程或者合伙企业合伙协议」. 「(五)法律、行政法规和国务院市场监督管理部门规定提交的其他材料」. In plain terms: one application form; one set of documents showing who you are or that you are qualified to do this; one set of documents proving the shop or the office is yours to use; the articles of association or the partnership agreement; plus anything else the rules name. A company must also submit the appointment documents and identity proofs of its legal representative, directors, supervisors and senior managers. A sole proprietorship submits no articles. The name is 「由申请人依法自主申报」, that is, the applicant names and declares it themselves. The registered capital 「实行认缴登记制」, so you write down what you promise to contribute and do not pay it over on the spot. The business scope is chosen from the categories the registration authority publishes. Where the documents are complete and correctly formatted, they are 「予以确认并当场登记」. Where it cannot be finished on the spot, it is done 「3 个工作日内」, and where the circumstances are complicated, 3 further working days. 「营业执照签发日期为市场主体的成立日期」: the date printed on the licence is the day the company or the shop came into existence (nationwide, in force from 2022-3)
Notes
Registration itself is not charged for, and whatever you were charged is most likely an agent's errand fee. The price of cutting the company seal is set by the market. The General Office of the State Council has expressly ordered 「严禁指定公章制作单位制作公章」, so when someone says 「you must go to the designated place to cut the seal」 you do not have to accept that. How much you put in the registered capital does not affect the shopfront. It only sets the ceiling on your liability, and it has to be paid in full within 5 years; see item 3 in this section (choose the right entity before you open). If the business scope contains items that need a licence, you cannot open until the licence comes through; see item 7 in this section (trades that need a licence)
Sources · 3 sources
- State Council (国务院) (2021). Regulations on the Registration of Market Entities, 市场主体登记管理条例(国务院令第 746 号,第十、十三、十四、十六、十九、二十一条). www.gov.cn/gongbao/content/2021/content_5636139.htm
- State Administration for Market Regulation (国家市场监督管理总局) (2022). Detailed Rules for Implementing the Regulations on the Registration of Market Entities, 市场主体登记管理条例实施细则(市场监管总局令第 52 号,第十二、二十五、二十六条). www.gov.cn/zhengce/zhengceku/2022-03/02/content_5676403.htm
- Ministry of Finance and National Development and Reform Commission (财政部、国家发展改革委) (2014). Notice on Cancelling, Suspending and Exempting a Batch of Administrative and Institutional Charges, 关于取消、停征和免征一批行政事业性收费的通知(财税〔2014〕101 号,附件 1). www.gov.cn/zhengce/2014-12/23/content_5023513.htm
7In a trade that needs a licence, do not open before the licence comes through
# Value HighGrade APersonal freedomNo moneyA few hoursNo willpower
Opening without a licence means, at the mild end, being ordered to stop, having the money earned taken away, and a fine of up to 10,000 yuan. If what you are doing is an item under monopoly or exclusive sale, or securities, futures, insurance or funds payment and settlement, serious circumstances amount to the crime of illegal business operations, with 5 years or less as the starting point. Renovating first and getting the licence afterwards, then trading before it comes through, is the step people trip over most often.
Cost
No money. Before you open, find out whether the business you are starting needs a licence. Food service and selling food need a food business licence. Selling only whole packages made by someone else needs no licence, only a filing. Open for business once the licence is in place.
Benefit
Opening the door and trading without a licence is handled by whichever department the laws and regulations designate. Operating without a licence where the law does not say what the penalty is: ordered to stop, the money earned taken away (illegal gains), and a fine of up to 10,000 yuan. There is a heavier tier as well. Operating without a licence items that the laws and regulations put under monopoly, exclusive sale or restricted trading. Doing securities, futures, insurance or funds payment and settlement business without approval. Where the circumstances are serious, both amount to the crime of illegal business operations. The sentence is 5 years or less of fixed-term imprisonment or criminal detention (short confinement), plus a fine of 1 to 5 times the money earned. Where the circumstances are particularly serious, 5 years or more (nationwide)
Notes
The licensing conditions for finance, medical care and education and training each have their own dedicated laws; this item verified only the general enforcement rules and the Criminal Law article. A bubble tea shop or a snack stall counts as food service and needs a food business licence. Renovating first and getting the licence afterwards, then trading before it comes through, is a common trap. For how the food business is divided into tiers and whether selling fresh meat and vegetables needs a certificate, see item 8 (work out which tier of food business you fall into).
Sources · 3 sources
- State Council (国务院) (2017). Measures for Dealing with Operations Without a Licence or a Business Licence, 无证无照经营查处办法(国务院令第 684 号,第五、六、十三条). www.gov.cn/zhengce/zhengceku/2017-08/23/content_5219861.htm
- State Administration for Market Regulation (国家市场监督管理总局) (2023). Measures for the Administration of Food Business Licences and Filings, 食品经营许可和备案管理办法(市场监管总局令第 78 号,第四条). www.gov.cn/gongbao/2023/issue_10606/202307/content_6894763.html
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百二十五条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
8Work out which tier of food business you fall into: production and food service need a licence, selling only prepackaged food needs a filing, selling fresh meat and vegetables needs neither
# Value ModerateGrade APersonal freedomA little moneyA few hoursNo willpower
Making things yourself to sell, such as a snack stall, braised food, baking or home-made pickled vegetables, all need a licence. Selling only whole packages made by someone else needs no licence, only a filing with the market regulation department at county level or above. Selling fresh meat and vegetables needs no certificate. Doing it without one brings a fine of at least 50,000 to 100,000 yuan, which is more than most small businesses put in.
Cost
The licence itself is not charged for. But the premises and the equipment have to meet the standard, and the on-site inspection plus the paperwork takes several weeks. If you sell meat you also have to keep the quarantine certificate and the certificate of conformity for meat quality inspection for every batch.
Benefit
Food Safety Law: doing food business requires a licence first. Producing food yourself, selling food and running food service all have to obtain a licence as the law requires. 「但是,销售食用农产品和仅销售预包装食品的,不需要取得许可。仅销售预包装食品的,应当报所在地县级以上地方人民政府食品安全监督管理部门备案」. In plain terms: selling fresh agricultural products, and selling only prepackaged food, need no licence. Selling only prepackaged food requires a filing with the food safety supervision department of the local people's government at county level or above. Fresh agricultural products are things like fresh meat and vegetables that have not been processed. Prepackaged food is food somebody else made and sold with its packaging. 「食品生产加工小作坊和食品摊贩等的具体管理办法由省、自治区、直辖市制定」, so provinces, autonomous regions and municipalities set the rules for these two categories themselves. Doing food business without a licence: the money earned, the food, and the tools, equipment and raw materials are all confiscated. Where the total value of the goods at the selling price (货值金额) is under 10,000 yuan, there is a fine of 50,000 yuan or more and 100,000 yuan or less. Where the value is 10,000 yuan or more, the fine is 10 to 20 times the value. Regulations on the Administration of Pig Slaughtering: pigs can only be slaughtered at designated slaughterhouses set by the state, and the official bodies run the quarantine as one batch. 「除农村地区个人自宰自食的不实行定点屠宰外,任何单位和个人未经定点不得从事生猪屠宰活动」. 「从事生猪产品销售、肉食品生产加工的单位和个人以及餐饮服务经营者、集中用餐单位生产经营的生猪产品,必须是生猪定点屠宰厂(场)经检疫和肉品品质检验合格的生猪产品」. So the pork you sell and the pork you use must both come from a designated slaughterhouse and pass both the quarantine and the meat quality inspection. Slaughtering pigs privately outside a designated slaughterhouse: ordered closed down, and the pigs, the slaughtering tools and equipment and the money earned are all confiscated, with the same fine as the tier above for doing food business without a licence. Animal Epidemic Prevention Law: animal products that are sold and transported have to carry a quarantine certificate and a quarantine mark with the goods. Without them, ordered to correct, and then fined up to one times the value of comparable qualifying goods. Judicial interpretation: where food made or sold by a small workshop or a food stall does not meet food safety standards and the buyer asks for ten times the price in damages (punitive damages, meaning the extra payment on top of the refund), the court is to support it (nationwide)
Notes
The thresholds for small workshops, small food service and food stalls are set by each province, so this item gives no specific figures. Go to the market regulation bureau website of the province you are in, search for 「食品小作坊小餐饮小摊贩管理条例」, and read the local version. Selling your own food online does not remove a single licence because it happens 「online」: whatever needs a licence still needs one. Beyond the licences, the general rules of this section apply. For the entity and the licence see item 6 (settle the name, premises and business scope before you register), and for whether other trades need a certificate see item 7 (trades that need a licence). How much the buyer can claim see item 31 in section 5 (ten times damages for food).
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025, third revision). Food Safety Law, 食品安全法(第三十五、三十六、一百二十二条). flk.npc.gov.cn/detail?id=7b5a76d0461745a08d3f964916b87ef3
- State Council (国务院) (2021). Regulations on the Administration of Pig Slaughtering, 生猪屠宰管理条例(国务院令第 742 号,第二、二十三、三十一条). www.gov.cn/zhengce/zhengceku/2021-07/22/content_5626534.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2021 revision). Animal Epidemic Prevention Law, 动物防疫法(第五十一、一百条). flk.npc.gov.cn/detail?id=ff8080817703add2017737395a973e31
- Supreme People's Court (最高人民法院) (2024). Interpretation on Several Issues Concerning the Application of the Law in the Trial of Food and Drug Punitive Damages Cases, 关于审理食品药品惩罚性赔偿纠纷案件适用法律若干问题的解释(法释〔2024〕9 号,第四条). gongbao.court.gov.cn/Details/bf531a70471f10d377788f28d3d8f8.html
9Bagging it and selling makes it prepackaged food: the production date, the shelf life and the ingredients list on the label may not be missing
# Value ModerateGrade APersonal freedomA little moneyA few hoursNo willpower
Once food is put into packaging and sold, the law calls it prepackaged food. The packaging must carry a label, and there are nine items that must be marked on it, including the production date and the shelf life. Food sold loose must also carry the name, the date and the name and address of the seller. If a required item is missing, where the value is under 10,000 the fine is 5,000 to 50,000 yuan; where it reaches 10,000, the fine is 5 to 10 times the value.
Cost
Printing a label costs from a few cents to a few tenths of a yuan a sheet. Every batch has to have its date and its ingredients filled in correctly, and that takes some of your time.
Benefit
Food Safety Law: prepackaged food (food put into packaging and sold) must carry a label on the packaging. The label has to state the name, the specification, the net content, the production date, the ingredients or the ingredients list, the producer's name, address and contact details, and the shelf life. It also has to state the product standard code, the storage conditions, the common names used in the national standards for the food additives used, and the food production licence number. Anything the laws, the regulations or the food safety standards separately require must be marked as well. Food sold loose is the kind that is not bagged and is weighed as needed. When you sell food loose, the container and the outer packaging must also carry the name of the food, the production date or the production batch number, the shelf life, and the name, address and contact details of the producer and seller. Prepackaged food you make or sell without a label, or with a label or set of instructions that do not meet this law: the money earned and the food are confiscated together. Where the total value of the goods at the selling price (货值金额) is under 10,000 yuan, there is a fine of 5,000 yuan or more and 50,000 yuan or less. Where the value is 10,000 yuan or more, the fine is 5 to 10 times the value. Where the circumstances are serious, production and business are ordered stopped until the licence is withdrawn. Where the label or the instructions only have minor defects (瑕疵) that neither affect food safety nor mislead consumers, they are first ordered corrected, and only a refusal to correct brings a fine of up to 2,000 yuan. The new General Standard for the Labelling of Prepackaged Foods is numbered GB 7718-2025. It was issued on 2025-3-16 and takes effect on 2027-3-16, with a two-year transition period in between. It requires a separate area on the packaging where the production date and the date the shelf life expires are shown together. The dates must use high-contrast, easily legible type and colours, and be arranged in year-month-day order (nationwide)
Notes
Label defects come in two kinds, and both the fine and the damages follow that split. One kind is a minor defect, such as a typo or an irregular type size, which neither affects food safety nor misleads anyone. For that the market regulation department only orders you to correct it, and a refusal to correct brings a fine of up to 2,000 yuan; the buyer cannot claim ten times damages either. The other kind is a required item that is missing, such as the production date or the shelf life. The judicial interpretation says in terms that this is not a minor defect: the fine is calculated on the value of the goods, 5,000 to 50,000 yuan where the value is under 10,000 yuan, and 5 to 10 times the value where it is 10,000 yuan or more. The buyer can also ask you separately for ten times the price of the food, counting anything under 1,000 yuan as 1,000 yuan (see item 31 in section 5, ten times damages for food). For the clause-by-clause requirements of GB 7718-2025, this item verified only the announcement and the dates and display method given in the official interpretation; the exact format follows the text of the standard itself.
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025, third revision). Food Safety Law, 食品安全法(第六十七、六十八、一百二十五条). flk.npc.gov.cn/detail?id=7b5a76d0461745a08d3f964916b87ef3
- National Health Commission (国家卫生健康委员会) and State Administration for Market Regulation (国家市场监督管理总局) (2025). Announcement on the Publication of 50 Food Safety National Standards Including the General Standard for the Labelling of Prepackaged Foods (GB 7718-2025), and of 9 Amendment Sheets, 关于发布《食品安全国家标准 预包装食品标签通则》(GB 7718-2025)等 50 项食品安全国家标准和 9 项修改单的公告(2025 年第 2 号). (the Lhasa Municipal Health Commission reprinting the full text of the announcement)jkw.lasa.gov.cn/wswyh/wjzl/202504/a90766908ef24869a74f7373bf42463f.shtml
- Supreme People's Court (最高人民法院) (2024). Interpretation on Several Issues Concerning the Application of the Law in the Trial of Food and Drug Punitive Damages Cases, 关于审理食品药品惩罚性赔偿纠纷案件适用法律若干问题的解释(法释〔2024〕9 号,第六、八条). (the two tiers: minor label defects and missing required items)gongbao.court.gov.cn/Details/bf531a70471f10d377788f28d3d8f8.html
- Beijing Municipal Administration for Market Regulation (北京市市场监督管理局) (2026). 找不到生产日期?食品标签要「变脸」!新规这些重点必看 (Cannot find the production date? Food labels have to change their face. These are the key points in the new rules). (the effective date, the transition period and the new requirements for showing dates)scjgj.beijing.gov.cn/zwxx/scjgdt/202605/t20260507_4639154.html
10Ordinary food may not say it can cure disease: labels, instructions, advertisements and livestream scripts all count
# Value ModerateGrade APersonal freedomNo moneyIn passingSome willpower
The labels, instructions and advertisements of ordinary food may not say they prevent or cure disease. Apart from the three categories of advertisements for medical services, medicines and medical devices, no other advertisement may say it cures disease, and none may use words that sound like medicine. The fine is 1 to 3 times the advertising spend. Where the advertising spend cannot be worked out, the fine is 100,000 to 200,000 yuan. In serious circumstances the business licence can be revoked as well.
Cost
No money. Go through your slogans, your product description pages and your livestream scripts. The hard part is holding back from saying things like 「lower your three highs」 or 「cure constipation」.
Benefit
Food Safety Law: 「食品和食品添加剂的标签、说明书,不得含有虚假内容,不得涉及疾病预防、治疗功能。生产经营者对其提供的标签、说明书的内容负责」. 「食品广告的内容应当真实合法,不得含有虚假内容,不得涉及疾病预防、治疗功能。食品生产经营者对食品广告内容的真实性、合法性负责」. In plain terms: the packaging, the instructions and the advertisement may not say they prevent or cure disease, and the seller answers for what is written there. Blowing food up in an advertisement to deceive consumers is penalised under the Advertising Law. The Advertising Law has a ban of its own. 「除医疗、药品、医疗器械广告外,禁止其他任何广告涉及疾病治疗功能,并不得使用医疗用语或者易使推销的商品与药品、医疗器械相混淆的用语」. Other than the three categories of advertisements for medical services, medicines and medical devices, no advertisement at all may say it cures disease, and none may use words that sound like medicine or like a medical device. Breaching this means the advertisement is ordered stopped. The party that placed the advertisement (the advertiser, 广告主) also has to issue a public clarification in the places it ran and remove the effects. The fine is then 1 or more times and up to 3 times the advertising spend. Where the advertising spend cannot be worked out or is plainly under-reported, the fine is 100,000 yuan or more and 200,000 yuan or less. In serious circumstances the fine is 3 to 5 times the advertising spend, or 200,000 yuan or more and 1,000,000 yuan or less, and the business licence can be revoked, putting the business out of business altogether (nationwide)
Notes
「Health functions」 cannot be claimed by ordinary food either. The health functions a health food may claim can only come from the catalogue the state sets, and the product has to go through registration or filing, a step ordinary food does not have. For how buyers recognise this kind of wording, see item 10 in section 6 (do not spend a lot of money on health products to look after your health). Beyond the packaging and the advertisement, the description pages, the livestream scripts and the social media posts count as advertising content too, and once they are sent out the record exists.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025, third revision). Food Safety Law, 食品安全法(第七十一、七十三、一百二十五、一百四十条). flk.npc.gov.cn/detail?id=7b5a76d0461745a08d3f964916b87ef3
- Standing Committee of the National People's Congress (全国人大常委会) (2021 revision). Advertising Law, 广告法(第十七、五十八条). flk.npc.gov.cn/detail?id=ff8081817ab231eb017abd6bd860052d
11The food business has a criminal line: selling diseased or dead meat or goods over the limit is already enough, and adding toxic or harmful substances carries 5 years whatever the amount
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
The earlier items punish money. This one takes people. Selling diseased or dead meat, meat that fails inspection, or food where pesticide residues, veterinary drug residues or heavy metals seriously exceed the limit is already a crime as long as it is 「sufficient」 to cause severe poisoning, without anyone actually falling ill. That carries 3 years or less. Adding a toxic or harmful non-food ingredient to food starts at 5 years or less, and it makes no difference how much you sold.
Cost
No money. Do what item 8 (work out which tier of food business you fall into) says: keep the quarantine certificate and the purchase vouchers, and put only ingredients in the list whose approval number you can look up.
Benefit
Article one hundred and forty-three of the Criminal Law covers this tier. It covers food you make or sell that does not meet food safety standards. As long as it is 「足以造成严重食物中毒事故或者其他严重食源性疾病的」, that is enough for the crime. The sentence is 3 years or less of fixed-term imprisonment or criminal detention (short confinement), together with a fine. Where severe harm to people's health results, or there are other serious circumstances, the sentence is 3 years or more and 7 years or less, together with a fine. Where the consequences are particularly serious, the sentence is 7 years or more, up to life imprisonment, and a fine or confiscation of all the property held in the name. Article one hundred and forty-four: adding a toxic or harmful non-food ingredient to food you make or sell, or knowingly selling it after adding one, carries 5 years or less of fixed-term imprisonment together with a fine. Where severe harm to people's health results, or there are other serious circumstances, the sentence is 5 years or more and 10 years or less, together with a fine. Where someone dies, or there are other particularly serious circumstances, punishment follows Article one hundred and forty-one (10 years or more, life imprisonment or the death penalty). The Supreme People's Court and the Supreme People's Procuratorate have issued an interpretation, known as the SPC-SPP interpretation. It sets out which situations count as 「足以造成严重食物中毒事故或者其他严重食源性性疾病」. First, 「含有严重超出标准限量的致病性微生物、农药残留、兽药残留、生物毒素、重金属等污染物质」. Second, 「属于病死、死因不明或者检验检疫不合格的畜、禽、兽、水产动物肉类及其制品的」. Third, 「属于国家为防控疾病等特殊需要明令禁止生产、销售的」. Fourth, 「特殊医学用途配方食品、专供婴幼儿的主辅食品营养成分严重不符合食品安全标准的」. Using additives over the limit or in the wrong place, to the point where the consequences above follow, is convicted under Article one hundred and forty-three as well. What counts as a 「toxic or harmful non-food ingredient」 is not for you to decide. One group is substances the laws and regulations forbid adding to food. Another is substances on the lists announced by the relevant departments of the State Council, such as banned pesticides and drugs barred from use on animals raised for food. One more situation also counts as 「其他严重情节」 under Article one hundred and forty-four. It was made and sold to a value of 10,000 yuan or more but under 20,000 yuan. The location is a primary or secondary school campus, a childcare or elderly care institution, or the surroundings of either. The buyers are minors or elderly people. Slaughtering and selling outside a designated slaughterhouse, at a pig slaughtering site set up privately, is convicted as illegal business operations where the circumstances are serious. A turnover of 10,000 yuan or more, or illegal gains of 5,000 yuan or more, counts as 「情节严重」 (nationwide)
Notes
The dividing line with the three items above is whether food safety itself has been breached. No licence, a missing label item, an exaggerated health claim: those are punished with money. Selling diseased or dead meat, goods over the limit, adding additives freely, or putting non-food ingredients into food puts you into criminal procedure. The cheapest defence is still the set of actions in item 8 (work out which tier of food business you fall into). Take meat only from designated slaughterhouses. Keep the quarantine certificate and the certificate of conformity for meat quality inspection for every batch. Use only ingredients whose approval number you can look up. The 「meat cleared cheaply as a bargain」 and the 「offcuts from who knows where」 are what cause the most trouble. The Supreme People's Court gazette page that is the original source returned 502 this round, so two provincial official reprints are cited instead, and they were checked word for word against each other.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2020 revision). Criminal Law, 刑法(第一百四十一、一百四十三、一百四十四条). (National Laws and Regulations Database, 国家法律法规数据库)flk.npc.gov.cn/detail?id=ff808181796a636a0179822a19640c92
- Supreme People's Court and Supreme People's Procuratorate (最高人民法院、最高人民检察院) (2021). Interpretation on Several Issues Concerning the Application of the Law in Handling Criminal Cases Endangering Food Safety (法释〔2021〕24 号,第一、二、五、七、九、十七、十八条,2022 年 1 月 1 日起施行). (the full text reprinted by the Hebei Provincial Administration for Market Regulation) and (the full text reprinted by the Liaoning Provincial Department of Justice; the two copies were checked word for word against each other)scjg.hebei.gov.cn/info/79117sft.ln.gov.cn/sft/ywgz/zfflgw/xzys/2525860BD0F843EFA7A3B7FDC330614E/index.shtml
12Once you hold the licence you have a duty to file returns, and with no income you still file on time (file a sheet of zeros)
# Value ModerateGrade AMoneyNo moneyA few hoursSome willpower
Once you hold the licence you file tax returns on time. Not earning a single yuan does not excuse you; you still file, with zeros in every box. Failing to file brings a fine of up to 2,000 yuan first, and in serious circumstances a fine of 2,000 to 10,000 yuan. If you file nothing at all for three consecutive months, the system automatically marks you an abnormal business household and you can no longer issue invoices.
Cost
No money. File on the electronic tax bureau by month or by quarter; each time takes a few minutes. Paying someone to keep the books is a separate cost in the market. If you use staff, you also have to complete the social insurance registration within 30 days counting from the day the entity was established. The hard part is remembering to file on time in months with no business.
Benefit
「纳税人在纳税期内没有应纳税款的,也应当按照规定办理纳税申报」: for that period you pay no tax at all, and the return is filed anyway. Where the return is not filed on time, 「由税务机关责令限期改正,可以处二千元以下的罚款;情节严重的,可以处二千元以上一万元以下的罚款」, that is, the tax authority orders you to correct it within a set period and may impose a fine of up to two thousand yuan; in serious circumstances it may impose a fine of two thousand yuan up to ten thousand yuan. Where you fail to file and also underpay tax, the tax is recovered, the late payment surcharge calculated by the day has to be paid on top, and there is a separate fine of 「百分之五十以上五倍以下的罚款」, that is, from fifty per cent up to five times the tax underpaid. The surcharge accrues at five ten-thousandths of the outstanding amount per day. 「连续三个月所有税种均未进行纳税申报的,税收征管系统自动将其认定为非正常户,并停止其发票领用簿和发票的使用」. File nothing for three months and the system marks you an abnormal business household by itself; you can neither obtain nor issue invoices. The status is released automatically once you file late and accept the penalty. Where an entity uses staff, it 「应当自成立之日起三十日内……向当地社会保险经办机构申请办理社会保险登记」 (nationwide)
Notes
After the 「多证合一」 reform you no longer register with the tax authority separately. Log in to the electronic tax bureau with the unified social credit code on the business licence, confirm the registration details, and declare which taxes you owe. Sole proprietorships and sole proprietorship enterprises file individual income tax on business income. First pay once 「在月度或者季度终了后十五日内」, that is, within fifteen days after the end of the month or of the quarter, then 「在取得所得的次年三月三十一日前办理汇算清缴」, the annual settlement return due before 31 March in the year after the income is obtained (totalling up the year, with a refund or a top-up). You file even if you never opened, and a nil return is still a return. Leave it alone for three months and you become an abnormal business household, invoices stop working, and you cannot use the simplified cancellation procedure either; see item 23 in this section (if it fails, exit through the proper procedure)
Sources · 5 sources
- State Council (国务院) (2002). Detailed Rules for Implementing the Law on the Administration of Tax Collection, 税收征收管理法实施细则(国务院令第 362 号,第三十二、七十五条). fgk.chinatax.gov.cn/zcfgk/c100010/c5195082/content.html
- Standing Committee of the National People's Congress (全国人大常委会) (2015). Law on the Administration of Tax Collection, 税收征收管理法(2015 年修正,第二十五、三十二、六十二、六十四条). fgk.chinatax.gov.cn/zcfgk/c100009/c5195081/content.html
- State Taxation Administration (国家税务总局) (2019). Announcement on Certain Matters Concerning Tax Collection and Administration, 关于税收征管若干事项的公告(国家税务总局公告 2019 年第 48 号,第三条). fgk.chinatax.gov.cn/zcfgk/c100012/c5195194/content.html
- Standing Committee of the National People's Congress (全国人大常委会) (2018). Individual Income Tax Law, 个人所得税法(2018 年修正,第十二条). fgk.chinatax.gov.cn/zcfgk/c100009/c5193028/content.html
- Standing Committee of the National People's Congress (全国人大常委会) (2018). Social Insurance Law, 社会保险法(2018 年修正,第五十七条). www.npc.gov.cn/zgrdw/npc/xinwen/2019-01/07/content_2070267.htm
13Issue invoices only for real transactions, and small-scale taxpayers should use the whole exemption threshold
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
If you are a small-scale taxpayer on the simplified method, and you sell less than 100,000 in a month or less than 300,000 in a quarter, value-added tax is exempt. The rate that would have been 3% is reduced to 1% in the same period. In the other direction, 「finding someone to issue invoices to offset costs」 is a false issue of invoices, starting at 3 years or less, plus a fine of 20,000 to 200,000 yuan.
Cost
No money. Do not buy invoices, do not sell invoices, and do not issue invoices for someone else's 「走账」. Issue invoices and file tax on the basis of the business that actually happened.
Benefit
The category of small businesses paying tax on the simplified method is called a small-scale taxpayer. The law says 「销售额未达到起征点的,免征增值税」. That line is the threshold. From 2026-1-1 to 2027-12-31 the threshold is 100,000 yuan a month, 300,000 yuan a quarter, and 1,000 yuan per transaction or per day, and sales below the line are not taxed. Over the same period, a rate that would have been 3% is reduced to 1%, except on the sale or rental of housing and the transfer of land use rights. In the other direction, issuing a value-added tax special invoice with no real sale behind it, or any other invoice that can be used to offset tax, carries 3 years or less of fixed-term imprisonment or criminal detention, together with a fine of 20,000 to 200,000 yuan. Issuing one for someone else, issuing one for yourself, getting someone else to issue one for you, and introducing others who issue them all count. Where the tax involved is relatively large, the sentence is 3 to 10 years. Where the amount is huge, 10 years or more or life imprisonment (nationwide)
Notes
The Value-Added Tax Law takes effect from 2026-1-1. The two earlier notices on relief for small-scale taxpayers, 2023 No. 19 and 2023 No. 1, stop being applied or are repealed along with it. The amount thresholds have not changed, but the legal basis has, and this item has been updated to the new documents. The page carrying the original Criminal Law text is the 1997 edition, and the sentencing tiers in Article two hundred and five were later adjusted by amendment. This item writes only the tiers that were verified and that have not been changed. What is exempt is value-added tax; income tax is calculated separately. 「Finding someone to issue invoices to offset costs」 is a false issue of invoices, not tax saving.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2024). Value-Added Tax Law, 增值税法(2026 年 1 月 1 日施行,第二十三条). fgk.chinatax.gov.cn/zcfgk/c100009/c5237365/content.html
- Ministry of Finance and State Taxation Administration (财政部、税务总局) (2026). Announcement on the Transitional Matters Concerning Value-Added Tax Preferential Policies after the Value-Added Tax Law Takes Effect, 关于增值税法施行后增值税优惠政策衔接事项的公告(财政部 税务总局公告 2026 年第 10 号,第一、二、六条). fgk.chinatax.gov.cn/zcfgk/c102416/c5247434/content.html
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百零五条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
14Anyone claiming to be the tax bureau and pressing you to pay and file is a fraud; handle tax only through the electronic tax bureau and 12366
# Value HighGrade AMoneyNo moneyIn passingNo willpower
The tax department will not phone you to ask for your bank card password, your payment password or a verification code sent by message, and it will not give you an account to send the tax into. Genuine on-site inspection of the accounts has to show an inspection notice and an inspection certificate. If you get such a call, hang up first and then call 12366 to check. If you have already transferred the money, call 110 or 96110 at once and ask for the payment to be stopped.
Cost
No money. If you get a call or a message about a 「tax audit」, a 「abnormal account」 or 「no tax filing means a fine」, or if someone adds you as a contact, hang up and do not reply. Then call 12366, or call the landline number of the tax authority in charge and check there.
Benefit
The State Taxation Administration's notice says: 「税务部门不会通过微信小程序、电话、短信等方式索要银行卡密码、支付密码、账户余额及与银行卡收付款项相关的短信验证码」. 「一些不法分子冒充税务干部以提供『帮办纳税申报』『税收优惠代办』『政策辅导』等为名接触纳税人」. In plain terms: some criminals pose as tax officials and approach taxpayers under the pretext of offering 「help with filing returns」, 「handling tax relief formalities」 or 「policy guidance」. To check, call the 「12366 纳税缴费服务热线或主管税务机关固定电话」. Genuine on-site inspection of the accounts (稽查) 「必须出示检查通知书和检查证」. 「税款只能通过电子税务局或者在办税大厅缴纳,税务部门不会提供指定账号」. The agencies that handle tax formalities for others are covered by a rule of their own. 「以税务机关和税务人员的名义敲诈纳税人、扣缴义务人的」 is fined according to how serious the case is. Extorting the people who pay tax and the units that withhold and remit tax for them while flying the flag of the tax bureau or of tax officials is exactly that case. Impersonating a state organ functionary to deceive and extort carries detention of 10 days or more and 15 days or less, and may be followed by a fine of up to 1,000 yuan. Where the conduct is both fraud and deception by impersonation, it is 「依照处罚较重的规定定罪处罚」, that is, whichever provision carries the heavier penalty is the one it is convicted and punished under (nationwide)
Notes
These scams pick out newly registered sole proprietorships and small companies. The script is 「the system shows you have not filed your taxes, if you do not deal with it today you will be fined」, and then they steer you to their own public account or mini-programme and charge a few hundred yuan at a time. The filing itself is free and takes you a few minutes. Using an agency in the market to keep your books is not illegal, but that agency is not a government department and it will not chase you in the name of the tax bureau. If you have already paid or transferred the money, follow item 2 in section 8 (stopping the payment after being scammed) and call 110 or 96110 at once to ask for the stop.
Sources · 5 sources
- State Taxation Administration (国家税务总局) (2025). 税务部门提醒广大纳税人——增强防范意识 警惕互联网涉税诈骗 (The tax department reminds all taxpayers to strengthen their awareness of prevention and beware of tax fraud on the internet). www.chinatax.gov.cn/chinatax/n810219/n810724/c5243181/content.html
- Yangzhou Tax Service, State Taxation Administration (国家税务总局扬州市税务局) (2023). 扬州防范涉税诈骗宣传篇 (Yangzhou guide to avoiding tax fraud). jiangsu.chinatax.gov.cn/art/2023/8/28/art_23038_432322.html
- State Taxation Administration (国家税务总局) (2025). Measures for the Administration of Professional Tax Services (for Trial), 涉税专业服务管理办法(试行)(国家税务总局令第 58 号,第三十二条第七项、第三十三条). fgk.chinatax.gov.cn/zcfgk/c100011/c5239044/content.html
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law of the People's Republic of China on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,2026 年 1 月 1 日施行,第六十二条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Supreme People's Court, Supreme People's Procuratorate and Ministry of Public Security (最高人民法院、最高人民检察院、公安部) (2016). Opinions on Several Issues Concerning the Application of the Law in Handling Criminal Cases such as Telecom and Online Fraud, 关于办理电信网络诈骗等刑事案件适用法律若干问题的意见(法发〔2016〕32 号). www.spp.gov.cn/zdgz/201612/t20161221_176278.shtml
15Write 「定金」 when you take money, not 「订金」, put a figure on the liquidated damages, and vet a credit period as if it were a loan
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
Only the two characters 「定金」 bring the double rule: if you break the contract, the money cannot be recovered; if the other side breaks it, you get double back. The part above 20% of the contract value does not count. Written as 「订金」, the law has no such rule. Granting a credit period is lending your own money to the other side for nothing; if they fail, it is a bad debt.
Cost
No money. In the contract write the two characters 「定金」, with an amount not more than 20% of the total contract value. Take the money first and deliver afterwards. Before you agree to let the other side take the goods and pay later (granting a credit period), look into the other side first.
Benefit
A deposit counts only once the money has actually reached the other side (it is formed on actual delivery). If the party paying the deposit breaks the contract, the money cannot be recovered. If the party receiving the deposit breaks it, the original sum must be returned and an equal amount paid on top (double return). The part above 20% of the total contract value (the subject matter value of the main contract) is not treated as a deposit. Where the agreed liquidated damages are wildly higher or wildly lower than the actual loss, the court may lower them or raise them at the request of one party. Where both the liquidated damages and the deposit are written into the contract, a real breach lets you claim one or the other, not both (nationwide, in force from 2021)
Notes
「订金」 has none of the rules that a deposit has under the Civil Code, and it is generally treated as an advance on payment. That is the standard view in practice, and this section has not verified any case law. A credit period is lending your own money to the other side interest-free; if they fail, it is a bad debt. Before granting one, go to the National Enterprise Credit Information Publicity System and look up the other side's record, to see whether it has been sued.
Sources
National People's Congress (全国人大) (2020). Civil Code, 民法典(第五百八十五、五百八十六、五百八十七、五百八十八条).
www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml16Sign a written contract within the first month of employment and complete the social insurance registration within 30 days
# Value HighGrade AMoneyA fair amount of moneyIn passingNo willpower
If a person has worked a full month without a written contract, from the second month you must pay double wages every month, and that runs until the full year is up. Social insurance has to be registered within 30 days of the employment starting; failing to do it brings a fine of 1 to 3 times the contributions due. The law has no such thing as 「the employee voluntarily gives up social insurance」.
Cost
The employer's share of the social insurance contributions has to go on being paid, and the rate differs from place to place. Signing the contract itself costs nothing; just use the model contract from the local human resources and social security department.
Benefit
Where a person has worked a full month but not a full year without a written contract, you must pay double wages every month. Counting from the person's first day at work, you must complete the social insurance registration for them within 30 days. Failing to do it first brings an order to correct. Past the deadline, the fine is 1 to 3 times the social insurance contributions due, and the person who handled it is fined a further 500 to 3,000 yuan. Where social insurance is not paid on time or not paid in full, a late payment charge accrues from the day it fell due at five ten-thousandths per day. Past the deadline it is still unpaid, there is a further fine of 1 to 3 times the arrears. The employer has to file itself and pay the full amount on time. Only a statutory cause that cannot be resisted, such as a natural disaster, allows late or reduced payment. There is no provision for 「the employee voluntarily gives up」 (nationwide)
Notes
Double wages run from the second month right up to the full year, so the longer you delay the more it costs. For an employee with no signed contract and no social insurance, once there is a work injury, or once they go to labour arbitration after leaving, the back payment plus the fine plus the damages often come to far more than the money you saved.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law, 劳动合同法(第十、八十二条). www.gov.cn/gongbao/content/2007/content_711013.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2010). Social Insurance Law, 社会保险法(2018 年修正,第五十八、六十、八十四、八十六条). www.mohrss.gov.cn/xxgk2020/fdzdgknr/zcfg/fl/202011/t20201102_394629.html
17Pay wages according to the contract and the law, and put raises, loans and bonuses in writing
# Value ModerateGrade CMoneyNo moneyIn passingSome willpower
Wages must be paid on time and in full according to the contract and the national rules. If they go unpaid, the employee can go straight to the court for a payment order. A raise, a bonus or an advance agreed only in words means that whoever cannot produce evidence loses once the argument starts. If you lend money to an employee out of your own pocket, write a written IOU stating the amount, the interest and the date for repayment.
Cost
No money. Write the wage clearly into the contract. Raises, bonuses, money you advance and loans all go on a signed piece of paper. No verbal promises. Do not pay wages out of your own pocket on the company's behalf either. The hard part is following the same rules when a friend asks.
Benefit
What an employment contract must state includes how wages are paid and how social insurance is contributed. The employer must pay wages on time and in full according to the contract and the national rules. Where payment is delayed, the employee can apply directly to the court for a payment order (a document the court issues to chase the debt). When the boss lends an employee money out of their own pocket, that is a loan contract. Except where two natural persons have agreed otherwise, it has to be put in writing, stating how much was lent, how the interest is calculated, when it is repaid and how. A bonus agreed verbally has nothing on paper behind it, and whoever cannot produce evidence loses once the argument starts (nationwide)
Notes
This is not about refusing to help people; it is about helping them through the system too. Once favours outside the system become a habit, stopping them causes disputes. When a private loan is mixed into the company accounts and the company fails, the bad debt lands on you personally. The statutory parts have been verified, and the advice itself comes from experience, hence grade C.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law, 劳动合同法(第十七、三十条). www.gov.cn/gongbao/content/2007/content_711013.htm
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第四百六十九、六百六十八条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
18Sell before you build: use pre-orders and small orders to prove someone will buy, then put money into production
# Value ModerateGrade BMoneyA little moneyA few hoursSome willpower
One study followed 116 new Italian companies for about a year. Entrepreneurs who set up a hypothesis first and then tested it against market feedback did better, were also more willing to change direction in time, and did not give up any earlier. So if nobody will pay in advance and nobody will place a small order, do not believe that 「it will sell once it exists」.
Cost
From tens to hundreds of yuan, to make a sample or a page. Then go and find some dozens of real customers and get them to pay in advance or place small orders. That is several weeks slower than starting production straight away. The hard part is holding back from making the goods first.
Benefit
A randomised trial that followed 116 Italian start-ups for about a year. A randomised trial means splitting people at random into two groups, training only one of them, and then comparing the results of the two groups. The finding was this: entrepreneurs who had been trained to decide by 「putting forward a hypothesis first, then testing it strictly against market feedback」 performed better, were also more likely to change course in time for another plan, and were not more likely to abandon the business early. The authors explain it this way: the practice lowers the chance of going on pouring money into projects that look promising but will not work out (false positive projects) (Italy, published 2020)
Notes
There is only one such study, the sample is small, and it was done in Italy, so the grade is B. The title, the source and the abstract were checked against Crossref and Semantic Scholar, and the effect figures in the full text have not been verified for this section. In practice: if nobody will pay in advance and nobody will place a small order, do not believe that 「it will sell once it exists」.
Sources
Camuffo A, Cordova A, Gambardella A, Spina C (2020). A Scientific Approach to Entrepreneurial Decision Making: Evidence from a Randomized Control Trial. Management Science 66(2):564-586.
doi.org/10.1287/mnsc.2018.324919Once the sample is made, run it through the production checklist before you talk about starting
# Value ModerateGrade CMoneyA little moneyA few hoursSome willpower
The difference between one sample and one thousand pieces is where the money gets tied up. The yield sets the real cost. The minimum order quantity and the payment terms set how much you have to advance first. The inventory sets when the money comes back. If your product is on the list of mandatory certifications, without the certification and without the certification mark on the product it may not leave the factory or be sold.
Cost
A few hundred yuan for one small trial batch. Then spend a few hours working out these items: the yield (how many out of 100 pieces can actually be sold), the supplier's minimum order quantity and payment terms, how much money the inventory ties up, packaging and freight, certification and licences, and the trademark. The hard part is holding back from skipping this step and starting production directly.
Benefit
The difference between one sample and one thousand pieces is where the money gets tied up. The yield sets the real cost, and the yield is the share of a batch you produce that passes and can be sold. How little the supplier will let you order in one go (the minimum order quantity), and how long after dispatch you receive the money (the payment terms), together set how much you have to advance first. The inventory sets when the money comes back. A product on the list of mandatory product certification must first pass certification, and only with the certification mark on the product may it leave the factory and be sold. Leaving the factory and selling without certification is penalised under the Regulations on Certification and Accreditation. Food service and selling food need a food business licence (nationwide)
Notes
The checklist is itself a method from experience; the statutory parts have been checked against the original text. Before production starts, go to the trademark search system of the National Intellectual Property Administration and check whether a similar mark is already registered, then go on to apply for your own. For the lines on using someone else's trademark and artwork, see items 20 and 21 (keep the receipts when buying stock, and make your own artwork or buy a licence). The list of mandatory certifications is whichever the State Administration for Market Regulation has published most recently.
Sources · 2 sources
- General Administration of Quality Supervision, Inspection and Quarantine (质检总局) (2009). Provisions on the Administration of Mandatory Product Certification, 强制性产品认证管理规定(质检总局令第 117 号,第二、四十九条). www.gov.cn/gongbao/content/2010/content_1533513.htm
- State Administration for Market Regulation (国家市场监督管理总局) (2023). Measures for the Administration of Food Business Licences and Filings, 食品经营许可和备案管理办法(市场监管总局令第 78 号,第四条). www.gov.cn/gongbao/2023/issue_10606/202307/content_6894763.html
20Keep the receipts and the supplier's details for every batch you buy, and do not buy stock priced well below the market: when an employee buys counterfeit goods, the boss is the one convicted
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
Selling counterfeit goods is enough for a conviction at 30,000 yuan of earnings or 50,000 yuan of sales, with 3 years or less. Stock sitting in the warehouse unsold counts as well. 「I did not know it was fake」 is not for you to decide: a buying price plainly below the market with no reason you can give is treated as knowledge. Only with the purchase contract, the invoice, the payment record and the supplier's details do you have a route to escaping liability.
Cost
No money. Keep these for every batch: the purchase contract, the invoice, the payment record, and the supplier's business licence and authorisation documents. Then set one internal rule: whoever buys the goods signs for them, and anything priced well below the market is not bought at all. The hard part is turning down the low-priced stock that looks very profitable.
Benefit
Knowingly selling goods bearing a counterfeited registered trademark: where the earnings (illegal gains) reach 30,000 yuan, or the amount sold reaches 50,000 yuan, you have reached the threshold for criminal punishment. The sentence is 3 years or less, with a fine, or a fine alone. Reaching ten times that standard, the sentence is 3 to 10 years together with a fine. Stock still sitting in the warehouse unsold counts too: where the value of the goods reaches three times the sales amount standard, that too amounts to the crime. You do not have to admit that you 「knew」. The 2025 judicial interpretation of the Supreme People's Court and the Supreme People's Procuratorate lists five situations in which knowledge is directly established, unless you can produce evidence that you genuinely did not know. First, knowledge that the registered trademark on the goods has been altered, swapped or covered over. Second, forging or altering the trademark owner's authorisation document, or knowing that the document has been forged or altered. Third, having been punished criminally or administratively for selling counterfeit goods and then selling the same kind again. Fourth, buying or selling with no justifiable reason at a price plainly below the market price. Fifth, after being found by an administrative law enforcement agency or a judicial organ, transferring or destroying evidence such as the infringing goods and the accounting records, or providing false proof. Where a company commits this, 「对单位判处罚金,并对其直接负责的主管人员和其他直接责任人员」 is punished under the same article. The company pays the fine, and the person who made the call and the person who handled it are punished under the same article. So if an employee bought the goods, the one who is fined and convicted is still the person who made the call. In the other direction, the Trademark Law leaves a way out: where at the time of sale you genuinely did not know the goods infringed another's registered trademark, 「能证明该商品是自己合法取得并说明提供者的,不承担赔偿责任」. Whether you can escape liability depends entirely on whether you have the receipts and the supplier's details; without them that provision is unavailable to you (nationwide, the judicial interpretation in force from 2025-4-26)
Notes
Cosmetics, alcoholic drinks, mother and baby goods, digital products and clothing are the categories where these cases cluster. The common point is that the same product has a very wide gap in price. Labels like 「channel goods」, 「end-of-line stock」 and 「overseas duty-free」 do not replace the receipts. Beyond criminal punishment there is also an administrative penalty: where infringement is established, the infringing goods and the tools are confiscated, and where the turnover is 50,000 yuan or more a fine of up to 5 times may be imposed on top. If you find something wrong after the stock has arrived, stop selling and seal it at once, then contact the brand owner or the market regulation department. Do not go on selling, and do not destroy the goods or the records. Destroying evidence lands you squarely in the fifth situation above, which 「presumes you knew the goods were counterfeit」. For using someone else's artwork see item 21 (make your own artwork or buy a licence). There is one routine aimed squarely at this: someone turns up uninvited and offers to give you a batch of pens or other small goods free, to put in the shop, sell and split the takings. A few days later someone comes to buy, takes evidence on the spot, then claims in damages for infringement. Free goods fail all three conditions for escaping liability: there is no purchase contract and no payment record, the real supplier cannot be named, and the price is plainly abnormal. Not one element of 「legitimately obtained with the supplier identified」 is available. So goods that turn up unsolicited, come with no receipts and leave you only a WeChat ID should never go on the shelf. If you really want to sell on consignment, sign a written consignment contract, keep a copy of the other side's identity card and business licence, and write in who owns the goods and who is liable if there is infringement.
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Criminal Law Amendment (Eleven), 刑法修正案(十一)(第十七、二十四项,即刑法第二百一十四、二百二十条). www.spp.gov.cn/zdgz/202012/t20201227_503682.shtml
- Supreme People's Court and Supreme People's Procuratorate (最高人民法院、最高人民检察院) (2025). Interpretation on Several Issues Concerning the Application of the Law in Handling Criminal Cases of Infringement of Intellectual Property Rights, 关于办理侵犯知识产权刑事案件适用法律若干问题的解释(法释〔2025〕5 号,2025 年 4 月 26 日起施行). www.spp.gov.cn/xwfbh/wsfbt/202504/t20250424_693977.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2019). Trademark Law, 商标法(2019 年修正,第五十七、六十四条;2026 年 6 月 26 日修订后为第七十二、七十八条,自 2027 年 1 月 1 日起施行). and www.cnipa.gov.cn/art/2019/7/30/art_95_28179.htmlwww.cnipa.gov.cn/art/2026/6/26/art_95_206942.html
21The artwork on the goods, the packaging, the hang tags and the promotional images is either your own or licensed; changing a colour or adding an icon does not count as 「altered」
# Value HighGrade APersonal freedomA little moneyIn passingSome willpower
Changing a colour on someone else's image, swapping the background colour or adding your own icon is still using their work without permission. Copying someone else's artistic work for profit, to the point of 30,000 yuan earned, 50,000 yuan of business done, or 500 copies printed, amounts to the crime of infringing the copyright, and carries 3 years or less. On the trademark side, being 「close enough to cause confusion」 is already infringement.
Cost
Licences for a genuine stock library start at tens of yuan per image. Having a designer produce something original costs a few hundred to a few thousand yuan. For every image used on the goods, keep the licence certificate and the purchase record. The hard part is not using images you found at random by searching online.
Benefit
The Copyright Law puts 「未经著作权人许可,以改编、翻译、注释等方式使用作品」 on the same footing as direct copying as an infringing act. So changing the colours on the original image, swapping the background colour or adding your own icon is still using someone else's work without permission. The threshold for criminal punishment is here: for profit, without the permission of the copyright owner (著作权人) of the work, printing artistic works for sale (reproduction and distribution). Three figures bring it within the crime. The earnings (illegal gains) reach 30,000 yuan. Or the business reaches 50,000 yuan (the amount of illegal business operations). Or the copies printed add up to 500 (sheets). Reaching any one of these figures amounts to the crime of infringing the copyright. The sentence is 3 years or less, with a fine, or a fine alone. Reaching ten times the standard, the sentence is 3 to 10 years. Merely selling infringing copies printed by others, with earnings of 50,000 yuan or more or sales of 100,000 yuan or more, carries 5 years or less under the crime of selling infringing reproductions. Trademarks work the same way: using on the same goods a mark similar to a registered trademark, or using the same or a similar mark on similar goods, is already within infringement where it is 「容易导致混淆的」. 「近似」 is written into the statute as an infringing situation, so a small modification is still infringement (nationwide, the judicial interpretation in force from 2025-4-26)
Notes
Three traps come up most often. First, printing cartoon characters and celebrity photos found by searching online onto clothes, cups and phone cases. Second, typefaces: most commercial typefaces need a licence of their own, and a free preview is not a free commercial licence. Third, unlicensed assets slipped into a design file made for a customer; the liability still sits with the person selling the goods. The low-effort route is to use an image library that carries a commercial licence and to save the licence page. Or have the designer state in the contract where the assets came from and how far the licence extends, with the designer responsible if something goes wrong. Beyond criminal punishment there is civil damages and an administrative fine: where the public interest is harmed, the illegal gains may be confiscated and a fine of 1 to 5 times the amount of illegal business operations imposed. For checking a trademark before production, see item 19 (once the sample is made, run it through the production checklist). In the other direction, if someone else uses your own images, you enforce your rights under these same rules.
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Copyright Law, 著作权法(2020 年修正,第五十二条第六项、第五十三条). www.npc.gov.cn/npc/c2/c30834/202011/t20201119_308796.html
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Criminal Law Amendment (Eleven), 刑法修正案(十一)(第二十、二十一项,即刑法第二百一十七、二百一十八条). www.spp.gov.cn/zdgz/202012/t20201227_503682.shtml
- Supreme People's Court and Supreme People's Procuratorate (最高人民法院、最高人民检察院) (2025). Interpretation on Several Issues Concerning the Application of the Law in Handling Criminal Cases of Infringement of Intellectual Property Rights, 关于办理侵犯知识产权刑事案件适用法律若干问题的解释(法释〔2025〕5 号). www.spp.gov.cn/xwfbh/wsfbt/202504/t20250424_693977.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2019). Trademark Law, 商标法(2019 年修正,第五十七条第二项;2026 修订后为第七十二条第二项). www.cnipa.gov.cn/art/2019/7/30/art_95_28179.html
22Do your job by the rules, and before a favour outside the rules, work out whose responsibility it is
# Value ModerateGrade BPersonal freedomNo moneyIn passingSome willpower
Take a nurse as an example. The regulation states that on finding a patient's condition critical the doctor must be notified at once, and on finding medical orders that break the rules the point must be put to the doctor who gave them. Other jobs work the same way: first see where your own rules draw the line for 「must report」. The law does not leave you standing by while someone dies either: a voluntary emergency rescue that injures the person rescued carries no damages.
Cost
No money. At work, follow the system, the medical orders and the process. Do not make decisions for other people beyond your own authority. Before you step in to help, ask yourself one question: if something goes wrong, who is responsible. The hard part is resisting a request to 「make an exception」 on the spot.
Benefit
Taking a nurse as an example, the professional boundary the regulation sets out is this. On finding a critical condition, notify the doctor at once. In an emergency, in order to save a dying patient, the necessary emergency care may be carried out first. On finding medical orders that break the law or violate the technical standards for diagnosis and treatment, raise it with the doctor, and report it to the head of the department if necessary. The Civil Code provides separately: where a person voluntarily performs emergency rescue and as a result injures the person rescued, the rescuer does not have to pay damages (bears no civil liability) (nationwide)
Notes
Within your own role, act by the rules, and rescuing someone in an emergency is protected by law. For everything else, first work out whose authority it is and whose responsibility it is, and do not let a private good intention stand in for a decision the system calls for. The Regulations on Nurses were revised in 2020 by State Council Order No. 726, which changed only the provisions on registration and left Article 17 untouched. This round the official text of the provisions in the Physicians Law about practising according to the diagnostic and treatment standards could not be opened, so they are not cited.
Sources · 3 sources
- State Council (国务院) (2008). Regulations on Nurses, 护士条例(国务院令第 517 号,第十七条). www.gov.cn/zhengce/zhengceku/2008-03/28/content_6169.htm
- State Council (国务院) (2020). Regulations on Nurses, 护士条例(2020 年修订,第十七条). (National Laws and Regulations Database, 国家法律法规数据库)flk.npc.gov.cn/detail?id=ff808081777d07c50177b8ed29bf3950
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一百八十四条). www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
23If it fails, exit through the proper procedure: cancel through the simplified route if you can, go through bankruptcy if the assets do not cover the debts, and do not simply leave it alone
# Value HighGrade AMoneyNo moneyA few hoursSome willpower
Where there are no debts and no wages, taxes or social insurance outstanding, all the investors sign a commitment, and if nobody objects during the 20 days of posting it can be cancelled through the simplified route. A sole proprietorship needs no posting: if there is no objection within 10 days it is cancelled outright. If debts cannot be paid, apply for bankruptcy. Leave it alone, fail to file an annual report for 2 years and cannot be reached, and the licence is revoked; the legal representative who bears responsibility cannot be a legal representative again for 3 years.
Cost
You can do the simplified cancellation yourself: post it on the National Enterprise Credit Information Publicity System for 20 days. Where debts are still outstanding, you first have to sort the accounts, collect what is owed and pay what is due; that step is called liquidation. Going through bankruptcy means applying to the court, which takes months. The hard part is not wanting to face it after a loss and putting it off indefinitely.
Benefit
There are no debts to others and no debts owed to you, or they have all been settled. No wages, social insurance or taxes outstanding. All the investors have signed a written commitment. Meeting these conditions and posting it for 20 days without objection lets you go through the simplified cancellation. A sole proprietorship needs no posting; if the competent department raises no objection within 10 days it is cancelled outright. A company that cannot pay a debt that has fallen due and whose debts exceed its assets (being insolvent) may apply to the court for reorganisation, settlement or bankruptcy liquidation. Where a company has already been dissolved without liquidation and its debts exceed its assets, the person responsible for the liquidation should apply for bankruptcy liquidation. Leaving it alone brings these consequences. Failing to post the annual report on time gets the business placed on the list of abnormal operations. Failing to file an annual report for 2 consecutive years, being placed on that list and not correcting it, and being unreachable at the registered address gets the business licence revoked. A legal representative of a company whose licence is revoked, who bears personal responsibility for it, may not act as a company's legal representative or as a director, supervisor or senior manager for 3 years counting from the day of revocation. Once a business is on the list of abnormal operations, even the simplified cancellation is unavailable (nationwide)
Notes
The Interim Regulations on Enterprise Information Disclosure were revised in 2024 by State Council Order No. 777, took effect on 1 May and have not been changed since. The old Article 17, 「经营异常满 3 年列入严重违法企业名单」, has been deleted. The list of serious violations and loss of trust now covers enterprises that falsify their annual reports and cases where the circumstances are serious. Much of what is written online is still the old version, so do not copy it. The personal bankruptcy system, which includes sole proprietorships, is currently only being trialled in a few regions; this section has not verified the original text, so nothing is written about it.
Sources · 7 sources
- State Council (国务院) (2021). Regulations on the Registration of Market Entities, 市场主体登记管理条例(国务院令第 746 号,第三十一、三十二、三十三条). www.gov.cn/zhengce/zhengceku/2021-08/24/content_5632964.htm
- State Administration for Market Regulation and five other departments (市场监管总局等六部门) (2025). Guide to the Cancellation of Enterprises, 企业注销指引(2025 年修订)(2025 年第 52 号公告). www.gov.cn/zhengce/zhengceku/202512/content_7053238.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2006). Enterprise Bankruptcy Law, 企业破产法(第二、七条). www.gov.cn/gongbao/content/2006/content_413952.htm
- State Council (国务院) (2024 revision). Interim Regulations on the Publicity of Enterprise Information, 企业信息公示暂行条例(国务院令第 777 号修订,第十八条):「企业因连续2年未按规定报送年度报告被列入经营异常名录未改正,且通过登记的住所或者经营场所无法取得联系的,由县级以上市场监督管理部门吊销营业执照」. In plain terms: where an enterprise fails to file an annual report for 2 consecutive years, is placed on the list of abnormal operations, does not correct it, and cannot be reached at its registered address or place of business, the market supervision department at county level or above revokes its business licence. (National Laws and Regulations Database, 国家法律法规数据库)flk.npc.gov.cn/detail?id=ff8081819c46fcc5019cd18fc6e9557d
- State Council (国务院) (2024). Decision to Amend and Repeal Certain Administrative Regulations, 关于修改和废止部分行政法规的决定(国务院令第 777 号). www.gov.cn/gongbao/2024/issue_11246/202403/content_6941844.html
- Regulations on the Registration of Market Entities (第十二条第四项)and the Company Law (2023 年修订,第一百七十八条第一款第四项): 担任因违法被吊销营业执照的企业的法定代表人并负有个人责任的,自被吊销营业执照之日起未逾 3 年不得担任法定代表人和董事、监事、高级管理人员 (a legal representative of an enterprise whose business licence has been revoked for illegal conduct, who bears personal responsibility, may not act as a legal representative or as a director, supervisor or senior manager until 3 years have passed since the licence was revoked). www.gov.cn/zhengce/zhengceku/2021-08/24/content_5632964.htm
- www.gov.cn/yaowen/liebiao/202312/content_6923395.htm
13. Emergencies: what to do first
44 / 44This section says what to do beforehand, what to do next, and what not to do. The first aid and outdoor entries measure specific causes of death and the share of people who survive. The threats and scam entries measure money and personal freedom. The two sets of numbers are not converted into each other. The entries are ordered by how common the emergency is and how many lives the right or wrong action saves. These entries are written first for you, your spouse and your immediate family. 79.2% of cardiac arrests happen at home, so the person you are most likely to save is someone in your own home. Friends and colleagues come next. A stranger still gains something, but that group is the lowest, and you can be extorted or pulled into a case. So these entries put the steps that protect you, and the clauses that limit your liability, first.
This section only covers actions that take minutes. Recognising a scam, or being blackmailed with money, is handled on a scale of days and does not belong here. See item 3 in section 8 (hard anti-fraud rules) for the hard rules and the seven most common scams. See item 32 in section 8 (being blackmailed with private material) for demands for money backed by private photos or nude videos. If the money has already gone out, call 110 or 96110 at once and ask for the payment to be stopped. See item 2 in section 8 (stopping a payment).
1Someone has fallen and is not breathing: press hard on the centre of the chest at once, and send someone else to call 120 and fetch an AED
# Value HighGrade ALifespanNo moneyA few hoursNo willpower
The person you are most likely to press on is someone in your own home: 79.2% of cardiac arrests happen at home. Where a bystander presses, the share who leave hospital alive rises from 3.9% to 16.1%. If they do not answer when you call and are not breathing, start pressing straight away. Put your hands stacked at the midpoint of the line between the nipples, press hard at 2 compressions a second, and do not stop. Send a second person to call 120 and fetch the AED, and do not let your hands stop.
Cost
No money. A cardiopulmonary resuscitation course at the Red Cross or at a hospital takes half a day to a day, and one course is enough for years. You can do it without training: stack your hands at the midpoint of the line between the nipples, press down hard at about 2 compressions a second, and do not stop.
Benefit
Pooled across 79 studies and 142,740 people (meta-analysis): of people whose heart stopped outside hospital (out-of-hospital cardiac arrest), only 7.6% in all leave hospital alive. Where a bystander did cardiopulmonary resuscitation, the share leaving hospital alive rises from 3.9% to 16.1%. Someone was standing close enough to witness the collapse in 53% of cases, and only 32% actually got compressions from a bystander. China's BASIC-OHCA registry recorded 38,227 emergency cases taken on by ambulance crews. In 30,282 of them (79.2%) the cardiac arrest happened at home. Among that group, the bystander compression rate was 20.3% and the share leaving hospital alive 1.2%. The order is compressions first, and then a second person calls and fetches the
AED. Once the machine is switched on, follow its voice instructions
Notes
For a child under 1 year the technique is different and breaths are needed: see item 44 in this section (infant cardiopulmonary resuscitation). Do not pinch the philtrum first, do not go looking for the family first, and do not film it first. Do not hold back from pressing hard for fear of breaking ribs. Article 184 of the Civil Code says this: where a person gives emergency rescue voluntarily and injures the person rescued, the rescuer bears no civil liability.
Sources · 3 sources
- Sasson C et al (2010). Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circulation: Cardiovascular Quality and Outcomes. doi.org/10.1161/CIRCOUTCOMES.109.889576
- Zheng J et al (2023). Incidence, process of care, and outcomes of out-of-hospital cardiac arrest in China: a prospective study of the BASIC-OHCA registry. The Lancet Public Health. doi.org/10.1016/S2468-2667(23)00173-1
- National People's Congress (全国人大) (2020). Civil Code, 民法典第一百八十四条. www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
2An elderly person falls or someone collapses: kneel down and speak to them, call 120, and do not lift them straight away. Walking away from a stranger is legal too, and if you do stop, do not move them by hand
# Value HighGrade BLifespanNo moneyIn passingSome willpower
The main case here is an elderly person in your own family or someone you know. First check whether they are breathing. If not, press the chest as in item 1 in this section (pressing hard on the centre of the chest). Do not lift them even if they are breathing: they may have had a stroke or fainted before they fell, and lifting them roughly makes it worse. Kneel down and call to them, and ask whether they remember how they fell. Do not move anyone with back or lower back pain, or with a suspected fracture. Call 120 where they are.
Cost
No money. Kneeling down to ask one question and making one call takes a few minutes. The hard part is holding back the hand that reaches out to lift them. With a stranger there is one more cost to count: calling 120 leaves your number, and you may get a call back or be questioned once. If the family really does target you, a court case runs from several months upwards. And even if you win in the end, you pay the legal fees yourself.
Benefit
The Ministry of Health (卫生部) guideline Technical Guidelines for Intervention in Falls among Older Adults (《老年人跌倒干预技术指南》) says two things. One is 「跌倒是我国 65 岁以上老年人伤害死亡的首位原因」 — falls are the leading cause of injury deaths among people over 65 in China. The other is 「发现老年人跌倒,不要急于扶起,要分情况进行处理」 — when you find an elderly person who has fallen, do not lift them in a hurry, handle the case according to its type. If the person is not conscious, call the emergency number at once. If there is vomiting, turn the head to one side and clear the mouth and nose. If breathing and heartbeat have stopped, start chest compressions at once. 「如需搬动,应保证平稳,尽量平卧」 — if the person has to be moved, keep the movement smooth and lay them flat. If the person is conscious, first ask whether they remember the fall, because 「如不能记起,可能为晕厥或脑血管意外」 — if they cannot remember it, it may be fainting or a cerebrovascular accident. With a severe headache, or a crooked mouth, unclear speech, or weakness in the limbs, 「立即扶起老年人可能加重脑出血或脑缺血,使病情加重」 — lifting the person up at once may worsen a brain haemorrhage or brain ischaemia and make the condition worse. With signs of a fracture, or back pain, or loss of bladder or bowel control, 「如无相关专业知识,不要随便搬动」 — without the relevant professional knowledge, do not move them at will. All of these cases require an immediate call to the emergency number. If the elderly person wants to get up on their own, you can help them stand up slowly, then 「坐、卧休息并观察,确认无碍后方可离开」 — let them rest sitting or lying down and watch them, and only leave once you have confirmed they are all right. On the fear of being extorted, the law says this. Article ninety of the Supreme People's Court's Interpretation on the Application of the Civil Procedure Law of the People's Republic of China has two sentences. The first is 「当事人对自己提出的诉讼请求所依据的事实……应当提供证据加以证明」 — a party must provide evidence for the facts on which its own claims for relief are based. The second is 「在作出判决前,当事人未能提供证据或者证据不足以证明其事实主张的,由负有举证证明责任的当事人承担不利的后果」 — if, before the judgment is made, a party has not produced evidence or its evidence is insufficient to prove its factual claims, the party carrying the burden of proof bears the adverse consequence. Article one thousand one hundred and ninety-eight of the Civil Code reads: 「宾馆、商场、银行、车站、机场、体育场馆、娱乐场所等经营场所、公共场所的经营者、管理者或者群众性活动的组织者,未尽到安全保障义务,造成他人损害的,应当承担侵权责任。」 — where the operator or manager of business premises or a public place, or the organiser of a mass activity, has failed to meet the duty of safety protection and has caused harm to another person, it bears tort liability. Article one hundred and eighty-four of the Civil Code: 「因自愿实施紧急救助行为造成受助人损害的,救助人不承担民事责任」 — where harm is caused to the person helped by a voluntary emergency rescue, the rescuer bears no civil liability. The Supreme People's Court has published one typical case. A pharmacy gave cardiopulmonary resuscitation to a person in cardiac arrest and broke the person's ribs. The person helped was in hospital for 18 days and claimed more than 9,000 yuan. The court ruled that the rescuer bore no civil liability
Notes
The B is because the guideline only says how to handle the case, and gives no figure for how many fewer deaths following it would prevent. Article 184 of the Civil Code covers harm caused while giving rescue, on the condition that you acted voluntarily and the situation was urgent. It does not cover 「自作主张把人塞进私家车送医」 — putting someone into your own car and driving them to hospital on your own initiative. Waiting for 120 is safer. After you call 120, do not hang up, and do what the dispatcher on the line tells you. This line of judgement is written first for elderly people in your own family and for people you know. For someone you meet on the street and do not know, walking away is not illegal, and it is also the least trouble: the law does not require you to rescue anyone. If you do stop, count what you pay layer by layer: the time, leaving your number, being found by the family, being sued, the case reaching your workplace, being filmed and put online. See
docs/遇到陌生人出事该不该停.md. If you do decide to stop, the one thing you must not do is
move them by hand, and the reason is medical: lifting someone roughly can worsen a brain haemorrhage or a spinal injury. There is one exception. If you are the one running the place or managing it, or you organised the activity, walking away can make you liable. The duty of safety protection in Article 1198 of the Civil Code holds you responsible for safety for the people in the room. For fall prevention itself, see
item 13 in section 1 (training balance and leg strength). For the delayed symptoms after an elderly person has hit their head, see
item 10 in this section. For the money after a rescuer is injured, see
item 39 in this section. For keeping evidence and calling the police after being piled on online, see
item 16 in section 8.
Sources · 8 sources
- Ministry of Health (卫生部) (2011). Technical Guidelines for Intervention in Falls among Older Adults (《老年人跌倒干预技术指南》), on handling an elderly person after a fall. Full text PDF at the Guangdong Provincial Center for Disease Control and Prevention , and the full on-site handling section at the Guinan County People's Government reprint cdcp.gd.gov.cn/gcdcdfiles/editor/uploadfile/20111027094832117.pdfwww.guinan.gov.cn/lnb/zc1__zwgk/zc/aztfl/qt/content_27609778
- National People's Congress (全国人大) (2020). Civil Code, 民法典第一百八十三、一百八十四条. www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Supreme People's Court (最高人民法院) (2023). Typical cases of the people's courts securing justice and efficiency and putting the core socialist values into practice (case thirteen, Qi v. Sun, dispute over the right to health, Kangping County People's Court, Liaoning). www.court.gov.cn/zixun/xiangqing/408162.html
- Supreme People's Court (最高人民法院) (second revision of 2022, in force from 2022-4-10). Interpretation on the Application of the Civil Procedure Law of the People's Republic of China, 第九十条. www.court.gov.cn/zixun/xiangqing/353651.html
- Article one thousand one hundred and ninety-eight of the Civil Code, full text reprinted above by the Supreme People's Procuratorate
- Standing Committee of the National People's Congress (全国人大常委会) (revision of 2023, in force from 2024-1-1). Civil Procedure Law, Articles one hundred and fifty-two and one hundred and sixty-four. Full text reprinted by the Shanghai Municipal Development and Reform Commission fgw.sh.gov.cn/ys-syjf-zc-2.4.1-h5/20240408/073febdb2b04464390546232d4089f51.html
- State Council (国务院) (2006). Measures on the Payment of Litigation Costs (State Council Order No. 481, articles six and twenty-nine). www.gov.cn/ziliao/flfg/2006-12/29/content_483682.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law on Penalties for Administration of Public Security (2025 revision, in force from 2026-1-1, article twenty-six paragraph one, and article fifty paragraph five). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
3A crooked mouth, one weak arm and unclear speech: call 120 at once. Do not wait, and do not drive there yourself
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
A crooked mouth, one arm that will not lift, and unclear speech: call 120 at once. If the drug that opens the blocked vessel is given within 3 hours of onset, the chance of recovering to the point of basically managing on your own is about 1.75 times that without the drug. Wait until 3 to 4.5 hours and it falls to 1.26 times. Past 4.5 hours no difference can be seen. Write down the exact time the symptoms started. Do not give water or medicine by mouth, and do not drive there yourself.
Cost
No money. Three actions, and one time through is enough to learn them: have him smile, raise both arms straight out, and say one complete sentence.
Benefit
Individual patient data from 16 randomised trials of intravenous thrombolysis, covering 6,756 patients, were pooled (meta-analysis). Intravenous thrombolysis means giving a drug that opens the blocked vessel. Within 3 hours of onset, thrombolysis with alteplase gave an odds ratio of 1.75 for recovery to basically managing on your own (modified Rankin score 0–1),
95% CI 1.35 to 2.27 (credible range). The chance of that outcome is about 1.75 times that without thrombolysis. At 3 to 4.5 hours it is 1.26 (1.05 to 1.51). Past 4.5 hours it is 1.15 (0.95 to 1.40), and statistically no difference can be seen
Notes
The earlier the thrombolysis, the better it works. Past 4.5 hours it is close to useless. Call 120 rather than driving yourself, because the ambulance takes you straight to a hospital with a stroke centre and warns them in advance so they can prepare. Write down the exact time the symptoms started, because the doctor needs it to decide whether thrombolysis is possible. Do not give water or medicine by mouth, and do not wait to 「休息一下看看」 — rest a bit and see how it goes
Sources
Emberson J, Lees KR, Lyden P, et al. (2014). Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet, 384(9958), 1929-1935.
doi.org/10.1016/S0140-6736(14)60584-54A sudden spinning feeling, unsteady standing, seeing double or one eye going black, or being unable to touch your own nose: treat it as a stroke and call 120
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Screening on the three signs of crooked face, weak arm and speech alone misses a bit over a tenth of strokes, because some strokes start with neither a crooked mouth nor a weak arm. Add unsteady walking, double vision, or a missing patch in the field of vision, and the missed rate falls to 4.4%. A sudden spinning feeling, standing unstably, seeing double, or being unable to touch your own nose all mean the same thing: call 120 and write down the time.
Cost
No money. On top of the three actions of a crooked face, arms raised and speech (item 3 in this section, a crooked mouth and unclear speech), add two more. One is to have the person stand upright with the eyes closed and see whether they sway, then ask whether they see double or whether part of the field of view is missing. The other is to point at your own nose with a finger when you suspect a stroke, then close your eyes and point again.
Benefit
In 2014 the stroke centre at the University of Kentucky reviewed the records of 736 cases of acute ischaemic stroke (a stroke caused by a blocked vessel). At onset, 14.1% of the patients had none of the three symptoms of crooked face, weak arm and slurred speech (FAST). Adding unsteady walking, weak legs and visual symptoms to the screening brings the missed rate down from 14.1% to 4.4%
Notes
A blocked vessel in the area of the cerebellum and brainstem (posterior circulation infarction) often causes neither a crooked mouth nor a weak arm. It only causes spinning, walking to one side, diplopia (seeing double), and choking on water or food, and it is most often mistaken for a neck problem, low blood sugar or an inner ear disorder. Missing the nose with your finger and not being able to stand with your eyes closed are signs that the cerebellum is involved. But no action rules a stroke out in reverse: if it comes on suddenly and does not settle, call 120 and write down the exact time of onset. The study looked at the records of one hospital only, and the authors say themselves that it needs further verification
Sources
Aroor S, Singh R, Goldstein LB (2017). BE-FAST (Balance, Eyes, Face, Arm, Speech, Time): Reducing the Proportion of Strokes Missed Using the FAST Mnemonic. Stroke, 48(2), 479-481.
doi.org/10.1161/STROKEAHA.116.0151695One eye suddenly goes black as if a blind had been pulled down, even if it clears within minutes: go to the emergency department as a stroke the same day
# Value HighGrade BLifespanNo moneyA few hoursNo willpower
One eye suddenly going black as if a blind had been pulled down means a vessel at the back of the eye is blocked, and the longer it stays blocked, the less of the retina can be saved. It is also a form of brain ischaemia, and a stroke is more likely over the next few days. Where people are assessed and start treatment on the same day, the share having another stroke within 90 days falls from 10.3% to 2.1%. Go that day to an emergency department with a stroke centre. Do not wait until tomorrow to book an eye clinic.
Cost
No money. Emergency assessment and the blood vessel checks take up half a day to a day.
Benefit
A 2021 scientific statement from the American Heart Association on central retinal artery occlusion (the main vessel at the back of the eye is blocked) says: 「急性视网膜中央动脉阻塞是急症」 — acute central retinal artery occlusion is a medical emergency. A care system should recognise it as an emergency and put it in order by severity. The longer the blood is cut off, the less of the retina can still be brought back. The Oxford EXPRESS study looked at two kinds of patient: minor stroke, and brain ischaemia whose symptoms clear on their own (called a transient ischaemic attack in medicine). After this group was switched to assessment on the same day and treatment starting on the same day, the share having another stroke within 90 days fell from 10.3% (32/310) to 2.1% (6/281)
Notes
The B is because EXPRESS was not a randomised trial. It compares two periods, before and after the change of practice, in the same population, and other conditions may also have changed between the two periods, which cannot be separated out. A black-out of vision lasting a few minutes that then clears by itself is most often put down to being tired or to low blood sugar. It is a form of transient ischaemic attack, and the next few days are exactly the window when strokes cluster. Losing vision in one eye with no pain, no redness and no watering of the eye deserves particular attention. Do not wait until tomorrow to book an eye clinic. Go straight to the emergency department of a hospital with a stroke centre.
Sources · 2 sources
- Mac Grory B, Schrag M, Biousse V, et al. (2021). Management of Central Retinal Artery Occlusion: A Scientific Statement From the American Heart Association. Stroke, 52(6), e282-e294. doi.org/10.1161/STR.0000000000000366
- Rothwell PM, Giles MF, Chandratheva A, et al. (2007). Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): a prospective population-based sequential comparison. Lancet, 370(9596), 1432-1442. doi.org/10.1016/S0140-6736(07)61448-2
6One eye swollen and painful and red, with a ring of rainbow around lights, plus headache, nausea and vomiting: go to the eye emergency department the same day
# Value HighGrade BLifespanNo moneyA few hoursNo willpower
This is an acute attack of glaucoma. The fluid inside the eye cannot drain away and the pressure shoots up. The longer you wait, the more of the optic nerve the pressure damages, and damage there does not come back. During the Wuhan lockdown, patients waited an average of 241 hours before they were treated, and 21.87% of them went blind. In the same period of the following year there was no lockdown, the average wait was 121 hours, and 7.84% went blind.
Cost
No money. Measuring the pressure inside the eye and examining the anterior chamber at the eye emergency department takes half a day.
Benefit
An eye hospital in Wuhan compared two groups of patients with acute primary angle-closure glaucoma over two periods. In the 76 days of the 2020 lockdown there were 54 people and 64 eyes, and in the same period of 2021 there were 46 people and 51 eyes, with the two groups similar in their baseline characteristics. From the onset of symptoms to the start of treatment, the lockdown group took 241.84±211.95 hours and the comparison group 121.53±96.12 hours (P=0.001). The pressure inside the eye at the visit was 52.63±12.45 mmHg against 45.16±9.79 mmHg (P=0.001). The share going blind was 21.87% against 7.84%. Glaucomatous changes in the optic nerve were found in 20/64 eyes (31.25%) against 7/51 eyes (13.73%) (P=0.03). A hospital in Korea reviewed 50 eyes that had had one attack and later had the lens removed. A year later 25 of them (50%) had lost part of the visual field, to varying degrees. The longer the stretch from the onset of symptoms to getting the pressure down, the more likely the loss of field is to persist (P=0.005). A separate prospective study laid 43 people with shallow anterior chambers face down in a dark room for 1 hour. The pressure rose clearly in both eyes (P<0.01). In the dominant eye the median rise was 3.60 mmHg, and in the other eye 2.70 mmHg (P<0.05)
Notes
There are two reasons for the B. First, the two Wuhan groups were compared by going back through old records, and the lockdown itself brought other differences that cannot be separated from delay. Second, the Korean group is only 50 eyes, and it is retrospective as well. The trigger is not screen time. It is two things together: the pupil dilates in the dark, and looking down or lying face down for a long time pushes the lens forward. People who already have a shallow anterior chamber are easily triggered this way, so the real high-risk group is people over 50, people who are far-sighted, and people with a family history of angle-closure glaucoma. Young people playing games through the night hardly ever have an attack like this. The most common misjudgement during an attack is to treat it as gastroenteritis, migraine or high blood pressure, because the headache and vomiting are more obvious than the eye symptoms. Losing vision in one eye with no pain and no redness is a different matter, see item 5 in this section (one eye suddenly going black). For whether blue-light glasses are worth anything, see item 16 in section 6 (blue-light glasses).
Sources · 3 sources
- Zhou L, Wu S, Wang Y, Bao X, Peng T, Luo W, Ortega-Usobiaga J (2022). Clinical presentation of acute primary angle closure during the COVID-19 epidemic lockdown. Frontiers in Medicine, 9, 1078237. doi.org/10.3389/fmed.2022.1078237
- Sung MS, Kim HJ, Park SW (2023). Predictors of long-term visual field outcome after an episode of acute primary angle closure. Clinical & Experimental Ophthalmology, 51(4), 291-299. doi.org/10.1111/ceo.14206
- Wang J, Wang J, Ng TK, Huang C (2025). Asymmetric intraocular pressure changes in dominant and contralateral eyes: the dark room prone provocative test. Seminars in Ophthalmology, 40(4), 325-331. doi.org/10.1080/08820538.2024.2443972
7Chest pressure, tightness or squeezing that does not ease after more than 15 minutes: call 120, do not put up with it and do not drive yourself
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Chest pressure, tightness or squeezing that does not ease after more than 15 minutes: call 120. Where the vessel is opened within 55 minutes of arrival at hospital, 30-day mortality is 2.8%. Past 55 minutes it is 9.7%. Every stretch of delay kills off another patch of heart muscle. Do not drive yourself, because losing consciousness on the road is a second accident.
Cost
No money.
Benefit
Israel ran a nationwide survey of acute coronary syndrome. What it analysed was patients with ST-elevation myocardial infarction, which is one kind of heart attack. The interval measured was from arrival at hospital to opening the blocked vessel with a balloon (balloon angioplasty). Where the interval was ≤55 minutes, 30-day deaths were 5/178 (2.8%). Where the interval was >55 minutes, 30-day deaths were 15/155 (9.7%)
Notes
What the study compares is the delay after arrival at hospital, not the stretch from onset to arrival. The reasoning is the same either way: every extra stretch of delay kills off another patch of heart muscle. The pain can sit in the upper abdomen, the back or the chin, and the left arm can go numb. Diabetics and older people may have no pain at all, only breathlessness. Do not drive yourself, because losing consciousness on the road is a second accident
Sources
Karkabi B, Meir G, Zafrir B, et al. (2021). Door-to-balloon time and mortality in patients with ST-elevation myocardial infarction. European Heart Journal - Quality of Care and Clinical Outcomes.
doi.org/10.1093/ehjqcco/qcaa0378Sudden tearing pain that travels from the chest through the back and on towards the waist: call 120 and say clearly that the pain is moving
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Tearing pain that travels from the chest through the back and on towards the waist: when you call 120, say straight out, 「像撕开一样,疼在往下走」 — like being torn apart, the pain is moving downwards. Without surgery and on drugs alone, this condition kills 58% of patients. Its handling is the opposite of a heart attack: the doctor has to think of it before ordering a contrast CT, instead of giving you anticoagulants and thrombolytics. Say as well if the blood pressure differs a lot between the two arms, or if no pulse can be felt in one of them.
Cost
No money.
Benefit
The International Registry of Acute Aortic Dissection (IRAD) collected 464 cases from 12 centres. Aortic dissection is the condition that causes tearing pain in the chest and back. Among the symptoms patients report first, the most common is a sudden severe sharp pain.
All-cause mortality during the hospital stay was 27.4%. In type A dissection without surgery, on drugs alone, mortality was 58%
Notes
The handling of a dissection is exactly the opposite of that of a heart attack. A heart attack needs anticoagulants and thrombolytics, drugs that stop the blood clotting, and using them on a dissection is like letting the tear bleed. So at the hospital say 「撕裂样,疼在往下走」 — tearing, the pain is moving downwards, so that the doctor thinks of a contrast CT. A large difference in blood pressure between the two arms, and no pulse in one of them, are the clues. People whose blood pressure is poorly controlled, people with Marfan syndrome, and people with an aortic aneurysm or dissection in the family are at higher risk. Again, do not drive yourself, and do not put up with it until tomorrow
Sources
Hagan PG, Nienaber CA, Isselbacher EM, et al. (2000). The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA, 283(7), 897-903.
doi.org/10.1001/jama.283.7.8979A sudden "the worst headache of my life" that reaches its worst within an hour: go to the emergency department for a head CT
# Value HighGrade ALifespanA little moneyA few hoursNo willpower
What matters is how fast the pain gets to its worst. A severe headache that peaks within an hour is a bleed from an artery on the surface of the brain in about 6% of cases. If you are over 40, have a painful or stiff neck, were seen to pass out, developed it during activity, felt it explode instantly, or your neck will not bend forward, any one of these means go to the emergency department for a head CT. Most of the people who go and get checked turn out to be fine, but missing one and having a second bleed is death.
Cost
The emergency visit itself costs very little. One head CT in the emergency department costs several hundred yuan.
Benefit
10 emergency departments in Canada ran a prospective cohort study of 2131 cases of severe headache that reached its worst pain within an hour, with the criteria fixed in advance and the patients then followed and recorded throughout. 132 of them (6.2%) were subarachnoid haemorrhage, a bleed from an artery on the surface of the brain. The Ottawa SAH rule has six conditions: aged 40 or over, neck pain or stiffness, and a witnessed collapse. The other three are onset during activity, onset that explodes instantly, and limited neck flexion when the doctor examines you. Meeting any one of them means you need the scan. The rule picked out every person who bled, a sensitivity of 100%,
95% CI 97.2%–100.0% (credible range). The price is that it excludes only 15.3% of the people who did not bleed (specificity 15.3%)
Notes
What matters is not how bad the pain is but how fast it reaches the worst. A headache that explodes within a few seconds to a minute is the danger signal; a migraine that builds up slowly is not. With vomiting, a stiff neck, photophobia or a brief loss of consciousness, take it more seriously still. A specificity of only 15.3% means that most of the people who go for a scan on the strength of this rule come out clear. But missing one and having a second bleed is death, and the scan is worth having. Do not take a painkiller to push it down and go back to sleep
Sources
Perry JJ, Stiell IG, Sivilotti MLA, et al. (2013). Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA, 310(12), 1248-1255.
doi.org/10.1001/jama.2013.27801810Two or three weeks to a few months after an elderly person hits their head, if they become unsteady, slow, sleepy or weak on one side: get a head CT
# Value HighGrade BLifespanA little moneyA few hoursNo willpower
After an elderly person hits their head, the blood usually does not collect until the third week. At the time of the knock there can be nothing wrong at all, and the person may not remember hitting their head. After surgery this condition comes back in up to 33% of cases and kills in up to 32%. If an elderly person suddenly becomes confused, walks unsteadily, keeps dozing off, or has weakness in one hand, first go back and ask whether they fell or hit their head in the last two or three months, then get the CT.
Cost
One head CT costs two or three hundred yuan.
Benefit
The Chinese Medical Association Branch of Neurosurgery and others have published the Expert Consensus of Chinese Experts on Drug Treatment of Chronic Subdural Haematoma (《慢性硬膜下血肿药物治疗中国专家共识》). A chronic subdural haematoma is a pool of blood that collects slowly between the layers of membrane around the brain. The technical description is a chronic space-occupying lesion formed by blood collecting between the arachnoid and the dura mater. It 「通常在颅脑外伤后第三周形成」 — usually forms in the third week after head injury — and it is common in elderly people. After surgery the recurrence rate can reach 33% and the fatality rate can reach 32%. Among patients over 90 years old, only 24% make a good recovery overall. A systematic review found 3.39 to 39.1 new cases per 100,000 people worldwide each year, and with age the figure can reach three times that over 80. The most common causes are injury and falls, followed by long-term heavy drinking, the use of drugs that stop the blood clotting (anticoagulants), and violence. A review in geriatric medicine says the presentation is 「典型包括意识模糊、认知下降、步态障碍或嗜睡,可能与其他老年综合征相似」 — typically confusion, declining cognition, gait disturbance or drowsiness, and it can resemble other syndromes of old age
Notes
At the time of the knock there can be nothing wrong at all, and the elderly person may not even remember hitting their head. So when you notice at home that someone has recently become confused, walks unsteadily, keeps dozing off or has weakness in one hand, first go back and ask whether they have fallen or hit their head in the last two or three months, then get the CT. Do not put it straight down to senile dementia or to the after-effects of a previous stroke, because getting that wrong costs time. Elderly people taking aspirin, clopidogrel, warfarin or one of the new oral anticoagulants are at higher risk, and so are those who drink heavily over the long term. For fall prevention, see item 13 in section 1 (training balance and leg strength).
Sources · 3 sources
- Zhang J et al (2021). Expert consensus on drug treatment of chronic subdural hematoma. Chinese Neurosurgical Journal, 7(1), 47. doi.org/10.1186/s41016-021-00263-z
- Dziho A et al (2025). Global prevalence and incidence of chronic subdural hematoma: A systematic review. Brain and Spine, 5, 105893. doi.org/10.1016/j.bas.2025.105893
- Mathon B, Shotar E (2026). Diagnostic and therapeutic management of chronic subdural hematoma in elderly patients. Gériatrie et Psychologie Neuropsychiatrie du Vieillissement, 24(1), 30-41. doi.org/10.1684/pnv.2026.1274
11One leg suddenly swollen, tight and painful to press: get seen as soon as you can. Add sudden breathlessness or chest pain and call 120 at once
# Value HighGrade BLifespanA little moneyA few hoursNo willpower
One leg suddenly swollen, a full girth larger than the other, and painful when pressed: get a venous ultrasound of the leg as soon as you can. If sudden breathlessness, chest pain on a deep breath, a fast heartbeat and dizziness follow, the clot may already have travelled to the lung. Call 120 at once. Among people diagnosed with pulmonary embolism, 17.4% die within 3 months. Sitting still for more than 4 hours roughly doubles the risk, but the risk to any one person is still very low.
Cost
An ultrasound of the blood vessels in the leg (a lower limb venous ultrasound) costs one or two hundred yuan.
Benefit
The International Cooperative Pulmonary Embolism Registry (ICOPER) collected 2454 patients with confirmed acute pulmonary embolism from 52 hospitals in 7 countries. A pulmonary embolism is a clot blocking the pulmonary artery. In this group, all-cause mortality within 3 months was 17.4% (426/2454). The World Health Organization's WRIGHT project found that travel of more than 4 hours without a break roughly doubles the risk of a clot forming in a vein and travelling to the lung (venous thromboembolism), 「大约翻倍」 — roughly doubles. But the probability for any one person is still very low: sitting still for more than 4 hours carries a risk of 「约为六千分之一」 — about one in six thousand
Notes
Both legs swollen together is usually down to the heart, the liver, the kidneys or how well the veins are working. One leg suddenly swollen and a girth larger than the other is the typical picture of a deep vein thrombosis. The situations where this happens are long journeys by car or plane, being bedridden after an operation or a fracture, a plaster cast, pregnancy and the weeks around childbirth, cancer, and taking the oral contraceptive pill. A clot that breaks loose and blocks the pulmonary artery is a pulmonary embolism: sudden breathlessness, more chest pain when you breathe in deeply, a fast heartbeat, dizziness, and coughing up blood (haemoptysis). At that point call 120 at once. 17.4% is the death rate among diagnosed cases of pulmonary embolism, not the risk you carry because your leg is swollen. Do not frighten yourself with that number.
Sources · 2 sources
- Goldhaber SZ, Visani L, De Rosa M (1999). Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet, 353(9162), 1386-1389. doi.org/10.1016/S0140-6736(98)07534-5
- WHO (2007). Study results released on travel and blood clots. www.who.int/news/item/29-06-2007-study-results-released-on-travel-and-blood-clots
12Heavy bleeding: press hard on the wound with your hand first, put a tourniquet on a limb if pressure will not hold, and call 120 at the same time
# Value HighGrade ALifespanA little moneyA few hoursNo willpower
Press hard on the wound with your hand or with clothing and do not let go. If pressure will not hold on a limb, put a tourniquet on it, then call 120, and once it is on do not loosen it. Among battlefield casualties, nine tenths of those given a tourniquet before shock survived, only one in ten of those given one after shock survived, and all 5 who needed one and did not get it died. Tie it above the wound, wind it until the bleeding stops, and note the time. Do not substitute a shoelace or a length of rope. On the neck and the torso you can only press, you must never tie.
Cost
A windlass tourniquet costs from a few tens of yuan to a little over a hundred. Keep one in the car and one in the first aid kit. Learn the sequence 「扎在伤口上方、拧到血停、记时间」 — tie it above the wound, wind it until the bleeding stops, note the time. It takes a few minutes.
Benefit
11 level-one trauma centres in Texas, United States, collected 1,026 cases of vascular injury to the limbs over 6 years, of which 181 (17.6%) had a tourniquet put on before reaching hospital. Taking the figures as they stand, mortality was 3.9% where a tourniquet was used and 5.2% where it was not. Once the other conditions are evened out (multivariable adjustment), a tourniquet is still independently associated with survival. Adjusted
OR 5.86, credible range
95% CI 1.41 to 24.47. At a field hospital in Baghdad, 232 casualties: survival was 90% where a tourniquet was put on before shock appeared, and only 10% where it was put on after shock. All 5 who needed a tourniquet and did not get one died, and survival where it was used was 87%. The order is: direct pressure first, clothing or a towel will do → a tourniquet on limb bleeding that pressure will not hold → call 120 → do not loosen it
Notes
Do not use a rope, a shoelace or any other thin thing as a tourniquet. It will not grip an artery, and it cuts the skin. Once a tourniquet is on, do not loosen it now and then to let some blood through. Bleeding on the neck and the torso can only be pressed, never tied. In that battlefield dataset the tourniquet itself cost nobody an amputation, and there were 4 cases of short-lived nerve paralysis. The expert consensus of Chinese emergency physicians agrees: once it has been used before hospital, loosening it is not recommended unless another way of stopping the bleeding completely is available. For bleeding in the upper arm, put it on the upper third of the upper arm; for bleeding in the thigh, put it at the top of the thigh. Do not put it on the forearm, the lower leg, the elbow or the knee. The consensus recommends keeping the total time, up to arrival at hospital and after it, under 2 hours if at all possible, but where the hospital cannot be reached and there is no other way to stop the bleeding, do not release it until proper rescue arrives. A tourniquet improvised from a belt, a tie or a shirt sleeve will struggle to stop the bleeding on its own; you need a stick to wind it tight.
Sources · 3 sources
- Teixeira PGR et al (2018). Civilian Prehospital Tourniquet Use Is Associated with Improved Survival in Patients with Peripheral Vascular Injury. Journal of the American College of Surgeons. doi.org/10.1016/j.jamcollsurg.2018.01.047
- Kragh JF et al (2009). Survival with emergency tourniquet use to stop bleeding in major limb trauma. Annals of Surgery. doi.org/10.1097/SLA.0b013e31818842ba
- Chinese Medical Doctor Association Branch of Emergency Physicians (中国医师协会急诊医师分会) et al (2020). Expert consensus on emergency use of tourniquets. 中华急诊医学杂志 29(6):773-779: 「院前急救时,止血带一旦使用则不建议松开,除非得到可以替代的彻底止血的救治」 — in prehospital first aid, once a tourniquet has been used it is not recommended to loosen it, unless a treatment that stops the bleeding completely becomes available in its place, and 「最长使用时间不应超过2 h。但如果客观情况无法到医院救治或者无替代止血办法,则在得到正规救援前不解除止血带」 — the longest time of use should not exceed 2 h, but if the situation objectively makes it impossible to get to hospital for treatment and there is no alternative way to stop the bleeding, then do not release the tourniquet before proper rescue arrives. , full text doi.org/10.3760/cma.j.issn.1671-0282.2020.06.006www.cem.org.cn/rhtml/20200606/index.htm
13Bitten or scratched by a dog or a cat through the skin: rinse alternately with soapy water and running water for 15 minutes, and get the vaccine the same day
# Value HighGrade ALifespanA little moneyIn passingNo willpower
Once rabies symptoms appear, the fatality rate is almost 100%, and rinsing plus the vaccine is the only route. Rinse alternately with soapy water and running clean water for 15 minutes, then get the vaccine the same day. A bite that goes right through, or broken skin that is licked, is grade III exposure, and it also needs immunoglobulin. A domestic animal that has been vaccinated does not change the handling: the grade is set by the wound, not by where the animal came from.
Cost
The rinsing is free. The full course of rabies vaccine costs several hundred yuan. Grade III exposure also needs rabies immunoglobulin (ready-made antibodies given by injection), which costs from several hundred yuan to over a thousand.
Benefit
The 2023 version of the standard from the National Disease Control and Prevention Administration (国家疾控局) and the National Health Commission (国家卫健委) says in its original text: 「狂犬病病死率几乎达 100%」 — the fatality rate of rabies is almost 100%. The handling is 「用肥皂水(或者其他弱碱性清洁剂)和一定压力的流动清水交替彻底冲洗所有咬伤和抓伤处约 15 分钟」 — wash all bite wounds and scratch wounds thoroughly for about 15 minutes, alternating soapy water (or another mildly alkaline cleaning agent) with running water at some pressure. A light bite on bare skin, or a scratch that does not bleed, is grade II exposure and needs the vaccine. A bite that goes right through, or broken skin that is licked, is grade III exposure, and 「应处置伤口并注射狂犬病被动免疫制剂和接种狂犬病疫苗」 — the wound must be treated, rabies immunoglobulin must be injected, and the rabies vaccine given. WHO: about 59,000 people die of rabies worldwide every year, and 99% of it is passed on by dogs
Notes
Do not skip the handling because the animal is a domestic one that has been vaccinated. The standard looks at the grade the wound has reached (the exposure grade), not at where the animal came from. Do not dress the wound yourself. The ten-day observation method can only decide whether to stop the injections, not whether to start them. The same handling applies to bites from wild animals and from bats.
Sources · 2 sources
- General Office of the National Disease Control and Prevention Administration (国家疾控局综合司) and General Office of the National Health Commission (国家卫生健康委办公厅) (2023). Notice on issuing the working standard for the prevention and handling of rabies exposure (2023 version), 关于印发狂犬病暴露预防处置工作规范(2023 年版)的通知. www.ndcpa.gov.cn/jbkzzx/c100014/common/content/content_1706569159854649344.html
- WHO. Rabies fact sheet, 狂犬病 实况报道. www.who.int/zh/news-room/fact-sheets/detail/rabies
14After a scald: rinse immediately with cool running water for 20 minutes, and put on no toothpaste and no soy sauce
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
A full 20 minutes of cool running water within 3 hours of the injury cuts the chance of needing a skin graft later to about six tenths. It is cool water, not ice water, and ice makes the damage worse. If clothing is stuck to the wound, do not tear it off; after rinsing, cover it with a clean cloth and go to hospital. Do not put on toothpaste, soy sauce, sesame oil or flour. If you only remember after a while, rinsing again within three hours still helps.
Cost
No money. It takes 20 minutes.
Benefit
Australia followed 2495 children with burn and scald injuries. In children given 20 minutes of cool running water within 3 hours of the injury, the odds ratio of needing a skin graft later was 0.6,
95% CI 0.4 to 0.8 (credible range), which is about six tenths of the figure for children who did not get it. A pooled result from 7 studies found the same thing: 「伤后三小时内 20 分钟凉流动水显著降低了需要植皮和手术处理创面的可能」 — 20 minutes of cool running water within three hours of the injury significantly lowers the chance that the wound needs a skin graft and surgical treatment
Notes
It is cool water, not ice water, and ice makes the damage worse. If clothing is stuck to the wound, do not tear it off; after rinsing, cover it with a clean cloth and go to hospital. Do not put on toothpaste, soy sauce, sesame oil or flour, because it changes the doctor's judgement of the depth and makes infection more likely. Rinsing again within three hours still helps
Sources
Griffin BR, Frear CC, Babl F, Oakley E, Kimble RM (2020). Cool Running Water First Aid Decreases Skin Grafting Requirements in Pediatric Burns: A
Cohort Study of Two Thousand Four Hundred Ninety-five Children. Annals of Emergency Medicine, 75(1), 75-85. ;Griffin B, Cabilan CJ, Ayoub B, et al. (2022). The effect of 20 minutes of cool running water first aid within three hours of thermal burn injury on patient outcomes: A systematic review and meta-analysis. Australasian Emergency Care, 25(4), 367-376.
doi.org/10.1016/j.annemergmed.2019.06.028doi.org/10.1016/j.auec.2022.05.00415A rash over the whole body, breathlessness or dizziness: handle it as anaphylactic shock, call 120 at once and say what you think it is
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
A rash over the whole body, plus breathlessness or dizziness, is anaphylactic shock. Call 120 at once, say straight out 「怀疑过敏性休克」 — I suspect anaphylactic shock — and ask the ambulance to bring epinephrine. Anti-allergy drugs and steroids act too slowly to stand in for epinephrine. Anyone who has had one of these should ask a doctor for an auto-injector. Inject into the outer mid-thigh, and it goes in through clothing.
Cost
No money. A person already known to have a severe allergy pays for their own epinephrine pen, and it is a prescription medicine.
Benefit
Epinephrine is the first-choice drug (first-line medicine) for anaphylactic shock of grade II and above, and the guideline lists it as a strong recommendation. Anti-allergy drugs and steroids act too slowly to take its place
Notes
The allergy guideline (EAACI) says of itself that in this field 「证据大多停留在很低的等级」 — the evidence is mostly at a very low grade. It lists a strong recommendation because the benefit is far larger than the risk, not because large trials exist. In China epinephrine is a prescription medicine, and most people do not have it to hand. What you can do is call 120, say 「怀疑过敏性休克」 — I suspect anaphylactic shock — and let the crew bring the drug. Anyone who has had a severe reaction should ask a doctor for an auto-injector and learn to inject into the outer mid-thigh (outer side, slightly to the front), which goes in through clothing.
Sources · 2 sources
- Chinese Medical Education Association (中国医药教育协会) et al (2022). Clinical Practice Guidelines for Emergency Treatment of Anaphylactic Shock (2020). Frontiers in Pharmacology: 「Epinephrine is the first-line medicine in GRADE II to IV anaphylaxis」「Intramuscular epinephrine should be injected in the mid-anterolateral thigh」, upper limit for intramuscular injection in adults 0.5 mg and 0.3 mg for those under 14 years, repeated every 5–15 minutes if there is no response. doi.org/10.3389/fphar.2022.845689
- Muraro A, et al. (2022). EAACI guidelines: Anaphylaxis (2021 update). Allergy. doi.org/10.1111/all.15032
16Someone has a fit and goes down: clear the area, lay them on their side, time it, and put nothing in their mouth
# Value HighGrade BLifespanNo moneyIn passingNo willpower
Move hard objects out of the way, lay them on their side with the face pointing down, and time the fit on your watch. Do not hold them down, do not pry the mouth open, and do not put anything in the mouth: that only damages the teeth and the jaw. Call an ambulance if the fit goes on for more than 5 minutes without stopping, if it starts again soon after stopping, if they cannot be woken afterwards or have trouble breathing, if it happens in water, or if this is the first fit they have ever had. Give water only once they are fully awake.
Cost
No money.
Benefit
This avoids the damage to the teeth and jaw caused by prying the mouth open and putting hard objects in it. This avoids the fractures caused by holding the person down. A fit that does not stop after 5 minutes is the red line at which you must call an ambulance
Notes
The same page lists several other situations that need an ambulance at once: another fit soon after the first one ends, not being woken afterwards or having trouble breathing, being hurt during a fit, a fit in water, and a first-ever fit. When the fit stops, lay them on their side with the face pointing down, and give water only once they are fully awake. In a household with an epileptic patient, these are the steps that get used most. Doing the same for a stranger is less likely to pay you back, but it does not make you liable either (Article 184 of the Civil Code, see item 2 in this section, do not lift them straight away).
Sources
US CDC. First aid for seizures: 「Don't hold the person down or stop their movements」「Don't put anything in their mouth. This can hurt their teeth or jaw」「Don't offer water or food until they are fully alert」「Time the seizure to track if it lasts more than 5 minutes. If it does, seek immediate medical attention or call 911」.
www.cdc.gov/epilepsy/first-aid-for-seizures/index.html17A person with diabetes starts shaking, sweating cold and speaking unclearly: give 15 grams of sugar first, then re-test after 15 minutes
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
Give 15 grams of sugar first, sugar cubes or a small box of juice will both do. Test again after 15 minutes, and if the reading is still low, do it again. A blood glucose below 3.0 mmol/L is the low blood sugar that medicine takes seriously. Once it reaches the point where somebody else has to help you treat it, it can kill. Give an unconscious person nothing at all by mouth, because it goes into the airway. Call 120 at once.
Cost
No money. Carry a few sugar cubes or a small box of juice with you.
Benefit
A blood glucose below 3.0 mmol/L is clinically significant hypoglycaemia. Hypoglycaemia with a change in consciousness or behaviour, needing help from another person to treat it, is severe hypoglycaemia, and it can kill
Notes
Give an unconscious person nothing to eat or drink, because it goes into the airway. Call 120 at once. The same standard also advises that anyone treated with insulin, or at high risk of hypoglycaemia, should be given a supply of glucagon. The wording is 「All individuals treated with insulin or who are at high risk of hypoglycemia...should be prescribed glucagon」. The nasal spray and the pre-filled injector are more usable than one that has to be mixed at the time. All of this assumes you are looking after yourself or a person with diabetes in your household, and the sugar you carry is carried for them.
Sources · 2 sources
- American Diabetes Association (美国糖尿病学会) (2025). Standards of Care in Diabetes 2025, Chapter 6 Glycemic Goals and Hypoglycemia. Diabetes Care: grading 「Level 1: Glucose <70 mg/dL (<3.9 mmol/L) and ≥54 mg/dL (≥3.0 mmol/L)」「Level 2: Glucose <54 mg/dL (<3.0 mmol/L)」「Level 3: A severe event characterized by altered mental and/or physical status requiring assistance for treatment of hypoglycemia, irrespective of glucose level」
- handling 「For most individuals, 15 g carbohydrates should be ingested」「Fifteen minutes after initial treatment, repeat the treatment if hypoglycemia persists」. doi.org/10.2337/dc25-S006
18Someone is electrocuted: cut the power first, then move the source aside with a dry wooden stick or the like, never pull them with your hands
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Cut the power first, or use something dry such as a wooden stick to move the live source aside, and only then touch the person. Pulling them with your bare hands turns one casualty into two. If they are not breathing once they are clear of the current, start compressing the chest at once, as in item 1 (pressing hard on the centre of the chest). Do not hold back because the injury came from electricity. Do not deal yourself with a fallen high-voltage line or anything near a substation. Back away and wait for the electricity authority to cut the power.
Cost
No money.
Benefit
This avoids the rescuer being caught in the current as well, which turns one casualty into two. Where someone is not breathing after being clear of the current, do cardiopulmonary resuscitation as in item 1 in this section (pressing hard on the centre of the chest). The US CDC first aid steps are: look first, do not touch, because the person may still be in contact with the current. Cut the power if you can, and if you cannot, move the source aside with something that does not conduct, such as cardboard, plastic or wood. Once the person is clear of the current, if breathing or the pulse has stopped, start cardiopulmonary resuscitation at once. One review says that people who go into cardiac arrest after electrocution and are brought back often do well afterwards
Notes
"Cut the power before touching the person" is purely a rule in your own interest: if you pull with your bare hands, the second person down is you. Do not deal yourself with a fallen high-voltage line or anything near a substation. Back away and wait for the electricity authority to cut the power. Cardiac arrest caused by electrocution is handled with the usual compressions and the usual defibrillation. Do not hold back because the label says electrical injury.
Sources · 2 sources
- US CDC. What to Do to Protect Yourself From Electrical Hazards (First aid section). www.cdc.gov/natural-disasters/response/what-to-do-protect-yourself-from-electrical-hazards.html
- Spies C, Trohman RG (2006). Narrative review: Electrocution and life-threatening electrical injuries. Annals of Internal Medicine 145(7):531-537. doi.org/10.7326/0003-4819-145-7-200610030-00011
19A carbon monoxide alarm goes off, or everyone in the house gets a headache and nausea at once: get outside first, then call
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
The alarm goes off, or everyone in the house gets a headache, nausea and dizziness at once. Take everyone outside first, then call. Do not stay inside looking for the cause, and do not go back to turn off a valve. The symptoms look like a cold, and 「出门就好转」 — it gets better once you are outside — is the strongest clue. China reported 11523 deaths from carbon monoxide poisoning in 2018. Most were in winter, and most happened at home.
Cost
No money.
Benefit
China's CDC cause-of-death surveillance system reported 11523 deaths from carbon monoxide poisoning in 2018. The worst months were month 1 (2845 cases), month 2 (2321 cases) and month 12 (2010 cases). Across those three winter months, 66% to 73% of the deaths happened at home. These are figures reported into the system, not extrapolated from the national population. In the United States, more than 400 people a year die of accidental carbon monoxide poisoning not linked to fires. More than 100,000 go to emergency departments and more than 14,000 are admitted to hospital
Notes
The symptoms look like a cold, and they also look like being drunk. Everyone in the house feeling ill at once and getting better outside is the strongest clue. Do not stay inside looking for the cause, and do not go back to turn off a valve. Get the people out and then call. For how to install the alarm, see item 3 in section 1.
Sources · 3 sources
- You J, Liu J, Zhou M (2020). Number of Deaths due to Carbon Monoxide Poisoning by Month and by Place of Death — China, 2018. China CDC Weekly 2(2):32: 「In 2018, there were 11,523 deaths caused by carbon monoxide poisoning reported in China」. doi.org/10.46234/ccdcw2020.008
- US CDC. Carbon monoxide poisoning: 「More than 400 Americans die from unintentional CO poisoning not linked to fires」「More than 100,000 visit an emergency department」「More than 14,000 are hospitalized」, common symptoms 「headache, dizziness, weakness, upset stomach, vomiting, chest pain, and confusion」. www.cdc.gov/carbon-monoxide/about/index.html
- US Consumer Product Safety Commission. Carbon Monoxide Information Center: 「If you suspect CO poisoning, get outside to fresh air immediately, and then call 911」. www.cpsc.gov/Safety-Education/Safety-Education-Centers/Carbon-Monoxide-Information-Center
20Accidental swallowing of a cleaning agent, a pesticide or medicine: do not induce vomiting, take the bottle with you to hospital at once; if it lands on the eyes or skin, flush with plenty of clean water for at least 15 minutes
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Do not induce vomiting after someone swallows a cleaning agent, a pesticide or medicine. Bringing a corrosive liquid back up burns the oesophagus a second time. First give a moderate amount of milk or egg white, then take the bottle and the instructions straight to hospital. If it lands on the skin or in the eyes, flush with plenty of clean water for at least 15 minutes, hold the eyelids open to flush and do not rub. Mixing a disinfectant with a toilet cleaner gives off chlorine gas.
Cost
No money. Put cleaning agents, disinfectants, pesticides and medicines on a high shelf out of a child's reach, or in a cupboard with a lock. Never decant them into a drinks bottle.
Benefit
The China CDC Institute for Occupational Health and Poison Control sets out four routes of exposure. Swallowed (gastrointestinal intake): immediately drink a moderate amount of milk or egg white, 「切记,不要催吐」 — remember, do not induce vomiting. Get to hospital as soon as possible and take the packaging or the instructions with you, 「以便于医生快速判断成分并制定救治方案」 — so that the doctor can judge the ingredients quickly and work out a treatment plan. Inhaled (respiratory intake): move the person at once to a well-ventilated area, open the collar and keep the airway clear; with severe coughing, breathlessness or difficulty breathing, get medical help at once. On the skin: flush the area of contact with plenty of clean water for at least 15 minutes, taking care that the runoff does not splash into the eyes or onto other intact skin. In the eyes: flush the eyes with plenty of clean water or saline for at least 15 minutes. Hold the eyelids open so the water reaches the eyeball and the inside of the lids, 「切勿揉搓眼睛」 — never rub the eyes. Go to the eye department at once afterwards. Identify high-risk products by their pH. A pH<3 product is a toilet cleaner, a descaler, a floor cleaner or a stainless steel polish. Some powerful drain unblockers also contain dilute sulphuric acid. A pH>11 product is a drain unblocker, a kitchen degreaser, washing powder, blasting salt or scouring powder. There is also a combination that causes harm on the spot: a disinfectant used together with a toilet cleaner containing hydrochloric acid gives off chlorine gas, which irritates the airway, causes severe coughing and breathlessness, and can kill
Notes
The B is because the official explainer only says how to handle it and how to recognise it, and gives no figure for how much less goes wrong if you follow it. The reason not to induce vomiting is that a corrosive liquid coming back up burns the oesophagus (the tube from the throat to the stomach) a second time. If you are not sure what was swallowed, take the bottle, the instructions and the vomit to hospital. Prevention is far cheaper than first aid: store by category, do not mix with food or drink, screw the cap shut when you have finished and throw the empty bottle away, and never pour the product into a mineral water bottle. Wear rubber gloves and goggles when you use it, open the window, and do not mix types. For carbon monoxide see item 19 in this section, and for burns and scalds see item 14 in this section. For chemicals such as acids and alkalis landing on the body, how to take the clothing off and how long to flush, see item 21 in this section (chemicals splashed on the body).
Sources
China CDC Institute for Occupational Health and Poison Control (中国疾病预防控制中心职业卫生与中毒控制所) (2025). Summer holiday safety reminder: beware of strongly acidic and strongly alkaline cleaning agents.
niohp.chinacdc.cn/kpdw/202507/t20250722_308659.htm21Acids, alkalis and other chemicals splashed on the body: take off the contaminated clothing at once, flush with plenty of running clean water, hold the eyelids open to flush the eyes, and do not leave until the full time is up
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Three steps. First, take off at once the clothing and footwear the chemical has soaked into: the parts the clothing held against the body are the worst injured. Second, flush with plenty of running clean water, at least 15 minutes for the skin and for the eyes alike. The Hunan Provincial Emergency Management Department gives 20 to 30 minutes. Follow the longer one. Third, hold the eyelids open and flush the eyes, then go straight to the eye department. Use water at room temperature, not hot water.
Cost
No money. On your first day at work, find out where the eyewash and the emergency shower are. Do not wait until there is an accident to go looking.
Benefit
Three steps at the scene. First, remove the contaminated clothing and footwear at once: the poison keeps being absorbed through the skin, and the parts the clothing held against the body are the worst injured. Second, flush with plenty of running clean water. The floor the China CDC Institute for Occupational Health and Poison Control gives is "at least 15 minutes" for the skin and for the eyes each. The figure the Hunan Provincial Emergency Management Department gives for flushing the wound surface is 20 to 30 minutes, "stronger chemicals need longer". Take the longer of the two. Third, "hold the eyelids open and make sure the water reaches the eyeball and the inside of the lids", "never rub the eyes", and go to the eye department at once afterwards. Use water at room temperature or slightly warm; hot water is forbidden. Put no ointment, no red potion and nothing else on a fresh wound, and do not wrap it in a dirty cloth: whatever goes on it stops the doctor judging how deep it goes. Legally, "chemical skin burn" and "chemical eye burn" are both on the statutory list of occupational diseases, and cases arising at work are handled as occupational disease and work injury. Where an accident involving acute occupational hazards happens, the employer "shall organise treatment in good time, carry out health checks and medical observation, and bear the costs required" (nationwide)
Notes
The B is because on how long to flush, one official document says 15 minutes and another says 20 to 30 minutes, and there is no single national standard figure. Take the name of the chemical, the packaging or the safety data sheet (SDS) to hospital: the doctor needs it to decide on a plan. Do not grab some other acid or alkali to "neutralise" it: the two give off heat when mixed, and there is no way to control how much you pour. The "neutralising solution" in the Hunan document means a purpose-made rinsing fluid the workplace prepared in advance, not something you hold against it at the scene. Brush dry powders such as lime powder and cement powder off first and flush afterwards (some local emergency pages say that even concentrated sulphuric acid should be wiped dry first; the wording differs from place to place, so this book does not say it). For cleaning agents at home and accidental swallowing, see item 20 in this section. For protection before you start work and the medical check-up, see items 9 and 10 in section 19 (hazard information before you start work, and protective equipment the unit must supply).
Sources
China CDC Institute for Occupational Health and Poison Control (中国疾病预防控制中心职业卫生与中毒控制所) (2025). Summer holiday safety reminder: beware of strongly acidic and strongly alkaline cleaning agents. ;Hunan Provincial Emergency Management Department (湖南省应急管理厅) (2015). Emergency handling and treatment of common chemical poisoning accidents. ;National Health Commission and three other departments (国家卫生健康委等四部门) (2024). Classification and catalogue of occupational diseases (in force from 2025-8-1). ;Standing Committee of the National People's Congress (全国人大常委会) (2018). Law on the Prevention and Control of Occupational Diseases, 职业病防治法第三十七条. (reprinted by the Beijing Municipal People's Government)
niohp.chinacdc.cn/kpdw/202507/t20250722_308659.htmyjt.hunan.gov.cn/yjt/tszt/aqzs/201509/t20150919_3113778.htmlwww.gov.cn/zhengce/zhengceku/202412/content_6992843.htmwww.beijing.gov.cn/zhengce/zhengcefagui/qtwj/201711/t20171104_779851.html22Dizzy, nauseated, not sweating or not fully conscious in high heat: move to shade at once, strip and pour water over the person to cool them. Give an unconscious person nothing to drink, and call 120
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Skin hot and red, speech slurred and mind confused mean heat stroke. From dizziness to coma can take only a few dozen minutes, and the fatality rate is very high. Move the person at once to a cool, ventilated place, take off their clothes, cool them with cool water and a wet towel, and call 120 at the same time. Give an unconscious person not one mouthful of water, because it goes into the airway.
Cost
No money.
Benefit
The US National Weather Service: heat stroke is 「严重的医疗急症」 — a serious medical emergency. It shows as a body temperature above 103°F (39.4°C), confusion, slurred speech, and skin that is hot and red. The handling is to call for emergency help at once, move the person somewhere cool, cool them with cool water and a wet cloth, and 「不要给液体」 — give no liquids. Heat exhaustion shows as heavy sweating, weakness, cold damp skin, and a fast weak pulse. The handling is to move the person somewhere cool, loosen their clothing, and give small sips of water; if there is vomiting, if the person worsens, or if it has not eased after 1 hour, get medical help. The Yunnan Provincial CDC (云南省疾控局) advises: move the person at once to a cool, ventilated place, cool them with a cold wet towel, give salt-containing drinks to anyone fully conscious, and call the emergency number at once if the symptoms are severe; severe heat stroke has a 「病死率极高」 — very high fatality rate. China CDC advises: cool first, transport second, and do the cooling within the 「黄金半小时」 — golden half hour — after the person loses consciousness. Where it is possible, healthy young and middle-aged adults with no underlying conditions can be cooled quickly by cold water immersion, while elderly people and those with underlying conditions are sprayed with water and cooled by evaporation. The Wilderness Medical Society's heat illness guidelines, updated in 2024, say cold water immersion is the most important treatment for severe heat illness and the fastest way to bring the temperature down. With no ice to hand, use the coolest water you have, and if immersion is not possible, spray with water and fan: that runs at about half the speed of immersion
Notes
Do not wait to see if it 「缓一缓」 — eases off a little. Heat stroke can go from dizziness to coma in a few dozen minutes. Do not pour water into an unconscious person, because it goes into the airway. Where to put the ice packs, the two sources differ. China CDC says the neck, the armpits and the groin. The Wilderness Medical Society says the research does not show any cooling effect from those sites. Its advice is that where ice packs are all you have, cover the whole body with them, and where there are not enough, put them on the cheeks, the palms of the hands and the soles of the feet. Both say to use cold water immersion where it is possible.
Sources · 6 sources
- US National Weather Service. Heat Related Illnesses. www.weather.gov/safety/heat-illness
- Yunnan Provincial CDC (云南省疾控局) (2026). With these symptoms you may have heatstroke, 出现这些症状,你可能是中暑了. ynsjkj.yn.gov.cn/html/2026/jikongkepu_0719/2606.html
- China CDC. In hot weather, China CDC reminds you to guard against heatstroke: 「如有条件可用冷水浸泡的方法对无基础疾病的青壮年快速降温。老人和有基础疾病的患者可向皮肤喷水通过蒸发降温。降温应遵循"先降温,后转运" 的原则」 — where it is possible, healthy young and middle-aged adults with no underlying conditions can be cooled quickly by cold water immersion. Elderly people and patients with underlying conditions can be sprayed with water and cooled through evaporation. Cooling should follow the principle of "cool first, transport second". www.chinacdc.cn/jkkp/ggws/hjyssj/202409/t20240906_296985.html
- National Health Commission (国家卫生健康委) (2010). Key points for preventing heatstroke in high temperatures. www.nhc.gov.cn/wjw/jbyfykz/201007/1edb19b7dd4e4bdf8da5ea45f4a64e23.shtml
- Eifling KP et al (2024). Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2024 Update. Wilderness & Environmental Medicine 35(1_suppl):112S-127S. (the text site refuses automated fetching, so the specific recommendations were checked against the update summary on the Wilderness Medical Society's own site: 「cold water immersion … is the most important method of treating severe heat illness」「If CWI is unavailable, evaporative cooling is the recommended second-line treatment. … generally half as fast as CWI」)doi.org/10.1177/10806032241227924wms.org/magazine/magazine/1540/Heat-Illness-CPG/default.aspx
- Lipman GS et al (2019). Same guidelines, 2019 version. doi.org/10.1016/j.wem.2018.10.004
23Anyone with heatstroke who is conscious: small sips of cool dilute salt water or a sports drink, often and little. Do not gulp, and do not drink alcohol or high-sugar drinks
# Value HighGrade BLifespanNo moneyIn passingNo willpower
Only a conscious person drinks. Take small sips often of cool dilute salt water or a sports drink, 500 to 1000 millilitres an hour. Do not gulp, because being sick and taking it into the airway kills faster. Do not drink alcohol or high-sugar drinks, because they make you lose more water. Cool the body first, with cool water on the skin and ice packs on the neck, armpits and groin, and only then replace the fluid. Give an unconscious person or one with slurred speech not one mouthful.
Cost
No money. A sports drink costs a few yuan a bottle.
Benefit
China CDC has published the Guide to Public Prevention and Emergency Handling of Heatstroke (2014 version). It says 「至少每小时喝 2~4 杯凉水(500~1000ml),水温不宜过高,饮水应少量多次」 — drink at least 2 to 4 cups of cool water an hour (500 to 1000ml), not too warm, and in small sips often. It also says 「不要饮用含酒精或大量糖分的饮料。这些饮料会导致失去更多的体液。同时,还应避免饮用过凉的冰冻饮料」 — do not drink drinks containing alcohol or a large amount of sugar, because they cause you to lose more body fluid, and avoid drinks that are too cold and frozen. For heat stroke it says plainly 「不要给病人喝水」 — do not give the patient water. US NIOSH: for heat exhaustion, 「鼓励小口频繁地喝凉水」 — encourage small, frequent sips of cool water; for heat cramps, give a sugary and electrolyte-containing sports drink every 15 to 20 minutes, and 「不要用盐片」 — do not use salt tablets
Notes
After heavy sweating, drinking plain water on its own dilutes the salt in the blood (low blood sodium), so the water needs a little salt in it. Drinking a large amount at once makes people vomit, and vomit going into the airway kills faster than the heatstroke itself. "Do not drink it ice cold" is advice from the 2014 version of the China CDC guide, on the grounds of fear of stomach spasm, and it comes with no quantified evidence. Do not misread it as "cold is not allowed". The ways of cooling are set out in item 22 in this section (moving to shade, stripping and pouring water to cool down when dizzy and nauseated in high heat): wiping the body down with cool water, cold water immersion, and ice packs on the neck, armpits and groin. These are exactly the first-line cooling methods the official sources recommend, and they go on the body rather than into the mouth. Cooling always comes before rehydrating. Give an unconscious person or one with slurred speech not one mouthful
Sources · 2 sources
- China CDC Institute for Occupational Health and Poison Control (中国疾病预防控制中心职业卫生与中毒控制所) (2014). Guide to Public Prevention and Emergency Handling of Heatstroke (2014 version). niohp.chinacdc.cn/sndt/201405/t20140530_97623.htm
- US CDC/NIOSH. Heat-Related Illnesses. www.cdc.gov/niosh/heat-stress/about/illnesses.html
24In a fire: crawl along the ground, feel the door before opening it, and if the door is hot do not open it. Take the stairs, not the lift, and once you are out do not go back
# Value HighGrade BLifespanA little moneyIn passingNo willpower
Stay down on the floor and crawl towards the exit under the smoke. Before opening a door, feel the handle and the door itself. If it is hot, or if smoke is coming from the gap, do not open that door: take the second way out. Open the door slowly and shut it again the moment thick smoke comes through. Take the stairs and not the lift, because a power cut traps you inside. Once you are out, do not go back for your things. If your clothes catch fire, stop, lie down and roll, and cover your face with your hands.
Cost
Fit 1 to 2 standalone smoke alarms at home, a few tens of yuan. Look at the two ways out of the stairwell in advance.
Benefit
The US FEMA text on escaping says: 「趴到地上,从烟下面爬向出口」 — stay down on the ground and crawl towards the exit under the smoke. Before opening a door, feel the handle and the door itself: 「如果是热的,或者门缝有烟,别开这扇门,用第二条路」 — if it is hot, or if smoke is coming from the gap, do not open that door; use the second way out. Open the door slowly and close it again as soon as there is thick smoke. If clothes catch fire, 「停下、倒地、打滚」 — stop, lie down, roll — and cover your face with your hands. If you cannot get out, close the door, block the gap under the door and any vents with cloth or tape, and phone in your location. The Ministry of Emergency Management's fire self-rescue guidance says the same thing: do not take the lift when escaping, run downwards as far as you can while the fire is small, cover the nose and mouth with a wet towel or a mask, and crawl or bend low as you leave
Notes
Do not take the lift, because a power cut traps you inside. Do not go back for property. Do not run upwards unless you have confirmed the roof door is open. Do not jump. Fold a wet towel 3 times into 8 layers and do not put too much water in it, because a towel that is too wet makes breathing harder. When the smoke and toxic gas are too thick, a towel will not save you.
Sources · 5 sources
- US FEMA Ready.gov. Home Fires. www.ready.gov/home-fires
- Ministry of Emergency Management (应急管理部) (2019). How to get yourself out of a fire in a public place: 「逃生时不要乘坐电梯,当火势不大时,要尽量往楼层下面跑」「可用湿毛巾或口罩蒙鼻,匍匐或弯腰撤离」 — when escaping, do not take the lift
- when the fire is not severe, run towards the lower floors as far as you can
- you can cover the nose with a wet towel or a mask, and crawl or bend low as you leave. www.mem.gov.cn/kp/shaq/201904/t20190401_366015.shtml
- Guizhou Provincial Fire and Rescue Corps (贵州省消防救援总队) (2020). Everyday fire knowledge: three points for escaping, 消防常识丨逃生三要点: 「湿毛巾对折3次(叠成8层),除烟率比较高,但烟和毒气浓度过高时,过滤效果就无法保证了。另外,毛巾过湿会导致呼吸困难」 — a wet towel folded 3 times (into 8 layers) filters smoke well, but when smoke and toxic gas are too thick to allow any filtering, and a towel that is too wet makes breathing difficult. gz.119.gov.cn/xfkp/xfcs/202010/t20201026_71437855.html
25You see someone drowning: shout for help and call 110/120, hand over a pole and throw something that floats, and do not go into the water yourself
# Value HighGrade CLifespanNo moneyIn passingSome willpower
A drowning person instinctively drags the rescuer under, and anyone who goes into the water may drown too. The order is: shout for help → call 110/120 → hand over a long pole or a rope → throw a life ring, an empty bucket or a plastic bottle → if the person is ashore and not breathing, start compressions at once. Never form a chain of people holding hands and go in. About 300,000 people drown every year worldwide, and it is the fourth leading cause of death among children aged 1 to 4.
Cost
No money. The hard part is holding back the jump.
Benefit
WHO: about 300,000 people drown every year worldwide, 92% of them in low- and middle-income countries. Drowning is the fourth leading cause of death among children aged 1 to 4 and the third among those aged 5 to 14. The intervention the WHO recommends is "safe rescue and resuscitation training", which means learning the ways to help without going into the water. The order is: shout for help → make the call → hand over a long pole or a rope, and throw a life ring, an empty bucket or a plastic bottle → if the person is ashore and not breathing, start compressions at once
Notes
The C is because no official text could be found for the rule "do not go into the water yourself"; there is only the WHO death figures and the direction of "safe rescue". Never form a chain of people holding hands and go in. If you are not trained, do not go in after someone: a drowning person drags the rescuer under. "Do not go into the water yourself" is a rule in your own interest too: the person who goes in may drown, and it makes no difference who was in the water. If you do have to rescue someone, it will most often be your own child; for prevention see item 12 in section 1 (keep children in sight whenever they are near water). Where someone has fallen through the ice, do not run out onto the ice to pull them out either; for how to handle ice see item 41 in section 1 (bore a hole and measure the thickness before you step onto outdoor ice).
Sources
26Someone is choking and cannot speak: stand behind them, give 5 back blows and 5 abdominal thrusts, and if they go down start cardiopulmonary resuscitation
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
First ask 「你噎住了吗,能说话吗」 — are you choking, can you speak. If they can still cough hard and make a sound, do nothing and let them cough. If they cannot speak, stand behind them, give 5 back blows followed by 5 abdominal thrusts, and repeat until the object comes out or the person goes down. If they go down, start cardiopulmonary resuscitation and get someone to call the emergency number. For a pregnant woman or a very large person, thrust on the chest instead. Do not reach into the mouth for something you cannot see.
Cost
No money. Watch the movement once: make a fist above the navel, cover it with the other hand, and thrust sharply inwards and upwards.
Benefit
The US National Library of Medicine text: first ask 「你噎住了吗,能说话吗」 — are you choking, can you speak. "Anyone who can cough hard and can speak should not be touched", because the cough itself often brings the object out. If the person cannot speak, "repeat 5 back blows followed by 5 abdominal thrusts until the object comes out or the person loses consciousness". "If consciousness is lost, start cardiopulmonary resuscitation", and get someone to call the emergency number at the same time. For pregnant women and obese people, do chest thrusts instead
Notes
Do not reach into the mouth for something you cannot see: you push it further in. Do not strike a person who can still cough. Choking most often happens at your own dining table, and the people who benefit are mostly your family. Teaching in China is the same set: the Fujian Red Cross Emergency Rescue Training Centre says that for children over 1 year and for adults the Red Cross system in China has always taught the cycle of 5 back blows plus 5 abdominal thrusts. Plenty of older tutorials online teach only the abdominal thrust, and that is the old version. For a child under 1 year do not strike the abdomen, and strike the chest instead: see item 43 in this section (infant choking).
Sources · 2 sources
- US National Library of Medicine, MedlinePlus. Choking – adult or child over 1 year. ;Fuzhou Municipal Health Commission (福州市卫生健康委员会) (2026). The Heimlich manoeuvre has been updated: 「1岁以上幼儿、儿童及成人:从旧版单一腹部冲击改为"5次背部拍击+5次腹部冲击"的循环」「中国红十字系统急救培训一直都是按"5次背部拍击+5次腹部冲击"循环进行的方式进行教学」 — for children over 1 year and for adults, instead of the single abdominal thrust of the old version the cycle is now "5 back blows plus 5 abdominal thrusts"medlineplus.gov/ency/article/000047.htm
- the Red Cross first aid training system in China has always taught the cycle of "5 back blows plus 5 abdominal thrusts". www.fuzhou.gov.cn/zgfzzt/swjw/fzwj/jkkp/202601/t20260108_5268351.htm
27Lost in the Gobi, in a desert or in an uninhabited area, or the vehicle has broken down: stay where you are or by the vehicle, report your location first, then get shade and warmth, ration the water and do not wander
# Value ModerateGrade CLifespanA fair amount of moneyIn passingA lot of willpower
Stay where you are or by the vehicle, because the vehicle is the biggest thing giving shade. The order is: with a signal, send your location first and then make the call → get shade and keep warm → ration the water, moving nothing by day and moving once it has cooled off at night → do not wander → signal with a mirror, with smoke, or with three piles of fire. Before you go in, tell someone the route, the destination, the date of return and the vehicle type and plate number.
Cost
Before going into an uninhabited area, tell someone your route, your destination, your date of return, and the vehicle type and plate number. Start at 4 litres of water per person per day. A satellite communicator or BeiDou short message device costs over a thousand yuan, and a few hundred yuan to rent. The hard part is holding to "stay put and do not wander".
Benefit
The Mojave desert page of the US National Park Service has three sentences in its original text. One is 「每人每天至少 1 加仑(约 3.8 升)水,徒步和骑行者每人每天 2 加仑」 — at least 1 gallon (about 3.8 litres) of water per person per day, and 2 gallons per person per day for people walking and cycling. One is 「告诉别人你的路线、目的地、返回日期、车型和车牌」 — tell someone your route, destination, date of return, vehicle type and plate number. And one is 「手机信号时有时无」 — mobile signal comes and goes. The Death Valley text: 「热的时候不要在谷底和低海拔徒步」 — when it is hot, do not hike in the valley floor or at low elevations; in the wilderness 「几乎没有手机信号」 — there is almost no mobile signal — and it recommends carrying a satellite phone. The Mojave desert driving page says: 「出了紧急情况,待在车旁是你能做的最重要的事」 — in an emergency, staying by the vehicle is the most important thing you can do. The page also says this is not common, but people have died on the walk back to the road from exposure to extreme heat or cold. The priorities run in five steps. The first is reporting that you are safe and your coordinates: with a signal, send your location first and then make the call. The second is shade and warmth, with the vehicle as the largest shelter. The third is water: move nothing by day, and move once it has cooled off at night. The fourth is not wandering. The fifth is signalling. The Chongqing Municipal Emergency Management Bureau advises that three fires laid out in a triangle are the internationally recognised distress signal. If you are close enough to shout, shout three short, three long, then three short again, and repeat after 1 minute. When there is sun, use a mirror, a tin can lid or something else bright to reflect it. The Ministry of Culture and Tourism reminds self-driving visitors to go into uninhabited areas with care, to travel in as many vehicles as possible, to prepare walkie-talkies in advance, and to rent a satellite phone if necessary
Notes
The C is because all of this is official guidance rather than research data. The water quantity, the notification, the signal coverage, staying by the vehicle and the distress signals are all official wording. No official text could be found for the "groups of three" calls that circulate, so they have been rewritten as the official three fires and three short, three long, three short. Do not hike at midday looking for the route. Do not drink urine. Do not cut your drinking to save water.
Sources · 8 sources
- US National Park Service. Mojave National Preserve Safety. www.nps.gov/moja/planyourvisit/safety.htm
- US National Park Service. Death Valley Safety. www.nps.gov/deva/planyourvisit/safety.htm
- US National Park Service. Desert Driving Safety. www.nps.gov/articles/000/desertdrivingsafety.htm
- Chongqing Municipal Emergency Management Bureau (重庆市应急管理局) (2024). Emergency science: the distress signals you need to know in the wild: 「燃放三堆火焰是国际通行的求救信号,将火堆摆成三角形」「三声短三声长,再三声短;间隔1分钟之后再重复」 — lighting three fires is the internationally recognised distress signal, and lay the fires out in a triangle
- three short, three long, then three short
- repeat after an interval of 1 minute. yjj.cq.gov.cn/yjkp/scshaq/202409/t20240918_13639172.html
- Ministry of Culture and Tourism (文化和旅游部) (2018). The Ministry of Culture and Tourism reminds visitors to choose outdoor adventure travel carefully: 「谨慎前往无人区和人烟稀少区」「尽量多车同行,提前准备对讲机,必要时租用卫星电话」 — go into uninhabited and thinly populated areas with care
- travel in as many vehicles as possible, prepare walkie-talkies in advance, and rent a satellite phone if necessary. www.mct.gov.cn/zxbs/cxts/201811/t20181127_836244.htm
28Shaking, slurred speech and unsteady walking mean hypothermia: change the wet clothing, wrap them up, warm the trunk first, give a hot sweet drink and no alcohol
# Value HighGrade BLifespanA little moneyIn passingNo willpower
A body temperature below 35℃ is hypothermia. The person shakes, speaks unclearly, walks unsteadily and cannot think straight. Change the wet clothing and wrap them in a survival blanket or dry clothing. Warm the trunk first, not the hands and feet. Give a hot sweet drink and no alcohol, because alcohol suppresses the shivering. Stopping the shivering is not improvement, it is deterioration. If they are unconscious, start cardiopulmonary resuscitation.
Cost
An aluminium foil survival blanket costs a few yuan, plus one spare dry garment. Learning to read the signs costs nothing.
Benefit
The US National Weather Service text: a body temperature below 95°F (35°C) is hypothermia, and 「觉得冷、迟钝、想不清楚,立刻看医生」 — if you feel cold, slow and unable to think clearly, see a doctor at once. The handling is 「立即就医,把人移到有暖气的室内,先从身体中心开始复温」 — seek medical care at once, move the person into a heated room, and start rewarming from the centre of the body — and give hot drinks. 「酒精会减少寒战」 — alcohol reduces shivering — so none is given. 「失去意识做心肺复苏」 — if the person is unconscious, do cardiopulmonary resuscitation. Frostbite is treated with lukewarm water or by rewarming against body temperature, and 「不要用热水或壁炉一类辐射热」 — do not use hot water or radiant heat from a fireplace. The Wilderness Medical Society's 2019 hypothermia guideline is the practice guideline for this field
Notes
Do not rub the hands and feet. Do not have a hot bath. Do not drag and haul the person, because a badly hypothermic person can go into cardiac arrest easily. Do not take the absence of shivering as improvement: not shivering any more (the shivering has stopped) means deterioration. The full text of the Wilderness Medical Society guideline is behind a subscription, and only the abstract was checked this time.
Sources · 2 sources
- US National Weather Service. During Extreme Cold. www.weather.gov/safety/cold-during
- Dow J et al (2019). Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update. Wilderness & Environmental Medicine. doi.org/10.1016/j.wem.2019.10.002
29Bitten by a snake: sit down and stay still, take off rings and watches, get to hospital quickly for antivenom. Do not cut, do not suck, do not tie it tight
# Value HighGrade BLifespanNo moneyIn passingSome willpower
Sit down and stay still, and splint the bitten limb. Take off rings and watches first, because it is about to swell. Get to a hospital with antivenom quickly, because antivenom is the only thing that reverses most of the toxic effects. Do not cut, do not suck with your mouth, do not apply ice, and do not tie a rope until it turns purple. Do not drink alcohol and do not run about. Take a photo of the snake from a distance if you can, but do not go and catch it.
Cost
No money. Find out in advance which nearby hospital holds antivenom. The hard part is holding back the urge to treat the wound yourself.
Benefit
The WHO text has three sentences. One is 「立即完全固定被咬的身体部位,并迅速送到最近的医疗机构就医」 — immobilise the bitten part of the body completely at once and take the person to the nearest medical institution for treatment without delay. One is 「避免使用止血带,并避免切割伤口」 — avoid using a tourniquet, and avoid cutting the wound. And one is 「用针对当地蛇种的适当抗蛇毒血清进行治疗」 — treat with the appropriate antivenom for the local snake species. 「高质量抗蛇毒血清是防止或逆转蛇咬伤的大部分毒性作用的最有效治疗方法」 — high-quality antivenom is the most effective treatment for preventing or reversing most of the toxic effects of a snakebite. About 81,000 to 138,000 people die of snakebite worldwide every year, and the number left amputated or permanently disabled is about 3 times the number of deaths. China's 2024 snakebite treatment guideline estimates that 250,000 to 280,000 venomous snakebites occur in China each year, mainly in people aged over 50. Hospitals in 11 provinces of the Yangtze River basin and the south admitted 40817 snakebite patients between 2017 and 2021, with 23 deaths during the hospital stay (0.06%)
Notes
Take a photo of the snake if you can, but do not go and catch it. Do not drink alcohol, do not run about, do not suck with your mouth, do not apply ice, and do not tie a rope until it turns purple. China has no official national count of snakebite deaths. The in-hospital death rate in those 11 provinces looks low, but more than a tenth of the patients left before treatment was finished, and what became of them is not in the figures.
Sources · 4 sources
- WHO. Animal bites fact sheet, 动物咬伤 实况报道. www.who.int/zh/news-room/fact-sheets/detail/animal-bites
- WHO (2023). Snakebite envenoming fact sheet, 蛇咬伤中毒 实况报道. www.who.int/zh/news-room/fact-sheets/detail/snakebite-envenoming
- Lai R et al (2024). The Chinese guideline for management of snakebites. World Journal of Emergency Medicine 15(5):333-355: 「An estimated 250,000–280,000 cases of venomous snakebites occur in China each year, affecting mainly patients aged ≥50 years」. doi.org/10.5847/wjem.j.1920-8642.2024.076
- Yan S et al (2026). Clinical epidemiology of snakebite envenoming in hospitals 11 provinces of Yangtze River Basin and southern regions of China. PLoS Neglected Tropical Diseases: 「withdrawal (4346, 10.65%), and death (23, 0.06%)」. doi.org/10.1371/journal.pntd.0013247
30In an earthquake, first work out what building you are in: in a building built to seismic code, drop where you are. In an old building that will come down, the door is a few steps away, so go out
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpowerDisputed
First work out what building you are in. In a building put up to code after 2001, if you have to go down the stairs or through the entrance hall to get out, drop where you are: cover your head and neck and get under a solid table, holding the table leg. In a single-storey house, an old brick house, or a self-built house with no seismic design, the door is a few steps away, so go out. In no circumstances jump from a window, take the lift, or go down the stairs while the building is shaking.
Cost
No money. Look in advance at how many steps it is out of your own front door, which way you go, and which table is solid.
Benefit
The China Earthquake Administration's explainer video Earthquake: hide or run? (《地震来了,是躲还是跑?》) gives the formula 「震时就近躲避,震后迅速撤离」 — during the shaking, take cover nearby; after the shaking, withdraw at once — and it states the limit explicitly: 「这里指的是在符合抗震设防要求的建筑内」 — this refers to being inside a building that meets seismic design requirements. The reason is that such buildings 「整体垮塌的可能性较小」 — are less likely to collapse entirely. The text says that 「坠落的建筑构件及装饰物品」 — falling structural members and fittings — 「才是对生命安全最大的威胁」 — are the greatest threat to life. And that 「震时无保护措施的盲目乱跑」 — running about blindly during the shaking without protection — 「反而容易被坠落的天花板、吊灯(扇)等物品砸伤」 — makes you more likely to be struck by a falling ceiling, a light fitting or a fan. To take cover, 「用手或者其他软物保护好头颈部」 — protect your head and neck with your hands or another soft object — 「并牢牢地抓住桌腿」 — and hold the table leg firmly. With no table, 「迅速贴紧承重墙蹲伏」 — crouch close to a load-bearing wall at once — 「避开外墙、窗户、阳台」 — and keep away from outer walls, windows and balconies. 「如果在户外」 — if you are outdoors — you should 「应该第一时间疏散到空旷的地方避震」 — move to open ground at once to ride out the shaking. Look at it the other way round. The 1988 Armenian earthquake brought down whole Soviet-style prefabricated blocks. The case-control study from that time says that 「第一下震动之后离开建筑是保护性行为」 — leaving the building after the first shock is protective behaviour. The chance of being hurt while staying indoors was 4.40 times the chance for someone who got out (odds ratio 4.40),
95% CI 2.24 to 8.71 (credible range). The chance of being hurt inside a building was 12.20 times that of being outside (3.62 to 63.79). In a building of more than 5 storeys it was 3.65 times the chance in a lower building (2.12 to 6.33)
Notes
Disputed, and the two conclusions are about two different kinds of building. The China Earthquake Administration itself makes "take cover" conditional on 「符合抗震设防要求的建筑内」 — being inside a building that meets seismic design requirements. It also calls for 「因地制宜」「因人而异」 — adapting to the place and to the person — so you weigh up whether the building resists earthquakes, where you are standing, and whether you can run at all. The Armenian buildings came down whole, so there was nowhere to take cover and going out was the better option. What US FEMA gives for housing in the United States is "drop, cover your head and neck, hold on, and do not run outside", and the injuries there come mainly from falling objects and from falls while moving during the shaking. The Northridge study also warns that reaching out to catch something, or to hold up something that "looks steady", makes the injury worse. So asking only "do I run" is no use. You have to judge whether the building will come down and whether you can reach open ground within seconds. In a building put up to code after 2001, where you have to go down the stairs or through the entrance hall, drop where you are. In a single-storey house, an old brick house, or a self-built house with no seismic design, the door is a few steps away, so go out. The Armenian study compared only survivors who were hurt with survivors who were not, did not count the dead, and does not say whether the effect of storey height was adjusted for. People who can run may well have lived on the ground floor, so read the figures down. In no circumstances jump from a window, take the lift, or go down the stairs while the building is shaking. Once outside, keep clear of tall buildings, overpasses, electricity poles, glass curtain walls and advertising hoardings.
Sources · 4 sources
- China Earthquake Administration (produced by the Anhui Provincial Earthquake Administration). Earthquake: hide or run? (explainer video, subtitle transcript), 地震来了,是躲还是跑?. www.cea.gov.cn/cea/dzpd/dzcs/5537260/index.html
- Armenian HK, Noji EK, Oganesian AP (1992). A case-control study of injuries arising from the earthquake in Armenia, 1988. Bulletin of the World Health Organization, 70(2), 251-257. europepmc.org/article/MED/1600585
- US FEMA Ready.gov. Earthquakes. www.ready.gov/earthquakes
- Mahue-Giangreco M, Mack W, Seligson H, Bourque LB (2001). Risk factors associated with moderate and serious injuries attributable to the 1994 Northridge Earthquake. Annals of Epidemiology, 11(5), 347-357. doi.org/10.1016/s1047-2797(01)00220-4
31Bears, wild boar and a pack of wild dogs: do not run, do not scream, do not stare them down, and back away slowly side-on
# Value ModerateGrade BLifespanNo moneyIn passingSome willpower
Do not run, because a bear runs like a racehorse up and down a slope. Do not climb a tree either, because both black bears and brown bears climb. Stand still, keep talking to it in a low voice, and when it stops moving back away slowly side-on. If a brown bear charges, lie down and play dead, with your hands clasped behind your neck and your legs apart. If a black bear charges, do not play dead: run for the car or the house, and if you cannot get there, fight back with whatever is to hand. For a scratch or a bite from a dog, rinse and get the injection as in item 13.
Cost
No money. Take a walking pole into the hills, walk in company, and make some noise so the animals know you are coming. The hard part is standing still instead of running.
Benefit
The US National Park Service text on bears has six sentences. One is 「不要跑,熊上下坡都能跑得像赛马一样快」 — do not run, a bear can run as fast as a racehorse up and down a slope. One is 「保持冷静,大多数熊不想攻击你,只想被放着不管」 — stay calm, most bears do not want to attack you, they only want to be left alone. One is 「用低沉的声音持续跟熊说话」 — keep talking to the bear in a low voice. One is 「熊不动时,侧着身慢慢退开,这样既能盯着熊又不会绊倒」 — when the bear is not moving, back away slowly side-on, so that you can keep your eyes on it without tripping. One is 「让自己显得尽量大」 — make yourself look as large as you can. And one is 「不要爬树,灰熊和黑熊都会爬树」 — do not climb a tree, grizzlies and black bears both climb. When attacked by a brown bear, 「装死,趴着双手扣在颈后、双腿分开」 — play dead, lying face down with your hands clasped behind your neck and your legs apart. When attacked by a black bear, 「不要装死,逃向车或房子,逃不了就用手边任何东西反击」 — do not play dead, run for the car or the house, and if you cannot escape, fight back with anything to hand. A dog bite is handled as in item 13
Notes
The B covers bears only. The rules for wild boar and wild dogs, namely do not run, back away slowly, and get to high ground or put something between you and the animal, are experience, and count as grade C. The official guidance from the National Forestry and Grassland Administration and from local forestry bodies could not be found this time. Do not use food to lure the animal, do not walk up close for a photograph, and do not take a dog into hills where there is wild boar. Bears in China are mostly black bears and brown bears, so read the play-dead and do-not-play-dead advice separately for the two.
Sources · 2 sources
- US National Park Service. Staying Safe Around Bears. www.nps.gov/subjects/bears/safety.htm
- General Office of the National Disease Control and Prevention Administration (国家疾控局综合司) and General Office of the National Health Commission (国家卫生健康委办公厅) (2023). Working standard for the prevention and handling of rabies exposure (2023 version), 狂犬病暴露预防处置工作规范(2023 年版). www.ndcpa.gov.cn/jbkzzx/c100014/common/content/content_1706569159854649344.html
32Caught in a thunderstorm in the wild: get into a vehicle or building with a hard roof, and keep away from ridges, lone trees, open water and metal
# Value HighGrade BLifespanNo moneyIn passingSome willpower
Outdoors with a thunderstorm in the area, there is nowhere safe. Get into a vehicle or building with a hard roof. A convertible, a motorcycle, a tent, a shelter, the foot of a tree and the underside of an overhanging rock do not count. Keep away from open ground, from the top of a ridge, from a lone tall tree, from open water and from iron railings. If a group cannot get out, spread out and stand separately. Leave as soon as you hear thunder, and it is only safe 30 minutes after the last thunderclap.
Cost
No money. The price is that the trip is interrupted for half an hour or more. The hard part is turning back while the thunder is still far off.
Benefit
Outdoors with a thunderstorm in the area, there is nowhere safe. It is only safe 30 minutes after the last rumble of thunder
Notes
A tent, a shelter, the foot of a tree and the underside of an overhanging rock do not count as cover. A car with a hard roof does; a convertible and a motorcycle do not. Start leaving as soon as you hear thunder, and do not wait for the rain to arrive.
Sources · 3 sources
- US National Weather Service. Lightning safety outdoors: 「There is no safe place outside when thunderstorms are in the area」「Avoid open fields, the top of a hill or a ridge top. Stay away from tall, isolated trees or other tall objects」「Stay away from water, wet items, such as ropes, and metal objects, such as fences and poles」
- where you really cannot leave, 「If you are in a group, spread out to avoid the current traveling between group members」
- resuming the activity, 「Wait 30 minutes until after the last rumble of thunder」. www.weather.gov/safety/lightning-outdoors
33Going up to a high plateau: climb slowly by sleeping altitude (how high you sleep that night), come back down if the symptoms get worse, and do not push through
# Value HighGrade ALifespanNo moneyA few hoursSome willpower
What counts is how high you sleep, not how high you got to during the day. Sleeping above 2450 metres puts you at risk of altitude illness. Above 3000 metres, raise the height you sleep at by no more than 500 metres a night, and allow one extra day of acclimatisation for every 1000 metres of climb. A headache with nausea, unsteady walking, a change in consciousness, or breathlessness even at rest means come back down. Coming down comes before oxygen and before medicine.
Cost
One to two extra days for acclimatisation. The preventive drug is a prescription medicine, so ask a doctor before you leave. The hard part is keeping those days free when the itinerary is tight.
Benefit
Sleeping above 2450 metres puts you at risk of altitude illness. High-altitude cerebral oedema and pulmonary oedema, where fluid collects in the brain and the lungs, kill if you do not come down to lower ground in time
Notes
What counts is 「睡在多高」 — how high you sleep — not how high you got to during the day. A headache with nausea, unsteady walking, a change in consciousness, or breathlessness even at rest are all signs to come down. Descent takes priority over oxygen and over medicine, and carrying on upwards while breathing oxygen is wrong.
Sources · 5 sources
- US CDC. Yellow Book, high-altitude travel and altitude illness: 「Any unacclimatized traveler proceeding to a sleeping altitude of ≥2,450 m (≥8,000 ft)—and sometimes lower—is at risk for altitude illness」
- rate of ascent, 「500 m (1,650 ft) per night in sleeping altitude once above 3,000 m (9,800 ft)」, with one extra acclimatisation day for every 1000 m of climb
- acetazolamide for prevention, 「125 mg twice a day; 250 mg twice a day if >100 kg body weight」
- 「If symptoms become worse despite rest or treatment at the same elevation」 descent is required. www.cdc.gov/yellow-book/hcp/environmental-hazards-risks/high-altitude-travel-and-altitude-illness.html
- Wilderness Medical Society (2024). Clinical Practice Guidelines for the Prevention, Diagnosis and Treatment of Acute Altitude Illness: 2024 Update. Wilderness & Environmental Medicine. doi.org/10.1016/j.wem.2023.05.013
34A tick has attached itself: pull it straight out with fine-tipped tweezers held against the skin, and put on no oil and use no flame
# Value ModerateGrade BLifespanA little moneyIn passingNo willpower
Grip the head of the tick with fine-tipped tweezers held against the skin, and pull it straight out. Do not put on oil, do not use a flame, and do not twist as you pull: that agitates the tick and squeezes fluid carrying the pathogen into the skin, and it also leaves the mouthparts buried in the flesh. Write down the date afterwards. If you get a fever, a rash or weakness in the weeks that follow, tell the doctor you were bitten by a tick.
Cost
A pair of fine-tipped tweezers.
Benefit
Oil, flame and twisting as you pull all agitate the tick and squeeze pathogen-bearing fluid into the skin. Doing it this way also makes it easy to leave the part of the tick's mouth that is buried in the flesh inside. The fever with thrombocytopenia syndrome that ticks carry in China had 6602 cases and 306 deaths reported nationwide in 2024, the highest year since the disease was discovered. The average fatality rate from 2010 to 2024 was 4.79%, it rises with age, and in those aged 85 and over it is 9.15%
Notes
Write down the date when you have pulled it out. If you get a fever, a rash or weakness in the weeks that follow, tell the doctor you were bitten by a tick. If the doctor does not ask and you do not say, it is easily treated as a cold.
Sources · 2 sources
- US CDC. After a tick bite: 「Grasp the tick as close to the skin's surface as possible using clean fine-tipped tweezers」「Pull tick away from the skin with steady, even pressure」「Do not use petroleum jelly, heat, nail polish, or other substances to try and make the tick detach from the skin. This may agitate the tick and force infected fluid from the tick into the skin」. www.cdc.gov/ticks/after-a-tick-bite/index.html
- Ren Q et al (2026). Epidemiological characteristics of severe fever with thrombocytopenia syndrome (SFTS) in China, 2010–2024: a fifteen-year national surveillance analysis. BMC Infectious Diseases 26:1497: 「The number of reported cases (6,602 cases) and deaths (306 cases) in 2024 were both the highest levels since the discovery of this disease」「The average CFR was 4.79%, and the CFR increased with age, reaching 9.15% among those aged 85 years and above」. doi.org/10.1186/s12879-026-14066-z
35Drink all water in the wild boiled: a rolling boil for one minute is enough, and there is no need to boil it longer because of the altitude
# Value HighGrade BLifespanNo moneyIn passingNo willpower
Every organism that can make you ill through drinking water dies within seconds at boiling temperature. Boiling for another minute is only a margin for judging the boil wrongly, and you do not need to boil it longer because of the altitude. If you cannot boil, use a filter or a disinfection tablet. Each of the two misses some pathogens, so boil the water if you can. Clear-looking stream water and snowmelt can carry parasites just the same.
Cost
Carrying an extra set of cooking gear and the weight of the fuel.
Benefit
Every organism that can make you ill through drinking water is killed (inactivated) within seconds at boiling temperature. The belief that water at high altitude does not get hot enough to boil is a common mistake
Notes
The same page also says you do not strictly have to bring it to a rolling boil: holding it at 60 ℃ for 30 minutes works just as well, and boiling is simply the end point you can see without a thermometer. If you cannot boil, use a filter or a chemical disinfection tablet; each of the two misses some pathogens, so boil the water if you can. Stream water and snowmelt that look clear can carry parasites just the same, and appearance is not a test.
Sources
US CDC. Yellow Book, water disinfection for travellers: 「All organisms that may cause illness from drinking water are killed within seconds at boiling temperature」「CDC recommends that travelers boil water for a full minute to account for user variability in identifying boiling points and to add a margin of safety」「Although the boiling point for water decreases with increasing elevation, at common travel elevations the temperature needed to achieve boiling is still well above the temperature required to inactivate enteric pathogens」.
www.cdc.gov/yellow-book/hcp/preparing-international-travelers/water-disinfection-for-travelers.html36Demanded of money by a stranger in an uninhabited area: give him the money, do not use your hands, note his features, and call the police once you are clear
# Value ModerateGrade CLifespanA little moneyIn passingA lot of willpower
Give him the money. Do not use your hands and do not answer back. He is risking a charge of robbery for a few hundred yuan: three years or more and up to ten years to start with, and ten years or more up to the death penalty where he enters a home, carries a gun, or causes grievous injury or death. Once he has the money and turns to leave, if you chase him and hit him it is no longer self-defence. As soon as you are clear, write down his build, his accent, the plate number and the direction he went, and call 110.
Cost
The cash you are carrying. The hard part is keeping your temper down.
Benefit
Your life is worth more than the money, and he is risking a serious charge over a few hundred yuan. Article two hundred and sixty-three of the Criminal Law says that whoever takes property belonging to others or others by violence, coercion or other means shall be sentenced to three to ten years' imprisonment and fined. Where a firearm is carried, a home is entered, or grievous injury or death is caused, the sentence is ten years or more, up to the death penalty. The right of self-defence in Article twenty of the Criminal Law only protects 「制止正在进行的不法侵害」 — stopping an unlawful infringement that is under way. Once he has the money and turns to leave, if you chase him and hit him it is not self-defence. As soon as you are clear, write down his build, his accent, the plate number and the direction he went, and call 110
Notes
The C is because there is no direct literature on the claim that paying and not fighting is safer. The statute only sets out his risk and your boundary. Do not follow him to a secluded place to 「取钱」 — get the money. Do not hand over your phone password. Do not get into his vehicle. Paying him first applies only where you are stopped face to face and your personal safety is threatened, and you should still call the police once you are clear. Being demanded money online with private photos or nude videos is the opposite case, and you must not pay a single yuan. See item 32 in section 8 (being blackmailed with private material).
Sources
National People's Congress (全国人大) (revised 2020). Criminal Law, 刑法(第二十条、第二百六十三条). (consolidated text reprinted by the Beijing Municipal Public Security Bureau Traffic Management Bureau)
jtgl.beijing.gov.cn/jgj/jgxx/flfg/fl/11033925/index.html37You come across a group of people fighting: back off and walk away. Do not wade in, do not stand and watch, do not pick up the weapons on the ground. If you are going to call the police, move to a safe distance and dial 110
# Value ModerateGrade BPersonal freedomNo moneyIn passingSome willpower
The moment you lay a hand on them, breaking up the fight becomes taking part in it. Taking part in a group fight carries up to 3 years, and where there are many people, on a public road, or carrying weapons, 3 to 10 years. Watching can get you hurt by accident. What you should do is back off and walk away. If you are willing to call the police, move to a safe distance, dial 110, and say where it is, how many people there are, whether anyone has a knife or a stick, and whether anyone is lying still.
Cost
No money. The hard part is holding back both impulses: going in to pull them apart, and standing there to watch the show. After you call the police you may be called back to give a statement, which costs at most half a day.
Benefit
Article two hundred and ninety-two of the Criminal Law: 「聚众斗殴的,对首要分子和其他积极参加的,处三年以下有期徒刑、拘役或者管制」 — in a group fight, the ringleaders and the others who take an active part shall be sentenced to up to three years' imprisonment, criminal detention or public surveillance. Where there are repeated group fights, many people, a large scale and a bad effect on society, where public order is seriously disrupted in a public place or on a main road, or where weapons are carried, the sentence is 「处三年以上十年以下有期徒刑」 — three to ten years' imprisonment. Where a group fight 「聚众斗殴,致人重伤、死亡的」 — causes grievous injury or death — it is punished as intentional injury or intentional homicide. The Law on Penalties for Administration of Public Security has penalties too. Assaulting another person carries 5 to 10 days of detention and a fine of 500 to 1000 yuan. A group fight is handled as picking quarrels and provoking trouble, with up to 15 days of detention and a fine of 2000 yuan. Article 5 of the Guiding Opinions on the Proper Application of the System of Self-Defence (关于依法适用正当防卫制度的指导意见) says that an unlawful infringement 「既包括针对本人的不法侵害,也包括危害国家、公共利益或者针对他人的不法侵害」 — includes not only an unlawful infringement directed at yourself, but also one that harms the state, the public interest or other people. Article 9 of those Opinions says that where one side strikes first with clearly excessive force, or where one side strikes first and goes on attacking despite the other side trying to avoid the conflict, the side that hits back should in general be found to have been acting in self-defence
Notes
The B is because half of the consequences are set down in hard statute, but the step of "back off, call the police and do not wade in" has no official text behind it, and is worked out from the statute and from how a mutual fight is assessed. 「我是来劝架的」 — I only came to break it up — is not a protection, because the assessment looks at whether you laid hands on anyone and who you hit. If the other person is already down or has run off and you still chase them and hit them, that is not self-defence either. If you see one person surrounded and being beaten with no way to fight back, in law you can step in. Self-defence protects not only yourself but other people as well. Going in with your bare hands, though, most often just adds another casualty. Shouting for help, filming from a distance and calling the police work better. "Do not wade in and do not stand and watch" is nothing but good for you. Calling 110 mostly helps the person on the ground, which is the lowest group of beneficiaries in this book, and whether you spend that time is your own call. Before you weigh it, there are a few things to know. The duty to give evidence exists anyway: Article 62 of the Criminal Procedure Law says that anyone who knows the circumstances of a case has a duty to give evidence, and that duty does not disappear because you did not make the call. Once there is grievous injury or a death, the police pull the CCTV and find the people who were there just the same, and standing and watching is what gets you registered most easily. Where a person reporting a case does not want their name published, the authority handling it 「应当为他保守秘密」 — must keep it secret for them (Article 111). Giving the location, the number of people and whether anyone had a weapon is enough, and you can hang up without staying there. The cases that end in a warning or in detention of up to ten days are the ones where the court has notified you to attend, you cannot give a valid reason for not doing so, and you still refuse to give evidence (Article 193), and a bystander very rarely gets that far. Not calling the police is not itself illegal: the words 「有权利也有义务」 — you have both the right and the duty — in Article 110 of the Criminal Procedure Law carry no penalty, and the Criminal Law has no offence of failing to report what you know as an ordinary person, so walking away is a lawful option. There are only two red lines left after you have walked away. The first is helping to hide someone afterwards or giving false evidence to shelter them (Article three hundred and ten of the Criminal Law: 3 years or less, and 3 to 10 years where the circumstances are serious). The second is giving false evidence on purpose when you are called to testify (Article three hundred and five: 3 years or less, and 3 to 7 years where the circumstances are serious). Staying silent and telling the truth are both fine; making things up is not. For being drawn into a conflict yourself, see item 10 in section 8; for being demanded money by a stranger, see item 36 in this section; and for the money after a rescuer is hurt, see item 39 in this section.
Sources · 4 sources
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百三十二、二百三十四、第二百九十二、三百零五、三百一十条). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Law on Penalties for Administration of Public Security, 治安管理处罚法(2025 年修订,第三十、五十一条). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- Supreme People's Court (最高人民法院), Supreme People's Procuratorate (最高人民检察院) and Ministry of Public Security (公安部) (2020). Guiding Opinions on the Proper Application of the System of Self-Defence (法发〔2020〕31 号, items 5 and 9), 关于依法适用正当防卫制度的指导意见. www.court.gov.cn/zixun/xiangqing/251611.html
- National People's Congress (全国人大) (2018). Criminal Procedure Law, 刑事诉讼法(2018 年修订,第六十二、一百一十、一百一十一、一百九十三条). Full text reprinted by the Ningxia Hui Autonomous Region People's Procuratorate www.nx.jcy.gov.cn/zwsy/qwfb/202011/t20201119_608817.html
38You may have been exposed to HIV: get the blocking medicine within 72 hours, and the sooner the better
# Value ModerateGrade BLifespanA fair amount of moneyIn passingSome willpower
If you think you may have caught HIV, 72 hours is a hard line, and the medicine is best taken within 2 hours. You take it every day for 28 days. Past 72 hours that route is closed, so do not wait until the next day to decide.
Cost
A 28-day course costs over a thousand yuan, and in most regions you pay for it yourself. You have to go to hospital that same evening. The hard part is admitting on the spot that you may have been infected, and walking out of the door at once.
Benefit
The Beijing Municipal People's Government's explainer on HIV puts it this way: the preventive medicine taken after contact is called post-exposure prophylaxis (PEP), and it should 「尽可能在 2 小时内进行预防性用药,最好在 24 小时内、不超过 72 小时」 — be given preventively as soon as possible, ideally within 2 hours, preferably within 24 hours, and not later than 72 hours. It also has to be 「连续服用 28 天」 — taken for 28 days without a break. Past 72 hours starting it is no longer advised, and that is a hard limit
Notes
Where to get it: the designated HIV clinic named by the local CDC, usually under infectious diseases (the sexually transmitted infection and AIDS clinic). Many cities now have 24-hour clinics, and Chongqing's published figures are 29 clinics across 26 districts and counties, of which 14 are open around the clock. Before you go, phone the local CDC to ask which one has the medicine, and do not waste time in the emergency department. What counts as an "exposure" includes sex without protection, a condom that broke, a needlestick, and blood onto a mucous membrane. Whether the medicine is needed is the doctor's call. You have to complete the full 28 days, and missing a few doses makes it clearly less effective. Afterwards, follow the doctor's instructions and come back for checks at 4 to 6 weeks and at 3 months. The blocking medicine is only a remedy. For everyday prevention and testing, see items 30 and 31 in section 1 (use a condom throughout, and get tested if you have had higher-risk sex).
Sources · 2 sources
- Beijing Municipal People's Government. Cannot tell before from after? Six questions and six answers on HIV pre-exposure and post-exposure prophylaxis, 事前、事后分不清?六问六答全面了解艾滋病病毒暴露前/暴露后预防. www.beijing.gov.cn/fuwu/bmfw/jhsyfwzdzx/sjazbr/fakp/202311/t20231110_3299397.html
- China CDC Center for STD and AIDS Prevention and Control (中国疾病预防控制中心性病艾滋病预防控制中心) (2020). Technical guidelines for HIV post-exposure prophylaxis (trial), 艾滋病病毒暴露后预防技术指南(试用). www.chinacdc.cn/jkyj/crb2/yl/azb/jswj_azb/202410/t20241027_302131.html
39You are hurt or out of pocket after a rescue: go after the person who caused it and after medical insurance first, then apply for official recognition as someone who acted for justice
# Value HighGrade BMoneyNo moneyA few hoursNo willpower
Putting yourself into a rescue does not have to mean writing the loss off. Where the person acting for justice is injured, treatment comes first and payment after. The medical bill is paid by the person who caused the harm; if they have run away or cannot pay, it goes through basic medical insurance. Where there is no person who caused the harm, the person you rescued is required by law to give you appropriate compensation. Apply for official recognition at the same time: where you were injured, the work injury insurance benefits apply.
Cost
No money. Applying means handing in documents, waiting for a decision and making several trips: weeks to months.
Benefit
Article 183 of the Civil Code: "where a person suffers damage while protecting the civil rights and interests of another, the tortfeasor bears the civil liability, and the beneficiary may give appropriate compensation. Where there is no tortfeasor, or the tortfeasor has absconded or is unable to bear the civil liability, and the victim requests compensation, the beneficiary shall give appropriate compensation". 国办发〔2012〕39 号 sets out what happens to people injured while acting for justice. Medical institutions must set up a green channel and "adhere to the principle of treating first and charging afterwards". The text on medical costs reads: "medical expenses arising from emergency treatment are borne by the tortfeasor or the person responsible where there is a tortfeasor or a responsible person; where there is no tortfeasor or responsible person, or where the tortfeasor or responsible person has absconded or is unable to bear it, they are settled through the basic medical insurance system as prescribed". Where the person dies, "those who meet the conditions for being assessed as martyrs shall be assessed as martyrs by law"; where the case counts as a work injury, the dependants receive "a one-off work-death benefit and a special dependant benefit equal to 40 months of the person's wages". Where the person is disabled, "those who meet the conditions for work injury insurance benefits have the corresponding benefits applied under the Regulations on Work-Related Injury Insurance; where they do not, the civil affairs department assesses the disability grade and the corresponding benefits are applied". On employment, they are "given priority for inclusion in employment assistance and given key support", and posts in the public interest "give priority to people who acted for justice and qualify". On housing, they are "given priority for inclusion in the housing support system, given priority in the allocation or sale of affordable housing, or given a housing rental subsidy"
Notes
The B is because what you can get is fixed by the national documents, but how much money is paid and how recognition works are settled by each province's own regulations on acting for justice, and the figures differ from place to place; they were not checked province by province this time. You apply to the public security organ where the incident happened, or to the body that handles cases of people who acted for justice (a foundation). Whether you are recognised turns on evidence: the police report receipt, the CCTV at the scene, the names and telephone numbers of witnesses, and the hospital records. Keep them at the time. If you intend to sue, the civil rights of a person who acted for justice already fall within the scope of free legal aid. For the national standard of the one-off work-death benefit and for how a disability grade converts into money, see items 14 and 15 in section 19. For how to apply for legal aid, see item 3 in section 7.
Sources
National People's Congress (全国人大) (2020). Civil Code, 民法典第一百八十三条. ;General Office of the State Council, forwarding the Ministry of Civil Affairs and other departments (国务院办公厅转发民政部等部门) (2012). Opinions on Strengthening the Protection of the Rights and Interests of People Who Act for Justice (《关于加强见义勇为人员权益保护的意见》, 国办发〔2012〕39 号).
www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtmlwww.gov.cn/zwgk/2012-07/26/content_2191928.htm40A knife, a steel bar or glass has pierced the body: press around the object to stop the bleeding, and do not pull it out
# Value HighGrade BLifespanNo moneyIn passingSome willpower
Pulling it out can cause severe bleeding, and it makes the wound harder for the doctor to judge. What to do: call 120, press around the object with your hand or a dressing to stop the bleeding, and pad it so it does not shift. Where organs are showing through a wound in the abdomen, do not push them back; cover them with a clean damp dressing. A wound in the chest that is bubbling must not be sealed over with plastic sheet, because sealing it can collapse the lung.
Cost
No money. The hard part is holding back the instinct to pull it out first, and staying with the person until the ambulance comes.
Benefit
The 2025 international first aid guidelines of the International Federation of Red Cross and Red Crescent Societies: "the first aider should press around an object embedded in the body, such as a knife, steady the object and not pull it out". "Do not remove any embedded object from a wound in the abdomen or chest, because removal can cause severe bleeding and makes it harder for the doctor to judge how serious the injury is". "An object embedded in the body should be stabilised; if it moves with the pulse, let it move and simply hold it steady". "The first aider should not push exposed organs back into the body". An open chest wall wound that is not bleeding out "may be left open and undressed, because sealing the wound can let air collect in the chest cavity and partially or completely collapse the lung (pneumothorax)". All penetrating chest and abdominal wounds need emergency help called at once
Notes
The B is because this is common practice in the guidelines, with no randomised trial: nobody could split the injured into a "pull" group and a "do not pull" group to test it. The one exception is an object blocking the airway, where the person cannot get enough air. At the hospital go straight to the desk by the emergency department entrance that sorts cases by severity, the triage desk, and say "penetrating injury". That is the category that goes straight into the resuscitation room; do not queue at the registration window (see item 7 in section 24). Where something really has gone through, call 120, and the ambulance will warn the hospital in advance so it can prepare. For how to press down on severe bleeding and how to put on a tourniquet, see item 12 in this section.
Sources
International Federation of Red Cross and Red Crescent Societies (2025). International First Aid, Resuscitation and Education Guidelines 2025, pages 256–257 and 267–268.
www.ifrc.org/sites/default/files/2026-03/IFRC%20International%20First%20Aid,%20Resuscitation%20and%20Education%20Guidelines%202025.pdf41If you suspect a fracture, do not move that part again: support it and keep it still, apply cold for no more than 20 minutes, and do not straighten it yourself
# Value HighGrade BLifespanNo moneyIn passingNo willpower
Treat every injury to an arm or a leg as a fracture until proven otherwise. Being able to stand and to move does not rule it out; only an X-ray can settle it. Keep the injured part still, supporting it with your hand, or hold it in the position it was in with a triangular bandage or a hard board. Apply cold early, no more than 20 minutes at a time. Do not straighten it yourself. Where the broken bone has broken through the skin, stop the bleeding and cover it with a clean dressing, and do not push the bone back in.
Cost
No money. Find a hard board, a rolled-up magazine or a bundle of clothing to use as a splint. Put a layer of cloth between the skin and anything cold.
Benefit
The International Federation of Red Cross and Red Crescent Societies published its 2025 international first aid guidelines. They say that "any injury to a limb should be treated as a possible fracture". They also say that "the only accurate way to confirm a fracture is an X-ray; where you are not sure, treat it as a fracture". The purpose of splinting is to "reduce movement and pain as far as possible". Cold is for "no more than 20 minutes at a time, which reduces the pain; staying cold for longer than this can damage the skin". "Where a long bone such as the femur is injured, the bleeding from the bone itself can be fatal". Call for emergency help where the pain or swelling is marked, where there are signs of shock, where the femur (thigh bone) is fractured, or where the limb is clearly in the wrong position. Where a fracture is bent out of line, straightening it on the spot (reduction) is only considered when two conditions are both met. First, the place is remote (or the conditions are limited) and the limb below the bend is cold and pale, or the first aider cannot splint it well enough to move the person. Second, the rescuer is trained. The priority in an open fracture (where the broken bone has broken through the skin) is stopping the bleeding and preventing infection
Notes
The B is because all of this is common practice. Putting traction and a splint on a femur (thigh bone) fracture before the hospital rests on one study of old medical records, and the reliability of that evidence is very low. The result was less blood transfused within 24 hours and a shorter stay in hospital, with the difference in deaths and complications too small to make out. Whether to reduce first (put the bone back where it was) or to fix it as it is, no evidence was found at all. Three common misunderstandings have to go: being able to stand and walk does not mean there is no fracture; use cold and not heat, and do not alternate between them; a sprain does not "work itself out with movement", so rest first. For the rules on moving an elderly person who falls and may have a fracture, see item 2 in this section. For warning of a clot where one leg swells after a cast or a period in bed, see item 11 in this section. For whether to have a disability assessment and whether to get a disability certificate after treatment, see items 9 and 10 in section 24.
Sources
International Federation of Red Cross and Red Crescent Societies (2025). International First Aid, Resuscitation and Education Guidelines 2025, pages 301–302.
www.ifrc.org/sites/default/files/2026-03/IFRC%20International%20First%20Aid,%20Resuscitation%20and%20Education%20Guidelines%202025.pdf42After a sexual assault: get somewhere safe and call 110. Before the examination do not wash, do not wash your clothes and do not tidy the room, and get to hospital within 72 hours
# Value ModerateGrade BPersonal freedomA little moneyA few hoursA lot of willpower
Traces left on your body, on your clothing and in the room are the most important evidence for identifying the person who did it. So before the examination try not to wash, not to wash your clothes and not to tidy the room, and call 110 as early as you can. Emergency contraception is in the pharmacy, and the earlier you take it the better it works. Get to hospital within 72 hours and let the doctor decide whether you need the blocking medicine.
Cost
Calling the police is free. Emergency contraception is an over-the-counter medicine and any pharmacy sells it. A course of the blocking medicine costs over a thousand yuan, and whether you need it is the doctor's call. See item 38 in this section (getting the blocking medicine within 72 hours). The hard part is that at the time it is very hard to say anything, and you very much want a shower straight away.
Benefit
A prosecutor at the Beijing Municipal People's Procuratorate says: 「无论是未成年人还是成年人,遇到侵害,都应当第一时间拨打110报警」 — whether the person is a minor or an adult, anyone who has been harmed should call 110 to report it at the very first opportunity. Reporting and seeking medical help in good time 「便于侦查机关及时勘查现场、提取物证痕迹、固定证据」 — lets the investigators inspect the scene, collect physical traces and secure the evidence in time. The People's Daily handbook on preventing sexual assault of minors, reprinted by the Guizhou Provincial Department of Civil Affairs, says: 「一旦不幸遭遇性侵害,最重要的事情就是留存证据」 — once you have been sexually assaulted, the most important thing is to preserve the evidence. You have to keep 「体液、毛发、皮屑、通信记录等证据」 — evidence such as bodily fluids, hair, skin flakes and call and message records — and 「被侵害后,不要擅自洗澡、洗衣物、收拾房间、扔东西」 — after being assaulted, do not wash, wash your clothes, tidy the room or throw things away on your own. Where the person is someone you know, keep the calls and the message records. Where they threaten you or try to buy you off afterwards, keep that evidence too. The Beijing Xicheng District People's Procuratorate writes: 「在接受身体检查之前尽量不要洗澡」 — try not to wash before the physical examination. The World Health Organization says that emergency contraception can be used when 「女性在未采取有效的避孕保护措施时遭受性侵犯」 — a woman is sexually assaulted without effective contraceptive protection. It advises using it within 5 days, and the earlier the better. For emergency contraceptives containing levonorgestrel, a progestogen, the pregnancy rate among women who used them was 1.2% to 2.1%. The levonorgestrel tablets sold in pharmacies in China are over-the-counter. The Wuhan Municipal Health Commission says that after unprotected sex, 「72小时以内,服药越早,预防妊娠效果越好」 — within 72 hours, the earlier the medicine is taken, the better it works at preventing pregnancy. The HIV blocking medicine should be taken as soon as possible, ideally within 2 hours, and no later than 72 hours (nationally)
Notes
The B is because these are official practice and prescribing advice, and there is no figure for how much higher the conviction rate becomes after following it. The people who benefit are mostly you and your family. The 72 hours for emergency contraception is the figure on the Chinese package insert; the World Health Organization says it works within 5 days, but the later you take it the worse it does, so do not delay. If you are already pregnant, emergency contraception does nothing. Tell the truth when you report it, hiding nothing and exaggerating nothing. If the person tries to settle it privately afterwards, offers you money or threatens you, keep a record of it and do not delete it. You can also think it over before reporting it, but the evidence disappears with time. Whether or not you report it, get to hospital inside the time limit. For recording, see
item 41 in section 8 (recording). Where the person afterwards uses photographs, or the police report, to pressure you, that is a crime as well. See
item 32 in section 8 (being blackmailed with a police report or photographs). If this happens to a frien
d, go with them to the police and to hospital, and do not start by telling them to take a shower and lie down.
Sources · 6 sources
- Beijing Municipal People's Procuratorate (2024). Through the law and through drama: watching the series 九部的检察官, The Ninth Inspector, how should minors facing unlawful infringement protect themselves? (reprinted from China National Radio's China Voice), 法眼看剧丨看《九部的检察官》 未成年人面对不法侵害该如何保护自己?(转载中央广播电视总台中国之声). www.bjjc.gov.cn/c/bjoweb/mtbg1/75046.jhtml
- Guizhou Provincial Department of Civil Affairs (2024). A handbook on preventing sexual assault of minors, for parents and children to read (reprinted from the People's Daily), 未成年人防性侵手册,请家长孩子查收!(转载人民日报). mzt.guizhou.gov.cn/xwzx/mzyw/202407/t20240723_85145012.html
- Beijing Xicheng District People's Procuratorate (2018). Why they no longer stay silent, 她们为什么不再沉默……. www.bjjc.gov.cn/c/xicheng/xjjsl/320654084.jhtml
- World Health Organization (2021). Emergency contraception (fact sheet), 紧急避孕(实况报道). www.who.int/zh/news-room/fact-sheets/detail/emergency-contraception
- Wuhan Municipal Health Commission (2020). Safe and sensible use of emergency contraceptives, 安全合理使用紧急避孕药. wjw.wuhan.gov.cn/ztzl_28/fyjkkp/szjk/202010/t20201009_1461161.shtml
- Beijing Municipal People's Government. Cannot tell before from after? Six questions and six answers on HIV pre-exposure and post-exposure prophylaxis, 事前、事后分不清?六问六答全面了解艾滋病病毒暴露前/暴露后预防. www.beijing.gov.cn/fuwu/bmfw/jhsyfwzdzx/sjazbr/fakp/202311/t20231110_3299397.html
43An infant under 1 year is choking and cannot cry out: lay the child face down and give 5 back blows, turn the child over and give 5 chest thrusts, alternate the two, and do not thrust on the abdomen
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
If the child can still cough and cry out, let the child cough and watch. If the child cannot cry out and the face is turning blue, get someone to call 120, lay the child face down along your forearm, and give 5 back blows with the heel of your hand between the two shoulder blades. If nothing comes out, turn the child over and give 5 quick thrusts in the middle of the chest. Alternate the two, and do not thrust on the abdomen. If the child stops responding, start cardiopulmonary resuscitation instead.
Cost
No money. Watch the movement once, or sit a first aid course for infants: minutes to half a day. The hard part is getting the child turned over and face down in the middle of the panic.
Benefit
The American Heart Association and the American Academy of Pediatrics published their 2025 pediatric basic life support guidelines. The guidelines say that suffocation, such as an object blocking the airway, "is one of the leading causes of death in infants and children". What infants most often choke on is liquid. A child who is still coughing and still making a sound has a mild obstruction: let the child cough, and watch whether it gets worse. A weak cough or no cough, no cry, and a bluish face means a severe obstruction. With a severe obstruction, call for emergency help first, then "repeat 5 back blows followed by 5 chest thrusts until the object comes out or the infant stops responding". The guidelines do not recommend abdominal thrusts on infants, because this can injure the organs inside the abdomen. Chest thrusts now use the heel of one hand, because it presses deeper than the old two-finger method. When an infant stops responding, start cardiopulmonary resuscitation, with compressions first and no pulse check. Remove any object you can see before giving breaths. The guidelines state plainly: "do not reach blindly with a finger". The 2025 international first aid guidelines of the International Federation of Red Cross and Red Crescent Societies say the same thing. First give up to 5 firm back blows between the two shoulder blades; if that does not work, turn the infant over and give up to 5 chest thrusts; if that does not work either, call for emergency help at once. It presses on the chest by encircling the chest with both hands and using the two thumbs. The Fujian Red Cross Emergency Rescue Training Centre says that for infants under 1 year the method is "5 back blows + 5 chest thrusts". For the back blows, lay the infant face down on your forearm with the head lower than the body
Notes
The B is because what supports this set of techniques is mainly case reports, and there is no figure for "how many fewer deaths if you follow it". The benefit is graded large on judgement: an airway that is completely blocked stops the child's heart within minutes. Almost all the beneficiaries are your own children. For children over 1 year and for adults, thrust on the abdomen instead: see item 26 in this section (choking, back blows plus abdominal thrusts). The technique for thrusting the chest differs from source to source. The US guidelines and the new Chinese Red Cross version use the heel of one hand, the International Red Cross uses two thumbs, and older tutorials use two fingers. The 2025 US guidelines no longer recommend the two-finger method because it does not press deep enough. In an emergency, any one of them beats doing nothing. Even after the object comes out, go to hospital: a fragment may be left in the lung. Keep coins, small toys and things like that out of a child's reach. What to do once the child stops responding, see item 44 in this section (infant cardiopulmonary resuscitation).
Sources
Joyner BL et al (2025). Part 6: Pediatric Basic Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 152(suppl 2):S424–S447. , full text at ;International Federation of Red Cross and Red Crescent Societies (2025). International First Aid, Resuscitation and Education Guidelines 2025, pages 238–240. ;Fuzhou Municipal Health Commission (福州市卫生健康委员会) (2026). The Heimlich manoeuvre has been updated.
doi.org/10.1161/CIR.0000000000001370cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/pediatric-basic-life-supportwww.ifrc.org/sites/default/files/2026-03/IFRC%20International%20First%20Aid,%20Resuscitation%20and%20Education%20Guidelines%202025.pdfwww.fuzhou.gov.cn/zgfzzt/swjw/fzwj/jkkp/202601/t20260108_5268351.htm44An infant under 1 year is unresponsive and not breathing normally: put 120 on speakerphone and do infant cardiopulmonary resuscitation, 30 compressions then 2 breaths
# Value HighGrade BLifespanNo moneyA few hoursNo willpower
If tapping the soles of the feet gets no response and there is no normal breathing, put 120 on speakerphone and do not let your hands stop. Encircle the chest with both hands and press with the two thumbs; where you cannot get both arms round, use the heel of one hand. Press down about 4 cm, at about 2 compressions a second. After every 30 compressions, seal your mouth over the child's mouth and nose and give 2 breaths. An infant's heart usually stops because breathing has failed, and cardiopulmonary resuscitation with breaths saves more of them.
Cost
No money. Infant cardiopulmonary resuscitation has to be practised once on a course: half a day to a day. The hard parts are breathing into the child's mouth and nose, and being willing to press hard.
Benefit
The American Heart Association and the American Academy of Pediatrics published their 2025 pediatric basic life support guidelines. The guidelines say that in infants and children the leading cause of cardiac arrest is still a failure of breathing. Among infants who go into cardiac arrest outside hospital, only 6.6% leave hospital alive. Where an ordinary person comes on an infant or a child who is unresponsive, not breathing normally and showing no signs of life, they "should start cardiopulmonary resuscitation at once", and should not check for a pulse. Compression depth is at least one third of the chest's front-to-back diameter, which for an infant is "about 1.5 inches (4 cm)". The rate is 100 to 120 a minute. Working alone, give 30 compressions to 2 breaths. With two rescuers, give 15 compressions to 2 breaths. On an infant, press with the heel of one hand, or with both hands encircling the chest and the two thumbs. Where you cannot encircle the chest, use the heel of the hand. The two-finger method has been withdrawn because it does not press deep enough. The guidelines also say that for infants and children in cardiac arrest outside hospital, adding breaths to the compressions improves survival. One US registry counted 3900 children under 18 in cardiac arrest outside hospital, of whom 59.4% were infants. Where a bystander did cardiopulmonary resuscitation, the adjusted share leaving hospital alive was 13.2%, against 9.5% where nobody did. Adjusted
OR 1.57 (about 57% higher chance of surviving),
95% CI 1.25–1.96 (credible range). Among infants, cardiopulmonary resuscitation with breaths is associated with higher survival, and the children who survive also recover their brains better. Compressions without breaths give a result close to doing nothing. The 2025 international first aid guidelines of the International Federation of Red Cross and Red Crescent Societies say this: to check whether an infant responds, pick the child up or tap the soles of the feet. If you are alone, put the emergency number on speakerphone and call yourself. If there is no phone within reach that you can use while pressing, do 1 minute of cardiopulmonary resuscitation and then go and call. The Capital Institute of Pediatrics has a popular explainer that the Beijing Municipal Health Commission reprinted. It says: 「如果只有1个人在场,先进行2分钟的心肺复苏后呼叫120救护车」 — if only one person is present, first do 2 minutes of cardiopulmonary resuscitation and then call 120 for an ambulance. The compression depth is 「婴儿4cm」 — infant 4cm. For under 1 year, the breaths go in 「口对口鼻」 — mouth to mouth and nose
Notes
The B is because the survival figures come from a registry study that only followed records, and because they cover all children together: the abstract does not give the figures for infants alone. The benefit is graded large on the figures for all children: leaving hospital alive rises from 9.5% to 13.2%, about 40% more relatively. Almost all the beneficiaries are your own children. There are three differences from item 1 in this section (pressing hard on the centre of the chest). First, infants need breaths, and compressions without breaths work poorly on infants. Second, you use two thumbs or the heel of one hand and press about 4 cm, rather than stacking both hands. Third, where you are alone and cannot press and call at the same time, press first and call afterwards. How long to press first differs from source to source: the Capital Institute of Pediatrics and the US guidelines use 2 minutes for a single rescuer, and the International Red Cross uses 1 minute. A phone on speakerphone removes the problem. The European Resuscitation Council teaches giving 5 breaths first and then compressing; the US guidelines teach compressions first and breaths after. Both beat doing nothing. Old Chinese tutorials teach two-finger compressions, and the 2025 US guidelines have dropped that technique. Where choking caused it, look in the mouth before giving breaths and remove only an object you can see: see item 43 in this section (infant choking).
Sources
Joyner BL et al (2025). Part 6: Pediatric Basic Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 152(suppl 2):S424–S447. , full text at ;Naim MY et al (2017). Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry. JAMA Pediatrics 171(2):133–141. ;International Federation of Red Cross and Red Crescent Societies (2025). International First Aid, Resuscitation and Education Guidelines 2025, pages 186–188. ;Capital Institute of Pediatrics (首都儿科研究所) (2022). 【儿研所儿医说】Cardiopulmonary resuscitation: first aid knowledge every parent needs, 《心肺复苏:爸妈必备的急救知识》 (reprinted by the Beijing Municipal Health Commission). ;European Resuscitation Council (2025). ERC Guidelines 2025 for the lay public (the chapter on Paediatric Basic Life Support).
doi.org/10.1161/CIR.0000000000001370cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/pediatric-basic-life-supportdoi.org/10.1001/jamapediatrics.2016.3643www.ifrc.org/sites/default/files/2026-03/IFRC%20International%20First%20Aid,%20Resuscitation%20and%20Education%20Guidelines%202025.pdfwjw.beijing.gov.cn/bmfw_20143/jkzs/jksh/202210/t20221017_2837684.htmlwww.erc.edu/media/p5ymaeej/gl2025_layperson_book_ipdf-v11-e.pdf19. Working, leaving, and work injuries
18 / 18This section is about money: how the amounts are worked out, how the documents are signed, and how the deadlines run. The first three items cover the money you should be getting while you are still in the job. The next six cover leaving, and the seven after that cover occupational disease and work injuries. The money on a work injury is an order of magnitude larger than on a dismissal, and the deadlines are harder. Damage caused by an occupational disease cannot be put back. Three more items sit at the end of the section: what to do if you are treated badly at work, how to get a certificate of leaving, and how the income tax on severance works.
1Overtime pay runs in three bands at 1.5, 2 and 3 times, and if it is not paid you complain to the labour inspectorate, with a further 50% to 100% added if the deadline passes
# Value HighGrade AMoneyNo moneyIn passingSome willpower
Ordinary overtime is paid at 1.5 times your wage. Overtime on a rest day, where you were not given time off in lieu, is paid at 2 times. Working on a statutory holiday such as New Year's Day, Spring Festival, Labour Day or National Day is paid at 3 times, and time off in lieu cannot be used instead. If the company does not pay, complain to the labour inspectorate. If it still does not pay after being ordered to pay within a deadline, the employer has to pay an additional half to one times the arrears.
Cost
No money. As a matter of course, keep a copy of your clock-in records, the shift roster and any overtime approval form, and screenshot the messages where your manager assigns work in the work chat. The hard part is remembering to save them every month.
Benefit
The normal working time set by the law is no more than 8 hours a day and, on average, no more than 44 hours a week. Ordinary overtime is generally no more than 1 hour a day. Where there is a special reason to work longer, it is no more than 3 hours a day, and no more than 36 hours in a month added up. Overtime pay falls into three bands. When ordinary working hours are extended, it is not less than 150% of your wage. When you work on a rest day and time off in lieu cannot be arranged, it is not less than 200%. When you work on a statutory holiday, it is not less than 300%. In the statutory-holiday band the article offers no option of substituting time off in lieu. Where the employer arranges overtime and does not pay for it, the labour administration orders it to pay within a deadline. If it still does not pay after the deadline, the labour administration orders it to pay the worker a further compensation of not less than 50% and not more than 100% of the amount payable, on top of the arrears (nationwide)
Notes
Rest days and statutory holidays are counted separately. The statutory holidays are only the few fixed days in a year, such as New Year's Day, Spring Festival, Labour Day and National Day. A long weekend created by shifting a day off is counted as a rest day, and is paid at 200%. 「The company requires approval for overtime」 and 「I stayed of my own accord」 do not mean the company can pay nothing, but they make your evidence harder to produce, so keep the assignment messages and the approval records. If the company wants to use the two special working-time systems, the comprehensive working-hours system and the irregular working-hours system, it needs the labour administration's approval first; it is not the company's own decision. For the time limit on arbitration of a dispute, see item 19 in section 8
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2018). Labour Law, 劳动法(2018 年第二次修正,第三十六、四十一、四十三、四十四条). (published by the State Administration for Market Regulation)www.samr.gov.cn/zw/zfxxgk/fdzdgknr/bgt/art/2023/art_d9aa750028b14b99a776cb93726a360d.html
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law, 劳动合同法(第八十五条第三项). www.gov.cn/gongbao/content/2007/content_711013.htm
2Annual leave is 5, 10 or 15 days according to total length of service, and days you cannot take are paid at 300% of your daily wage
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
When the years you have worked for all employers add up to at least 1 year and less than 10, you get 5 days of annual leave a year. At 10 years it is 10 days, and at 20 years it is 15 days. Changing jobs does not stop the total from carrying over. Where the employer cannot arrange the leave and you agree to do without it, those days are paid at 3 times your daily wage. Once the form 「voluntarily giving up annual leave」 is signed, only your ordinary wage is left.
Cost
No money. Add up the years you have worked for all employers, and your social insurance contribution record is the proof. The hard part is refusing to sign the form 「voluntarily giving up annual leave」 when the company hands it to you.
Benefit
You get annual leave after 12 months of continuous work. The number of days is set by your cumulative working time, adding up the years you have worked for all employers. At least 1 year and less than 10 gives 5 days, at least 10 years and less than 20 gives 10 days, and 20 years gives 15 days. Statutory holidays and rest days do not count towards annual leave. Where the employer genuinely cannot arrange the leave because of work and has your own agreement not to take it, the days you did not get are paid 「按照该职工日工资收入的 300% 支付年休假工资报酬」, as annual leave pay at 300% of that employee's daily wage. That 300% already includes the one share you would have got for a normal working day, so what you actually receive extra is 200%. Daily wage = your own monthly wage ÷ 21.75. The monthly wage is the average for the 12 months before this money is paid, with overtime pay taken out. If you joined the company during the year, it is pro-rated by the calendar days left in that company. On leaving, it is pro-rated and settled by how much of the year you have worked, and leave already taken in excess is not clawed back. Where the employer neither arranges the leave nor pays, an order to correct it within a deadline is issued. If it is not corrected after the deadline, a further compensation of the same amount is added to the annual leave pay (nationwide, in force from 2008-1-1)
Notes
Cumulative working time has to be added up across employers, so if you have changed jobs do not use only the length of service with your current employer. Only where the employee 「因本人原因且书面提出不休」, does not take the leave for their own reasons and asks in writing, may the employer pay only the ordinary wage, so do not sign the form 「voluntarily giving up annual leave」. If you take personal leave totalling more than 20 days and the employer does not dock your pay, you get no annual leave that year. A sick leave longer than the corresponding number of months also disqualifies you: less than 10 years of service means 2 months, 10 to 20 years means 3 months, and more than 20 years means 4 months. Home-visit leave, marriage and bereavement leave, maternity leave and the work-injury period of paid recovery do not count towards annual leave.
Sources · 2 sources
- State Council (国务院) (2007). Regulations on Paid Annual Leave for Employees, 职工带薪年休假条例(国务院令第 514 号,第二、三、四、五、七条). www.gov.cn/gongbao/content/2008/content_859865.htm
- Ministry of Human Resources and Social Security (人力资源和社会保障部) (2008). Measures for the Implementation of Paid Annual Leave for Enterprise Employees, 企业职工带薪年休假实施办法(人社部令第 1 号,第三、四、五、十、十一、十二、十五条). www.gov.cn/gongbao/content/2009/content_1265995.htm
3The probation period has a legal ceiling, the wage may not be below 80%, and it can only be agreed once
# Value HighGrade AMoneyNo moneyIn passingNo willpower
For a contract of 1 year or less, the probation period is at most 1 month. For 1 to 3 years it is at most 2 months. For 3 years or more it is at most 6 months. The same company may only put you on probation once, and a second probation after you have passed and been moved to another post is unlawful. The probation wage may not be below the lowest grade for the same post or 80% of the wage agreed in the contract, and it may not be below the local minimum wage.
Cost
No money. Before you sign, spend a few minutes matching the term written in the contract against the length of the probation period.
Benefit
For a contract of at least 3 months and less than 1 year, the probation period may not exceed 1 month. For at least 1 year and less than 3 years it may not exceed 2 months. For 3 years or more, and for an open-ended contract with no end date, it may not exceed 6 months. A contract that ends when one job is finished, or that runs for less than 3 months in total, may not have a probation period agreed at all. 「同一用人单位与同一劳动者只能约定一次试用期」, the same employer and the same employee may agree a probation period only once, so one company puts one person on probation one time only. Where the contract mentions only a probation period, that probation period does not stand, and the period stated is the term of the employment contract. The probation wage 「不得低于本单位相同岗位最低档工资或者劳动合同约定工资的百分之八十,并不得低于用人单位所在地的最低工资标准」, may not be below the lowest grade wage for the same post in the employer or eighty per cent of the wage agreed in the employment contract, and may not be below the minimum wage standard where the employer is located. Where the probation period agreed goes beyond the legal length and the person in fact worked, the employer has to pay a separate compensation, at the monthly wage standard applying after the probation period, for the excess period. An employer that wants to terminate the contract during probation may only do so in the cases the law lists, and it has to give the employee its reasons (nationwide)
Notes
The three commonest unlawful practices are these. First, a contract of only 1 year with a 3-month probation period agreed. Second, moving the person to another post after they have passed and running a second probation period. Third, 「no social insurance during probation」, because the obligation to enrol starts on the first day of work and has nothing to do with probation; for the employer's side of the obligation see item 16 in section 12. Being dismissed during probation does not mean getting nothing at all; it depends on whether the reason the employer gives is one of those the law allows. Where the termination is unlawful, the 2N in item 6 applies.
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law, 劳动合同法(第十九、二十、二十一、八十三条).
www.gov.cn/gongbao/content/2007/content_711013.htm4Work out N before a dismissal: one month's wage for each full year, and half a month for under six months
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
The economic compensation due when you are dismissed is worked out like this: a full year of service gives one month's wage, six months or more but under a year counts as a full year, and under six months gives half a month. The monthly wage here is the average over the 12 months before you leave, and bonuses, allowances and subsidies all count in. Where the wage is above 3 times the local average monthly wage for the previous year, it is capped at 3 times, and the years of service count for at most 12 years.
Cost
No money. One calculation with a calculator, ten minutes.
Benefit
The economic compensation set by the Labour Contract Law is the money the employer owes you when it dismisses you, and it is commonly called N. The method is 「每满一年支付一个月工资……六个月以上不满一年的,按一年计算;不满六个月的,向劳动者支付半个月工资」, that is, one month's wage for each full year of service, a full year counted where the service is six months or more but under a year, and half a month's wage where it is under six months. Where the monthly wage is above three times the local previous-year average monthly employee wage, the calculation is capped at three times, and the length of service counts for at most twelve years
Notes
「月工资」 means the average wage over the twelve months before the employment contract is terminated. Bonuses, allowances and subsidies all count in, and it is not only the basic wage. This is the part a company most easily pushes down. Whether this money has to pay income tax, see item 18 in this section (the tax on severance)
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law of the People's Republic of China (in force from 2008-1-1), 中华人民共和国劳动合同法(2008 年 1 月 1 日施行)(第四十七条).
www.gov.cn/gongbao/content/2007/content_711013.htm5If the company dismisses you without giving 30 days' notice, it has to pay one month's wage on top
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Where the company dismisses you because you can no longer work after an illness, because you cannot do the work, or because the circumstances have changed substantially, and does not give you 30 days' written notice, it has to pay one month's wage on top of N. That is what is usually called N+1. When you negotiate, put that one month down as a separate line, and do not let the company fold it into N.
Cost
No money.
Benefit
The Labour Contract Law gives an employer terminating an employment contract under this article two ways of doing it. One is 「提前三十日以书面形式通知劳动者本人」, to notify the worker in person in writing thirty days in advance. The other is 「额外支付劳动者一个月工资后,可以解除劳动合同」, to pay the worker one month's wage and then terminate the contract. If they want you gone at once, they have to find that extra month's wage. That extra month is usually called severance in lieu of notice, and it is a separate amount counted outside N. The one month is worked out on your wage in the last month, while N is worked out on the average wage over the 12 months before you leave, so the two use different bases
Notes
That extra month only appears in the three situations in Article forty of the Labour Contract Law: after an illness or an injury not caused by work, where the medical period has ended and you can do neither your old job nor the one arranged for you; where you cannot do the work and still cannot after training or a transfer to another post; and where the objective circumstances at the time the contract was signed have changed substantially and negotiation fails. No other situation carries that month. An economic layoff (Article forty-one) only requires the company to explain the situation 30 days ahead to the trade union or to all employees. Where the company proposes termination and the two sides agree, it is N. Where you are dismissed for a fault of your own such as serious disciplinary breach, there is no compensation. Where the company terminates the contract unlawfully it is 2N. Where one of the three situations in Article forty applies, work out N and the 1 separately when you negotiate, and do not let the company count the extra month inside N
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law of the People's Republic of China (in force from 2008-1-1), 中华人民共和国劳动合同法(2008 年 1 月 1 日施行)(第三十六、三十九、四十、四十一、四十六、四十七、八十七条). www.gov.cn/gongbao/content/2007/content_711013.htm
- State Council (国务院) (2008). Regulations on the Implementation of the Labour Contract Law, 劳动合同法实施条例(国务院令第 535 号)第二十条:「用人单位依照劳动合同法第四十条的规定,选择额外支付劳动者一个月工资解除劳动合同的,其额外支付的工资应当按照该劳动者上一个月的工资标准确定」. www.gov.cn/gongbao/content/2008/content_1107604.htm
6Where the company terminates the contract unlawfully, the compensation is twice the economic compensation standard
# Value HighGrade AMoneyNo moneyA few hoursSome willpower
Where the company terminates the contract unlawfully, the compensation is the economic compensation standard doubled, which is what is usually called 2N. Whether the termination is unlawful depends on the particular circumstances. Ask a legal aid service or a lawyer first, and only then decide whether to negotiate with the company or go to arbitration.
Cost
No money. Labour arbitration takes several months of waiting. The hard part is that you have to keep it moving for those months and cannot drop it halfway.
Benefit
The Labour Contract Law provides that where an employer terminates or ends an employment contract in breach of the Law, it 「应当依照本法第四十七条规定的经济补偿标准的二倍向劳动者支付赔偿金」, shall pay the employee compensation at twice the economic compensation standard set by Article forty-seven of the Law. The method is to work out one share on the economic compensation scale and then double it for you
Notes
This is what is usually called 2N. Whether a termination is unlawful depends on the particular circumstances. Consult a legal aid service or a lawyer first, then decide whether to negotiate or go to arbitration; the route is in section 7
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law of the People's Republic of China (in force from 2008-1-1), 中华人民共和国劳动合同法(2008 年 1 月 1 日施行)(第八十七条).
www.gov.cn/gongbao/content/2007/content_711013.htm7Do not sign 「resignation for personal reasons」, because the moment you sign there is no N
# Value HighGrade BMoneyNo moneyIn passingA lot of willpower
If you sign a statement that you are resigning for personal reasons, the economic compensation and the unemployment insurance benefit usually both fall away. Resigning of your own accord is not one of the cases in which compensation is payable, except where the employer is at fault in a way the law lists, such as unpaid wages or failure to enrol in social insurance. You do not have to sign on the day; sleep on it and decide in the morning.
Cost
No money. The hard part is standing up to the pressure to sign on the spot.
Benefit
The Labour Contract Law limits the cases in which economic compensation is payable to the few categories the law lists. An employee who leaves of their own accord is not among them, unless it is because of a legal fault by the employer such as unpaid wages or failure to enrol in social insurance. Once you have signed 「voluntary resignation」, the economic compensation and the unemployment insurance benefit usually both fall away
Notes
The line companies use is 「sign first so the process can move on, the compensation comes separately」. If you want it, have it written into the agreement on the spot; if it is not written down, do not sign. Not signing on the day has no legal consequence, so sleep on it and decide in the morning
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law of the People's Republic of China (in force from 2008-1-1), 中华人民共和国劳动合同法(2008 年 1 月 1 日施行)(第三十八条、第四十六条).
www.gov.cn/gongbao/content/2007/content_711013.htm8Before you leave, save your payslips, attendance records, employment contract, social insurance record and chat logs
# Value HighGrade CMoneyNo moneyIn passingSome willpower
Once the computer and the accounts are handed back, the payslips, attendance records, contract, social insurance record and chat logs are gone for good. At arbitration, what you earned and whether you worked overtime still rest on the material in your own hands. What you are saving is your own employment records; do not take away the company's source code or customer list.
Cost
No money. Half an hour to save the material. The hard part is remembering to do it before you go.
Benefit
Once the computer and the accounts are handed back, this material cannot be obtained any more. In arbitration the burden of proof leans towards the employer, but what you earned and whether you worked overtime still rest on the evidence in your own hands
Notes
What you save is your own employment records. Do not take the company's source code, customer list or technical documents while you are at it; for the risk of taking them see section 11. When you leave, ask the employer for a certificate of leaving as well, see item 17 in this section (certificate of leaving)
Sources · 2 sources
- the author's own experience, no direct literature
- for the route to enforce your rights see section 7
9Before you take a post with dust, noise or chemicals, check whether the contract states the hazards; the three occupational health examinations are arranged and paid for by the employer
# Value HighGrade ALifespanNo moneyIn passingSome willpower
When you sign, the employer must state truthfully in the contract what occupational disease hazards the post carries, how to guard against them, and what benefits attach. If it hides them from you, you can refuse to do the work, and the employer may not dismiss you for that. The three occupational health examinations, before you start, while you are in the post, and when you leave, are arranged and paid for by the employer. Without the examination on leaving, the employer may not terminate the contract.
Cost
No money. When you sign, read through the part of the contract on 「notification of occupational disease hazards」 clause by clause. Keep your own copy of every examination report. The hard part is asking in person and getting the documents into your hands in person.
Benefit
The Law on the Prevention and Control of Occupational Diseases provides that when the employment contract is signed the employer has to make four things clear: what occupational disease hazards this work may produce, what consequences follow, how to guard against them, and what benefits attach. The words of the article are 「如实告知劳动者,并在劳动合同中写明,不得隐瞒或者欺骗」, tell the worker truthfully, write it into the employment contract, and do not conceal or deceive. If after the contract is signed you are moved to harmful work the contract did not describe, the employer has to tell you truthfully again and agree the contract terms with you. Where the employer fails to do this, 「劳动者有权拒绝从事存在职业病危害的作业,用人单位不得因此解除与劳动者所订立的劳动合同」, the worker has the right to refuse work that carries occupational disease hazards, and the employer may not terminate the contract on that ground. There are three examinations in all: before starting, while in the post, and on leaving. 「职业健康检查费用由用人单位承担」, the cost of the occupational health examination is borne by the employer, so the employer pays and the results are given to you in writing. A person who has not had the examination before starting may not be put on work involving exposure to occupational disease hazards. A person whose physical condition is unsuited to this work, and who therefore has a contraindication, may not be put on the contraindicated work either. Where health harm related to the job is found, the person has to be moved off the post and properly placed elsewhere. 「对未进行离岗前职业健康检查的劳动者不得解除或者终止与其订立的劳动合同」, an employment contract may not be terminated or ended with a worker who has not had the occupational health examination before leaving. On leaving you 「有权索取本人职业健康监护档案复印件,用人单位应当如实、无偿提供,并在所提供的复印件上签章」, have the right to ask for a copy of your own occupational health monitoring file, and the employer must supply it truthfully and free of charge and put its seal on the copy. The employer has to make a true photocopy of that occupational health monitoring file, give it to you free of charge, and seal the copy (nationwide)
Notes
Three questions at the interview tell you roughly whether the company is legitimate: does this post carry occupational disease hazards, does the contract say so, and who pays for the examination before you start. If they cannot answer, or say 「just start and we will see」, weigh the risk yourself. The examination on leaving is the one most often forgotten: without it, the employer may not terminate or end the employment contract. That examination is also the key document for applying for an occupational disease diagnosis later, and the same goes for the copy of the file, so get it into your hands before you go. An occupational disease is handled as a work injury, and the benefits are covered from item 11 onwards.
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2018). Law on the Prevention and Control of Occupational Diseases, 职业病防治法(2018 年修正,第三十三、三十五、三十六条). (reprinted by the Beijing Municipal People's Government)
www.beijing.gov.cn/zhengce/zhengcefagui/qtwj/201711/t20171104_779851.html10Damage from dust, noise and toxic chemicals is irreversible: the employer must supply protective equipment, and you may refuse work with no protection
# Value HighGrade ALifespanNo moneyIn passingA lot of willpower
Pneumoconiosis, noise-induced deafness and chemical eye burns are all occupational diseases in law, and once the lungs or the hearing are damaged there is no way back. You have the right to know what hazards the post carries and the right to demand protective facilities and protective equipment from the employer. You do not have to do unprotected work. If the employer cuts your pay or dismisses you for that, it does not count.
Cost
No money. The hard part is wearing a particle mask, earplugs and goggles all the time, and refusing unprotected work, and the price of that is being called 「fussy」 by colleagues.
Benefit
From 2025-8-1 the occupational diseases in law are 12 major classes and 135 kinds, including 4 open clauses. The first class is occupational pneumoconiosis. It includes silicosis, coal workers' pneumoconiosis, graphite pneumoconiosis, carbon black pneumoconiosis, asbestosis and talc pneumoconiosis. It also includes cement pneumoconiosis, mica pneumoconiosis, potter's pneumoconiosis, aluminium pneumoconiosis, welder's pneumoconiosis and foundry worker's pneumoconiosis, plus one open clause. Occupational diseases of the ear, nose, throat and mouth include noise-induced deafness and blast-induced deafness. The occupational eye diseases include chemical eye burns and photochemical keratitis. All of this damage is irreversible, and no treatment can repair the lungs or the hearing. The law gives you four rights you can use on the spot. First, to know what occupational disease hazards are present in this workplace, what consequences they cause, and what protective measures should be taken. Second, to require the employer to provide qualified protective facilities and personal protective equipment and to improve the working conditions. Third, to criticise, report and accuse practices that break the laws on the prevention and control of occupational diseases, and practices that endanger life and health. Fourth, to 「拒绝违章指挥和强令进行没有职业病防护措施的作业」, refuse unlawful instructions and orders to carry out work with no occupational disease protection; you do not have to take an instruction that breaks the rules or take unprotected work. And 「因劳动者依法行使正当权利而降低其工资、福利等待遇或者解除、终止与其订立的劳动合同的,其行为无效」, where an employer reduces a worker's wages or benefits, or terminates or ends the employment contract, because the worker lawfully exercised a legitimate right, that act is void. If it cuts your pay, cuts your treatment or dismisses you because you used these rights, it does not count (nationwide)
Notes
You have to recognise the right mask: only a particle respirator stops dust, and an ordinary gauze mask or a disposable surgical mask does not. If the employer does not supply earplugs for a noisy post, buy your own; a pair costs a few yuan, and lost hearing does not come back. 「Work two years, save up enough and leave」 does not hold with pneumoconiosis. Silicosis can appear many years after you stop working with dust, and it keeps getting worse. That is why the examination on leaving matters so much (see item 9 in this section, the three occupational health examinations arranged and paid for by the employer). The new catalogue also adds two classes. One is occupational musculoskeletal disorders, where the entry is carpal tunnel syndrome, limited to manufacturing workers who use the wrist repeatedly for long hours or do heavy work. The other is occupational mental and behavioural disorders, where the entry is post-traumatic stress disorder, limited to police, health workers, fire and rescue and other emergency response workers who take part in handling sudden incidents. For what to do when a chemical splashes on the skin, see item 21 in section 13.
Sources · 3 sources
- National Health Commission (国家卫生健康委), Ministry of Human Resources and Social Security (人力资源社会保障部), National Disease Control and Prevention Administration (国家疾控局) and All-China Federation of Trade Unions (中华全国总工会) (2024). Classification and Catalogue of Occupational Diseases, 职业病分类和目录(2025 年 8 月 1 日起实施). www.gov.cn/zhengce/zhengceku/202412/content_6992843.htm
- for the count of 12 major classes and 135 kinds in the new catalogue see National Health Commission (国家卫生健康委) (2024). The new catalogue adjusts occupational diseases to 12 major classes and 135 kinds, 新版目录将职业病调整为 12 大类 135 种. www.gov.cn/lianbo/bumen/202412/content_6992838.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2018). Law on the Prevention and Control of Occupational Diseases, 职业病防治法(第三十九条). (reprinted by the Beijing Municipal People's Government)www.beijing.gov.cn/zhengce/zhengcefagui/qtwj/201711/t20171104_779851.html
11If you are hurt at work or hit on the way to or from work, the first step is to get it recognised as a work injury, and if the employer does not report it you do
# Value HighGrade AMoneyNo moneyA few hoursNo willpower
An injury at work counts as a work injury. Being hit on the way to or from work, where the main responsibility is not yours, also counts. But without recognition as a work injury, the medical costs, the wages paid during recovery and the disability allowance all fall away. The employer has to report within 30 days. If the employer does not, you, or your family, or the trade union can report it yourself within one year to the social insurance administration.
Cost
No money, and one trip to the social insurance administration. You have to bring three documents: the application for recognition as a work injury, proof of the employment relationship, and a medical diagnosis certificate.
Benefit
Without recognition as a work injury, the medical costs, the wages paid during recovery, which are called 停工留薪期工资, and the disability allowance all fall away. Where the employer does not report within 30 days, it pays the work-injury benefits due for that period out of its own pocket
Notes
The 1 year has to be taken seriously, so do not let it run out. But time lost for a reason that is not your own does not count inside that 1 year: force majeure, personal freedom being restricted, the cause lying with the employer, an imperfect registration system at the social insurance department, and applying for arbitration or bringing a court case to establish whether an employment relationship exists. So where the employer sits on the report until the period has passed, apply anyway and bring the evidence of the employer's delay. If the social insurance department does not accept the application, or you disagree with the conclusion, you can apply for an administrative reconsideration and you can also sue directly. Where the employer says it is not a work injury, the employer has to prove it. But you also have to keep material: photographs from the day, colleagues' contact details, the medical records and the attendance record. Article sixteen lists three cases that are not recognised: intentional crime, intoxication or drug use, and self-injury or suicide. Article fifteen adds 「视同工伤」, treated as a work injury: sudden illness causing death during working hours at the workplace, or death despite rescue within 48 hours.
Sources · 4 sources
- State Council (国务院) (2010 revision). Regulations on Work-Related Injury Insurance (State Council Order No. 586), 工伤保险条例(国务院令第 586 号). Article fourteen lists seven cases that 「应当认定为工伤」, must be recognised as a work injury, including 「(六)在上下班途中,受到非本人主要责任的交通事故或者城市轨道交通、客运轮渡、火车事故伤害的」, on the way to or from work, suffering harm in a traffic accident, urban rail accident, passenger ferry accident or train accident where the main responsibility is not the person's own. Article seventeen: 「所在单位应当自事故伤害发生之日或者被诊断、鉴定为职业病之日起30日内,向统筹地区社会保险行政部门提出工伤认定申请」, the employer where the person works shall, within 30 days of the day the injury happens or of the day the occupational disease is diagnosed or determined, apply to the social insurance administration of the pooling region for recognition as a work injury
- 「用人单位未按前款规定提出工伤认定申请的,工伤职工或者其近亲属、工会组织在事故伤害发生之日或者被诊断、鉴定为职业病之日起1年内,可以直接向用人单位所在地统筹地区社会保险行政部门提出工伤认定申请」, where the employer does not apply as the previous paragraph requires, the injured worker, or their close relatives or trade union organisation may, within 1 year of the day the injury happens or of the day the occupational disease is diagnosed or determined, apply direct to the social insurance administration of the pooling region where the employer is located
- 「用人单位未在本条第一款规定的时限内提交工伤认定申请,在此期间发生符合本条例规定的工伤待遇等有关费用由该用人单位负担」, where the employer does not submit the application within the time limit in the first paragraph, the employer bears the work-injury benefit costs incurred in the meantime that fall under these Regulations. Article nineteen: 「职工或者其近亲属认为是工伤,用人单位不认为是工伤的,由用人单位承担举证责任」, where the worker or their close relatives consider it a work injury and the employer does not, the burden of proof is on the employer. Article twenty: 「自受理工伤认定申请之日起60日内作出工伤认定的决定」, the decision recognising a work injury is made within 60 days of accepting the application. Article fifty-five, for 「工伤认定申请不予受理的决定不服的」, dissatisfaction with a decision not to accept an application for recognition as a work injury, and 「对工伤认定结论不服的」, dissatisfaction with the conclusion of the recognition, 「可以依法申请行政复议,也可以依法向人民法院提起行政诉讼」, an administrative reconsideration may be applied for according to law, and an administrative suit may also be brought before the people's court according to law. www.gov.cn/gongbao/content/2011/content_1778064.htm
- Supreme People's Court (2014). Provisions on Several Questions Concerning the Trial of Administrative Cases Involving Work Injury Insurance, 关于审理工伤保险行政案件若干问题的规定(法释〔2014〕9 号)第七条:「由于不属于职工或者其近亲属自身原因超过工伤认定申请期限的,被耽误的时间不计算在工伤认定申请期限内」, where the application period is passed for a reason that is not the employee's own or that of their close relatives, the time lost is not counted inside the application period, and the cases listed are 「(一)不可抗力;(二)人身自由受到限制;(三)属于用人单位原因;(四)社会保险行政部门登记制度不完善;(五)当事人对是否存在劳动关系申请仲裁、提起民事诉讼」, force majeure, personal freedom being restricted, the cause lying with the employer, an imperfect registration system at the social insurance administrative department, and a party applying for arbitration or bringing a civil action over whether an employment relationship exists. www.court.gov.cn/fabu/xiangqing/6775.html
12Do not believe 「getting to my desk counts as a work injury」: if you feel suddenly unwell, call 120 first, and do not hurry to clock in
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
Hurrying to the company when you feel suddenly unwell will not get you a single extra yuan. Being treated as a work injury requires the illness to begin during working hours and at the workplace, so falling ill on the way without arriving is not covered in the first place. Nor is it covered if rescue goes beyond 48 hours. The few dozen minutes you lose trying to meet the conditions are paid for out of your own chance of survival.
Cost
No money.
Benefit
Being treated as a work injury requires that the person 「在工作时间和工作岗位」, during working hours and at the workplace, dies of sudden illness, or dies despite rescue within 48 hours. Delaying medical care in order to meet those two conditions costs you your own chance of being alive, and the compensation you buy with it may not even reach you
Notes
Both conditions have to be met together: during working hours, and at the workplace. Falling ill on the way without arriving does not apply. If someone falls ill at the post and is taken home or to hospital and dies despite rescue within 48 hours, it can still apply. What counts is where the person was when the illness began, not where they finally died. Short videos put this the wrong way round when they say 「get to the company and there is money」. What changes the outcome is whether those few dozen minutes after the illness began were spent in hospital. And 48 hours is a hard line: rescue going beyond 48 hours does not count instead.
Sources · 2 sources
- Regulations on Work-Related Injury Insurance, article fifteen, paragraph one, item (one): 「在工作时间和工作岗位,突发疾病死亡或者在48小时之内经抢救无效死亡的」 is treated as a work injury
- article fourteen, item (six) only lists as a work injury the case of suffering harm in a traffic accident, urban rail accident, passenger ferry accident or train accident on the way to or from work where the main responsibility is not the person's own, and sudden illness on the way is not in it. www.gov.cn/gongbao/content/2011/content_1778064.htm
13If the employer has not enrolled you in work-injury insurance, the benefits still exist, and the employer pays the same amounts in full
# Value HighGrade AMoneyNo moneyA few hoursSome willpower
If the employer has not enrolled you in work-injury insurance, the benefits still exist. They are simply paid in full by the employer on the same items and the same standards, with nothing missing. Not enrolling adds a penalty on the employer: an order to make up the contributions, a late payment charge of five hundredths of one per cent per day, and if it is still not paid, a fine of 1 to 3 times the amount outstanding. 「The company bought no work-injury insurance, so it cannot pay」 is untrue.
Cost
No money. If the employer does not accept it, you have to go to arbitration or even to court, which runs from several months. The hard part is that you have to keep it moving for those months.
Benefit
The regulations say plainly that where an employer has not enrolled its employees in work-injury insurance and an employee suffers a work injury, that employer pays the money on the items and the standards the regulations set out. Which payments are due and how much each is exactly the same as when insurance is in force, and only the payer changes to the employer itself
Notes
「The company bought no work-injury insurance for you, so it cannot pay」 is the commonest untrue sentence in this kind of case. Not enrolling only adds a penalty to the employer; your benefits do not shrink.
Sources
Regulations on Work-Related Injury Insurance, article sixty-two, paragraph two: 「依照本条例规定应当参加工伤保险而未参加工伤保险的用人单位职工发生工伤的,由该用人单位按照本条例规定的工伤保险待遇项目和标准支付费用。」 The first paragraph of the same article orders the employer to enrol and make up the contributions within a deadline, and says 「自欠缴之日起,按日加收万分之五的滞纳金;逾期仍不缴纳的,处欠缴数额1倍以上3倍以下的罚款」.
www.gov.cn/gongbao/content/2011/content_1778064.htm14Once the injury is stable, get a labour capacity assessment; the disability grade converts straight into money
# Value HighGrade AMoneyNo moneyA few hoursNo willpower
Once the injury is stable, have the labour capacity assessed, and the grade converts straight into money. The one-off disability payment is worked out on your own wage: grade five 18 months, grade six 16 months, grade seven 13 months, grade eight 11 months, grade nine 9 months, grade ten 7 months. Before the assessment result comes out, do not sign a 「lump-sum settlement」 agreement.
Cost
No money. Going through the labour capacity assessment takes a stretch of waiting before and after.
Benefit
The one-off disability payment converts the disability grade into a number of months of wage and is paid in a single sum: five 18 months, six 16 months and seven 13 months of the person's own wage, and eight 11 months, nine 9 months and ten 7 months of the person's own wage
Notes
At grades five and six the employment relationship is kept, the person is still an employee of that employer, and the disability allowance is paid monthly. For grades seven to ten, when the contract ends or the person proposes to terminate it, there are two other payments: the one-off work-injury medical subsidy, paid by the fund, and the one-off employment subsidy, paid by the employer, with the amount set by the province. Do not sign a 「lump-sum settlement」 agreement before the assessment result comes out.
Sources · 4 sources
- Regulations on Work-Related Injury Insurance, article twenty-one: 「经治疗伤情相对稳定后存在残疾、影响劳动能力的,应当进行劳动能力鉴定」, where after treatment the injury is relatively stable and there is a disability affecting the ability to work, a labour capacity assessment shall be carried out
- article twenty-two: 「劳动功能障碍分为十个伤残等级,最重的为一级,最轻的为十级」, loss of labour function is divided into ten disability grades, the most serious being grade one and the least grade ten
- article thirty-six, the benefits for grades five and six, being a one-off disability payment of 18/16 months of the person's own wage and a monthly disability allowance of 70%/60% of the person's own wage
- article thirty-seven, the benefits for grades seven to ten, being 13/11/9/7 months of the person's own wage. www.gov.cn/gongbao/content/2011/content_1778064.htm
15There are three payments on a death at work, and you have to tell them apart: the funeral subsidy, the pension for dependants, and the one-off death benefit
# Value HighGrade AMoneyNo moneyA few hoursNo willpower
A death at work brings three payments, and do not negotiate only one of them. The funeral subsidy is 6 months of the local previous-year average monthly employee wage. The pension for dependants is paid monthly on the deceased's own wage, at 40% a month for a spouse and 30% a month for each other dependant. The one-off death benefit is 20 times the previous year's national per-capita disposable income of urban residents, and that single figure applies nationwide.
Cost
No money, and one set of formalities.
Benefit
The money on a death at work is in three parts. The first is the funeral subsidy, 6 months of the previous-year average monthly employee wage in the area where the person is insured, which is called the pooling region. The second is the pension for dependants, paid monthly on the deceased's own wage, at 40% a month for a spouse and 30% a month for each other dependant. The third is the one-off death benefit, 20 times the previous year's national per-capita disposable income of urban residents, and that single figure is the only one there is, with no regional difference. For a death at work in 2026, this payment is about 1,130,000 yuan (exact figure 1130040 yuan). The calculation is the previous year's national per-capita disposable income of urban residents, 56502 yuan, multiplied by 20.
Notes
The one-off death benefit is the same nationwide, and the amount is updated each year with the figures the National Bureau of Statistics publishes. Do not accept the argument 「the local standard here is lower」 when you negotiate the compensation.
Sources · 2 sources
- Regulations on Work-Related Injury Insurance, article thirty-nine: 「(一)丧葬补助金为6个月的统筹地区上年度职工月平均工资;(二)供养亲属抚恤金按照职工本人工资的一定比例发给由因工死亡职工生前提供主要生活来源、无劳动能力的亲属。标准为:配偶每月40%,其他亲属每人每月30%,孤寡老人或者孤儿每人每月在上述标准的基础上增加10%……(三)一次性工亡补助金标准为上一年度全国城镇居民人均可支配收入的20倍。」. www.gov.cn/gongbao/content/2011/content_1778064.htm
- National Bureau of Statistics (国家统计局) (2026). Resident Income and Consumption Expenditure for 2025, 2025 年居民收入和消费支出情况. www.stats.gov.cn/sj/zxfbhjd/202601/t20260119_1962321.html
16If you are bullied, insulted or obstructed at work for a long time, do not just endure it: write it down and keep the evidence, then take a complaint, a police report or arbitration according to what it was
# Value ModerateGrade BLifespanNo moneyA few hoursA lot of willpower
People who are bullied at work have about 60% more risk of a heart attack or stroke later, and the more they are bullied the higher the risk. People who are bullied are about twice as likely as others to have thoughts of suicide a few years on. Being sworn at and put upon is not a small thing that passes once you have endured it.
Cost
No money. It takes time to write it down: the date, who was present, the other person's exact words, and keep the originals of the chat screenshots and emails. Arbitration and court take several months. Changing job is the highest price of all, and whether to do it is yours to work out.
Benefit
On health, three cohorts in Sweden and Denmark put together cover 79201 people in work aged 18 to 65. None of them had cardiovascular disease at the start, and the average follow-up was 12.4 years. 9% said they had been bullied at work in the past year. People who had been bullied had about 59% more risk of cardiovascular disease, meaning coronary heart disease and cerebrovascular disease, (
HR 1.59,
95% CI 1.28 to 1.98). Those who had experienced violence at work had about 25% more (
HR 1.25, 1.12 to 1.40). In both cases the more often it happened, the higher the risk. A nationwide randomly sampled follow-up survey in Norway covered 1846 people in work, measured every two or three years, three times in all. People who had been bullied were about 2 times as likely as others to have thoughts of suicide later (
OR 2.05,
95% CI 1.08 to 3.89). In the other direction, people who already had thoughts of suicide were not more likely to be bullied later. On the law, China has no law specifically governing 「workplace bullying」, and you have to match the particular behaviour to a provision. Where an employer insults, corporally punishes, beats, unlawfully searches or detains a worker, it is subject to administrative penalty, has to pay damages where harm is caused, and criminal liability is pursued where it amounts to a crime. Where an employer uses violence or threats to force you to work, you may terminate the contract at once without prior notice and still claim economic compensation. The employer has to take measures to prevent and stop anyone using their position or a superior-subordinate relationship to carry out sexual harassment. Victims may require the harasser to bear civil liability. Labour arbitration is to close the case within 45 days of accepting it, and a complicated case may be extended by at most a further 15 days.
Notes
The reason for the B is that the health figures come from follow-up records, not from a grouped experiment, and 「being bullied」 is reported by the person themselves. There are four steps you can take first. First, start writing it down today, and for recording see item 41 in section 8 (recording). Second, put the complaint in writing through the employer's internal channels and keep a record that you did. Third, if you are beaten, locked up or publicly humiliated, call the police. Fourth, if you are forced out over unpaid wages or failure to enrol in social insurance, work through item 7 in this section (do not sign a voluntary resignation) and item 8 in this section (save the evidence before you leave). For how the economic compensation is worked out, see item 4 in this section (work out N before a dismissal). Plain neglect, exclusion and obstruction mostly do not match any particular provision of law, and the routes open to you are mainly an internal complaint, a transfer to another post, and changing job. Arbitration runs for at most 60 days from acceptance, and a first-instance court case runs from 6 months, with the legal fees your own. If you can no longer hold on, ring 12356 first: see item 25 in section 1 (12356). This book does not argue that you should resign the moment you are upset; whether changing job is worth it is yours to work out.
Sources · 6 sources
- Xu T et al. (2019). Workplace bullying and workplace violence as risk factors for cardiovascular disease: a multi-cohort study. European Heart Journal. doi.org/10.1093/eurheartj/ehy683
- Nielsen MB, Nielsen GH, Notelaers G, Einarsen S (2015). Workplace Bullying and Suicidal Ideation: A 3-Wave Longitudinal Norwegian Study. American Journal of Public Health. doi.org/10.2105/AJPH.2015.302855
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Labour Contract Law, 劳动合同法(第三十八条第二款、第四十六条、第八十八条). www.gov.cn/gongbao/content/2007/content_711013.htm
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千零一十条), full text reprinted by the Supreme People's Procuratorate www.spp.gov.cn/spp/fl/202006/t20200602_463888.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2022 revision). Law on the Protection of Women's Rights and Interests, 妇女权益保障法(第二十五条). flk.npc.gov.cn/detail?id=ff808181841257210184281512de0eec
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Law on the Mediation and Arbitration of Labour Disputes, 劳动争议调解仲裁法(第四十三条), full text reprinted by the Ankang Municipal Human Resources and Social Security Bureau rsj.ankang.gov.cn/Content-2150407.html
17When you leave, ask the employer for a certificate of leaving that states the term of the contract, the date you leave, your post and your years of service
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
Whether you were dismissed, whether the contract simply ran out, or whether you resigned, the employer has to give you a certificate of leaving when you leave, and has to move your file and your social insurance over within 15 days. The certificate has to state the term of the contract, the date you leave, your post and how many years you worked there. You need it to register as unemployed. Where the employer does not give it to you, the labour department orders it corrected, and if you suffer loss because of it the employer has to pay it.
Cost
No money. Ask for it in person before you go, or send one written message asking for it, and keep the record that you asked. The hard part is having to open your mouth about it when the relationship has already broken down. Where the employer puts it off and does not give it to you, you complain or apply for arbitration, which takes from a few tens of days to several months.
Benefit
The Labour Contract Law provides that the employer must issue a certificate when the employment contract is terminated or ended. The article does not distinguish who proposed it: a contract that runs out and is not renewed, a resignation of your own accord, and a dismissal are all covered. The employer also has to complete the transfer formalities for your file and your social insurance relationship within 15 days. The implementing regulations set out four things the certificate must state: the term of the employment contract, the date of termination or ending, the post, and the years of service with that employer. The Regulations on Unemployment Insurance provide that an employee who becomes unemployed is to take the certificate issued by the employer and register as unemployed with the social insurance agency without delay. The unemployment insurance benefit runs from the day the registration is made. Where the employer does not issue a written certificate, the labour administrative department orders it corrected, and where it causes you loss the employer has to pay it. The law separately provides that where a new employer takes on somebody who has not yet terminated the contract with the old employer and causes the old employer loss, it bears joint and several liability. The certificate of leaving is your written evidence that you have already terminated the contract with the former employer (nationwide)
Notes
The article does not tie issuing the certificate to handing over the work; what is paid only after the handover is the economic compensation. Where the employer puts it off, send one written message asking again. Where it still does not give it to you, ring 12333 or complain to the labour inspection office of the human resources and social security bureau. A complaint is free, and once the case is opened it is finished within 60 working days, with a further 30 working days allowed for a complicated case. To make the employer pay you compensation for the loss, go to labour arbitration, which is also free and has to be applied for within 1 year. After accepting the case, arbitration closes within 45 days, with at most a further 15 days. You have to prove the loss yourself with evidence, such as a registration as unemployed that was held up for want of the certificate, or a refusal by the new employer. If you are not satisfied with the awar
d, go to the court, where an ordinary procedure at first instance runs from 6 months. The court's acceptance fee for a labour dispute is 10 yuan per case, and legal fees are not part of the litigation costs, so you pay them yourself. The reason you left is not one of the four things the regulations require to be written. Where the certificate says 「个人原因主动辞职」, resigned of your own accord for personal reasons, and the fact is not so, raise it on the spot; for the reason, see
item 7 in this section (do not sign a voluntary resignation). For how to claim the unemployment insurance benefit, see
item 1 in section 7 (the unemployment insurance benefit).
Sources · 6 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2012 revision). Labour Contract Law, 劳动合同法(第五十、八十九、九十一条). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf74d7106b3
- State Council (国务院) (2008). Regulations on the Implementation of the Labour Contract Law, 劳动合同法实施条例(国务院令第 535 号,第二十四条). flk.npc.gov.cn/detail?id=ff8080816f3cbb3c016f40927caf049c
- State Council (国务院) (1999). Regulations on Unemployment Insurance, 失业保险条例(国务院令第 258 号,第十六条). xzfg.moj.gov.cn/front/law/detail?LawID=517
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Law on the Mediation and Arbitration of Labour Disputes, 劳动争议调解仲裁法(第二、二十七、四十三、五十三条). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf64f28039d
- State Council (国务院) (2004). Regulations on Labour Security Inspection, 劳动保障监察条例(国务院令第 423 号,第十七条). www.gov.cn/gongbao/content/2004/content_63042.htm
- State Council (国务院) (2006). Measures for the Payment of Litigation Costs, 诉讼费用交纳办法(国务院令第 481 号,第六、十三、二十九条). www.gov.cn/ziliao/flfg/2006-12/29/content_483682.htm
18When you get severance on leaving, look at the income tax first: the part within three times the local previous-year average employee wage is exempt, the excess is worked out separately, and it is not added to that year's wages
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
The one-off payment you get for terminating the employment contract is not taxed on the part within three times the local previous-year average employee wage. The excess is taxed on its own, and is not added to that year's wages. Where the employer has folded the whole amount into that month's wages and taxed it, ask the employer first, then ring 12366 and ask the tax authority.
Cost
No money. Look up the local previous-year average employee wage, then spend a few minutes checking how the employer has deducted the tax. The individual income tax app shows the filed detail of every item of income.
Benefit
A document of the Ministry of Finance and the State Taxation Administration provides that one-off compensation income received where an individual terminates the employment relationship with an employer, which includes the economic compensation, living allowances and other allowances. The part within three times the local previous-year average employee wage is exempt from individual income tax. The part over three times is not added to that year's comprehensive income and is taxed separately on the comprehensive income tax rate table. On that table the part of the year's income up to 36000 yuan is taxed at 3%, the part from 36000 yuan to 144000 yuan at 10%, and the bands above that rise to 45%. As an example, if the local previous-year average employee wage is 100,000 yuan, three times that is 300,000 yuan. If you get 360,000 yuan of compensation, only the 60,000 yuan above that figure is taxed, which comes to 3480 yuan. The same 360,000 yuan worked out entirely on this table would come to 58080 yuan. This has applied since 2019-1-1, and no end date is written (nationwide)
Notes
In the same document, the item on the single annual bonus carries an end date, which was later extended to 2027-12-31. The item on compensation for terminating the employment relationship carries no end date, and does not follow the bonus item. The document names only the economic compensation, living allowances and other allowances; it does not name severance in lieu of notice or the compensation for an unlawful termination. Whether those two count is not clear, so ring 12366 and ask the local tax authority. Which figure to use for the 「local previous-year average employee wage」 is also settled by the local tax authority. For how the compensation itself is worked out, see item 4 in this section (work out N before a dismissal), item 5 in this section (no 30 days' notice given) and item 6 in this section (the compensation for an unlawful termination). The one-off payment you get on early retirement or on being kept inside the enterprise under an arrangement has its own method and this item does not apply to it.
Sources · 3 sources
- Ministry of Finance and State Taxation Administration (财政部、税务总局) (2018). Notice on the Question of How the Preferential Policies Are to Be Applied after the Individual Income Tax Law Was Amended, 关于个人所得税法修改后有关优惠政策衔接问题的通知(财税〔2018〕164 号,第五条第(一)项、第八条、第九条). (law and policy database of the State Administration of Taxation)fgk.chinatax.gov.cn/zcfgk/c102416/c5202364/content.html
- Ministry of Finance and State Taxation Administration (财政部、税务总局) (2023). Announcement on Continuing to Apply the Individual Income Tax Policy for the Single Annual Bonus, 关于延续实施全年一次性奖金个人所得税政策的公告(2023 年第 30 号). (law and policy database of the State Administration of Taxation)fgk.chinatax.gov.cn/zcfgk/c102416/c5211524/content.html
- Standing Committee of the National People's Congress (全国人大常委会) (2018 revision). Individual Income Tax Law, 个人所得税法(第三、九条,个人所得税税率表一). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf724bd0609
20. Caring for a newborn
13 / 13This section measures infant mortality and money. It takes in only the things that decide whether the child lives, or what you have to spend, and only those where the difference is large and the evidence is solid. How to soothe a baby and the other childcare details are not in this book. For what to do before the birth and on the day you leave hospital, see section 27.
1Put the baby to sleep on their back, on a firm flat surface, in the same room but not the same bed, with nothing soft on the bed
# Value HighGrade ALifespanNo moneyIn passingA lot of willpower
Put the baby to sleep on their back, on a firm flat surface. The adult and the baby sleep in the same room, but not in the same bed. No pillows, no duvets, no cot bumpers, no soft toys and no shaping pillows on the bed. A reclined cradle or a baby seat is for sitting only, not for sleeping in. In the United States alone, about 3500 babies a year die in their sleep.
Cost
No money. You have to swap the mattress for a firm one, which costs a few hundred yuan. The hard part is holding your line with older relatives who say otherwise.
Benefit
In the United States about 3500 babies a year die of sleep-related causes. That covers sudden infant death syndrome, deaths where no cause was found, and babies who suffocated by accident in a bed. The American Academy of Pediatrics gives a safe sleep environment as 「仰卧位;使用坚实、不倾斜的睡眠表面;同房不同床;避免柔软的寝具和过热」, that is, on the back, on a firm non-inclined sleep surface, in the same room but not the same bed, with no soft bedding and no overheating. Several other things lower the risk as well: breastfeeding, keeping the baby away from nicotine and alcohol, vaccination on schedule, and using a pacifier
Notes
「床上不放任何软东西」means no pillows, no duvets, no cot bumpers, no soft toys and no shaping pillows. No breastfeeding pillow either, however safe it looks. A reclined cradle or a baby seat is not a place to sleep. Within this section, this is the item where the difference is largest and where you most need to hold your line against older relatives.
Sources
Moon RY, Carlin RF, Hand I, Task Force on Sudden Infant Death Syndrome and the Committee on Fetus and Newborn (2022). Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment. Pediatrics, 150(1), e2022057990.
doi.org/10.1542/peds.2022-0579902Give the first hepatitis B shot within 24 hours of birth
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
The baby needs the first hepatitis B shot within 24 hours of birth. Among people who catch hepatitis B in infancy or early childhood, about 95% go on to develop it chronically. Most people who catch it as adults clear it on their own. So the earlier this shot goes in, the better it works. If the mother's hepatitis B surface antigen is positive, the baby also needs hepatitis B immune globulin.
Cost
No money. The hepatitis B vaccine is on the national immunisation programme, so it is already free. The hospital gives it on the day the baby is born, and you do not have to go anywhere else for it.
Benefit
The World Health Organization says 「所有婴儿都应在出生后尽早(24 小时内)接种乙肝疫苗」, that is, all infants should receive the hepatitis B vaccine as soon as possible after birth, within 24 hours. The reason is that 「婴儿期和幼儿期感染约有 95% 会发展为慢性肝炎」, that is, about 95% of infections in infancy and early childhood develop into chronic hepatitis. Most infections picked up in adulthood clear without treatment
Notes
If the mother's hepatitis B surface antigen is positive, the baby also needs a shot of hepatitis B immune globulin after birth. Settle this at the antenatal checks rather than after the birth. For the screening the mother herself needs, see section 1
Sources
3Complete every vaccine on the national immunisation programme, free throughout; if you miss one, only the unfinished doses are made up
# Value HighGrade ALifespanNo moneyA few hoursNo willpower
Vaccines on the national immunisation programme are free throughout, and a vaccination provider may not charge for them. Children are checked for their vaccination certificate when they start nursery and when they start school, and any missed doses are found and made up. If you miss a dose, only the unfinished doses are made up. You do not start again from the beginning, and you can change manufacturer and carry on. Eczema, urticaria, allergic rhinitis and asthma can all be vaccinated as long as the condition is stable. So can a newborn with jaundice.
Cost
No money. The law says 「接种单位接种免疫规划疫苗不得收取任何费用」, that is, a vaccination provider may not charge any fee for vaccines on the national immunisation programme. You have to make several trips to a vaccination clinic according to the month age. Keep the vaccination certificate safe and do not lose it.
Benefit
When a child starts nursery and school, the nursery and the school must inspect the vaccination certificate. Where a child has not had the programme vaccines as required, it must be reported to the vaccination provider, which then helps press the guardian to make up the doses. Missed doses therefore cannot be put off, and they are certain to be found at school entry. The programme now in force is the 2026 edition. The human papillomavirus (
HPV) vaccine is now on the national immunisation programme. The starting age for the diphtheria, tetanus and pertussis vaccine has moved from 3 months to 2 months, 5 doses in total, 1 dose at each of 2 months, 4 months, 6 months, 18 months and 6 years old. Eligible children in Tibet, Qinghai, Xinjiang and the Xinjiang Production and Construction Corps have also had Japanese encephalitis vaccine routinely since March 2026. Several vaccines can be given on the same day: at present every vaccine on the national immunisation programme can be given together under the schedule or under the catch-up rules. Two or more injectable vaccines have to go into different sites, and 「严禁将两种或多种疫苗混合吸入同一支注射器内接种」, that is, it is strictly forbidden to draw two or more vaccines into the same syringe for one injection. Where they are not given on the same day, two or more injectable live attenuated vaccines must be at least 28 days apart. No interval is set between inactivated vaccines, oral live attenuated vaccines and other vaccines. For anyone under 18 years old, catch-up starts as early as possible: 「只需补种未完成的剂次,无需重新开始全程接种」, that is, only the unfinished doses are made up and there is no need to restart the whole schedule. The same vaccine from a different manufacturer can be carried on with (nationwide, 2026 edition of the schedule)
Notes
The most common mistake is 「孩子体质不好,先别打」, that is, the child has a weak constitution, so hold off for now. The official position is this. An "allergic constitution", a family history of allergy and a previous allergic reaction to food or medicine are none of them reasons to withhold a vaccine. Atopic dermatitis (eczema), urticaria, allergic rhinitis and bronchial asthma can all be vaccinated as long as the condition is stable. Antihistamines and inhaled steroids do not stop vaccination either. Physiologic and breast-milk jaundice in newborns are also fine. Only two things stop a child: a previous acute severe allergic reaction to the same vaccine, or a severe allergy to a known component of the vaccine. Children with immune deficiency, and children on chemotherapy or radiotherapy or immunosuppressants, need an individual assessment, so explain the situation at the vaccination clinic and decide there. For the first hepatitis B dose, see item 2 in this section. Non-programme vaccines you pay for yourself carry a vaccine fee and a vaccination service fee, which have nothing to do with the free schedule described here.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2019). Vaccine Administration Law, 疫苗管理法(第四十八、四十九条). (reprinted by the Yunnan Provincial Health Commission, 云南省卫生健康委员会)ynswsjkw.yn.gov.cn/html/2019/faguiguizhangxin_0731/6509.html
- National Disease Control and Prevention Administration and National Health Commission (国家疾病预防控制局、国家卫生健康委) (2026). Questions and Answers on the Children's Immunisation Schedule for the National Immunisation Programme and the Explanations, 2026 edition, 《国家免疫规划疫苗儿童免疫程序及说明(2026 年版)》解读问答. www.ndcpa.gov.cn/jbkzzx/c100013/common/content/content_2073002930292035584.html
4Breastfeed only for the first 6 months, not even water; from 6 months add solid food and keep breastfeeding
# Value ModerateGrade ALifespanNo moneyEvery dayA lot of willpower
Start feeding within the first hour after birth. For the first 6 months give breast milk only, not even water. From 6 months add solid food, with an iron-rich animal food every day, and keep breastfeeding to 2 years old and beyond. If breast milk is not enough or you cannot breastfeed, use formula and do not blame yourself. What you feed matters far less for the child's safety than the sleeping position does.
Cost
No money, and you save money on formula. What it costs is time, because feeding takes a good part of every day. The hard part is keeping it up, since you cannot stop in the first 6 months.
Benefit
The World Health Organization recommends 「在出生后第一个小时内开始母乳喂养」, that is, starting breastfeeding within the first hour after birth. For the first 6 months, 「纯母乳喂养,即不提供其他任何食物或液体,包括水」, that is, exclusive breastfeeding with no other food or liquid at all, water included. Then 「从 6 月龄起开始添加安全充足的辅食,同时继续母乳喂养到 2 岁或以上」, that is, from 6 months old start safe and sufficient complementary food while continuing to breastfeed to 2 years old and beyond. The service guide of the National Health Commission (国家卫生健康委) also recommends exclusive breastfeeding from 0 to 6 months. The same guide requires that from 6 months old 「每天的辅食必须包含含铁丰富的动物性食物」, that is, the day's complementary food must contain an iron-rich animal food
Notes
If breast milk is not enough or your body does not allow it, use formula. The gap between breast milk and formula is far smaller than the one for safe sleep. How often to add solid food: 1 to 2 times a day at 6 to 8 months, and 2 to 3 times a day at 9 to 12 months. What the child eats in a day should cover at least four of the seven categories. When a child has severe eczema or an egg allergy, whether to avoid peanuts, see item 12 in this section (do not avoid peanuts).
Sources · 2 sources
- World Health Organization. Breastfeeding. www.who.int/health-topics/breastfeeding
- General Office of the National Health Commission (国家卫生健康委办公厅) (2024). Service Guide for Assessing Nutrition and Feeding of Infants and Young Children (for Trial), 婴幼儿营养喂养评估服务指南(试行)(国卫办妇幼函〔2024〕452 号). www.gov.cn/zhengce/zhengceku/202502/content_7002872.htm
5Make up formula with water above 70 ℃, let it cool before feeding, and throw away what is left
# Value HighGrade ALifespanNo moneyIn passingSome willpower
Formula is not sterile and may carry a bacterium called Cronobacter sakazakii. Once a newborn catches it, the reported case fatality rate runs from forty per cent to eighty per cent. When you prepare a feed, pour the hot water into the bottle first and wait until the temperature has fallen to about 73.8 ℃ before adding the powder. At that point the feed is still above 70 ℃, which kills the bacterium to below one hundred thousandth of its starting count. Let the feed cool before giving it, and throw away what is left.
Cost
No money. Each time you wait a few extra minutes for the feed to cool. The hard part is waiting for the water to come down before mixing, when the baby is crying with hunger.
Benefit
Formula is not sterile and may carry Cronobacter sakazakii. The reported case fatality rate after infection in a newborn is 40% to 80%. Laboratory work shows that pouring the hot water into the bottle first and waiting until the temperature falls to about 73.8 ℃ before adding the powder leaves the feed above 70 ℃ in most cases. That reduces the bacterium by more than 5 log units, down to below one hundred thousandth of its starting count
Notes
The 70 ℃ threshold comes from a public health guideline. Beary and colleagues put it this way: 「针对高危婴儿照护者的公共卫生指南建议用加热到至少 70 ℃(158 ℉)的水冲调配方奶粉以灭活微生物」, that is, public health guidelines for the carers of high-risk infants recommend preparing formula with water heated to at least 70 ℃ (158 ℉) in order to inactivate microbes. Preterm babies, babies with a low birth weight and babies under 2 months carry the highest risk. Do not use water that has sat in a thermos all day. Do not leave a made-up feed standing at room temperature until the next feed.
Sources · 3 sources
- Beary MA, Daly SE, Baker J, Snyder AB (2025). Assessing Hot Water Reconstitution Instructions and Labeling of Powdered Infant Formula to Ensure Cronobacter spp. Reduction. Journal of Food Protection, 88(9), 100571. doi.org/10.1016/j.jfp.2025.100571
- Sima WG, Legesse T, Girma S, et al. (2025). Emerging microbial risks: Cronobacter sakazakii in powdered infant formula for infants under six months of age in Ethiopia. BMC Microbiology, 26, 307. doi.org/10.1186/s12866-025-04380-y
- World Health Organization & FAO (2007). Safe preparation, storage and handling of powdered infant formula: guidelines. www.who.int/publications/i/item/9789241595414
6No honey before 1 year old
# Value HighGrade ALifespanNo moneyIn passingNo willpower
Do not give honey to a child under 1 year old. Honey water, honey mixed into solid food, and cakes that contain honey all count. Honey may carry the bacteria that cause botulism. The gut flora of an adult can hold them down, and an infant's cannot. Home-made pickles and fermented foods follow the same logic.
Cost
No money
Benefit
The US CDC says 「不要给 1 岁以下的儿童喂蜂蜜」, that is, do not give honey to children under 1 year old, because 「蜂蜜可能含有引起肉毒中毒的细菌」, that is, honey may contain bacteria that cause botulism. The gut flora of an adult can hold these spores down, which is the dormant form of the bacteria, and an infant's cannot.
Notes
What counts is honey water, complementary food mixed with honey, and cakes containing honey. The same logic applies to home-made pickles and fermented foods, which babies should not eat either.
Sources
7The vitamin K shot at birth is not optional
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Newborns store very little vitamin K, and without a supplement they can bleed. The late form often shows up as bleeding inside the brain. In places that do not give the shot routinely, 478 in every 100,000 newborns get this bleeding. With the shot, the estimate is a fall of more than seventy-eight per cent. Regular hospitals in China give it as routine. If you gave birth at home or in an unlicensed place, ask whether you had it.
Cost
0 yuan to a few tens of yuan. This is normally already covered by the hospital bill for the birth, and there is nothing extra to pay.
Benefit
Newborns store very little vitamin K. Without a supplement, vitamin K deficiency bleeding can occur, and the late form often presents as intracranial bleeding, that is, bleeding inside the brain. The Belgian consensus recommendation is 「出生时肌肉注射 1 或 2 毫克维生素 K 一次」, that is, a single intramuscular dose of 1 or 2 milligrams of vitamin K at birth. Where no systematic prophylaxis is provided, vitamin K deficiency bleeding runs at 478 cases per 100,000 newborns, and that figure comes from 42,000 newborns in Tashkent. The authors estimate that prophylaxis lowers the incidence by 「高于 78.5%」, that is, by more than 78.5%
Notes
If you give birth in a regular hospital in China, the hospital gives this shot routinely and you need not think about it. If you gave birth at home or in an unlicensed place, go and confirm it yourself. Oral vitamin K works less well than the injection, and the injection here means one given into the muscle.
Sources · 2 sources
- Fiesack S, Smits A, Rayyan M, et al. (2021). Nutrients, 13(11), 4109. doi.org/10.3390/nu13114109
- Tursunov D, Yoshida Y, Yrysov K, et al. (2018). Nagoya Journal of Medical Science, 80(1), 11. doi.org/10.18999/nagjms.80.1.11
8A baby under 3 months old at 38 ℃ goes straight to hospital, with no watching it at home
# Value HighGrade ALifespanA little moneyIn passingNo willpower
If the baby is under 3 months old and the temperature reaches 38 ℃, go straight to hospital. Do not watch it at home, and do not give a fever medicine first and then wait. A baby at this age can have a serious bacterial infection and show nothing but a fever. So 「看着精神还行」, looking bright and alert, is not a reason to wait at home. A baby less than 8 days old is not even covered by the guideline, and needs to go at once.
Cost
A few hundred yuan for registration and tests
Benefit
The American Academy of Pediatrics has written a dedicated guideline for full-term infants aged 8 to 60 days who look reasonably well. It defines fever as 「体温 ≥38.0 ℃」, that is, a temperature of 38.0 ℃ or above. It splits infants into three bands by age, 8 to 21 days, 22 to 28 days and 29 to 60 days, and gives one management pathway for each. Infants under 8 days old are not even within the scope of this guideline, which means this stage needs care immediately
Notes
At this age a serious bacterial infection can also show up as nothing but a fever. So looking 「精神还行」, bright and alert, is not a reason to watch the baby at home. Do not give a fever medicine on your own first and then wait and see.
Sources
Pantell RH, Roberts KB, Adams WG, et al. (2021). Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics, 148(2), e2021052228.
doi.org/10.1542/peds.2021-0522289Never shake a baby, however tired and angry you are
# Value HighGrade BLifespanNo moneyIn passingA lot of willpower
A baby's head is large and the neck has no strength. Shaking hard causes bleeding in the brain and in the eyes, which can kill the baby or leave a lifelong disability. Gentle rocking to settle a baby does not count, and the danger is shaking you cannot control. When you are about to lose your temper, put the baby back in the cot and walk away for a few minutes. Letting the baby cry for a while is safer than holding the baby and shaking.
Cost
No money. The hard part is stopping your hands when you are too tired or too angry.
Benefit
A baby's head takes up a large share of the body and the neck muscles are weak. Vigorous shaking causes intracranial and retinal bleeding, that is, bleeding in the brain and in the eyes, and can be fatal or leave a lifelong disability. Gentle rocking to settle a baby does not count, and the danger is uncontrolled violent shaking. Medicine calls this kind of injury from shaking and impact 「虐待性头部外伤」, abusive head trauma. It is the leading cause of death from head injury in children under 2. Between 1999 and 2014 in the United States it killed close to 2250 children under 5
Notes
When you really are about to lose control, put the baby back in the cot and walk away for a few minutes. Letting the baby cry for a while is far safer than holding the baby and shaking. If you are caring for the baby alone and are chronically short of sleep, remember this one above all. For what to do with your own temper, see section 3
Sources · 2 sources
- Spies EL, Klevens J (2016). Fatal Abusive Head Trauma Among Children Aged <5 Years — United States, 1999–2014. MMWR 65(20):505-509. doi.org/10.15585/mmwr.mm6520a1
- Choudhary AK et al. (2018). Consensus statement on abusive head trauma in infants and young children. Pediatric Radiology 48(8):1048-1065. doi.org/10.1007/s00247-018-4149-1
10Judge nappies on three things rather than the brand: fit, how often you change them, and whether they have been named in a spot check
# Value ModerateGrade CMoneyA little moneyIn passingNo willpowerHas items to verify
No official body has ever ranked which brand is best. There are only two things you can check: the product quality spot-check notices of the State Administration for Market Regulation (国家市场监督管理总局), and the investigations regulators carry out into specific incidents. Expensive does not mean safe, and imported does not mean compliant. Buy a small pack and try it for a week, look for nappy rash and marks on the skin, and only then buy in bulk.
Cost
A few hundred to a few thousand yuan a month, depending on the grade you buy
Benefit
No official body has published a ranking of which brand is best, so this book recommends no brand. Only two kinds of information can be checked. One is the product quality spot-check notices of the State Administration for Market Regulation. The other is the investigations regulators carry out into specific incidents. After 「婴幼儿纸尿裤甲酰胺问题」, the formamide problem in nappies for infants and toddlers, drew attention in month 6 of 2026, the State Administration for Market Regulation led the formation of a joint investigation team to look into it
Notes
When the joint investigation team was set up it only said 「有关情况将及时公布」, that the situation would be published in due course. TODO (to be verified: the conclusion of the investigation. As of 30 September 2026, no conclusion on nappies could be found on the SAMR website or in recent national spot-check notices). How to buy in practice: expensive does not mean safe, and imported does not mean compliant. Buy a small pack and try it for a week, look for nappy rash and marks on the skin, and only then buy in bulk. Nappy rash comes mainly from changing too infrequently and from poor breathability, and has less to do with the brand than people imagine. For how to check the spot-check notices, see section 5
Sources · 2 sources
- State Administration for Market Regulation (市场监管总局) (2026-06-22). The State Administration for Market Regulation led the formation of a joint investigation team to check on 「婴幼儿纸尿裤甲酰胺问题」:「针对媒体反映的"婴幼儿纸尿裤甲酰胺问题",市场监管总局、工业和信息化部、国家卫生健康委、国家疾控局高度重视,成立联合调查组,核查婴幼儿纸尿裤甲酰胺有关问题,并依法依规处理。有关情况将及时公布。」. www.samr.gov.cn/xw/zj/art/2026/art_78c0425db7604b27bd7a3f36ba319975.html
- reprinted by the Chinese Government Website (中国政府网). www.gov.cn/zhengce/202606/content_7072931.htm
11For big items, work through borrow, then second-hand, then new, and do not buy the whole set at once
# Value ModerateGrade CMoneyA little moneyIn passingSome willpower
Strollers, cots, swaddles and toys are all used for a short time, and there are plenty of second-hand ones. Ask to borrow first, buy second-hand if you cannot borrow, and only then buy new, which usually saves over a thousand yuan. Do not buy second-hand car seats or mattresses, because damage to a seat after a crash cannot be seen with the eye. For big sums such as a confinement centre or an early education course, wait 24 hours before deciding.
Cost
No extra money, and what you save usually adds up to thousands of yuan. The hard part is resisting the urge to buy everything at once.
Benefit
Strollers, cots, swaddles and toys are all used for a short time, and second-hand supply far outruns demand. Two things really must not be economised on and are not recommended second-hand: car seats and mattresses. Structural damage to a car seat after a crash cannot be seen with the eye
Notes
This book neither recommends nor rules out confinement centres, early education classes or baby swimming pools. They are all large sums you can choose to spend or not, and the 24-hour cooling-off period described in section 5 applies to them.
Sources · 2 sources
- the author's own experience, no direct literature
- for the evidence on car seats, see section 1, and for impulse spending, see section 5
12Severe eczema or an egg allergy is not a reason to avoid peanuts: add them early under a doctor's guidance, but never a whole nut
# Value HighGrade ALifespanA little moneyIn passingNo willpower
For infants with severe eczema or an egg allergy, giving peanuts regularly from 4 to 11 months leaves only 1.9% with a peanut allergy at 5 years old, against 13.7% among those who avoided peanuts completely. Among children whose skin test already showed some reaction, the figure is 10.6% for those who ate peanuts and 35.3% for those who avoided them. See the doctor before you start. Never give a whole peanut, because it can block the airway.
Cost
A jar of peanut butter is a few tens of yuan. You feed it a few times a week, which fits in with what you already do. Before you start, take the child to see a doctor once for an assessment.
Benefit
The British LEAP randomised trial. 640 infants were enrolled, on condition that they had severe eczema, an egg allergy, or both. They were 4 to 11 months old at enrolment. They were randomised into two groups, one eating peanut products regularly and one avoiding peanuts completely, and the peanut allergy rate was read off at 60 months. Among the 530 children whose peanut skin test was negative at enrolment, 13.7% in the avoidance group were allergic against 1.9% in the group that ate peanuts (P<0.001). Among the 98 children whose skin test was already weakly positive at enrolment, the figures were 35.3% in the avoidance group and 10.6% in the group that ate peanuts (P=0.004). Serious adverse events did not differ between the two groups.
Notes
The form must be peanut butter thinned out or peanut powder mixed into complementary food. Never give a whole peanut. The feeding guidance from the National Health Commission is plain about it: 「整粒花生、坚果、果冻等食物易吸入气管,引起窒息,婴幼儿应当避免食用」, that is, whole peanuts, nuts, jellies and similar foods are easily drawn into the airway and cause suffocation, and infants and young children should avoid eating them. For what to do when someone is choking and cannot speak, see item 26 in section 13. This applies only to high-risk children: those with severe eczema, or those already allergic to eggs. See a doctor for an assessment before you start; do not try it at home. Before enrolment the LEAP trial gave every child a skin test, and children whose skin test reaction was greater than 4 mm were excluded and never given peanuts. The evidence in ordinary children is much weaker. In a separate trial of 1162 ordinary breast-fed infants, the early-introduction group had 5.6% food allergy against 7.1% in the usual group on an intention-to-treat basis, which is not a significant difference (P=0.32). It is significant only among the children who actually followed the plan (2.4% against 7.3%). That way of counting tends to overstate the effect, and the authors themselves say the intention-to-treat analysis failed to show efficacy, while also showing that early introduction is safe. China's official feeding documents currently say nothing about whether to introduce allergenic foods early or to avoid them, so this item rests on the international trial evidence. Note the timing too: LEAP started at 4 months, while China starts complementary food at 6 months, see item 4 in this section (breastfeed only for the first 6 months). At what age a high-risk child starts and how to start, ask the doctor.
Sources · 3 sources
- Du Toit G, Roberts G, Sayre PH, et al. (2015). Randomized trial of peanut consumption in infants at risk for peanut allergy. New England Journal of Medicine, 372(9), 803-813. doi.org/10.1056/NEJMoa1414850
- General Office of the National Health Commission (国家卫生健康委办公厅) (2020). Core Messages on Health Education for Infant and Young Child Feeding, 婴幼儿喂养健康教育核心信息. www.gov.cn/zhengce/zhengceku/2020-08/01/content_5531915.htm
- Perkin MR et al. (2016). Randomized Trial of Introduction of Allergenic Foods in Breast-Fed Infants. New England Journal of Medicine, 374(18), 1733-1743. (the EAT trial of ordinary infants, referred to in the Notes)doi.org/10.1056/NEJMoa1514210
13Watch for these signs of jaundice in a newborn: yellow within 24 hours of birth, getting yellower, hard to wake and not feeding, pale stools — go to hospital the same day
# Value HighGrade BLifespanA little moneyIn passingNo willpower
More than four in five newborns go a little yellow, and most of them clear it on their own. Go to hospital the same day if the yellow appears less than 24 hours after birth, or if it deepens, or if the baby is sleepier than usual and cannot be woken, will not feed, or the body goes floppy or stiff. Pale stools may mean biliary atresia, and that needs checking as soon as possible. Too much bilirubin damages the brain and leaves a disability for life.
Cost
Registration and a bilirubin test, a few hundred yuan at most. If phototherapy is needed, it is usually about two days in hospital. The hard part is making the trip even when the baby looks perfectly all right.
Benefit
The 2022 guideline of the American Academy of Pediatrics says that 「超过 80% 的新生儿会有某种程度的黄疸」, that is, more than 80% of newborns have some degree of jaundice. Too much bilirubin causes acute bilirubin encephalopathy and kernicterus. The guideline calls kernicterus 「永久的致残性神经系统疾病」, that is, a permanent disabling neurological disease. Its signs include cerebral palsy with involuntary twisting movements of the hands and feet, eyes that cannot look upwards, poorly developed enamel on the first teeth, and hearing damage. The guideline lists jaundice appearing within 24 hours of birth as a risk factor for developing severe jaundice. The National Health Service (NHS) of the United Kingdom gives parents two bands. The first band means calling the emergency number or going straight to the emergency department. It is a baby with jaundice who is also sleepier than usual or cannot be woken, will not feed, whose body is floppy or stiff, or who has jerking movements. A baby with jaundice less than 24 hours after birth counts in this band too. The second band means booking a doctor as soon as possible. It is a baby more than 24 hours old whose jaundice is not improving or is getting worse, whose urine is dark yellow or brown, or whose stool is pale cream in colour. Global estimates put the number of newborns in 2010 with Rh haemolytic disease (caused by incompatibility between the mother's and the baby's blood group) or with extreme hyperbilirubinaemia at about 480,000. 24% of those children died and 13% developed kernicterus. Of the children who survived kernicterus, more than 83% were left with one kind or more of impairment. Pale stools may mean biliary atresia, and the Kasai operation (葛西手术) has to be done within 60 days for the outlook to be clearly better. Taiwan has printed a stool colour card into the child health handbook of every newborn since 2004. The proportion having the operation within 60 days rose from 60% in 2004 to 74.3% in 2005. In a separate nationwide study of Taiwan, after the colour card was introduced the mortality of children with biliary atresia fell from 26.2% to 15.9%. This is a before-and-after comparison, not a grouped trial
Notes
Phototherapy (照蓝光, light therapy) shines a special kind of light on the baby's skin to turn the bilirubin into a form the body can get rid of easily. Do not substitute sitting in the sun at home: the American Academy of Pediatrics says it is hard to do in a way that is safe and does not burn the skin, so it does not recommend it as treatment. Do not give water or glucose water to bring the jaundice down either; the guideline rules that out too. You cannot judge how high the bilirubin is by looking at how yellow the skin is. The NICE guideline in the United Kingdom says not to rely on the eye alone: if you are not sure, go and have it measured. Babies born before 38 weeks, those whose brothers or sisters had phototherapy, and those who have not had enough breast milk are more likely to go deeply yellow. The follow-up follows the national basic public health service specifications: within 1 week of discharge a health worker visits the home. At 28 to 30 days after birth you go to the community health centre or the township health centre for a follow-up visit. Both checks look at the jaundice. If the doctor booked a bilirubin re-test when you were discharge
d, go at the time agreed. Where a full-term baby has been yellow for more than 14 days, or a preterm baby for more than 21 days, the NICE guideline requires one test for conjugated bilirubin and a look at whether the stool is pale. Jaundice itself does not delay the vaccinations, see
item 3 in this section (vaccinations). For newborn screening, see
item 13 in section 27 (heel-prick screening).
Sources · 7 sources
- Kemper AR, Newman TB, Slaughter JL, et al. (2022). Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation. Pediatrics, 150(3), e2022058859. doi.org/10.1542/peds.2022-058859
- NHS. Jaundice in babies (reviewed 2026-03-24). www.nhs.uk/conditions/jaundice-newborn
- NICE (2010, revised 2023). Jaundice in newborn babies under 28 days (CG98), 1.2.6、1.7.1. www.nice.org.uk/guidance/cg98/chapter/Recommendations
- Bhutani VK, Zipursky A, Blencowe H, et al. (2013). Neonatal hyperbilirubinemia and Rhesus disease of the newborn: incidence and impairment estimates for 2010 at regional and global levels. Pediatric Research, 74(Suppl 1), 86-100. doi.org/10.1038/pr.2013.208
- Hsiao CH, Chang MH, Chen HL, et al. (2008). Universal screening for biliary atresia using an infant stool color card in Taiwan. Hepatology, 47(4), 1233-1240. doi.org/10.1002/hep.22182
- Lee M, Chen SC, Yang HY, et al. (2016). Infant Stool Color Card Screening Helps Reduce the Hospitalization Rate and Mortality of Biliary Atresia: A 14-Year Nationwide Cohort Study in Taiwan. Medicine, 95(12), e3166. doi.org/10.1097/MD.0000000000003166
- National Health and Family Planning Commission (国家卫生计生委) (2017). 国家基本公共卫生服务规范(第三版),0~6 岁儿童健康管理服务规范. www.nhc.gov.cn/ewebeditor/uploadfile/2017/04/20170417104506514.pdf
21. Travel and safety abroad
11 / 11This section measures money and personal freedom, and several of the items also bear on personal safety. Once you are abroad, the law that governs you is that of the country you are in, not of China. There are clear limits to how far a Chinese embassy or consulate can go for you.
1Check the Ministry of Foreign Affairs safety notices once before you leave, and do not go anywhere marked 「暂勿前往」
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
The Ministry of Foreign Affairs sorts overseas safety risk into four bands, and the highest is 「暂勿前往」, do not travel. From 15 September 2026 the duty to stay away from high-risk countries and regions was written into an administrative regulation. When you apply for your documents and go through exit formalities, staff will also remind you, and where necessary try to talk you out of the trip. Read that page once before you leave. It takes a few minutes.
Cost
No money. Open the Chinese Consular Affairs website and go through it once. It takes a few minutes.
Benefit
The Ministry of Foreign Affairs publishes overseas safety notices in public, banded by risk level. From low to high they are 「注意安全」, take care of your safety, 「加强安全防范」, strengthen your precautions, 「谨慎前往」, travel with caution, and 「暂勿前往」, do not travel. The new rules, in force from 2026-9-15, also write the duty of the individual into administrative regulations. The text reads: 「中国公民应当关注国外安全提醒和旅游目的地安全风险提示,避免前往及驻留高风险国家或者地区」, that is, Chinese citizens should pay attention to overseas safety notices and safety risk warnings for travel destinations, and avoid travelling to and staying in high-risk countries or regions. The new rules also require the immigration authorities, the departments that issue entry and exit documents and run border checks, to remind anyone heading for a high-risk area when that person applies for documents and goes through the exit check. That requirement reads: 「对准备前往风险等级为最高级别或者严重危及人身安全案件突发高发的国家或者地区的中国公民,必要时应当劝阻其前往」, that is, for Chinese citizens preparing to travel to a country or region at the highest risk level, or where cases seriously endangering personal safety break out suddenly and often, the authorities should try to stop them going where necessary.
Notes
The notices change with the situation, so this book does not copy the list. Check that page yourself before you travel. As of 7 September 2026 the column still carried these 「暂勿前往」 notices: Eswatini (2026-08-25), Palestine (2023-10-10), Sudan (2023-04-17). Four more were Afghanistan (2023-02-17), Syria (2023-01-04), Peru (2022-12-29) and Somalia (2022-11-24). There are also separate notices for northern Myanmar and for some provinces of the Democratic Republic of the Congo. Travel agencies have a duty to inform you as well. Before joining a group tour you can ask for a written statement of the risk at the destination.
Sources · 3 sources
- State Council (国务院) (2026). Provisions on the Administration of Exit and Entry, 关于出境入境管理的规定(国令第 841 号). (Article two)www.gov.cn/zhengce/zhengceku/202607/content_7077173.htm
- State Council (国务院) (2023). Regulations on Consular Protection and Assistance, 领事保护与协助条例(国令第 763 号). (Articles nineteen and twenty-one)www.gov.cn/zhengce/zhengceku/202307/content_6891761.htm
- Consular Affairs Department of the Ministry of Foreign Affairs. Safety notices, 安全提醒. cs.mfa.gov.cn/zggmzhw/lsbh/aqtx
2Save 12308 and your local consular protection number in your phone, and copy them onto paper in your wallet
# Value HighGrade APersonal freedomNo moneyIn passingNo willpower
There is one number to call when something goes wrong. In China, dial 12308. Abroad, dial +86-10-12308. Since the hotline opened it has taken more than 3 million calls. Over the same period the Ministry of Foreign Affairs and its missions abroad handled more than half a million consular protection cases.
Cost
No money. Save two numbers and write one copy down. A few minutes.
Benefit
The Ministry of Foreign Affairs runs a global consular protection and assistance emergency line, answered 24 hours a day. In China, dial 12308. Abroad, dial +86-10-12308 or +86-10-65612308. Since the line opened in 2014 it has taken more than 300 million calls. Over the same period the Ministry of Foreign Affairs and its missions abroad handled more than 50 × 10,000 consular protection cases of every kind
Notes
The local embassy or consulate has its own consular protection number, and it is usually faster than the switchboard. Before you leave, look up the country on the Chinese Consular Affairs website and save that number alongside the switchboard number. If your phone is lost or runs flat, numbers saved only on it are no use. So write a copy on paper and keep it in your wallet, or give a copy to someone at home.
Sources · 2 sources
- Ministry of Foreign Affairs and Chinese Consulate-General in Myanmar (外交部、中国驻缅甸使领馆) (2023). Consular reminder on the current security situation in northern Myanmar, 关于当前缅北地区安全局势的领事提醒. cs.mfa.gov.cn/zggmzhw/lsbh/aqtx/202311/t20231109_11176682.shtml
- State Council Information Office (国务院新闻办) (2023). The State Council's regular policy briefing on consular protection and assistance. www.gov.cn/xinwen/2023zccfh/11/index.htm
3Know what consular protection can and cannot do: it can visit you, it cannot get you out, and you pay the bill
# Value HighGrade AMoneyNo moneyIn passingNo willpower
If you are arrested abroad, a consulate can do this: check the situation with the local authorities, ask for handling that is lawful and fair, visit you, and observe the trial. It cannot change the verdict, and it cannot take you out of the country. Accommodation, transport and medical costs paid by someone else on your behalf come back to you in the end. So put the money and the insurance in place before you travel, and do not build a plan on the idea that the state will cover you if something happens.
Cost
No money. It takes a few minutes to read this boundary clearly.
Benefit
When you are arrested, a consulate can do these things. It checks the situation with the relevant departments of the country you are in and asks for handling that is lawful and fair. The regulation reads: 「按照驻在国法律和我国与驻在国缔结或者共同参加的国际条约对其进行探视或者与其联络,了解其相关需求,要求驻在国有关部门给予该中国公民人道主义待遇和公正待遇」. In plain terms, it visits you and gets in touch with you under the local law and under the treaties signed by the two countries, asks what you need, and asks the local authorities to treat that Chinese citizen humanely and fairly. At the trial a consulate may sit in and may ask that your procedural rights be protected. If you are injured or caught in a disaster, it can press the local authorities for emergency help and can help the family handle what follows. On costs the regulation is just as clear: 「中国公民、法人、非法人组织在领事保护与协助过程中,得到第三方提供的食宿、交通、医疗等物资和服务的,应当支付应由其自身承担的费用」. Accommodation, transport and medical care paid for you by a third party are yours to pay
Notes
A consulate does not pay your fines, does not pay your medical bills and does not buy your ticket, and it cannot change the conclusion of a court in the country you are in. What it can give you is information on local lawyers, translators, medical care and funeral services, and help reaching relatives and finding relief. So put the money and the insurance in place before you travel, and do not build a plan on the idea that the state will cover you if something happens.
Sources
State Council (国务院) (2023). Regulations on Consular Protection and Assistance, 领事保护与协助条例(国令第 763 号). (第九、十、十四、二十六条)
www.gov.cn/zhengce/zhengceku/202307/content_6891761.htm4Buy a policy that covers overseas medical treatment and medical evacuation, not only flight-delay cover
# Value HighGrade CMoneyA little moneyIn passingNo willpower
You pay for being treated abroad yourself. Chinese medical insurance basically does not cover it, and the consulate does not advance the money. What can bankrupt a family is not the clinic bill but the hospital stay after a serious injury, and getting the patient home, which takes an air ambulance or a medical escort. When you buy travel insurance, look at two limits: overseas medical expenses, and emergency medical evacuation and repatriation.
Cost
A short-term overseas travel policy costs a few tens to a few hundred yuan.
Benefit
You pay for medical treatment abroad yourself. Chinese medical insurance basically does not reimburse it abroad. Consular protection does not advance this money either (see item 3 in this section, what consular protection can and cannot do, based on Article twenty-six of the regulations). What actually bankrupts a family is not the clinic bill but the hospital stay after a serious injury and the medical evacuation. Moving a patient from a foreign hospital back to China takes an air ambulance or a medical escort, and it is among the most expensive self-paid items. The US CDC puts it this way: moving a patient in an emergency from a remote area to a good hospital can, if you pay for it yourself, cost more than $100,000. When you buy insurance, look at two limits first. One is the limit on overseas medical expenses. The other is the limit on emergency medical evacuation and repatriation, which covers the most that will be paid for transferring to another hospital after an accident and for getting the patient home
Notes
The figure of $100,000 is a floor, not a range of costs. No official or industry published range of costs was found, so this book gives no specific range. Confirm three things before you buy. First, whether the country you are going to is covered. Second, whether high-risk activities such as diving, skiing and motorcycling are excluded. Third, whether the insurer settles with the hospital directly or pays you back after you pay up front. Buying a policy is just as necessary for visa-free countries.
Sources · 3 sources
- State Council (国务院) (2023). Regulations on Consular Protection and Assistance, 领事保护与协助条例(国令第 763 号). (第二十六条)www.gov.cn/zhengce/zhengceku/202307/content_6891761.htm
- US Centers for Disease Control and Prevention (美国疾病控制与预防中心). Travelers' Health: Travel Insurance:「Medical evacuation insurance covers emergency transportation from a remote area to a high-quality hospital, which could otherwise cost more than $100,000.」. wwwnc.cdc.gov/travel/page/insurance
- the rest is the author's own experience, no direct literature
5Treat every 「境外高薪招聘」 offer as fraud, and know that being tricked into telecom fraud can cost you the right to leave the country
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
A monthly wage so absurd it cannot be true, no questions about your education or experience, no proper contract, being told to gather in a border city first, and someone else keeping your passport. Take a job like that and neither you nor your passport is in your own hands. If you falsify your papers on the way out, border control will stop you and not let you go. Take part in crime abroad, and once you are back you can be barred from leaving the country for 6 months to 3 years.
Cost
No money. The hard part is turning down with your own hand a job that looks very good.
Benefit
The official description of these cases is blunt. In recent years there have been cases of 「上当受骗出境或者虚构事由非法出境从事跨境赌博、电信网络诈骗等违法活动,严重危害人民群众生命和财产安全」, that is, people deceived into leaving the country, or leaving illegally on a made-up pretext, to engage in cross-border gambling, telecom network fraud and other illegal activity there, seriously endangering the lives and property of the people. That covers both being tricked into going and inventing a reason to slip out to do gambling and telecom fraud. The new rules tighten both ends of this. On the way out: 「申请出境入境、停留居留的事由应当真实、合法」, that is, the stated reason for applying to leave or enter the country or to stay there must be true and lawful. If you submit false documents or tell lies, the immigration authorities may refuse to issue you a document and may refuse to let you leave. On the way back: 「中国公民在境外从事违法犯罪活动,危害国家安全和利益的,可以……决定自回国之日起 6 个月至 3 年以内不准其出境」, that is, where a Chinese citizen commits illegal or criminal acts abroad that endanger national security and interests, the authorities may decide, counting from the date of return, to bar that person from leaving the country for 6 months to 3 years. Where someone is given administrative detention for obtaining documents fraudulently or for leaving or entering the country illegally, the bar is likewise 6 months to 3 years
Notes
The warning signs are more or less fixed: a monthly wage far above the same job, no requirement for education or experience, no proper contract, being told to gather in a border city first, visa handling done for you and your passport kept by them. There is already a dedicated consular reminder for northern Myanmar. If you do go, your personal freedom and your passport are in someone else's hands and you cannot leave when you want to.
Sources · 2 sources
- State Council (国务院) (2026). Provisions on the Administration of Exit and Entry, 关于出境入境管理的规定(国令第 841 号). (第三、四条)www.gov.cn/zhengce/zhengceku/202607/content_7077173.htm
- Ministry of Justice, Ministry of Public Security and National Immigration Administration (司法部、公安部、国家移民局) (2026). Questions and Answers on the Provisions of the State Council on the Administration of Exit and Entry. www.gov.cn/zhengce/202608/content_7077270.htm
6Cash withdrawals abroad are capped at 100,000 yuan a year, counted across every card in your own name
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
The cap on cash withdrawals abroad is not one card at a time. It is every bank card in your name, supplementary cards included, added together, at 100,000 yuan for each calendar year. Once you have used it up, you cannot withdraw cash abroad for the rest of that year or in the year after. Only withdrawals stop. Card payments are not affected, and they do not use up your annual quota of 50,000 US dollars for purchasing foreign exchange.
Cost
No money. Estimate before you leave how much cash this trip needs, and use cards for the rest. The hard part is changing the habit: if a card will do, do not take out cash.
Benefit
The basis is the Notice of the State Administration of Foreign Exchange on Regulating Large Cash Withdrawal Transactions with Bank Cards Abroad, 《关于规范银行卡境外大额提取现金交易的通知》(汇发〔2017〕29 号,in force from 1 January 2018). Article one: 「个人持境内银行卡在境外提取现金,本人名下银行卡(含附属卡)合计每个自然年度不得超过等值 10 万元人民币。超过年度额度的,本年及次年将被暂停持境内银行卡在境外提取现金」, that is, where a person withdraws cash abroad with a domestic bank card, the total across all bank cards in that person's name, supplementary cards included, must not exceed the equivalent of 100,000 yuan in a calendar year. Where the annual cap is exceeded, withdrawals abroad on domestic bank cards are suspended for that year and the year after. The second paragraph of the same article: 「个人不得通过借用他人银行卡或出借本人银行卡等方式规避或协助规避境外提取现金管理」, that is, a person may not borrow another person's bank card or lend out their own to get around, or to help someone else get around, the management of cash withdrawals abroad. Article two: the foreign exchange authority sends the suspension list to the issuing banks every day, and an issuing bank must, no later than 17 hrs Beijing time on that day, stop the people on the list from withdrawing cash abroad with that bank's cards. Article three: a person on the suspension list may take valid identity documents to a local branch of the foreign exchange authority and check their own record of cash withdrawals abroad. Article four: the daily cap per foreign currency card is raised from the equivalent of USD 1000 to the equivalent of 10,000 yuan; the cap for renminbi cards stays at the equivalent of 10,000 yuan per card per day. Article six: issuing banks, renminbi card clearing organisations in China and individuals who breach the provisions of this notice are punished under the relevant rules of the Regulations of the People's Republic of China on Foreign Exchange Administration. The foreign exchange authority's answers to reporters also made several points clear. The Notice does not affect spending abroad on a card. Ordinary transactions such as food, accommodation, transport and shopping on a trip abroad for tourism, business or study can all be paid by card. Those payments do not use up the individual facilitation annual quota of USD 50,000 for purchasing foreign exchange. The annual quota is worked out by the foreign exchange authority from data added up across the issuing financial institutions, because real-time control would slow transactions down: 「外汇局采用延时控制手段」, that is, the authority uses deferred control rather than stopping the payment on the spot. Separately, in 2016, 81% of cash withdrawals abroad on domestic bank cards were below 30,000 yuan (nationwide)
Notes
The cap is counted by calendar year and starts again on 1 January. Only withdrawals abroad stop; card payments are not affected. If you really need a lot of cash abroad, buy the foreign exchange first under the Administrative Measures on Foreign Exchange of Individuals, then take the foreign currency notes out of the country. Withdrawal itself has two traps, and the UnionPay International page 「境外ATM取款」 sets them out. First, a dual-logo card cannot use the UnionPay channel at some ATMs in some countries. Second, some overseas ATMs show a surcharge on the screen, and that money goes to the local acquirer and is 「与银联无关」, nothing to do with UnionPay. The same page also warns: 「由于信用卡取款需支付透支利息,建议持卡人境外取款使用银联借记卡」, that is, because a credit card withdrawal incurs overdraft interest, holders are advised to use a UnionPay debit card for cash withdrawals abroad. If the card is lost, swallowed or used fraudulently, see item 5 in section 14 (report the card lost and freeze it before calling the police).
Sources · 3 sources
- State Administration of Foreign Exchange (国家外汇管理局) (2017). Notice on Regulating Large Cash Withdrawal Transactions with Bank Cards Abroad, 关于规范银行卡境外大额提取现金交易的通知(汇发〔2017〕29 号, Articles one, two, three, four, six and seven, in force from 1 January 2018). www.safe.gov.cn/safe/2017/1230/21873.html
- State Administration of Foreign Exchange (国家外汇管理局) (2017). Answers by the responsible officials of the foreign exchange authority to reporters on the questions of regulating large cash withdrawal transactions with bank cards abroad. www.gov.cn/zhengce/2017-12/31/content_5251958.htm
- China UnionPay International (中国银联国际). ATM cash withdrawals abroad, 境外ATM取款. m.unionpayintl.com/wap/cn/serviceCenter/cardUsingInstructions/805.shtml
7Photograph your passport, visas and ID card and keep a copy in the cloud; if they are lost, report it first and then get a travel document
# Value HighGrade CMoneyNo moneyIn passingNo willpower
If you lose your passport, the embassy or consulate can issue you a travel document to get home. The condition is that you can prove who you are. With photographs of the biodata page, of the visa pages and of your entry and exit record to hand, the replacement is much faster. You also have to report the loss to the local police first and get a report receipt; immigration checks and insurance claims both want that piece of paper. The phone is often lost together with the passport, so do not keep the photographs only on the phone.
Cost
No money. Take a few photographs before you leave.
Benefit
If you lose your passport, the embassy or consulate abroad can issue you a travel document to return home, but you have to prove your identity first. With clear photographs of the passport biodata page, of the visa pages and of your entry and exit record to hand, the time it takes to replace it differs a great deal. At the same time you have to report the loss to the local police and get a report receipt. Many countries require that document both at immigration checks and for insurance claims. The way in to the embassy or consulate is the two consular protection numbers saved in item 2
Notes
The way to store them is to put the photographs in two different places once you have taken them: one copy in a cloud drive and one sent to a family member. Also print a paper copy and keep it away from the original. Photograph your bank cards and the prescriptions of the medicines you use often as well. The phone and the passport are usually lost together, so storing them only on the phone is the same as not storing them. Some cloud drives ask for a verification code by text message, and if you lose the phone you may not be able to get in. Before you leave, try signing in on another device and check that it opens without this phone. Identity document photographs are sensitive information, so a storage method with encryption is safer. But nobody can open an encrypted method whose password has been forgotten, so the copy sent to your family cannot be left out.
Sources · 2 sources
- State Council (国务院) (2023). Regulations on Consular Protection and Assistance, 领事保护与协助条例(国令第 763 号). (第十六条)www.gov.cn/zhengce/zhengceku/202307/content_6891761.htm
- the author's own experience, no direct literature
8Before driving abroad, check whether the destination recognises a Chinese licence; most 「国际驾照」 sold online are waste paper
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
The 「国际驾照」 arranged for you online has no standing in mainland China. That document is a translation recognised between the parties to the 1949 Geneva convention, and mainland China is not among the 103 parties. So whoever arranges one for you in China gives you a document with no legal effect. Whether you may drive on a Chinese licence depends on the destination's own rules. If you have not confirmed those rules, do not drive.
Cost
No money. Check the rules of your destination once before you leave.
Benefit
The so-called international driving permit (IDP) is a translation recognised between the parties to the 1949 Convention on Road Traffic. The convention was concluded at Geneva on 1949-9-19 and entered into force on 1952-3-26. There are 103 parties at present, that is, the countries and regions that have signed. Mainland China is not on that list. So China does not issue this kind of international driving permit. Any agency offering to arrange an 「国际驾照」 inside China produces no legal effect. Whether you may drive on a Chinese licence depends on the rules of the destination country or region itself: some recognise a Chinese licence with a notarised translation, some require you to exchange it for a local licence, and some do not recognise it at all
Notes
In most countries driving without a licence is a criminal offence, or it carries a heavy penalty. And if there is an accident the insurance will very likely refuse to pay, which is the real cost. There are two ways to check: look up the destination country's 「中国公民须知」 on the Chinese Consular Affairs website, or ask the car hire company for a written confirmation. Hong Kong, Macao, Taiwan and some countries have separate arrangements.
Sources
United Nations Treaty Collection. Convention on Road Traffic, Geneva, 19 September 1949 — status of treaties.
treaties.un.org/pages/ViewDetailsV.aspx?src=TREATY&mtdsg_no=XI-B-1&chapter=11&clang=_en9Before you use an agency for a visa, study abroad or immigration, ask whether it is registered with the immigration authorities
# Value HighGrade APersonal freedomNo moneyIn passingNo willpower
From 15 September 2026, agencies that handle visas, study abroad and immigration have to register with the immigration authorities. Phrases like 「包过」, guaranteed approval, 「保签」, guaranteed visa, and 「材料我们帮你做」, we prepare the documents for you, are themselves expressly forbidden. Filling in a form wrongly yourself costs you at most a refusal this time round. Using false documents and being found to have submitted false information leaves a mark on your entry and exit record for years to come.
Cost
No money. Ask once whether it is registered, and keep the written material.
Benefit
The licensing requirement for private entry and exit agencies was removed in 2018, so an agency no longer needs an approval before it opens. The number of agencies then grew fast, and problems appeared that 「机构底数不清、部分机构违法违规办理业务、损害出境入境人员合法权益」, that is, the true number of agencies is unclear, and some agencies handle business in breach of the law and damage the lawful rights of people entering and leaving the country. The authorities cannot even count them. From 2026-9-15 these agencies are put under registration. An agency must report to the immigration authorities for the place where it sits within 15 days of being set up. Agencies already operating must make up the registration within 90 days of the rules coming into force. The expressly forbidden practices fall into these categories. First, 「发布虚假信息,或者通过夸大宣传、误导性宣传等方式招徕服务对象」, publishing false information, or attracting clients by exaggerating or misleading publicity. Second, 「提供或者协助提供虚假材料,协助他人违规办理签证、停留居留证件、护照等出境入境证件或者手续」, supplying or helping to supply false documents, and helping others obtain visas, stay and residence documents, passports and other entry and exit documents or formalities in breach of the rules. Third, 「泄露、出售、非法提供……个人隐私或者个人信息」, disclosing, selling or unlawfully providing personal privacy information or personal information. Fourth, 「组织或者协助他人从事跨境违法犯罪活动」, organising or helping others carry out cross-border illegal and criminal activity. Overseas enterprises and institutions may not provide this kind of agency service inside China.
Notes
An agency that keeps saying 「包过」, guaranteed approval, 「保签」, guaranteed visa, and 「材料我们帮你做」, we prepare the documents for you, is already doing what is expressly forbidden. If it is caught, the mark is left on your visa record. A problem with an application you filled in yourself costs you at most a refusal this time round. Using false documents and being found to have submitted false information costs a good deal more. Policy advice and information lookup that are not done for money do not count as agency service.
Sources
State Council (国务院) (2026). Provisions on the Administration of Exit and Entry, 关于出境入境管理的规定(国令第 841 号). (第七、八、十、十二、十三条)
www.gov.cn/zhengce/zhengceku/202607/content_7077173.htm10Do not write an invitation letter for a stranger, and do not let anyone handle entry and exit formalities in your name
# Value ModerateGrade APersonal freedomNo moneyIn passingSome willpower
If you write an invitation letter or application documents for someone else and the contents are untrue, the person who wrote it is the one who is fined. An individual is fined 5000 yuan to 10,000 yuan, and any illegal gains are confiscated as well. An organisation is fined 10,000 yuan to 50,000 yuan, and the person who handled it is fined 5000 yuan to 10,000 yuan on top. One favour ends up costing you the money yourself.
Cost
No money. The hard part is turning down a favour to someone's face.
Benefit
The person who issues an invitation letter is responsible for whether its contents are true. The text reads: 「个人为他人申请出境入境、停留居留出具虚假邀请函件或者其他申请材料的,由移民管理机构处 5000 元以上 1 万元以下罚款;有违法所得的,没收违法所得」, that is, where an individual issues a false invitation document or other application document for another person's exit, entry, stay or residence, the immigration authority shall impose a fine of 5000 yuan to 10,000 yuan, and any illegal gains shall be confiscated. Where an organisation issues false documents, the fine is 10,000 yuan to 50,000 yuan. At the same time a further fine of 5000 yuan to 10,000 yuan is imposed on the person in charge and the other people directly responsible, that is, the manager who signs it off and the person who handled it.
Notes
This is the same kind of risk as 「不帮陌生人带东西」 in section 8: once documents are issued in your name, the consequences land on you. Where a public servant or a member of the armed forces uses an agency to get foreign nationality or overseas residence status in breach of the rules, the agency may not only refuse; it also has to report the matter to the supervisory authority.
Sources
State Council (国务院) (2026). Provisions on the Administration of Exit and Entry, 关于出境入境管理的规定(国令第 841 号). (第三、十一条)
www.gov.cn/zhengce/zhengceku/202607/content_7077173.htm11Before you go abroad, send your itinerary, address and travelling companions to one family member and agree how often you will make contact
# Value HighGrade CLifespanNo moneyIn passingNo willpower
If a person goes missing abroad, family members can ask an embassy or consulate for help. The consulate will tell the family how to report to the police locally, and once a case is opened it will chase it. All of that depends on someone at home knowing where you should be and when you should make contact. Sending your flight number, address, the name and phone number of a travelling companion and the contact interval you agreed is enough.
Cost
No money. Send one message before you leave.
Benefit
When a Chinese citizen goes missing abroad, relatives may ask a diplomatic mission abroad for help. The regulation reads: 「驻外外交机构应当提供当地报警方式及其他获取救助的信息」, that is, diplomatic missions abroad shall provide the way to report to the police locally and other information for obtaining assistance. Once the local police have opened a case, the consulate presses them to deal with it in time. Whether any of this can be started depends on whether someone at home knows where you should be and when you should make contact.
Notes
Four things are enough: the flight number, the address, the names and phone numbers of the people you travel with, and the contact frequency you agreed. If you are going somewhere with poor signal or poor public order, say plainly how long you can go without news before someone reports you. All of the rescue procedures above can only start once a family member knows your itinerary.
Sources · 2 sources
- State Council (国务院) (2023). Regulations on Consular Protection and Assistance, 领事保护与协助条例(国令第 763 号). (第十三条)www.gov.cn/zhengce/zhengceku/202307/content_6891761.htm
- the author's own experience, no direct literature
22. Relaxing: venues and stress relief
10 / 10The first half of this section covers which money in an entertainment venue is wasted and where the emergency exits are, measured in money and personal freedom. The second half covers how to take the pressure off, measured in energy and all-cause mortality. The numbers in the two halves are not converted into each other. Section 3 has already set out what to do first when your mood is low, and this section gives the more specific methods.
1Before you go into a KTV room, a bar or an escape room, look for the emergency exit, and change venue if it is locked or blocked
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
By law, while a venue is trading, the escape routes and emergency exits must be kept clear. They may not be blocked, may not be locked, and may not be piled with things in the way, and the signs may not be covered up. Internet cafés may not seal the doors or bar the windows either. A venue that does not comply is breaking the law, and you can report it to the authorities. Change venue if the private room is underground, if there is only one exit, or if the corridor is full of junk.
Cost
No money. Look up for 10 seconds when you walk in.
Benefit
This is a statutory duty of the operator. A venue that does not comply is breaking the law, and you can report it to the authorities. The regulation reads: 「营业期间,娱乐场所应当保证疏散通道和安全出口畅通,不得封堵、锁闭疏散通道和安全出口,不得在疏散通道和安全出口设置栅栏等影响疏散的障碍物」, that is, while trading, a venue must keep escape routes and emergency exits clear, may not block or lock escape routes and emergency exits, and may not put up railings or other obstacles that impede escape. The regulation also requires that the venue 「应当在疏散通道和安全出口设置明显指示标志,不得遮挡、覆盖指示标志」, that is, put up clear signs at escape routes and emergency exits and not cover or obscure them. Internet cafés are the same. They are told 「营业期间禁止封堵或者锁闭门窗、安全疏散通道和安全出口」, that is, while trading, blocking or locking doors, windows, escape routes and emergency exits is forbidden, and 「禁止明火照明和吸烟」, that is, open-flame lighting and smoking are forbidden.
Notes
If any one of these is true, change venue: the private room is underground, there is only one exit, the corridor is piled with junk, or the emergency exit sign is unlit. A fire in a place like this means heavy smoke, narrow corridors and many people, and most of them have been drinking. The time you have to get out is measured in seconds. The regulation says the number to report to must be on the warning signs inside the venue.
Sources · 2 sources
- State Council (国务院) (2006). Regulations on the Administration of Entertainment Venues, 娱乐场所管理条例(国令第 458 号, Articles twenty and twenty-one). www.gov.cn/zhengce/zhengceku/2008-03/28/content_6297.htm
- State Council (国务院) (2002). Regulations on the Administration of Business Premises for Internet Access Services, 互联网上网服务营业场所管理条例(国令第 363 号, Article twenty-one). www.gov.cn/gongbao/content/2002/content_61788.htm
2Ask for the price list before you order, which venues have to display, and refuse 「play first, pay later」
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
By law, a venue selling services and selling goods must display its prices and must show you the price list itself. So-called 「天价酒水」, sky-high drink prices, almost always happen where nobody looked at a price list and the bill was settled on a spoken quote afterwards. Ask for the list when you enter the private room and photograph it. Ask for a confirmed bill after you order. If there is a dispute about the bill, call 12315 there and then.
Cost
No money. Ask for the list once. The hard part is asking the price in front of other people, which is embarrassing.
Benefit
The regulation reads: 「娱乐场所提供娱乐服务项目和出售商品,应当明码标价,并向消费者出示价目表;不得强迫、欺骗消费者接受服务、购买商品。」, that is, where a venue provides entertainment services and sells goods, it must mark prices clearly and show consumers the price list, and may not force or deceive consumers into accepting services or buying goods. Breaches of price laws and regulations are punished by the competent departments under the law. Disputes over so-called 「天价酒水」 happen for the most part in exactly these settings: no price list shown, and the bill settled on a spoken quote afterwards.
Notes
How to do it: ask for a price list when you enter the private room, paper or electronic, and photograph it as soon as you have it. After ordering, ask for a confirmed bill. If a waiter recommends a 「特调」, a special mix, or a 「果盘」, a fruit platter, always ask the price before ordering. Call 12315 there and then if there is a dispute about the bill. Do not pay first and defend your rights afterwards, because once you have paid, producing the evidence is much harder.
Sources
State Council (国务院) (2006). Regulations on the Administration of Entertainment Venues, 娱乐场所管理条例(国令第 458 号, Articles twenty-nine and fifty-three).
www.gov.cn/zhengce/zhengceku/2008-03/28/content_6297.htm3If someone offers you 「something」 inside the venue, walk out at once; both letting someone use it and supplying it are not doing a friend a favour
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
A venue may not sell drugs, may not supply drugs, and may not let anyone use them inside. Breaking that means a suspension of business for 3 to 6 months, and in serious cases the licence is revoked. Using drugs yourself carries administrative punishment. Letting someone 「use it for a moment」 in a private room you have booked, or in your own home, is harbouring another person for drug use, and that is a crime. If somebody produces an unidentified powder, a tablet or a cigarette cartridge and asks you to try it, walk out at once.
Cost
No money. Stand up and walk out. The hard part is leaving the table in front of everybody.
Benefit
The regulation expressly forbids a venue to 「贩卖、提供毒品,或者组织、强迫、教唆、引诱、欺骗、容留他人吸食、注射毒品」, that is, sell or supply drugs, or organise, force, induce, lure, deceive or harbour other people to take or inject drugs. Staff may not use drugs themselves, and may not provide the conditions for any of the above. A breach leads the public security authority to confiscate the illegal gains and illegal property and to order the venue to suspend business for 3 to 6 months. In serious cases the entertainment business licence is revoked. The regulation also requires venues to display, at a prominent place in the hall, in private rooms and in booths, warning signs against drugs, gambling, prostitution and solicitation, and to state the number to report to.
Notes
If somebody takes out an unidentified powder, a tablet or an electronic cigarette cartridge and asks you to 「试试」, try it, leave at once and do not stay to watch. The risk you carry personally is heavier than the venue's. Using drugs yourself is in itself subject to administrative punishment. Letting a friend 「use it for a moment」 in a private room you have booked, or in your own home, is harbouring another person for drug use, and that is a crime.
Sources
State Council (国务院) (2006). Regulations on the Administration of Entertainment Venues, 娱乐场所管理条例(国令第 458 号, Articles fourteen, thirty and forty-two).
www.gov.cn/zhengce/zhengceku/2008-03/28/content_6297.htm4Do not eat sweets and snacks handed to you by strangers, do not drink a drink that has been out of your sight, and do not take a cigarette cartridge passed to you
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Drugs today do not look like drugs. A hit-producing electronic cigarette laced with synthetic cannabinoids looks much like an ordinary e-cigarette, and people go round handing them out to try in bars, in KTV rooms and in hotels. Inducing someone to take them carries 10 to 15 days of detention and a fine of 1000 to 5000 yuan, and the person who was deceived into taking them is detained for 10 to 15 days as well. If a drink has been out of your sight, get a new one.
Cost
No money. Turn down everything handed to you. If your own glass has been out of your sight, get a new one.
Benefit
Drugs today do not look like drugs. Synthetic cannabinoids have been listed as a whole class since 2021-7-1, and this large group is now handled as drugs. Some people mix them into the e-liquid to make a hit-producing electronic cigarette. In a case reported by the Supreme People's Procuratorate, investigators described this e-liquid as something that 「可以通过添加食用颜料变成各种颜色、各种口味」, that is, can be turned into any colour and any flavour by adding food colouring, and 「在外观上和普通电子烟基本一致」, that is, looks much the same as an ordinary electronic cigarette. Sellers gather a group and push them in bars, in KTV rooms and in hotels, inducing others to take them. In that report, among the cases of drug use handled locally that year, people who were minors came to nearly forty per cent. The dissociative anaesthetic 依托咪酯 has been in the catalogue of second-category psychotropic drugs since 2023-10-1. Inducing someone to take drugs is in itself unlawful: 「引诱、教唆、欺骗或者强迫他人吸食、注射毒品的,拘留 10 到 15 日并罚 1000 到 5000 元」, that is, anyone who induces, incites, deceives or forces another person to take or inject drugs is detained for 10 to 15 days and fined 1000 to 5000 yuan. Where it amounts to a crime, the sentence is up to 3 years, 3 to 7 years in serious cases and 3 to 10 years where there is coercion, with heavier punishment where the victim is a minor. The consequences fall on the deceived person as well: 「吸食、注射毒品的,处 10 到 15 日拘留并可罚 3000 元以下」, that is, anyone who takes or injects drugs is detained for 10 to 15 days and may be fined up to 3000 yuan. In the lighter cases the penalty is up to 5 days of detention or a fine of up to 1000 yuan. A person may also be ordered not to enter entertainment venues for 6 months to 1 year. An addicted person may be ordered into community detoxification for 3 years. Anyone who refuses community detoxification, or who takes drugs again during it, is sent to compulsory isolated detoxification for 2 years, which may be extended by a further 1 year (nationwide, from month 1 of 2026 under the Public Security Administration Punishments Law).
Notes
This is not only about entertainment venues. School gates, gatherings with friends and long-distance coaches are the same. Whether what is handed to you is a sweet, a drink or a cigarette cartridge makes no difference. Being drugged is often followed by robbery, sexual assault or blackmail, and there are no published official figures for that, so this is a judgement from experience. Replacing a drink the moment it has been out of your sight saves far more trouble than arguing afterwards. For what to do when somebody in the venue produces an unidentified powder, tablet or cigarette cartridge, see item 3 in this section. For carrying things for other people, see item 29 in section 8.
Sources · 5 sources
- Supreme People's Procuratorate (最高人民检察院) (2021). Wujiang District, Suzhou, Jiangsu: prosecutors reveal new drugs dressed in trendy clothing. www.spp.gov.cn/spp/zdgz/202110/t20211011_531831.shtml
- National Medical Products Administration, Ministry of Public Security and National Health Commission (国家药监局、公安部、国家卫生健康委) (2023). Announcement on Adjusting the Catalogue of Narcotic Drugs and Psychotropic Drugs (2023 No. 120). (reprinted by the Shanghai Municipal Drug Administration, which records that the original page on nmpa.gov.cn returned 412 on this machine)yjj.sh.gov.cn/qtgzwj/20230911/3b612c94e35b4b63abba314c972a2593.html
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Public Security Administration Punishments Law (2025 revision, Articles eighty-four and eighty-five). www.spp.gov.cn/spp/fl/202506/t20250627_699863.shtml
- National People's Congress (全国人大) (1997). Criminal Law (Article three hundred and fifty-three). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Standing Committee of the National People's Congress (全国人大常委会) (2007). Narcotics Control Law (Articles thirty-three, thirty-eight and forty-seven). (reprinted by the Guangdong Provincial People's Government).www.gd.gov.cn/zwgk/wjk/zcfgk/content/post_2520706.html
5Do not book murder mystery games or escape rooms set inside a residential building or below the second basement level
# Value HighGrade ALifespanNo moneyIn passingNo willpower
A 2022 notice from five departments states that a script entertainment venue may not be set up inside a residential building, nor below the first underground level. These places are dark, full of partitions and full of flammable props, and the door often only opens once you have solved a puzzle. Once there is a fire, getting out is much harder than from an ordinary shop. Look at the address and the floor on the review page before you book, and change venue if it does not comply.
Cost
No money. Ask which floor the address is on before you book.
Benefit
The dedicated 2022 notice from the five departments is specific: 「剧本娱乐经营场所不得设在居民楼内、建筑物地下一层以下(不含地下一层)等地」, that is, a script entertainment venue may not be set up inside a residential building, below the first underground level of a building (excluding the first underground level itself), or in similar places. The notice also requires venues to meet the requirements of the Work Safety Law and the Fire Protection Law, to 「常态化开展火灾风险自知、自查、自改,提高紧急情况下的组织疏散逃生和初起火灾扑救能力」, that is, routinely identify, inspect and correct fire risks themselves, and improve the ability to organise evacuation and escape in an emergency and to put out a fire in its early stage. The same notice also requires scripts to carry an age suitability notice. A scene unsuitable for minors may not admit minors, and apart from statutory holidays, rest days and the winter and summer holidays, script entertainment activities may not be offered to minors.
Notes
These places are dark, full of partitions and full of flammable props, and the door often needs a puzzle to be solved before it opens. Once there is a fire, getting out is much harder than from an ordinary shop. You can see the floor, and whether it is a residential building, on the review page before you book. If it does not comply, change venue.
Sources
Ministry of Culture and Tourism, Ministry of Public Security, Ministry of Housing and Urban-Rural Development, Ministry of Emergency Management and State Administration for Market Regulation (文化和旅游部、公安部、住房和城乡建设部、应急管理部、市场监管总局) (2022). Notice on Strengthening the Management of Script Entertainment Venues, 关于加强剧本娱乐经营场所管理的通知.
www.gov.cn/zhengce/zhengceku/2022-06/27/content_5698021.htm6When your mood is bad, walk or run: the effect size of exercise against depression rises with the intensity
# Value ModerateGrade ALifespanNo moneyA few hoursA lot of willpowerDisputed
When your mood is bad, brisk walking or slow running shows the clearest improvement. Next come yoga, strength training and tai chi or qigong, and the differences between them are small. The higher the intensity, the better the effect, and strength training and yoga are the easiest to keep up. The evidence here is of low quality. What can be said is that moving beats not moving, so pick the kind you can keep up.
Cost
No money. Half an hour each time. The hard part is that when your mood is worst is exactly when you least want to move, so you have to push yourself.
Benefit
This is a pooled result across 218 randomised controlled trials. It covers 495 groups and 14170 participants meeting the clinical criteria for severe depression. The method lets the different kinds of exercise compete with one another, in a Bayesian network meta-analysis. The comparison is against usual care and against a placebo tablet as an active control. Effect size is expressed as Hedges' g, and the more negative the number, the greater the improvement in symptoms. Brisk walking or slow running −0.62 (95% confidence interval −0.80 to −0.45, which means the true value falls roughly within this range). Yoga −0.55 (−0.73 to −0.36). Strength training −0.49 (−0.69 to −0.29). Mixed aerobic work −0.43 (−0.61 to −0.24). Tai chi or qigong −0.42 (−0.65 to −0.21). The text says 「运动的效果与所处方的强度成正比」, that is, the effect of exercise is proportional to the intensity prescribed, so the higher the intensity the better the effect. Strength training and yoga were rated the most acceptable and the easiest to keep up.
Notes
Disputed. The authors say so themselves: of the 218 studies, only one was clean enough not to be swayed by its design. On the standard rating scale, brisk walking and slow running count only as "low" certainty, and the rest as "very low". Participants cannot be blinded to exercise, and knowing they are exercising makes them feel better; that expectation cannot be removed. The direction of the conclusion still holds: moving beats not moving, keep the intensity up, and pick the kind you can keep up. This is the expansion of 「情绪低落时先动起来」 in section 3, and it does not replace proper treatment after a diagnosis.
Sources
Noetel M, Sanders T, Gallardo-Gómez D, et al. (2024). Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials. BMJ, 384, e075847.
doi.org/10.1136/bmj-2023-0758477When anxiety is affecting your life, a mindfulness-based stress reduction course is no worse than the usual anti-anxiety drug
# Value ModerateGrade ALifespanA little moneyEvery dayA lot of willpower
In people diagnosed with an anxiety disorder, 8 weeks of mindfulness-based stress reduction improves symptoms almost as much as the anti-anxiety drug escitalopram. Nearly eighty per cent of the people on the drug had an adverse reaction, and some dropped out because of it. About fifteen per cent of the people on the course had one, and nobody dropped out. The course has to be a standardised 8-week course; an ordinary meditation app does not count.
Cost
The course costs a little money. It runs 8 weeks, one session a week, and you practise at home every day. The hard part is practising every day for 8 weeks running.
Benefit
The trial was run by academic medical centres in 3 US cities, to see whether the course comes out worse than the drug, in a non-inferiority randomised controlled trial. 276 adults diagnosed with an anxiety disorder were randomised 1:1 into two equal groups. One group took an 8-week mindfulness-based stress reduction course. The other took escitalopram at a flexible dose of 10 to 20 mg. 208 people completed it. At the end, scored on the clinician's rating of anxiety severity (Clinical Global Impression Severity Scale), the mindfulness group fell by 1.35 and the drug group by 1.43. The difference between the two groups is −0.07 (
95% CI −0.38 to 0.23, which means the true difference falls roughly within this range; P=0.65, which means this difference cannot be told apart from no difference). The lower end of this range did not cross the line drawn in advance for "not worse" (the non-inferiority margin −0.495). The difference in side effects is large: 78.6% of the drug group had at least one adverse reaction related to the trial, and 10 dropped out because of it. In the mindfulness group the figure was 15.4%, and nobody dropped out.
Notes
The trial used the standardised 8-week mindfulness-based stress reduction course (MBSR), and an ordinary meditation app is not the same thing. It applies to people who already meet the diagnostic criteria for an anxiety disorder, and if you need a doctor you still need one. If you have been putting off treatment out of worry about drug side effects, this is an option with comparable strength of evidence.
Sources
Hoge EA, Bui E, Mete M, Dutton MA, Baker AW, Simon NM (2023). Mindfulness-based stress reduction vs escitalopram for the treatment of adults with anxiety disorders: a randomized clinical trial. JAMA Psychiatry, 80(1), 13-21.
doi.org/10.1001/jamapsychiatry.2022.36798To settle down in the moment, do 5 minutes of 「cyclic sighing」: a two-stage inhale and a lengthened exhale
# Value HighGrade BLifespanNo moneyIn passingNo willpower
5 minutes of breathing practice a day, kept up for a month, improves mood and slows breathing more than mindfulness meditation of the same length. Of the breathing methods, 「循环叹息」, cyclic sighing, which lengthens the exhale, is the best one. To do it, breathe in through the nose, then take a short top-up breath to fill the lungs, then breathe out slowly through the mouth. This rests on a single trial, where the rating comes from the participant himself, and it costs nothing.
Cost
No money. 5 minutes a day.
Benefit
This is a randomised controlled trial carried out at home, comparing three kinds of 5-minute daily breathing practice with mindfulness meditation of the same length over 1 month. The three breathing methods are cyclic sighing, which emphasises a lengthened exhale, box breathing, in which inhaling, holding and exhaling are equal, and cyclic hyperventilation with a hold, in which the inhale is long and the exhale short. Pooling the data across people and across sessions in a mixed-effects model, the breathing practices all did better than mindfulness meditation, and cyclic sighing, which puts the weight on the exhale, did best of all. It was better on mood improvement (P<0.05, which means the difference does not look like it came out by chance) and on the fall in breathing rate (P<0.05).
Notes
To do it, breathe in through the nose, take a short top-up breath to fill the lungs, then breathe out slowly and fully through the mouth, and repeat for 5 minutes. There is only this one trial. It is done at home, whether it works is reported by the person filling in the questionnaire, and the number of people is small. The effect is only a little better than meditation and it does not solve problems. But it costs nothing, takes 5 minutes and can be done anywhere, so it is good value for money.
Sources
Balban MY, Neri E, Kogon MM, et al. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1), 100895.
doi.org/10.1016/j.xcrm.2022.1008959Treat 「meeting people regularly」 as a health expense, and do not only reach out when your mood is bad
# Value ModerateGrade ALifespanA little moneyA few hoursSome willpowerDisputed
People who rarely see other people have a risk of death over the same period about thirty per cent higher. People who feel lonely are about a quarter higher, and people who live alone about thirty per cent higher, and the pattern is more marked among people under 65. All of these come from following people over time, and it may be that people who are already in poor health are the ones more likely to live alone.
Cost
A little money, plus the time spent meeting people. The hard part is arranging to see people when your mood is good.
Benefit
This is a pooled result across 70 studies that first recorded a situation and then followed people forward, a meta-analysis. It covers 3,400,000 participants followed for an average of 7 years. Social isolation, loneliness and living alone are all associated with higher mortality. After taking out confounders such as age and health status, the weighted mean odds ratios are 1.29 for social isolation, 1.26 for loneliness and 1.32 for living alone. Converted, that is a risk of death over the same period roughly thirty per cent, a quarter and thirty per cent higher respectively. The effect sizes of the three are close to one another, and larger among people under 65 than among older people.
Notes
Disputed. All of this comes from associations observed in groups of people rather than from a controlled trial, so cause and effect cannot be separated. People who are already in poor health are more likely to live alone and to have fewer social contacts. The authors treat social relationships as a health factor of the same order as smoking and obesity, but no randomised trial has shown that increasing social contact lowers mortality. This does not conflict with 「减少让你消耗的人际关系」 in section 3: that one cuts the relationships that drain you, and this one protects the few that restore your energy.
Sources
Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D (2015). Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspectives on Psychological Science, 10(2), 227-237.
doi.org/10.1177/174569161456835210If you live near green space, make more use of it: walking, a stroll and sitting down all count
# Value ModerateGrade ALifespanNo moneyIn passingNo willpowerDisputed
The better the greenery within 500 metres of your home, the lower the risk of death over the same period. For each 0.1 rise in the vegetation index it is about 4% lower. What is measured is the greenery around the home, not how many times you go to a park. People who live in greener neighbourhoods are often richer, and the air is better as well. So do not read this as going to a park extending your life; it is enough to take the green space around your home into account when you choose where to live.
Cost
No money. You do it on the way past.
Benefit
This is a pooled result across 9 studies that followed groups of people for years, a meta-analysis of cohort studies. It covers 7 countries and 8,320,000 people. What it looks at is the greenery within 500 metres of the home, measured with the Normalised Difference Vegetation Index (NDVI, a single number that converts ground greenery into a figure). For each 0.1 rise in the index, the pooled risk ratio for all-cause mortality is 0.96 (
95% CI 0.94 to 0.97), a risk of death over the same period about 4% lower, with the true value falling roughly between 3% lower and 6% lower. 7 of the 9 studies found that greener meant lower mortality, and the difference did not look like chance. The other 2 found no association.
Notes
Disputed. The results across the studies are a long way apart (I²=95%, and the larger that number is, the less they agree with one another). And what it measures is the greenery around where you live, not how many times you go to a park. People who live in greener places are often also wealthier, have better air and exercise more, and none of that can be separated from the greenery. Do not read it as going to a park extending your life. What you can use is this: take the green space into account when you choose where to live, and it costs nothing. On the NDVI figure, bare ground and concrete come close to 0 and dense vegetation close to 1. So a step of "0.1" is roughly the difference between a bare block and a block with a row of mature trees.
Sources
Rojas-Rueda D, Nieuwenhuijsen MJ, Gascon M, Perez-Leon D, Mudu P (2019). Green spaces and mortality: a systematic review and meta-analysis of cohort studies. The Lancet Planetary Health, 3(11), e469-e477.
doi.org/10.1016/S2542-5196(19)30215-323. Which skills are worth learning
23 / 23This section measures money and time, and item 2 measures mortality as well. The first six items answer one question: whether to carry on with education. Item 1 sets out which part of the options the law removes. Item 2 works out the relationship between education and lifespan. Item 3 looks at where the national education level sits. Item 4 covers the financial help available when you cannot afford it. Item 5 covers what is left if you do not get into a general senior high school. Item 6 turns "study or work" into a question with a method you can work through yourself. The next seven items answer a different question: how to choose once you have decided to learn something. China's wage statistics by occupation are hard to verify item by item through public official channels, so only the things that can be traced to a source are written here: how much an extra year of education is worth in wages, also called the return to education, how to check whether a certificate is legal, where training subsidies come from, and which dimension to look at when choosing a skill so that it is harder to replace. This book gives no figure for what a particular trade earns in a month. Items 14 to 19 answer a third question: once you have settled what to learn, how to learn it without wasting time. Those six items measure time and are not converted into money. Items 20 to 23 answer a fourth question: if you already work in a technical or professional field, where a professional title is applied for, how the exam works, what traps to avoid, and what it is worth once you have it.
1Under 16 years old there is no "go out to work" option: an employer is fined 5000 yuan a month for hiring you, and the employers who do hire are running it black
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Finishing junior high school usually happens at 15 or 16, which sits exactly on this line. An employer who takes you on under 16 is breaking the law, and hiring one child worker carries a fine of 5000 yuan for every month of employment. So the employers who are willing to take you are the ones who know they are breaking the law and do it anyway. If something does happen, the medical bills and the compensation can only be claimed from that employer, and if it defaults or runs off, nobody is standing behind it.
Cost
No money. It takes a minute to work out how old you are.
Benefit
Article eleven of the Compulsory Education Law: 「凡年满六周岁的儿童,其父母或者其他法定监护人应当送其入学接受并完成义务教育」, that is, every child who has reached the age of six shall be sent to school by their parents or other legal guardians to receive and complete compulsory education. Article fourteen: 「禁止用人单位招用应当接受义务教育的适龄儿童、少年」, that is, employers are prohibited from hiring children and adolescents of an age that should be receiving compulsory education. Article fifty-eight: where school-age children and adolescents are not sent to school without a proper reason or in accordance with this Law, the township people's government at the local level, or the education administrative department of the county-level people's government, 「给予批评教育,责令限期改正」, that is, gives criticism and education and orders the correction to be made within a set time. Article two of the Provisions on the Prohibition of Child Labour: state organs, social organisations, enterprises and public institutions, private non-enterprise units and individual industrial and commercial households 「均不得招用不满16周岁的未成年人」, that is, may not hire anyone under 16 years old. Article six: punishment is imposed 「按照每使用一名童工每月处5000元罚款的标准给予处罚」, that is, at the standard of a fine of 5000 yuan for every month in which one child worker is employed, and where the correction is not made by the deadline it is 10,000 yuan per person per month. Article seven: anyone who introduces a child worker into employment 「按照每介绍一人处5000元罚款」, that is, is fined 5000 yuan for each person introduced. Article ten: where a child worker falls ill or is injured, the employer 「应当负责送到医疗机构治疗,并负担治疗期间的全部医疗和生活费用」, that is, must take responsibility for taking the child to a medical institution for treatment and for bearing all the medical and living costs during the treatment, and must also make a one-off payment where the child is permanently disabled or dies. Article thirteen leaves a single exception: arts and sports units, with the consent of the parents or other guardians, may hire professional artistic workers and athletes under 16 years old (nationwide)
Notes
The person who benefits is yourself. Working after you turn 16 is lawful. But the jobs that are keen to take on a 16-year-old with no qualification are exactly the ones described in item 10 in this section (choosing skills that resist automation): fixed processes, the easiest for a machine to take over. The overtime pay, annual leave and work injury benefits described in section 19 all depend on there being an employment relationship and on evidence. A black job gives you neither, and those are the things you cannot get.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2018). Compulsory Education Law (second revision of 2018, Articles eleven, fourteen and fifty-eight). (published by the Ministry of Education)www.moe.gov.cn/jyb_sjzl/sjzl_zcfg/zcfg_jyfl/202110/t20211029_575949.html
- State Council (国务院) (2002). Provisions on the Prohibition of Child Labour (State Council Order No. 364, Articles two, six, seven, ten and thirteen). www.gov.cn/gongbao/content/2002/content_61798.htm
2Put 「whether studying does any good」 into the mortality account too: every extra year of education lowers the adult risk of death by about 1.9%
# Value ModerateGrade ALifespanNo moneyEvery dayA lot of willpowerDisputed
Every extra year of study goes with a risk of death in adulthood that is on average about 1.9% lower. The effect is clearest between 18 and 49, where every extra year is about 2.9% lower; above 70 it is only 0.8% lower. People who can keep studying are often better off to begin with, and studies of this kind cannot tell how much of the effect is the study itself.
Cost
No money. What you spend is the time and the energy of those extra years of study; for the tuition see item 4 in this section (secondary vocational tuition and grants). The hard part is keeping it up without giving up in the middle.
Benefit
All the earlier studies were gathered together and calculated in one go (a systematic review and meta-analysis). The search ran from 1980-1 to 2023-5 and finally included 603 studies, 70 sites in 59 countries and 10355 observations. Education and adult mortality (death from all causes added together) follow a dose-response relationship (the more you study, the larger the drop). Every extra year of education lowers the risk of death on average by 1.9% (95% uncertainty interval 1.8–2.0, which is roughly where the true value lies). For people aged 18 to 49 every extra year gives 2.9% (2.8–3.0). For people above 70 it gives 0.8% (0.6–1.0). No difference was found between men and women. None was found when the figures were split by level of national development (the social population index) either
Notes
Disputed. The authors themselves report publication bias (p<0.0001), which means a study with a good-looking result is more likely to get published. The results also differ a good deal from one study to another. Everything included is follow-up observation, not a trial in which people are split into groups. Years of schooling are tangled up with family circumstances, region and occupation, and a study of this kind cannot separate how much of the 1.9% comes from the study itself from how much comes from 「people who can keep studying were better off to begin with」. The opposite direction cannot be separated either: people who were ill or had mental problems as children are more likely to drop out and more likely to die young, and that makes the effect of studying look larger than it really is. So it does show firmly that more study and living longer point the same way, but that is not the same as 「if you study you will live 1.9% longer」. The benefit is graded small: what a reader is usually looking at is three or four more years of study, and at 1.9% a year that comes to less than a tenth in all, which counts as small against the line used throughout this book. The person who benefits is yourself
Sources
IHME-CHAIN Collaborators (2024). Effects of education on adult mortality: a global systematic review and meta-analysis. The Lancet Public Health, 9(3), e155-e165.
doi.org/10.1016/S2468-2667(23)00306-73Before deciding whether a qualification has lost its value, look at the national education structure: in every 100,000 people only 15,467 have a university-level education
# Value HighGrade AMoneyNo moneyIn passingNo willpower
The 2020 census found that across the country only 15467 people in every 100,000 went on to college or above, about 15%. 34507 had finished junior high, which is the largest group of all. People over 15 had been in school for 9.91 years on average, just past junior high. So a junior high qualification in China is not "good enough". It is the most ordinary level there is.
Cost
No money. You only have to look at the figures below.
Benefit
The standard reference date of the seventh national census was 2020-11-1. Of the national population, 218360767 people had a university-level education, that is college and above. 213005258 had senior high, including technical secondary schools. 487163489 had junior high. 349658828 had primary school. Compared with the sixth national census of 2010, the number with a university-level education in every 100,000 rose from 8930 to 15467. Senior high rose from 14032 to 15088. Junior high fell from 38788 to 34507. Primary school fell from 26779 to 24767. The average years of schooling of the population aged 15 and above rose from 9.08 years to 9.91 years. The illiteracy rate fell from 4.08% to 2.67%
Notes
These figures only say how scarce a qualification is among the population. Whether studying is worth it for a particular person has to be worked out with the method in item 6 in this section (how to calculate study or work). One more thing to note: the census counts the whole national population, old people and small children included. The share of young people who go on to university is much higher than this figure, so comparing it with your own age group overstates your advantage. Used the other way round, it does answer the claim that studying is useless, because the denominator is the whole labour force competing with you for the same jobs. The person who benefits is yourself.
Sources
National Bureau of Statistics (国家统计局) and the Office of the Leading Group for the Seventh National Population Census of the State Council (国务院第七次全国人口普查领导小组办公室) (2021). Communiqué of the Seventh National Population Census, 第七次全国人口普查公报(第六号): education level of the population, 人口受教育情况.
www.stats.gov.cn/sj/tjgb/rkpcgb/qgrkpcgb/202302/t20230206_1902006.html4When you cannot afford it, work through the policy first: most secondary vocational tuition is already free, grants are 2300 yuan, and student loans go up to 20,000 yuan a year
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
In public secondary vocational schools, rural students, urban students in agriculture-related majors and students from families in financial difficulty are already exempt from tuition. For secondary vocational schools and general senior high schools, the grant is 2300 yuan a year from the spring term of 2025. At university the grant is 3700 yuan a year, and a student loan can be for up to 20,000 yuan a year. If the money is not enough you can defer, or find another way round. It rarely comes to having to drop out now and go out to work.
Cost
No money. Before term starts, ask the school's student financial aid office once and hand in the papers once.
Benefit
Exempting secondary vocational students from tuition is policy that has applied since the autumn term of 2012. The text reads: 「对公办中等职业学校全日制正式学籍一、二、三年级在校生中所有农村(含县镇)学生、城市涉农专业学生和家庭经济困难学生免除学费(艺术类相关表演专业学生除外)」, that is, tuition is waived for all rural students including those from county and town seats, urban students in agriculture-related majors and students from families in financial difficulty, among the full-time students officially enrolled in years one, two and three of public secondary vocational schools, excluding students in performance-related arts majors. The student financial aid policy was adjusted in 2024. The national grant for undergraduate and junior college students was raised from 3300 yuan per student per year to 3700 yuan. The National Encouragement Scholarship was raised from 5000 yuan to 6000 yuan. Both apply from the autumn term of 2024, with the scholarship from 2024. The national grant for secondary vocational schools and the national grant for general senior high schools were both raised from 2000 yuan per student per year to 2300 yuan, applying from the spring term of 2025. National student loans were adjusted too, from the autumn term of 2024. For undergraduate and junior college students, 「每人每年申请贷款额度由不超过16000元提高至不超过20000元」, that is, the amount each student may apply for each year was raised from not more than 16000 yuan to not more than 20000 yuan. For postgraduate students, 「由不超过20000元提高至不超过25000元」, that is, from not more than 20000 yuan to not more than 25000 yuan. The interest rate is the Loan Prime Rate (
LPR) for the same period and grade less 70 basis points, that is 0.7 percentage points lower (nationwide)
Notes
The people who benefit are yourself and your children. Which students the tuition waiver covers and how many bands the grant has are both set by each province. Private schools are subsidised up to the standard of the equivalent public course locally, and you still pay the difference, so check the local documents before you enrol. A student loan is a loan, not a grant, and it has to be repaid after you graduate. But it separates "I cannot pay the tuition now" from "are these years worth it", so do not treat running out of money as the conclusion. The training subsidies and temporary assistance available during unemployment are covered in section 7; if the household really has lost its income, apply for those first.
Sources · 3 sources
- Ministry of Finance, National Development and Reform Commission, Ministry of Education and Ministry of Human Resources and Social Security (财政部、发展改革委、教育部、人力资源社会保障部) (2012). Opinions on Expanding the Scope of the Tuition-Free Policy for Secondary Vocational Education and Further Improving the National Grant System (Cai Jiao [2012] No. 376). www.gov.cn/gongbao/content/2013/content_2332779.htm
- the relevant department heads of the Ministry of Finance, the Ministry of Education and the Ministry of Human Resources and Social Security (财政部、教育部、人力资源社会保障部有关司局负责人) (2024). Answers to reporters on the questions of adjusting the student financial aid policy. www.gov.cn/zhengce/202410/content_6983672.htm
- Ministry of Finance, Ministry of Education, People's Bank of China and National Financial Regulatory Administration (财政部、教育部、人民银行、金融监管总局) (2024). Notice on Adjusting and Improving the Relevant Policies on National Student Loans (Cai Jiao [2024] No. 188). www.gov.cn/zhengce/zhengceku/202411/content_6984812.htm
5Not getting into a general senior high school does not mean the road ends: secondary vocational schools have linked admissions and separate examinations, and skilled jobs may lower the education requirement
# Value HighGrade AMoneyNo moneyIn passingNo willpower
The 2022 Vocational Education Law states that vocational education and general education are of equal importance. Secondary vocational schools can take students through linked admissions into higher vocational schools, and higher vocational schools must set aside part of their admissions plan or hold a separate examination specifically for secondary vocational graduates. Employers may not put a barrier in your way because you graduated from a vocational school. Missing the points for a general senior high school is a change of route, not stopping at a junior high qualification.
Cost
No money. Before you fill in the application choices, check the vocational education admissions platform in your province once.
Benefit
The Vocational Education Law, in force from 2022-5-1, Article three: 「职业教育是与普通教育具有同等重要地位的教育类型」, that is, vocational education is a type of education of equal importance to general education. Article thirty-seven: secondary vocational schools 「可以按照国家有关规定,在有关专业实行与高等职业学校教育的贯通招生和培养」, that is, may, as the state provides, run linked admissions and training with higher vocational education in the relevant majors. Higher vocational schools 「可以按照国家有关规定,采取文化素质与职业技能相结合的考核方式招收学生」, that is, may, as the state provides, admit students using an assessment that combines academic qualities with vocational skills. Education administrative departments at provincial level and above have to set up a unified vocational education admissions platform, publish school, major and admissions information together, and provide a service for looking up and applying. Article fifty-three: 「职业学校学生在升学、就业、职业发展等方面与同层次普通学校学生享有平等机会」, that is, students in vocational schools enjoy equal opportunities with students in ordinary schools at the same level in terms of moving on to further study, employment and career development. Higher vocational schools and ordinary higher education institutions that provide vocational education 「应当在招生计划中确定相应比例或者采取单独考试办法,专门招收职业学校毕业生」, that is, shall set a corresponding share in the admissions plan or use a separate examination to admit vocational school graduates specifically. And 「用人单位不得设置妨碍职业学校毕业生平等就业、公平竞争的报考、录用、聘用条件」, that is, employers may not set application, hiring or appointment conditions that hinder equal employment and fair competition for vocational school graduates. Posts in public institutions advertised openly that carry a vocational skill level requirement 「可以适当降低学历要求」, that is, may lower the education requirement appropriately (nationwide)
Notes
The people who benefit are yourself and your children. These are channels created by law, not a guarantee of admission. Which majors run linked training, what share is set aside for separate admissions and which subjects the vocational education examination covers are all set by each province. Before you fill in the choices you must check your own province's vocational education admissions platform and admissions plan for that year, rather than reasoning from another province's experience. When choosing a secondary vocational major, run it through the dimensions in item 10 in this section (choosing skills that resist automation): a major that puts you on site and in a non-standard environment is harder to replace. To choose a school, look at whether it appears in your province's admissions plan for that year. Then verify the certificates it issues with the three steps in item 8 (check whether a certificate is in the catalogue). Ignore any admissions publicity promising 「包分配」, a guaranteed placement, or 「保过」, a guaranteed pass.
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2022). Vocational Education Law (2022 revision, Articles three, thirty-seven and fifty-three). (published by the Ministry of Education)
www.moe.gov.cn/jyb_sjzl/sjzl_zcfg/zcfg_jyfl/202204/t20220421_620064.html6Turn "study or work" into a question with numbers: the wages you earn three years earlier against the income gap over the following decades
# Value HighGrade BMoneyNo moneyIn passingNo willpower
Lay the two choices out on paper and compare them. Starting work earlier earns you the wages of three years in low-entry jobs, and only that once. Carrying on with study buys back the slice you earn extra each year afterwards, multiplied by the thirty or forty years that remain. In urban China an extra year of study brings average earnings 4.0% higher (1988) to 10.2% (2001). The data is old, so it gives you an order of magnitude only.
Cost
No money. Sit down and do the sum once. It takes about half an hour.
Benefit
This is an estimate for urban China from 1988 to 2001. How much an extra year of study raises earnings is called the return to education. The text says 「从 1988 年每受教育一年 4.0% 大幅上升到 2001 年的 10.2%」, that is, it rose sharply from 4.0% for each year of education in 1988 to 10.2% in 2001. Most of the rise came after 1992. What it reflects is the extra slice earned by people who go on to university compared with those who do not, that is, the higher education wage premium, getting larger. This is the domestic Chinese order of magnitude you can use when converting an extra year of study into an annual income gap. For the global average, see item 7 in this section (the global average return to an extra year of education)
Notes
Before you do the sum, take off the tuition waivers and grants in item 4 in this section (secondary vocational tuition and grants), and set against them the account in item 2 in this section (an extra year of education and mortality). The data runs up to 2001, covers urban areas only and cannot be used as today's figures. The global average of 9% in item 7 of this section is the same. If you really work it through this way, the answer differs from person to person. High tuition, a major that does not match the job and a long course can come out genuinely not worth it, but that shows only that this particular programme is not worth it, and says nothing about study being useless. Several things also sit outside the formula: the education thresholds set by law, see item 5 in this section (linked admissions and separate examinations in secondary vocational schools); resistance to being replaced, see item 10 in this section (choosing skills that resist automation); and whether you can change industry. The person who benefits is yourself.
Sources
Zhang J, Zhao Y, Park A, Song X (2005). Economic returns to schooling in urban China, 1988 to 2001. Journal of Comparative Economics, 33(4), 730-752.
doi.org/10.1016/j.jce.2005.05.0087Keep the baseline in mind: the global average private return to an extra year of education, the part that lands on your own income, is about 9% a year
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
On a global average, an extra year of study puts about 9% a year on your own income, and the return for women has been higher than for men throughout. This figure is about formal schooling, so it does not apply directly to a course you sign up for. Use it as a ruler: if a course costs you 30,000 yuan and half a year, ask whether the income change it brings matches what one extra year of study would bring.
Cost
No money. Keep this figure in mind and use it as a ruler for weighing up any "learn something" plan.
Benefit
A review covering 1950 to 2014, 139 countries and 1120 estimates works out that 「多受一年教育的全球平均私人回报率是每年 9%」, that is, the global average private rate of return to an extra year of education is 9% a year. The private return is the part that lands on the person's own income: an extra year of study puts about 9% on average on income. The private return to higher education is rising, while the social return, the part that lands on society as a whole rather than on the person, remains high. The average return to education for women has continued to exceed that for men.
Notes
This is the global average for an extra year of study. It is not the return on signing up for a course, and it is not a Chinese figure; it is an order of magnitude for comparison. Its use is to give every training plan one ruler: if a course costs you 30,000 yuan and half a year, you should ask whether it can bring an income change equivalent to one year of formal education. Note too that a global average hides large differences between fields and between countries.
Sources · 2 sources
- Psacharopoulos G, Patrinos HA (2018). Returns to investment in education: a decennial review of the global literature. Education Economics, 26(5), 445-458. doi.org/10.1080/09645292.2018.1484426
- World Bank Policy Research Working Paper 8402. doi.org/10.1596/1813-9450-8402
8Before paying for a certificate, check whether it is in the national catalogue of vocational qualifications or on the Ministry of Human Resources list of registered assessment bodies
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Some organisations run courses and charge fees and hand out certificates freely in the name of new occupations and skill levels, and some impersonate authoritative bodies. The Ministry of Human Resources and Social Security has run a campaign against this. Before you sign up, check three things. Is this occupation in the national catalogue of vocational qualifications? Is the issuing body an assessment body registered with the human resources department? Can the certificate number be found on an official platform? If not, the enrolment fee is money thrown away.
Cost
No money. It takes a check of ten-odd minutes.
Benefit
The Ministry of Human Resources and Social Security has run a nationwide campaign on exactly this. The document names the abuses: 「一些机构和单位以新职业职业资格、职业技能等级等名义随意举办培训、评价、发证活动,乱收费、滥发证;一些机构和单位虚假或夸大宣传,甚至假冒权威机构名义组织培训、评价、颁发证书等」, that is, some organisations and units run training, assessment and certification activities arbitrarily in the name of new occupational qualifications and vocational skill levels, charging fees without order and issuing certificates without restraint, while others advertise falsely or exaggerate, or even organise training, assessment and certification in the name of authoritative bodies. The measures include joint enforcement with the cyberspace, public security and market regulation departments, 「严厉打击假冒鉴定机构、人社部门备案评价机构的评价发证活动」, that is, severely cracking down on assessment and certification activities that impersonate appraisal bodies or registered assessment bodies of the human resources department. Non-compliant publicity on websites and in new media is shut down under the law. The document also requires the authorities to 「引导公众了解证书查询渠道和方式,判断证书合法合规性和含金量」, that is, guide the public to the channels and methods for looking up a certificate, and to judge whether a certificate is lawful and compliant and what it is worth.
Notes
Check in this order. First, is this occupation in the National Catalogue of Vocational Qualifications (《国家职业资格目录》)? If it is not in the catalogue, it is not a national vocational qualification. Second, is the issuing body an assessment body registered with the human resources department? Thir
d, go to the official platform for looking up skill talent assessment certificates and see whether the certificate number can be found. If it cannot, do not enrol at all. Anything carrying 「国际」, international, 「高级」, senior, or 「注册」, registered, and promising 「包过」, a guaranteed pass, or 「挂靠有收入」, income from affiliation, carries the highest risk.
Sources
Ministry of Human Resources and Social Security (人力资源社会保障部) (2022). Notice on the Special Governance of "Boutique Certificates" in Technical and Vocational Skills.
www.gov.cn/zhengce/zhengceku/2022-03/18/content_5679641.htm9For training, go through the government subsidy channel first, and do not pay for a commercial course straight away
# Value ModerateGrade AMoneyNo moneyA few hoursSome willpower
From 2025 to the end of 2027, the state plans to run subsidised training for more than 30 million places. The money comes from several channels, among them employment subsidy funds, the unemployment insurance fund and enterprises' employee education funds. The scarcer the trade and the higher the cost of the training, the larger the subsidy. If you are employed, ask your employer first. Everyone else should look through the subsidy catalogue of the local human resources and social security bureau and then decide what to learn.
Cost
No money, or a large reduction. The training itself takes time. The hard part is resisting the urge to pay for a course on impulse and looking up the subsidy catalogue first.
Benefit
The national scale is clear. From 2025 to the end of 2027, the state will 「聚焦高精尖产业与急需行业、就业重点群体等开展补贴性培训 3000 万人次以上」, that is, run subsidised training for more than 30 million places focused on advanced and specialised industries, urgently needed trades, and groups that are a priority for employment. The funding sources have been pooled into a single package: employment subsidy funds, the unemployment insurance fund, industry development funds, east-west cooperation funds, enterprises' employee education funds and others. The level of the subsidy is set by how scarce the occupation or trade is and by the cost of the training, so it differs from trade to trade. Employers are also required to 「按规定足额提取和使用职工教育经费,确保 60% 以上用于一线职工教育和培训」, that is, to withdraw and use the employee education funds in full as required and to make sure more than 60% of it goes on the education and training of frontline employees.
Notes
How to claim it and how much you can get are set by each province. The way in is the vocational training subsidy catalogue on the website of the local human resources and social security bureau, and the public training bases. The vocational training subsidies available during unemployment, where the same person may benefit at most 3 times, and the social insurance subsidies, are covered in section 7. People who are employed should ask their employer about the employee education funds first. Looking through the subsidy catalogue before choosing what to learn saves far more than choosing first and then hunting for a subsidy.
Sources
State Council Employment Promotion and Labour Protection Leading Group (国务院就业促进和劳动保护工作领导小组) (2025). Guiding Opinions on Carrying Out Large-Scale Vocational Skill Improvement Training.
www.gov.cn/zhengce/zhengceku/202507/content_7032222.htm10When choosing a skill, look first at whether it needs hands and on-the-spot judgement, because those are hardest for automation to replace
# Value ExceptionalGrade BMoneyNo moneyIn passingNo willpowerDisputed
On the American estimate, about 47% of jobs are at a high risk of being taken over by computers, though a later estimate broken down into specific tasks gives a much lower figure. Machines have three hurdles they cannot get over. Manual dexterity. Coming up with something new. Dealing with people. So jobs that put you on site, in a non-standard environment, where you have to judge things as they come, are harder to replace, and jobs with a fixed process and mostly information handling carry the highest risk.
Cost
No money. Before you choose, run the jobs you are considering through this dimension.
Benefit
Each of 702 American occupations was rated one by one on how likely the job is to be handed over to a computer, using a computability probability estimate. The result was that about 47% of jobs fall in the high-risk band. What decides the rating in the model are three hurdles machines cannot yet get over, which the authors call engineering bottlenecks. First, perception and manipulation, which includes finger dexterity, manual dexterity and working in tight spaces and awkward positions. Second, creative intelligence, the ability to come up with something new. Third, social intelligence, the ability to deal with people. So work in a non-standard environment that needs manual skill and judgement on the spot is consistently less likely to be replaced, and that is not an accident of a few occupations. Jobs with a fixed process and mainly information handling carry the highest risk.
Notes
Disputed. The study is an unpublished working paper from 2013, and what it rates is whether a whole occupation can be handed to a machine. Later work broke the question down into individual tasks and got a much lower high-risk share. It also does not say in which year any of this happens. When you use it, do not fix on the figure of 47%; look at the three places where it says machines are stuck. On-site installation, maintenance and nursing are more resistant to replacement than pure paperwork, and that is exactly why. So "learning a skill" should first and foremost mean one that puts you on site, facing a non-standard environment.
Sources
Frey CB, Osborne MA (2017). The future of employment: how susceptible are jobs to computerisation? Technological Forecasting and Social Change, 114, 254-280.
doi.org/10.1016/j.techfore.2016.08.01911Before you start, check whether this skill has a graded assessment, and whether the grade can be turned into money
# Value HighGrade BMoneyNo moneyIn passingNo willpower
The state is promoting a new eight-level worker scheme, which requires employers to link post wages to skill levels and lets outstanding employees be recognised at a level without going by length of service. That is the direction of policy, and how far each local employer has got varies a lot. A skill with a national occupational standard and a graded pathway is one where pay rising with grade may still be possible later, so check whether it has one before you start.
Cost
No money. One check is enough.
Benefit
The state is promoting the 「新八级工」 vocational skill grading system. The document expressly requires grades to be linked to pay, in these words: 「强化技能导向的薪酬分配制度……指导企业实行岗位薪酬与岗位价值、技能等级双挂钩的分配办法」, that is, strengthen a pay distribution system driven by skill, and guide employers to use a method that links post pay both to the value of the post and to the skill level. Localities are to 「加大高级工以上评聘力度和批次」, that is, to step up the effort and the number of rounds for assessing and appointing senior workers and above. Enterprises that meet the conditions may run skill level assessments for their own employees. For outstanding employees, 「可打破工作年限、等级、资历等条件,直接认定相应职业技能等级」, that is, the conditions of length of service, grade and seniority may be set aside and the corresponding vocational skill level recognised directly.
Notes
This is the direction of policy, not a wage increase already being paid out, and how far it has been implemented varies a great deal between localities and employers. The part you can act on is this: when choosing a skill, check whether it has a corresponding national occupational standard and graded pathway, because only a skill with a pathway can later rise in pay by grade. A "skill" with neither a grade nor an industry entry requirement leaves you to find work on your own after you finish.
Sources · 2 sources
- State Council Employment Promotion and Labour Protection Leading Group (国务院就业促进和劳动保护工作领导小组) (2025). Guiding Opinions on Carrying Out Large-Scale Vocational Skill Improvement Training. www.gov.cn/zhengce/zhengceku/202507/content_7032222.htm
- Ministry of Human Resources and Social Security (人力资源社会保障部) (2021). Implementation Plan for the "Skilled China Action". www.gov.cn/zhengce/zhengceku/2021-07/06/content_5622619.htm
12Do not take "the pay is high online" as evidence of a shortage; look up the local list of occupations in short supply and the subsidy catalogue
# Value HighGrade CMoneyNo moneyIn passingNo willpower
Which trade gets the most training subsidy in a place is set by how scarce it is and by the cost of the training, so the size of the subsidy shows whether the place is short of people. The "so-and-so earns so much a month" figures online are mostly the asking prices on recruitment platforms or personal accounts. What you see is mostly the people who did earn, and it takes no account of hours, commuting, occupational disease or the busy and quiet seasons.
Cost
No money. Look at two local documents.
Benefit
The size of the subsidy is itself the official price put on which trades are short of workers. The policy requires 「健全根据职业(工种)急需紧缺程度、培训成本等情况确定的差异化补贴机制」, that is, a sound differentiated subsidy mechanism determined by the urgency and scarcity of an occupation or trade, the cost of training and other circumstances, and localities use it to set the scope of their own subsidised vocational skill training projects. So how much the same trade is subsidised at in different cities reflects directly how scarce that trade is there.
Notes
The official wage figures are broken down only into five broad groups of posts, with nothing for individual trades. The National Bureau of Statistics figures for 2025 are about 106,000 yuan (exact figure 106080 yuan) as the average annual wage at enterprises above the designated size. Middle-level and above managers are about 210,000 yuan (exact figure 210016 yuan), professional and technical staff about 155,000 yuan (exact figure 155491 yuan), clerical staff 94936 yuan, production and manufacturing staff 80739 yuan, and staff in social production and living services 79857 yuan. The Ministry of Human Resources and Social Security ranking of the 100 occupations in shortest supply can be looked up on the China Job Network, and the latest edition stops at the fourth quarter of 2022, compiled from recruitment and jobseeker data from public employment service agencies in 102 cities nationwide. The "so-and-so earns so much a month" figures circulating online almost all come from the asking prices on recruitment platforms or from personal accounts. What you can see is mostly the people who did earn, and none of it counts hours, commuting, occupational disease or the busy and quiet seasons. To see real demand, look up the subsidy catalogue on the website of the local human resources and social security bureau, then the ranking of post demand at the public employment service agencies. Finally, ask people already doing the job at the actual site, workshop or shop.
Sources · 3 sources
- State Council Employment Promotion and Labour Protection Leading Group (国务院就业促进和劳动保护工作领导小组) (2025). Guiding Opinions on Carrying Out Large-Scale Vocational Skill Improvement Training. www.gov.cn/zhengce/zhengceku/202507/content_7032222.htm
- National Bureau of Statistics (国家统计局) (2026). Average Annual Wage of Employed Persons in Urban Units, 2025: 「规模以上企业就业人员年平均工资为106080元,其中,中层及以上管理人员210016元,专业技术人员155491元,办事人员和有关人员94936元,社会生产服务和生活服务人员79857元,生产制造及有关人员80739元」, that is, the average annual wage of employees of enterprises above the designated size is 106080 yuan, of which middle-level and above managers average 210016 yuan, professional and technical personnel 155491 yuan, clerical and related staff 94936 yuan, staff in social production and living services 79857 yuan, and staff in production, manufacturing and related work 80739 yuan. www.stats.gov.cn/sj/zxfb/202605/t20260515_1963707.html
- Vocational Training Technical Guidance Centre of the Ministry of Human Resources and Social Security (人力资源社会保障部就业培训技术指导中心) (2023). Ranking of the 100 Occupations in Shortest Supply Nationwide, where vacancies outnumber jobseekers, for the fourth quarter of 2022 (China Job Network). chinajob.mohrss.gov.cn/c/2023-01-30/367442.shtml
13For the same money and time, choose a short course that leads straight to a job
# Value ModerateGrade CMoneyA little moneyA few hoursSome willpower
What the policy encourages is short training that leads to employment quickly, and micro-majors at vocational colleges. Choose a programme on one criterion only: after it, is there a specific post you can send a CV to? A course lasting a year and a half, after which the certificate still says "gain more experience first", costs far more time than the price suggests. Write the stopping condition down before you start: I stop if I have not found work by the time I reach this level.
Cost
The tuition for a short course, which is not much money. It takes a stretch of your time. The hard part is stopping on the agreed terms when you are halfway through and nothing has happened yet.
Benefit
The policy line is the same: support for 「民办培训机构开展市场化的高质量职业技能培训项目和能短期实现就业的『短平快』式职业技能培训项目」, that is, private training institutions running market-based high-quality vocational skill training projects, and short, fast and effective vocational skill training projects that can lead to employment quickly. It also pushes vocational colleges to 「聚焦就业市场急需知识和技能……开设微专业和职业能力培训课程」, that is, to focus on the knowledge and skills the job market urgently needs, and to open micro-majors and vocational competence training courses.
Notes
There is one criterion: after the course, is there a specific post you can send a CV to? A programme lasting a year and a half, after which you are told to "gain more experience first", costs far more than its price. The stopping condition described in section 4 applies here too: write it down before you start, "I stop if I have not found work by the time I reach this level".
Sources
State Council Employment Promotion and Labour Protection Leading Group (国务院就业促进和劳动保护工作领导小组) (2025). Guiding Opinions on Carrying Out Large-Scale Vocational Skill Improvement Training.
www.gov.cn/zhengce/zhengceku/202507/content_7032222.htm14After studying, close the book and test yourself, and do not go back and reread
# Value HighGrade ATime and energyNo moneyIn passingSome willpower
Reading something and then reading it again feels familiar, but it is not well remembered. Testing yourself once with the book shut works noticeably better, and adding short quizzes in class raises grades by a moderate amount. Ranking ten common study methods, self-testing comes in the top band. After finishing a section, write down the key points from memory first, then turn back and check.
Cost
No money, and no increase in the total time. Take the time you would have spent rereading and use it to write from memory with the book shut, or to do questions. The hard part is that self-testing exposes what you did not remember on the spot, which feels worse than rereading.
Benefit
A meta-analysis of 222 independent studies and 48478 students: classroom quizzes raise academic achievement, with an effect size in the moderate range (g = 0.499). The effect size depends on several conditions: what study method the control group used, whether the quiz format matches the final exam, whether the material is matched, whether corrective feedback was given, how many times the quiz was repeated, where and when it was taken, how long the intervention lasted, and what experimental design was used. A separate review that assessed ten common learning methods one by one rates "practice testing" and "distributed practice" in the top band (high utility), on the grounds that they work for learners of different ages and abilities, and have been tested across several assessment formats and real educational settings.
Notes
Self-testing is there to force you to pull things out of memory, not to score you. How to do it: after finishing a section, shut the book and write the key points from memory, then turn back and check. Corrective feedback works better, so when you check the answers look at where you went wrong. The benefit is graded "large" on the basis of the effect size and the grading. Both of these sources measure grades rather than hours, so they have not been tested against a time-saving threshold. Self-testing and item 15 in this section (spread the same time across several days) are the two highest-rated methods in the same review, and they work well together.
Sources · 2 sources
- Yang C, Luo L, Vadillo MA, Yu R, Shanks DR (2021). Testing (quizzing) boosts classroom learning: A systematic and meta-analytic review. Psychological Bulletin, 147(4), 399–435. doi.org/10.1037/bul0000309
- Dunlosky J, Rawson KA, Marsh EJ, Nathan MJ, Willingham DT (2013). Improving Students' Learning With Effective Learning Techniques: Promising Directions From Cognitive and Educational Psychology. Psychological Science in the Public Interest, 14(1), 4–58. doi.org/10.1177/1529100612453266
15Spread the same time across several days rather than finishing it in one go
# Value HighGrade ATime and energyNo moneyIn passingSome willpower
The same amount of time learned across several days is remembered better than the same time learned in one go. 317 experiments have all been measuring this, and they agree. There is also a practical rule: the further ahead you have to remember it, the longer the gap between reviews should be. If the test is tomorrow, review on the day. If it is a month away, go over it every few days.
Cost
No money, and the total time does not change either. Only the schedule changes: the same 3 hours, split into three days of 1 hour each. The hard part is starting a few days ahead instead of putting it off to the last night.
Benefit
This is a meta-analysis bringing together 184 articles, 317 experiments and 839 assessments of the effect of distributed practice. It compared two things: learning in one go against learning split across several sessions, which is the spacing effect, and short gaps against long gaps, which is the delay effect. The conclusion is that the gap between reviews and how long you have to remember it together determine retention on the final test: the longer you need to retain it, the longer the gap that gives the best retention. A separate review that assessed ten common learning methods one by one rates distributed practice in the top band (high utility).
Notes
Best used on top of item 14 in this section (test yourself with the book shut): spread the self-testing itself across several days. Most of the material in the Cepeda meta-analysis is word-list memory and the like, and no general number of days is given for the best gap for complicated content. "The further away the test, the longer the gap" is the rule the text gives, with no specific schedule. Cramming the night before does work at the time; the problem is how fast it fades.
Sources · 2 sources
- Cepeda NJ, Pashler H, Vul E, Wixted JT, Rohrer D (2006). Distributed practice in verbal recall tasks: A review and quantitative synthesis. Psychological Bulletin, 132(3), 354–380. doi.org/10.1037/0033-2909.132.3.354
- Dunlosky J, Rawson KA, Marsh EJ, Nathan MJ, Willingham DT (2013). Improving Students' Learning With Effective Learning Techniques. Psychological Science in the Public Interest, 14(1), 4–58. doi.org/10.1177/1529100612453266
16Do not make underlining, rereading and summarising your main study method
# Value ModerateGrade ATime and energyNo moneyIn passingSome willpower
What students use most is underlining and rereading, and in the ranking of ten common study methods both sit in the bottom band. Writing summaries, the keyword mnemonic and imagining a picture to go with a passage are also in the bottom band. They are not entirely useless, but the conditions under which they work are too narrow, and the same time is better spent on self-testing.
Cost
No money, and it saves time. The hard part is that these are the easiest to do and give the strongest feeling of "I am studying".
Benefit
A review that assessed ten common learning methods rates them by whether the effect carries across learning conditions, learner characteristics, material and assessment format. The two rated in the top band are practice testing and distributed practice. Those rated in the middle band are elaborative questioning, self-explanation and interleaved practice. The five in the bottom band are: summarising, underlining or highlighting, the keyword mnemonic, imagining a picture to go with a passage, and repeated reading. The review states that most students say they use repeated reading and underlining, but that neither reliably raises grades, and that they should be replaced by other methods, such as using practice testing instead of repeated reading.
Notes
Highlighting is fine for marking the places you are going to test yourself on. The problem is treating the highlighting itself as the learning. The review also makes clear that the bottom band does not mean zero: the conditions under which these work are narrow, and they need more research. For what to do instead, see item 14 in this section (test yourself with the book shut) and item 15 in this section (spread the same time across several days).
Sources
Dunlosky J, Rawson KA, Marsh EJ, Nathan MJ, Willingham DT (2013). Improving Students' Learning With Effective Learning Techniques: Promising Directions From Cognitive and Educational Psychology. Psychological Science in the Public Interest, 14(1), 4–58.
doi.org/10.1177/152910061245326617Mix question types when you practise, and do not do twenty of one kind in a row
# Value ModerateGrade ATime and energyNo moneyIn passingSome willpower
Doing a long run of the same kind of question goes smoothly at the time, and afterwards you may not be able to tell which method to use. Practising several kinds mixed together works better in the long run, by a moderate amount. This technique is picky about material: it works best for diagrams and for categorising, is a little weaker for mathematics, and for vocabulary words it is worse than blocked practice.
Cost
No money. Change from working through the workbook in order by question type to doing it in a mixed order. The hard part is that accuracy is lower on the spot when you mix them, which feels like going backwards.
Benefit
This is a multi-level meta-analysis of 59 studies, 238 effect sizes and 158 samples. The overall effect of interleaved practice over blocked practice is in the moderate range (Hedges' g = 0.42). By material: drawing is the best (g = 0.67), and other visual material is also good; the effect for mathematical tasks is smaller (g = 0.34); the overall effect is not significant for expository text and taste materials; and for vocabulary, blocked practice is better instead (g = −0.39). The regression analysis shows that the more similar the categories are to one another, the less similar things are within a category, and the more complicated the material, the greater the benefit of interleaving.
Notes
The review quoted in item 16 in this section (do not make underlining your main study method) rates interleaved practice in the middle band, on the grounds that there was not enough research at the time. Put the two together and the use is this: mix practice for content where you have to "recognise which kind this is and which method applies", such as question types in mathematics, case files and which rule of law applies; practise in blocks material you have to memorise, such as vocabulary words and definitions of terms.
Sources
Brunmair M, Richter T (2019). Similarity matters: A meta-analysis of interleaved learning and its moderators. Psychological Bulletin, 145(11), 1029–1052.
doi.org/10.1037/bul000020918Do not pick a study method on the basis of "I am visual and he is auditory"
# Value ModerateGrade ATime and energyNo moneyIn passingNo willpower
Many people believe that everyone has a learning style of their own, such as visual or auditory, and that you learn better when you are taught to your style. Very few studies have tested this carefully, almost none support it, and a few come out exactly the other way. People do have preferences, but there is no evidence that lessons matched to a preference are learned better, and no reason to pay for a style assessment.
Cost
No money. You simply stop picking material and courses by this classification, and stop paying for a style assessment.
Benefit
A review commissioned to assess the evidence on learning styles points out that showing that "teaching to learning style works" requires grouping students by style first, randomly assigning each group to a different teaching method, and then testing everyone with the same test. The criterion for real evidence is the appearance of one particular interaction effect: a method that works best for one style must not be the best for another style. The review concludes that almost no such interaction has been found. There is a great deal of literature on learning styles, but very little of it uses an acceptable experimental design, and several of those studies come out directly against the matching hypothesis. On that basis the authors consider the existing evidence insufficient to support using learning style assessments in education.
Notes
The review also makes clear that this does not mean every version of learning style theory has been tested and refuted; many have never been tested at all. What you want to avoid is paying for a style assessment and picking a training course by style. For the criteria to use when choosing training, see item 9 in this section (training goes through the government subsidy channel first) and item 13 in this section (choose a short course that leads straight to a job).
Sources
Pashler H, McDaniel M, Rohrer D, Bjork R (2008). Learning Styles: Concepts and Evidence. Psychological Science in the Public Interest, 9(3), 105–119.
doi.org/10.1111/j.1539-6053.2009.01038.x19Set questions for yourself in terms of how you will use the material, instead of reciting it once and counting that as done
# Value ModerateGrade ATime and energyNo moneyIn passingSome willpower
Testing yourself with the book shut does more than check the few words you had memorised. 192 comparisons put together, involving more than ten thousand people, show that it works too for questions with a changed format, for applied problems and for reasoning problems, by a moderate to small amount. There are two situations where it is almost useless: reversing the question and the answer, and material you have only seen in the book and have never been tested on.
Cost
No money, and no extra time. Only the practice changes: "reciting it once through" becomes "setting questions for yourself in terms of how you will use it". The hard part is having to work out first how these things will be used later.
Benefit
This meta-analysis brings together more than 40 years of research, covering 67 published and unpublished articles, 122 experiments and 192 transfer effect sizes, with 10382 people in total. Compared with a control that rereads without being tested, the learning produced by practice testing does transfer to other situations, with an effect size d=0.40 (
95% CI 0.31 to 0.50). Transfer is strongest where the question format is changed, where applied problems and reasoning problems are tested, where the problem is a medical diagnosis, and where a clue word of similar meaning is tested. Transfer is weakest where the stimulus and the response are reversed, where the material was seen at first learning but never tested, and where the problem is a worked example. Among the moderators, whether the response format is the same in practice and in the test, whether retrieval practice with detailed feedback has been done, and whether the first quiz was answered correctly all strongly affect whether positive transfer appears. The authors also corrected for publication bias in two ways. The effect sizes of the moderators were barely affected, but the intercept estimate came down markedly: when none of the conditions above is present, positive transfer often cannot be seen.
Notes
The word "recite" normally runs two things together: going over the material once more, which is rereading and underlining, and actively recalling with the book shut. The first is rated lowest in the review that ranks ten study methods; to see the ratings themselves, see item 16 in this section (do not make underlining, rereading and summarising your main study method). What you want is the second: active recall with the book shut, described in item 14 in this section (test yourself with the book shut), and done across several days, see item 15 in this section (spread the same time across several days). How to do it is to work out first how you will use this later: whether you have to pick the right answer on a paper, or judge it on the spot, and then set questions for yourself in that form. It is also worth doing the reverse, because transfer in the reversed direction was the weakest in this meta-analysis, so both directions need practice.
Sources
Pan SC, Rickard TC (2018). Transfer of test-enhanced learning: meta-analytic review and synthesis. Psychological Bulletin, 144(7), 710-756.
doi.org/10.1037/bul000015120Work out which series and which grade you are in before you apply for a professional title, then find the application channel from the nature of your employer
# Value ModerateGrade ATime and energyNo moneyIn passingNo willpower
Professional titles are divided nationally into 27 series, and each series into junior, intermediate and senior. In general you apply level by level. Where you work for an organisation, the organisation checks and posts the application before sending it up. In a private enterprise you can go to a professional title application service point, or apply through a talent intermediary service organisation or an industry association. Self-employed people apply to the assessments organised by the local human resources and social security department.
Cost
No money. Look up your province's application notice for that year once. It takes about half an hour.
Benefit
There are 27 professional title series nationwide, such as economics, engineering, health and publishing. Titles are set in three levels: senior, intermediate and junior. Ministry of Human Resources and Social Security Order No. 40 applies to enterprises, public institutions, social organisations, individual economic organisations and self-employed people. An applicant generally applies level by level. The organisation you work for has to check the material and post it inside the organisation, and the posting period is not less than 5 working days. For private enterprises and self-employed people, a personnel agency or a similar body may carry out the checking, posting and recommendation on your behalf. Localities have to set up professional title application service points in technology parks, high-tech development zones and similar places, and may also accept applications through talent intermediary service organisations, chambers of commerce and industry associations, and learned societies. Self-employed people who meet the conditions take part, according to where they are registered, in the assessments organised by the local human resources and social security department. Where material can be verified online, you may not be required to produce a separate certificate. Where the material is incomplete, the assessing body has to tell you in one go what is missing. People in private enterprises generally apply where the employment relationship sits. Where you have been posted elsewhere and have worked there continuously for a full year, you may apply at the place you were posted to. Retired people may not apply. Where a public institution's staff member has been given a punishment of demotion or above, that person may not apply while the punishment is in force (nationwide)
Notes
There is no national list of what material to prepare. Each series and each province issues an application notice every year, and the list of material, the application dates and the achievement requirements are all written into it. So the first step is to find that year's notice on the website of the provincial human resources and social security department. A paper is no longer required in every case: the 2016 reform opinions say not to make a paper a hard threshold for applied professionals, and no unified requirement is set for the foreign language and computer exams in professional titles. Skilled workers have a route too: highly skilled people who meet the conditions may take part in professional title assessments in the engineering series. Civil servants may not take part in professional title assessments.
Sources · 4 sources
- Ministry of Human Resources and Social Security Order No. 40 (人力资源和社会保障部令第 40 号) (2019). Interim Provisions on the Administration of Professional Title Assessments. : Articles two, thirteen, fourteen, fifteen, sixteen, seventeen and eighteenwww.gov.cn/gongbao/content/2019/content_5437137.htm
- General Office of the Ministry of Human Resources and Social Security (人力资源社会保障部办公厅) (2020). Notice on Further Improving Professional Titles for Private Enterprises. : 「在专业技术人才密集的创业孵化基地、高新技术开发区、科技园区等地设立职称申报受理服务点,或通过人才中介服务机构、工商联、行业协会商会、学会等社会组织受理民营企业专业技术人才职称申报」「民营企业专业技术人才被派驻外地连续工作一年以上的,可按有关规定在派驻地申报职称评审」www.gov.cn/zhengce/zhengceku/2020-03/03/content_5486340.htm
- Xinhua News Agency (新华社) (2024). Professional title assessments reach their peak: how to check the information, and what has changed? : 「我国共设有经济、工程、卫生、出版等27个职称系列」「符合条件的自由职业者,可根据属地原则申报参加当地人社部门组织的职称评审」www.gov.cn/zhengce/202410/content_6978917.htm
- General Office of the CPC Central Committee and General Office of the State Council (中共中央办公厅、国务院办公厅) (2016). Opinions on Deepening the Reform of the Professional Title System. : 「不将论文作为评价应用型人才的限制性条件」「对职称外语和计算机应用能力考试不作统一要求」「符合条件的高技能人才,可参加工程系列专业技术人才职称评审」「公务员不得参加专业技术人才职称评审」www.gov.cn/gongbao/content/2017/content_5163445.htm
21Junior and intermediate titles such as accounting are won by a national unified exam, so check your education and years of work before you register
# Value ModerateGrade ATime and energyA little moneyA few hoursSome willpower
In some series the junior and intermediate titles are won by passing an exam, and passing is enough, with no separate assessment afterwards. Accounting is one: an accounting assistant needs senior high school or above, and an accountant needs a bachelor's degree with 4 years of accounting work, or a junior college diploma with 5 years. Holding certain vocational qualifications may also count directly as holding the corresponding professional title.
Cost
The registration fee is set by each province. Preparing for the exam takes several months of your spare time.
Benefit
The 2016 reform opinions provide that where a profession uses a national unified exam for junior and intermediate titles, no corresponding assessment or recognition is carried out. In fields where professional titles and vocational qualifications are closely linked, holding a vocational qualification is recognised as holding the corresponding professional title, and may also count as a condition for applying for the level above. Take accounting as the example. Accounting assistants and accountants sit a national unified exam. The senior accountant exam is combined with an assessment, and the highest grade generally uses assessment alone. The entry conditions are as follows. Accounting assistant: senior high school graduation or above, including technical secondary schools, vocational high schools and technical schools. Accountant: a doctoral degree; or a master's degree with 1 year of accounting work; or a second bachelor's degree or a postgraduate course with 2 years of work; or a bachelor's degree with 4 years of work; or a junior college diploma with 5 years of work. Those with a professional master's or doctoral degree in accounting are exempt from the paper on Financial Management when sitting the accountant exam (nationwide)
Notes
Whether your series is examined, assessed, or examined and assessed together is set by the "guiding opinions on deepening the reform of the professional title system" for that series. The Ministry of Human Resources and Social Security and the competent department of each industry have issued these series by series, and they can be searched for in the policy document library on the Chinese Government website. The registration dates and the papers for the exam are those given in that year's examination announcement. Civil servants may sit the accounting exam, but may not take part in accounting professional title assessments.
Sources · 3 sources
- General Office of the CPC Central Committee and General Office of the State Council (中共中央办公厅、国务院办公厅) (2016). Opinions on Deepening the Reform of the Professional Title System. : 「专业技术人才取得职业资格即可认定其具备相应系列和层级的职称,并可作为申报高一级职称的条件。初级、中级职称实行全国统一考试的专业不再进行相应的职称评审或认定。」www.gov.cn/gongbao/content/2017/content_5163445.htm
- Ministry of Human Resources and Social Security and Ministry of Finance (人力资源社会保障部、财政部) (2019). Guiding Opinions on Deepening the Reform of the Professional Title System for Accounting Personnel. : 「助理会计师、会计师实行全国统一的会计专业技术资格考试」「高级会计师采取考试与评审相结合方式,正高级会计师一般采取评审方式」www.gov.cn/zhengce/zhengceku/2019-09/27/content_5433803.htm
- Ministry of Finance and others (财政部等) (2024). Notice on the Linkage Between Professional Degrees in Accounting and Professional Technical Qualifications in Accounting. www.gov.cn/zhengce/zhengceku/202405/content_6952602.htm
22Do not pay an agency to assess your title for you, do not buy a ghostwritten paper, and do not falsify your material: if it is checked out, the title is withdrawn and a record is kept for 3 years
# Value HighGrade APersonal freedomNo moneyIn passingNo willpower
A title obtained with false documents, a ghostwritten paper or plagiarised work is withdrawn once it is checked out. The record of dishonesty is kept for 3 years and goes onto the national credit platform. If the personal undertaking you sign when you apply turns out to be untrue, you may not apply again for 3 years. The human resources departments also run specific campaigns against agencies over false advertising, impersonated assessments and fake certificates.
Cost
No money. The hard part is resisting the advertisements promising a pass for money.
Benefit
Ministry of Human Resources and Social Security Order No. 40 provides that a title obtained by supplying false documents, plagiarising another person's work or academic results, or by other improper means is withdrawn. At the same time it is recorded in the integrity file for professional title assessments, brought into the national credit information sharing platform, with a retention period of 3 years. The 2024 supervision measures name several kinds of violation by applicants: false undertakings and fabricated information, faked or ghostwritten papers, faked achievement records, and lobbying. An applicant has to sign a personal undertaking at the time of application, and if it is untrue, that person may not apply for 3 years. The human resources departments work with the public security, cyberspace and market regulation authorities to investigate agencies running false websites, false advertising, contract traps, impersonated assessments and fake certificates. Serious cases that may involve a crime are transferred to the competent authorities (nationwide)
Notes
There is a way to tell real from false: a title from a proper assessment can be found in the national professional title assessment information query platform. The way in is the 12333 website, the 12333 mobile app and the website of the Ministry of Human Resources and Social Security. A title awarded by an assessment committee that was not registered cannot be found in that system. So anything promising 「包过」, a guaranteed pass, 「不用本人参加」, no need for you to attend, or 「证书查不到也能用」, usable even if the certificate cannot be found, can be judged as suspect. The person who mainly benefits is yourself, and the benefit is graded on the basis of avoiding a withdrawn title and a 3-year record of dishonesty.
Sources · 4 sources
- Ministry of Human Resources and Social Security Order No. 40 (人力资源和社会保障部令第 40 号) (2019). Interim Provisions on the Administration of Professional Title Assessments. : Article thirty-ninewww.gov.cn/gongbao/content/2019/content_5437137.htm
- Ministry of Human Resources and Social Security (人力资源社会保障部) (2024). Interim Measures for the Supervision of Professional Title Assessments. : Articles five, fifteen, seventeen and twenty-sevenwww.gov.cn/zhengce/zhengceku/202408/content_6969436.htm
- General Office of the Ministry of Human Resources and Social Security (人力资源社会保障部办公厅) (2022). Notice on Further Improving Professional Title Assessments. : 「未经备案的职称评审委员会,评审结果不纳入全国职称评审信息查询验证系统」www.gov.cn/zhengce/zhengceku/2022-12/24/content_5733407.htm
- Xinhua News Agency (新华社) (2024). Professional title assessments reach their peak: how to check the information, and what has changed? : 「大家可通过www.12333.gov.cn网页、手机12333客户端、人力资源社会保障部门户网站、“人力资源和社会保障部”微信公众号等多种渠道进行登录」www.gov.cn/zhengce/202410/content_6978917.htm
23Getting a professional title does not mean a pay rise: first find out whether your employer appoints by post quota, or whether being awarded does not mean being appointed
# Value ModerateGrade BMoneyNo moneyIn passingNo willpower
A professional title is the basis for appointment, assessment and promotion, but being awarded and being appointed are two different things. Public institutions generally assess within the post quota, and being awarded usually leads to appointment. Organisations that do not run post management may separate assessment from appointment, and being awarded does not mean the organisation gives you the matching post and pay. After you change employer or move to another place, the title may have to be assessed again or formally confirmed.
Cost
No money. Ask the human resources department of your employer once.
Benefit
Article two of Ministry of Human Resources and Social Security Order No. 40 states that the result of a professional title assessment is an important basis for the appointment, assessment and promotion of professional and technical staff. The 2016 reform opinions provide that public institutions which fully implement post management, and where the academic level of professional and technical staff is closely tied to the duties of the post, generally carry out professional title assessments within the post structure quota. Organisations that do not run post management, and series that are widely applicable and spread across all kinds of social organisation, together with new occupations, may separate assessment from appointment. When professional and technical staff move across regions or across organisations, the title is assessed again or formally confirmed according to the level of management authority, except where the state has provided otherwise (nationwide)
Notes
The grade is B because the documents only say how assessment and appointment fit together, and give no national figure for "how much more you earn once you have the title". What you can act on is this: in a public institution or a state-owned enterprise, ask the human resources department what post vacancies your organisation has and what its appointment rules are. In a private company, ask your boss whether this certificate counts and whether it comes with money.
Sources · 2 sources
- Ministry of Human Resources and Social Security Order No. 40 (人力资源和社会保障部令第 40 号) (2019). Interim Provisions on the Administration of Professional Title Assessments. : Articles two and twenty-ninewww.gov.cn/gongbao/content/2019/content_5437137.htm
- General Office of the CPC Central Committee and General Office of the State Council (中共中央办公厅、国务院办公厅) (2016). Opinions on Deepening the Reform of the Professional Title System. : 「对于全面实行岗位管理、专业技术人才学术技术水平与岗位职责密切相关的事业单位,一般应在岗位结构比例内开展职称评审。对于不实行岗位管理的单位,以及通用性强、广泛分布在各社会组织的职称系列和新兴职业,可采用评聘分开方式。」www.gov.cn/gongbao/content/2017/content_5163445.htm
24. Medical care: spending less and going fewer rounds
11 / 11This section measures money and time. It covers how medical care itself works: which hospital to go to first, how to be referred upwards, and where the money can be saved. It also covers how emergency care is ordered, and which assessments and certificates you need after serious injuries are treated. For what you can claim, see section 7. For managing a chronic illness over the long term, see section 16. For what to do first at the scene of an emergency, see section 13.
This section rests mainly on the Measures on Accelerating the Building of a Tiered Diagnosis and Treatment System (《关于加快建设分级诊疗体系的若干措施》), issued in April 2026 by the General Office of the State Council (国务院办公厅). Tiered diagnosis and treatment means deciding which level of hospital to go to first according to how serious the illness is. That document ties going to the grassroots level directly to saving money. Local implementation is at different stages, and the text gives the national rules. For your own pooling region, follow what the local medical insurance and health authorities say. The pooling region is where your medical insurance is enrolled, usually one city.
1For an ordinary illness, start at the community clinic and go up by referral step by step from the grassroots level, and the inpatient deductible carries on
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
Go to the community clinic first, and let the community clinic refer you upwards to the big hospital for the admission. The part of the bill you pay yourself counts once only. If you go straight to a tier-three hospital for the admission and are then referred back to the community clinic for rehabilitation, you may pay that part twice. Where you are referred back from the big hospital to the community clinic and stay there, it is not counted a second time for the same illness within that period.
Cost
No money. You have to make one trip to the community clinic first. The hard part is holding back the urge to go straight for a specialist's appointment.
Benefit
For insured patients referred up step by step through primary care, the inpatient deductible at the higher hospital can be counted continuously. The deductible is the part of each admission that you pay yourself, up to the point at which medical insurance starts paying. Counting it continuously means the two hospitals together count it once, and you do not have to pay it again from scratch. An inpatient referred back down from the higher hospital to the grassroots level is not given a separate deductible for the same period of illness
Notes
If you go straight to a tier-three hospital for the admission and then go back to the grassroots level for rehabilitation, you may pay that part twice, whereas going by referral counts it once. Referral rules are set separately by each province, each city and each medical consortium, so ask the community clinic before you go. Do not go to the big hospital any more for prescriptions in the stable phase of a chronic illness: this kind of ordinary outpatient service is being cut back at the big hospitals, and the community clinic can prescribe 12 weeks of medicine at a time; see item 5 in section 16 (the community clinic prescribes 12 weeks of medicine at a time).
Sources · 2 sources
- General Office of the State Council (国务院办公厅) (2026). Measures on Accelerating the Building of a Tiered Diagnosis and Treatment System (《关于加快建设分级诊疗体系的若干措施》). : 「统筹地区内经基层医疗卫生机构逐级转诊的参保患者,在上级医院的住院起付线可连续计算;由上级医院下转至基层医疗卫生机构的住院患者,同一疾病周期内不再另设住院起付线。」 — for insured patients in the pooling region referred up step by step through primary care, the inpatient deductible at the higher hospital may be counted continuouslywww.gov.cn/zhengce/zhengceku/202604/content_7065031.htm
- an inpatient referred back down to the primary care institution is not given a separate inpatient deductible within the same period of illness.
2In the same pooling region (where your medical insurance is enrolled), the lower the level of the hospital the higher the share reimbursed, with a gap of about 10 percentage points
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
On the same bill for an admission, the lower the level of the hospital, the more is reimbursed. Each place has to spread the levels apart, with about ten percentage points between each step up. Take a hospital bill of 10,000 yuan: if the reimbursed share falls from 80% to 70%, what you pay yourself rises from 2000 yuan to 3000 yuan. Newly added medical insurance funds also tilt towards primary care.
Cost
No money. The hard part is holding back the urge to run to the big hospital.
Benefit
The document requires each place to spread apart the inpatient reimbursement level of medical institutions of different grades, in principle by about 10 percentage points per step. On that gap, going up one hospital level for the same bill adds about 10% of the reimbursable amount to what you pay yourself. Take a reimbursable bill of 10,000 yuan: the reimbursed share falls from 80% to 70%, so what you pay yourself rises from 2000 yuan to 3000 yuan. The extra 1000 yuan is a tenth of the total, but half more than what you paid before. The actual ratios differ from place to place, and the deductible and the ceiling also change the difference; the figure here is only an illustration based on the 10 percentage points in the document. Newly added annual medical insurance funds also tilt towards primary care
Notes
On the same bill for an admission, the difference between paying at the grassroots level and paying at a tier-three hospital can be several thousand yuan. Where the illness can be dealt with at the grassroots level, do not run upwards. Not every illness has to be seen at the community clinic.
Sources · 2 sources
- General Office of the State Council (国务院办公厅) (2026). Measures on Accelerating the Building of a Tiered Diagnosis and Treatment System (《关于加快建设分级诊疗体系的若干措施》). : 「因地制宜适当拉开参保人员在不同等级医疗卫生机构的住院报销水平,原则上统筹地区内医疗卫生机构住院报销比例逐级拉开10个百分点左右的差距。」「具备条件的地方,可按分级诊疗导向酌情拉开参保人员在不同等级医疗卫生机构的门诊报销水平。」 — in line with local conditions, appropriately widen the gap in inpatient reimbursement between medical institutions of different grades, in principle about 10 percentage points per step within the pooling regionwww.gov.cn/zhengce/zhengceku/202604/content_7065031.htm
- where conditions allow, widen the gap in outpatient reimbursement between grades at the direction of tiered diagnosis and treatment.
3If you need a large hospital, go through a grassroots referral or the hospital's referral centre, and do not buy appointments from scalpers
# Value ModerateGrade ATime and energyNo moneyA few hoursNo willpower
Large hospitals must set aside a share of their appointments and beds for people referred up from the grassroots level. Hospitals must also set up a referral centre, or name one fixed department to run referrals, with full coverage by 2027. Failing to get an appointment does not mean there is no route in. A scalper's appointment is not only expensive; it may also land you in a department that does not match your illness.
Cost
No money. You have one more referral procedure to get through.
Benefit
The lead hospital of a tightly integrated medical consortium must reserve a set share of appointment slots and beds for the grassroots level and see referred patients promptly. A tightly integrated medical consortium is a group of hospitals and community health institutions tied together to work as one. So a referral up from the community has its own appointments and beds, instead of queueing with the people fighting for appointments in the lobby. Healthcare institutions must set up a referral centre or name a fixed department, with full coverage achieved by 2027
Notes
The reserved appointments are for referred patients only, so if you cannot get one, go through a referral. A scalper is not only expensive; you may also end up in a department that does not match. If you cannot find the referral centre, ring the hospital's service line and ask.
Sources
General Office of the State Council (国务院办公厅) (2026). Measures on Accelerating the Building of a Tiered Diagnosis and Treatment System (《关于加快建设分级诊疗体系的若干措施》). : 「牵头医院要为基层医疗卫生机构预留一定比例的号源和床位,并及时接诊经基层转诊患者。」, that is, the lead hospital must reserve a set share of appointment slots and beds for primary healthcare providers and see patients referred up from them promptly. 「医疗机构要强化转诊服务统一管理,设立转诊中心或指定固定部门承担患者转诊服务工作,到2027年实现全覆盖。」, that is, healthcare institutions must strengthen unified management of referral services, set up a referral centre or name a fixed department to take on patient referral work, reaching full coverage by 2027.
www.gov.cn/zhengce/zhengceku/202604/content_7065031.htm4Before going out of province for treatment, ask at home first; in principle the need is assessed by a deputy chief physician or above
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Whether you should go elsewhere for treatment is, in principle, decided by a deputy chief physician or above at a secondary or tertiary hospital. How much you get back for temporary treatment away from your enrolled area differs from a hospital of the same level inside it, and the local rules set the figure. Asking once at home before you leave beats arriving somewhere else and finding out nothing can be claimed back.
Cost
No money. One more question before you set off.
Benefit
The need for treatment across pooling regions and across provinces is, in principle, assessed by staff at deputy chief physician level or above at secondary and tertiary hospitals. Going across pooling regions means leaving the area where your medical insurance is enrolled. Whether you travel for treatment is decided by a doctor of sufficient rank. The reimbursement level for people going out of province temporarily for treatment keeps a reasonable difference from the level at the same grade of provider inside the enrolled area. The same illness treated elsewhere gets less money back than it does at home
Notes
Temporary treatment away from home and long-term residence away from home are two different registrations, and they reimburse at different levels. For how to register and which illnesses can be settled directly, see section 16. Do not travel first and think about reimbursement afterwards.
Sources
General Office of the State Council (国务院办公厅) (2026). Measures on Accelerating the Building of a Tiered Diagnosis and Treatment System (《关于加快建设分级诊疗体系的若干措施》). : 「原则上由二、三级医院副主任医师及以上职称人员评估患者跨统筹地区、跨省异地就医的必要性。」, that is, in principle the need for a patient to receive treatment across pooling regions and across provinces is assessed by staff at deputy chief physician level or above at secondary and tertiary hospitals. 「进一步强化异地就医直接结算管理服务,跨省临时外出就医人员报销水平与参保地同级别医疗机构报销水平保持合理差异。」, that is, further strengthen direct settlement of treatment away from the enrolled area, keeping the reimbursement level for people going out of province temporarily for treatment at a reasonable difference from the level at providers of the same grade inside the enrolled area.
www.gov.cn/zhengce/zhengceku/202604/content_7065031.htm5After every visit, keep your own copy of the records, the test reports and the images
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
Reading and copying your own medical records is a right the law gives you. Outpatient records, inpatient notes, lab sheets, images, operation and anaesthesia records, pathology material and itemised bills can all be copied. The hospital runs a dedicated window for the requests and may charge only a copying fee. Changing hospital, seeing another doctor, claiming on private insurance or fighting a dispute all rest on this pile of paper.
Cost
No money. A hospital may charge a copying fee under the rules, and the rate has to be published. The hard part is remembering to go and copy them after every visit.
Benefit
The regulation makes reading and copying medical records an explicit patient right. The scope covers outpatient records, inpatient notes, lab sheets, medical images, operation and anaesthesia records, pathology material, medical costs and all the other material. Changing hospital, seeing a second doctor, claiming on private insurance or fighting a dispute all rest on these
Notes
There is a dedicated window for copying, so you do not have to plead with a doctor. The list of what you can ask for is in Article sixteen of these Regulations, item by item. First the outpatient records, inpatient notes, temperature charts, medical orders, lab sheets and imaging. Then the operation and anaesthesia records, pathology material, nursing records and the itemised bill. Put what you get into one folder in date order. The most important items inside are the discharge summary, the operation record, the pathology report and the key images. Keep the readings for a chronic illness in a single notebook; see section 16.
Sources · 3 sources
- State Council (国务院) (2018). Regulations on the Prevention and Handling of Medical Disputes (《医疗纠纷预防和处理条例》) (State Council Order No. 701), Article sixteen: 「患者有权查阅、复制其门诊病历、住院志、体温单、医嘱单、化验单(检验报告)、医学影像检查资料、特殊检查同意书、手术同意书、手术及麻醉记录、病理资料、护理记录、医疗费用以及国务院卫生主管部门规定的其他属于病历的全部资料。」, that is, patients have the right to read and copy their outpatient records, inpatient notes, temperature charts, medical orders, lab sheets (test reports), medical imaging materials, consent forms for special examinations, consent forms for surgery, operation and anaesthesia records, pathology material, nursing records, medical costs and all other material belonging to the records as required by the health authority of the State Council. 「患者要求复制病历资料的,医疗机构应当提供复制服务,并在复制的病历资料上加盖证明印记……可以收取工本费,收费标准应当公开。」, that is, where a patient asks for the records to be copied, the healthcare institution must provide the copying service and stamp a certifying mark on the copy
- it may charge a copying fee, and the rate must be published. 「患者死亡的,其近亲属可以依照本条例的规定,查阅、复制病历资料。」, that is, where the patient has died, close relatives may read and copy the records under these Regulations. Article fifteen: 「任何单位和个人不得篡改、伪造、隐匿、毁灭或者抢夺病历资料。」, that is, no unit and no individual may alter, forge, conceal, destroy or seize medical records. www.gov.cn/zhengce/zhengceku/2018-08/31/content_5318057.htm
- National Health and Family Planning Commission and National Administration of Traditional Chinese Medicine (国家卫生计生委、国家中医药管理局) (2013). Administrative Provisions on Medical Records in Healthcare Institutions (2013 edition) (《医疗机构病历管理规定(2013 年版)》): healthcare institutions 「应当指定部门或者专(兼)职人员负责受理复制病历资料的申请」, that is, must designate a department, or a member of staff full-time or part-time, to take the applications to copy records, and the copy is made with the applicant present and stamped with a certifying mark. www.gov.cn/gongbao/content/2014/content_2600084.htm
6If you doubt the diagnosis or treatment, ask on the spot for sealing the records, with both sides present, a list drawn up and one copy each
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
If you have doubts about the treatment, you can ask for the records to be sealed. Sealing requires both the patient side and the doctor side to be present, and a list to be drawn up, signed and stamped, with one copy each. Where the records are not finished, seal the part already completed. If you suspect an infusion, a blood transfusion, an injection or a drug caused the harm, the bag of fluid, the vial and the giving set have to be sealed as well.
Cost
No money. Ask the hospital to seal the records and wait for both sides to turn up and complete the formalities. The hard part is saying that sentence in front of a doctor.
Benefit
The regulations provide that "where records must be sealed or unsealed because a medical dispute has arisen, this must be done with both the patient side and the doctor side present". What is sealed may be the original or a copy, and the healthcare institution keeps it. Where the records are not complete and sealing is required, the completed part is sealed first, and the rest is sealed once it is finished. The healthcare institution must draw up a list of the sealed records, signed or stamped by both sides, with one copy each. Where an infusion, a blood transfusion, an injection or a drug is suspected of having caused harm, both sides must jointly seal and unseal the physical items at the scene. Where testing is needed, the two sides must jointly appoint an institution with testing qualifications. Where they cannot agree on a joint appointment, the health authority of the county-level people's government where the institution is located designates one. Where a transfusion is suspected of having caused harm and the blood has to be sealed, the institution must notify the blood station to send someone to attend. There is also a hard limit: "no unit and no individual may alter, forge, conceal, destroy or seize medical records". Once the dispute is resolved after sealing, or 3 years pass with no further request to resolve it, the institution may unseal the records itself (nationwide, in force from 2018-10-1)
Notes
Sealing and copying are two different things. Copying is what you should do as a matter of course; see item 5 in this section (keeping your own copy of the records and images). Sealing fixes the evidence when a dispute arises, and it guards against entries written or changed afterwards. If you suspect an infusion, a blood transfusion or a drug caused the harm, seal the bag of fluid, the vial and the giving set along with the records, and do not let anyone carry them off and bin them. Healthcare institutions must publish in a prominent place the routes, the procedures and the contact details for resolving medical disputes, and must set up a single complaints department. When something happens, go to that department rather than arguing with the doctor on duty.
Sources
State Council (国务院) (2018). Regulations on the Prevention and Handling of Medical Disputes (《医疗纠纷预防和处理条例》) (State Council Order No. 701, Articles fifteen, twenty-four and twenty-five).
www.gov.cn/zhengce/zhengceku/2018-08/31/content_5318057.htm7For serious injuries go straight to the emergency triage desk, not to the registration queue
# Value HighGrade ATime and energyNo moneyIn passingNo willpower
Emergency care is not ordered by who arrived first. Patients are sorted into four levels by how serious they are, and the sorting happens at the triage desk at the emergency entrance, not at the registration window. Skip the triage and you have no level in the system, however badly you are hurt, so you move along the queue at the speed of the queue. On arrival, report the most dangerous thing first: heavy bleeding, breathlessness, loss of consciousness, something embedded in the body, crushing pain in the chest.
Cost
No money. A few more steps inside the door to find the triage desk. Say the most dangerous symptom in one sentence.
Benefit
The 2024 edition of the emergency medicine quality control indicators from the National Health Commission requires emergency triage to 「按病情危重程度将患者分为四级」, that is, sort patients into four levels by how critical they are. 「I 级为急危患者,需要立即得到救治」, that is, level I is for critical patients who need treatment immediately. 「II 级为急重患者,往往评估与救治同时进行」, that is, level II is for seriously ill patients, where assessment and treatment often go together. 「III 级为急症患者,需要短时间内得到诊治」, that is, level III is for acute patients who need diagnosis and treatment within a short time. 「IV 级为非急症患者或亚急症患者,在普通诊疗区顺序就诊」, that is, level IV is for non-acute or sub-acute patients, seen in order in the general treatment area. Triage means a member of staff assesses how serious you are once you come into the emergency department, and sets the order of treatment. Beijing's implementing standard sets out the response time for each level. Level 1: 「立即进行评估和救治,安排患者进入复苏室或抢救室」, that is, assess and treat at once, and move the patient into the resuscitation or resuscitation room. Level 2: 「立即监护生命体征,10 分钟内得到救治,安排患者进入抢救室」, that is, start monitoring vital signs at once, treat within 10 minutes, and move the patient into the resuscitation room. Level 3: 「先于 4 级患者优先诊治,安排患者在普通诊疗区候诊;若候诊时间大于 30 分钟,需再次评估」, that is, see the patient in preference to those at level 4, and have them wait in the general treatment area; if the wait exceeds 30 minutes, assess again. Level 4: 「顺序就诊,除非病情变化,否则候诊时间较长;若候诊时间大于 4 小时,可再次评估」, that is, seen in order, with a longer wait unless the condition changes; if the wait exceeds 4 hours, assess again. Triage has to 「坚持急危重症优先就诊原则」, that is, keep to the principle that critical cases are seen first, and a triage area must be set up in a prominent position at the entrance to the emergency department (the four levels are the national standard, the response times are Beijing's)
Notes
The four levels are the same nationwide. How long each level waits before being seen is set by each province and city, and the Beijing text is a version you can check word for word. The level turns on readings such as pulse, blood pressure and blood oxygen, and on the symptoms, not on how much pain you feel. Level 1 has hard criteria, and these are some of them. A heart rate above 180 per minute, or below 40 per minute. A systolic blood pressure below 70 mmHg, which is the upper number in a blood pressure reading. Blood oxygen below 80%. Shock, a confirmed heart attack, or an acute impairment of consciousness. If you think the triage has put you too low, add the most dangerous symptom and say it again. If your condition changes while you wait, go straight back to the triage desk to be assessed again. When things are genuinely critical, ringing 120 is faster than going yourself: the paramedic assesses you against the same standard first and tells the hospital to prepare (see section 13).
Sources · 3 sources
- General Office of the National Health Commission (国家卫生健康委办公厅) (2024). Notice on Issuing the Medical Quality Control Indicators for Six Specialties including Emergency Medicine (2024 edition) (《关于印发急诊医学等6个专业医疗质量控制指标(2024年版)的通知》(国卫办医政函〔2024〕150号)), Annex 1, indicator four, 「急诊分级分诊执行率」, that is, the rate at which emergency graded triage is carried out. www.gov.cn/zhengce/zhengceku/202405/content_6951260.htm
- Beijing Municipal Health Commission (北京市卫生健康委员会) (2019). Beijing Plan for Strengthening Emergency Pre-triage and Grading, and its Annex, the Beijing Standard for Emergency Pre-triage and Grading in Hospitals (Trial) (《北京市加强急诊预检分诊分级工作方案》and 《北京市医院急诊预检分诊分级标准(试行)》): 「坚持急危重症优先就诊原则。按照患者病情的严重程度,遵循从重到轻、从病情迅速变化到相对稳定的原则,合理安排患者就诊顺序。」, that is, keep to the principle that critical cases are seen first
- according to how serious the patient's condition is, follow the order from severe to mild and from rapidly changing to relatively stable, and arrange the order of treatment accordingly. 「在急诊科入口的显著位置,设置急诊预检分诊区域」, that is, set up an emergency triage area in a prominent position at the entrance to the emergency department. wjw.beijing.gov.cn/zwgk_20040/ylws/201912/t20191216_1242338.html
8No money, no papers, and nobody who can say who you are: emergency care still has to come first
# Value HighGrade AMoneyNo moneyIn passingNo willpower
The state has an emergency medical assistance fund that pays emergency treatment charges for two kinds of people: those whose identity cannot be established, and those who cannot pay. A hospital may not refuse or delay resuscitation, and an ambulance service may not decline to send an ambulance over money. So do not sit at home and endure it because you have no money, and do not be afraid to call an ambulance and owe the bill. This fund covers emergency treatment only. An admission afterwards still goes through medical insurance and medical assistance.
Cost
No money.
Benefit
The emergency medical assistance scheme covers 「在中国境内发生急重危伤病、需要急救但身份不明确或无力支付相应费用的患者」, that is, patients who suffer a serious or critical injury or illness in China, need emergency treatment, and either cannot be identified or cannot pay. The fund pays two kinds of charge: 「无法查明身份患者所发生的急救费用」, that is, the emergency treatment charges of patients whose identity cannot be established, and 「身份明确但无力缴费的患者所拖欠的急救费用」, that is, the emergency treatment charges owed by patients whose identity is known but who cannot pay. The document also states that 「各级各类医疗机构及其工作人员必须及时、有效地对急重危伤患者施救,不得以任何理由拒绝、推诿或拖延救治」, that is, healthcare institutions at every level and their staff must treat patients with serious or critical injuries promptly and effectively, and may not refuse, shirk or delay treatment on any grounds. Pre-hospital emergency care has its own rules: the national pre-hospital emergency number is 「120」. An emergency centre (station) 「不得因指挥调度原因拒绝、推诿或者延误院前医疗急救服务」, that is, may not refuse, shirk or delay pre-hospital emergency care on grounds of dispatch or scheduling, and also 「不得因费用问题拒绝或者延误院前医疗急救服务」, that is, may not refuse or delay pre-hospital emergency care over money. Transfer follows 「就近、就急、满足专业需要、兼顾患者意愿的原则」, that is, the principles of going to the nearest place, going to the most urgent place, meeting professional need and taking the patient's wishes into account (nationwide, since 2013)
Notes
The fund pays only the emergency treatment part, and it is the hospital that applies to the fund afterwards, so there is nothing for you to collect at a window. If you have medical insurance, use it first as usual. The application process and the ceiling differ by province. In the transfer principles, the nearest place and the most urgent place come before the patient's wishes, so the ambulance does not necessarily take you to the hospital you named. When things are critical, the nearest place that can treat you is what counts. Where what you pay yourself afterwards is still too heavy, use medical assistance; see item 10 in section 7 (medical assistance).
Sources · 2 sources
- General Office of the State Council (国务院办公厅) (2013). Guiding Opinions on Establishing the Emergency Medical Assistance Scheme (《关于建立疾病应急救助制度的指导意见》(国办发〔2013〕15号)). www.gov.cn/zhengce/zhengceku/2013-03/01/content_6069.htm
- National Health and Family Planning Commission (国家卫生和计划生育委员会) (2014). Measures for the Administration of Pre-hospital Medical Emergency Care (《院前医疗急救管理办法》(委令第3号), Articles thirteen, twenty-two, twenty-three and twenty-five). www.gov.cn/gongbao/content/2014/content_2580977.htm
9Get the disability assessment after treatment has finished, because doing it early gets you a lower grade
# Value ModerateGrade AMoneyA little moneyA few hoursSome willpower
How much you get paid depends mainly on the grade, and the grade depends on how much functional impairment is left once treatment has finished. The standard says the assessment must wait until treatment has finished or the clinical outcome has settled. Go for an assessment while the bone has not healed or the plate is still in place and you are assessed as you are that day, which means lowering your own grade. An ordinary fracture that has healed without affecting function does not reach any grade.
Cost
The assessment fee runs from a few hundred yuan to two thousand yuan, and the party that applies usually pays it up front. You have to wait until treatment has finished or the clinical outcome has settled, usually three to six months after the injury and sometimes longer. The hard part is resisting the urge to settle it while the injury is still healing.
Benefit
The Standard on the Grading of Disability from Human Body Injury states that the timing of the assessment "should be after treatment of the primary injury and of complications clearly related to it has finished, or after the clinical treatment outcome has settled". The standard "divides the degree of disability from human body injury into 10 grades, from grade one (a disability rate of 100%) to grade ten (a disability rate of 10%), with 10% between each grade". It turns on "structural damage to tissues and organs, functional impairment, and the degree of dependence on medical and nursing care, with due consideration of the effect of the disability on social interaction and psychological factors". The fracture-related clauses among the ten grades include these. First: "compression fracture of one vertebral body (compression of 1/3 or more) or a comminuted fracture". Second: "more than two fractures of the pelvis or a comminuted fracture, with malunion". Third: "loss of more than 25% of the function of any major joint of the limbs, excluding the ankle". Disability at the same site and of the same kind may not be counted twice. Where there is more than one disability, the grades must be stated separately (nationwide, in force from 2017-1-1)
Notes
There are three different disability assessments, and they do not substitute for one another. Assault and other personal injury, and traffic accidents, go through the judicial Standard on the Grading of Disability from Human Body Injury, which is used to work out the disability compensation (see section 9). A work injury goes through the assessment of capacity for work, which uses a different set of ten grades and governs the benefits for a work injury (see section 19). To claim the disability benefits available to disabled people you need a disability certificate as well (see item 10, disability certificate). Have the records, the operation record and the follow-up images ready before the assessment (see item 5, keeping your own copy of the records and images); missing images are the commonest reason a grade comes out low. Where this injury is mixed up with a long-standing condition, the assessment opinion also has to say how much of the resulting disability this injury accounts for. That line has a direct effect on how much you are paid.
Sources
Supreme People's Court, Supreme People's Procuratorate, Ministry of Public Security, Ministry of State Security and Ministry of Justice (最高人民法院、最高人民检察院、公安部、国家安全部、司法部) (2016). Announcement on the Issue of the Standard on the Grading of Disability from Human Body Injury (《关于发布〈人体损伤致残程度分级〉的公告》, published 2016-4-18, in force 2017-1-1), clauses 4.2, 4.4, 4.5, 5.10.6 and 6.2 of the standard.
www.moj.gov.cn/pub/sfbgw/zwxxgk/fdzdgknr/fdzdgknrtzwj/201908/P020210316701681025917.pdf10If functional impairment really is left after treatment, apply for a disability certificate at the county-level disabled persons' federation where your household registration is
# Value ModerateGrade AMoneyA little moneyA few hoursSome willpower
A disability certificate is the threshold for claiming disabled persons' benefits. It is not a certificate of injury. There are seven categories: vision, hearing, speech, limbs, intellectual, mental and multiple disabilities, each graded from one to four. The process is application, acceptance of the application, assessment at a designated institution, posting of the result, review and approval, and issue of the certificate. It is valid for ten years and is replaced free of charge when it expires. If you do not qualify, you do not qualify. This is not something an acquaintance can fix for you.
Cost
The certificate itself carries no handling fee. The assessment fee and the photo fee are in principle yours to pay, and you can apply for a reduction if you are in difficulty. Take your identity card, your household register and 3 photos two inches in size on a white background to the county-level disabled persons' federation where your household registration is. Once the assessment passes, the result is posted in the village or community for 5 working days, and the federation finishes its review within 10 working days. The hard part is making those trips and waiting out that period.
Benefit
The disability certificate "is the legal proof for determining that a person is disabled and of their category and grade of disability, and is the important basis on which disabled people lawfully enjoy the preferential policies of the state and of local governments". The assessment standard is the national standard 《残疾人残疾分类和分级》 (GB/T 26341-2010). The certificate rests on two rules: applying is voluntary, and it is administered where the applicant lives. The seven categories are vision, hearing, speech, limbs, intellectual, mental and multiple disabilities, and the disability grade runs from one to four. The county-level disabled persons' federation takes the application and issues the certificate, on the basis of the assessment conclusion made by a hospital or professional body designated by the province. Where the conclusion meets the standard, it is posted in the village or community for five working days, and the county-level federation "finishes its review within ten working days". "The issue of a disability certificate carries no handling fee". The assessment and photo fees "are in principle to be borne by the applicant personally; where local conditions allow they may be subsidised by the local finance, and for applicants in special difficulty the relevant departments shall be coordinated to reduce or waive them". The certificate is valid for ten years and is replaced free of charge when it expires. Where the category or the grade changes, you may apply for a fresh assessment. Where you dispute the conclusion, you may apply to the prefecture-level or city-level disabled persons' federation for a fresh assessment within ten working days. If you are still dissatisfied, the provincial expert committee on disability assessment makes the final decision (nationwide, in force from 2018-1-1)
Notes
Work out the money before you decide whether to apply. The certificate itself pays nothing out. What it connects you to is the two allowances for disabled people: a living allowance for disabled people in means-tested income support households, and a care allowance for those at grade one or two who need long-term care; see item 8 in section 7 (the two allowances). The certificate also connects you to the local concessions on rehabilitation, assistive devices, taxes, employment and transport. These standards differ a great deal between provinces, so look them up on the local federation's website before you decide whether the trip is worth making. It is one of three different things, along with the disability grade from a judicial assessment and the assessment of capacity for work after a work injury, and none of them substitutes for another (see item 9, get the disability assessment after treatment has finished). The certificate is for the holder only and may not be lent to anyone else. A disability that no longer meets the standard has its certificate cancelled, and no fresh application is allowed within one year of the cancellation. Where someone has multiple disabilities, the grade is set by the most severe category among them.
Sources
China Disabled Persons' Federation and National Health and Family Planning Commission (中国残疾人联合会、国家卫生和计划生育委员会) (2017). Measures for the Administration of the Disability Certificate of the People's Republic of China (《中华人民共和国残疾人证管理办法》, published 2017-5-27, in force 2018-1-1; Articles two, three, five, seven, nine, seventeen, nineteen, twenty-two and twenty-five).
www.bdpf.org.cn/cms68/web1459/subject/n1/n1459/n1508/n1509/n1512/c68465/content.html11Thanking the doctor who saved your life: go by thank-you letter, banner and satisfaction rating, and not by red envelope, because the code bans property, not thanks
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Paying money in advance buys no priority. Appointment slots, beds, drugs in short supply and arrangements for surgery are all forbidden as something to exchange for a favour. Afterwards, if you want to thank the doctor who saved your life, you may do so, but do not send tobacco, alcohol or a red envelope: if he accepts, that is a breach of the rules. There are three forms of thanks that really land on him: fill in the satisfaction rating carefully, write a thank-you letter by name or send a banner, and go back for the follow-up the doctor asked for.
Cost
No money. Writing a thank-you letter, or filling in one rating on the satisfaction platform, takes a little over ten minutes.
Benefit
The Nine Codes for Clean Practice by Staff of Medical Institutions (《医疗机构工作人员廉洁从业九项准则》, 国卫医发〔2021〕41 号), seventh item: "maintain the order of diagnosis and treatment, and do not undermine fairness in access to care. Uphold the principle of equality and build an environment of fair access together. It is strictly forbidden to accept benefits by using appointment slots, bed sources, drugs and consumables in short supply and other medical resources, or examinations, surgery and other arrangements for diagnosis and treatment, and to seek private gain at public expense". The eighth item: "build harmonious relations, and do not accept the patient's red envelope. Keep to medical ethics and strict self-discipline". The same item also states that it is "strictly forbidden to ask for or accept from patients and their relatives gifts, cash, gift cards, negotiable securities, equity, other financial products and other property". A meal or entertainment paid for by the patient side is the same: it is "strictly forbidden to take part in banquets, travel, fitness, entertainment or other activities arranged, organised or paid for by them". The document also requires medical institutions to carry out their main responsibility, run inspections and "firmly investigate and punish violations". Satisfaction ratings were written into the performance assessment of tertiary public hospitals. The basis is the Opinions of the General Office of the State Council on Strengthening the Performance Assessment of Tertiary Public Hospitals (《国务院办公厅关于加强三级公立医院绩效考核工作的意见》, 国办发〔2019〕4 号). The document says: "the performance assessment indicator system of tertiary public hospitals consists of indicators in 4 areas: quality of care, operational efficiency, sustainable development and satisfaction rating". It also states: "hospital satisfaction consists of two parts, patient satisfaction and staff satisfaction……" and goes on to say that the purpose is to "measure patients' sense of gain and the motivation of staff through satisfaction ratings of outpatients, inpatients and staff". This rating also has a national platform: "the state establishes a satisfaction rating system for public hospitals……". The timetable is: "by the end of March 2019, all tertiary public hospitals nationwide are brought into the satisfaction survey platform of the National Health Commission. Localities are to apply the National Health Commission satisfaction survey platform and bring the survey results into the performance assessment of tertiary public hospitals". Hospitals also have to handle complaints. The basis is the Measures for the Administration of Complaints in Medical Institutions (《医疗机构投诉管理办法》, National Health Commission Order No. 3, in force 2019), Article 2. Complaint management means that patients, over the medical service itself, the medical management and the quality and safety of care, "put forward opinions, suggestions or a complaint request". The hospital is responsible for investigating, handling and giving feedback. "Medical institutions at grade two and above shall set up a doctor-patient relations office or a designated department (collectively the complaints department) to take on complaint management in a unified way". The duties of the complaints department include "receiving complaints in a unified way, investigating and verifying the matters complained of, putting forward handling opinions, and replying to the patient in good time". Medical institutions "should encourage staff to collect patients' opinions and suggestions on medical services and on the quality and safety of care actively" (nationwide)
Notes
The people who benefit are you and the person who saved you. Wanting to say thank you after an all-night resuscitation is human. You can thank them; only the form has to change. A red envelope, tobacco and alcohol push the risk onto the other side, while a thank-you letter, a banner and a satisfaction rating are the forms the system recognises. Where you have already handed something over and they pushed it back, do not read it as them being short of money or playing hard to get: they have to do that under the rules. And keep two things apart. A red envelope to a doctor is a matter of professional discipline and of the hospital, while handing property to the officials handling or enforcing a case is bribery under the Criminal Law. The two are not on the same scale, and the second is item 40 in section 8. Hospitals widely accept thank-you letters and banners, but the claim that they "go into the personal and department record" rests on experience and no document requires it. What is set down in a document is the rule bringing the satisfaction survey results into the performance assessment of tertiary public hospitals. Where you have doubts about the diagnosis or treatment itself, ask on the spot for sealing the records (see item 6 in this section, sealing the records), and keep your own copy of the records and images (item 5, keeping your own copy of the records and images)
Sources
National Health Commission, National Healthcare Security Administration and National Administration of Traditional Chinese Medicine (国家卫生健康委、国家医保局、国家中医药局) (2021). Notice on Issuing the Nine Codes for Clean Practice by Staff of Medical Institutions (《关于印发医疗机构工作人员廉洁从业九项准则的通知》, 国卫医发〔2021〕41 号). Gazette of the State Council ;General Office of the State Council (国务院办公厅) (2019). Opinions on Strengthening the Performance Assessment of Tertiary Public Hospitals (《关于加强三级公立医院绩效考核工作的意见》, 国办发〔2019〕4 号). ;National Health Commission (国家卫生健康委) (2019). Measures for the Administration of Complaints in Medical Institutions (《医疗机构投诉管理办法》, Order No. 3).
www.gov.cn/gongbao/content/2022/content_5678098.htmwww.gov.cn/zhengce/zhengceku/2019-01/30/content_5362266.htmwww.gov.cn/zhengce/zhengceku/2019-10/08/content_5436976.htm25. What to do after someone dies
10 / 10This section measures money. It covers only the paperwork and the money: what to do first after someone dies, which charges you can check against a published list, which accounts still hold money you can get back, and which steps a close relative is allowed to handle in person. The first five entries follow the order in which things happen: the scene, the death certificate, the body and the cremation, what to do if you dispute the cause of death, and the cancellation of the household registration. The rest are ordered by value for money. The arrangements an older person should make while they are still able, such as voluntary guardianship, a will and accounts, are in section 17. The three payments for a death caused by work are in section 19.
The funeral side follows the new Regulations on Funeral and Interment Administration (殡葬管理条例), in force from 2026-3-30. The amounts of the funeral subsidy and the survivor's pension under the old-age insurance are set separately by the human resources and social security departments. This time I could not get the original text to check word for word, so the items below give no figures.
1If someone dies at home or elsewhere, first tell an expected death from an unexpected one: an accident, an unknown cause, or a person living alone found late — call 110 at once, and do not touch the body or the scene
# Value HighGrade APersonal freedomNo moneyIn passingNo willpower
Where the death was an accident, where nobody knows how it happened, or where someone living alone was found only after a long time, only the police can issue the death certificate. Once the scene has been disturbed, the account cannot be set out and the certificate is hard to issue as well. Without that sheet of paper, the cremation, the cancellation of the household registration and the insurance claim all stall. If you cannot tell which kind it is, call 110 first. Once the police have been there and finished their inspection, they will still issue the certificate.
Cost
No money. One phone call is all it takes.
Benefit
The Regulations on the Registration of Households (户口登记条例), Article eight, paragraph two: 「公民因意外事故致死或者死因不明,户主、发现人应当立即报告当地公安派出所或者乡、镇人民委员会」 — where a person dies in an accident or the cause of death is unknown, the head of household and the person who found the body must report it at once to the local police station or the township or town people's government. The Regulations on Funeral and Interment Administration (殡葬管理条例), Article twenty-three: 「自然人正常死亡的,医疗卫生机构应当及时出具死亡证明。涉及公安机关依法处置且未经医疗卫生机构救治的非正常死亡案(事)件的逝者,由公安机关出具死亡证明」 — for an ordinary death, the medical and health institution issues the death certificate in good time. Where the case involves a death that the police handle under the law and the person was not treated by a medical institution, the police issue the certificate. Only the police can issue the certificate for an unexpected death. If the scene has been disturbed, the account cannot be set out and the certificate is hard to issue. The cremation, the cancellation of the household registration and the insurance claim all stall on that one sheet of paper
Notes
Someone bedridden for a long time who dies at home counts as an expected death. You can ask the institution that treated him while he was alive to issue the certificate, or the community health centre or the township health centre for the area you live in. Whoever treated him issues the death certificate, see item 2 in this section (the death certificate). If you cannot tell which kind it is, treat it as unexpected and call 110 first; once the police have been there and finished their inspection, they will still issue the certificate. If you tidy the scene up before calling, nobody can help you afterwards. Do not move the body yourself, do not wash and dress the body, and do not take away the medicine bottles or the notes.
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (1958). Regulations on the Registration of Households, 中华人民共和国户口登记条例(第八条). (posted on the Guangdong Provincial Government portal)www.gd.gov.cn/zwgk/wjk/zcfgk/content/mpost_2531969.html
- State Council (国务院) (2026). Regulations on Funeral and Interment Administration, 殡葬管理条例(国务院令第 824 号,自 2026 年 3 月 30 日起施行,第二十三条). www.gov.cn/zhengce/zhengceku/202601/content_7054169.htm
2The death certificate is the key to everything that follows: whoever treated the person issues it, for an expected death at home you go to the community health service institution, and it is issued within one day
# Value HighGrade ATime and energyNo moneyIn passingNo willpower
If the person died in hospital, ask the institution that treated them for the certificate. If they died at home in the ordinary way, ask the community health centre or the township health centre for the area you live in. When the cause of death is clear, the certificate is issued within one day. The cancellation of the household registration, the cremation, the withdrawal of the housing provident fund, the payments under social insurance, the insurance claim and the inheritance all need it. Get several copies as soon as you have it.
Cost
No money.
Benefit
The Interim Standards for the Registration of Death Information (人口死亡信息登记管理规范(试行)) say that for a death inside a medical and health institution the certificate is 「负责救治的医疗卫生机构签发」 — issued by the institution that did the treating, so for a death in a hospital or a health centre you ask the one that treated the person. For an ordinary death at home or in another place it is 「由本辖区社区卫生服务机构或乡镇(街道)卫生院签发」 — issued by the community health service institution or the township (sub-district) health centre for the area. Where the police or a judicial authority judges the death to be unexpected, the police or judicial department handles it under the existing rules and procedures. A 2026 notice from five departments says that the death certificate 「纸质版与电子证照具有同等法律效力」 — the paper version and the electronic licence carry the same legal force, so the electronic one works exactly like the paper one. An ordinary death with a known cause must be issued within one day of the death. If the certificate is lost, you may apply once to the issuing institution for a replacement. If a basic detail is wrong, you may apply once, on the strength of your documents, for it to be issued again
Notes
The cancellation of the household registration, the cremation, the withdrawal of the housing provident fund, the payments under social insurance, the insurance claim and the inheritance all need it. Get it and make several copies at once, and ask for the electronic licence as well where one can be issued. You only get one chance of a replacement, so do not lose the original. If the name or the identity number is wrong, have it corrected on the spot, because finding it out when the inheritance is being processed means going round every counter again.
Sources · 2 sources
- Office of the National Health and Family Planning Commission (国家卫生计生委办公厅) (2014). Interim Standards for the Registration of Death Information, 人口死亡信息登记管理规范(试行)(国卫办规划发〔2014〕68 号,第九条). (forwarded by the Shenzhen Municipal Civil Affairs Bureau)mzj.sz.gov.cn/szmz/pc/zwgk/jcxxgk/zcfg/byfw/content/post_2952215.html
- National Health Commission (国家卫生健康委), Ministry of Public Security (公安部), Ministry of Civil Affairs (民政部), National Administration of Traditional Chinese Medicine (国家中医药局), National Administration of Disease Control and Prevention (国家疾控局) (2026). Notice on Strengthening the Registration of Medical Death Certificates of Residents and the Management of Electronic Licences, 关于加强居民死亡医学证明信息登记和电子证照管理工作的通知(国卫规划发〔2026〕5 号). (forwarded by the Fujian Provincial Health Commission)wjw.fujian.gov.cn/xxgk/fgwj/gjwj/202602/t20260228_7102810.htm
3Collecting, storing and cremating the body can only be done by a funeral home, a hospital mortuary does not hold funerals, and storage is normally no more than 3 days
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Collecting the body, storing it, treating it, restoring its appearance and cremating it can only be done by a funeral home (殡仪馆). A hospital mortuary does not hold funerals; at most it lets you leave the body there for a short time. A funeral home normally keeps a body for no more than 3 days, and to keep it longer you have to go and extend it. Cremation needs the death certificate and the cremation confirmation form. The cremation certificate you are given afterwards is still needed for the inheritance and for the insurance claim.
Cost
No money.
Benefit
The Regulations on Funeral and Interment Administration (殡葬管理条例), Article twenty-five: 「遗体接运、存放、防腐、整容、火化服务,由殡仪馆专门负责提供」 — the services of collecting, storing, treating, restoring and cremating the body are provided by the funeral home alone, and nobody else can do them. Article twenty-four: 「医疗卫生机构的太平间不得外包,不得开展殡仪服务,可以为遗体暂时停放提供便利服务」 — a hospital mortuary may not be outsourced and may not provide funeral services, and it may only make it convenient for a body to be kept there temporarily. Article twenty-seven: 「殡仪馆存放遗体一般不超过 3 日,需要延期存放的,丧属或者遗体移交方应当在殡仪馆办理延期存放手续」 — a funeral home normally keeps a body for no more than 3 days, and where longer storage is needed, the relatives or the party handing over the body must go to the funeral home and complete the extension formalities. Article twenty-eight: 「殡仪馆应当凭死亡证明和火化确认书火化遗体,并出具火化证明」 — the funeral home cremates the body on the strength of the death certificate and the cremation confirmation form, and issues a cremation certificate. You need both documents, and after the cremation you are given a cremation certificate. Article twenty-nine: 「在实行火葬的地区,遗体应当就地、就近在殡仪馆火化」 — in an area where cremation applies, the body is cremated at a funeral home in the place where the person died, or the nearest one
Notes
A 「one-stop service」 that turns up after someone dies in hospital is usually not from the funeral home. The collection itself is a basic item and it has a published price, see item 6 in this section (the list of basic items). Keep the cremation certificate safe; you need it for the inheritance, the insurance and moving the ashes. Whether the area you live in applies cremation or burial is fixed by the provincial government. The funeral customs of ethnic minorities are protected by Article 9 of the regulations. Where a body that should be cremated is buried instead, or is buried and a grave built outside a cemetery or an eco-burial area, the civil affairs department orders it corrected within a set period (that is, put it back the way the rule says).
Sources
State Council (国务院) (2026). Regulations on Funeral and Interment Administration, 殡葬管理条例(国务院令第 824 号,自 2026 年 3 月 30 日起施行,第八、九、二十四、二十五、二十七、二十八、二十九条).
www.gov.cn/zhengce/zhengceku/202601/content_7054169.htm4If you dispute the cause of death, ask for the autopsy within 48 hours and have the medical records sealed at the same time
# Value HighGrade AMoneyNo moneyIn passingSome willpower
If you have a question about the cause of death, you have to ask for the autopsy within 48 hours of the death. Where the hospital can store the body frozen, the time can be extended to 7 days. An autopsy also needs the signature of a close relative. Without that signature, or if you let the time run out, the responsibility for not establishing the cause of death falls on whoever delayed. When you ask for the autopsy, ask at the same time that the medical records be sealed. Once the body is cremated, no autopsy is possible any more.
Cost
No money. The hard part is remembering to ask at that moment.
Benefit
The time limit for the autopsy is in the Regulations on the Prevention and Handling of Medical Disputes (医疗纠纷预防和处理条例), Article twenty-six. The text is: 「患者死亡,医患双方对死因有异议的,应当在患者死亡后 48 小时内进行尸检;具备尸体冻存条件的,可以延长至 7 日」 — where the patient dies and the two parties disagree about the cause of death, the autopsy must be carried out within 48 hours of the death, and where the body can be kept frozen it may be extended to 7 days. So if you want the cause of death established, the autopsy has to happen within 48 hours of the death, and where the hospital has freezing conditions it goes to 7 days at most. The same article also says: 「尸检应当经死者近亲属同意并签字,拒绝签字的,视为死者近亲属不同意进行尸检」 — the autopsy requires the consent and the signature of a close relative of the dead person, and a refusal to sign counts as a refusal. If the family does not sign, it counts as a refusal. It also says: 「不同意或者拖延尸检,超过规定时间,影响对死因判定的,由不同意或者拖延的一方承担责任」 — whoever refuses or delays the autopsy past the time limit and thereby affects the finding on the cause of death bears the responsibility. Whoever refuses, and whoever delays past the deadline, is the party that bears the responsibility for a cause of death that cannot be established later. Article twenty-four: sealing and unsealing the medical records 「应当在医患双方在场的情况下进行」 — must be done with both parties present. You and the hospital both have to be there when the records are sealed and when the seal is broken
Notes
Saying afterwards that something felt wrong from the start puts the responsibility on the party that delayed. Once the body is cremated there is no autopsy to be had, so this has to be settled before you get in touch with the funeral home. How the records are sealed is in section 24.
Sources
State Council (国务院) (2018). Regulations on the Prevention and Handling of Medical Disputes, 医疗纠纷预防和处理条例(国务院令第 701 号,第二十四、二十六条).
www.gov.cn/zhengce/content/2018-08/31/content_5318057.htm5Cancelling the household registration has a statutory deadline: in a city before the burial, in the countryside within one month
# Value ModerateGrade ATime and energyNo moneyIn passingNo willpower
In a city the registration is cancelled before the burial; in the countryside within one month. Take the death certificate and the household register to the police station. If you leave it undone, the transfer of inherited property, the payments you are entitled to and the repayment of the pension all get stuck on the household registration status.
Cost
No money. Take the death certificate and the household register and go to the police station once.
Benefit
The Regulations on the Registration of Households (户口登记条例), Article eight, paragraph one: 「公民死亡,城市在葬前,农村在一个月以内,由户主、亲属、抚养人或者邻居向户口登记机关申报死亡登记,注销户口。公民如果在暂住地死亡,由暂住地户口登记机关通知常住地户口登记机关注销户口」 — the meaning is: in a city it is done before the burial, in the countryside within one month. The head of household, a relative, a guardian or a neighbour may all go to the registration authority (the police station) to report the death and cancel the registration. Where a person dies while staying away from home, the police station where they were staying notify the police station of the registered residence, and the registration is cancelled there
Notes
While the registration is still open, the transfer of inherited property, the payments you are entitled to and the repayment of the pension all stick, because every one of those counters looks at the registration status. If the pension keeps being paid, that is someone receiving it wrongly and it will have to be handed back eventually. While you are at the police station, ask as well: how the social insurance and the medical insurance payments are stopped, and how the funeral subsidy is claimed. Those payments are in item 9 in this section (the provident fund balance and the payments under social insurance).
Sources
Standing Committee of the National People's Congress (全国人大常委会) (1958). Regulations on the Registration of Households, 中华人民共和国户口登记条例(第八条). (posted on the Guangdong Provincial Government portal)
www.gd.gov.cn/zwgk/wjk/zcfgk/content/mpost_2531969.html6Funeral services are split into basic items and non-basic items, there is a list of the basic items, and the charges are set by law
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Collecting the body, storing the body, the farewell ceremony, the cremation, the storage of the ashes and eco-burial are all on the national list of basic items. Ash-niche burial provided by a public institution is on the list as well. The price of these items is fixed by the rules. Outside the list you may not set up an item of your own and charge for it. Before you set off, ask which items count as basic items and what the local standard is, and only then talk about the rest.
Cost
No money. Spend a few minutes looking at the list before you set off.
Benefit
Collecting the body, storing the body, saying farewell over the body, cremating the body, storing the ashes and eco-burial are all on the national list of basic items. Ash-niche burial provided by a funeral service institution run by the government is on the list as well. The charges for these items are set by law, the price is fixed by the rules and it is not for the funeral home to decide. The list of non-basic items is drawn up by the civil affairs department of a city or above (the civil affairs department at prefecture level and above)
Notes
A province, an autonomous region or a municipality may add items on top of the national list. Ask first which items count as basic items and what the local charge is, and only then talk about the rest. The price of an item on the list is fixed by the rules; the items off the list are yours to choose. Tell the two kinds apart and only then do you have anything to say about the part you have been overcharged. There is nothing wrong with giving someone a decent send-off, and no one is telling you to make do cheaply; where the money goes is your own decision.
Sources
State Council (国务院) (2026). Regulations on Funeral and Interment Administration, 殡葬管理条例(国务院令第 824 号,2025 年 11 月 14 日国务院第 72 次常务会议修订通过,「自2026年3月30日起施行」). 第五条:「殡葬服务分为基础项目和非基础项目,收费政策由国务院发展改革部门、财政部门会同国务院民政等部门制定。」「国家制定殡葬服务基础项目清单,将遗体接运、遗体存放、遗体告别、遗体火化、骨灰寄存、生态安葬以及政府举办的殡葬服务机构提供的骨灰格位安葬等纳入清单范围」;第五十条「殡葬服务实行清单化管理并动态调整,禁止在清单之外设立项目、收取费用。」
www.gov.cn/zhengce/zhengceku/202601/content_7054169.htm7If you are sold a bundle you did not ask for, charged above the posted price, or charged several times for one item split into several, write it down and complain
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
All of these are price violations the regulations name: not displaying a price list, adding money on top of the posted price, tying the sale of funeral goods to the service, and making you accept another provider's paid service. Splitting one item into several and charging for each is a hidden price rise as well. Ask for the price list on the spot, and keep the receipts and the messages. Complaining afterwards is still in time. For prices go to the market regulation authorities, for the funeral service itself go to the civil affairs department.
Cost
No money. The hard part is still standing your ground at that moment.
Benefit
The regulations list five kinds of price violation, and four of them are set out here. Not displaying a price list, and taking more money than the posted price, are a failure to mark prices clearly or an addition to the posted price. Not being allowed to have one thing unless you buy another is a tying arrangement, or the compulsory sale of goods by attaching unreasonable conditions. Having another provider's paid service pushed on you is the compulsory or disguised compulsory acceptance of a paid service from a third party. Taking more money under another name is a disguised increase of the charge standard. The regulations also forbid 「分解项目、扩大范围收费等形式变相提高收费标准」 — disguised increases of the charge standard by splitting items, widening the scope of the charge, and the like. Splitting one service into several and charging for them separately, or pushing the scope of the charge outwards, is among the forbidden things
Notes
Price violations are dealt with by the market regulation authorities, and the funeral service itself by the civil affairs department. Ask for a price list on the spot, keep the receipts and the messages, and complaining afterwards is still in time.
Sources
State Council (国务院) (2026). Regulations on Funeral and Interment Administration, 殡葬管理条例(国务院令第 824 号,2025 年 11 月 14 日国务院第 72 次常务会议修订通过,「自2026年3月30日起施行」). 第四十二条:「殡葬服务机构不得违反有关规定擅自设立收费项目,或者采取分解项目、扩大范围收费等形式变相提高收费标准。」第四十三条列举的价格违法行为含「(一)不按规定明码标价,或者在标价之外加价或者收取未标明的费用」「(三)采取捆绑、附加不合理条件或者不合理限制等方式,强制或者变相强制销售丧葬用品、提供殡葬相关服务并收取费用」「(四)强制或者变相强制丧属接受第三方的有偿服务,或者利用相关服务网点重复收取费用」;第五十一条要求民政部门与政务服务便民热线建立信息共享监督机制,「对丧属反映的殡葬服务问题,应当会同有关部门及时予以处理并将处理结果告知丧属」
www.gov.cn/zhengce/zhengceku/202601/content_7054169.htm8Funeral agents, agents who buy the goods, planners and hosts of the ceremony: intermediaries like these must file with the county civil affairs department
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Intermediaries in funeral agency, in buying the goods, in planning and hosting the ceremony and in giving information all have to file with the civil affairs department (民政部门) of the county. An intermediary that has not filed does not get into the funeral services information system run by the civil affairs department. Whether you can look it up yourself varies from place to place, and the surest way is to telephone the county civil affairs department. Anyone who uses deception to charge fees, or who sells on the information of the dead, will be dealt with under the law.
Cost
No money. One question is enough: has it filed?
Benefit
An intermediary that has not filed is not in the funeral services information system under the civil affairs department. Anyone who charges fees in breach of the rules by deceptive means, encourages extravagant and wasteful funerals, forces people to accept services, or sells on the information of the dead will be dealt with under the law, will be flagged in the system, and will be published for the public to see
Notes
Selling on the information of the dead is the commonest trap in this trade. If a pile of sales calls arrives the moment the paperwork is done, the information has almost certainly been sold on. Online memorial platforms are covered by the same rule. Article 45 of the regulations forbids them from pushing consumption, and forbids them from handling the information of the dead in breach of the law.
Sources
State Council (国务院) (2026). Regulations on Funeral and Interment Administration, 殡葬管理条例(国务院令第 824 号,2025 年 11 月 14 日国务院第 72 次常务会议修订通过,「自2026年3月30日起施行」). 第四十一条:「除殡葬服务机构外,从事殡葬服务代理、用品代购、策划主持、信息咨询等殡葬相关服务活动的组织和个人,应当向县级人民政府民政部门备案。」「对存在以欺骗等手段违规收费、诱导大操大办、强迫接受服务、倒卖逝者信息等损害丧属权益行为的依法处置,并在殡葬服务信息系统中进行标注,向社会公开。」
www.gov.cn/zhengce/zhengceku/202601/content_7054169.htm9The money sitting in different places has to be collected one at a time: the provident fund balance, the payments under social insurance, the payments for a work injury
# Value HighGrade AMoneyNo moneyA few hoursNo willpower
An heir can withdraw the balance in the housing provident fund, it does not sit in a bank account, and it is the one most easily forgotten. What is left in the personal account under the old-age insurance can also be inherited. Where a person dies of illness, the family receives a funeral subsidy and a survivor's pension of 3 to 24 months as separate payments. Where a person dies as a result of a work injury, there are the three payments under the work injury rules as well.
Cost
No money, but you have to visit several counters. Before you go, prepare the death certificate and the proof of the relationship.
Benefit
The balance in a housing provident fund account (what is left in that person's provident fund account) may be withdrawn by the heirs or by a legatee under the will. A legatee under the will is the person written into the will to leave the money to. Where a person dies as a result of a work injury, there are three further payments: the funeral subsidy, the pension for dependants and the one-off payment for a death from a work injury. The Social Insurance Law states that what is left in the personal account under the old-age insurance may be inherited. Where a person who took out the employee old-age insurance dies of illness or of something other than a work injury, the family can receive the funeral subsidy and the survivor's pension, which together are called the survivor benefits. For enterprise employees the standard follows one formula for the whole country. The funeral subsidy is 2 times the average monthly disposable income of urban residents in the province in the previous year. The survivor's pension is based on that monthly income and is paid for 3 to 24 months according to the years you have contributed: under 5 years, 3 months; 5 to 10 years, 6 months; 10 to 15 years, 9 months; over 15 years, 1 month more for every extra year, up to 24 months. For someone already retired, every year of pension already drawn reduces it by 1 month, down to a minimum of 9 months
Notes
The provident fund is the one most often forgotten, because it is not in a bank account and it does not flow automatically into the distribution of the estate. What is left in the personal account under the old-age insurance and the survivor benefits are worked out and paid separately, so you go to the social insurance counter of the place where the person was insured and deal with both at once. What each place asks for is different. Where the contributions come to under 5 years, the survivor benefits together come to no more than what the person paid in. This formula comes from the rules for the old-age insurance of enterprise employees; for the survivor benefits under the insurance for public institutions and for urban and rural residents, ask at the counter. The formal requirements for a will and for an inheritance are in section 17.
Sources
State Council (国务院) (2026). Regulations on the Housing Provident Fund, 住房公积金管理条例(国务院令第 844 号修改,2026 年 9 月 20 日起施行)第二十四条末款. :「职工死亡或者被宣告死亡的,职工的继承人、受遗赠人可以提取职工住房公积金账户内的存储余额;无继承人也无受遗赠人的,职工住房公积金账户内的存储余额纳入住房公积金的增值收益。」;the three payments under the Regulations on Work Injury Insurance, see
section 19. ;Standing Committee of the National People's Congress (全国人大常委会) (2018 修正). Social Insurance Law, 社会保险法(第十四、十七条):「个人死亡的,个人账户余额可以继承」「参加基本养老保险的个人,因病或者非因工死亡的,其遗属可以领取丧葬补助金和抚恤金」. (National Database of Laws and Regulations);Ministry of Human Resources and Social Security (人力资源社会保障部) and Ministry of Finance (财政部) (2021). Interim Measures on the Survivor Benefits of Enterprise Employees under the Basic Old-Age Insurance for Employees, 企业职工基本养老保险遗属待遇暂行办法(人社部发〔2021〕18 号,2021 年 9 月 1 日起施行,第四、五条),the original is not posted online, and the articles were checked word for word against the quotation in the administrative reconsideration decision of the People's Government of Huadu District, Guangzhou (花都府行复〔2022〕226 号):「丧葬补助金的标准,按照参保人员死亡时本省……上一年度城镇居民月人均可支配收入的2倍计算」「缴费年限不满5年的,发放月数为3个月……缴费年限30年以上的,按照30年计算,发放月数最高为24个月」. ;Fujian Provincial Department of Human Resources and Social Security (福建省人力资源和社会保障厅). Frequently asked questions:「每领取1年基本养老金减少1个月,发放月数最低为9个月」「累计缴费年限不足5年的,其遗属待遇(含丧葬补助金和抚恤金)标准不得超过其个人缴费之和」.
www.gov.cn/gongbao/2026/issue_12946/202608/content_7079363.htmlwww.gov.cn/gongbao/content/2011/content_1778064.htmflk.npc.gov.cn/detail?id=ff8080816f135f46016f210989b9179awww.huadu.gov.cn/xxgk/xzfy/content/post_8672730.htmlrst.fujian.gov.cn/wz/cjwt/czzgly/202311/t20231113_6294929.htm10The deceased's accounts and personal information: close relatives may ask to look at them, take a copy, have them corrected, or have them deleted
# Value ModerateGrade APersonal freedomNo moneyIn passingSome willpower
After someone dies, close relatives may, for their own lawful and proper interests, ask the platform to let them look at the deceased's personal information, take a copy, correct it or delete it. If the platform refuses, it has to give its reasons. You can also take the case to court. There is one exception: where the person arranged something in advance, for example by naming an account successor or leaving a clear statement of wishes, his arrangement is followed.
Cost
No money. You only need to report to the authorities or sue if the platform refuses to cooperate.
Benefit
The law says plainly: where a natural person dies, close relatives, for their own lawful and proper interests, may exercise the rights set out in that chapter to look at, take a copy of, correct and delete the deceased's relevant personal information. Close relatives may ask the platform to let them see the information, take a copy, put right the errors and delete it
Notes
The article has one clause, 「死者生前另有安排的除外」 — where the person made arrangements during his lifetime, either by naming an account successor or by leaving a clear statement of wishes, you follow what he left behind. So while the person is still lucid it is worth writing down where the accounts and the passwords are to go, see section 17. Cancelling an account and deleting personal information are two different things, see section 14.
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2021). Personal Information Protection Law, 个人信息保护法. 中国人大网. 第四十九条:「自然人死亡的,其近亲属为了自身的合法、正当利益,可以对死者的相关个人信息行使本章规定的查阅、复制、更正、删除等权利;死者生前另有安排的除外。」;第五十条「个人信息处理者应当建立便捷的个人行使权利的申请受理和处理机制。拒绝个人行使权利的请求的,应当说明理由」「个人可以依法向人民法院提起诉讼」
www.npc.gov.cn/npc/c2/c30834/202108/t20210820_313088.html26. Running a website or platform: licences, filings, servers
11 / 11You want to build a website or an app. This section answers four questions: what kind of business it is in law, which licence you need, where the servers sit, and who is answerable for what users post and for the money taken in. The measures are personal freedom and money. The items come in this order: first the ones that mean prison, then the ones that need a licence before you start, then what the platform has to do every day, and last the experience behind choosing a server, which can give you a judgement but no figures. If you are a technical employee working for somebody else, the red lines are in section 11. How a company is registered and how the tax is filed are in section 12, and they are not repeated here. The table comparing the licences and the decision table for choosing a server are in docs/做平台要办哪些证.md.
1The platform should not take the buyer's money and pass it on to the seller; let the money go straight through a licensed payment institution
# Value HighGrade APersonal freedomNo moneyA few hoursNo willpower
If the buyer's money comes into your account first and you pass it on to the seller, you are doing payment business. That business needs the approval of the People's Bank of China, and it needs 100 million yuan of paid-in capital to be shown for real. Do it without the approval and you are shut down, the money you took is confiscated and you are fined on top of that, with the boss and the person handling it fined separately. In the serious cases there is a prison sentence as well. There is only one safe way: the money must not come into your account.
Cost
No money. It takes some time to connect the product of a licensed payment institution. A licensed payment institution is a company that has a payment licence from the central bank. With its split-settlement or guaranteed-transaction function, the buyer's money goes straight to the seller and never touches the platform's own account
Benefit
The payment business the regulations describe is 「根据收款人或者付款人提交的电子支付指令转移货币资金」 — transferring money according to the electronic payment instruction submitted by the payee or the payer. In plain terms, it means moving money for somebody else on somebody else's instruction. To do that business a company 「应当经中国人民银行批准,取得支付业务许可」 — must be approved by the People's Bank of China and hold a payment business licence. The registered capital is at least 100 million yuan and it must be paid in cash: that 100 million yuan has to go into the company's account in real money. 「未经依法批准,擅自设立非银行支付机构、从事或者变相从事支付业务的,由中国人民银行依法予以取缔,没收违法所得」 — anyone who, without approval as required by law, sets up a non-bank payment institution, or engages in or takes on payment business without it, is shut down by the People's Bank of China and has the illegal gains confiscated. Anyone who does this without the approval is shut down at once and the money they took is taken away. Where the illegal gains are 500,000 yuan or more, there is a further fine of 1 to 5 times the illegal gains. Where there are no illegal gains, or fewer than 500,000 yuan, the fine is 500,000 to 2 million yuan. The legal representative and the person directly responsible are fined 100,000 to 500,000 yuan each. The Criminal Law also counts 「非法从事资金支付结算业务」 — carrying out fund payment and settlement business without a licence — as operating without a licence. Where the circumstances are serious it carries 5 years or less, and in the especially serious cases 5 years or more. What counts as serious is drawn in the interpretation of the Supreme People's Court (最高人民法院) and the Supreme People's Procuratorate (最高人民检察院). The line is 5 million yuan or more in the value of the illegal business, or 100,000 yuan or more in illegal gains (nationwide, from May 2024)
Notes
Designing the money so that it never comes into your account is the only safe way. The trade calls this kind of collection-and-payment-on-behalf 「secondary clearing」, but the word is not in any official document. The detailed rules use the wording 「变相从事支付业务」 — taking on payment business in a disguised way, that is, moving money for others on the user's instruction without the approval. The interpretation of the Supreme People's Court (最高人民法院) and the Supreme People's Procuratorate (最高人民检察院) lists only three situations: cashing out through fabricated transactions, cashing out through a company account, and cashing out through cheques. It does not name a platform collecting and paying on behalf of others, so one cannot say that a platform doing that 「certainly amounts to a crime」
Sources · 4 sources
- State Council (国务院) (2023). Regulations on the Supervision and Administration of Non-Bank Payment Institutions, 非银行支付机构监督管理条例(国务院令第 768 号,第二、六、八、二十七、四十七条). www.gov.cn/gongbao/2024/issue_11086/202401/content_6924970.html
- People's Bank of China (中国人民银行) (2024). Detailed Rules for the Implementation of the Regulations on the Supervision and Administration of Non-Bank Payment Institutions, 非银行支付机构监督管理条例实施细则(中国人民银行令〔2024〕第 4 号,第六十八条). www.gov.cn/gongbao/2024/issue_11546/202408/content_6970979.html
- National People's Congress (全国人大) (1997). Criminal Law, 刑法(第二百二十五条第三项). www.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml
- Supreme People's Court (最高人民法院) and Supreme People's Procuratorate (最高人民检察院) (2019). Interpretation on Several Issues Concerning the Application of Law in Handling Criminal Cases of Illegal Fund Payment and Settlement Services and Illegal Foreign Exchange Trading, 关于办理非法从事资金支付结算业务、非法买卖外汇刑事案件适用法律若干问题的解释(第一、三、四条). www.spp.gov.cn/xwfbh/wsfbt/201901/t20190131_407161.shtml
2A website that charges money needs a licence, matching transactions is a different licence, and a free site only needs a filing
# Value ModerateGrade APersonal freedomA fair amount of moneyEvery dayNo willpower
A website that charges its users has to get the Value-Added Telecommunications Business Licence first. That licence is only issued to companies; an individual cannot get it. A website that does not charge only has to file, and the filing is free. Open a site and charge money without the licence and the income is confiscated and you are fined, and in the serious cases the site is closed. Whether your platform falls into the class that matches buyers with sellers is not decided for you in this item, and the reason is in the notes.
Cost
The filing costs nothing. The Value-Added Telecommunications Business Licence (增值电信业务经营许可证) costs money, and it decides 「向用户收钱的网站能不能开」 — whether a website that charges its users is allowed to open. To get that licence you need a company first. A business operating only inside one province needs registered capital of at least 1 million yuan. A business operating across provinces needs at least 10 million yuan. The review takes 60 days, and the licence is valid for 5 years
Benefit
The regulations say 「国家对经营性互联网信息服务实行许可制度;对非经营性互联网信息服务实行备案制度。未取得许可或者未履行备案手续的,不得从事互联网信息服务」 — the state runs a licensing system for commercial internet information services and a filing system for non-commercial ones, and without the licence or without the filing you may not carry on internet information services at all. A site that charges has to get the licence first; a site that does not charge has to file first; with neither, you may not open. What counts as commercial? The regulations call it 「通过互联网向上网用户有偿提供信息或者网页制作等服务活动」 — providing information or web page production to internet users for money. In simple terms, it means charging the users. The class that matches transactions is online data processing and transaction processing, abbreviated in the trade as EDI. The regulations define it as 「利用各种与公用通信网或互联网相连的数据与交易/事务处理应用平台,通过公用通信网或互联网为用户提供在线数据处理和交易/事务处理的业务」. It also 「包括交易处理业务、电子数据交换业务和网络/电子设备数据处理业务」. In other words, a website that processes data online for users, or that matches and processes transactions between buyers and sellers. Operating without the licence, or operating beyond the scope of the licence, means the illegal gains are confiscated and a fine of 3 to 5 times the illegal gains is imposed. Operating beyond the scope means holding the licence and doing things that go beyond what it says. Where there are no illegal gains, or fewer than 50,000 yuan, the fine is 100,000 to 1 million yuan. Where the circumstances are serious, the website is ordered closed (nationwide)
Notes
Whether what you are doing is in the EDI class is for you to work out by matching the definition in the Catalogue of Telecommunications Business (《电信业务分类目录》). No official document says in so many words that an e-commerce platform with matching and fund handling must hold an EDI licence. The service guide of the Ministry of Industry and Information Technology (工业和信息化部) only says 「按照业务界定申请相应的电信业务经营许可」 — apply for the telecommunications business licence that matches how the business is defined. So whether you need one has to be judged from the definition yourself. One more thing: an individual cannot get this licence; the applicant has to be a company established in accordance with the law
Sources · 4 sources
- State Council (国务院) (2000). Measures for the Administration of Internet Information Services, 互联网信息服务管理办法(国务院令第 292 号,2024 年 12 月 6 日第二次修订,第三、四、七、十九条). www.gov.cn/gongbao/content/2011/content_1860864.htm
- State Council (国务院) (2024). Decision on Amending and Repealing Certain Administrative Regulations, 关于修改和废止部分行政法规的决定(国务院令第 797 号,第十八项). www.gov.cn/gongbao/2025/issue_11786/202501/content_6997034.html
- State Council (国务院) (2000). Regulations on Telecommunications, 电信条例(2016 年第二次修订,第七、九、十三、六十九条). www.gov.cn/gongbao/content/2016/content_5139478.htm
- Ministry of Industry and Information Technology (工业和信息化部) (2017). Measures for the Administration of Licences for the Conduct of Telecommunications Business, 电信业务经营许可管理办法(工信部令第 42 号,第六、九、十一、十四条). www.gov.cn/gongbao/content/2017/content_5240090.htm
3Streaming needs the Internet Culture Business Licence, and the licence for audio-visual programmes is basically out of reach for a private company
# Value ModerateGrade APersonal freedomA fair amount of moneyEvery dayNo willpower
Livestreaming and game commentary need the Internet Culture Business Licence from the provincial cultural department. Online performance has to be written into the scope of business on the licence. A result comes within 20 days of the application, and the licence lasts 3 years. You have to keep the videos you have streamed for at least 60 days yourself. Open up without the licence and you are told to stop and warned, then fined up to 30,000 yuan, and if you do not stop you go on a blacklist.
Cost
The Internet Culture Business Licence (网络文化经营许可证), called the web culture licence in short, decides 「能不能靠直播、游戏解说这类网络表演赚钱」 — whether you may earn money from online performances such as livestreaming or game commentary. It is approved by the provincial cultural administrative department, which must give a result within 20 days of accepting the application, and it is valid for 3 years, with the renewal filed 30 days before it expires. The Audio-Visual Programme Licence (视听节目许可) decides 「能不能在网上放节目」 — whether you may put programmes online, and it requires the applicant to be a wholly state-owned or a state-controlled entity
Benefit
A unit doing online performance has to get the licence first. The regulations say 「应当根据《互联网文化管理暂行规定》,向省级文化行政部门申请取得《网络文化经营许可证》,许可证的经营范围应当明确包括网络表演」. Playing games in front of an audience and commenting on them are managed on the same footing, and the regulations say 「参照本办法进行管理」. Video material of all online performances 「保存时间不得少于60日」 — must be kept for no less than 60 days, so you keep the videos you have streamed yourself for the full 60 days. Doing commercial internet culture business without approval gets an order to stop and a warning, then a fine of up to 30,000 yuan. Anyone told to stop and who goes on is put on the cultural market blacklist. Putting programmes online is a different licence: 「应当取得《信息网络传播视听节目许可证》」. The applicant 「具备法人资格,为国有独资或国有控股单位」 — must have the status of a legal person and be a wholly state-owned or a state-controlled entity, so it has to be a unit wholly owned or controlled by the state, and a private company basically cannot get it. Anyone who does it without the licence is warned and ordered to put it right, and may be fined up to 30,000 yuan. Where the circumstances are serious it is punished under the Regulations on the Administration of Broadcasting and Television (广播电视管理条例) (nationwide)
Notes
Which business goes with which licence is set out most clearly in the document of the seven departments. A platform that earns money from livestreaming needs the web culture licence plus the
ICP filing, and the
ICP filing is the registration the website does with the Ministry of Industry and Information Technology (工业和信息化部). Putting programmes online needs either the audio-visual programme licence or the completed registration. Publishing news needs the Internet News Information Service Licence. One more thing: the Interim Provisions on the Administration of Internet Culture (互联网文化管理暂行规定) reprinted on the government website in 2025 are the unrevised 2011 text, so quote the version currently in force from the Ministry of Culture and Tourism (文化和旅游部)
Sources · 4 sources
- Ministry of Culture (文化部) (2016). Measures for the Administration of the Business of Online Performance, 网络表演经营活动管理办法(文市发〔2016〕33 号,第二、四、六、十三、二十条). zwgk.mct.gov.cn/zfxxgkml/scgl/202012/t20201206_918194.html
- Ministry of Culture (文化部) (2011). Interim Provisions on the Administration of Internet Culture, 互联网文化管理暂行规定(文化部令第 51 号,2017 年经文化部令第 57 号修订,第七、八、九、十六、二十一、二十八条). zwgk.mct.gov.cn/zfxxgkml/zcfg/bmgz/202012/t20201204_905340.html
- National Radio and Television Administration (广电总局) and Ministry of Information Industry (信息产业部) (2007). Provisions on the Administration of Internet Audio-Visual Programme Services, 互联网视听节目服务管理规定(第 56 号令,2015 年修订,第二、七、八、二十四条). www.gov.cn/zhengce/2022-08/23/content_5722664.htm
- Cyberspace Administration of China (国家网信办) and six other departments (2021). Guiding Opinions on Strengthening the Standardised Management of Online Livestreaming, 关于加强网络直播规范管理工作的指导意见(国信办发文〔2021〕3 号,第 9 项). www.gov.cn/zhengce/zhengceku/2021-02/10/content_5586472.htm
4A server inside China needs a filing, and the access provider must itself hold the value-added telecommunications licence
# Value ModerateGrade APersonal freedomNo moneyA few hoursNo willpower
A server inside China has to be filed before the site opens. The filing is free and goes in with the server at the provider, and it generally takes a few days to a few weeks. Without the filing you are ordered to put it right within a set period and fined 10,000 yuan, and if you do not put it right the site is closed. Not putting the filing number on the home page is a further fine of 5,000 to 50,000 yuan.
Cost
The filing costs nothing. It is submitted together with the server at the provider, and it usually takes a few days to a few weeks. Ten minutes is enough to check once whether a provider is qualified
Benefit
The regulations say 「未经备案,不得在中华人民共和国境内从事非经营性互联网信息服务」 — without a filing you may not carry out non-commercial internet information services inside the People's Republic of China. A website that does not charge its users still has to file first if it sits inside China. A site with no filing is ordered to put it right within a set period and is fined 10,000 yuan. Anyone who refuses to put it right has the site closed. The provider who connects your server to the network is covered too: it 「不得为未经备案的组织或者个人从事非经营性互联网信息服务提供互联网接入服务」. A provider that takes the money for you is covered in the same way. Such a provider 「不得为未依法取得经营许可证或者履行非经营性互联网信息服务备案手续的单位或者个人提供接入或者代收费等服务」. The meaning is that a proper provider may not take on a site that has neither the licence nor the filing. Then there are the two services the regulations call internet data centre business, which is colocation and cloud hosting, and internet access service business, which is broadband access. Both need a licence in their own right, so the provider must hold a licence first. A website whose home page does not show the filing number is ordered to put it right and fined 5,000 to 50,000 yuan (nationwide)
Notes
Check whether the provider holds a licence before you talk about the price. To check a licence, use the MIIT integrated telecommunications business market management information system, tsm.miit.gov.cn, and search by the full name of the company or by the licence number. To check a website filing, use beian.miit.gov.cn. A 「data centre」 without the matching licence leaves you not knowing even who to appeal to on the day it fails. Putting the machine outside China does get round the filing. But where the users are in China and the money is in China, not one of the obligations written in items 5 to 10 in this section goes away, and you add the cost of sending data out of the country.
Sources · 3 sources
- Ministry of Information Industry (信息产业部) (2005). Measures for the Filing of Non-Commercial Internet Information Services, 非经营性互联网信息服务备案管理办法(信产部令第 33 号,2024 年经工信部令第 68 号修订,第五、十三、十八、二十二条). www.miit.gov.cn/gyhxxhb/jgsj/cyzcyfgs/bmgz/xxtxl/art/2024/art_84a0cfa0ebd049bbbe751dca9a008e56.html
- Ministry of Industry and Information Technology (工业和信息化部) (2017). Measures for the Administration of Licences for the Conduct of Telecommunications Business, 电信业务经营许可管理办法(工信部令第 42 号,第二十、二十四条). www.gov.cn/gongbao/content/2017/content_5240090.htm
- Ministry of Industry and Information Technology (工业和信息化部) (2015). Catalogue of Telecommunications Business (2015 edition), 电信业务分类目录(2015 年版,B11、B14、B21、B25). www.miit.gov.cn/zwgk/zcwj/wjfb/tg/art/2020/art_e98406cd89844f7e92ea1bcf3b5301e0.html
5Let users sell on the platform and you have to verify, register, report the information and keep it for three years
# Value ModerateGrade APersonal freedomNo moneyEvery daySome willpower
If you let other people sell on your platform, you must first verify the seller's identity, address, contact details and licences, then register the seller and open a file. Once the file exists, you go back and check again at least once every six months. Who the seller is goes to the market regulation authorities, and the tax position goes to the tax authorities once a quarter. Keep the goods and the transaction records for three years. Miss one item and you are first ordered to put it right, and if you do not, the fine is 20,000 to 100,000 yuan.
Cost
No money. You have to verify the sellers' qualifications in the back office and build a registration file. Report the tax information once a quarter and keep the transaction data for three years. The hard part is that this goes on all year; it is not something you do once
Benefit
The law sets out a stretch of what the platform has to do. The words are 「应当要求申请进入平台销售商品或者提供服务的经营者提交其身份、地址、联系方式、行政许可等真实信息,进行核验、登记,建立登记档案,并定期核验更新」. Before a seller comes on the platform they hand over their identity, address, contact details and the licences they are supposed to hold. You check them, register them and open a file, and then after a while you have to go back and check again. How often is 「定期」 — regularly? The departmental rule is more exact: 「至少每六个月核验更新一次」 — at least once every six months. You also have to report the identity information of the sellers on the platform to the market regulation authorities. The tax authorities get a report too, in the words 「依照税收征收管理法律、行政法规的规定,向税务部门报送平台内经营者的身份信息和与纳税有关的信息」. So who the seller is goes to the market regulation authorities, and the seller's identity and tax position go to the tax authorities. Information on goods and services and information on transactions 「保存时间自交易完成之日起不少于三年」 — must be kept for no less than three years counting from the day the transaction is completed. If you fall short on any of the above, you are ordered to put it right within a set period. If you do not, the fine is 20,000 to 100,000 yuan. Where the circumstances are serious, you are ordered to suspend business for rectification and fined a further 100,000 to 500,000 yuan. The tax information has to be reported 「于季度终了的次月内」 — within the month following the end of the quarter. Missing that deadline carries the same fine (nationwide)
Notes
The seller has to register as a market entity as well. The law lists a few cases where you do not: 「个人销售自产农副产品、家庭手工业产品,个人利用自己的技能从事依法无须取得许可的便民劳务活动和零星小额交易活动」 — a person selling their own agricultural and sideline products or home handicrafts, and a person using their own skills in convenience service activities that need no licence under the law and in occasional small-value transactions. 「零星小额」 — occasional and small in value — has a fixed figure: Article 8 of the Measures for the Supervision of Online Trading sets it at an annual turnover of 100,000 yuan. On the platform side there are two more things to do: mark the registered sellers and the unregistered ones separately, and do not allow the ratings left by consumers to be deleted
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2018). E-Commerce Law, 电子商务法(第十、二十七、二十八、三十一、八十条). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf8af050b81
- State Administration for Market Regulation (市场监管总局) (2021). Measures for the Supervision of Online Trading, 网络交易监督管理办法(市场监管总局令第 37 号,第八、二十四、二十五、三十一条). www.gov.cn/gongbao/content/2021/content_5602020.htm
- State Council (国务院) (2025). Provisions on the Reporting of Tax-Related Information by Internet Platform Enterprises, 互联网平台企业涉税信息报送规定(国务院令第 810 号,第二、三、四、十条). www.gov.cn/gongbao/2025/issue_12146/202507/content_7030983.html
- State Taxation Administration (国家税务总局) (2025). Announcement on Matters Concerning the Reporting of Tax-Related Information by Internet Platform Enterprises, 关于互联网平台企业报送涉税信息有关事项的公告(税务总局公告 2025 年第 15 号). www.gov.cn/zhengce/zhengceku/202506/content_7029727.htm
6You are answerable for what users post: a review system, a reporting channel, and stop the transmission and report at once when you find something unlawful
# Value ModerateGrade APersonal freedomA little moneyEvery dayA lot of willpower
When something goes wrong with what a user has posted, the platform is answerable. You have to build this set of rules: registration, review of posts, review of comments, a daily sweep, and what to do when something goes wrong. Put the reporting channel somewhere the user can see at once. When you find unlawful information, stop the transmission at once, keep the records and report it to the authority in charge. If you do nothing, the fine is 50,000 to 500,000 yuan, and more in the serious cases.
Cost
Money is needed to pay people to do the reviewing, and it is the platform's largest ongoing expense. The reporting channel and a record of every action taken both have to be kept. The hard part is that somebody has to watch it every day; one day off and something can go wrong
Benefit
The regulations say the platform 「应当履行信息内容管理主体责任」 — must carry the main responsibility for the content, so what users post is the platform's own work to manage. What you have to set up is 「健全用户注册、账号管理、信息发布审核、跟帖评论审核、版面页面生态管理、实时巡查、应急处置和网络谣言、黑色产业链信息处置等制度」 — a system covering user registration, account management, the review of what is posted, the review of replies and comments, the management of the ecology of the pages and layouts, real-time patrolling, emergency handling, and the handling of online rumours and information about criminal supply chains. From registration, posting and comments to the daily sweep and the handling of an incident, every step needs a rule written down. You also 「应当在显著位置设置便捷的投诉举报入口」 — must put an easy complaint and reporting channel in a prominent position. When you find unlawful information you 「应当依法立即采取处置措施,保存有关记录,并向有关主管部门报告」. The Cybersecurity Law is more exact. The words are 「发现法律、行政法规禁止发布或者传输的信息的,应当立即停止传输该信息,采取消除等处置措施,防止信息扩散,保存有关记录,并向有关主管部门报告」. Anyone who fails to do this is ordered to put it right, is warned and is named in a public notice, and may be fined 50,000 to 500,000 yuan. Anyone who refuses to put it right, or where the circumstances are serious, is fined 500,000 to 2 million yuan, and may be ordered to suspend business for rectification, to close the website or the application, or to have the licence or the business licence revoked. The person directly responsible is fined 50,000 to 200,000 yuan (nationwide)
Notes
You do not have to think of the review rules yourself; copy them. The nine kinds of content that may not be posted are set out clearly in Article 15 of the Measures for the Administration of Internet Information Services. If you livestream there are three more things: you have to 「建立直播内容审核平台」 — set up a platform for reviewing the content of the stream, you have to be able to cut off a livestream that is running at any moment, which the article calls 「即时阻断」 — instant blocking, and you have to keep the content of the stream and the logs for 60 days. The video material of an online performance is likewise kept for no less than 60 days
Sources · 3 sources
- Cyberspace Administration of China (国家互联网信息办公室) (2019). Provisions on the Governance of the Ecology of Network Information Content, 网络信息内容生态治理规定(网信办令第 5 号,第八、九、十、十六、三十七条). www.cac.gov.cn/2019-12/20/c_1578375159509309.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Cybersecurity Law, 网络安全法(2025 年修正,2026 年 1 月 1 日施行,第四十九、六十九条). www.cac.gov.cn/2025-12/29/c_1768735112911946.htm
- State Council (国务院) (2000). Measures for the Administration of Internet Information Services, 互联网信息服务管理办法(第十五、十六、二十三条). www.gov.cn/gongbao/content/2011/content_1860864.htm
7If you provide information posting or instant messaging, you must require real identity information from users
# Value ModerateGrade APersonal freedomA little moneyA few hoursNo willpower
If your site lets people post, or lets them chat, you have to ask for the user's real identity when they take out the service. A user who does not give it may not be allowed to use it. The way to do it is to store the real name in the back office and let the user pick the nickname shown on the page; the phone number is enough for the check. If you do not take real names, you are first ordered to put it right. If you do not, the fine is 50,000 to 500,000 yuan, and the site may be closed.
Cost
Money is needed to connect a real-name verification channel, and these channels charge per check. Design the product on the principle of a real name in the back office and a free choice in the front: store the real name in the back office, show a nickname on the page
Benefit
The law says 「网络运营者为用户办理网络接入、域名注册服务,办理固定电话、移动电话等入网手续,或者为用户提供信息发布、即时通讯等服务,在与用户签订协议或者确认提供服务时,应当要求用户提供真实身份信息。用户不提供真实身份信息的,网络运营者不得为其提供相关服务」. If you did not ask for the real name, or the user gave none and you let them use the service anyway, you are ordered to put it right. If you refuse to put it right, or where the circumstances are serious, the fine is 50,000 to 500,000 yuan, and you may be ordered to suspend the relevant business, to suspend business for rectification, to close the website or the application, or to have the licence or the business licence revoked. The person directly responsible is fined 10,000 to 100,000 yuan. Livestreaming services follow the principle of a real name in the back office and a free choice in the front, with 「基于移动电话号码等方式的真实身份信息认证」 — verification of real identity information by means such as a mobile telephone number. The meaning is that the platform keeps the user's real name in the back office, the user decides the nickname shown on the page, and the check rests on a phone number or the like. Livestreaming and selling on livestreaming is stricter: 「基于身份证件信息、统一社会信用代码等真实身份信息认证」 — verification by real identity information such as identity document details and the unified social credit code. The unified social credit code is the string of characters on the business licence (nationwide)
Notes
The article numbers have moved. The Cybersecurity Law was amended in 2025 and comes into force on 2026-1-1. The clause on real names moved from Article 24 to Article 26, and the penalties moved from Article 61 to Article 64. The wording did not change. If the material in your hands still cites the old numbers, they have to be corrected
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2025). Cybersecurity Law, 网络安全法(2025 年修正,2026 年 1 月 1 日施行,第二十六、六十四条;2016 年文本为第二十四、六十一条). www.cac.gov.cn/2025-12/29/c_1768735112911946.htm
- Cyberspace Administration of China (国家互联网信息办公室) (2016). Provisions on the Administration of Internet Livestreaming Services, 互联网直播服务管理规定(第十二、十六条). www.cac.gov.cn/2016-11/04/c_1119847629.htm
- Cyberspace Administration of China (国家网信办) and six other departments (2021). Interim Measures for the Administration of Online Livestreaming Marketing, 网络直播营销管理办法(试行)(国信办发文〔2021〕5 号,第八条). www.gov.cn/zhengce/zhengceku/2021-04/23/content_5601682.htm
8Do not open livestreaming accounts for people under 16, and handle tipping money in bands by age
# Value ModerateGrade APersonal freedomNo moneyA few hoursNo willpower
A person under 16 cannot register a livestreaming account with you. Someone who has reached 16 must have their identity verified, and must have the consent of their parents or other guardian. Tipping money falls into three bands: under 8 no tipping at all; 8 to 16 needs the guardian's consent; over 16 needs the guardian's consent or a check of proof of income. Where a child tips money behind the back of the guardian and the guardian demands it back, the court rules that it is returned.
Cost
No money. Add one step at each of the two points, registration and payment: first check the age, then confirm that the guardian agreed
Benefit
The law says 「网络直播服务提供者不得为未满十六周岁的未成年人提供网络直播发布者账号注册服务;为年满十六周岁的未成年人提供网络直播发布者账号注册服务时,应当对其身份信息进行认证,并征得其父母或者其他监护人同意」. The regulations also require 「建立网络直播发布者真实身份信息动态核验机制」 — a mechanism for checking the real identity of the people who livestream, again at any time. They also require you to 「合理限制不同年龄阶段未成年人在使用其服务中的单次消费数额和单日累计消费数额」 — to set reasonable limits on a single payment and on the daily total for minors at each age band. Tipping now falls into three bands: 「不得向八周岁以下的未成年人提供打赏服务。向八周岁至十六周岁的未成年人提供打赏服务,应征得其监护人同意。向十六周岁以上的未成年人提供打赏服务,应征得其监护人同意或核验其收入证明材料」. There is one more clause: where a minor with limited capacity for civil conduct tips money without the guardian's consent and the guardian asks for the money back, the court supports it and the money can be recovered. A minor with limited capacity for civil conduct is one who cannot yet act entirely on their own in law (nationwide)
Notes
If a refund really is disputed, handle it in the direction that is best for the minor. The wording on this has changed. The opinions of the four departments in 2022 and the notice of the National Radio and Television Administration (广电总局) in 2020 both said that minors may not tip at all. The new notice of April 2026 changed it to bands at 8 and 16, but did not say that the earlier two documents are repealed, and the authorities have not said how the two fit together. So the sentence 「no minor may ever tip」 is no longer accurate.
Sources · 4 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Law on the Protection of Minors, 未成年人保护法(第七十四、七十六条). www.cac.gov.cn/2020-10/22/c_1604928959588622.htm
- State Council (国务院) (2023). Regulations on the Protection of Minors Online, 未成年人网络保护条例(国务院令第 766 号,第三十一、四十四条). www.gov.cn/gongbao/2023/issue_10806/202311/content_6913813.html
- General Office of the Cyberspace Administration of China (中央网信办秘书局) (2026). Notice on Strengthening the Standardised Management of Online Livestreaming Tipping, 关于加强网络直播打赏规范管理的通知(第 7 项). www.cac.gov.cn/2026-04/13/c_1777815804150225.htm
- Supreme People's Court (最高人民法院) (2020). Guiding Opinions on the Proper Handling of Civil Cases Related to the Novel Coronavirus Epidemic under the Law, 关于依法妥善审理涉新冠肺炎疫情民事案件若干问题的指导意见(二)(法发〔2020〕17 号,第九条). www.court.gov.cn/fabu/xiangqing/230181.html
9Handle an infringement notice in time, and if nothing follows within 15 days of passing on the counter-notice, put the content back
# Value ModerateGrade AMoneyNo moneyA few hoursNo willpower
When somebody sends you an infringement notice with preliminary evidence attached, you have to delete the material, block it or take the link down at once, and at the same time pass the notice to the seller. If you sit on it, you have to pay the extra part of the loss together with the seller. If the seller counters, you pass the counter-notice to the other side and wait 15 days. If they neither complain to an authority nor sue, you put the material back.
Cost
No money. You need a fixed process: receive the notice, pass it to the seller, take the seller's counter-notice, and publish the result. Keep a record at every step
Benefit
The rights holder 「有权通知电子商务平台经营者采取删除、屏蔽、断开链接、终止交易和服务等必要措施。通知应当包括构成侵权的初步证据」 — is entitled to tell the operator of the e-commerce platform to take the necessary measures, such as deleting, blocking, cutting the link, ending the transaction and ending the service, and the notice has to include preliminary evidence of the infringement. The rights holder is the owner of the trademark, the copyright or the patent. A sentence on its own is not enough; the preliminary evidence has to go with it. After the platform receives the notice, it 「应当及时采取必要措施,并将该通知转送平台内经营者;未及时采取必要措施的,对损害的扩大部分与平台内经营者承担连带责任」. If you sit on it, you share the liability with the seller for the extra part of the loss. After the seller has countered, the platform 「在转送声明到达知识产权权利人后十五日内,未收到权利人已经投诉或者起诉通知的,应当及时终止所采取的措施」 — once the counter-notice has reached the rights holder, if within 15 days no notice comes that the rights holder has complained to an authority or sued, the platform must end the measures it took at once. The meaning is that you pass the seller's counter-notice to the rights holder and wait 15 days. If they neither complain to an authority nor sue, you put back what you deleted or took down. A platform that knows or should know of an infringement and does nothing shares the liability with the infringer. The intellectual property authority can also order you to put it right within a set period; if you do not, the fine is 50,000 to 500,000 yuan, and where the circumstances are serious it is 500,000 to 2 million yuan. The other way round, 「恶意发出错误通知,造成平台内经营者损失的,加倍承担赔偿责任」 — anyone who maliciously sends a false notice and causes the seller a loss pays double the damages (nationwide)
Notes
If you are not an e-commerce platform but an ordinary website, the notice-and-takedown rules of the Civil Code apply. The difference is how long you have to wait after the other side counters: the E-Commerce Law gives a clear 15 days, while the Civil Code only says 「合理期限」 — a reasonable period. Publishing the notice you received, the seller's counter-notice and the result of your handling is an express requirement of Article 44 of the E-Commerce Law
Sources · 2 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2018). E-Commerce Law, 电子商务法(第四十二、四十三、四十四、四十五、八十四条). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf8af050b81
- National People's Congress (全国人大) (2020). Civil Code, 民法典(第一千一百九十五、一千一百九十六、一千一百九十七条). www.court.gov.cn/zixun/xiangqing/233181.html
10Do not put users' information outside the country in passing; transfers out of China have statutory conditions and a headcount threshold
# Value ModerateGrade APersonal freedomNo moneyA few hoursNo willpower
Sending information about users inside China to machines outside the country is what the law calls a transfer out of China. Having the server outside China does not mean the data has not gone out. To take it out you must use one of four routes: a security assessment by the cyberspace administration authority, certification by a professional body, a contract signed on the standard contract, or whatever else the law provides. You also have to tell the users who receives the information outside China and what it is used for, and you have to ask them about that one thing on its own.
Cost
No money. The least trouble is to keep the user data inside China. Where it really has to go out, use the standard contract or get certified
Benefit
Handing information about users inside China to a company outside China, or storing it on a machine outside China, is in law 「向境外提供个人信息」 — providing personal information abroad, and it 「应当具备」 — must have one of four conditions. First, a security assessment organised by the cyberspace administration authority. Second, certification for the protection of personal information by a professional body. Third, a contract signed with the recipient outside China on the standard contract drawn up by the cyberspace administration authority. Fourth, other conditions set by laws and administrative regulations. At the same time you have to tell the users the name of the recipient outside China, its contact details, the purpose of the processing, the way it is processed, the kinds of personal information, and how the user exercises their own rights. And you have to 「取得个人的单独同意」 — obtain the separate consent of the individual, by asking the user about this one thing on its own. The thresholds are set by the total number of people. An ordinary company is, in the regulations, a data handler other than an operator of critical information infrastructure. Such companies have one line below which nothing has to be done: 「自当年1月1日起累计向境外提供不满10万人个人信息(不含敏感个人信息)的」 — where, counted from 1 January of that year, fewer than 100,000 people's personal information other than sensitive personal information has been provided abroad. Below that line, all three of declaring for an assessment, signing the standard contract and being certified are waived. At 100,000 people or more but fewer than 1,000,000, you must sign the standard contract or pass the certification. At 1,000,000 or more, or where sensitive personal information reaches 10,000 people or more, you must declare for a security assessment (nationwide, from 2024-3)
Notes
Having the server outside China is not the same as 「no data has gone out」. A user registers inside China and you send their information to a machine outside China, and that is a transfer out. There is one class that does not have to take the three routes of the security assessment, the certification and the standard contract: cross-border shopping, cross-border delivery and booking a flight or a hotel, because these are 「为订立、履行个人作为一方当事人的合同」 — transfers genuinely necessary to conclude or perform a contract to which the individual is a party. One more thing to watch is how the number of people is counted: it is counted 「自当年 1 月 1 日起累计」 — from 1 January of that year and accumulated, not over the twelve months counting back from today
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2021). Personal Information Protection Law, 个人信息保护法(第三十八、三十九、四十条). www.spp.gov.cn/spp/fl/202108/t20210820_527244.shtml
- Cyberspace Administration of China (国家互联网信息办公室) (2024). Provisions on Promoting and Standardising the Cross-Border Flow of Data, 促进和规范数据跨境流动规定(网信办令第 16 号,第三、四、五、七、八条). www.gov.cn/gongbao/2024/issue_11366/202405/content_6954192.html
- Cyberspace Administration of China (国家互联网信息办公室) (2022). Measures for the Security Assessment of Data Transfers Out of China, 数据出境安全评估办法(网信办令第 11 号,第四条). www.cac.gov.cn/2022-07/07/c_1658811536396503.htm
11Choosing a server: first ask whether you can put up with the downtime, then whether anybody maintains it, and compare prices last
# Value ModerateGrade CMoneyA little moneyA few hoursNo willpower
The three tiers differ not in price but in what you are holding on the day something fails. A large provider has a filing channel, publishes its qualifications, and when something breaks there is a notice, there is a compensation clause in the contract, and there is somebody you can find. A small provider costs half as much, but when it oversells, folds or is cut off upstream you do not even know who to complain to. For a static site with no user data, a VPS costing a few tens of yuan is enough.
Cost
Cloud servers from the main cloud providers run from several hundred to several thousand yuan a month. A VPS from a small provider starts at a few tens of yuan a month. A VPS is a small virtual server. Colocation for a dedicated server starts at several thousand yuan a year, and the hardware you have to buy yourself
Benefit
The three tiers differ not in price but in what you are holding on the day something fails. The main cloud providers have a filing channel and publish their qualifications; when there is a fault there is a notice, the contract carries a compensation clause, and there is somebody you can find. A small provider can be half the price, but when it oversells, folds or is cut off upstream you have nobody to appeal to, so before you negotiate the price go to the MIIT system and check whether it holds a Value-Added Telecommunications Business Licence. Colocation for a dedicated server only makes sense when both conditions hold: bandwidth or hardware is clearly cheaper, and you have your own person to maintain it. How to choose: for a static site with no user data, the cheapest VPS is enough. For a site with user registration and transactions, choose a cloud server that scales on demand and takes snapshots, and keep the backups in at least two places
Notes
That is a judgement from experience, with no literature behind it. Only one thing can really be checked: the provider's licence. If you want to save money, save on the specifications and on the bandwidth, not on the qualifications
Sources · 2 sources
- the author's own experience, no direct literature
- the statutory requirements on the qualifications of a provider and on the filing are in item 4 in this section, and the duty to keep the logs for 6 months and the graded protection duties are in item 16 in section 11
27. Pregnancy and childbirth: from test to paperwork
16 / 16The first half of this section counts the risk of death for the pregnant woman and the fetus. The second half counts money and time spent on errands. The two are not converted into each other. The text only says what to do and when. Pregnancy nutrition and prenatal education have no hard evidence behind them or make very little difference, so they are left out. For the money side of maternity allowances, maternity leave and raising a child see section 18; for caring for the baby after birth see section 20; for emergencies see section 13.
The numbers the World Health Organization gives: in 2023 about 260,000 women worldwide died in pregnancy and childbirth. About 75% of those deaths came from five causes: severe bleeding after birth, infection, hypertensive disorders of pregnancy (the disorders in which blood pressure rises after conception, including pre-eclampsia and eclampsia), complications during delivery, and unsafe induced abortion. The World Health Organization also says that 「大多数孕产妇死亡是可以预防的,因为预防和处理并发症的医疗手段都是已知的」. The entries with the largest effect in this section are the ones that catch these problems early.
1Start 0.4 mg of folic acid every day before conception and keep taking it through the first 3 months of pregnancy
# Value HighGrade ALifespanNo moneyIn passingSome willpower
One folic acid tablet a day before and during conception cuts the chance of a neural tube defect by about seven tenths. Neural tube defects are birth defects such as anencephaly and spina bifida. If you have already had one child with such a defect, the chance that the next child has one falls to about one third of what it was.
Cost
Tens of yuan for a bottle. Rural women pay nothing, because the national free folic acid supplementation programme provides it. One tablet a day. The hard part is remembering it every day
Benefit
The Cochrane systematic review pooled 5 trials and 6708 deliveries, and rates the quality of the evidence high. Taking folic acid every day before and during conception gives
RR 0.31 for fetal neural tube defects (
95% CI 0.17 to 0.58, credible range), about a seven-tenths reduction. For women who have already had a child with a neural tube defect, the risk that the next child has one is
RR 0.34 (
95% CI 0.18 to 0.64), roughly one third of what it was. Broken down by population group, 0.4 mg and higher doses make no difference. Folic acid on its own and folic acid inside a multivitamin make no difference either
Notes
What matters is starting before conception. The fetal neural tube closes within 28 days of fertilisation. By the time a pregnancy test turns positive, most of that window has gone. So if you plan to have a child, start 3 months beforehand. The same pooled review found no clear effect of folic acid on cleft lip and palate, congenital heart disease or miscarriage. Do not expect it to treat anything else
Sources
De-Regil LM, Peña-Rosas JP, Fernández-Gaxiola AC, Rayco-Solon P (2015). Effects and safety of periconceptional oral folate supplementation for preventing birth defects. Cochrane Database of Systematic Reviews, (12), CD007950.
doi.org/10.1002/14651858.CD007950.pub32Before 13 weeks of pregnancy open a Mother and Child Health Handbook at the community health centre, and use up your free prenatal checks
# Value ModerateGrade ALifespanNo moneyA few hoursNo willpower
At least five prenatal checks during pregnancy, plus one home visit after the birth and one check at 42 days postpartum, all paid for by the state. The way to claim them is to open a Mother and Child Health Handbook《母子健康手册》at the community health centre before 13 weeks of pregnancy. Without the handbook you simply lose those free checks.
Cost
No money. It is part of the national basic public health service programme. You have to make several trips according to how far along you are
Benefit
The National Standard for Basic Public Health Services (Third Edition)《国家基本公共卫生服务规范(第三版)》sets out maternal and child health management services. Any woman living in the area who is pregnant can have them: 1 health check in the first trimester, 2 in the second trimester, 2 in the third trimester, 1 postpartum visit and 1 health check at 42 days postpartum. You open the handbook before 13 weeks of pregnancy and have the first prenatal check at the same time. The two checks in the second trimester fall between 16 and 20 weeks and between 21 and 24 weeks. The two in the third trimester fall between 28 and 36 weeks and between 37 and 40 weeks. Locally published lists of services also include the full set of lab tests at the first visit and screening for postpartum depression
Notes
Those 5 checks are the free floor, not the whole of prenatal care. The hospital will add ultrasound, blood glucose and fetal heart monitoring where it sees fit, and you pay for those. The earlier you open the handbook, the earlier the pregnancy risk grading is worked out. Pregnancy risk grading puts pregnant women into tiers by risk level. Unless a high-risk tier is found, you cannot be referred in time to a hospital that can take the case. If you live in a district other than your registered one, open the handbook where you live now. There is no need to go back to your registered address
Sources · 2 sources
- National Health and Family Planning Commission (国家卫生计生委) (2017). National Standard for Basic Public Health Services, Third Edition(国家基本公共卫生服务规范(第三版)). www.nhc.gov.cn/ewebeditor/uploadfile/2017/04/20170417104506514.pdf
- Jingjiang Municipal People's Government (靖江市人民政府). National Basic Public Health Service Programme — Maternal and Child Health Management Services (local published service list)(国家基本公共卫生服务项目——孕产妇健康管理服务(地方服务清单公开)). www.jingjiang.gov.cn/xxgk/zdlyxxgk/wsjk/art/2023/art_383017a2e7794892bc772bfbe042f379.html
3Test for HIV, syphilis and hepatitis B at the first prenatal check, and free blocking treatment is available if any is positive
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
Have all three tested for at the first prenatal check, and the tests cost you nothing. A positive result is not a dead end. The state supplies the medicine and the regimen free, to block the route from mother to child. That is called blocking of mother-to-child transmission.
Cost
No money. The programme for preventing mother-to-child transmission provides the tests free
Benefit
Mother-to-child transmission means passing an illness from mother to child. The Working Specification on the Prevention of Mother-to-Child Transmission of HIV, Syphilis and Hepatitis B (2020 Edition)《预防艾滋病、梅毒和乙肝母婴传播工作规范(2020 年版)》sets requirements for it. In the first trimester, or at the first prenatal check, the hospital must tell you about this and 「提供适宜、规范的免费检测」, so the three tests cost you nothing. It then gives post-test counselling or a referral depending on the result. A positive result is not a dead end. Article forty-four of the Regulations on the Prevention and Control of AIDS《艾滋病防治条例》says that a pregnant woman infected with HIV is 「免费提供预防艾滋病母婴传播的治疗和咨询」. Article forty-three requires blocking (stopping the illness from passing to the child), treatment, a postpartum visit, follow-up of the baby and testing. If the mother's hepatitis B surface antigen is positive, the newborn gets both the hepatitis B vaccine and hepatitis B immune globulin at birth (see item 2 in section 20)
Notes
The earlier these three are tested, the better, because blocking and treatment both take time. Article three of the same regulations also states that 「任何单位和个人不得歧视艾滋病病毒感染者、艾滋病病人及其家属」. The lawful rights to marry, to find work, to see a doctor and to go to school are protected by law. For everyday prevention and testing see section 1. For post-exposure blocking after high-risk behaviour see section 13
Sources · 2 sources
- General Office of the National Health Commission (国家卫生健康委办公厅) (2020). Working Specification on the Prevention of Mother-to-Child Transmission of HIV, Syphilis and Hepatitis B (2020 Edition)《预防艾滋病、梅毒和乙肝母婴传播工作规范(2020 年版)》. (reprinted by the Xinjiang Uygur Autonomous Region Health Commission (新疆维吾尔自治区卫生健康委员会))wjw.xinjiang.gov.cn/hfpc/zhgl6/202012/08b7de496f0b40e586d4b99d00cf79c4.shtml
- State Council (国务院) (2006). Regulations on the Prevention and Control of AIDS (Articles forty-three and forty-four)《艾滋病防治条例》. (reprinted by the Beijing Municipal Health Commission (北京市卫生健康委员会))wjw.beijing.gov.cn/zwgk_20040/zcwj2022/flfg/202304/t20230408_2992986.html
4Not one cigarette and not one drink during pregnancy, and nobody in the household smokes indoors
# Value HighGrade ALifespanNo moneyIn passingA lot of willpower
Smoking during pregnancy raises the chances of preterm birth, low birth weight and cleft lip and palate. It doubles the risk of abnormal bleeding during pregnancy and childbirth. It also raises the risk of sudden infant death syndrome. Smoke breathed in at home by family members counts the same. Quitting at any point still helps.
Cost
No money, and you also save the money you would spend on tobacco and alcohol. The hard part is getting everyone you live with to stop as well
Benefit
The US CDC (美国疾病控制与预防中心) puts it this way. Smoking during pregnancy means a baby may be 「足月出生也可能过小」 and may be 「可能早产」. It 「使孕期和分娩期异常出血的风险翻倍」. It raises the risk of birth defects such as cleft lip and cleft palate. It also 「损害胎儿正在发育的肺和大脑,损害可持续到儿童期」. Babies of mothers who smoke during pregnancy, and babies exposed to smoke after birth, are at higher risk of sudden infant death syndrome. The official advice is 「最好在怀孕前就戒烟,但如果已经怀孕,戒了仍然有用」 and 「什么时候戒都不晚」.
Notes
Smoke from someone else indoors counts for the fetus, because it is the pregnant woman who breathes it in. So family members should not smoke indoors either. Alcohol is the same: no amount of drinking is known to be safe, and the simplest rule during pregnancy is to drink nothing at all. For what tobacco and alcohol cost an adult in their own right see section 2
Sources
Centers for Disease Control and Prevention. Smoking During Pregnancy.
www.cdc.gov/tobacco/campaign/tips/diseases/pregnancy.html5If you have risk factors for pre-eclampsia, start one low-dose aspirin tablet a day after 12 weeks of pregnancy
# Value ModerateGrade ALifespanA little moneyIn passingSome willpower
Pre-eclampsia is a high blood pressure disorder of pregnancy. You count as high risk if you had it in a previous pregnancy, are carrying twins or more, have chronic high blood pressure, had diabetes before pregnancy, or have kidney disease or an autoimmune condition. Starting one low-dose aspirin tablet a day at 12 weeks of pregnancy cuts pre-eclampsia by about a tenth and a half, and cuts both preterm birth and the child's death around the time of birth by about a fifth. Everyone else should not take it on their own.
Cost
Tens of yuan. One tablet a day, taken right through to the birth. The hard part is never forgetting
Benefit
The US Preventive Services Task Force gives a grade B recommendation: to prevent pre-eclampsia in people at high risk, start low-dose aspirin (81 mg/day) after 12 weeks of pregnancy. Pre-eclampsia is a high blood pressure disorder of pregnancy. Pooling several studies gives the following results, where the
95% CI is the credible range. Pre-eclampsia
RR 0.85 (
95% CI 0.75 to 0.95, 16 studies), about 15% lower. Preterm birth
RR 0.80 (
95% CI 0.67 to 0.95, 13 studies), about 20% lower. Perinatal death
RR 0.79 (
95% CI 0.66 to 0.96, 11 studies), about 21% lower; perinatal death means death in the period around childbirth. Small for gestational age / fetal growth restriction
RR 0.82 (
95% CI 0.68 to 0.99, 16 studies), about 18% lower; this means the fetus grew smaller than usual for its gestational age
Notes
The high-risk categories are: pre-eclampsia in a previous pregnancy, twins or more this time, and chronic high blood pressure. Also type 1 or type 2 diabetes before pregnancy, kidney disease, and autoimmune conditions such as systemic lupus erythematosus or antiphospholipid syndrome. If you are in none of these categories, do not take it on your own. A doctor has to prescribe this, so give your full medical history at the prenatal check and let the doctor judge. What is sold in China is mostly the 100 mg enteric-coated tablet. Take it as the doctor instructs
Sources
6Have one screening for gestational diabetes at 24 weeks of pregnancy or later, and do not begrudge the sugar drink
# Value ModerateGrade ALifespanA little moneyIn passingNo willpower
Gestational diabetes is high blood sugar that appears only after pregnancy. After 24 weeks, half a morning with one sugar drink and a few blood samples will find it. Leave it unchecked and the fetus grows too large, labour becomes difficult, you may need an operation, and the risk of pre-eclampsia and of low blood sugar in the newborn both rise.
Cost
Tens to a little over a hundred yuan. You go fasting and give several blood samples. It takes half a morning
Benefit
The US Preventive Services Task Force gives a grade B recommendation: screen for gestational diabetes at 24 weeks of pregnancy or later in women with no symptoms (who have noticed nothing wrong themselves). Gestational diabetes is high blood sugar that appears only after pregnancy. For anyone who screens only once, that one screen should be at 24 weeks or later. On whether screening before 24 weeks helps, the task force concluded that the present evidence is not enough to tell the benefits from the harms (grade I). Untreated gestational diabetes raises the risk of macrosomia (a fetus that grows too large), difficult labour, caesarean section, pre-eclampsia and low blood sugar in the newborn
Notes
Among the women who test positive, most can keep their blood sugar under control by changing diet and exercise, and only a minority need insulin. Do not skip this one test because you are afraid of what a positive result would mean. After the birth you have to test your blood sugar again: women who have had gestational diabetes are clearly at higher risk of type 2 diabetes later
Sources
7Memorise this list of 「立刻去医院」 signs; it counts during pregnancy and for a year after the birth
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
If any one of these appears, go to hospital that day. Do not sit at home for a night first. A headache that does not lift or keeps getting worse, vision changing, a fever of 38 °C. Severe swelling of the hands or face, breathlessness, chest pain or a fast heartbeat. Severe abdominal pain that does not ease, the baby moving normally and then stopping or clearly less often, vaginal bleeding or fluid loss. One arm or one leg swollen and painful, thoughts of harming yourself or the baby. All of it counts for a year after the birth too.
Cost
No money. Five minutes to memorise it, and it is best if the people you live with know it too
Benefit
The US CDC lists these urgent maternal warning signs: a headache that does not lift or keeps getting worse, dizziness or fainting, vision changing, a temperature of 38 °C or above; severe swelling of the hands or face, thoughts of harming yourself or the baby, difficulty breathing, chest pain or a very fast heartbeat; severe nausea and vomiting, severe abdominal pain that does not ease, and during pregnancy the baby moving normally and then stopping or clearly less often; vaginal bleeding or fluid loss during pregnancy, or abnormal vaginal bleeding or discharge after the birth; one arm or one leg severely swollen, red or painful. All of these can happen within a year after the birth. Getting out of the maternity ward does not make you safe
Notes
What this list is for is telling 「再忍忍」 apart from 「必须马上走」. A headache together with blurred vision and pain in the upper abdomen points to pre-eclampsia (the high blood pressure disorder of pregnancy). One lower leg swollen and painful points to deep vein thrombosis (see section 13). By the World Health Organization's account, severe bleeding after birth can take the life of a healthy woman within hours. Go straight to hospital as soon as any one item appears, and do not spend a night at home first
Sources · 2 sources
- Centers for Disease Control and Prevention. Hear Her — Urgent Maternal Warning Signs. www.cdc.gov/hearher/maternal-warning-signs/index.html
- World Health Organization. Maternal mortality fact sheet. www.who.int/news-room/fact-sheets/detail/maternal-mortality
8If your waters break, lie down flat where you are, raise your hips and call 120; do not walk about and do not bathe
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
When the waters break you do not pack slowly and then set off. The right move is to lie down where you are, raise your hips and call 120. Standing and walking makes the fluid drain faster, and the umbilical cord can be washed out with it. That is an emergency that can kill the baby.
Cost
No money
Benefit
The handling given by the Beijing Municipal Health Commission (北京市卫生健康委员会) is this: once the waters have broken, 「马上找个地方平躺下来,防止羊水流出来」 and 「不要随意走动」, and 「立即拨打 120 急救电话」. While you wait for the ambulance, tell your family to bring your things and meet you at the hospital. Material from medical institutions explains why: fluid drains faster when a woman is standing, and the umbilical cord can come out with it. That is called cord prolapse, and it is an emergency that puts the fetus at risk. So lie down and raise your hips. A left lateral position is one way to do that
Notes
The three signs that labour is close are regular contractions, the bloody show, and the waters breaking. You can pack calmly for the first two. Breaking of the waters is the only one that means lying down on the spot and calling for a car. Bathing, squatting on the toilet and driving yourself after the waters break are all classic mistakes. Write down the time the waters broke and the colour of the fluid, and tell the doctor. Yellow or green fluid, or fluid with flakes of meconium in it, points to fetal distress (the fetus is short of oxygen inside the uterus). If regular contractions, a clear drop in the baby's movement, and fever with shivering are happening at the same time, stress to the doctor that this is an emergency
Sources · 2 sources
- Beijing Municipal Health Commission (北京市卫生健康委员会). Weekly first aid topic: what to do when a pregnant woman's waters break early(每周急救话题:准妈妈羊水早破怎样办?). wjw.beijing.gov.cn/bmfw_20143/jkzs/jzjj/202001/t20200115_1575632.html
- Beijing Shunyi District Maternal and Child Health Hospital (北京市顺义区妇幼保健院). What to do when the waters break at home in late pregnancy(孕晚期在家破水怎么办?). www.bch-syfy.cn/Html/News/Articles/9453.html
9If you want pain relief in labour, say so directly. It does not raise the risk of caesarean section
# Value ModerateGrade ATime and energyA little moneyIn passingSome willpower
Pain relief in labour is an injection of anaesthetic into the back that pushes down the pain of giving birth. It works better than other ways of easing pain, and it does not make you more likely to have an operation. The claim that 「打了无痛腰疼一辈子」 is no better founded. It now has a separate billing item of its own, so hospitals are more willing to provide it.
Cost
Several hundred to over a thousand yuan, and the price differs from place to place. You have to ask the hospital and the anaesthesia department in advance whether they can do it. The hard part is raising it yourself
Benefit
The Cochrane systematic review concludes that epidural analgesia is more effective than methods without an epidural at relieving labour pain and at raising how satisfied a woman is with the analgesia. Pain relief in labour is exactly epidural analgesia. The same review also says that 「硬膜外镇痛对剖宫产风险和长期腰痛没有影响」. The rise in instrumental birth (using instruments to deliver the baby) is no longer seen in studies from 2005 onwards. From 2024, the project of the National Healthcare Security Administration for setting up prices for obstetric medical services gives 「分娩镇痛」, 「导乐分娩」 and 「亲情陪产」 items of their own. The reason is precisely that without a separate price item before, hospitals had little incentive to offer pain relief in labour
Notes
The two claims that spread widest are that pain relief in labour means a back problem for life, and that it makes the birth hard so an operation is needed. Neither is founded. Cochrane pooled epidural analgesia with the other methods and concluded that it has no effect on the risk of caesarean section and none on long-term back pain. The real side effects are these: low blood pressure, fever, weakness in the legs, difficulty passing urine, and a longer first and second stage of labour with more likelihood of needing oxytocin. Whether to have it is yours to decide, but do not give it up on the strength of a rumour. Whether it is available also depends on whether the hospital has an anaesthetist on site 24 hours a day. Ask when you go for the prenatal check
Sources · 2 sources
- Anim-Somuah M, Smyth RMD, Cyna AM, Cuthbert A (2018). Epidural versus non-epidural or no analgesia for pain management in labour. Cochrane Database of Systematic Reviews, (5), CD000331. doi.org/10.1002/14651858.CD000331.pub4
- National Healthcare Security Administration (国家医保局) (2024). Rebuilding the obstetric service price items to help build a childbirth-friendly society《重构产科服务价格项目 助力构建生育友好型社会》. www.gov.cn/zhengce/202406/content_6957553.htm
10Without a medical indication do not ask for a caesarean section, and do not have an operation to pick an auspicious date
# Value ModerateGrade ALifespanNo moneyIn passingSome willpower
The World Health Organization's position is that once the caesarean rate in a place passes 10%, deaths among mothers and newborns stop falling any further. Where there is a reason to operate, operate. Having an operation to pick a date, or because you are afraid of pain, buys you one large abdominal operation for nothing.
Cost
No money. The hard part is standing your ground against what the family says
Benefit
The World Health Organization's 2015 statement: when the caesarean rate in a population rises to about 10%, deaths among mothers and newborns fall. Past 10%, there is no evidence that mortality improves any further. The World Health Organization also stresses that every effort should be made to give a caesarean section to the women who need one, rather than to reach some particular rate
Notes
When there is a real medical need, a caesarean section is an operation that saves lives. Do it, and do not tough it out. What to avoid is an operation that is not medically needed, whether out of fear of pain, to pick an auspicious date, or to fit in with the age at which the child starts school. A caesarean section is a large abdominal operation, recovery is slower, and the next pregnancy carries higher risks of placenta previa, placenta accreta and uterine rupture. That bears directly on whether you still want a second child
Sources
World Health Organization (2015). WHO Statement on Caesarean Section Rates(WHO/RHR/15.02).
www.who.int/publications/i/item/WHO-RHR-15.0211Check your maternity insurance status before conception; a spouse who is not working can also claim the maternity medical costs
# Value HighGrade AMoneyNo moneyIn passingNo willpower
When an employer pays maternity insurance, the medical costs of the birth and the allowance during maternity leave come out of that fund. If the spouse does not work, the medical costs can be claimed as well. Whether you have paid in for enough months, and whether a birth outside the area has to be filed for first, both have to be asked in advance. Neither can be put right afterwards.
Cost
No money. One call to the social insurance or medical insurance enquiry line
Benefit
Article fifty-four of the Social Insurance Law《社会保险法》says: where an employer has already paid maternity insurance contributions, its employees enjoy maternity insurance benefits. Where an employee's spouse does not work, the spouse enjoys the maternity medical cost benefits as the state provides, and the money is paid out of the maternity insurance fund. Put plainly, once the employer pays maternity insurance the employee qualifies for the benefits, and the medical costs of the birth of that employee's non-working spouse come out of the same fund. The benefits have two parts. One is the maternity medical cost, which is the medical cost of the birth itself. The other is the maternity allowance, the money paid to you during maternity leave. Article fifty-six sets out the three cases in which the maternity allowance can be received: a female employee giving birth and taking maternity leave, taking leave for a family planning operation, and other cases set out in laws and regulations. The maternity allowance is 「按照职工所在用人单位上年度职工月平均工资计发」, which works out at the average monthly wage of the employees of your employer last year, not at your own wage
Notes
Two things have to be asked in advance, because neither can be put right afterwards. The first is whether the number of consecutive months of contributions is enough: every place sets a minimum, and below it you get nothing. The second is whether a birth outside the place of enrolment has to be filed for in advance: without the filing you may have to pay the money yourself first and claim it by hand afterwards, and sometimes you cannot claim it at all. For the number of days of maternity leave and how the maternity allowance is worked out see item 2 in section 18
Sources
Standing Committee of the National People's Congress (全国人大常委会) (2010). Social Insurance Law of the People's Republic of China (Articles fifty-four and fifty-six)《中华人民共和国社会保险法(第五十四、五十六条)》. (reprinted by the Guangdong Provincial Tax Service, State Taxation Administration (国家税务总局广东省税务局))
guangdong.chinatax.gov.cn/gdsw/qysw_gkwj/2020-02/12/content_8e8c485d0db34b989531f3ba57cec5a9.shtml12Get the Medical Certificate of Birth done before you leave the hospital; decide the name in advance and do not get a character wrong
# Value HighGrade ATime and energyNo moneyIn passingNo willpower
This certificate is a precondition for household registration, for insurance and for school, and only the institution that delivered the baby can issue the first one. If you go back for it after leaving the hospital, you go through a separate set of procedures and hand in more documents. Check first that the characters in the name can be produced by the household registration system.
Cost
No money. It is done as part of the discharge formalities
Benefit
Article twenty-three of the Law on Maternal and Infant Health《母婴保健法》says: medical and health institutions and the persons who carry out home births shall, in accordance with the rules of the health administrative department of the State Council, issue the uniformly produced and issued Medical Certificate of Birth for the newborn. This certificate is the precondition for everything that comes after it: household registration, insurance, a medical insurance card, and kindergarten and school. And the first issue can only be done by the institution that delivered the baby. If you go back for it after leaving the hospital, you have to follow a different set of procedures and supply extra supporting documents
Notes
Before filling it in, check the parents' names, their identity card numbers and the child's name character by character. The characters used in the name have to be ones the household registration system can produce, and rare characters make every later errand harder. Changing the name or reissuing the certificate means going through a supplementary or a replacement issue, which is far more trouble than checking it on the spot. Keep the certificate on its own once you have it, as carefully as the household register and the identity card
Sources
Standing Committee of the National People's Congress (全国人大常委会) (1994, amended 2017). Law of the People's Republic of China on Maternal and Infant Health (Article twenty-three)《中华人民共和国母婴保健法(第二十三条)》.
www.gov.cn/guoqing/2021-10/29/content_5647619.htm13Do not refuse either the newborn heel-prick screening or the hearing screening
# Value HighGrade ALifespanA little moneyIn passingNo willpower
One prick of the heel and one hearing test can find hypothyroidism, phenylketonuria and hearing loss while the child still looks completely normal. By the time the symptoms show, the damage to the child's intellect cannot be taken back.
Cost
Free in most regions, or tens of yuan. Some extended items are yours to pay for. The baby's heel is pricked once after birth
Benefit
Article three of the Measures for the Administration of Screening for Neonatal Diseases《新生儿疾病筛查管理办法》states: 「全国新生儿疾病筛查病种包括先天性甲状腺功能减低症、苯丙酮尿症等新生儿遗传代谢病和听力障碍。」 These two kinds of illness have one thing in common. In the early stage nothing abnormal can be seen, and by the time the symptoms are obvious the damage to the intellect is already irreversible. Early detection and early intervention work well. The methods are thyroid hormone replacement, special formula, a hearing aid, or a cochlear implant. Article ten says that where a screening result is positive, the institution shall notify the guardian in good time to have a confirmatory diagnosis
Notes
Article eleven requires that before the screening the items, the conditions, the method, the sensitivity (how much it can find) and the cost are all explained truthfully to the guardian, who then signs consent. So you will be given an informed consent form. Read it before you sign: which conditions are the ones the state requires, and which are extra items you pay for. A positive first screen is not a diagnosis. Most are ruled out at the repeat test, so do not fall apart at this stage. If the first hearing screen is not passe
d, go for the repeat test when you are told to. Do not decide on your own that the child can hear well enough
Sources
Ministry of Health (卫生部) (2009). Measures for the Administration of Screening for Neonatal Diseases (Ministry of Health Order No. 64, Articles three, ten and eleven)《新生儿疾病筛查管理办法(卫生部令第 64 号,第三、十、十一条)》.
www.gov.cn/gongbao/content/2009/content_1371363.htm14Enrol the child in resident medical insurance as soon as you have the Medical Certificate of Birth; do not wait for household registration
# Value ModerateGrade AMoneyA little moneyIn passingNo willpower
Once you have the certificate you can enrol the child online, with no need to wait for household registration. Enrolled, the inpatient bill from the hospital stay can be settled on the spot. A newborn's inpatient bill is not small, and being enrolled or not makes a large difference.
Cost
Resident medical insurance is paid once a year, a few hundred yuan
Benefit
The State Council's official website (中国政府网) puts it this way in 2024: 「新生儿凭出生医学证明就可以在线上参保」, with no need to register the household first. 「新生儿出院以后就能够直接报销医药费用」. The old practice was that you had to register the household before you could enrol, and the inpatient bill had to be paid in full up front and claimed afterwards. The average time to process an enrolment and a payment has also come down from 28.7 working days at the start of the year to 6.4 working days
Notes
Preterm birth, jaundice needing phototherapy and newborn pneumonia are the common reasons for a newborn to be admitted, and they run into thousands of yuan. Being enrolled or not makes a large difference. The rules on how many days after birth you must enrol in order to get cover from the day of birth itself are not the same everywhere. For how it is actually applied, follow what the local medical insurance authority says. One call to 12393 before you leave the hospital settles it
Sources
State Council official website (中国政府网) (2024). Regular policy briefing on a sound long-term mechanism for basic medical insurance enrolment《健全基本医疗保险参保长效机制国务院政策例行吹风会》.
www.gov.cn/zhengce/202409/content_6973567.htm15Go to the police station to register the birth within one month of the child being born
# Value ModerateGrade APersonal freedomNo moneyIn passingNo willpower
The law gives you one month, not "when there is time". Household registration holds up the vaccinations, the kindergarten, the school and the identity card that come after it. The longer you put it off, the more documents you have to supply later.
Cost
No money. One trip to the household registration window at the police station
Benefit
Article seven of the Regulations on Household Registration《户口登记条例》says: 「婴儿出生后一个月以内,由户主、亲属、抚养人或者邻居向婴儿常住地户口登记机关申报出生登记。」 That is a deadline set by law, not a suggestion. Household registration is the precondition for what follows: vaccinations, kindergarten, school, the identity card. The longer you put it off, the more documents you have to supply
Notes
Bring all of these: the Medical Certificate of Birth, both parents' identity cards and household registers, and the marriage certificate. Whether to register with the father or with the mother is yours to choose, but the rules of the two places differ and both the school catchment and the place of insurance are affected. Decide before you go; changing it later is a nuisance. A child born outside marriage can be registered in the same way
Sources
State Council (国务院) (1958). Regulations of the People's Republic of China on Household Registration (Article seven)《中华人民共和国户口登记条例(第七条)》. (reprinted by the Guangdong Provincial People's Government (广东省人民政府))
www.gd.gov.cn/zwgk/wjk/zcfgk/content/post_2531969.html16Do not skip the 42-day postpartum check; it is also the screening for postpartum depression
# Value ModerateGrade ALifespanNo moneyIn passingSome willpower
This check is free. It covers a full blood count and a routine vaginal swab, and it includes one screening for postpartum depression. Serious problems can still happen within a year after the birth, so do not assume you are safe once the maternity ward is behind you.
Cost
No money, it is part of the basic public health service. It takes half a day. The hard part is that you have just left the maternity ward and cannot be bothered
Benefit
The National Standard for Basic Public Health Services (Third Edition)《国家基本公共卫生服务规范(第三版)》sets out maternal and child management, with 1 postpartum visit and 1 health check at 42 days postpartum. Locally published lists of services show that this check includes lab tests (a full blood count and a routine vaginal swab) and 1 screening for postpartum depression. Serious complications can occur at any time within a year after the birth. In the list 「立刻去医院」 in item 7, 「有伤害自己或伤害孩子的念头」, 「产后阴道出血或异常分泌物」 and 「一侧肢体严重肿痛」 are all postnatal
Notes
Postpartum depression is not fussiness, and a word of encouragement from the family does not fix it. It has its own screening questionnaire, it can be treated, and it can be recovered from. For what to do if you have thoughts of suicide see section 1. For the lawful way out when a baby really cannot be brought up see item 20 in section 9. This check also looks at how the wound has healed, how the uterus has recovered and how the pelvic floor is working. Contraception is discussed at this visit too: no periods after the birth does not mean you cannot get pregnant
Sources · 2 sources
- National Health and Family Planning Commission (国家卫生计生委) (2017). National Standard for Basic Public Health Services, Third Edition(国家基本公共卫生服务规范(第三版)). www.nhc.gov.cn/ewebeditor/uploadfile/2017/04/20170417104506514.pdf
- Jingjiang Municipal People's Government (靖江市人民政府). National Basic Public Health Service Programme — Maternal and Child Health Management Services (local published service list)(国家基本公共卫生服务项目——孕产妇健康管理服务(地方服务清单公开)). www.jingjiang.gov.cn/xxgk/zdlyxxgk/wsjk/art/2023/art_383017a2e7794892bc772bfbe042f379.html
28. Do not wreck your body for the sake of looks
8 / 8This section covers several ways of operating on the body to change how you look: starving yourself, taking pills, injections and surgery. The decision behind these things is usually made after comparing yourself with other people, but the price falls entirely on you, and a good part of it cannot be put back.
This section does not judge what anyone wants to look like; that is each person's own business. The same goal can be reached through "a prescription, a qualified practitioner and follow-up visits", or through "buying online, a beauty salon, raising the dose yourself". This section only compares how much risk the two routes carry. What is counted is what actually happens to the body, such as blindness, hospital admission and death. The two cosmetic-medicine items also touch criminal liability for practising medicine without a licence.
1Do not control your weight with extreme dieting, fasting or vomiting; if you must lose weight, lose it on the exercise side
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
People with anorexia nervosa die at about 5.9 times the rate of others their age. Follow 1000 people for one year and 5.1 of them die. One in five of those deaths is suicide. The way in is dieting: students at 44 secondary schools were followed for three years, and girls who dieted severely were 18 times as likely to develop an eating disorder as girls who did not. If you want to control your weight, move more, and do not eat so little that you are hungry.
Cost
No money. It also saves the money you would spend on diet products.
Benefit
36 studies pooled. The anorexia nervosa group was followed for 166,642 person-years in total (the years each person was followed, added up). Their standardised mortality ratio is 5.86, that is, their probability of dying is about 5.9 times that of others their age. Deaths are 5.1 per 1000 person-years, that is, follow 1000 people for one year and 5.1 of them die. About 1/5 of the people who die, die by suicide. The standardised mortality ratio for bulimia is 1.93, and for other eating disorders 1.92, each about 1.9 times that of others their age. Another study was done in 44 secondary schools in Victoria, Australia: students aged 14–15 followed for 3 years, and the same group surveyed in 6 waves over the three years. New eating disorders among girls were 21.8 per 1000 person-years, that is, follow 1000 girls for one year and 21.8 new cases appear. Girls who dieted severely had 18 times the risk of those who did not diet, and moderate dieters 5 times. The analysis then adjusted for previous dieting and psychiatric symptoms, taking out the effect of "had dieted before" and "already had psychiatric symptoms". After that adjustment,
BMI (the measure of fatness worked out from weight divided by height squared), amount of exercise and sex no longer predicted new eating disorders. The authors conclude that "using exercise rather than food restriction to control weight in adolescents appears to carry a lower risk of eating disorders"
Notes
"Severe dieting" here means keeping food far below what the body needs over a long period, not skipping one meal or cutting out late-night snacks. If you have already started vomiting, feel guilty after bingeing, or cannot stop weighing yourself, go to a psychiatry department or the clinical psychology department of a general hospital. This is an illness with standard treatment; it is not a question of willpower. For
BMI and mortality see
item 32 in section 2; that item is about the long-term weight range, not about ways of losing weight.
Sources · 2 sources
- Arcelus J et al. (2011). Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Arch Gen Psychiatry. doi.org/10.1001/archgenpsychiatry.2011.74
- Patton GC et al. (1999). Onset of adolescent eating disorders: population based cohort study over 3 years. BMJ. doi.org/10.1136/bmj.318.7186.765
2Before injections, thread embedding or surgery, check two things: whether the clinic's licence lists "medical cosmetology", and whether the person operating is the designated attending physician
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
A needle, a scalpel or a medical device that breaks the skin or goes inside the body counts as medical treatment. It may only be done at an institution whose licence lists "medical cosmetology", and the person doing it must be a registered licensed physician. Having it done in a beauty salon, a studio or a hotel room is practising medicine without a licence. Where the circumstances are serious, the person doing it faces up to 3 years; if someone is hurt, 3 to 10 years; if someone dies, 10 years or more.
Cost
No money. Checking the two certificates takes only minutes. The institution should hang its Medical Institution Practice Licence in the hall. The doctor's qualifications can be checked in the health authority's licensed physician search.
Benefit
Article two of the Measures for the Administration of Medical Cosmetology Services (《医疗美容服务管理办法》) defines medical cosmetology. The original wording is 「运用手术、药物、医疗器械以及其他具有创伤性或者侵入性的医学技术方法对人的容貌和人体各部位形态进行的修复与再塑」, that is, the repair and reshaping of a person's appearance and the form of each part of the body by surgery, drugs, medical devices and other traumatic or invasive medical techniques. In plain terms, once the skin is broken, a needle goes in, or something goes inside the body, it counts as seeing a doctor. Articles eight and twenty-four require an institution to obtain a Medical Institution Practice Licence first, and to have the medical cosmetology subject approved by the registering authority, before it may offer the service. If the licence does not list medical cosmetology, it may not do it. Article eleven requires the designated attending physician (the doctor who does the work) to hold a licensed physician qualification and to be registered. Cosmetic surgery also requires more than 6 years of clinical work in the relevant specialty, cosmetic dentistry more than 5 years, and cosmetic traditional Chinese medicine and cosmetic dermatology 3 years each. Article twenty requires written notice before the procedure of the indications, contraindications (when it is suitable and when it is not), medical risks and precautions, and a signed consent. Article three hundred and thirty-six of the Criminal Law (《刑法》) governs practising medicine without a licence. Practising medicine without a licence means a person without a licensed physician qualification giving injections, operating or treating patients. In serious circumstances the penalty is fixed-term imprisonment of up to 3 years, criminal detention or public surveillance, together with or instead of a fine. Where the patient's health is seriously damaged, 3 to 10 years of fixed-term imprisonment plus a fine. Where the patient dies, 10 years or more of fixed-term imprisonment plus a fine
Notes
Article sixteen of the same Measures also provides that a cosmetic procedure may only be done in a medical cosmetology institution, or in a hospital or clinic that has a medical cosmetology department. So injections given at someone's home, or work done privately in a studio, already fail on the location alone. Article twenty states that a minor or anyone else who cannot decide for themselves may have cosmetic medicine only with the consent of a guardian, signed by a parent. Facials, massage and nail care are everyday beauty services and are not covered by these rules. But once a needle or a scalpel is involved, it counts as medical cosmetology.
Sources
Ministry of Health (卫生部) (2002). Measures for the Administration of Medical Cosmetology Services(医疗美容服务管理办法)(Ministry of Health Order No. 19, articles two, eight, eleven, sixteen, twenty and twenty-four). ;National People's Congress (全国人大) (1997). Criminal Law(刑法)(article three hundred and thirty-six).
www.gov.cn/gongbao/content/2003/content_62198.htmwww.spp.gov.cn/spp/fl/201802/t20180206_364975.shtml3For fillers, avoid the bridge of the nose, the space between the eyebrows and the forehead, and never use an unlicensed injector to save money
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Among people blinded by filler injections, more than half were injected in the nose, then the space between the eyebrows, the forehead and the smile folds, and more than eight in ten were injected with hyaluronic acid. Only two in ten of those blinded recovered their sight fully, a little over one in ten recovered partly, and nearly two in ten also had brain injury. No rescue treatment works reliably, so the only defence is to avoid these areas beforehand.
Cost
No money. You simply inject somewhere else, or not at all.
Benefit
Cases reported in journals worldwide were pooled and counted. From 2015-1 to 2018-9 there were 48 new cases of partial or complete loss of vision after a filler injection. The site with the most accidents was the nose, at 56.3%. Next came the space between the eyebrows at 27.1%, the forehead at 18.8%, and the nasolabial fold (the crease of the smile line) at 14.6%. In 81.3% of cases the filler was hyaluronic acid, the same substance. Skin changes appeared in 43.8%. Central nervous system complications (a problem in the brain) appeared in 18.8%. 10 cases (20.8%) recovered vision fully, 8 cases (16.7%) recovered partly, and the rest did not recover. The authors conclude that practice varies enormously between clinics, and no treatment has proved consistently effective
Notes
These numbers were counted case by case from cases reported in journals. They contain only the number of people who were hurt, not the total number of injections given. So you cannot work out "how likely one injection is to cause blindness"; you can only see which sites go wrong most often and how little can be done afterwards. That is also why the evidence is graded B. What a proper institution does to lower risk is routine anyway: first map the vessels under the place to be injected, use a blunt needle rather than a sharp one, inject small amounts while withdrawing, and have hyaluronidase ready beforehand. Every one of them requires the person doing it to be a trained doctor, which is the reason not to use an unofficial channel. Before you go, check it against item 2 in this section (check the clinic's licence and the attending physician).
Sources
Beleznay K et al. (2019). Update on Avoiding and Treating Blindness From Fillers: A Recent Review of the World Literature. Aesthet Surg J.
doi.org/10.1093/asj/sjz0534Do not buy diet pills, diet coffee, slimming sweets or enzyme plums that promise "fast weight loss"
# Value HighGrade ALifespanNo moneyIn passingSome willpower
The substance most often found smuggled into these products is sibutramine. It was originally a diet drug and was stopped in China in 2010. Overweight people with heart disease or diabetes who took it for more than three years had about 30% more non-fatal heart attacks and about 36% more strokes. They lost only 1.7 kg more. By the time a spot check finds it, you have already swallowed it.
Cost
No money. It also saves the money you would spend on these products. The hard part is accepting that there is no such thing as dropping several jin in a week.
Benefit
The SCOUT trial enrolled 9,804 people. All were over 55, overweight or obese, and had cardiovascular disease or type 2 diabetes. They were randomised into a group taking the drug and a group taking none, with an average of 3.4 years of treatment. The primary endpoint was a set of bad events agreed in advance: non-fatal heart attack, non-fatal stroke, cardiac arrest survived, and cardiovascular death. These occurred at 11.4% vs 10.0%.
HR 1.16 (
95% CI 1.03–1.31, P=0.02), so the people taking the drug were about sixteen per cent more likely to have one of them. The true value lies roughly between 3% higher and 31% higher. Non-fatal heart attack 4.1% vs 3.2%,
HR 1.28 (1.04–1.57), about thirty per cent higher. Non-fatal stroke 2.6% vs 1.9%,
HR 1.36 (1.04–1.77), about thirty-six per cent higher. Cardiovascular death and all-cause death did not increase; all-cause means every cause added together. After the randomisation, the sibutramine group lost an average of 1.7 kg more. The former State Food and Drug Administration held, on the basis of its safety assessment, that "the risks of weight-loss treatment outweigh the benefits", and in month 10 of 2010 ordered the production, sale and use of sibutramine preparations and the raw drug to stop. Both sibutramine and phenolphthalein are banned from food, health food included
Notes
SCOUT enrolled people who already had heart disease or diabetes, a high-risk group. The trial did not show that healthy young people would have the same events. But because nobody can tell who is high-risk, the regulator simply took it off the market. Another substance often smuggled in is phenolphthalein; it was originally a laxative, and taking too much of it over a long period upsets the body's electrolytes and can bring on an arrhythmia. How to tell: a proper diet drug is a prescription drug, and its approval number can be looked up at the pharmacy and the hospital. Anything sold under the flag of "coffee", "sweets", "plums" or "meal replacement" that promises to drop several jin in a week should by definition have no drug effect; if it has one, something has been added. The original text of 国食药监办〔2010〕432 号 is on the National Medical Products Administration website; opening it on this machine has always returned error 412, so a provincial regulator's page repeating it is cited instead. The two sentences "the risks outweigh the benefits" and "production, sale and use stopped in October 2010" can be checked word for word there.
Sources
James WPT et al. (2010). Effect of sibutramine on cardiovascular outcomes in overweight and obese subjects. NEJM. ;Tianjin Municipal Commission for Market Regulation (天津市市场监督管理委员会). Beware of "sibutramine hydrochloride" and "phenolphthalein" illegally added to some foods(警惕部分食品中违法添加「盐酸西布曲明」和「酚酞」).
doi.org/10.1056/NEJMoa1003114scjg.tj.gov.cn/tjsscjdglwyh_52651/hdpt/cjwtyxfts/202007/t20200720_2972549.html5Do not use anabolic steroids ("muscle-building injections", "oral steroids") to build muscle
# Value HighGrade ALifespanNo moneyIn passingSome willpowerDisputed
Men who test positive for steroids in gym doping tests die at 3 times the rate of others their age, and go to hospital more than twice as often each year. Acne, gynecomastia and erectile dysfunction each hit at least one in ten users. In China these are prescription drugs, so any channel able to sell them to you is itself breaking the law.
Cost
No money, and it saves the money for the drugs. The hard part is accepting that muscle grows slowly.
Benefit
Denmark went back through its records and gave every user a same-age control. The users were 545 men who tested positive for androgenic steroids in gym doping tests between 2006-01-03 and 2018-03-01, matched with 5,450 controls. A second run checked them again against 644 people who refused to be tested and 6,440 controls. The results: users' mortality was 3 times that of the controls,
HR 3.0 (
95% CI 1.3–7.0), with the true multiple lying roughly between 1.3 and 7. The median number of hospital admissions or visits a year was 0.81 vs 0.36 (P<0.0001). The median means half the people are above that number and half below it. That P value means the difference is almost impossible to be chance. Acne (spots), gynecomastia and erectile dysfunction each affected more than 10% of users, that is at least one in ten users, and all were clearly higher than in the controls (P<0.0001). The second batch of records gave the same result. Article seven of the Regulations on Anti-Doping (《反兴奋剂条例》): the state applies strict control to the banned substances listed on the doping list, and no entity or individual may illegally produce, sell, import or export them. The same regulations put anabolic agents and peptide hormones under prescription-only control, that is, they may be bought only against a doctor's prescription; anabolic agents is what the regulations call this class of drug
Notes
Disputed: This is a study that followed a group of people and looked at what happened to them, not a randomised trial. Users may take more risks in other ways as well, so the figure of 3 times cannot all be laid at the drug's door. The true multiple may be as low as 1.3 or as high as 7.0, a very wide range. But "acne, gynecomastia and erectile dysfunction each hit more than a tenth of users" are side effects you can see with your eyes, and they are much less affected by this bias. In regulations these drugs are written as "anabolic agents"; those four Chinese characters mean this drug. Ordinary protein powder and creatine are not covered by this item. The trouble is that products claiming to build muscle very fast may smuggle ingredients in. The way to tell is the same as for the diet products (item 4, do not buy diet pills that promise fast weight loss): a proper drug is a prescription drug with an approval number you can check. Anything sold as "mass gainer" or "nutrition product" that promises results in a few weeks, if it really works, has had something added.
Sources
Horwitz H et al. (2019). Health consequences of androgenic anabolic steroid use. J Intern Med. ;State Council (国务院) (2004). Regulations on Anti-Doping(反兴奋剂条例)(State Council Order No. 398, articles seven and nine).
doi.org/10.1111/joim.12850www.gov.cn/gongbao/content/2004/content_63129.htm6If you are going to take diet pills, get a prescription at the hospital; do not buy from an online shop that ships without one
# Value ModerateGrade BLifespanA little moneyA few hoursNo willpower
A prescription drug must be sold against a prescription, and that applies online too: there must be a real prescription and real-name registration. A shop that does not ask, wants no prescription and ships the moment you order is either not selling what it claims to sell, or is breaking the rules. When something goes wrong, nobody is answerable for your dose or your contraindications. A registration costs a few dozen yuan, and a doctor then takes that gate for you.
Cost
One registration, plus the trip there and back. A few dozen yuan, half a day.
Benefit
The Measures for the Administration of the Quality Supervision of Drug Distribution and Use (《药品经营和使用质量监督管理办法》) require retail drug businesses to follow the classified management system for prescription and non-prescription drugs. That system divides medicines into two kinds: one may only be bought against a doctor's prescription, the other may be bought on your own. A pharmacy must sell prescription drugs against a prescription as required, and keep the prescription for no less than five years. When the pharmacist or other pharmaceutical technician is off duty, a notice must be displayed, and prescription drugs may not be sold without their review. Prescription drugs may not be sold on open shelves, that is, left on a shelf for customers to take themselves. Article nine of the Measures for the Supervision and Administration of Online Drug Sales (《药品网络销售监督管理办法》) provides that prescription drugs sold to individuals over the network must come from a genuine and reliable prescription, and real-name registration must be used. Article ten requires risk warning information to be shown prominently under each drug's display page. Before the prescription has passed review, the instructions may not be shown and no purchase service may be offered; until the prescription has been reviewed the page should not even offer a buy button. Article eight provides that drugs under special state control may not be sold over the network. Such drugs include vaccines, blood products, narcotic drugs, psychotropic drugs, toxic drugs for medical use, radioactive drugs, and drug-type precursor chemicals
Notes
The law can be checked word for word, but nobody has run a quantitative study on how much fewer goes wrong when you take a medicine as prescribed than when you buy it and take it yourself, so the grade is B for "hard to quantify". The steroids and the sex hormones covered in items 5 and 7 in this section follow the same rules. When it really is time to rely on medicine to lose weight, the doctor first looks at your body mass index, whether you have other illnesses, and whether there is any reason you cannot take the drug, then decides whether to prescribe and which one. That judgement cannot be bought.
Sources
State Administration for Market Regulation (国家市场监督管理总局) (2023). Measures for the Administration of the Quality Supervision of Drug Distribution and Use(药品经营和使用质量监督管理办法)(SAMR Order No. 84). ;State Administration for Market Regulation (国家市场监督管理总局) (2022). Measures for the Supervision and Administration of Online Drug Sales(药品网络销售监督管理办法)(SAMR Order No. 58, articles eight to ten).
www.gov.cn/gongbao/2023/issue_10846/202311/content_6917322.htmlwww.gov.cn/gongbao/content/2022/content_5717002.htm7Use sex-hormone drugs only when a doctor prescribes them and you have regular check-ups; do not buy online, do not raise the dose yourself
# Value ModerateGrade ALifespanA little moneyA few hoursNo willpower
This item does not discuss whether you should use them, only how. Transgender women who use oestrogen get blood clots in their vessels noticeably more often than people their age: about 4 extra per 1000 people over two years, and about 17 extra over eight years. Risks like these have to be watched by regular check-ups; with drugs bought online and doses adjusted by yourself, nobody runs those checks for you.
Cost
Regular registrations, plus blood tests for the check-ups. A few hundred yuan a year, taking up several half-days.
Benefit
The researchers followed a group of people taken from the electronic medical records of the Kaiser Permanente health group: 2,842 transgender women and 2,118 transgender men. Average follow-up was 4.0 years and 3.6 years respectively. Each person was matched with about 10 times as many cisgender controls on year of birth, race, clinic site and time of entry, giving 48,686 cisgender men and 48,775 cisgender women in all. Venous thromboembolism (a clot forming in a vessel and blocking it) was more common in transgender women than in the controls. Compared with cisgender men, at 2 years it was 4.1 per 1000 people (
95% CI 1.6–6.7). At 8 years it was 16.7 per 1000 (6.4–27.5). Worked out, that is 4.1 extra cases per 1000 people over two years and 16.7 extra over eight years. Compared with cisgender women, the two figures were 3.4 (1.1–5.6) and 13.7 (4.1–22.7). Ischaemic stroke (the kind of stroke caused by a blocked vessel) and heart attack were close across the groups overall. But among transgender women who only started hormone therapy during the follow-up period, the differences in venous thrombosis and ischaemic stroke were more marked. The evidence on transgender men is not enough to draw a conclusion. The authors conclude that "these results may suggest a need for long-term vigilance about the vascular side effects of oestrogen in transgender hormone therapy"
Notes
The researchers set out the weaknesses of the study themselves: how many people bought their drugs outside the hospital system they cannot see, so the line of "was the drug taken or not" was never clean. That is all the more reason to put the use of the drug inside regular follow-up. This study only looks at whether the vessels had an accident; it does not answer whether hormone therapy should be used or what it buys you, and that is another body of evidence. Every place where sex hormones are used is the same, including the pill, hormone replacement around menopause, and testosterone replacement. Anyone who buys online, doses from an internet post, and never has clotting, liver and kidney markers checked, runs the risk in the stretch where nobody is watching, and that has nothing to do with why the drug was taken. The proper route in China is the endocrinology department, or the relevant specialty, of a proper medical institution: assessment, prescription, follow-up.
Sources
Getahun D et al. (2018). Cross-sex Hormones and Acute Cardiovascular Events in Transgender Persons: A
Cohort Study. Ann Intern Med. ;State Administration for Market Regulation (国家市场监督管理总局) (2022). Measures for the Supervision and Administration of Online Drug Sales(药品网络销售监督管理办法)(SAMR Order No. 58, article nine).
doi.org/10.7326/M17-2785www.gov.cn/gongbao/content/2022/content_5717002.htm8If "thinking you are ugly" has got to the point of checking the mirror repeatedly and wanting to change repeatedly, get a body-image assessment before talking about surgery
# Value ModerateGrade BLifespanA little moneyA few hoursSome willpower
About 15% of people going for plastic surgery have body dysmorphic disorder, which means magnifying a flaw others can barely see until it affects your life. About 13% of people who go to dermatology wanting to look better have it, and in both groups more than seven in ten are women. Someone like this finishes one area and then fixes on the next; surgery does not solve it. Get one registration first to see whether this is you, then decide about the operation.
Cost
One registration at a psychiatry department or a clinical psychology department, a few dozen yuan. The hard part is making that trip before you book the operation.
Benefit
Following the rule, 33 studies were gathered and then pooled. Among plastic surgery patients, the prevalence of body dysmorphic disorder (magnifying a flaw others can barely see until it affects your life) was 15.04%, with individual studies ranging from 2.21% to 56.67%. In headcount, about 15 in every 100 people who go for surgery fit the description, while individual studies range from 2 to 57. This group had an average age of 34.54±12.41 years, the second figure being the margin either side, and 74.38% were women. Dermatology patients were 12.65%, with individual studies from 4.52% to 35.16%, an average age of 27.79±9.03 years, and 76.09% women. The authors suggest that plastic surgeons and dermatologists assess proactively, identify the high-risk people, and arrange for several departments to manage them together
Notes
The proportions measured by the individual studies run from 2.21% all the way to 56.67%, which is an enormous spread. The reason is that the questionnaires and the populations surveyed were all different. So all you can read off it is "this proportion is not low, and it is worth screening once first"; you cannot take 15.04% as an exact figure, and that is also why it is graded B. The great majority of people who want cosmetic work have no psychological problem. This item is aimed at the small group for whom it is "repeated, persistent, and already affecting work and social life"; surgery does not solve their problem. The signs to judge by are these: spending a long part of the day checking or covering one area, and so avoiding social contact or photographs, and finishing one area only to fix on the next.
Sources
Ribeiro RVE (2017). Prevalence of Body Dysmorphic Disorder in Plastic Surgery and Dermatology Patients: A Systematic Review with Meta-Analysis. Aesthetic Plast Surg.
doi.org/10.1007/s00266-017-0869-029. After a severe blow
13 / 13A relative has died, you have been told you have a serious illness, you have lost your job, you have divorced. These events share one thing in the research: what suffers is not only the mood but the body. The risk is at its highest from the first weeks to the first year. This section does not talk about how to "come through" it. It covers what has to be watched during this period, which decisions have to be put off, and when to go and register with a hospital. Most items here measure the probability of death. The four that talk about money and benefits measure money instead: do not go straight to paid grief counselling (item 9), calling 12356 and registering for a psychological outpatient clinic (item 11), putting irreversible big decisions off (item 12), and not using death as a way to pay off debts (item 13). The two kinds of numbers are not converted into one another. If you have neither relatives nor friends to turn to, how "get somebody to keep an eye on you" actually works is in item 6.
The procedures at the time a relative dies, the body, and the money you can claim are in section 25. Guardianship and wills before an older person's death are in section 17. What you can claim after losing your job is in section 7. Exercise and light when you are low are in section 3 and section 22. If you have thoughts of suicide, call 12356 first, see item 25 in section 1, for the time scale of those thoughts see item 32 in section 1, and for the after-effects once someone is saved see item 33 in section 1. None of that is repeated here.
1In the first days after a relative dies, do not stay on your own, and if you have heart disease, high blood pressure or diabetes keep taking your medication; if you have pressure across your chest, call 120
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
In the first day after a relative dies, the probability of a heart attack is 21.1 times the usual, and it falls day by day after that. Among people aged 60 to 89, the proportion who have a heart attack or a stroke within 30 days of their spouse dying roughly doubles, and falls back after a month. If you already have cardiovascular disease, do not stop your medication in those days. Pressure across the chest, breath you cannot get, weakness down one side of the body: call 120 immediately.
Cost
No money. Do not stay on your own for the next few days, and keep taking your medication.
Benefit
1985 patients with acute myocardial infarction, compared within the same person across the different windows before and after onset. 270 of them (13.6%) had lost an important person in the 6 months before onset, and 19 had lost one within 1 day before the heart attack. Within 24 hours of an important person's death, the rate of acute myocardial infarction rose 21.1-fold (
95% CI 13.1–34.1, so the true multiple is somewhere between 13 and 34). It fell day by day after that. In terms of actual numbers: among people with a 5% ten-year risk of a heart attack, there is 1 extra case for every 1394 people who have just lost a relative. Among people with a 20% risk, 1 extra case for every 320. A second British study compared 30447 widowed people aged 60 to 89 with 83588 matched controls. Within 30 days of bereavement, 50 people in the widowed group (0.16%) had a heart attack or a stroke, against 67 in the control group (0.08%).
IRR 2.20 (1.52–3.15), that is about 2.2 times the risk in the control group. For heart attacks, 2.14 (1.20–3.81), about 2.1 times. For strokes, 2.40 (1.22–4.71), about 2.4 times. The effect weakens after 30 days. Two other conditions were also looked at within 90 days. One was non-myocardial-infarction acute coronary syndrome, where the heart's blood supply fails suddenly but not far enough to count as a heart attack,
IRR 2.20 (1.12–4.29). The other was pulmonary embolism, where a clot blocks a vessel in the lung,
IRR 2.37 (1.18–4.75)
Notes
Hand the pill box to somebody else to keep, and do not rely on your own memory. Do not drive long distances in those days. Do not try to carry it with alcohol; the account for alcohol is in section 2. How to recognise a heart attack or a stroke and how to call an ambulance, see section 13. Both studies followed groups of people and looked back, so they cannot separate how many of them were going to have an event anyway. But both point the same way and cover the same period. If there is nobody to hand the pill box to and you are certain to be alone in the house for those days, see item 6 in this section.
Sources
Mostofsky E, et al. (2012). Risk of acute myocardial infarction after the death of a significant person in one's life: the Determinants of Myocardial Infarction Onset Study. Circulation. ;Carey IM, et al. (2014). Increased risk of acute cardiovascular events after partner bereavement: a matched cohort study. JAMA Internal Medicine.
doi.org/10.1161/CIRCULATIONAHA.111.061770doi.org/10.1001/jamainternmed.2013.145582In the week you are told you have a serious illness, do not go for the results on your own, and put off every decision other than treatment
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
In the first week after a cancer diagnosis, the probability of suicide is 12.6 times that of people without a diagnosis, and the probability of dying of cardiovascular disease is 5.6 times. By the first year the suicide risk has fallen to 3.1 times, and the harder the cancer is to treat the more marked this is. So take somebody with you the day you collect the results, and do not stay on your own at home afterwards. Things like resigning or selling the house, leave until your next appointment.
Cost
No money. Have somebody go with you to pick up the results. Push back by a few days any big decision other than treatment.
Benefit
Swedish national registers followed more than 6,070,000 people (6,073,240 people) over 1991 to 2006. Compared with people who had not been diagnosed with cancer, the relative risk of suicide in the first week after diagnosis was 12.6 (
95% CI 8.6–17.8), that is about 12.6 times. The true multiple is somewhere between 8.6 and 17.8. The incidence in that week is 2.50/1000 person-years, that is 2.5 cases per 1000 people per year. By the first year it falls to 3.1 (2.7–3.5, 0.60/1000 person-years), about 3.1 times. Cardiovascular death in the first week 5.6 (5.2–5.9, 116.80/1000 person-years), about 5.6 times. The first 4 weeks 3.3 (3.1–3.4, 65.81/1000 person-years). The rise falls off quickly within the first year after diagnosis. The harder the cancer is to treat and the lower the chance of surviving it, the more marked the rise is. Comparing the same group of patients across different windows gives the same conclusion
Notes
These are data on cancer patients. There is no source of the same weight for other serious diagnoses. The number of people involved is actually small: a suicide rate of 2.50/1000 person-years in the first week, that is 2.5 cases per 1000 people per year. This is written down not to frighten you but to show that somebody has to be there in the days just after you find out. Long-term management after diagnosis, reimbursement and follow-up are in section 16 and section 24. If you have nobody to go with, see item 6 in this section (put the neighbours and the community list in place of "that person").
Sources
Fang F, et al. (2012). Suicide and cardiovascular death after a cancer diagnosis. New England Journal of Medicine.
doi.org/10.1056/NEJMoa11103073After losing your job, fix your daily routine, your medical insurance and the rhythm of your job hunt first; do not spend the whole day at home
# Value HighGrade ALifespanNo moneyIn passingSome willpower
An unemployed person afterwards has about a sixty per cent higher probability of dying than a person in work, the rise is more marked in men and in the not very old, and it is highest in the first ten years. Take out the effect of smoking and drinking and the rise is about a quarter smaller, and that part is in your own hands. Go and register as unemployed and claim unemployment insurance benefits first; while you are receiving them, medical insurance is paid by the unemployment insurance fund.
Cost
No money. Go and register as unemployed and claim unemployment insurance benefits first, then put job hunting into a fixed schedule. The hard part is getting up on time when nobody is making you.
Benefit
42 studies, 235 estimates of the risk of death and more than 20 million people pooled together. After taking out the effect of age and similar conditions, the average
HR for all-cause death among the unemployed is 1.63, about sixty per cent higher than for people in work. Men are higher than women. The effect is marked for people in the early and middle part of their working life and smaller in the later part. The risk is highest in the first 10 years of follow-up and falls after that. In the subset of studies that also took health behaviour such as smoking and drinking into account, the average
HR is 24% lower, that is the calculated rise is about a quarter smaller
Notes
This is a study that followed groups of people and looked back, so it cannot tell cause from effect. People who were already in poor health were also more likely to lose their job. But "after taking out the effect of lifestyle habits the effect is 24% lower" gives you somewhere to start. What you can claim after losing your job, where to claim it and how to keep social insurance going, see section 7. What compensation you are owed on dismissal, and not to sign a voluntary resignation, see section 19.
Sources
Roelfs DJ, et al. (2011). Losing life and livelihood: a systematic review and meta-analysis of unemployment and all-cause mortality. Social Science & Medicine.
doi.org/10.1016/j.socscimed.2011.01.0054If a relative died by suicide, accident or murder, do not expect to tough it out; go and look for professional help
# Value HighGrade ALifespanNo moneyIn passingSome willpower
Among people whose spouse died by suicide, the chance of a mental disorder being diagnosed within five years is about eighty per cent higher than in the general population for men, and seventy per cent higher for women. Compared with people whose spouse died of another cause, it is seventy per cent higher up to double. People bereaved this way more often feel they have been pushed away by others, and feel ashamed. That is the reason to go and find someone yourself, instead of waiting until you feel better.
Cost
Calling 12356 costs nothing. To see a doctor, registering for a psychological outpatient clinic costs what an ordinary outpatient appointment costs. The hard part is being the one who asks.
Benefit
Danish national registers followed 6.7 million adults over 1980 to 2014, totalling more than 136 million person-years (the years all of them were followed, added together). For people widowed because their spouse died by suicide, the risk of a newly diagnosed mental disorder within 5 years, compared with the general population, was
IRR 1.8 in men (
95% CI 1.6–2.0), that is about eighty per cent higher. Women 1.7 (1.6–1.8), about seventy per cent higher. Compared with people widowed by other causes of death,
IRR 1.7 in men (1.5–1.9) and 2.0 in women (1.9–2.2), that is seventy per cent higher up to double. In this group, suicidal behaviour, mortality and the proportion needing municipal assistance were all higher as well. Physical conditions such as cirrhosis of the liver and sleep disorders also carried a raised risk. A separate 57 studies are summarised one by one and not pooled. Bereavement by suicide is associated with four things. First, a raised suicide risk in the partner. Second, a raised risk that a parent is admitted to a psychiatric ward after a child has committed suicide. Third, a raised suicide risk in the mother after an adult child has committed suicide. Fourth, a raised risk of depression in a child after a parent has committed suicide. Compared with people bereaved by other violent deaths, people bereaved by suicide more often say that they felt pushed away by others, and felt ashamed
Notes
A sudden, violent death means an accident, a murder, a disaster. After a death like this, the proportions of post-traumatic stress disorder, depression and grief that has got stuck are all higher than after an illness. Recovery is slower as well. What to do when you have thoughts of suicide yourself, see item 25 in section 1.
Sources
Erlangsen A, et al. (2017). Association Between Spousal Suicide and Mental, Physical, and Social Health Outcomes: A Longitudinal and Nationwide Register-Based Study. JAMA Psychiatry. ;Pitman A, et al. (2014). Effects of suicide bereavement on mental health and suicide risk. The Lancet Psychiatry. ;Kristensen P 等 (2012). Bereavement and mental health after sudden and violent losses: a review. Psychiatry. (the review referred to in the notes)
doi.org/10.1001/jamapsychiatry.2017.0226doi.org/10.1016/S2215-0366(14)70224-Xdoi.org/10.1521/psyc.2012.75.1.765In the first six months after a spouse dies, hand meals, sleep, the medication for a chronic illness and the follow-up appointments to one fixed person to keep an eye on them
# Value HighGrade ALifespanNo moneyIn passingSome willpower
Within six months of being widowed, the probability of dying in the same period is about forty per cent higher than for someone who has not been bereaved. After six months it falls to about fifteen per cent higher. Men are about twenty-three per cent higher; the figure for women is so small it may be chance. This gap is not something you can carry by telling yourself to think positive. What to do is pin the medication, the meals and the follow-up appointments onto one specific person, and not rely on your own memory.
Cost
No money. Find a specific person, a child, a brother or sister, or a friend, and have them come round or telephone on a set schedule. The hard part is asking someone to take this on.
Benefit
15 studies that registered first and then followed people forward, 2,263,888 people pooled together. When bereavement has lasted less than 6 months, the
RR of death is 1.41 (
95% CI 1.26–1.57), that is about forty per cent higher than for people who have not been bereaved. After 6 months it is 1.14 (1.10–1.18), down to about fifteen per cent higher. Men
RR 1.23 (1.18–1.28), about twenty-three per cent higher. Women 1.04 (1.00–1.08, not statistically significant, that is this difference may be chance). No clear difference was seen between people under 65 and people aged 65 and over. A separate analysis pooled 123 papers, 1377 risk estimates and more than 500 million people. After taking out differences in conditions,
HR 1.23 (1.19–1.28), that is about twenty-three per cent higher overall. Men are still higher than women. Men 1.27 (1.19–1.35), twenty-seven per cent higher. Women 1.15 (1.08–1.22), fifteen per cent higher
Notes
This is a study that followed groups of people and looked back; other factors cannot be taken out of it. A married couple's lifestyle and illnesses are similar to begin with. But the pattern that "the first six months are far higher than the ones after" is the same in two independent meta-analyses, and it is worth treating as a window of care. Men's risk is higher, and they also ask for help less often. If there is a widowed older person at home, sort out the accounts, guardianship and wills together as in section 17. If you cannot find such a person (you live alone, you have no children left, or your children are gone too), hand this to the community and to your phone, see item 6 in this section.
Sources
Moon JR, et al. (2011). Widowhood and mortality: a meta-analysis. PLoS ONE. ;Shor E, et al. (2012). Widowhood and mortality: a meta-analysis and meta-regression. Demography.
doi.org/10.1371/journal.pone.0023465doi.org/10.1007/s13524-012-0096-x6If you have neither relatives nor friends, replace 「the person who keeps an eye on you」 with three things: a neighbour who can get into your home, the community visiting list, and an emergency contact in your phone
# Value ModerateGrade BLifespanNo moneyIn passingSome willpower
When you have neither relatives nor friends, there are two things to look after: that somebody finds out if something happens, and that you take your medicine and eat on time. The medicine and the meals depend on you, so write them as a list and set an alarm instead of relying on memory. Somebody finding out depends on three things: leave a spare key with a neighbour, ask the residents' committee whether you can go on the visiting-care list, and set up an emergency contact on your phone and not switch it off.
Cost
No money. The hard part is speaking up: saying to a neighbour or to the residents' committee 「I live alone and something has just happened at home」.
Benefit
44,573 outpatients, all of them at risk of atherothrombosis or with a history of it (the kind of trouble in which plaques grow inside the vessels and clots block them easily). Doctors in several countries registered them into the international project REACH and followed them from 12 December 2003 to 12 December 2004, over 4 years. 8,594 of them (19%) lived alone. Among those living alone, all-cause death over the 4 years was 14.1%, against 11.1% among those living with somebody. Cardiovascular death was 8.6% against 6.8%. Both log-rank tests P<0.01, so the difference is unlikely to be chance. The gap differs between age groups (interaction P=0.03). At 45 to 65, death among those living alone against those living with somebody was 7.7% against 5.7%. After adjusting for the other conditions,
HR 1.24 (
95% CI 1.01–1.51), that is about a quarter higher. At 66 to 80 it was 13.2% against 12.3%,
HR 1.12 (1.01–1.26), about a tenth higher. Above 80 it was 24.6% against 28.4%,
HR 0.92 (0.79–1.06), and there was no rise at all. The 2022 opinion of the Ministry of Civil Affairs and ten other departments requires a visiting-care service to be set up. It covers older people who live alone, live apart from their children, were left behind, are disabled, are severely disabled, or come from families with special circumstances under the family planning policy. The service takes the form of 「regular home visits, telephone and video, remote monitoring」. Townships (subdistricts) do the first sweep to find the cases and village (residents') committees help, recording basic information and 「the willingness to receive visiting-care services」 and putting people into the grassroots grid management system, which means each area is assigned to a named person who keeps an eye on it. By the end of 2025 「the monthly visiting rate for elderly people in special difficulty is to reach 100%」, and 「for disabled elderly people in special difficulty, visiting care at least once a month」. The document also advocates that households install smart call systems, smart water meters, health monitoring products and elderly monitoring devices, 「so that when the monitoring shows an abnormality it can give a warning in time and send a message to the emergency contact at the same time」. Where staff find an urgent problem, they 「shall help dial the emergency number at the first opportunity」
Notes
How to do the three things in practice. First, give a spare key, or the temporary code of your door lock, to a neighbour or to the building management, and tell them 「I am on my own for a few days」. You do not need to be close friends; you only need somebody to know that you are in the flat. Second, tell the community residents' committee that you live alone and ask whether you can be put on the visiting-care list. Among older people, those who live alone, live apart from their children or have lost their children are named outright as the service's target groups; while you are there, ask whether your area has free smart call devices or smart water meters of that kind. Third, set up an emergency contact and a medical emergency card on your phone, and for the next few days do not put it on silent and do not switch it off. There are two reasons for the grade of B. First, the association between living alone and mortality comes from a study that looked back over existing population data, and you cannot remove the reverse explanation that 「people who were already in poor health or in poor conditions are more likely to live alone」; the paper itself says the result awaits confirmation. Second, the visiting-care document covers older people only. There is no matching special scheme for anybody under 60. What you can rely on is one line in the document. It requires grid workers and social workers to 「identify in good time psychological crisis risks such as family upheaval, job loss and dropping out of school」 (see item 11 in this section, call 12356 and have somebody to talk to). Why 「somebody in the flat」 is worth so much: see item 1 in section 13 (pressing hard on the chest). Of the cardiac arrests that happen outside hospital, 79.2% happen at home. Where somebody next to them does the pressing, 16.1% leave hospital alive, against only 3.9% where nobody does. Nobody in the flat means you land in the lower band. Two other things come with the same trip. The funeral arrangements themselves mean going to several counters: the funeral home, the community health service, public security and the housing provident fund (see section 25). If you make that a fixed part of going out once a day, you already have the reason to be out of the house these days. The hotline can be called again and again; it is not a one-off call (see item 11 in this section, call 12356 and have somebody to talk to). 「Living alone」 is itself a long-term risk factor. The mortality ratio for living alone is 1.32, about a third higher: see item 9 in section 22 (treat 「meeting people regularly」 as a health expense). But this entry is only about the next few days; the long-term account is counted separately.
Sources · 2 sources
- Udell JA, et al. (2012). Living alone and cardiovascular risk in outpatients at risk of or with atherothrombosis. Archives of Internal Medicine. doi.org/10.1001/archinternmed.2012.2782
- Ministry of Civil Affairs (民政部) and ten other departments (2022). Guiding Opinions on Carrying Out Visiting-Care Services for Elderly People in Special Difficulty, 关于开展特殊困难老年人探访关爱服务的指导意见(民发〔2022〕73 号). www.gov.cn/zhengce/zhengceku/2022-10/13/content_5718017.htm
7After a parent dies, tell the child the truth, let them attend the farewell, and do not send them somewhere else to "change the scenery"
# Value HighGrade BLifespanNo moneyIn passingSome willpower
Children who lose their father or mother before the age of 18 have about a fifty per cent higher probability of dying in early adulthood than children who have not been through it. Where the parent died by accident or suicide it is about eighty per cent higher, and where the parent died of illness about thirty per cent higher. What the family can do is tell him the truth, let him attend the farewell, not interrupt his schooling, and not send him to a relative's house to change the scenery.
Cost
No money. The hard part is that you are in pain yourself and still have to say it clearly to the child.
Benefit
The entire populations born in Denmark from 1968 to 2008 and in Sweden from 1973 to 2006 are counted. A sample of 89.3% of those born in Finland from 1987 to 2007 is added in. Altogether more than 7.3 million people. 189,094 of them lost a parent before the age of 18.
All-cause mortality in this group of children was 50% higher than in those who had not been bereaved (mortality ratio 1.50,
95% CI 1.43–1.58, that is about 1.5 times). Where the parent died by accident, suicide or another unnatural cause it was 1.84 (1.71–2.00), about eighty per cent higher. Where the parent died of illness or another natural cause it was 1.33 (1.24–1.41), about thirty per cent higher. The figure is highest where the child's cause of death falls in the same category as the parent's
Notes
Do not make up "has gone away on a long trip" when you talk to the child; the arrangements for guardianship and support have to be put in writing. The grade is not B because the numbers are weak. This is a follow-up study of the entire populations of three countries, and the numbers themselves would support an A. It is B because between that number and the specific practice of "how to talk to the child and whether to let him attend the farewell" there is no direct trial evidence. The authors say so themselves: after bereavement there is a shortage of data on the parent-child relationship and on how children live. The increase contains both an inborn-constitution part and a long-term effect left behind by the bereavement. Naming a guardian and arranging property, see section 17. Child support and schooling, see section 18.
Sources
Li J, et al. (2014). Mortality after parental death in childhood: a nationwide cohort study from three Nordic countries. PLoS Medicine.
doi.org/10.1371/journal.pmed.10016798If grief has gone six months and you are still stuck and cannot get through your days, register with psychiatry or clinical psychology
# Value ModerateGrade ALifespanA little moneyA few hoursSome willpower
About one in every ten bereaved adults gets stuck: six months or more of missing the person so much that they cannot eat, cannot work and cannot look after their children, going numb, and feeling that life has no meaning. This is not a matter of not being strong enough. It has diagnostic criteria and a treatment of its own. Targeted treatment has an effective rate of 51%, ordinary psychological therapy 28%, and it takes effect sooner as well.
Cost
The registration fee plus the treatment. This kind of treatment runs in courses; in the trials it averaged 16 sessions over 19 weeks. The hard part is being the one who goes and registers.
Benefit
14 studies pooled together, in adults whose relative did not die by violence and who themselves had not been seen in psychiatry. The prevalence of prolonged grief disorder is 9.8% (
95% CI 6.8–14.0), that is about 10 in every 100 bereaved adults. The older a person is, the higher the proportion. A separate study tested whether these diagnostic criteria are accurate. It interviewed 291 bereaved people three times, at 0–6, 6–12 and 12–24 months after the bereavement. The core symptom for diagnosis is intense longing for the dead person. At least five of these nine have to be added to it. The first five are emotional numbness, shock, feeling that life has no meaning, not trusting other people, and pain from this loss. The other four are difficulty accepting it, not recognising who you are now, avoiding reality, and being unable to go on with life. These symptoms have to be there every day, or be severe enough to stop you functioning. And they must still be there at least 6 months after the relative died, and still affect daily life. A separate trial with 95 people assigned at random to two groups gave 16 sessions over an average of 19 weeks. The effective rate for treatment of complicated grief was 51%. Ordinary interpersonal psychological therapy 28% (P=0.02, so the difference is unlikely to be chance). The former took effect sooner as well. Number needed to treat 4.3, that is on average every 4.3 people treated gives one extra person who improves
Notes
Do not count the months yourself. The real test is whether it is affecting eating, sleep, work and looking after the children; if it is, go and register. The departments are called psychiatry, psychology or clinical psychology, and every public psychiatric specialty hospital has them. This diagnosis goes under different names in different sources: complicated grief, and prolonged grief disorder. The standards also differ on how long it has to last: some say 6 months, some say 12. The 9.8% figure comes from 14 studies that differ quite a lot in method, and the authors warn that it may not carry over to other populations.
Sources
Lundorff M, et al. (2017). Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis. Journal of Affective Disorders. ;Prigerson HG, et al. (2009). Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Medicine. ;Shear MK, et al. (2005). Treatment of complicated grief: a randomized controlled trial. JAMA.
doi.org/10.1016/j.jad.2017.01.030doi.org/10.1371/journal.pmed.1000121doi.org/10.1001/jama.293.21.26019Do not go straight to paid grief counselling; first check whether your grief really has got stuck (the symptoms in item 8)
# Value HighGrade AMoneyNo moneyIn passingNo willpower
Offering psychological counselling to everyone who has been bereaved brings very little benefit, and after a while it cannot be seen, because most people come through it on their own. But for people who are already clearly not coping, treatment works as well as it does for other psychological problems. So check against item 8 first (grief has got stuck, go to psychiatry), and only then spend the money.
Cost
No money, and you save the counselling fee instead.
Benefit
61 controlled studies pooled together. Offering psychological interventions to the bereaved in general brings very little benefit at the end of treatment, and after some time the benefit cannot be seen. Interventions that take in only the bereaved who are already clearly not coping work as well as psychological therapy for other psychological problems. Studies that do no screening beforehand do badly, because the group that received no intervention would have come through it on their own over time anyway. A separate 14 randomised trials pooled together: treatment given to people who already have a problem is clearly better than the control group both at the end of treatment and at later follow-up, and the effect grows over time. Preventive interventions given to people who do not yet have a problem do not work. A separate study followed 205 people from before the death of a spouse through to 6 and 18 months after it. This study identified five courses. They are ordinary grief, long-term grief, long-term depression, getting better during the bereavement, and resilience (being able to take it). Of these, the resilient course is the commonest and the ordinary-grief course relatively uncommon
Notes
The point is "not everybody has to do it", not "nobody should do it". People at high risk of the kind covered by item 4 (a relative died by suicide, accident or murder) and people who have already got stuck, of the kind covered by item 8 (grief has got stuck, go to psychiatry), are exactly the ones for whom there is evidence that it should be done. The conclusion of a Lancet review says the same: grief is not an illness, and most people do not need professional intervention. Spend the effort on the people at high risk. And on those who already have complicated grief, depression after bereavement, or a stress disorder.
Sources
Currier JM, et al. (2008). The effectiveness of psychotherapeutic interventions for bereaved persons: a comprehensive quantitative review. Psychological Bulletin. ;Wittouck C, et al. (2011). The prevention and treatment of complicated grief: a meta-analysis. Clinical Psychology Review. ;Bonanno GA, et al. (2002). Resilience to loss and chronic grief: a prospective study from preloss to 18-months postloss. Journal of Personality and Social Psychology. ;Stroebe M 等 (2007). Health outcomes of bereavement. Lancet. (the review referred to in the notes)
doi.org/10.1037/0033-2909.134.5.648doi.org/10.1016/j.cpr.2010.09.005doi.org/10.1037/0022-3514.83.5.1150doi.org/10.1016/S0140-6736(07)61816-910After you separate or divorce, do not let medical insurance lapse and do not lean on alcohol
# Value ModerateGrade ALifespanNo moneyIn passingSome willpower
People who are separated or divorced have a clearly higher probability of dying early than people who are still married, and the rise is bigger in men and in younger people. Divorce is not necessarily the cause; people who divorce may already differ in health and income. There are two things in your own control: do not let medical insurance or the check-ups lapse, and do not lean on tobacco and alcohol.
Cost
No money. Keep the medical insurance going and stop the alcohol. The hard part is that this is a period when leaning on alcohol is easy.
Benefit
32 studies that registered first and then followed people forward, pooled together, covering more than 6.5 million people, 160,000 deaths, more than 755,000 divorces and 11 countries. Compared with people still married, separated or divorced adults had a clearly higher risk of early death. The rise is more marked in men and in younger people than in women and in older people. The authors discuss four possible pathways. First, social selection: people who were already in worse health or worse circumstances are more likely to end up divorced. Second, loss of resources, where income and protection stop. Third, changed health behaviour, with smoking, drinking and sleep getting worse. Fourth, chronic psychological stress (long-term tension)
Notes
The original only says "clearly higher" and compares the groups; it gives no multiple that can be cited, so no figure is given here. The benefit is graded medium on the basis of "you know the direction, and there is no reduction you can apply a threshold to". Property, debts and bride price in a divorce, see section 8 and section 10. Arrangements for the children, see section 18.
Sources
Sbarra DA, et al. (2011). Divorce and Death: A Meta-Analysis and Research Agenda for Clinical, Social, and Health Psychology. Perspectives on Psychological Science.
doi.org/10.1177/174569161141472411To have somebody to talk to, call 12356; minors and teenagers call 12355; to see a doctor, register for a psychological outpatient clinic
# Value HighGrade BMoneyNo moneyIn passingNo willpower
If you want somebody to talk to, call 12356. That is the national psychological assistance hotline, and it is free. Minors and teenagers have 12355, the teenage comprehensive service platform. If you want to see a doctor, register for the psychological outpatient clinic of psychiatry, psychology or clinical psychology. Where there is family upheaval, job loss or dropping out of school, the community grid worker and the social worker are supposed to spot it themselves.
Cost
No money. Both hotlines are free. A psychological outpatient clinic is registered for like an ordinary outpatient appointment.
Benefit
A 2026 plan from the National Health Commission (国家卫生健康委) and 25 other departments requires the working system of the 12356 psychological assistance hotline to be improved. Stable operation has to be guaranteed and the connection rate raised. A provincial 12356 information platform is to be built. The mechanism linking 12356 with service hotlines such as 110 is to be strengthened. The 12355 teenage comprehensive service platform is to be built up and used well, working together with 12356. There are three targets for 2030. First, 80% or more of administrative villages and urban communities are to have a psychological counselling room or a social work room and provide psychological services. Second, among the public psychiatric specialty hospitals at each level and the hospitals of each county (district), at least 1 is to provide psychological outpatient services. Third, every province is to have a provincial 12356 psychological assistance platform. The workforce for psychological crisis intervention and psychological assistance is made up of psychiatrists, psychological therapy technicians, psychological counsellors, social work professionals and volunteers. The plan also requires three kinds of person to keep an eye out and find problems early. These three are grid workers (the staff responsible for an area within the community), social work professionals and volunteers. They are to identify in good time psychological crisis risks such as family upheaval, job loss and dropping out of school (nationwide, 2026-3)
Notes
The grade is B because the counselling rooms in villages and communities and the psychological outpatient clinics at county level are targets for 2030, not things every place has now. 12356 and 12355, on the other hand, you can call today. When 12356 opened, and how long it is answered each day, see item 25 in section 1. Psychological counselling and psychological therapy are not the same thing. Only a psychiatrist can make a diagnosis or write a prescription, and the treatment has to be done at a qualified medical institution. The "healing" and "spiritual counselling" sold by the hour on the market are not part of this system.
Sources
National Health Commission (国家卫生健康委) and 25 other departments (2026). Notice on Issuing the Implementation Plan for a Sound Social Psychological Service System and Crisis Intervention Mechanism(关于印发健全社会心理服务体系和危机干预机制实施方案的通知)(国卫医政发〔2026〕8 号).
www.gov.cn/zhengce/zhengceku/202604/content_7065035.htm12In the first three months after a shock, put every irreversible big decision off
# Value ModerateGrade CMoneyNo moneyIn passingSome willpower
In this period your judgement of every "opportunity" is at its worst. People who say they can reach the person who died, who say they can get your money back for you, who tell you to resign and start again in another city, who want you to go into business with them, will all come to you. Anything over one month's income, or where the cost of changing your mind is high, put off by three months. Say it out loud first to somebody with no stake in it, and do not decide on the same day.
Cost
No money. You are only putting the decision off, and you may miss some opportunities because of it. The hard part is that at the time it feels as though the opportunity will not wait.
Benefit
Avoid disposing of property in a way you cannot undo during the period just after a blow, when judgement is at its worst. These things include selling the house, resigning, investing a lump-sum pension or compensation payment in one go, remarrying in a hurry, and standing surety for somebody else. The amounts involved in decisions of this kind usually run from tens of thousands of yuan to the price of one flat, and the benefit is therefore graded medium. Official documents also list "family upheaval, job loss and dropping out of school" as psychological crisis risks that the community is to screen for proactively, so the state a person is in during this period is already treated as one that needs help from outside
Notes
If there is nobody around you who has no stake in the matter, call 12356 and say it out loud there (see item 11 in this section, call 12356 and have somebody to talk to), or write it down yourself and read it back three days later. The "three months" is a line the author drew himself, with no literature behind that specific length, so it is graded C. The common scams that target the bereaved and older people are in section 17 (investing in retirement, reverse mortgages on a home) and section 6 (fortune telling). The traps in guaranties and IOUs are in section 8. There are a few payments you have to go and claim yourself, and they are not on the "put it off" list: the housing provident fund balance, social insurance benefits, and the three payments on a work-related death, see section 25 and section 19.
Sources · 2 sources
- The author's own experience, no direct literature
- the wording "family upheaval, job loss and dropping out of school" as psychological crisis risks is from National Health Commission (国家卫生健康委) and 25 other departments (2026). Implementation Plan for a Sound Social Psychological Service System and Crisis Intervention Mechanism(健全社会心理服务体系和危机干预机制实施方案)(国卫医政发〔2026〕8 号). www.gov.cn/zhengce/zhengceku/202604/content_7065035.htm
13Do not use death as a way of paying off debts: life insurance within two years does not pay out, a work injury is not recognised, and the debts are still taken out of the estate first
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
A life insurance policy does not pay out if you kill yourself within two years; you only get back what can be withdrawn from the policy. A work injury is not recognised either, and none of the three payments on a work-related death are made. Debts owed are taken out of the estate you leave first, and the family only gets what is left. They also have to bear the health cost described in item 4 in this section (bereavement after a death by suicide or violence).
Cost
No money. You are only working out what this account really comes to.
Benefit
Article 44 of the Insurance Law covers contracts under which the payment is conditional on the death of the insured person. Counted from the date the contract is formed or from the date its effect is restored, where the insured person commits suicide within two years the insurer is not liable to make the payment. It does not apply where the person who commits suicide is a person without civil capacity, that is, somebody who in law cannot answer for their own actions. In that case the insurer shall return the cash value of the policy as agreed in the contract, which means only the part of the policy that can be withdrawn, and it does not pay the sum insured. The sum insured on a life policy usually runs to tens of thousands of yuan, so the benefit is graded large. Article 16, paragraph 3 of the Regulations on Work-Related Injury Insurance says: where a person injures themselves or commits suicide, it shall not be recognised as a work injury or treated as one. The three payments on a work-related death in Article 39 therefore all fall through. First the funeral subsidy, paid as 6 months of the average monthly wage of employees locally in the previous year. Second the pension for dependants. Third the one-off payment on a work-related death, 20 times the per-capita disposable income of urban residents nationwide in the previous year. Article 1159 of the Civil Code says: when the estate is divided, the taxes and debts the deceased was legally liable for shall be paid off first, which means the estate pays the tax and the debts first and only what is left is divided. Article 1161 says that the heir pays within the limit of the actual value of the estate received, which means only the part that was inherited is used and you do not put your own money in; a person who renounces the inheritance need not bear the liability
Notes
This entry only counts the money. The other items in this section and in section 1 are about not getting to this point. Article 44 of the Insurance Law covers only the first two years; it is written here to give the whole of the article, not to set out a timetable. The health cost to the family is in item 4 in this section (a spouse whose partner died by suicide runs a seventy to eighty per cent higher risk of a new mental disorder within 5 years). What to do when the thought first appears: see items 25 and 32 in section 1, and the after-effects once somebody has been brought back: see item 33 in section 1. The standards for the three payments on a work-related death are in item 15 in section 19. The actual procedures for the estate and the debts are in item 9 in section 25 (going to claim the housing provident fund and social insurance benefits one by one)
Sources · 3 sources
- Standing Committee of the National People's Congress (全国人大常委会) (2015, as amended). Article 44 of the Insurance Law of the People's Republic of China. flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7c4060811
- State Council (国务院) (2010, revised). Regulations on Work-Related Injury Insurance, 工伤保险条例(国务院令第 586 号), articles 16 and 39. www.gov.cn/gongbao/content/2011/content_1778064.htm
- National People's Congress (全国人大) (2020). Articles 1159 and 1161 of the Civil Code of the People's Republic of China. flk.npc.gov.cn/detail?id=ff808081729d1efe01729d50b5c500bf
30. School-age children
17 / 17Section 20 covers the first year after a child is born. Section 18 works out what raising a child costs in money and time. The dozen-odd years in between, from 3 to 18, are in this section. The item on managing screen time by age starts at 0, because the official bands are three: 0–3, 3–6 and school age, and writing them out separately only makes it harder to use. What this section answers is: when "do not let it delay schoolwork" and "the body" collide, which things cannot wait. Those things have a time window, and once it has passed they cannot be made up. Whether schoolwork should be this competitive is not discussed here; this section gives only the windows and the numbers.
The first eight items, item 12 (dilated refraction), item 13 (fissure sealants) and items 15 to 17, count death and the real physical and psychological harm that is left behind. Items 16 and 17 among them are about how a family manages a child: no hitting and no shouting, and going to a parenting course that teaches specific techniques. Item 9 (not buying products that claim to "cure" myopia) counts money. Item 10 (the written rules on sleep, homework and physical education rankings), item 11 (taking a leave of absence while keeping the student record) and item 14 (a child who loves computer games) count time. Drowning, traffic, helmets and the HPV vaccine: see section 1. Infants: see section 20. Children being deceived and top-ups for computer games: see section 5. The lines a minor should not cross: see section 9. How to recognise an emergency and how to call a vehicle: see section 13. Children after a parent dies: see section 29. None of that is repeated in this section.
1If a child says the pain came on suddenly and is getting worse, go to hospital at once; do not let him sit it out until school is over
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
Some conditions are counted in hours. A boy with sudden severe pain on one side of the scrotum has testicular torsion, which is the vessel attached to the testicle twisted round and the blood supply cut off. Treated within 6 hours, 97.2% of testicles are saved. Left until 19 to 24 hours, only 42.5% are. Pain like this does not wait until school is over, and it does not wait until the exam is finished either.
Cost
No money. Take half a day off and take the child to register at the emergency department.
Benefit
30 sets of case reports and 2116 patients with testicular torsion were collected properly and looked at together. 1283 of them are counted in the 6-hour band. Counting from the start of the pain, the proportion of testicles saved from 0 to 6 hours is 97.2%. 7 to 12 hours 79.3%. 13 to 18 hours 61.3%. 19 to 24 hours 42.5%. 25 to 48 hours 24.4%. Over 48 hours 7.4%. Pooled into broad bands, within 12 hours 90.4%, 13 to 24 hours 54.0%, over 24 hours 18.1%. The author's conclusion is that the time in which the testicle can be saved can be longer than the 6 to 8 hours usually quoted. So even if the pain has already lasted a long time, it still has to be treated; do not skip it on the grounds that "it is too late anyway"
Notes
Say something to the boy in advance: if down there it suddenly hurts badly, say so at once, there is no need to be embarrassed about it. Testicular torsion is commonest in adolescent boys, and a good many sit on it because it is hard to bring up. Other conditions counted in hours the same way are acute appendicitis (which perforates if left), diabetic ketoacidosis and meningitis. This section has not checked item by item how much damage a delay of a few hours does in those. The signal they share is this: it starts suddenly, it keeps getting worse, and it is unlike anything that has happened before. How to recognise an emergency and how to call an ambulance, see section 13.
Sources
Mellick LB, et al. (2019). A Systematic Review of Testicle Survival Time After a Torsion Event. Pediatric Emergency Care.
doi.org/10.1097/PEC.00000000000012872Do not put off treatment that has to be done for the sake of "after the exam"; some windows follow bone age, not the examination timetable
# Value HighGrade ALifespanNo moneyIn passingA lot of willpower
Scoliosis is the spine curving out to the side. A brace is a hard shell worn over the body that holds the spine straight. Worn while the bones are still growing, 75% of children never reach the degree at which they would need an operation; among those who are only observed it is only 42%. The time for wearing it follows the bones finishing their growth, not the junior high or university entrance examination, so waiting until after the exam often leaves an operation as the only option.
Cost
No money. The only decision is whether to do it early or late. Leave and follow-up appointments take time; the cost of the treatment itself is separate. The hard part is that the brace has to be worn for at least 18 hours a day, and the child has to put up with it the whole time.
Benefit
A trial run by several hospitals together enrolled 242 adolescents with idiopathic scoliosis who met the conditions for wearing a brace. 116 of them were assigned at random and 126 chose for themselves whether to wear one. Success and failure were defined in advance: curvature reaching 50 degrees or more counts as treatment failure, and being below that degree when the bones finish growing counts as treatment success. Counted by the group first assigned, whether or not they actually went on to wear it enough. In the randomised bracing group the success rate was 75%, in the randomised observation-only group 42% (
OR 4.11,
95% CI 1.85–9.16), so the chance of success was about 4 times that of observation only. Pooling the randomised group with the ones who chose for themselves, it is 72% against 48% (after taking out the differences between the two groups that were there to start with,
OR 1.93, 1.08–3.46, still about 1.9 times). The more hours a day the brace is worn, the higher the success rate (P<0.001, so this relationship is unlikely to be chance). The trial was stopped early because the brace clearly worked
Notes
Scoliosis is used as an example here because it has a randomised trial, because it has a clear time window, and because it happens to be one of the focus items of the student medical examination (see item 7 in this section). Others of the same kind are strabismus, amblyopia, dental caries, and operations for congenital heart disease where you can pick the time. What they have in common is that the later you do it the worse the result, or the higher the cost. Ask the specialist about the specific window. If you are afraid of missing lessons, a child can take a leave of absence during the compulsory education stage, for up to 1 year, and the student place is kept, see item 11 in this section.
Sources
Weinstein SL, et al. (2013). Effects of bracing in adolescents with idiopathic scoliosis. New England Journal of Medicine.
doi.org/10.1056/NEJMoa13073373If a child is bullied, report it to the school the same day and ask for a written response; where it involves hitting, taking money or spreading rumours, call the police
# Value HighGrade ALifespanNo moneyIn passingSome willpower
Children bullied by their peers have about 2.2 times the chance of having thoughts of suicide as those who are not bullied, and about 2.6 times the chance of having attempted suicide. A school that receives a report has to investigate at once, and where it finds bullying it has to impose a sanction; in serious cases it may not conceal it and has to report it to the public security organ. So report it the same day, ask for the recognition procedure to be used, and keep a written record.
Cost
No money. Go to the head teacher, and also to the school's body for handling bullying. To call the police, dial 110. The hard part is standing up to advice like "don't make a fuss".
Benefit
34 studies, 284,375 children and adolescents, pooled together. Being bullied by peers is associated with thoughts of suicide,
OR 2.23 (
95% CI 2.10–2.37), so the chance of the thoughts appearing is about 2.2 times that of the unbullied. A separate 9 studies, 70,102 people, found bullying associated with attempted suicide,
OR 2.55 (1.95–3.34), about 2.6 times. Sex, age and the intrinsic quality of the studies all differ, and the result is the same throughout. Cyberbullying is more strongly associated with thoughts of suicide than bullying in person. Article twenty-one of the Provisions on School Protection of Minors(未成年人学校保护规定)lists five kinds of behaviour: hitting, kicking, slapping, scratching and biting, pushing and shoving, pulling and dragging; insulting, ridiculing and giving insulting nicknames; taking property, demanding by force or deliberately damaging property; deliberately excluding and isolating; fabricating facts online in order to slander or spreading rumours. The same article also provides that where the party with the advantage in age, in body or in numbers does these things deliberately or maliciously and causes personal injury, loss of property or mental harm, it may be recognised as bullying. Article twenty-two requires staff to find out about a student's abnormal emotions or physical injury in good time and report it. Article twenty-three requires a school that receives a report to investigate at once, submit it to the bullying-handling body for recognition and disposal, and notify the parents to take part. Where bullying is recognised, an educational sanction or a disciplinary sanction has to be imposed. Serious bullying that breaches public order administration or is suspected of being criminal may not be concealed, and has to be reported in good time to the public security organ and the education administration department (nationwide, in force from 2021-9-1)
Notes
If a child has an injury whose origin cannot be explained, suddenly refuses to go to school, and things keep going missing, ask about it first using the signals in article twenty-two. This analysis pools several studies together; it only follows records and has no control group, so it cannot show that bullying alone causes suicide, but the direction and the size of the risk are clear. The Plan on Strengthening the Comprehensive Governance of Bullying among Primary and Secondary School Students《加强中小学生欺凌综合治理方案》additionally requires a strict distinction between bullying and the rough-and-tumble play of ordinary students. So the school is obliged to make a finding, and cannot settle the matter with one line about children playing.
Sources
van Geel M, et al. (2014). Relationship between peer victimization, cyberbullying, and suicide in children and adolescents: a meta-analysis. JAMA Pediatrics. ;Ministry of Education (教育部) (2021). Provisions on School Protection of Minors(未成年人学校保护规定)(教育部令第 50 号,articles twenty-one, twenty-two and twenty-three).
doi.org/10.1001/jamapediatrics.2013.4143www.gov.cn/zhengce/zhengceku/2021-06/02/content_5614946.htm4Two hours outdoors for the child every day; this is the only way of preventing myopia that randomised trials support
# Value HighGrade ALifespanNo moneyA few hoursSome willpower
Adding 40 minutes of outdoor class a day to the first grade in primary school brought new cases of myopia after three years from about forty per cent down to about thirty per cent. The amount the health commission asks for is no less than 2 hours outdoors in the daytime every day, or 14 hours a week in total. Overcast days count, and standing outside at break counts too.
Cost
No money. But you have to set aside time every day, and it will mostly have to come out of the time for homework and for online classes. The hard part is doing it every day, not a few times.
Benefit
First-grade pupils at 12 primary schools in Guangzhou were assigned at random by school (952 in the intervention schools, 951 in the control schools, mean age 6.6 years). The intervention added 1 outdoor activity lesson of 40 minutes on every school day and encouraged parents to take the children out more outside lessons. Over 3 years new myopia was 30.4% in the intervention group, 259 cases among 853 who qualified for the analysis; 39.5% in the control group, 287 cases among 726. The difference between the two groups was -9.1 percentage points (
95% CI -14.1 to -4.1, P<0.001), so the true gap is somewhere between 4 and 14 percentage points lower. The increase in degree over the 3 years (the change in equivalent spherical equivalent) was -1.42 D against -1.59 D, a difference of 0.17 D (P=0.04). The intervention group increased slightly less. D is the unit in which degrees are measured. The growth in axial length (the front-to-back length of the eyeball) showed no difference between the two groups (P=0.07). The Ten Key Points on the Prevention and Control of Myopia in Children and Adolescents《防控儿童青少年近视核心知识十条》requires children and adolescents to spend no less than 2 hours outdoors in the daytime every day, or 14 hours a week in total. It notes that outdoor activity has a protective effect even on overcast days, and it requires avoiding the hot, strongly sunlit hours after midday
Notes
This trial only ran for 3 years, and the children who took part all started at 6 years old. A 9.1 percentage point difference in the proportion with myopia can stop some people from becoming myopic; it cannot guarantee that somebody will not become myopic. The same Ten Key Points gives several other practices. For reading and writing, "one foot, one fist, one inch". After 20 minutes of looking at something close, look into the distance for at least 20 seconds. A primary or secondary school student using an electronic screen for anything other than study, no more than 15 minutes at a time and no more than 1 hour a day in total. "Being outdoors" and "having a physical education lesson" are not the same thing; standing outside at break counts too.
Sources
He M, et al. (2015). Effect of Time Spent Outdoors at School on the Development of Myopia Among Children in China: A Randomized Clinical Trial. JAMA. ;General Office of the National Health Commission (国家卫生健康委办公厅) (2023). Ten Key Points on the Prevention and Control of Myopia in Children and Adolescents(防控儿童青少年近视核心知识十条)(国卫办妇幼函〔2023〕278 号).
doi.org/10.1001/jama.2015.10803www.gov.cn/zhengce/zhengceku/202307/content_6894284.htm5No screens from 0 to 3 years old, as few as possible from 3 to 6, and no more than 1 hour a day for primary and secondary school students using a screen for anything other than study
# Value ModerateGrade BLifespanNo moneyIn passingA lot of willpower
The National Health Commission asks for no screens from 0 to 3 years old, as little contact as possible from 3 to 6, and for primary and secondary school students using a screen for anything other than study no more than 15 minutes at a time and no more than 1 hour a day. The reason is that long periods of close-up work bring myopia on earlier. The evidence on screens and myopia is not that solid; the thing actually tested and shown to work is 2 hours outdoors a day.
Cost
No money. The hard part is taking the screen out of the child's hands, and the parents cutting down their own use in front of the child.
Benefit
The wording of article four of the Ten Key Points on the Prevention and Control of Myopia in Children and Adolescents《防控儿童青少年近视核心知识十条》is「0~3岁婴幼儿不使用手机、平板、电脑等视屏类电子产品;3~6岁幼儿尽量避免其接触和使用手机、平板、电脑等视屏类电子产品;中小学生非学习目的使用电子屏幕单次时长不宜超过15分钟,每天累计时长不宜超过1小时」, that is, infants and toddlers from 0 to 3 years old do not use mobile phones, tablets, computers and other screen-based electronic products; children from 3 to 6 should avoid as far as possible being exposed to and using mobile phones, tablets, computers and other screen-based electronic products; primary and secondary school students using an electronic screen for purposes other than study should keep a single session to no more than 15 minutes and the total for the day to no more than 1 hour. The same article states that「长时间近距离使用电子视屏类产品,易消耗儿童远视储备量,是儿童青少年近视早发、高发的重要原因」, that is, long periods of using screen-based electronic products at close range easily use up children's reserve of far-sightedness, and are an important cause of myopia coming early and often in children and adolescents. The 2018 implementation plan from the Ministry of Education (教育部) and seven other departments gives parents the same requirement, and adds that「年龄越小,连续使用电子产品的时间应越短」, that is, the younger the child, the shorter the continuous period of using electronic products should be. The research evidence is much weaker: a systematic review took in 33 studies, 11 of which entered the pooled calculation, with subjects from 3 months to 33 years old. Looking only at mobile phones and tablets, the odds ratio for myopia is 1.26 (
95% CI 1.00 to 1.60, I²=77%). Pooled with computers it is 1.77 (1.28 to 2.45, I²=87%). The authors' conclusion goes no further than "possibly associated", and they state that not one of the 33 studies had a reliable measure of screen time
Notes
The grade is B because what the official documents give are banded rules, not numbers measured in a trial. The lower bound of the odds ratio in the research sits exactly at 1.00, and the authors only dare say "possibly associated". So treat it as a good house rule to carry out, not as "no screens means no myopia". What is really supported by a randomised trial is
item 4 in this section (2 hours outdoors). Preschool children need their eyes checked too: the same document states that at 1–3 years old, 4–6 years old and after the age of 7 all children should have regular refractive screening to see how much far-sightedness reserve is left; the method is in
item 12 in this section (dilation and refraction testing). A meta-analysis has also been done on the relationship between screens and children's language skills: 42 studies, 18905 people, the longer the screen time the weaker the language skills (
r=−0.14,
95% CI −0.18 to −0.10). But watching together, and watching programmes with educational content, are positively associated in the other direction (
r=0.16 and 0.13). That is association, not causation; all it shows is that replacing talking with a child by putting a screen in front of them is not worth doing.
Sources · 4 sources
- General Office of the National Health Commission (国家卫生健康委办公厅) (2023). Ten Key Points on the Prevention and Control of Myopia in Children and Adolescents(防控儿童青少年近视核心知识十条)(国卫办妇幼函〔2023〕278 号). www.gov.cn/zhengce/zhengceku/202307/content_6894284.htm
- Ministry of Education (教育部) and seven other departments (2018). Implementation Plan for the Comprehensive Prevention and Control of Myopia in Children and Adolescents(综合防控儿童青少年近视实施方案)(教体艺〔2018〕3 号). www.moe.gov.cn/srcsite/A17/moe_943/s3285/201808/t20180830_346672.html
- Foreman J, Salim AT, Praveen A, et al. (2021). Association between digital smart device use and myopia: a systematic review and meta-analysis. The Lancet Digital Health, 3(12), e806-e818. doi.org/10.1016/S2589-7500(21)00135-7
- Madigan S, McArthur BA, Anhorn C, Eirich R, Christakis DA (2020). Associations between screen use and child language skills: a systematic review and meta-analysis. JAMA Pediatrics, 174(7), 665-675. doi.org/10.1001/jamapediatrics.2020.0327
6Treat myopia as damage that stays: the deeper the degree, the more retinal detachment, macular disease and glaucoma later on
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
Myopia does not get better on its own and the degree does not come back down. Nor is it only a matter of wearing a pair of glasses. Compared with people who are not myopic, the chance of myopic macular degeneration is more than ten times higher with mild myopia and hundreds of times higher above 600 degrees. For retinal detachment it is about 3 times higher with mild myopia and about 13 times higher above 600 degrees. So the earlier a child becomes myopic and the faster it goes up, the larger the risk they are carrying for later.
Cost
No money. You have nothing to do about it yourself; what has to be done is in items 4 and 5 (2 hours outdoors, managing screens by age).
Benefit
A systematic review and meta-analysis pooled research published up to 2019-6, sorting by degree into three bands: mild (−0.5 to −3.00 D), moderate (−3.00 to −6.00 D) and high (≤−6.00 D, 600 degrees and above). Compared with people who are not myopic, the odds ratios for myopic macular degeneration are in turn 13.57 (
95% CI 6.18 to 29.79), 72.74 (33.18 to 159.48) and 845.08 (230.05 to 3104.34). For retinal detachment, 3.15 (1.92 to 5.17), 8.74 (7.28 to 10.50) and 12.62 (6.65 to 23.94). For posterior subcapsular cataract, 1.56 (1.32 to 1.84), 2.55 (1.98 to 3.28) and 4.55 (2.66 to 7.75). For open-angle glaucoma, mild is 1.59 (1.33 to 1.91), and moderate and high pooled together are 2.92 (1.89 to 4.52). For visual impairment at over 60 years of age the odds ratios for the three bands are in turn 1.71 (1.07 to 2.74), 5.54 (3.12 to 9.85) and 87.63 (34.50 to 222.58). The Ten Key Points on the Prevention and Control of Myopia in Children and Adolescents《防控儿童青少年近视核心知识十条》says the same thing: 600 degrees and above counts as high myopia, and in this group the incidence of blinding eye conditions such as cataract, open-angle glaucoma, myopic macular degeneration, retinal detachment and myopic optic neuropathy is markedly higher than in other groups, and that「近视可防可控不可逆」, that is, myopia can be prevented and controlled but not reversed
Notes
Everything pooled into this is observational research, and the odds ratios are unusually large. The credible range for high myopia on macular degeneration runs from 230 to 3104, which means the studies underneath it differ a great deal; the figure can only be read for its order of magnitude and must not be used as an exact value. Most of these complications only show up in middle and old age. Myopia itself is not a disability; the great majority of people have normal vision once they wear glasses to correct it. But it is not a matter of putting on a pair of glasses and being done with, and it is worth spending effort on delaying it and controlling it. How to follow up after diagnosis, see item 12 in this section (dilation and refraction testing). Do not buy products claiming they can cure it, see item 9 in this section (curing myopia).
Sources · 2 sources
- Haarman AEG, Enthoven CA, Tideman JWL, Tedja MS, Verhoeven VJM, Klaver CCW (2020). The complications of myopia: a review and meta-analysis. Investigative Ophthalmology & Visual Science, 61(4), 49. doi.org/10.1167/iovs.61.4.49
- General Office of the National Health Commission (国家卫生健康委办公厅) (2023). Ten Key Points on the Prevention and Control of Myopia in Children and Adolescents(防控儿童青少年近视核心知识十条)(国卫办妇幼函〔2023〕278 号). www.gov.cn/zhengce/zhengceku/202307/content_6894284.htm
7Read the report from the annual student health examination yourself, and take any abnormal item to a hospital the same year
# Value HighGrade BLifespanNo moneyIn passingNo willpower
Primary and secondary schools organise one health examination of the students each year. The items to watch on the report are overweight, obesity, malnutrition, abnormal curvature of the spine, poor vision and dental caries; these are the ones most easily let slide. Do not glance at height and weight and put the sheet away. If any of them is abnormal, take the child to a specialist that same year and get it cleared up.
Cost
No money. In the compulsory education stage the examination fee is paid out of the school's public budget, and parents do not pay separately.
Benefit
The Measures for the Administration of Health Examinations of Primary and Secondary School Students (2021 Edition)《中小学生健康体检管理办法(2021 年版)》provides that primary and secondary schools organise 1 health examination of the students on roll each year. The surgical examination covers the head, neck, chest, spine, limbs, skin and lymph nodes. The ophthalmic examination covers the appearance of the eye, distance vision and refraction (the degree of myopia or hyperopia). The report handed to each individual should include the results found, an overall assessment and health advice. Overweight, obesity, malnutrition, abnormal curvature of the spine, poor vision and dental caries must be the focus of the guidance. Education administration departments should keep a file on students with health problems and follow them up (write it down and come back to it later). The cost of health examinations for students during the compulsory education stage is paid out of the school's public budget, and parents do not pay separately (nationwide, 2021-9)
Notes
The grade is B because this is a document telling schools how to do it, not a study of effects. What it guarantees is "examine every year, examine these items, follow up anything abnormal"; it does not guarantee that somebody will act on what is found. The examination is only a first screen, not a diagnosis. Poor vision needs dilation and refraction testing in the eye department (item 12 in this section). Abnormal curvature of the spine needs the orthopaedic or spinal surgery department (item 2 in this section, do not put off treatment to wait for an exam). Both of those steps have to be taken by a parent taking the child there.
Sources
National Health Commission (国家卫生健康委) and Ministry of Education (教育部) (2021). Measures for the Administration of Health Examinations of Primary and Secondary School Students (2021 Edition)《中小学生健康体检管理办法(2021 年版)》(国卫医发〔2021〕29 号).
www.gov.cn/zhengce/zhengceku/2021-10/21/content_5644100.htm8Screen children aged 12 to 18 for depression once; do not take the school's psychological questionnaire for a diagnosis
# Value HighGrade BLifespanNo moneyIn passingNo willpower
The US preventive guideline recommends screening 12- to 18-year-olds for major depression; for 11 and under the evidence is not enough. Suicide is the second leading cause of death among 10- to 19-year-olds. The psychological questionnaire the school gives every year is a census, not a diagnosis. If the child says they feel awful, or eating, sleep, interests and school marks all change suddenly, register with psychiatry or clinical psychology.
Cost
0 to several tens of yuan, filling in a screening questionnaire at a community centre or an outpatient clinic. The 12355 and 12356 hotlines cost nothing to call.
Benefit
The US Preventive Services Task Force issued a recommendation statement in 2022. It recommends screening adolescents aged 12 to 18 for major depressive disorder (a grade B recommendation). A grade B recommendation means moderate confidence and a moderate expected benefit, so it is worth doing. Screening children aged 11 and under for major depression, the evidence is insufficient (an I statement, that is the evidence is not enough to give a recommendation). Screening children and adolescents specifically for suicide risk, the evidence on benefit and on harm is both insufficient (an I statement). The document points out that suicide is the second leading cause of death in the 10- to 19 age group. It also points out that major depression in children and adolescents is closely related to a good many later problems. These include recurrent depressive episodes in adulthood, other mental disorders, and a higher risk of suicidal thoughts, attempted suicide and death by suicide. The Ten Measures to Further Strengthen the Mental Health Work for Primary and Secondary School Students《进一步加强中小学生心理健康工作十条措施》requires a three-level service system of head teachers, full-time and part-time school mental health teachers, and psychiatrists. Each student is to have a psychological assessment once per school year, generally no more than 1 time. The document also requires referral to medical care for mental illness and a mechanism for returning to school after recovery. It requires the 12355 teenage service desk and the 12356 psychological assistance hotline to play their part (nationwide, 2025-10)
Notes
The grade is B because what the original gives is a rating of the strength of the recommendation, not an effect that can be turned into a number. It is also a US recommendation; China has no matching official screening guidance. A positive screening result only means you have to do one more assessment; it is not a diagnosis. What to do when there are thoughts of suicide, see item 25 in section 1. How to handle it at home, see section 29.
Sources
US Preventive Services Task Force (2022). Screening for Depression and Suicide Risk in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. ;General Office of the Ministry of Education (教育部办公厅) (2025). Ten Measures to Further Strengthen the Mental Health Work for Primary and Secondary School Students《进一步加强中小学生心理健康工作十条措施》(教基厅〔2025〕2 号).
doi.org/10.1001/jama.2022.16946www.gov.cn/zhengce/zhengceku/202510/content_7045528.htm9Do not buy products and services claiming they can "cure myopia" or "reduce the degree"
# Value HighGrade BMoneyNo moneyIn passingNo willpower
The State Administration for Market Regulation(市场监管总局)says outright that「在目前医疗技术条件下,近视不能治愈」, that is, under current medical technology myopia cannot be cured. Anyone marketing with claims like "restore", "reduce the degree", "myopia cured" or "degree repaired" is to be dealt with strictly. When you see these words, rule the product out and do not compare prices. An eye-protection device counts as a medical device, and the shopping platform is responsible for checking whether the seller is qualified to sell it.
Cost
No money, and you save the money as well.
Benefit
A notice from the General Office of the State Administration for Market Regulation(市场监管总局办公厅)for a special rectification campaign from 2021-11 to 2022-3 states: 「在目前医疗技术条件下,近视不能治愈」, that is, under current medical technology myopia cannot be cured. The notice requires strict enforcement against the behaviour of marketing myopia prevention and control products for children and adolescents with misleading wording such as 「康复」「恢复」「降低度数」「近视治愈」「近视克星」「度数修复」, that is, rehabilitation, restore, reduce the degree, myopia cured, myopia nemesis, degree repaired. The notice requires a heavier hand, covering the behaviour of passing itself off as traditional Chinese medicine, or borrowing on traditional Chinese medicine theory and technique to do marketing and publicity and deceive consumers. The notice also requires severe action against two kinds of false and unlawful advertising: using the name or the image of a patient to show a before-and-after comparison of treatment results, and making guaranteed claims about the safety and the efficacy of treatment. The notice requires shopping platforms to strictly implement the review of business qualifications for medical devices such as eye-protection devices and for related special goods (finding out whether the seller is qualified to sell them) (nationwide)
Notes
The grade is B because what it rests on is the standard the regulators use when they take action, not something measured by comparing products in a trial. But the statement that myopia cannot be cured is the same from the health department and the regulators: the Ten Key Points on the Prevention and Control of Myopia in Children and Adolescents《防控儿童青少年近视核心知识十条》says「近视可防可控不可逆」, that is, myopia can be prevented and controlled but not reversed. The two things that really have evidence behind them are item 4 in this section (outdoors) and item 12 in this section (standard refraction testing, glasses and follow-up). For blue-light-blocking glasses, see section 6.
Sources
General Office of the State Administration for Market Regulation(市场监管总局办公厅)(2021). Notice on Carrying Out a Special Rectification Campaign Against Unlawful Commercial Marketing and Publicity for Myopia Prevention and Control Products for Children and Adolescents(关于开展儿童青少年近视防控产品违法违规商业营销宣传专项整治行动的通知).
www.gov.cn/zhengce/zhengceku/2021-11/12/content_5650400.htm10Sleep, homework, physical education and ranking all have written rules, and where the school cannot meet them you can raise it
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
The documents state that primary school pupils should sleep 10 hours a day, junior high students 9, senior high students 8. Morning classes in primary school generally start no earlier than 8:20, and in secondary school no earlier than 8:00. From 2025 there is a further rule that there must be no less than 2 hours of physical activity a day, and that pupils may not be ranked by examination results. If your child has been sleeping too little for a long time, check it against these provisions first instead of blaming the child for dawdling.
Cost
No money. Knowing the provisions is enough; if necessary raise it with the school or with the local education administration. The hard part is being the one who raises it.
Benefit
The Notice on Further Strengthening the Management of Sleep for Primary and Secondary School Students《关于进一步加强中小学生睡眠管理工作的通知》provides: primary school pupils should sleep 10 hours a day, junior high students 9, senior high students 8. Morning classes in primary school generally start no earlier than 8:20, and in secondary school no earlier than 8:00. Schools may not require pupils to arrive early to take part in collective educational and teaching activities. Primary school pupils should be in bed generally no later than 21:20, junior high students no later than 22:00, senior high students no later than 23:00. Off-campus training institutions may not finish later than 20:30, and online live training may not finish later than 21:00. Between 22:00 each day and 8:00 the next day, game services may not be provided to minors (nationwide, 2021-3). The Ten Measures to Further Strengthen the Mental Health Work for Primary and Secondary School Students《进一步加强中小学生心理健康工作十条措施》has several more provisions: across the board, no less than 2 hours of comprehensive physical activity a day for primary and secondary school students, and it encourages a "15-minute break between classes". It also provides that students may not be ranked by examination results, that mechanical, repetitive or punitive homework is strictly forbidden, and that one homework-free day a week is encouraged (nationwide, 2025-10)
Notes
Both of these are documents issued by the authorities in charge. How far each school carries them out varies a great deal, which is why this item is graded B. Their use is that you know which things the school was supposed to be doing anyway, so you have something to point to when you talk to them. The sleep account for adults, see section 2 and section 3.
Sources
General Office of the Ministry of Education (教育部办公厅) (2021). Notice on Further Strengthening the Management of Sleep for Primary and Secondary School Students《关于进一步加强中小学生睡眠管理工作的通知》(教基厅函〔2021〕11 号). ;General Office of the Ministry of Education (教育部办公厅) (2025). Ten Measures to Further Strengthen the Mental Health Work for Primary and Secondary School Students《进一步加强中小学生心理健康工作十条措施》(教基厅〔2025〕2 号).
www.gov.cn/zhengce/zhengceku/2021-04/02/content_5597443.htmwww.gov.cn/zhengce/zhengceku/202510/content_7045528.htm11If a child cannot carry on any more they can take a leave of absence, and the school must keep their student place, for up to 1 year
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
A leave of absence is a formal system. A parent or other guardian applies, and once the school has confirmed it, reports it upwards for approval. One period is at most 1 year; if you still need to stop when it ends, apply again. During the leave the school has to keep the student's place, and they carry on where they left off when they come back. The specific rules are set by each province, so ask the school's academic affairs office or the local education bureau.
Cost
No money. A parent or other legal guardian applies to the school. The hard part is having to accept that the child stops for a while.
Benefit
Article sixteen of the Measures for the Administration of Student Status for Primary and Secondary School Students《中小学生学籍管理办法》sets out how a leave of absence is handled. A student's leave is applied for by a parent or other legal guardian. Once the school has confirmed it, the school reports it to the student status administration department above for approval. When the student comes back the school should complete the relevant formalities in good time. A single period of leave may not exceed 1 year; where it is genuinely still needed once that period ends, a fresh application must be made. During the leave the school should keep the student's place for the student (their status and their place in the roll are kept). The specific rules on returning from a leave of absence are made by the provincial education administration department (nationwide, 2025-1). The Ten Measures to Further Strengthen the Mental Health Work for Primary and Secondary School Students《进一步加强中小学生心理健康工作十条措施》requires referral to medical care for mental illness and the building of a mechanism for returning to school after recovery, and instructs schools to draw up plans for handling sudden psychological crises on campus
Notes
Before you go and do it, ask three things: what medical certificate is required, how the student status is recorded in the system during the leave, and whether coming back means returning to the original year or dropping a year. The grade is B because what conditions a leave requires, what materials have to be handed in and how the return is joined up are all set by the provincial education department; at the national level there is only a framework. The Provisions on School Protection of Minors《未成年人学校保护规定》also require compulsory education schools to register and file students who have dropped out, taken a leave of absence or been away for a long time, so a leave of absence is something the school has handled before, not a special exception for you alone.
Sources
Ministry of Education (教育部) (2025). Measures for the Administration of Student Status for Primary and Secondary School Students《中小学生学籍管理办法》(教基〔2025〕1 号,article sixteen). ;General Office of the Ministry of Education (教育部办公厅) (2025). Ten Measures to Further Strengthen the Mental Health Work for Primary and Secondary School Students《进一步加强中小学生心理健康工作十条措施》(教基厅〔2025〕2 号).
www.gov.cn/zhengce/zhengceku/202502/content_7002620.htmwww.gov.cn/zhengce/zhengceku/202510/content_7045528.htm12If poor vision is found, have dilation and refraction testing done at a hospital, and afterwards go back at the interval the doctor gives you
# Value ModerateGrade BLifespanA little moneyIn passingNo willpower
Dilation and refraction testing means putting in eye drops that relax the muscle inside the eye responsible for focusing, and then measuring the degree. It is done in hospital, and it is the most accurate way of diagnosing myopia. The health commission states that these drops do no damage to a healthy eye, and that things return to normal once they are stopped. Do not take a single computer measurement in an optician's shop as a diagnosis, and do not refuse to get your child glasses for fear of "making the degree worse".
Cost
Tens to hundreds of yuan for the examination and for the glasses. After the dilation the child will be sensitive to light and unable to see near things clearly, and it takes half a day to a day or two to settle.
Benefit
The Ten Key Points on the Prevention and Control of Myopia in Children and Adolescents《防控儿童青少年近视核心知识十条》explains what dilation and refraction testing is. A cycloplegic agent is used first, and then the refraction is measured. A cycloplegic agent is eye drops that relax the muscle inside the eye responsible for focusing. Dilation and refraction testing is a medical refraction done in hospital, and it is the「金标准」for diagnosing myopia (the most accurate method). The dilating drugs do no damage to a healthy eye; after using them there may be short-term sensitivity to light and blurred near vision, and normal function returns once they are stopped. Once myopia is diagnosed, prompt and scientific intervention is needed, and it is corrected by wearing glasses and so on. Wearing the right pair of glasses corrects blurred vision effectively and slows down the progression of myopia. Where vision with glasses is normal, preschool children and primary school pupils should be examined again every 3 to 6 months, and junior and senior high school students every 6 to 12 months, and whether to change the glasses is decided on the specifics. Children should have regular refractive screening at 1 to 3 years old, 4 to 6 years old and after the age of 7 (measuring the degree), to monitor the far-sightedness reserve (nationwide, 2023-7)
Notes
The grade is B because this is the method given in an official popular-science document, not an original study with specific figures. High myopia brings retinal detachment and similar trouble, so the follow-up is not only about changing glasses. The "poor vision" found on the student health examination is only a screening result; it still has to be taken to hospital for one complete eye examination, see item 7 in this section.
Sources
General Office of the National Health Commission (国家卫生健康委办公厅) (2023). Ten Key Points on the Prevention and Control of Myopia in Children and Adolescents(防控儿童青少年近视核心知识十条)(国卫办妇幼函〔2023〕278 号).
www.gov.cn/zhengce/zhengceku/202307/content_6894284.htm13Get pit and fissure sealants once the first permanent molars are through
# Value ModerateGrade ALifespanA little moneyIn passingNo willpower
A pit and fissure sealant seals the grooves on the chewing surface of the big teeth with resin, so that food debris cannot get in. Two years after it is done, the chance of getting a cavity is about one eighth of what it is without it. Without it 16% of tooth surfaces get a cavity; with it only about 5%. It is still effective after four years.
Cost
Tens to a hundred or two hundred yuan per tooth. No anaesthetic and no drilling, and it takes a few minutes. Many places have a free programme for children who have reached the age.
Benefit
38 trials, 7924 children aged 5 to 16, properly collected by Cochrane and pooled together. Resin sealants are compared against no sealant. For the first permanent molar in children aged 5 to 10, at 24 months after the sealant the odds of a cavity were
OR 0.12 (
95% CI 0.08–0.19), that is about one eighth of the chance without a sealant. This item comes from 7 trials, with 1548 assigned at random and 1322 examined at the end, and the quality of the evidence is moderate. Where 16% of tooth surfaces in the control group developed a cavity within 24 months, after sealing it is 5.2% (3.13%–7.37%). Where the control group figure is 40%, it is 6.25% (3.84%–9.63%). Where it is 70%, it is 19% (12.3%–27.2%). At 48 to 54 months after the sealant
OR 0.21 (0.16–0.28), still about one fifth of no sealant. The authors' conclusion is that resin sealants produce 11% to 51% fewer cavities than no sealant at 24 months. Of the 4 trials that recorded adverse events, none reported any. There is not enough evidence to say which is better among the other sealing materials such as glass ionomer
Notes
The first permanent molar (the big tooth that will not be replaced) generally comes through at around 6 years old, the second at around 12. The sealant has to go on while the tooth has only just come through and before it has decayed; once there is a cavity all you can do is fill it. Many regions list sealants for children who have reached the age as a free service, so ask the local CDC or the community health centre. This section did not find a national document whose wording can be checked word for word, so it does not state the coverage or the age band. Dental caries is also a focus item of the student health examination, see item 7 in this section.
Sources
Ahovuo-Saloranta A, et al. (2017). Pit and fissure sealants for preventing dental decay in permanent teeth. Cochrane Database of Systematic Reviews.
doi.org/10.1002/14651858.CD001830.pub514If your child loves games, first check whether sleep, homework and time outdoors have been squeezed out; do not only watch how long the play goes on for
# Value ModerateGrade BTime and energyNo moneyIn passingSome willpower
Genuinely meeting the description of "gaming disorder" is two or three in every hundred. If the questionnaire threshold is set low and only adolescents are surveyed, the proportion comes out too high. Looking at the real records from the game companies, how much somebody plays has almost nothing to do with how they feel. Minors are allowed, under the rules, to play only on Friday, Saturday, Sunday and public holidays, between 8 and 9 in the evening.
Cost
No money. Once a week, note what time your child goes to bed, whether the homework was handed in, and whether there was time outside.
Benefit
A meta-analysis pooled 53 studies from 17 countries, 226247 people. The prevalence of gaming disorder is 3.05% (
95% CI 2.38–3.91, which is the credible range). Counting only the studies with stricter sampling, it is 1.96%. The results differ a long way between studies; 77% of the variation comes down to which questionnaire was used. Samples of adolescents, low threshold scores and small samples all push the proportion up. A separate study obtained data from 7 game companies and linked the real playing time of 38935 players over six weeks to the well-being they filled in themselves. There is almost no evidence of playing time affecting well-being. The National Press and Publication Administration(国家新闻出版署)provides that game companies may give minors 1 hour of service each day from 20 to 21 hours on Fridays, Saturdays, Sundays and statutory public holidays (nationwide / internationally, from 2021)
Notes
The grade is B because the prevalence changes too much with the questionnaire, and the well-being study only followed people for six weeks. The commonest cost of games is that they squeeze out sleep and time outdoors. The written requirement on sleep is in item 10 in this section (sleep, homework, physical education), outdoors is in item 4 in this section (2 hours outdoors a day), and screen time is in item 5 in this section (no more than 1 hour a day for anything other than study). Top-ups and refunds are in item 9 in section 5 (a child topping up or tipping on a phone). When school marks, sleep and the relationship with the family all fall apart together, and advice does not stop it, take the child to psychiatry or to child and adolescent psychology. The beneficiary here is the child.
Sources
Stevens MW, Dorstyn D, Delfabbro PH, King DL. (2021). Global prevalence of gaming disorder: A systematic review and meta-analysis. Australian and New Zealand Journal of Psychiatry, 55(6), 553–568. ;Vuorre M, Johannes N, Magnusson K, Przybylski AK. (2022). Time spent playing video games is unlikely to impact well-being. Royal Society Open Science, 9(7), 220411. ;National Press and Publication Administration (国家新闻出版署) (2021). Notice on Further Strict Management to Effectively Prevent Minors from Becoming Addicted to Online Games《关于进一步严格管理切实防止未成年人沉迷网络游戏的通知》(国新出发〔2021〕14 号).
doi.org/10.1177/0004867420962851doi.org/10.1098/rsos.220411www.gov.cn/zhengce/zhengceku/2021-09/01/content_5634661.htm15If your child says they like the same sex, do not scold them, do not turn them out of the house, and do not send them for "correction": the attitude at home is related to whether they will attempt suicide
# Value HighGrade BLifespanNo moneyIn passingSome willpower
Among secondary school students in China, children who like the same sex or who like both sexes have attempted suicide in the past year at about 3 to 5.5 times the rate of other children. Research from other countries finds that adolescents strongly rejected at home are far more likely to have attempted suicide later. Those sent by their parents for "correction" have the highest rate.
Cost
No money. The hard part is that the parent has to work through their own feelings first, and not say anything harsh at the time.
Benefit
A survey in China covered 506 secondary schools in 7 provinces, 150822 pupils from the first year of junior high to the third year of senior high. Among those who had attempted suicide in the past year, boys who liked only the opposite sex were 2.2%, boys who liked only the same sex 6.9%, and boys who liked both 12.2%. For girls the figures are 3.1%, 8.9% and 10.9%. That works out at about 3 to 5.5 times the figure for classmates who like only the opposite sex. The researchers took out age, academic pressure, family income and being bullied. After that, the
OR for those two groups of boys is 3.13 (
95% CI 2.28–4.28) and 3.83 (2.85–5.14), that is two to three times higher. A meta-analysis of 35 studies works out an
OR of 3.50 (2.98–4.12) for attempted suicide among sexual minority adolescents. A US study interviewed 224 homosexual and bisexual young people aged 21 to 25 and asked them to recall the reaction at home during adolescence. Compared with peers whose families hardly rejected them, the
OR for having attempted suicide where family rejection was high is 8.4. In a separate study, where parents themselves tried to change their child's sexual orientation, the
OR for the child having attempted suicide is 3.08 (1.39–6.83). Where parents also took the child to see a therapist or a religious figure, it is 5.07 (2.38–10.79) (China / several countries / United States)
Notes
The grade is B because all of these are one-off surveys, and the degree of rejection at home is recalled in adulthood, so they can show an association and not who caused what. Parents do not have to accept anything straight away; first do not do anything that harms the child. In law, parents may not abuse or abandon a child, and may not commit domestic violence against a child. Regular verbal abuse and intimidation count as domestic violence as well. If the child's mood is low and they say they do not want to live, call 12356 first, see item 25 in section 1 (call 12356 when there are thoughts of suicide). You can also go to psychiatry following item 8 in this section (one depression screen between 12 and 18 years old). For why "correction" is not to be touched, see item 28 in section 6 (do not carry out sexual orientation conversion). The beneficiaries here are the child and you.
Sources
Huang Y, Li P, Guo L, et al. (2018). Sexual minority status and suicidal behaviour among Chinese adolescents: a nationally representative cross-sectional study. BMJ Open, 8(8), e020969. ;di Giacomo E, Krausz M, Colmegna F, Aspesi F, Clerici M. (2018). Estimating the Risk of Attempted Suicide Among Sexual Minority Youths: A Systematic Review and
Meta-analysis. JAMA Pediatrics, 172(12), 1145–1152. ;Ryan C, Huebner D, Diaz RM, Sanchez J. (2009). Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123(1), 346–352. ;Ryan C, Toomey RB, Diaz RM, Russell ST. (2020). Parent-Initiated Sexual Orientation Change Efforts With LGBT Adolescents: Implications for Young Adult Mental Health and Adjustment. Journal of Homosexuality, 67(2), 159–173. ;Standing Committee of the National People's Congress (2024 revision). Law on the Protection of Minors(未成年人保护法)(article seventeen). ;Standing Committee of the National People's Congress (2015). Anti-Domestic Violence Law(反家庭暴力法)(article two).
doi.org/10.1136/bmjopen-2017-020969doi.org/10.1001/jamapediatrics.2018.2731doi.org/10.1542/peds.2007-3524doi.org/10.1080/00918369.2018.1538407flk.npc.gov.cn/detail?id=ff8081818f197cf001905e567af635a0flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7f9d6088916Do not hit your child, and do not shout at them or call them stupid: children who are often hit and shouted at have more behaviour and emotional problems
# Value ModerateGrade ALifespanNo moneyIn passingA lot of willpower
Children who are hit often are more aggressive and have more psychological problems, are more distant from their parents, and are hit harder more often. Whether hitting makes a child obedient on the spot is not something the evidence settles. Children who at 13 are often shouted at or called stupid get into more trouble and are more depressed afterwards, and how warm the parents are the rest of the time does not cancel that out.
Cost
No money. The hard part is stopping your hand and your mouth at the moment the anger comes, and then switching to a way of managing the child that does not involve hitting or shouting. What to switch to is in item 17 in this section (a parenting course that teaches specific techniques).
Benefit
Start with hitting. One meta-analysis counts only one form of it, "an open hand on the buttocks or the limbs". It pools 75 studies, 111 effect sizes and 160927 children. Of the 17 outcomes, 13 are clearly connected with being hit, and the direction is bad in every one of them. d is the size of the effect: 0.2 counts as small and 0.5 as moderate. Aggression in childhood d = 0.37 (
95% CI 0.13–0.61, credible range). Externalising problems 0.41, which means hitting people and breaking rules. Internalising problems 0.24, which means anxiety and depression. Mental health problems 0.53, a poor relationship with the parents 0.51, low self-esteem 0.15, poor cognitive ability 0.17. Physical abuse inflicted by the parents 0.64. Antisocial behaviour in adulthood 0.36, mental health problems 0.24. The 111 effect sizes put together give d = 0.33 (0.29–0.38). Whether the child obeys on the spot is not clearly connected with being hit (d = 0.14, −0.19–0.47), and that one rests on only 5 effect sizes. A second review looks only at studies that followed children forwards, 69 of them. Physical punishment consistently predicts more behaviour problems later, and it was not connected with any long-term good outcome. 7 of those studies looked at how often the hitting happened, and 5 found that the more the hitting, the worse the problems. Now shouting. One study in the United States followed 976 families with both parents at home. When the child was 13 and the parents often shouted, swore or called the child stupid or lazy, getting into trouble and depressive symptoms both increased between the ages of 13 and 14. How warm the parents were the rest of the time does not cancel that association. The reverse holds as well: children getting into more trouble at 13 were shouted at more afterwards. In law, parents may not commit domestic violence against a child. Article two of the Anti-Domestic Violence Law lists the forms domestic violence takes: beating, tying up, maiming, restricting personal freedom, and persistent verbal abuse and intimidation. Article twelve of that Law requires a guardian to carry out family education in a civil manner. Where parents infringe a child's rights, the residents' committee and the village committee must advise them and stop them, and where the circumstances are serious they must report it to the police. Where the police, the procuratorate or the court find out, they must admonish the parents and may order them to take family education guidance (nationwide)
Notes
Disputed. Nearly all of these studies only followed records and had no control group, so they cannot say who caused what. In the spanking meta-analysis, 72% of the studies only looked at whether two things appeared together, or relied on recall afterwards. Another meta-analysis included only studies that followed children forwards; after taking out the child's earlier behaviour, the link between spanking and externalising problems was only 0.07, and with internalising problems only 0.10. The authors of that one think the effect is small. A third meta-analysis found that "conditional spanking" does better than 10 of 13 other methods of discipline at reducing disobedience and antisocial behaviour. It also found that hitting too hard, or making hitting the main method, does worse than other methods. So what the other side can show is this: a little spanking, done conditionally, may not be worse than other methods. Heavy spanking and constant hitting and shouting, both sides agree, are worse. An occasional slap and a raised voice are not stated by the statute to be domestic violence; what it names is beating and persistent verbal abuse and intimidation. The main beneficiary is the child. If somebody else in the household is hitting the child, how to call the police and how to apply for a protection order: see item 43 in section 8 (personal safety protection order). Anyone who sees a child being hit over a long period in another family has the right to step in and stop it, or to report it to the police, the civil affairs department or the education department. For what is going on in a stranger's home, calling 110 or telling the residents' committee is enough; do not go to the house yourself and take it on.
Sources · 8 sources
- Gershoff ET, Grogan-Kaylor A. (2016). Spanking and child outcomes: Old controversies and new meta-analyses. Journal of Family Psychology, 30(4), 453–469. doi.org/10.1037/fam0000191
- Heilmann A, Mehay A, Watt RG, et al. (2021). Physical punishment and child outcomes: a narrative review of prospective studies. Lancet, 398(10297), 355–364. doi.org/10.1016/S0140-6736(21)00582-1
- Wang MT, Kenny S. (2014). Longitudinal links between fathers' and mothers' harsh verbal discipline and adolescents' conduct problems and depressive symptoms. Child Development, 85(3), 908–923. doi.org/10.1111/cdev.12143
- Ferguson CJ. (2013). Spanking, corporal punishment and negative long-term outcomes: a meta-analytic review of longitudinal studies. Clinical Psychology Review, 33(1), 196–208. doi.org/10.1016/j.cpr.2012.11.002
- Larzelere RE, Kuhn BR. (2005). Comparing child outcomes of physical punishment and alternative disciplinary tactics: a meta-analysis. Clinical Child and Family Psychology Review, 8(1), 1–37. doi.org/10.1007/s10567-005-2340-z
- Standing Committee of the National People's Congress (2015). Anti-Domestic Violence Law(反家庭暴力法)(articles two and twelve). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7f9d60889
- Standing Committee of the National People's Congress (2024 revision). Law on the Protection of Minors(未成年人保护法)(articles eleven, seventeen and one hundred and eighteen). flk.npc.gov.cn/detail?id=ff8081818f197cf001905e567af635a0
- Standing Committee of the National People's Congress (2021). Law on Promoting Family Education(家庭教育促进法)(articles twenty-three and fifty-three). flk.npc.gov.cn/detail?id=ff8081817cac3b2d017cac5a6c6f0109
17If the child is hard to manage and you cannot stop yourself hitting or shouting, go to a parenting course that teaches specific techniques
# Value ModerateGrade ALifespanNo moneyA few hoursSome willpower
In trials where assignment was by lot, a course that teaches parents specific techniques reduced the child's hitting and rule-breaking, and it improved the parents' mood. Parents also hit and shouted at their children less; the effect was largest just after the last session, was still there one or two years later, but was much smaller. Shanghai has run this kind of course too, and it worked.
Cost
The parenting schools run by schools, kindergartens and communities are public-benefit and charge nothing. The courses with evidence behind them run weekly or every other week, one to two hours each, from four weeks to twenty-four weeks. You have to work through the exercises at home. The hard part is finishing the course and practising every day.
Benefit
Cochrane pooled 13 trials, 10 of them assigned by lot, with 1078 parents. The children were 3 to 12 years old and all of them had behaviour problems. Among the parents who took the course, the children's behaviour problems went down. Rated by the parents themselves the effect is SMD −0.53 (
95% CI −0.72 to −0.34, credible range), and rated independently by others −0.44 (−0.77 to −0.11). SMD and d are the same ruler, and 0.5 counts as moderate. The parents' own mental health improved, −0.36 (−0.52 to −0.20). Negative or harsh discipline became less frequent: −0.77 (−0.96 to −0.59) rated by the parents, −0.42 (−0.67 to −0.16) rated by others. The authors describe these as short-term effects. A second meta-analysis screened out 346 randomised trials, 60 of which measured behaviour such as hitting and shouting at children, across 22 countries. Hitting and shouting fell when the course had just ended, d = −0.46 (−0.59 to −0.33). After 1 to 6 months it was −0.24 (−0.37 to −0.11). After 7 to 24 months it was −0.18 (−0.34 to −0.02), and the later the measurement, the smaller it is. Most of these figures are reported by the parents themselves. There are trials in China as well. In Shanghai, 81 parents were assigned by lot and some took the Triple P group course. After the course, the children's adjustment problems and the parents' discipline and mood were all better than in the parents still waiting for their course, and still were six months later. In the countryside, 191 adults looking after children at one kindergarten took part; some worked through an online course on their own and then joined two group discussions. Two weeks after it, the child abuse they reported was about 33% lower than among those who were only handed a book to read (
IRR 0.67). Three months later, the children's behaviour problems had fallen as well (d = −0.40). The Law on Promoting Family Education requires parents to learn about family education on their own initiative. Primary and secondary schools and kindergartens may run parenting schools and organise public-benefit family education guidance at regular intervals. Residents' committees and village committees may run community parenting schools. Governments at provincial level and above have to run public-benefit online parenting schools and service hotlines. Institutions giving family education guidance may not organise profit-making training (nationwide, in force from 2022-1-1)
Notes
The grade is A because there are pooled figures from Cochrane and from several randomised trials. The courses in the trials have a few things in common. The person leading the course teaches specific techniques, such as playing with the child, praising, rewarding and disciplining. The parents practise and rehearse in the class, and there is homework at home. Courses that only hand out material, or only discuss, were left out, so the evidence does not cover a single lecture. What the public-benefit parenting schools here teach, and how they teach it, differs from place to place and it may not be this kind of course. When you pick a course, look at whether it runs over several weeks and makes you practise specific techniques. Names you will often see are Triple P, Incredible Years and Parent-Child Interaction Therapy (PCIT). This book does not recommend particular institutions or paid products. The effect of less hitting and shouting gets smaller after a year or two, so you have to keep practising after the course ends. The beneficiaries are the child and you. If the child already has serious emotional problems, take them to psychiatry or to a child psychology clinic, see item 8 in this section (depression screening).
Sources · 5 sources
- Furlong M, McGilloway S, Bywater T, Hutchings J, Smith SM, Donnelly M. (2012). Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years. Cochrane Database of Systematic Reviews, (2), CD008225. doi.org/10.1002/14651858.CD008225.pub2
- Backhaus S, Leijten P, Jochim J, Melendez-Torres GJ, Gardner F. (2023). Effects over time of parenting interventions to reduce physical and emotional violence against children: a systematic review and meta-analysis. eClinicalMedicine, 60, 102003. doi.org/10.1016/j.eclinm.2023.102003
- Guo M, Morawska A, Sanders MR. (2016). A Randomized Controlled Trial of Group Triple P With Chinese Parents in Mainland China. Behavior Modification, 40(6), 825–851. doi.org/10.1177/0145445516644221
- Wang W, Zhang H. (2026). A self-directed parenting program to reduce the risk of child maltreatment in rural China: A cluster randomized controlled trial. Child Abuse & Neglect, 173, 107937. doi.org/10.1016/j.chiabu.2026.107937
- Standing Committee of the National People's Congress (2021). Law on Promoting Family Education(家庭教育促进法)(articles eighteen, twenty-five, thirty-one, thirty-eight and forty). flk.npc.gov.cn/detail?id=ff8081817cac3b2d017cac5a6c6f0109
31. What are the paths after eighteen
16 / 16This section measures money and time, and refusing military service also bears on personal freedom. It is a map of the paths, not a manual for any one of them. It first sets the legal thresholds for the various paths side by side, and then goes through one by one the things you only need once you have chosen: what serving gives you, what openings there are besides the civil service examination for getting into an establishment, which two majors on the national entrance examination fill posts with a staffing quota attached, whether a qualification can still be completed later, what kind of company to look for if you want to work abroad, what to do about social insurance if you are not in any establishment, and whether there is money to borrow for starting out with part of the interest paid by the state.
There are far more paths open after eighteen than are written here. Only those with public documents at the national level, whose thresholds and benefits can be checked line by line, are collected here. Going into a state-owned enterprise, going into a factory, becoming a seafarer, working as a freelancer, going on to senior high school or university, these are all paths too. They simply have no single document to look up, and this book does not write conditions for them out of impression.
Which path you take is your own business. This section offers two things only: which document the threshold is written in, and which deadlines and qualifications on the way up expire and are then void. How to work out the question of studying or working, and how to choose a skill, see section 23. Overtime pay, work injuries and severance once you are in an establishment, see section 19. The capital for opening a shop or a company and how to get out, see section 12. Studying abroad, see section 32. Protection after losing your job, see section 7. None of these is repeated here.
1Check the thresholds first: the age and education requirements for twelve paths are all fixed in writing
# Value HighGrade ATime and energyNo moneyIn passingNo willpower
The age and education thresholds for these twelve paths are all written into documents. Going out to work requires being at least 16 years old. Military service requires a man to be at least 18 years old, and this is relaxed to 24 for university graduates. Sitting the civil service examination requires being 18 to 35 years old with a college education or above. The self-study examination for a qualification and registering as an individual business are the two paths that look at neither your education nor your age.
Cost
No money. Ten minutes to go through them and see whether you can reach them.
Benefit
For military service, look at the Military Service Law(兵役法): 「年满十八周岁的男性公民,应当被征集服现役;当年未被征集的,在二十二周岁以前仍可以被征集服现役。普通高等学校毕业生的征集年龄可以放宽至二十四周岁,研究生的征集年龄可以放宽至二十六周岁」, that is, male citizens who have reached eighteen years old shall be called up for active service; those not called up in that year may still be called up before the age of twenty-two; for graduates of ordinary higher education institutions the call-up age may be relaxed to twenty-four, and for postgraduates to twenty-six. For the civil service examination, look at article eighteen of the Provisions on the Recruitment of Civil Servants《公务员录用规定》: the conditions for application include 「年龄为十八周岁以上,三十五周岁以下」, aged eighteen or above and under thirty-five, and 「具有大学专科以上文化程度」, having an educational level of college or above. These two may be adjusted appropriately with the approval of the civil service department at provincial level or above. Article nineteen of the same Provisions lists five kinds of person who may not apply. For example those who have been criminally punished for a crime, those dismissed from public office, and those listed as subjects of joint punishment for dishonesty. For firefighters, look at the Measures for the Recruitment of Firefighters into the National Comprehensive Fire and Rescue Force《国家综合性消防救援队伍消防员招录办法》. Article five: 「年龄为 18 周岁以上、22 周岁以下」, aged eighteen or above and under twenty-two, and 「具有高中以上文化程度」, having an educational level of senior high school or above. Article six: 「大学专科以上学历人员、解放军和武警部队退役士兵……年龄可以放宽至 24 周岁」, for people with a college education or above, and for soldiers discharged from the People's Liberation Army and the Armed Police Force, the age may be relaxed to twenty-four. For civilian posts in the armed forces, look at article nine of the Regulations on Civilian Personnel of the People's Liberation Army of China《中国人民解放军文职人员条例》, whose basic conditions include 「年满 18 周岁」, being at least 18 years old. Article nineteen of the same Regulations states that the highest age for first recruitment and appointment to posts at a lower grade is 35 years old. Posts at a lower grade are the entry-level posts. For public institutions, look at article eight of the Regulations on the Administration of Personnel of Public Institutions《事业单位人事管理条例》: 「事业单位新聘用工作人员,应当面向社会公开招聘」, a public institution recruiting new staff shall recruit openly from the public. For an individual business, look at the Regulations on the Promotion of the Development of Individual Businesses《促进个体工商户发展条例》: 「有经营能力的公民……依法登记为个体工商户的,适用本条例」, citizens with the capacity to run a business who register as an individual business in accordance with the law are governed by these Regulations. For the self-study examination, look at the Interim Regulations on Higher Education Self-Study Examinations《高等教育自学考试暂行条例》. Article three: 「中华人民共和国公民,不受性别、年龄、民族、种族和已受教育程度的限制,均可依照本条例的规定参加高等教育自学考试」, citizens of the People's Republic of China, without restriction as to sex, age, ethnicity, race or level of education already received, may all take part in higher education self-study examinations in accordance with these Regulations. Article twenty: 「各级各类全日制学校的在校生不得报考」, students enrolled on full-time courses at schools of every level and type may not apply. For publicly funded teacher training students, look at article two of the Implementation Measures for Publicly Funded Education of Students on the Bridging Programme for Undergraduates and Postgraduates at Normal Universities Directly under the Ministry of Education《教育部直属师范大学本研衔接师范生公费教育实施办法》. It recruits only at six normal universities directly under the Ministry. They are Beijing Normal University(北京师范大学), East China Normal University(华东师范大学), Northeast Normal University(东北师范大学), Central China Normal University(华中师范大学), Shaanxi Normal University(陕西师范大学)and Southwest University(西南大学). The undergraduate and postgraduate stages are designed as one and assessed in stages: after finishing the undergraduate degree you go on to the postgraduate degree. Tuition and accommodation while on campus are borne by the central finance, and a living allowance is given as well. Article five of the same Measures: 「招收公费师范生实行提前批次录取」, publicly funded teacher training students are admitted in an advance batch, that is, they are admitted before the ordinary batch. For contract medical students, look at the Notice on Employment Placement and Performance Management of Rural Order-Directed Free-Trained Medical Students《关于做好农村订单定向免费培养医学生就业安置和履约管理工作的通知》. It states: 「在录取后、获得入学通知书前,须与培养学校和定向就业所在地的县级卫生健康行政部门……人力资源社会保障部门签署协议」, that is, after admission and before receiving the admission notice, the student must sign an agreement with the training school and with the county-level health administration department and the human resources and social security department of the place where the employment is directed. For working abroad, look at the Regulations on the Administration of Overseas Labour Cooperation《对外劳务合作管理条例》. Article five: engaging in overseas labour cooperation requires the approval of the commerce department in charge and the acquisition of a qualification to operate. Article seven, paragraph four: 「未依法取得对外劳务合作经营资格证书并办理登记,不得从事对外劳务合作」, no one may engage in overseas labour cooperation without having obtained the certificate of qualification for overseas labour cooperation in accordance with the law and completed registration. A company that has no such certificate but organises people to go abroad to work is itself breaking the law. Article eight, paragraph two: 「任何单位和个人不得以商务、旅游、留学等名义组织劳务人员赴国外工作」, no unit or individual may organise workers to go abroad to work in the name of business, tourism, study abroad or anything of the kind. Platform work and flexible employment have no statutory education threshold; for enrolling in insurance yourself and for the work-injury cover, see items 11 and 12 in this section. The Compulsory Education Law(义务教育法)「禁止用人单位招用应当接受义务教育的适龄儿童、少年」, that is, prohibits employers from employing children and adolescents of school age who should be receiving compulsory education (nationwide)
Notes
Having reached the threshold, you still have to get through the political criteria, the medical examination and the political assessment. These have no published scoring standard and cannot be found in the provisions. The entry points for secondary vocational schools, technical schools and integrated vocational education are in item 5 in section 23, and the financial help available when the family cannot afford it is in item 4 in section 23. An individual business does not look at your education, but opening a shop is not easy. The capital, the personal guarantee and the cost of closing down are in section 12. A personal guarantee means that if the company cannot repay, you have to repay it yourself. Whether the money to start with can be borrowed as a loan where the state pays part of the interest is in item 16 in this section. The two of publicly funded teacher training students and contract medical students are settled on the day you fill in your choices for the national entrance examination, and what they cost is written out in item 13 in this section. For working abroad the threshold is not on you, it is on whether the company is qualified; how to check that is in item 14 in this section. Which path is better value is not compared here.
Sources
Standing Committee of the National People's Congress (2021). Military Service Law(兵役法)(article twenty). (published by the Ministry of National Defense);Central Organization Department of the CPC Central Committee (2019). Provisions on the Recruitment of Civil Servants《公务员录用规定》(articles eighteen and nineteen). (published on the Communist Party member website);Ministry of Human Resources and Social Security and Ministry of Emergency Management (2021). Measures for the Recruitment of Firefighters into the National Comprehensive Fire and Rescue Force《国家综合性消防救援队伍消防员招录办法》(人社部发〔2021〕58 号,articles five and six). ;State Council and Central Military Commission (2022). Regulations on Civilian Personnel of the People's Liberation Army of China《中国人民解放军文职人员条例》(second revision, Order No. 757, articles nine and nineteen). (National Database of Laws and Regulations);State Council (2014). Regulations on the Administration of Personnel of Public Institutions《事业单位人事管理条例》(国务院令第 652 号,article eight). ;State Council (2022). Regulations on the Promotion of the Development of Individual Businesses《促进个体工商户发展条例》(国务院令第 755 号,article two). ;State Council (1988, revised 2014). Interim Regulations on Higher Education Self-Study Examinations《高等教育自学考试暂行条例》(articles three and twenty). (National Database of Laws and Regulations);Standing Committee of the National People's Congress (2018). Compulsory Education Law(义务教育法)(article fourteen). (published by the Ministry of Education);General Office of the State Council (2024). Notice on Forwarding the Implementation Measures for Publicly Funded Education of Students on the Bridging Programme for Undergraduates and Postgraduates at Normal Universities Directly under the Ministry of Education from the Ministry of Education and Other Departments《教育部直属师范大学本研衔接师范生公费教育实施办法》(国办发〔2024〕27 号,articles two and five). ;National Health Commission and 7 other departments (2019). Notice on Employment Placement and Performance Management of Rural Order-Directed Free-Trained Medical Students《关于做好农村订单定向免费培养医学生就业安置和履约管理工作的通知》. ;State Council (2012). Regulations on the Administration of Overseas Labour Cooperation《对外劳务合作管理条例》(国务院令第 620 号,articles five, seven and eight).
www.mod.gov.cn/regulatory/2021-08/20/content_4892491.htmwww.12371.cn/2020/01/08/ARTI1578447606460158.shtmlwww.gov.cn/zhengce/zhengceku/2021-08/27/content_5633684.htmflk.npc.gov.cn/detail?id=ff808181857bca5e01859ee5a6c06d62www.gov.cn/zhengce/zhengceku/2014-05/15/content_8810.htmwww.gov.cn/zhengce/zhengceku/2022-10/25/content_5721592.htmflk.npc.gov.cn/detail?id=ff8080816f3cbb3c016f415d64e5236dwww.moe.gov.cn/jyb_sjzl/sjzl_zcfg/zcfg_jyfl/202110/t20211029_575949.htmlwww.gov.cn/zhengce/zhengceku/202406/content_6957261.htmwww.gov.cn/zhengce/zhengceku/2019-11/13/content_5451684.htmwww.gov.cn/zhengce/zhengceku/2012-06/11/content_1091.htm2Register for military service before 31 October in the year you turn eighteen; a conscript serves two years of active duty
# Value ModerateGrade ATime and energyNo moneyEvery dayA lot of willpower
Registering for military service is a legal duty. It is not signing up to join the army, and being registered does not mean you are going. A man who reaches eighteen in that year has to complete his registration online before 31 October. If you do not register, the county will order you to correct it within a set time, and if you still do not, it will compel you to perform military service and fine you. If you really do serve, a conscript serves two years of active duty.
Cost
No money. Registration is filled in once online and takes a few minutes. If you really do serve, what it costs is two years of full-time work, and you cannot do anything else at the same time in those two years.
Benefit
For registration, look at the Provisions on Military Service Registration《兵役登记工作规定》. It states: 「县、自治县、不设区的市、市辖区人民政府兵役机关应当于每年 10 月 31 日前,组织本行政区域内当年 12 月 31 日以前年满 18 周岁的男性公民进行初次兵役登记」, that is, the military service organs of the people's governments of counties, autonomous counties, cities without districts and municipal districts shall, before 31 October each year, organise the initial registration for military service of the male citizens in their administrative area who will have reached 18 years old before 31 December of that year. The same Provisions also state: 「初次兵役登记主要采取网络登记的方式进行,由公民通过兵役登记网络平台自主完成」, the initial registration for military service is carried out mainly online, completed by the citizen independently through the military service registration online platform. For what happens if you do not register, look at article fifty-seven, paragraph one of the Military Service Law. That paragraph covers 「拒绝、逃避兵役登记的」, those who refuse or evade registration for military service. The penalty is 「由县级人民政府责令限期改正;逾期不改正的,由县级人民政府强制其履行兵役义务,并处以罚款」, the county-level people's government orders correction within a set time; if the correction is not made by the deadline, the county-level people's government compels the person to perform military service and imposes a fine. The Military Service Law also states that 「义务兵服现役的期限为二年」, the period of active service for a conscript is two years, and that 「根据军队需要和本人自愿,可以征集年满十七周岁未满十八周岁的公民服现役」, depending on the needs of the armed forces and on the person's own wish, citizens who have reached seventeen but not eighteen may be called up for active service. For non-commissioned officers, 「服现役满十二年或者符合国家规定的其他条件的,由安置地的县级以上地方人民政府安排工作」, that is, where they have completed twelve years of active service or meet other conditions laid down by the state, the local people's government at county level or above in the place of resettlement will arrange work. And 「服现役满三十年或者年满五十五周岁或者符合国家规定的其他条件的,作退休安置」, where they have completed thirty years of active service, or have reached fifty-five years of age, or meet other conditions laid down by the state, they are retired under the resettlement arrangements. Arranging work means the government gives you a job. Retiring under the resettlement arrangements means being retired under the retirement rules. The Regulations on Military Conscription《征兵工作条例》state that 「优先保证普通高等学校毕业生和对政治、身体条件或者专业技能有特别要求的兵员征集」, priority is given to recruiting graduates of ordinary higher education institutions and to personnel with special requirements as to political, physical or professional skills. The same Regulations also state that 「应征公民为普通高等学校的全日制在校生、应届毕业生的,可以在入学前户籍所在地或者学校所在地应征」, a citizen called up who is a full-time student or a graduating student at an ordinary higher education institution may be called up before enrolment in the place of household registration or the place where the school is (nationwide)
Notes
Registration and being called up are two different things, and the cost differs by a long way. The set of penalties that stops you leaving the country within two years only applies to people who back out after being called up, see item 3 in this section (refusing military service). Women are not required to register initially, and are called up according to the needs of the armed forces. Soldiers moving on to a military academy, and good soldiers being promoted to officers, have their conditions written into the internal rules of the armed forces, which cannot be looked up from outside. The Military Service Law says only two things: active-duty officers are selected and recruited from among 「表现优秀的现役士兵」, serving soldiers with outstanding performance, and the military academies are not subject to the call-up age limit when they recruit students. This book does not give the specific score lines and the quotas.
Sources
General Office of the State Council and General Office of the Central Military Commission (2025). Provisions on Military Service Registration《兵役登记工作规定》(国办发〔2025〕41 号). ;Standing Committee of the National People's Congress (2021). Military Service Law(兵役法)(2021 revision, articles twenty, twenty-five, twenty-six, fifty-four and fifty-seven). (published by the Ministry of National Defense);State Council and Central Military Commission (2023). Regulations on Military Conscription《征兵工作条例》(国务院、中央军委令第 759 号,article five).
www.gov.cn/zhengce/zhengceku/202512/content_7051363.htmwww.mod.gov.cn/regulatory/2021-08/20/content_4892491.htmwww.gov.cn/gongbao/content/2023/content_5753313.htm3If you refuse to serve after being called up, you cannot leave the country or go back to school within two years, and you cannot join the civil service or a state-owned enterprise
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
If you sign up and then refuse to go and serve, there is a list of consequences. You cannot be recruited as a civil servant, and state-owned enterprises and public institutions cannot hire you either. You cannot leave the country for two years, you cannot go up a level of education, and you cannot go back to school to continue your studies. You also get put on the list of subjects in serious breach of national defence obligations. So "sign up first and come back if it does not work" is an expensive idea.
Cost
No money. The cost is that before you sign up you have to settle in your own mind whether you are going.
Benefit
Item two of paragraph one of article fifty-seven of the Military Service Law is 「应征公民拒绝、逃避征集服现役的」, a citizen called up who refuses or evades being called up for active service. The penalty is likewise 「由县级人民政府责令限期改正;逾期不改正的,由县级人民政府强制其履行兵役义务,并处以罚款」, the county-level people's government orders correction within a set time; if the correction is not made by the deadline, it compels the person to perform military service and imposes a fine. Paragraph two of the same article: 「有前款第二项行为,拒不改正的,不得录用为公务员或者参照《中华人民共和国公务员法》管理的工作人员,不得招录、聘用为国有企业和事业单位工作人员,两年内不准出境或者升学复学,纳入履行国防义务严重失信主体名单实施联合惩戒。」, that is, a person who does the second item of the preceding paragraph and refuses to correct it may not be recruited as a civil servant or as a worker managed with reference to the Civil Servant Law of the People's Republic of China(中华人民共和国公务员法), may not be recruited or appointed as a worker of a state-owned enterprise or a public institution, may not leave the country or go back to school to continue their education within two years, and is put on the list of subjects in serious breach of national defence obligations for joint punishment. Joint punishment means several departments work from the same list and enforce the restrictions above together. Article fifty-eight applies the same set of sanctions to people who have already enlisted. Where a serviceman refuses to perform his duties or leaves the unit with the purpose of evading military service, the consequences depend on how it is dealt with. Where a person is struck off the rolls of the army, has military rank stripped, or is held criminally responsible in accordance with law, the sanctions in paragraph two of article fifty-seven apply. Among these, being struck off the rolls also carries a fine (nationwide, in force from 2021-10-1)
Notes
What is counted here is personal freedom and the right to be employed, not money. This list of sanctions applies to only two kinds of person. One is "a citizen called up who refuses or evades being called up for active service". The other is someone who, after enlisting, is struck off the rolls, has military rank stripped, or is held criminally responsible. Merely failing to register for military service is not in it; military service registration is item 2 in this section. The fine presupposes that the person "refuses to correct it", and it is the county-level people's government that determines it and imposes it. How much the fine is varies from place to place and this book does not give it. Whether you go is yours to decide, but decide it before you sign up.
Sources
Standing Committee of the National People's Congress (2021). Military Service Law(兵役法)(2021 revision, articles fifty-seven and fifty-eight). (published by the Ministry of National Defense)
www.mod.gov.cn/regulatory/2021-08/20/content_4892491.htm4The two most solid benefits for university students who enlist: tuition reimbursed up to 20000 yuan a year, and the place kept for two years with a special plan for the postgraduate entrance examination
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
If students still at university, recent graduates and new entrants enlist, the state pays the tuition for those years of study, reimbursed against what you actually paid: up to 20000 yuan a year for undergraduate and junior-college students, and up to 25000 yuan a year for postgraduate students. Where the tuition was already low, you only get back what you actually paid. Your place is kept for two years. For the postgraduate entrance examination there is a separate special plan that only takes retired university-student soldiers.
Cost
No money. After being discharged you hand in the papers the school asks for and apply, which means one or two trips.
Benefit
A 2024 notice from the Ministry of Finance and three other departments says that college students going into military service get three things: a tuition reimbursement, repayment of the national student loan used for tuition, and a tuition reduction. Repayment of the loan means the state pays that loan off for you. The standards for all three are 「adjusted accordingly to a maximum of no more than 20000 yuan per undergraduate or junior-college student per year, and no more than 25000 yuan per postgraduate student per year」. The new standards apply from the autumn term of 2024. How much you actually get depends on this sentence: 「the higher of the tuition the student actually pays and the national student loan received (including the principal and all the interest accrued before it is repaid in full)」. The sentence after it is 「any part above the standard shall not be reimbursed, repaid or reduced」. So what you get each year is the smaller of 「the higher of the actual tuition and the student loan」 and the cap. If your tuition is 5000 yuan a year, you get 5000 yuan back. How many years you get is counted by the years of study, not by the years of service. The 2019 measures on the administration of student aid funds say: 「the years of study already completed before enlistment are the years for tuition reimbursement or repayment of the national student loan; the remaining required years of study completed after being discharged and returning are the years for tuition reduction」. Graduates who enlist get the tuition for the whole length of their course. On keeping your place, see the Law on the Protection of Veterans《退役军人保障法》. It says: 「students already admitted to an ordinary higher education institution before enlistment, or already studying in one, keep their admission qualification or their student status during their service, and are allowed to enrol or return within two years of discharge, and may transfer to another subject in the same institution according to the state's rules」. The same law also says: 「higher education institutions may, in line with the state's overall arrangements, recruit veterans by separate plans and separate admissions」. For the postgraduate entrance examination, see the 2026 notice from the General Office of the Ministry of Education. The plan is called the 「special plan for retired university-student soldiers」. The notice says: 「issued separately and used exclusively within the total scale of the national postgraduate admissions plan; it shall not be turned into the ordinary plan or any other special plan. The admitting institution decides for itself … its requirements for the initial examination results (generally no higher than those for candidates under the ordinary plan for the corresponding subject) … candidates with longer service are admitted first where the conditions are equal」. Issued separately and used exclusively means this slice of the places is set aside on its own and can only be used to recruit retired university-student soldiers. In 2026 the plan is run by 532 ordinary higher education institutions (nationwide)
Notes
There are two more routes. First, moving up to a bachelor's course without the culture exam: a junior-college student who enlists and finishes the junior-college course after discharge can apply to move up without sitting the exam, and the school takes the best of them after testing their vocational skills. This applies from the 2022 intake; the exact method is in your own province's notice for that year. Second, 10 extra points on the initial examination for the postgraduate entrance: a retired university-student soldier who takes the postgraduate entrance examination within 3 years of discharge gets 10 points added to the total for the initial examination. Once you have applied under the special plan there are no extra points; the two cannot both be taken. Those who have been awarded a second-class merit or above can apply to skip the initial examination and go straight to postgraduate study. The list of institutions running the special plan changes every year; in 2025 it was 523. The tuition standard has been adjusted twice: in 2019 it was 8000/12000, from autumn 2023 it became 16000/20000, and from autumn 2024 it became 20000/25000. The 2022 summary from the Ministry of Veterans Affairs still shows the earliest version, so do not copy it.
Sources · 7 sources
- Ministry of Finance, Ministry of Education, People's Bank of China and National Financial Regulatory Administration (财政部、教育部、中国人民银行、金融监管总局) (2024). Notice on Adjusting and Improving the Relevant Policies on the National Student Loan, 关于调整完善国家助学贷款有关政策的通知(财教〔2024〕188 号). www.gov.cn/zhengce/zhengceku/202411/content_6984812.htm
- Ministry of Finance and four other departments (财政部等五部门) (2019). Measures for the Administration of Student Aid Funds, 学生资助资金管理办法(财科教〔2019〕19 号,article 5; the years covered for enlistment aid: 「入伍前已完成规定的修业年限,即为学费补偿或国家助学贷款代偿的年限;退役复学后接续完成规定的剩余修业年限,即为学费减免的年限」; for graduates, 「学费补偿或国家助学贷款代偿的年限,分别按照国家规定的相应学制计算」). www.gov.cn/gongbao/content/2019/content_5421553.htm
- Standing Committee of the National People's Congress (全国人大常委会) (2020). Law on the Protection of Veterans《退役军人保障法》(articles 34 and 35). (published by the Ministry of National Defense)www.mod.gov.cn/gfbw/fgwx/flfg/16048597.html
- General Office of the Ministry of Education (教育部办公厅) (2025). Notice on the Work of Enrolment under the 2026 Special Plan of Postgraduate Study for Retired University-Student Soldiers, 关于做好 2026 年退役大学生士兵专项硕士研究生招生计划招生工作的通知(教学厅〔2025〕8 号). www.moe.gov.cn/srcsite/A15/moe_778/s3261/202512/t20251211_1423174.html
- Ministry of Veterans Affairs (退役军人事务部) (2022). policy no. 23 on the education and training of retired soldiers: 「从2022年招生起,高职(专科)毕业生及在校生(含高校新生)应征入伍,退役后完成高职(专科)学业的,申请专升本,免于参加文化课考试」(under 教学厅〔2021〕8 号). www.mva.gov.cn/sy/xx/bnxx/202201/t20220107_55052.html
- Ministry of Education (教育部) (2026). 2027 National Postgraduate Admissions Work Administration Provisions, 2027 年全国硕士研究生招生工作管理规定(教学〔2026〕2 号,articles 22, 24 and 25), published on the postgraduate admissions website. yz.chsi.com.cn/kyzx/jybzc/202609/20260924/2293971511.html
- Ministry of Education (教育部) (2024). 2025 National Postgraduate Admissions Work Administration Provisions, 2025 年全国硕士研究生招生工作管理规定(教学〔2024〕4 号,article 22). www.gov.cn/zhengce/zhengceku/202410/content_6978684.htm
5After being discharged the government arranges work in only six situations; those who take up self-employment must report within 30 days
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
"Serve and you get a post assigned" stopped being the general case long ago. Now there are only six situations in which the government arranges work, and a conscript who serves two years and is discharged is in most cases none of them. The category where the government does not arrange work is called self-employment, and it has a hard deadline: you must report within 30 days of leaving active service. If you go more than 30 days without a legitimate reason, you are treated as having given up the resettlement treatment.
Cost
No money. Take your certificate of discharge and go to the veterans affairs department in the place of resettlement once.
Benefit
Article twenty-five of the Regulations on the Resettlement of Veterans《退役军人安置条例》lists six situations in which the people's government of the place of resettlement arranges work. The wording is: 「(一)军士服现役满 12 年的;(二)服现役期间个人获得勋章、荣誉称号的;(三)服现役期间个人荣获三等战功、二等功以上奖励的;(四)服现役期间个人获得一级表彰的;(五)因战致残被评定为 5 级至 8 级残疾等级的;(六)是烈士子女的」, that is: (one) non-commissioned officers who have completed 12 years of active service; (two) those who personally received a medal or an honorary title during their active service; (three) those who personally won third-class battle merit or a second-class merit or above during their active service; (four) those who personally received a first-level commendation during their active service; (five) those whose disability from injury in battle was assessed at level 5 to level 8; (six) the children of martyrs. The same Regulations also state: 「安置地人民政府应当在接收退役军士和义务兵的 6 个月内完成安排退役军士和义务兵工作的任务」, that is, the people's government of the place of resettlement shall finish the task of arranging work for discharged non-commissioned officers and conscripts within 6 months of taking them over. An employer 「应当按照规定与其签订不少于 3 年的中长期聘用合同或者劳动合同。其中,企业接收军龄 10 年以上的退役军士的,应当与其签订无固定期限劳动合同」, that is, shall sign with them a medium or long term employment contract or labour contract of not less than 3 years as required. Among these, where an enterprise takes on a discharged non-commissioned officer with 10 or more years of service, it shall sign an open-ended labour contract with them. An open-ended contract is one with no end date on it. While waiting to be given work, 「按照当地月最低工资标准逐月发放生活补助」, that is, a living allowance is paid month by month at the local monthly minimum wage standard. Where a person has not been placed in a post as required, and it is not for reasons of their own, 「按照不低于本单位同等条件人员平均工资 80% 的标准,逐月发放生活费直至上岗为止」, that is, a living allowance is paid month by month at a standard of not less than 80% of the average wage of people on equivalent terms in the same unit, until they take the post. The situations in which work may not be arranged as resettlement include being expelled from the Communist Party of China and having been criminally punished. For the deadline for self-employment, look at article fifty-one: 「自主就业的退役军士和义务兵,应当自被批准退出现役之日起 30 日内,到安置地人民政府退役军人工作主管部门报到。无正当理由不按照规定时间报到超过 30 日的,视为放弃安置待遇。」, that is, discharged non-commissioned officers and conscripts taking up self-employment shall, within 30 days of the date they are approved for discharge from active service, report to the veterans affairs department of the people's government of the place of resettlement. Where they do not report by the prescribed time, without legitimate reason, for more than 30 days, this is treated as having given up the resettlement treatment (nationwide, in force from 2024-9-1)
Notes
The 2011 Regulations on the Resettlement of Discharged Soldiers(国务院、中央军委令第 608 号)were repealed on the same day these Regulations came into force. A great many guides online still quote the old Regulations, and the wording of the conditions has changed: the old version said "second-class merit or above in peacetime, or third-class merit or above in wartime". The 30-day deadline governs only the self-employment category; other forms of resettlement report "at the prescribed time". When you report you are issued with the veterans treatment card, and the discharge pay, the employment and entrepreneurship support and the educational aid all connect on from there.
Sources
State Council and Central Military Commission (2024). Regulations on the Resettlement of Veterans《退役军人安置条例》(国务院、中央军委令第 787 号,promulgated 2024-7-29, in force 2024-9-1; articles twenty-five, thirty-one, thirty-two, thirty-five, fifty-one and seventy-five). ;Standing Committee of the National People's Congress (2020). Law on the Protection of Veterans《退役军人保障法》(articles thirteen, fourteen and fifteen). (published by the Ministry of National Defense)
www.gov.cn/gongbao/2024/issue_11526/202408/content_6969192.htmlwww.mod.gov.cn/gfbw/fgwx/flfg/16048597.html6Three accounts after being discharged: the one-off discharge pay, service years counted as years of employment, and 20000 yuan off your tax a year if you go into business yourself
# Value HighGrade AMoneyNo moneyIn passingNo willpowerHas items to verify
After being discharged there are three accounts. The first is the one-off discharge pay for those taking up self-employment, paid according to the years of active service, and increased where the person was decorated. The second is that the years you served do not count as a gap in social insurance; service counts as years of employment, and the contribution years are added together with those before you enlisted and after you were discharged. The third is tax: if you open a shop or run a business yourself, for 3 years you can have up to 20000 yuan less tax a year.
Cost
No money. When you are discharged the armed forces transfer your social insurance relationship and your money out to you. You then go to the social insurance agency in the place of resettlement (the counter that handles social insurance) to continue it.
Benefit
For the first, look at the Regulations on the Resettlement of Veterans《退役军人安置条例》. It states: 「对自主就业的退役军士和义务兵,根据其服现役年限发放一次性退役金」, that is, a one-off discharge pay is paid to discharged non-commissioned officers and conscripts taking up self-employment on the basis of their years of active service. Who pays it: 「由中央财政专项安排,具体标准由国务院退役军人工作主管部门、中央军事委员会政治工作部门会同国务院财政部门……确定,并适时调整」, that is, it is set aside by the central finance, and the specific standard is determined and adjusted from time to time by the veterans work department of the State Council together with the political work department of the Central Military Commission and the financial department of the State Council. The increases for decoration come in five bands. A medal or an honorary title adds 25%; first-class battle merit or a first-level commendation adds 20%. Second-class battle merit, first-class merit or a second-level commendation adds 15%. Third-class battle merit or second-class merit adds 10%, and fourth-class battle merit or third-class merit adds 5%. The same Regulations also state: 「退役军人未及时就业的,可以依法向户口所在地人力资源社会保障部门申领失业保险待遇,服现役年限视同参保缴费年限,但是以退休、供养方式安置的退役军人除外」, that is, a veteran who has not found work in good time may apply in accordance with the law to the human resources and social security department where their household registration is for unemployment insurance benefits, and years of active service count as years of contribution, except for veterans resettled under retirement or dependants' support. Counting years as contribution years means the years in which you paid nothing are counted as though you had. For the second, look at the Law on the Protection of Veterans《退役军人保障法》: 「退役军人服现役年限计算为工龄,退役后与所在单位工作年限累计计算」, that is, years of active service are counted as years of employment and, after discharge, are added to the years worked at the unit. Years of employment means the years spent working, so the years of service and the years after discharge carry on adding up. The same law also states that years of active service and the years of contribution to pension, medical and unemployment insurance before enlistment and after discharge are 「依法合并计算」, that is, lawfully combined, and that 「退役的军士和义务兵服现役经历视为基层工作经历」, that is, the active service of discharged non-commissioned officers and conscripts counts as work experience at the grassroots level. The Law on Social Insurance for Servicemen《军人保险法》: 「军人服现役年限视同职工基本医疗保险缴费年限,与入伍前和退出现役后参加职工基本医疗保险的缴费年限合并计算」, that is, years of active service count as years of contribution to the basic medical insurance for employees, and are combined with the years contributed before enlistment and after discharge. For the third, look at Announcement No. 14 of 2023 from the Ministry of Finance, the State Taxation Administration and the Ministry of Veterans Affairs. The announcement deals with discharged soldiers taking up self-employment who run individual businesses: 「在 3 年(36 个月,下同)内按每户每年 20000 元为限额依次扣减其当年实际应缴纳的增值税、城市维护建设税、教育费附加、地方教育附加和个人所得税。限额标准最高可上浮 20%」, that is, within 3 years (36 months, the same applies below) a limit of 20000 yuan per household per year is deducted in order from the value-added tax, urban maintenance and construction tax, education surcharge, local education surcharge and individual income tax they should actually have paid that year. The limit may be raised by up to 20%. The deduction works by coming down the list of those taxes in order for that year until the limit is used up; it is not money paid to you. Where an enterprise hires them, 「定额标准为每人每年 6000 元,最高可上浮 50%」, that is, the fixed amount is 6000 yuan per person per year, and may be raised by up to 50%. The period of operation runs from 2023-1-1 to 2027-12-31. Where 3 years have not run out at the end, it can continue to be enjoyed until they are up (nationwide)
Notes
The Regulations only say that the amount is set separately by the department in charge. The official figure you can find is the one in an article the Ministry of Veterans Affairs published on its own website in 2020, "4500 yuan for every full year of active service by a soldier"「服现役每满一年,发给4500元」, and the same article says it is "adjusted from time to time"「适时调整」. The decoration increases in that article no longer match the current Regulations; go by the Regulations. An article the Guizhou Provincial Department of Veterans Affairs published in August 2024, under the new Regulations, still says "the standard in force now is: 4500 yuan for every full year of active service by a soldier"「现在执行的标准是:士兵服现役每满一年,发给4500元」. TODO (to be verified: no formal standard document has been found; the most that can be confirmed is that a provincial department still wrote this in August 2024). And do not mix the local "one-off economic subsidy" up with it. That is another sum, set and paid by each place itself: in Yantai it is 6000 yuan a year of service for those discharged in 2024. Most of the new figures in guides have no source; some of them simply mix the two sums together. While a conscript is serving, the family can also receive a separate family preferential payment. The Military Service Law only says that "the standard is set by the local people's government, and the central finance gives a fixed-amount subsidy"「标准由地方人民政府制定,中央财政给予定额补助」, so ask the county-level people's government that approved your enlistment how much it is. The tax account is the most you can have off your tax each year. If the business does not get off the ground you will not use the whole of it, which is why the benefit for the whole item is graded only medium. The Regulations on Promoting the Employment and Entrepreneurship of Veterans《退役军人就业创业促进条例》, in force from 2026-8-1, add one more thing: a vocational qualification certificate for a skilled worker obtained during service is valid nationwide after discharge.
Sources
State Council and Central Military Commission (2024). Regulations on the Resettlement of Veterans《退役军人安置条例》(国务院、中央军委令第 787 号,articles twenty-one, twenty-two, seventy-four, eighty-one and eighty-five). ;Ministry of Veterans Affairs (2020). Ten questions on the one-off discharge pay(关于一次性退役金的十个问题)(reprinted from China Veterans, issue 10 of 2020): 「基本标准。士兵服现役每满一年,发给4500元」「退役金标准适时调整」. ;Guizhou Provincial Department of Veterans Affairs (2024). The one-off discharge pay is increased, an important change!「一次性退役金增发,重要变化!」: 「现在执行的标准是:士兵服现役每满一年,发给4500元」. ;Muping District People's Government, Yantai (2025). Quoting the Notice of the Yantai Veterans Affairs Bureau and the Yantai Finance Bureau on Adjusting the Standard of the One-off Economic Subsidy for Discharged Soldiers Taking Up Self-employment「烟台市退役军人事务局、烟台市财政局关于调整自主就业退役士兵一次性经济补助标准的通知」in its reply: 「2024年退出现役的每服役一年补助6000元」. ;Standing Committee of the National People's Congress (2020). Law on the Protection of Veterans《退役军人保障法》(articles forty-two, forty-four and fifty). (published by the Ministry of National Defense);Standing Committee of the National People's Congress (2012). Law on Social Insurance for Servicemen《军人保险法》(articles sixteen and twenty-three). (National Database of Laws and Regulations);Ministry of Finance, State Taxation Administration and Ministry of Veterans Affairs (2023). Announcement on Further Tax Policies to Support the Entrepreneurship and Employment of Discharged Soldiers Taking Up Self-employment《关于进一步扶持自主就业退役士兵创业就业有关税收政策的公告》(2023 No. 14).
www.gov.cn/gongbao/2024/issue_11526/202408/content_6969192.htmlwww.mva.gov.cn/sy/zzxc/202011/t20201113_43153.htmltyjrswt.guizhou.gov.cn/zfxxgk/fdzdgknr/zdlyxx_5621158/tyaz_5621161/202408/t20240809_85367194.htmlwww.muping.gov.cn/art/2025/11/10/art_105032_2960250.htmlwww.mod.gov.cn/gfbw/fgwx/flfg/16048597.htmlflk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf73e160645www.gov.cn/zhengce/zhengceku/202308/content_6896456.htm7Getting into an establishment is not only the civil service examination: two years of grassroots service let you apply for the targeted recruitment quota of about 10% a year
# Value ModerateGrade AMoneyNo moneyEvery dayA lot of willpower
If you want into an establishment, the civil service examination is not the only route. Serve the full two years on a grassroots service programme of the kind called "Supporting and Assisting Agriculture, Supporting and Assisting Rural Revitalisation, Supporting and Assisting Border Areas and Supporting and Assisting Poverty Alleviation"「三支一扶」, pass the assessment, and you can apply for a targeted recruitment quota that is open only to people who have done that. Each province has to set aside around 10% of its civil service recruitment plan for these people each year. Sit the postgraduate entrance examination within three years and 10 points are added to your first-round total. The cost is that for those two years you are on a fiscal subsidy.
Cost
No money. The cost is two years of grassroots service in a township. What you get for those two years is a fiscal subsidy, not a market wage, and the hard part is lasting the two years.
Benefit
The notice for the fourth round of the "Three Supports and One Assistance" plan「三支一扶」says "the period of service is two years"「服务期为两年」. It also says: 「各省(区、市)每年应拿出公务员考录计划的 10%左右,面向『三支一扶』计划等服务基层项目人员定向考录。各省(区、市)县乡基层事业单位公开招聘时,应根据本地区实际拿出一定数量或比例的岗位,对『三支一扶』服务期满考核合格的人员进行专项招聘……聘用后可以不再约定试用期」, that is, each province, autonomous region and municipality should set aside around 10% of its civil service recruitment plan each year for targeted recruitment of people who have served on grassroots service programmes such as the "Three Supports and One Assistance" plan. When public institutions at county, township and village level in each province, autonomous region and municipality recruit openly, they should, according to local conditions, set aside a certain number or proportion of posts for special recruitment of people who have completed their period on the "Three Supports and One Assistance" plan and passed the assessment, and after appointment no probation period needs to be agreed. Targeted recruitment and special recruitment mean this part of the quota is examined only among people who have done grassroots service; nobody else can apply. The same notice also says: 「期满考核合格的『三支一扶』人员,三年内参加全国硕士研究生招生考试的,初试总分加 10 分,同等条件下优先录取……高职(高专)毕业生期满且考核合格的,可免试入读成人高等学历教育专科起点本科」, that is, a person who has completed the period on the "Three Supports and One Assistance" plan and passed the assessment, who sits the national postgraduate entrance examination within three years, has 10 points added to the first-round total and is admitted first under equal conditions; a graduate of a higher vocational (junior college) course who has completed the period and passed the assessment may be admitted without examination to the undergraduate part of an adult higher education programme starting from the junior college stage. Being admitted without examination means sitting no further exam and going straight into the bachelor's degree course. The notice also says: 「参加『三支一扶』计划前无工作经历的人员期满且考核合格的,两年内在参加机关和企事业单位考录(招聘)、自主创业、落户、升学等方面可同等享受应届毕业生相关政策。『三支一扶』人员在基层服务年限计算为工龄,其参加工作时间按其到基层报到之日起算」, that is, a person with no work experience before joining the "Three Supports and One Assistance" plan who completes the period and passes the assessment may, for two years, enjoy on the same terms the policies for fresh graduates as regards applying to enter an organ or a public or commercial enterprise, starting a business of their own, settling a household registration, and going up a level of education. The years of grassroots service count as years of employment, and the time counted as their working life runs from the date they reported to the grassroots post. The central finance subsidy is 30,000 yuan each per year in the western region, 24,000 yuan in the central region and 12,000 yuan in the eastern region. The opinion of the General Offices of the CPC Central Committee and the State Council states: 「参加基层服务项目前无工作经历的人员服务期满且考核合格后 2 年内,在参加机关事业单位考录(招聘)、各类企业吸纳就业、自主创业、落户、升学等方面可同等享受应届高校毕业生的相关政策」, that is, a person with no work experience before joining a grassroots service programme who completes the period and passes the assessment may, for 2 years, enjoy on the same terms the policies for fresh university graduates as regards applying to enter an organ or public institution, taking up employment with any kind of enterprise, starting a business of their own, settling a household registration, and going up a level of education. The same opinion also states: 「省级以上机关录用公务员,除特殊职位外,按照有关规定一律从具有 2 年以上基层工作经历的人员中考录」, that is, civil servants recruited by organs at provincial level or above are, except for special posts, to be recruited as required in every case from people with more than 2 years of grassroots work experience. Another route is the Western Plan. It is organised jointly by 「共青团中央、教育部、财政部、人力资源社会保障部共同组织实施」, that is, the Central Committee of the Communist Youth League, the Ministry of Education, the Ministry of Finance and the Ministry of Human Resources and Social Security. It recruits recent university graduates or postgraduates who are still studying to 「到西部基层从事为期 1—3 年」的志愿服务, that is, to do voluntary service at the grassroots level in the west for a period of 1 to 3 years (nationwide)
Notes
The fourth round of the "Three Supports and One Assistance" plan covers 2021 to 2025. The document for the fifth round and the notice for 2026 were not found this time, so check that year's recruitment announcement before you sign up. In 2025 the central finance supported the recruitment of 34430 people. The implementation plan for the Western Plan could not be found online, and the policy section of its own website would not open. For the benefits after it ends, go by the document from the two General Offices that covers all grassroots service programmes. What you get for those two years is a fiscal subsidy, not a market wage, and that cost has to be counted together with the targeted recruitment two years later.
Sources
Central Organization Department of the CPC Central Committee, Ministry of Human Resources and Social Security and eight other departments (2021). Notice on Implementing the Fourth Round of the "Three Supports and One Assistance" Plan for University Graduates「关于实施第四轮高校毕业生『三支一扶』计划的通知」(人社部发〔2021〕32 号,articles seven, eight, nine, eleven, twelve and thirteen). ;General Office of the CPC Central Committee and General Office of the State Council (2017). Opinion on Further Guiding and Encouraging University Graduates to Work at the Grassroots Level《关于进一步引导和鼓励高校毕业生到基层工作的意见》(articles five, sixteen and eighteen). ;National Office for the Administration of the Western Plan for University Student Volunteer Service (2026). 2026—2027 Enrolment Agreement for the Western Plan for University Student Volunteer Service「2026—2027 年度大学生志愿服务西部计划招募协议书」.
www.gov.cn/zhengce/zhengceku/2021-06/04/content_5615404.htmwww.gov.cn/gongbao/content/2017/content_5171278.htmxibu.youth.cn/tzgg/202604/t20260423_16623558.htm8Special-post teachers who finish the three-year service period, pass the assessment and want to stay should be put on the establishment in good time
# Value ModerateGrade AMoneyNo moneyEvery dayA lot of willpower
The special-post plan is one of the few routes that writes "admitted to the establishment when the period ends" into the rules. The conditions are an undergraduate degree or above, mainly in teacher-training subjects, an age of not more than 30, and the matching teacher qualification certificate. The period of service is three years, and for those three years the pay and the treatment are the same as those of established teachers in local public schools. Where someone passes the assessment at the end of the three years and wants to stay, the document requires them to be put on the establishment in good time.
Cost
No money. The cost is three years teaching in a rural compulsory education school, and before you start you have to pass the teacher qualification examination. The hard part is lasting those three years.
Benefit
The 2024 special-post plan notice gives the recruitment conditions as: 「要求本科及以上学历,以师范类专业为主,小学阶段可适当招聘师范高等专科学校毕业生」, that is, an undergraduate degree or above is required, mainly in teacher-training subjects, and at primary stage graduates of higher vocational teacher-training colleges may be recruited as appropriate; 「年龄不超过 30 周岁」, aged not more than 30; and the matching teacher qualification certificate must be held. The notice also states: 「参加过『大学生志愿服务西部计划』、有从教经历的志愿者和参加过半年以上实习支教的师范院校毕业生同等条件下优先录取」, that is, volunteers who took part in the "Western Plan for University Student Volunteer Service" and have teaching experience, and graduates of teacher-training colleges who took part in at least half a year of teaching practice, are admitted first under equal conditions. And: 「支持鼓励符合条件的退役军人到中小学任教,可综合考虑服役年限等因素对退役军人相应放宽年龄限制」, that is, veterans who meet the conditions are supported and encouraged to teach in primary and secondary schools, and the age limit may be relaxed for them by taking factors such as length of service into account. For the treatment and the establishment, look at these lines: 「从 2024 年 1 月 1 日起,提高特岗教师工资性补助标准,中央财政……中部地区由年人均 3.52 万元提高到 3.88 万元,西部地区由 3.82 万元提高到 4.18 万元」, that is, from 2024-1-1 the standard of the wage subsidy for special-post teachers is raised, and the central finance provides it, in the central region from 35,200 yuan per person per year to 38,800 yuan and in the western region from 38,200 yuan to 41,800 yuan; 「同等条件下在薪酬待遇、职称评聘、评先评优、年度考核等方面享受与当地公办学校在编教师同等待遇」, that is, under equal conditions they enjoy the same treatment as established teachers in local public schools as regards pay, professional title assessment, commendation and annual appraisal; and 「保证三年服务期满、考核合格且愿意留任的特岗教师及时入编并落实工作岗位,做好相关人事、工资关系等接转工作,连续计算工龄、教龄,不再实行试用期」, that is, it is guaranteed that special-post teachers who complete the three-year period, pass the assessment and are willing to stay are put on the establishment in good time and given a post, that the relevant personnel and wage relationships are transferred over, that years of employment and years of teaching are counted continuously, and that no probation period applies (nationwide)
Notes
The benefit is graded large because being put on the establishment when the period ends is the same as getting a long-term established post, and that is worth far more than ten thousand yuan. The most recent document you can find is the notice for 2024; those for 2025 and 2026 are not in the policy database. For the specific posts, the subsidy standards and the age, go by that year's notice and by your province's implementation plan. The central level sets the framework and the province sets the detail. The teacher qualification certificate has to be passed first; it cannot be made up after you start.
Sources
General Office of the Ministry of Education and General Office of the Ministry of Finance (2024). Notice on Doing Well the Implementation of the 2024 Special-Post Teacher Plan for Rural Compulsory Education Schools《关于做好 2024 年农村义务教育阶段学校教师特设岗位计划实施工作的通知》(教师厅〔2024〕1 号).
www.gov.cn/zhengce/zhengceku/202405/content_6950803.htm9Firefighters and civilian posts in the armed forces are two more openly advertised routes, and the thresholds are lower than for the civil service
# Value ModerateGrade AMoneyNo moneyA few hoursSome willpower
Neither route has the "college education or above" threshold. Firefighters are recruited from people aged 18 to 22 with an educational level of senior high school or above, and people with a college education or above and discharged soldiers may have the age relaxed to 24. Civilian posts in the armed forces require only that you be at least 18 years old, and the highest age for first recruitment to entry-level posts is 35. What both routes share is that the political assessment and the medical examination wash people out.
Cost
No money. From applying to being appointed you go through a medical examination, a political assessment, a physical fitness test, a psychological test and an interview, over several months. The hard part is that each of these stages washes people out.
Benefit
For firefighters, look at the Measures for the Recruitment of Firefighters into the National Comprehensive Fire and Rescue Force《国家综合性消防救援队伍消防员招录办法》. The basic conditions in article five include 「年龄为 18 周岁以上、22 周岁以下」, aged 18 or above and under 22, and 「具有高中以上文化程度」, having an educational level of senior high school or above. Article six: 「大学专科以上学历人员、解放军和武警部队退役士兵、具有 2 年以上灭火救援实战经验的政府专职消防队员和政府专职林业扑火队员,年龄可以放宽至 24 周岁;对消防救援工作急需的特殊专业人才,经应急管理部批准年龄可以进一步放宽,原则上不超过 28 周岁」, that is, for people with a college education or above, for soldiers discharged from the People's Liberation Army and the Armed Police Force, and for government full-time firefighters and government full-time forest fire-fighting teams with more than 2 years of practical experience in fire fighting and rescue, the age may be relaxed to 24; for special professional talent urgently needed for fire and rescue work, with the approval of the Ministry of Emergency Management the age may be relaxed further, in principle to no more than 28. Article seven: 「消防员面向社会公开招录,主要从本省级行政区域常住人口中招录,根据需要也可以面向其他省份招录」, that is, firefighters are recruited openly from the public, mainly from among the resident population of the province-level administrative region, and according to need also from other provinces. Article nine sets out the recruitment procedure as 「宣传动员、组织报名、资格审查、体格检查、政治考核、体能测试和岗位适应性测试、心理测试和面试、公示、录用」, that is, publicity and mobilisation, organising applications, qualification review, physical examination, political assessment, physical fitness test and job suitability test, psychological test and interview, publication of the results, and appointment. For civilian posts in the armed forces, look at article eighteen of the Regulations on Civilian Personnel of the People's Liberation Army of China《中国人民解放军文职人员条例》: 「军队实行公开招考、直接引进、专项招录相结合的文职人员招录聘用制度」, that is, the armed forces operate a system for the recruitment and appointment of civilian personnel that combines open competitive recruitment, direct introduction and special recruitment. That is three lines: recruiting people through an open examination, bringing in talent who already exists directly, and recruiting for a specific group on purpose. The basic conditions in article nine include 「年满 18 周岁」, being at least 18 years old; 「符合军队招录聘用文职人员的政治条件」, meeting the political conditions for the armed forces to recruit and appoint civilian personnel; and 「符合岗位要求的文化程度、专业水平和工作能力」, having the educational level, professional standard and working ability the post requires. Article nineteen states that the highest age for first recruitment and appointment to posts at a lower grade is 35. The same Regulations also state that 「文职人员岗位应当优先招录聘用符合条件的退役军人」, that is, civilian posts should give priority in recruitment and appointment to veterans who meet the conditions (nationwide)
Notes
The Regulations on Promoting the Employment and Entrepreneurship of Veterans《退役军人就业创业促进条例》, in force from 2026-8-1, set out two more things. First, a certain proportion of firefighter recruitment has to be set aside for discharged non-commissioned officers and conscripts. Second, when recruiting police auxiliary staff, veterans are to be given priority under equal conditions. The number of places, the posts and the specific conditions for both of these routes each year are set by that year's announcement; this book only writes down the thresholds that are fixed in the rules. Firefighting is a post in a disciplined service, so weigh up the occupational risk before you go in.
Sources
Ministry of Human Resources and Social Security and Ministry of Emergency Management (2021). Measures for the Recruitment of Firefighters into the National Comprehensive Fire and Rescue Force《国家综合性消防救援队伍消防员招录办法》(人社部发〔2021〕58 号,articles five, six, seven and nine). ;State Council and Central Military Commission (2022). Regulations on Civilian Personnel of the People's Liberation Army of China《中国人民解放军文职人员条例》(second revision, Order No. 757 of the State Council and the Central Military Commission, in force 2023-1-1; articles nine, eighteen, nineteen and twenty). (National Database of Laws and Regulations)
www.gov.cn/zhengce/zhengceku/2021-08/27/content_5633684.htmflk.npc.gov.cn/detail?id=ff808181857bca5e01859ee5a6c06d6210A qualification is not a one-off purchase: the self-study examination has no limit on age or on the education you already have, and the adult entrance examination and the open university can both complete it
# Value ModerateGrade AMoneyA little moneyEvery dayA lot of willpower
If you did not get into education at eighteen, there are still three proper channels: the self-study examination, the adult entrance examination and the open university. The self-study examination has no limit on age and does not look at how far you got before, but students on full-time courses may not apply. The adult entrance examination requires you already to hold a certificate from senior high school or from a junior college. All three routes are slow, but none of them looks at how you did at eighteen.
Cost
Several hundred yuan a year in registration and course materials. The cost is long-term self-study, or going to classes in your spare time; the shortest part-time route to a bachelor's degree, studied while working, takes two and a half years. The hard part is keeping it up over a long period.
Benefit
For the self-study examination, look at the Interim Regulations on Higher Education Self-Study Examinations《高等教育自学考试暂行条例》. Article three: 「中华人民共和国公民,不受性别、年龄、民族、种族和已受教育程度的限制,均可依照本条例的规定参加高等教育自学考试」, that is, citizens of the People's Republic of China, without restriction as to sex, age, ethnicity, race or level of education already received, may all take part in higher education self-study examinations in accordance with these Regulations. Article twenty: 「各级各类全日制学校的在校生不得报考」, students enrolled on full-time courses at schools of every level and type may not apply. Article twenty-five sets out the three conditions for getting the certificate: passing and passing all the courses, completing the graduation thesis or the practical assignment, and passing the assessment of moral character. Do all of these and you may obtain the certificate. This article also states that 「获得专科(基础科)或本科毕业证书者,国家承认其学历」, that is, the state recognises the qualification of those who obtain a junior college (foundation) or undergraduate certificate. Article thirty-two sets out the pay and treatment of those who obtain the certificate: 「非在职人员录用后,与普通高等学校同类毕业生相同」, that is, on appointment, those who are not in work are treated the same as comparable graduates of ordinary higher education institutions. Article twenty-one of the Law on Higher Education《高等教育法》: 「国家实行高等教育自学考试制度,经考试合格的,发给相应的学历证书或者其他学业证书」, that is, the state operates a system of higher education self-study examinations, and those who pass are issued with the corresponding certificate of qualification or other certificate of attainment. For the adult entrance examination, look at the 2025 Measures for the Enrolment of Adult Higher Education Institutions nationwide《2025 年全国成人高校招生办法》. Those eligible to apply are 「国家承认学历的各类高、中等学校在校生以外的从业人员和社会其他人员」, that is, people who work and other people in society, other than students enrolled at recognised higher and secondary schools. 「报考高起本或高起专的考生应高级中等教育学校毕业或者具有同等学力。报考专升本的考生必须是已取得……专科毕业证书、本科结业证书或以上证书的人员」, that is, candidates applying to start from the first year of the undergraduate or the first year of the junior college course should have graduated from a senior secondary education school or have the equivalent academic ability; candidates applying to upgrade to a bachelor's degree must already hold a junior college certificate, an undergraduate completion certificate or a higher certificate. 「脱产最短学习时间为:高起本四年、高起专和专升本两年,非脱产最短学习时间为:高起本五年、高起专和专升本两年半」, that is, the shortest period of study on a full-time basis is four years for starting the undergraduate course, and two years for the junior college course and for upgrading to a bachelor's degree; the shortest period of study while working is five years for starting the undergraduate course, and two and a half years for the junior college course and for upgrading to a bachelor's degree. Studying full-time means leaving work and studying all day; studying while working means not leaving work. For the open university, look at the Opinion on Running Open Universities Well《教育部关于办好开放大学的意见》. It states: 「开放大学实行注册入学,学生修完课程并获得相应学分,即可获得课程证书,修满规定的学分并达到相关要求,即可获得相应的学历与非学历证书,符合学位授予条件的应授予相应学位」, that is, open universities enrol by registration; once a student has completed the courses and earned the corresponding credits they receive a certificate for the courses, and once they have earned the prescribed credits and met the relevant requirements they receive the corresponding certificate of qualification and non-qualification certificate, and where they meet the conditions for a degree the corresponding degree is awarded (nationwide)
Notes
There is also the ordinary route to a bachelor's degree for those who have finished a full-time junior college. The document published at the national level is the Ministry of Education notice of 2007, which says the upgrading plan is not more than 5% of that year's junior college graduates. From 2020 the Ministry of Education expanded the scale of the upgrading route, adding 322,000 places year on year, and the 5% line is in practice no longer applied to it. The specific arrangements each year come from a letter issued by the higher education student department of the Ministry of Education; for 2026 it is 教学司函〔2025〕53 号. That letter is not published, and the document number can only be seen in the documents forwarded by each province. Who is eligible to apply is set by each province, and it basically takes only that year's full-time junior college graduates of the province itself, so the body of this item does not state its conditions. From the autumn of 2025, continuing higher education for people who already hold a qualification is no longer called "correspondence study" or "part-time study"; it is uniformly called "studying while working". Continuing higher education is the route by which adults later complete a qualification, and any publicity still using the old names should be treated carefully. Completing a qualification and "which skills are worth learning" are two different things; the latter is in section 23. Qualifications bought for quick issue and counterfeit certificates are in item 8 in section 23.
Sources
State Council (1988, revised 2014). Interim Regulations on Higher Education Self-Study Examinations《高等教育自学考试暂行条例》(articles three, twenty, twenty-five and thirty-two). (National Database of Laws and Regulations);Standing Committee of the National People's Congress (2018). Law on Higher Education《高等教育法》(article twenty-one). (National Database of Laws and Regulations);General Office of the Ministry of Education (2025). Notice on Doing Well the 2025 National Enrolment Work for Adult Higher Education Institutions《关于做好 2025 年全国成人高校招生工作的通知》(教学厅〔2025〕6 号)and its annex, the 2025 Measures for the Enrolment of Adult Higher Education Institutions Nationwide《2025 年全国成人高校招生办法》. ;Ministry of Education (2016). Opinion on Running Open Universities Well《关于办好开放大学的意见》(教职成〔2016〕2 号). ;Ministry of Education (2007). Notice on Further Improving the Administration of the Various Kinds of Enrolment in Higher Education Institutions《关于进一步做好高等学校各类招生管理工作的通知》(教发〔2007〕13 号): 「普通专升本招生计划按不超过当年应届普通高职(专科)毕业生5%的比例安排」, that is, the plan for upgrading ordinary junior college students to a bachelor's degree is arranged at a proportion of not more than 5% of that year's graduates of ordinary higher vocational (junior college) courses. ;Government of China (2020). Master's enrolment expanded by 189,000 and the upgrading rate by 322,000 this year—employment support for graduates, vice minister of education Weng Tiehui: 「扩大普通高校专升本的规模,同比争取增加32.2万人」. ;Fujian Provincial Education Examination Authority (2026). Quoting 「教育部高校学生司《关于做好2026年普通高等学校专升本考试招生工作的通知》(教学司函〔2025〕53号)」when forwarding it.
flk.npc.gov.cn/detail?id=ff8080816f3cbb3c016f415d64e5236dflk.npc.gov.cn/detail?id=ff8080816f135f46016f20df64ec16c5www.gov.cn/zhengce/zhengceku/202509/content_7040877.htmwww.gov.cn/gongbao/content/2016/content_5067956.htmwww.moe.gov.cn/s78/A03/s7050/201006/t20100607_88782.htmlwww.gov.cn/zhengce/2020-02/29/content_5484774.htmwww.eeafj.cn/gkzsb/20260310/14437.html11Not being in an establishment means flexible employment: you enrol for pension and medical insurance yourself where you work, and the household registration restriction has already been lifted
# Value ModerateGrade AMoneyA fair amount of moneyIn passingSome willpower
Not being in an establishment does not mean social insurance does not exist; it only means nobody pays your half. The documents require each place to lift the household registration restriction on flexible workers enrolling in the place where they work, with the very largest cities allowed to lift it step by step. So do not read "freedom" as meaning you need not think about social insurance. If you stop paying, your pension and your medical insurance reimbursement are both worked out under the rules for a break in contributions.
Cost
Pension and medical insurance for you to pay in full, calculated on the local contribution base, thousands of yuan a month. The contribution base is the reference figure used to work out the premium. This is the fixed cost that flexible employment most easily leaves out, and the hard part is paying it on time every month.
Benefit
For enrolment, look at the Guiding Opinion on Safeguarding the Labour Rights and Interests of Workers in New Forms of Employment《关于维护新就业形态劳动者劳动保障权益的指导意见》. It states: 「各地要放开灵活就业人员在就业地参加基本养老、基本医疗保险的户籍限制,个别超大型城市难以一步实现的,要结合本地实际,积极创造条件逐步放开。组织未参加职工基本养老、职工基本医疗保险的灵活就业人员,按规定参加城乡居民基本养老、城乡居民基本医疗保险,做到应保尽保。督促企业依法参加社会保险。企业要引导和支持不完全符合确立劳动关系情形的新就业形态劳动者根据自身情况参加相应的社会保险」, that is, each place is to lift the household registration restriction on flexible workers taking part in basic pension insurance and basic medical insurance in the place where they work; where the very largest cities find it hard to do this in one step, they are to work with local conditions and actively create the conditions to lift it progressively. Flexible workers who have not joined the basic pension insurance for employees or the basic medical insurance for employees are to be organised, as required, into the basic pension insurance for urban and rural residents and the basic medical insurance for urban and rural residents, so that everyone who should be covered is covered. Enterprises are to be urged to take part in social insurance in accordance with the law. Enterprises are to guide and support workers in new forms of employment who do not fully meet the conditions for establishing a labour relationship into taking out the corresponding social insurance according to their own circumstances. The same document divides the employment relationship into three kinds: 「符合确立劳动关系情形的,企业应当依法与劳动者订立劳动合同。不完全符合确立劳动关系情形但企业对劳动者进行劳动管理……指导企业与劳动者订立书面协议……个人依托平台自主开展经营活动、从事自由职业等,按照民事法律调整双方的权利义务」, that is, where the conditions for establishing a labour relationship are met, the enterprise shall conclude an employment contract with the worker in accordance with the law; where they are not fully met but the enterprise does exercise labour management over the worker, it is to guide the enterprise and the worker to conclude a written agreement; and where the individual runs a business on their own account through a platform, works as a freelancer and so on, the rights and obligations of the two sides are governed by civil law (nationwide, from 2021)
Notes
The original says the household registration restriction is to be "lifted"(放开), and it leaves an exception for the very largest cities; it does not say the restriction has been abolished nationwide. How far it has actually been lifted depends on the city where you enrol; ask there. The benefit is graded large because what a break in contributions loses is the pension and the medical treatment themselves, which is worth far more than ten thousand yuan. But the cost is real too, thousands of yuan a month paid in full by yourself. For making up a break in social insurance contributions and how the years are added together, see item 18 in section 7 (a break in social insurance contributions). And separately, selling agricultural produce or daily goods at a place and time designated by the government, or using your own skill to do convenience work that lawfully requires no licence, does not need a business licence. That is written in 国办发〔2020〕27 号.
Sources
Ministry of Human Resources and Social Security and eight other departments (2021). Guiding Opinion on Safeguarding the Labour Rights and Interests of Workers in New Forms of Employment《关于维护新就业形态劳动者劳动保障权益的指导意见》(人社部发〔2021〕56 号,articles two and eight). ;General Office of the State Council (2020). Opinion on Supporting Flexible Employment through Multiple Channels《关于支持多渠道灵活就业的意见》(国办发〔2020〕27 号).
www.gov.cn/zhengce/zhengceku/2021-07/23/content_5626761.htmwww.gov.cn/zhengce/zhengceku/2020-07/31/content_5531613.htm12Delivering food, driving a ride-hailing car, carrying freight in the same city: the platform pays the work-injury cover premium job by job and you pay nothing
# Value HighGrade AMoneyNo moneyIn passingNo willpower
For people who deliver food, drive a ride-hailing car or carry freight in the same city, the platform has to pay the work-injury cover premium for you job by job and you pay not one cent; every job you take is covered. This is still a pilot, so before you take jobs check whether your province and your platform are in scope. Where you already have a labour relationship with the platform, work injury insurance applies instead, and this scheme does not.
Cost
No money; the platform pays this. What you have to do is check whether the platform you take jobs from is inside the pilot. There are two ways: look for "work injury cover" on the protection or benefits page in the app, or telephone the human resources and social security bureau of your province and ask whether that platform has reported in.
Benefit
This cover is set out in the Measures for Work Injury Protection for People in New Forms of Employment (for Trial Implementation)《新就业形态人员职业伤害保障办法(试行)》. Article two states: 「平台企业应当依照本办法规定参加新就业形态人员职业伤害保障……为通过平台注册并接单,以平台企业名义提供出行、即时配送和同城货运等劳动并获得报酬或者收入的新就业形态人员缴纳职业伤害保障费,实现每单必保、每人必保。适用《工伤保险条例》规定的劳动者,企业应当依法为其参加工伤保险,不适用本办法」, that is, platform enterprises shall, in accordance with these Measures, take part in work injury protection for people in new forms of employment, and pay the work injury protection premium for people in new forms of employment who register through the platform and take jobs, provide labour such as travel, on-demand delivery and same-city freight in the name of the platform enterprise, and receive remuneration or income from it, so that every job is covered and every person is covered. For workers covered by the Regulations on Work-Related Injury Insurance《工伤保险条例》, the enterprise shall enrol them in work injury insurance in accordance with the law, and these Measures do not apply to them. Article nine: 「试行期间,出行行业按照每单 0.01 元执行;即时配送行业按照每单 0.07 元、0.25 元执行;同城货运行业按照每单 0.18 元执行」, that is, during the trial period the travel sector pays 0.01 yuan per job, the on-demand delivery sector pays 0.07 yuan and 0.25 yuan per job, and the same-city freight sector pays 0.18 yuan per job. How the pilot expands is set out in this passage: 「2025 年 7 月 1 日起,在已先行试点 7 个省份和 7 个平台企业的基础上……增加天津、河北、辽宁、浙江、安徽、福建、山东、湖北、广西、宁夏等 10 个省份……2026 年,推动职业伤害保障试点在全国 31 个省份和新疆生产建设兵团实施;将出行、即时配送和同城货运三个行业的平台企业总体纳入职业伤害保障试点范围」, that is, from 2025-7-1, on the basis of the 7 provinces and 7 platform enterprises where the pilot has already gone ahead, 10 more provinces are added, among them Tianjin, Hebei, Liaoning, Zhejiang, Anhui, Fujian, Shandong, Hubei, Guangxi and Ningxia; in 2026 the pilot for work injury protection is to be pushed forward in all 31 provinces of the country and in the Xinjiang Production and Construction Corps, and platform enterprises in the three sectors of travel, on-demand delivery and same-city freight are to be brought into the scope of the work injury protection pilot as a whole (pilot, expanding year by year)
Notes
This is still a pilot, not a formal system that exists everywhere. Before taking jobs, confirm whether your province and your platform are in scope; where they are not, all that is left is buying commercial insurance yourself. A second document, the Guiding Opinion on Safeguarding the Labour Rights and Interests of Workers in New Forms of Employment《关于维护新就业形态劳动者劳动保障权益的指导意见》, sets out several more requirements. The remuneration a platform pays to people working normally may not be below the local minimum wage, must be paid in full and on time, and may not be withheld or delayed without reason. Reasonable remuneration is also to be paid on statutory public holidays. The document number of that one is 人社部发〔2021〕56 号, and the flexible employment item quotes it too, see item 11 in this section. If something goes wrong, follow this procedure first and do not settle privately with the local station first. For medical insurance and pension you still have to enrol yourself; for flexible employment enrolment, see item 11 in this section.
Sources
Ministry of Human Resources and Social Security and nine other departments (2025). Notice on Expanding the Pilot of Work Injury Protection for People in New Forms of Employment《关于扩大新就业形态人员职业伤害保障试点的通知》(人社部发〔2025〕24 号)and its annex, the Measures for Work Injury Protection for People in New Forms of Employment (for Trial Implementation)《新就业形态人员职业伤害保障办法(试行)》articles two and nine.
www.gov.cn/zhengce/zhengceku/202507/content_7031656.htm13Two routes that lock in an establishment on the day you fill in your choices for the national entrance examination: publicly funded teacher training students and contract medical students. The price is 6 years of service
# Value ModerateGrade AMoneyNo moneyEvery dayA lot of willpower
On both of these routes the state pays first, and after you graduate you work in the place named in the agreement for 6 years. Publicly funded teacher training students are recruited only at six normal universities directly under the Ministry of Education, in the advance batch. Contract medical students have to sign a tripartite agreement before they receive the admission notice. Breaking the agreement means paying the money back, paying a penalty, and getting a mark on your credit record. Work out whether you can accept those 6 years before you fill in your choices.
Cost
Tuition and accommodation are not yours to pay, and you get a living allowance as well. The cost is that for 6 years after graduating you cannot choose your own employment, and breaking the agreement means paying the money back, paying a penalty and getting a mark on your credit record. The hard part is that in those 6 years you cannot change where you are.
Benefit
For publicly funded teacher training students, see the Implementation Measures for Publicly Funded Education of Students on the Bridging Programme for Undergraduates and Postgraduates at Normal Universities Directly under the Ministry of Education《教育部直属师范大学本研衔接师范生公费教育实施办法》(2024; the 2018 measures were repealed at the same time). Article two: the central finance bears the tuition and accommodation while the student is on campus and gives a living allowance. Article three: training is focused on cities in the central and western regions other than provincial capitals, at prefecture, autonomous prefecture and league level and below. It also states 「不得定向到直辖市、计划单列市或省会城市主城区任教(五个自治区、陆地边境省份、海南省、贵州省、青海省除外)」, that is, the placement may not be in a municipality directly under the central government, a city separately designated in the state plan, or the main urban area of a provincial capital, except for the five autonomous regions, the land border provinces, Hainan Province, Guizhou Province and Qinghai Province. Article nine: after graduating the student generally returns to primary or secondary schools in the prefecture, autonomous prefecture or league of their home province to teach, on 「承诺从事中小学教育工作 6 年以上」, that is, an undertaking to do primary or secondary school teaching work for 6 years or more. For those who go to a school in a town or city, 「应到农村义务教育学校任教服务至少 1 年」, that is, they are to teach in a rural compulsory education school for at least 1 year. Article thirteen: where the undertaking is not performed, or the period is not long enough, responsibility is taken under the agreement. One of the consequences is that 「违约行为纳入信用记录,并及时与全国信用信息共享平台共享,违约相关材料归入本人人事档案」, that is, the breach is put on the credit record, shared in good time with the National Credit Information Sharing Platform, and the material relating to the breach is filed in the person's own personnel file. A further line is that 「履约任务完成前不得到定向地(市、州、盟)之外从教,不得被招录(聘用)为其他公务人员。完成履约任务后即修复相关信用」, that is, before the service undertaking is complete the person may not teach outside the designated prefecture, autonomous prefecture or league, and may not be recruited or appointed as any other public officer; once the service undertaking is complete the relevant credit is restored. Until the period of service agreed in the undertaking has been served in full you cannot apply for other public posts; once it is served, the credit record is restored. Article six: a student found after entry, on examination, to be unsuitable for teaching is to return the publicly funded education costs already received within 1 year of enrolment and be transferred to a non-teaching programme. Article fourteen: a student who does not obtain the degree certificate and the teacher qualification certificate for a Master of Education within the prescribed period of study is treated as in breach, and returns the fees and pays the penalty. Article twenty-one: each locality is to resolve the staffing quota needed for publicly funded teacher training students to teach in primary and secondary schools, within the existing total quota of public institution staffing. For rural order-directed free medical students, see the other notice. After admission and before receiving the admission notice, the student must sign an agreement with the training school and with the county-level health and human resources and social security departments of the place where the employment is directed. The agreement has to include 「承诺毕业后到定向农村基层医疗卫生机构服务 6 年」, an undertaking to serve for 6 years after graduating at the designated rural grassroots medical and health institution. Performing the undertaking means working in the designated place for the full period as agreed. After reporting for work on discharge, they must take part in 3 years of standardised residency training in a specialty, abbreviated as residency training. Residency training is the stage after graduation when you go on training in a hospital to the same standard. During the training the original personnel and wage relationships are unchanged. The record of the breach is filed in the person's own personnel file and is used as the basis for assessing integrity when medical and health institutions and other administrative public institutions recruit openly, when they enrol for standardised residency training for resident doctors, and when they admit postgraduates. People who breach in bad faith are published nationwide on the "Credit China" website「信用中国」and are subject to joint punishment for dishonesty. Years of training lost through a breach do not count towards the period of service. Where the fees and the penalty have not been returned in accordance with the agreement, the county-level health administration department recovers them through legal proceedings (nationwide)
Notes
The 2024 measures turned publicly funded teacher training students into a "bridging programme", meaning an undergraduate degree followed straight on to a Master of Education. The old 2018 measures were repealed, and the "go straight to teaching after the undergraduate degree" still circulating online is the old version. Where an agreement was signed before the measures were published, the original agreement stands. "Having a staffing quota" does not mean "you can stop thinking once you are in": the quota has to be found within the existing total, the specific posts are filled by a special recruitment organised by the prefecture, and you and the school choose each other. Contract medical students may leave once their service period is up; the document states that 「服务期满,对自主择业的应予同意」, that is, where the service period is complete, those who choose their own employment are to be given agreement. There is also a way for people who have already breached to get the record removed; the price is serving the original period again, or serving at least 6 years at another rural grassroots institution in the province, and the fees and the penalty already paid are not refunded. For medical students you also have to count the 3 years of residency training, so the whole cycle is longer than for the teaching route. Each province also has its own publicly funded teacher training and contract medical student plans, with the conditions set by the province, so read that year's enrolment document for your own province before you fill in your choices.
Sources
General Office of the State Council (2024). Notice on Forwarding the Implementation Measures for Publicly Funded Education of Students on the Bridging Programme for Undergraduates and Postgraduates at Normal Universities Directly under the Ministry of Education from the Ministry of Education and Other Departments《教育部直属师范大学本研衔接师范生公费教育实施办法》(国办发〔2024〕27 号,articles two, three, six, nine, thirteen, fourteen and twenty-one). ;National Health Commission, Organization Office of the CPC Central Committee, National Development and Reform Commission, Ministry of Education, Ministry of Finance, Ministry of Human Resources and Social Security and National Administration of Traditional Chinese Medicine (2019). Notice on Employment Placement and Performance Management of Rural Order-Directed Free-Trained Medical Students《关于做好农村订单定向免费培养医学生就业安置和履约管理工作的通知》.
www.gov.cn/zhengce/zhengceku/202406/content_6957261.htmwww.gov.cn/zhengce/zhengceku/2019-11/13/content_5451684.htm14If you want to work abroad, first check whether the company has the qualification for overseas labour cooperation: it may not take a deposit from you
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
As far as the law is concerned, working abroad is not regulated for you but for the company that organises you to go out. Only an enterprise that has obtained the certificate of qualification for overseas labour cooperation and completed registration may do this. When you hear "get a tourist visa over there first and switch to a work visa later", that sentence in itself shows that the other side is breaking the law. The company also may not take a deposit from you on any pretext, or ask you to put up property as security.
Cost
No money. Before you leave, spend a quarter of an hour checking the company's qualification, then read both contracts to the end.
Benefit
Regulations on the Administration of Overseas Labour Cooperation《对外劳务合作管理条例》, article five: engaging in overseas labour cooperation requires the approval of the commerce department of the province, or of a city with subdistricts, and the acquisition of a qualification to operate. That qualification is the certificate of qualification for overseas labour cooperation; without it nobody may organise people to go abroad to work. Article seven: the list of certificates is reported to the commerce department of the State Council and circulated to Chinese embassies and consulates abroad. This article also states 「未依法取得对外劳务合作经营资格证书并办理登记,不得从事对外劳务合作」, that is, no one may engage in overseas labour cooperation without having obtained the certificate of qualification in accordance with the law and completed registration. Article eight: 「任何单位和个人不得以商务、旅游、留学等名义组织劳务人员赴国外工作」, that is, no unit or individual may organise workers to go abroad to work in the name of business, tourism, study abroad or anything of the kind. Article nine: the enterprise shall, within 5 working days of the date of registration, deposit at a designated bank 「不低于 300 万元人民币的对外劳务合作风险处置备用金」, that is, a reserve fund for handling the risks of overseas labour cooperation of not less than 3 million yuan, and the list of those who have deposited it is published to society. Article ten: the reserve fund is used to pay the service fees that should be refunded, the remuneration and the losses which the enterprise is liable for by law and refuses to bear or cannot bear. It is also used for 「因发生突发事件,劳务人员回国或者接受紧急救助所需费用」, that is, the cost of workers returning home or receiving emergency assistance when an emergency occurs. Article eleven: workers may not be organised to go abroad to work in anything connected with gambling or with sexual activity. Article twelve: nobody may be organised to go abroad without training being arranged. Article thirteen: accident and injury insurance covering the person during the period of working abroad must be bought for the workers. Articles twenty-one and twenty-three: written contracts must be concluded separately with the foreign employer and with the workers, and nobody may be organised to go abroad without them. Article twenty-five: 「不得以任何名目向劳务人员收取押金或者要求劳务人员提供财产担保」, that is, no deposit may be collected from workers on any pretext, and workers may not be required to provide property as security. Article twenty-six: filing with the commerce department in charge has to be done within 10 working days of the date the contract is concluded. Article twenty-nine: where a worker's actual rights do not match the contract, the enterprise shall assist with the claim; where the worker has not received the compensation due, the worker has the right to require the enterprise to bear the compensation liability. Article thirty-one: where personal safety cannot be secured because of the security situation of the country or region concerned, the enterprise may not organise workers to go there. Article thirty-seven: the commerce department in charge establishes a system of bad credit records and public notices. The penalties come later. Article thirty-nine: where there is no qualification to engage in overseas labour cooperation, the business is investigated and shut down, and where a crime is constituted, criminal liability is pursued. Article forty: where a business organises people to go abroad, or lends out its qualification, or organises work connected with gambling or pornography, in the name of business, tourism or study abroad, the certificate of qualification is revoked. Article forty-three: where no contract is signed, or where people are organised to go abroad by concealing information or providing false information, the fine is not less than 100,000 yuan and not more than 200,000 yuan; a separate fine of not less than 20,000 yuan and not more than 50,000 yuan is imposed on the person principally responsible (nationwide)
Notes
The compliant procedure is this: the company first signs a written labour cooperation contract with the foreign employer, and then signs a written service contract or labour contract with you. The contract has to state the content of the work, the period, the remuneration, the working hours, the leave, social insurance and the risks to personal safety. Within 10 working days of signing, the company has to file with the commerce department in charge. The company also has to arrange training for you in skill, in safety precautions, in a foreign language and in the local law and customs, and buy you accident and injury insurance for the period of working abroad. A counterparty that will not let you see the contract, that asks for a deposit, or that hurries you out first and promises to complete the formalities later, is the kind of company to avoid. The overseas high-pay recruitment scams and the telecom fraud compounds are in item 5 in section 21; the safety reminders to check before you leave, and 12308, are in section 21, and are not repeated here. The Regulations set no education or age threshold for the person going out to work; the threshold is on the company's qualification, and on whether the country of work will give permission. The company can only sign a contract with an enterprise or organisation approved in that country, and not with an individual abroad. The reserve fund is used by the department in charge when a company defaults, and you cannot withdraw it yourself. So if something really goes wrong, complain to the commerce department in charge first; article twenty gives you that right. Sending more than 100 people to the same country or region requires accompanying management staff to be arranged and filed with the embassy or consulate. Projects with few people have no such protection, so keep your own copies of the contract and your transfer records.
Sources
State Council (2012). Regulations on the Administration of Overseas Labour Cooperation《对外劳务合作管理条例》(国务院令第 620 号,articles five, seven, eight, nine, ten, eleven, twelve, thirteen, twenty-one, twenty-three, twenty-five, twenty-six, twenty-nine, thirty-one, thirty-seven, thirty-nine, forty and forty-three).
www.gov.cn/zhengce/zhengceku/2012-06/11/content_1091.htm15Working remotely for a foreign company from home: under the tax law this money is domestic income, you file the personal income tax yourself, and the remittance goes through as "remuneration for employment"
# Value ModerateGrade AMoneyNo moneyA few hoursSome willpower
Whether this money is domestic or foreign depends on where you do the work, not on where the money is paid in from. A person in China working remotely for a company abroad earns domestic income and has to pay tax in China. The foreign company has no establishment in China, so nobody withholds the tax for you and you have to file it yourself. The money comes in under the heading "remuneration for employment"「职工报酬」.
Cost
No money. One settlement and payment a year. The window runs from 3-1 to 6-30 of the following year. Where the remittance exceeds the annual total, you also have to have an employment contract and proof of income ready. The hard part is remembering to file this tax yourself.
Benefit
Whether this money counts as domestic income is set by article three of the Implementation Regulations of the Individual Income Tax Law(国务院令第 707 号, in force from 2019-1-1)《个人所得税法实施条例》. It states: 「除国务院财政、税务主管部门另有规定外,下列所得,不论支付地点是否在中国境内,均为来源于中国境内的所得:(一)因任职、受雇、履约等在中国境内提供劳务取得的所得」, that is, unless otherwise provided by the finance and taxation departments of the State Council, the following income is income sourced within China regardless of whether the place of payment is within China: (one) income obtained from providing labour within China through taking a post, being employed or performing a contract. Article six of the same Regulations defines two of the categories of income. One is wages and salaries: 「工资、薪金所得,是指个人因任职或者受雇取得的工资、薪金、奖金、年终加薪、劳动分红、津贴、补贴以及与任职或者受雇有关的其他所得」, that is, income from wages, salaries, bonuses, year-end increases, profit shares, allowances, subsidies and other income connected with taking a post or being employed. The other is remuneration for personal services: 「劳务报酬所得,是指个人从事劳务取得的所得,包括从事设计、装潢、安装、制图、化验、测试、医疗、法律、会计、咨询、讲学、翻译、审稿、书画、雕刻、影视、录音、录像、演出、表演、广告、展览、技术服务、介绍服务、经纪服务、代办服务以及其他劳务取得的所得」, that is, income from carrying out personal services, including income from design, decoration, installation, drawing, chemical testing, testing, medical work, legal work, accounting, consultancy, lecturing, translation, reviewing, painting and calligraphy, carving, film and television, sound recording, video recording, performance, acting, advertising, exhibitions, technical services, referral services, agency services, agency work and other personal services. Article six of the Individual Income Tax Law《个人所得税法》sets out how the taxable income is worked out: 「居民个人的综合所得,以每一纳税年度的收入额减除费用六万元以及专项扣除、专项附加扣除和依法确定的其他扣除后的余额,为应纳税所得额」, that is, for the comprehensive income of a resident individual, the taxable income is the balance of the income for each tax year after deducting the basic deduction of sixty thousand yuan and the special deductions, the special additional deductions and the other deductions determined in accordance with law. The same article also states that 「劳务报酬所得、稿酬所得、特许权使用费所得以收入减除百分之二十的费用后的余额为收入额」, that is, for remuneration for personal services, royalties for written work and royalties for the use of rights, the income amount is the income less a deduction of 20%. The 20% deduction covers only these three; wages and salaries are not among them. So wages and salaries go into the income amount at full value, and the two categories of income come out with a different tax. Article nine: 「个人所得税以所得人为纳税人,以支付所得的单位或者个人为扣缴义务人」, that is, for individual income tax the taxpayer is the person receiving the income and the withholding agent is the unit or person paying it. Article ten: 「有下列情形之一的,纳税人应当依法办理纳税申报:……(二)取得应税所得没有扣缴义务人;……(四)取得境外所得」, that is, in any of the following cases the taxpayer shall file a tax return in accordance with the law: where taxable income is obtained with no withholding agent; where income from abroad is obtained. Article eleven: 「居民个人取得综合所得,按年计算个人所得税……需要办理汇算清缴的,应当在取得所得的次年三月一日至六月三十日内办理汇算清缴」, that is, where a resident individual obtains comprehensive income, individual income tax is worked out by the year, and where a settlement and payment is required it is to be carried out within the period from the first day of the third month to the thirtieth day of the sixth month of the year after the income was obtained. For bringing the money in, look at the Measures for the Administration of Individual Foreign Exchange(中国人民银行令〔2006〕第 3 号, in force from 2007-2-1)《个人外汇管理办法》. Article nine: 「对个人结汇和境内个人购汇实行年度总额管理。年度总额内的,凭本人有效身份证件在银行办理;超过年度总额的,经常项目项下凭本人有效身份证件和有交易额的相关证明等材料在银行办理」, that is, settlement of foreign exchange by individuals and purchases of foreign exchange by individuals on the domestic side are managed by an annual total. Within the annual total the individual handles it at the bank with a valid identity document; over the annual total, for current account items the individual handles it at the bank with a valid identity document and materials such as proof relating to the transaction amount. Article seven: 「银行和个人在办理个人外汇业务时,应当遵守本办法的相关规定,不得以分拆等方式逃避限额监管,也不得使用虚假商业单据或者凭证逃避真实性管理」, that is, banks and individuals, when handling individual foreign exchange business, shall comply with the relevant provisions of these Measures, may not evade the limits by splitting transactions or the like, and may not use false commercial documents or vouchers to evade the authenticity controls. Article two of the Detailed Rules for Implementation of the Measures for the Administration of Individual Foreign Exchange(汇发〔2007〕1 号): 「对个人结汇和境内个人购汇实行年度总额管理。年度总额分别为每人每年等值 5 万美元」, that is, settlement by individuals and purchases of foreign exchange by individuals on the domestic side are managed by an annual total, and the annual total is the equivalent of 50,000 US dollars per person per year. Article ten: 「境内个人经常项目项下非经营性结汇超过年度总额的,凭本人有效身份证件及以下证明材料在银行办理:……(七)职工报酬:雇佣合同及收入证明」, that is, where a domestic individual exceeds the annual total in non-operational settlement of foreign exchange for current account items, it is handled at the bank with a valid identity document and the following supporting documents: (seven) remuneration for employment: the employment contract and proof of income (nationwide)
Notes
Which category the tax is worked out under depends on what your relationship with the other side is. If you sign an employment contract and the work is arranged by them, it is wages and salaries. If you take jobs project by project and hand over results, it is remuneration for personal services. The two come out with a different tax, so work out which one you are before you file. When the money comes in, up to the equivalent of 50,000 US dollars a year can be settled at the bank on your identity card alone; for the part over that, give the employment contract and the proof of income to the bank. Do not look for someone to split the receipts with so as to get round the quota. What is described here is the case where you are in China and do not leave the country. Actually going abroad to work for a foreign employer is a different matter, see item 14 in this section (if you want to work abroad, first check whether the company has the qualification for overseas labour cooperation). Four further questions this book has not yet written about. Each of them may have a real cost, but no basis can at present be checked word for word. First, whether this income is liable to value-added tax and whether an invoice has to be issued on your behalf. Second, whether doing this for a long time requires a business licence or registration as an individual business. Third, whether you can claim rights against the foreign employer under the labour law, for example annual leave, overtime pay and severance. Fourth, the export of data and confidentiality.
Sources
State Council (2018). Implementation Regulations of the Individual Income Tax Law of the People's Republic of China(中华人民共和国个人所得税法实施条例)(国务院令第 707 号,articles three and six). ;Standing Committee of the National People's Congress (2018). Individual Income Tax Law of the People's Republic of China(中华人民共和国个人所得税法)(seventh revision of 2018, articles six, nine, ten and eleven). ;Policies and Regulations Database of the State Taxation Administration. Individual Income Tax Law of the People's Republic of China(中华人民共和国个人所得税法)(article six). ;People's Bank of China (2006). Measures for the Administration of Individual Foreign Exchange(个人外汇管理办法)(中国人民银行令〔2006〕第 3 号,articles seven and nine). ;State Administration of Foreign Exchange (2007). Detailed Rules for Implementation of the Measures for the Administration of Individual Foreign Exchange(个人外汇管理办法实施细则)(汇发〔2007〕1 号,articles two and ten).
www.gov.cn/zhengce/zhengceku/2018-12/22/content_5351177.htmwww.npc.gov.cn/zgrdw/npc/xinwen/2018-09/05/content_2060671.htmfgk.chinatax.gov.cn/zcfgk/c100009/c5193028/content.htmlwww.gov.cn/gongbao/content/2007/content_786257.htmwww.safe.gov.cn/safe/2007/0105/22509.html16Not being in an establishment and going into business yourself: look at the guaranteed entrepreneurship loan for the starting money, up to 300,000 yuan for an individual, with the state paying half the interest
# Value ModerateGrade AMoneyNo moneyA few hoursSome willpower
If you do have to borrow in order to start, look at this one first, because the state pays part of the interest. An individual can borrow up to 300,000 yuan, for up to 3 years, and the state pays half the interest. There is one hard condition that is often overlooked: when you apply, neither you nor your spouse may have any other loan, except that student loans, small loans for people who have escaped poverty, housing loans, car loans and small consumer loans below 50,000 yuan do not count.
Cost
No money to ask about it. Go once to the human resources and social security department for the eligibility check, and then go once each to the guarantee institution and to the bank that handles the loan (the bank that makes the loan). The hard part is that borrowed money still has to be repaid.
Benefit
The conditions for an individual applicant are in article six of the Measures for the Administration of Special Funds for the Development of Inclusive Finance(财金〔2023〕75 号)《普惠金融发展专项资金管理办法》. The first condition is that you belong to a key group for employment. The document lists the registered unemployed in towns and cities, people with employment difficulties (including people with disabilities), veterans, and people released from prison. It also lists university graduates (including former village college students and students returning from study abroad), and workers and unemployed people in enterprises cutting excess capacity. And returning migrant workers starting a business, online shopkeepers, people who have escaped poverty, and farmers starting their own businesses in the countryside. The second condition is that there may be no other loan in the name: 「除助学贷款、脱贫人口小额信贷、住房贷款、购车贷款、5 万元以下小额消费贷款(含信用卡消费)以外,申请人提交创业担保贷款申请时,本人及其配偶无其他贷款」, that is, apart from student loans, small loans for people who have escaped poverty, housing loans, car loans and small consumer loans below 50,000 yuan (including credit card spending), when an applicant submits the application for an entrepreneurship guaranteed loan, neither the applicant nor their spouse may have any other loan. Article nine: 「对符合条件的创业担保贷款,财政部门给予贷款实际利率 50% 的财政贴息。对展期、逾期的创业担保贷款,财政部门原则上不予贴息」, that is, for a qualifying entrepreneurship guaranteed loan, the finance department gives a fiscal interest subsidy of 50% of the actual interest rate of the loan. For an entrepreneurship guaranteed loan whose term is extended or that is overdue, the finance department in principle gives no interest subsidy. An interest subsidy means the state pays half of the interest. Extending the term means pushing the repayment date further out; being overdue means the due date has passed and nothing has been paid. In neither case does the state pay any more. Article ten: in principle the requirement for a counter-guarantee is removed for an entrepreneurship guaranteed loan of 100,000 yuan or less applied for by an individual, so there is no need to find somebody else or to put up property as security for the guarantee institution. Article eleven: individual entrepreneurship guaranteed loans inside the scope of grant and subsidy support are 「额度不超过 30 万元,贷款期限不超过 3 年」, that is, the amount does not exceed 300,000 yuan and the term of the loan does not exceed 3 years. Where people go into business together, the figure may be raised appropriately, up to 110% of the sum of the individual ceilings. The interest rate ceiling for grant and subsidy support comes in three bands:
LPR+50BPs in the eastern region,
LPR+150BPs in the central and western regions, and
LPR+250BPs in areas that have escaped poverty.
LPR is the loan prime rate quoted by banks, and BPs are the unit in which an interest rate is measured; the more is added, the higher the interest. Those who 「还款积极、带动就业能力强、创业项目好」, that is, repay actively, have a strong capacity to bring employment and have a good business project, may apply again after the term ends, up to 3 times in total. Article eight: the applicant first applies to the local human resources and social security department for the eligibility check, and then submits the application to the guarantee institution and to the bank handling the loan. Article twelve: with the agreement of the provincial people's government, localities may widen the scope of support, raise the ceiling and raise the proportion of the interest subsidy (nationwide)
Notes
The state paying half the interest does not change the fact that "the money borrowed has to be repaid". The position taken in
item 1 in section 12 is unchanged: for a business, only take money you can afford to lose, do not touch the family savings, and do not sign a personal guarantee for a company loan, and your spouse should certainly not sign it either. If you have decided to borrow, this kind of policy loan is the lowest rate you will get; do not touch consumer loans or private lending. The ceiling and the scope may be raised by each province; for how much will actually be approve
d, go by what the local human resources and social security department says that year. The 2020 notice from the pandemic period, with the "up to 200,000 yuan for an individual", was a temporary document; read these Measures now. Whether you open a shop by registering as an individual business or incorporate a company, the licence, the tax and getting out are in
section 12. The training subsidy, the social insurance subsidy and the work placement during unemployment are in
item 13 in section 7 (vocational training subsidies).
Sources
Ministry of Finance (2023). Notice on Issuing the Measures for the Administration of Special Funds for the Development of Inclusive Finance《普惠金融发展专项资金管理办法》(财金〔2023〕75 号,articles six, eight, nine, ten, eleven and twelve).
www.gov.cn/zhengce/zhengceku/202309/content_6903691.htm32. Studying abroad: status, work, insurance, certification
10 / 10This section measures money and personal freedom. It does not discuss whether you should go abroad, and it does not compare schools. Four things below cost you if you do not know them: when your visa status counts as unbroken, where the ceiling on working hours is, which insurances and fees you must pay, and whether this diploma is recognised once you are back home.
It covers four countries: the United States, Canada, the United Kingdom and Australia, with the figures given country by country. The sources are the official pages of the immigration departments of each country and of the Ministry of Education of China. Study-abroad policies are changed frequently in each of these countries, more often than China's own rules are. Every figure in this section is as at 2026-09. Before you leave, and before every renewal, go through the links in the Sources field and check again yourself.
How to reach an embassy or consulate if something happens to you while you are abroad, what 12308 can do, and how to buy medical and evacuation insurance abroad, see section 21. The account of studying or working, see section 23. A stolen account, see section 14, and telecom fraud, see section 8. None of these is written out again here.
1Before you pay tuition, check whether the school is on the accredited institutions list of the Service Center for Scholarly Exchange
# Value ExceptionalGrade AMoneyNo moneyIn passingNo willpower
Once you are back home, if you want to use this diploma to sit the civil service examination, get into a state-owned enterprise, settle a household registration or apply for a professional title, it has to go through a certification first. The certification is done by the Service Center for Scholarly Exchange of the Ministry of Education. If the school is not on the list that can be certified, the tuition and the time are wasted and the diploma is of no use at home. Checking the list costs nothing; check before you pay the tuition.
Cost
No money. Type the name of the school once into the Service Center's "Accredited Institutions Search"「认证院校查询」; it takes a few minutes.
Benefit
The Chinese Service Center for Scholarly Exchange has an accredited institutions search. You can search by country or by the name of the school. What you are checking is whether the qualifications and degrees this school awards fall inside the scope of certification. In addition, the Ministry of Education's Network for the Supervision and Administration of Education Involving Foreign Parties publishes regulatory information on Sino-foreign cooperative education and on running educational institutions abroad
Notes
What an agency tells you in words, that it is "recognised by the Ministry of Education", does not count; go by what you find yourself when you look it up online. The list changes: a school can be on it when you enrol and off it when you graduate, so check once a year while you are studying. Sino-foreign cooperative education programmes have a separate system of certification and registration. For those who enrolled after 2008, you can look up your own registration number on that network using your name and your identity card number.
Sources
Chinese Service Center for Scholarly Exchange(中国(教育部)留学服务中心). Accredited Institutions Search(认证院校查询). ;Ministry of Education Network for the Supervision and Administration of Education Involving Foreign Parties(教育部教育涉外监管信息网).
yxcx.cscse.edu.cnjsj.moe.gov.cn2Watch the court case over the new F-1 rule in the United States: "at most four years, and leave within 30 days of finishing" was to take effect on 2026-09-15 and was postponed by the court the day before, so for now it is still "until you finish"
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
The United States was going to change F-1 to at most four years, with 30 days to leave after finishing. A federal court postponed it the day before it was to take effect. So for now the old rule still stands: you stay as long as you study, and you have 60 days after finishing to get ready to leave. A postponement is not a repeal; the government can still appeal, and the rule can change at any time.
Cost
No money. Copy the programme end date on your I-20 into your calendar and set a reminder 90 days ahead. The I-20 is the certificate of eligibility for study that the school gives you. Also look at the notices from the school's international student office once a term to see whether there is any new development in the case
Benefit
The Department of Homeland Security published a rule on 2026-7-17 that was to take effect on 2026-9-15. It changes F-1 students from entering "until you finish" to a fixed period, at most four years, after which a separate extension has to be applied for. After finishing a programme or an internship there would be only 30 days in which to prepare to leave. On 2026-9-14, Judge Saylor of the United States District Court for the District of Massachusetts, under Article 705 of the Administrative Procedure Act, deferred the rule from taking effect. The postponement applies nationwide and to the rule as a whole. The court did not vacate the rule, the request to vacate it was denied, but a further request may be made later. The case is still being heard. Under the order of the court, people on F, J and I visas still enter "until you finish", the 60-day grace period for departure still applies, and no separate extension is needed
Notes
This item is as at 2026-09-25. The government can appeal to the Court of Appeals for the First Circuit, and the Department of Homeland Security can also amend the rule and publish it again. So if you are studying for several years, do not assume the old rule will last. The court has set 2026-10-02 for a further hearing on how both sides have got on, and after that date look at the notice from your school once more. If the new rule does take effect later, an extension has to be applied for separately before the period ends; it does not carry on by itself. Under the old rule, the departure deadline is different if you stop studying before finishing, so ask the international student office first. The J visa is in the same rule and the details are not the same as for F-1, so look at your own visa category.
Sources
DHS (2026). Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors(published 2026-07-17, to take effect 2026-09-15). ;Presidents' Alliance on Higher Education and Immigration v. U.S. Department of Homeland Security, No. 1:26-cv-13799-FDS (D. Mass. Sept. 14, 2026), court docket. ;Yale Office of International Students & Scholars (2026-09-14). Important Update: Court Action on the D/S Rule. ;AILA (2026). One Day Before Taking Effect, Federal Court Postpones the F, J, and I Fixed Admission Period Rule. ;8 CFR 214.2(f).
www.federalregister.gov/documents/2026/07/17/2026-14439/establishing-a-fixed-time-period-of-admission-and-an-extension-of-stay-procedure-for-nonimmigrantwww.courtlistener.com/docket/74661796/presidents-alliance-on-higher-education-and-immigration-v-united-statesoiss.yale.edu/news/important-update-court-action-on-the-ds-rulewww.aila.org/blog/think-immigration-one-day-before-taking-effect-federal-court-postpones-the-f-j-and-i-fixed-admission-period-rulewww.ecfr.gov/current/title-8/chapter-I/subchapter-B/part-214/section-214.23The hours you may work are a hard limit written into the rules of all four countries, and one hour over is a breach of your visa conditions
# Value HighGrade APersonal freedomNo moneyIn passingSome willpower
All four countries have put a ceiling on how long a student visa holder may work. Go over it and you have breached the conditions of your visa; your visa may be cancelled, you may be removed, and a later application will be asked about it. The ceilings are: the United States 20 hours a week; the United Kingdom 20 hours a week on a degree course and 10 hours a week below degree level; Canada 24 hours a week; Australia 48 hours a fortnight. If you hold two jobs the hours are added together.
Cost
No money. Keep a record of your own hours week by week. The hard part is that employers say "nobody checks a few extra hours", and that is not true
Benefit
For F-1 students in the United States, on-campus work must not exceed 20 hours a week during term time. Approved off-campus part-time work is also 20 hours a week. Full-time work is allowed during the holidays. The basis is 8 CFR 214.2(f)(9) of the United States federal immigration regulations. For the student visa in the United Kingdom, on a degree course or above it is 20 hours a week during term time, and below degree level 10 hours a week. Part-time courses may not be worked at all. You also may not be self-employed (working for yourself), and may not do professional sport or entertainment work. The basis is the part of the United Kingdom immigration rules that deals with students, appendix Student ST26.1 and ST26.5. In Canada a qualifying full-time student may work off campus up to 24 hours a week, under paragraph 186(v) of the Immigration and Refugee Protection Regulations. For the student visa in Australia it is at most 48 hours a fortnight while the course is running. Research masters and doctoral students and their dependants are not subject to this limit
Notes
Off-campus work in the United States has to be authorised first. While the I-765 application for the work permit is still being processed, you may not start work. Canada's older permit says 20 hours a week on it; as long as you still meet the conditions, 24 hours is in fact possible, and the current rules govern. The United Kingdom's prohibition on self-employment is drawn widely: taking private jobs, running an online shop and working as a freelancer all count.
Sources
4The root of the status is "studying full time": during a leave of absence, a withdrawal or the gap between schools you may not work
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
Whether you may work depends on whether you are in fact studying full time. Once you take a leave, withdraw, are expelled, or are not attending classes during a period of transfer, the right to be paid to work ends at that moment. Carrying on then is working illegally. A lot of people think it is all right as long as the visa has not run out; in fact the status was broken long before that.
Cost
No money. Before you stop classes, take a leave of absence or change schools, go to the school's international student office and ask what your status is
Benefit
Canada states expressly that off-campus work is not permitted during an authorised leave of absence. Nor is it permitted while you are not studying during a period of transfer. You may only start working again after you have resumed your studies. In the United States, the right to work on campus is given only to F-1 students whose status in SEVIS is Active. SEVIS is the United States system of records for the status of international students, and Active means enrolled and valid. These students also have to keep up a full-time course. In the United Kingdom the work permission follows the type of course, and part-time courses may not be worked
Notes
If the academic pressure is heavy and you are thinking of reducing your course load, ask first: how little still counts as full time. This one bites earlier than working does. If you are expelled by the school, or the programme is terminated, the status is normally broken the same day. Do not wait for an official letter from the school before you act.
Sources
5United States: you must report your new address within 10 days of moving
# Value HighGrade APersonal freedomNo moneyIn passingNo willpower
In the United States, when you move, the law requires you to notify the immigration authorities within 10 days. Not reporting is not a small matter. First, it is itself unlawful. Second, letters sent to you by the immigration authorities will go astray.
Cost
No money. Submit the change of address online once; it takes ten minutes
Benefit
8 CFR 265.1 of the United States federal immigration regulations provides that a foreign national who is required to register under the law shall report within 10 days of the address having changed. It is reported to USCIS (the United States immigration authorities) in the way USCIS requires, reporting both the fact that the address has changed and the new address
Notes
Even after you have told the immigration authorities, the SEVIS record at the school (your file of international student status) has to be updated separately. The other three countries also require you to notify the immigration authorities or the school when you move. The deadline and the method differ from country to country; follow the page of the immigration department of the country you are in.
Sources
6Before you leave and while you are studying, take a look at the Ministry of Education's study-abroad warnings
# Value HighGrade APersonal freedomNo moneyIn passingNo willpower
The Ministry of Education issues a warning about a particular country or region, saying that public security or policy there is unfavourable to Chinese students at present. This is an official public risk notice, in writing and open to checking, and it is more reliable than what an agency tells you. Taking a look costs nothing.
Cost
No money. Look once before you leave, and once a term after that
Benefit
The Ministry of Education publishes study-abroad warnings through the Network for the Supervision and Administration of Education Involving Foreign Parties. In 2025 it issued four in all, as warnings 1, 2, 3 and 4. Warning 1 warned that higher education legislation passed by certain states of the United States contains provisions that are negative towards China (2025-04-09). Warnings 2 and 3 warned on two separate occasions that cases against Chinese citizens are frequent in the Philippines and that the environment for studying there is poor (2025-07-18, 2025-08-30). Warning 4 warned that the public security situation and the environment for studying in Japan are poor, and advised planning study trips to Japan carefully (2025-11-16)
Notes
A warning is not a ban, and it does not mean you cannot go; it gives you an official basis for weighing the risk there. The list of warnings changes with the situation, and this section does not keep it up to date over time; go by the page current at the time on the website. Personal safety abroad and consular protection, see section 21.
Sources
Ministry of Education Network for the Supervision and Administration of Education Involving Foreign Parties(教育部教育涉外监管信息网). Warning information(预警信息). ;Ministry of Education issues the fourth study-abroad warning of 2025(教育部发布 2025 年第 4 号留学预警). ;Warning item one(第 1 号).
jsj.moe.gov.cnjsj.moe.gov.cn/n2/2/2/2060.shtmljsj.moe.gov.cn/n2/2/2/2001.shtml7Australia: OSHC has to cover the whole stay with no gap in the middle, and without proof of insurance you may be refused entry
# Value ModerateGrade AMoneyA fair amount of moneyIn passingNo willpower
Australia has written the health insurance for international students into the visa conditions, so it is not something you may or may not buy. The insurance has to cover your whole stay. When you renew the visa and change policy there must be no gap in between. If you cannot produce proof of insurance on entry, you may be refused entry there and then. When family members come to accompany you, each of them has to buy a policy of their own.
Cost
Several thousand yuan up to more than ten thousand yuan. Buy it in one go for the length of the visa; if you are there several years, buy several years' cover
Benefit
The Australian Department of Home Affairs requires applicants for a student visa and their dependants to hold Overseas Student Health Cover (OSHC), and to hold it for the whole time they are in Australia, with no break. The insurance has to be provided by an insurer recognised in Australia. Cases that qualify for an exemption from having to buy it are excepted. There may be no gap between the new insurance and the insurance under the previous visa. If proof that you are insured cannot be produced on entry, you may be refused entry. Where you arrive earlier than the start of the course, the insurance start date has to be the day you actually arrive in Australia
Notes
Where the school arranges it, ask for the name of the insurer, the start and end dates of the policy and the policy number; these go into the visa application. Buying too short a period causes trouble with the renewal, so it is better to buy a little past the date you graduate.
Sources
Australian Government Department of Home Affairs. Student visa (subclass 500).
immi.homeaffairs.gov.au/visas/getting-a-visa/visa-listing/student-5008United Kingdom: besides the visa fee there is a health surcharge charged by the year; a student pays 776 pounds a year, paid in full at the time of application
# Value ModerateGrade AMoneyA fair amount of moneyIn passingNo willpower
The money you pay to go to the United Kingdom is not only the visa fee. You also have to prepay a health surcharge according to the number of years on your visa, and only with it do you get the National Health Service. A two-year visa means paying 1552 pounds in one go. Add the visa fee and this whole amount has to be paid before you leave, so do not leave it out of the budget.
Cost
Visa fee 558 pounds. Health surcharge 776 pounds a year. Both are paid in full at the time of application
Benefit
The cost of a student visa in the United Kingdom is 558 pounds. Applied for outside the United Kingdom, and for extensions or changes inside the country, the figure is the same. There is also the health surcharge, without which you cannot use the National Health Service, prepaid once and in full at the time of application according to the number of years on the visa. The student and their dependants pay 776 pounds a year, so a 2-year visa is 1552 pounds. Other categories of applicant pay 1035 pounds a year. Where the visa is longer than 6 months and shorter than 1 year, it is charged as a whole year
Notes
Both the amounts and the exchange rate change, so work from the current figures on the two pages in the sources. A degree course, and anyone aged 18 or over, is normally allowed at most 5 years; below degree level it is 2 years. Use that number of years to work out how much surcharge to allow for.
Sources
UK Government. Student visa. ;UK Government. Pay for UK healthcare as part of your immigration application.
www.gov.uk/student-visawww.gov.uk/healthcare-immigration-application9Leave time for the certification before you come back: certification by the Service Center takes 10 to 20 working days
# Value ModerateGrade ATime and energyA little moneyA few hoursNo willpower
To use a qualification gained abroad once you are back home, you first have to have it certified. The assessment alone takes 10 to 20 working days. If it falls in the job-hunting season, or your documents are returned, it takes longer. The autumn recruitment round, the registration for the civil service examination and settling a household registration all have deadlines, so do not wait until you need it to start the process.
Cost
Apply and pay online. Preparing the documents plus the assessment and the review, counted in working days, comes to around a month in all
Benefit
Certification of qualifications obtained abroad and outside the territory is done in the online service hall of the Chinese Service Center for Scholarly Exchange. The process has four steps: register and complete identity verification, submit the application and the documents online, pay online, and wait for the assessment and the review. The published time limit for certification is 10 to 20 working days. Working days do not include weekends and public holidays, and this is the time the Service Center takes to review
Notes
The documents you have to hand in are these: the diploma, your passport or travel permit, your residence card or visa endorsement, a photograph of your identity document, and a statement of authorisation. Entry and exit records for the period you were abroad are pulled by the system itself, so do not throw away the visa pages you were carrying while you were abroad. The Service Center also issues announcements on its website saying which certificates have been invalidated and whose applications for certification have been suspended. Before you start, check whether your own school is one of them.
Sources
Chinese Service Center for Scholarly Exchange(中国(教育部)留学服务中心). Online Service Hall · Academic Qualification Certification(网上服务大厅·学历学位认证).
zwfw.cscse.edu.cn10More schools every year are put under "enhanced review" of certification, and the route of buying a diploma no longer works
# Value HighGrade AMoneyNo moneyIn passingNo willpower
The Service Center names a batch of foreign institutions and applies enhanced review to the certification of their qualifications on its own; it also suspends the acceptance of certification applications for individual schools. The ones it names are often exactly the kind advertised as "no language test, no going abroad, a master's degree in a few months". Searching the name of the school once before you sign up saves a great deal of trouble compared with appealing afterwards.
Cost
No money. Before you sign up, search the name of the school once in the Service Center's announcements
Benefit
The Chinese Service Center for Scholarly Exchange has been issuing announcements applying enhanced certification review to the academic qualification certification of some foreign institutions (a separate extra check on the diplomas of these schools). The most recent is number nine (2025-10-28). The Service Center has also issued announcements suspending the acceptance of certification applications for individual overseas institutions, and reminders that people have used academic qualification certification from abroad and outside the territory to carry out fraud
Notes
"Enhanced review" does not mean the certification will definitely be refused, but it does mean you will be asked for more documents and that it will take longer. Any agent promising "certification guaranteed" or "expedited through inside channels" is a scam; the Service Center has issued specific warnings about fraud. Having somebody write your thesis or take your online courses for you across the border, if it is found out, not only voids the qualification but may also affect your visa record.
Sources
Chinese Service Center for Scholarly Exchange(中国(教育部)留学服务中心). Announcement on Applying Enhanced Certification Review to the Academic Qualification Certification of Some Foreign Institutions (Nine)《关于对部分国外院校学历学位认证加强认证审查的公告(九)》(2025-10-28). ;Chinese Service Center for Scholarly Exchange(中国(教育部)留学服务中心).
www.cscse.edu.cn/cscse/sy/tzgg/2025102809225023345/index.htmlwww.cscse.edu.cn33. Living after a disability
20 / 20This section is about the days after a disability has happened. How to prevent one is in section 1 and section 13, and is not repeated here.
Four measures are counted separately and are not converted into each other. The items on emergencies and complications are counted in mortality. The items on subsidies, benefits and lawsuits are counted in money. The items on schooling and paperwork are counted in time. The items on psychiatric admission, capacity for conduct and guardianship are counted in personal freedom.
The World Health Organization's briefing gives three numbers. About 1.3 billion people worldwide have a significant functional impairment, 16% of the world's population, roughly one in every six people. Some disabled people die up to 20 years earlier than people who are not disabled. Disabled people have twice the risk of depression, asthma, diabetes, stroke, obesity or poor oral health. A large part of those gaps is not caused by the disability itself but by not being able to see a doctor, not being able to go to school, not being able to find work and not being able to get out of the house. So half the items in this section are about the body and half are about paperwork and rights.
Five things already written up elsewhere are only pointed to here, not repeated. How to get a disability certificate, the seven categories and how levels one to four are assessed: see item 10 in section 24 (disability certificate). When to have a disability assessed: see item 9 in section 24 (disability assessment). How to claim the two disability subsidies: see item 8 in section 7 (the two subsidies). How a work injury's assessment of labour capacity and disability level convert into money: see item 14 in section 19 (assessment of labour capacity). How to apply for long-term care insurance for severe loss of ability: see item 7 in section 17 (long-term care insurance). That item is written in the section on having elderly at home, but this benefit has no age limit and young people can get it too.
In most items in this section the beneficiary is you and your family, which puts them in the top two tiers. Where other people are involved, that is written separately in the notes.
1After a spinal cord injury, a sudden severe headache and sweating: sit the person up straight first, loosen the clothing, and call 120 at the same time
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
After a spinal cord injury a section of the body's alarm wiring is cut. A full bladder or tight clothing may go unnoticed by the person, while the blood pressure surges. The signal is a sudden severe headache and sweating. Sit the person up straight, loosen anything tight, check whether they are holding urine, and call 120 at the same time.
Cost
No money. Three moves, done in a few tens of seconds.
Benefit
This kind of attack is called autonomic dysreflexia. A systematic review searched four databases, Medline, CINAHL, EMBASE and PsycINFO, and included 31 studies, 6 of which were randomised controlled trials. The review states that the non-drug treatment during an attack is three steps: put the patient in an upright position, loosen tight clothing, and remove the trigger. The basis for these three steps is clinical consensus and physiological data, and they count as level 5 evidence. A blood-pressure drug is used only when the blood pressure stays high; for prazosin there is level 1 evidence, and for nifedipine and prostaglandin E2 level 2 evidence. The review also states that strategies to prevent attacks mainly target the two common triggers of the genitourinary system and of surgery, and that most are supported only by level 4 and level 5 evidence
Notes
The grade is B because those three moves at the scene have no randomised controlled trial behind them, only consensus and physiological reasoning. The review itself says that most of these measures are supported only by uncontrolled studies. The drugs are the doctor's business; do not give a blood-pressure drug at home yourself. Laying the person flat will push the blood pressure higher, so sit them up straight. Family and care workers need to know these three steps too. Do not just ride it out as an ordinary headache.
Sources · 2 sources
- Krassioukov A, Warburton DE, Teasell R, Eng JJ
- Spinal Cord Injury Rehabilitation Evidence Research Team (2009). A systematic review of the management of autonomic dysreflexia after spinal cord injury. Archives of Physical Medicine and Rehabilitation, 90(4):682-695. doi.org/10.1016/j.apmr.2008.10.017
2The first ten years after becoming disabled are the high-risk period for suicide; do not treat it as something to think your way out of
# Value HighGrade ALifespanNo moneyIn passingSome willpower
In the first years after becoming disabled, it is common for you or your family to break down emotionally; that is not a question of willpower. Long-term follow-up at two spinal cord injury centres in the United Kingdom found that this group dies by suicide at five times the ordinary rate. More than nine in ten suicides happen in the first ten years after the injury. Where the injury itself was a suicide attempt, the risk is higher again.
Cost
No money. Make one phone call, or register once at a hospital.
Benefit
The study followed 2304 patients with traumatic spinal cord injury who were newly admitted between 1991 and 2010, survived the first year after the injury, and had a neurological deficit at discharge, following them to the end of 2014. In 63 of the cases (2.7%) the cause of the injury was itself a suicide attempt. By the end of the follow-up 533 people had died, of whom 4.2% died by suicide, and 91% of the suicides happened in the first ten years after the injury. The age-standardised suicide mortality was 62.5 per 100,000 people per year (
95% CI 36.4–88.6, credible range), five times the rate of the general population of England and Wales in 2014 (12.2 per 100,000 people). For the people whose injury came from a suicide attempt, compared with other causes of injury, the odds ratio for death was 4.32 (P<0.001) and for suicide 9.46 (P<0.001)
Notes
This study looked only at spinal cord injury, so applying it to blindness, amputation, burns and other causes of disability is an extrapolation. What it can tell you is the time window: the risk does not end at discharge, and you have to watch it for ten years. To have somebody to talk to, call 12356: see item 11 in section 29 (12356). Do not stock sleeping pills and pesticide at home: see item 25 in section 1 (thoughts of suicide). If grief and mood are stuck in the same place after half a year, register at a psychiatry or clinical psychology department: see item 8 in section 29 (grief past half a year).
Sources
Savic G, DeVivo MJ, Frankel HL, Jamous MA, Soni BM, Charlifue S (2018). Suicide and traumatic spinal cord injury - a cohort study. Spinal Cord, 56(1):2-6.
doi.org/10.1038/sc.2017.983Psychiatric admission follows the principle of voluntariness; only two circumstances allow it without the person's consent
# Value ExceptionalGrade APersonal freedomNo moneyIn passingNo willpower
One word from the family or the employer cannot keep a person in a psychiatric hospital. The law recognises only two situations: the person has already harmed themselves or is at risk of doing so, and the person has already endangered others or is at risk of doing so. The first requires a guardian's consent before the person may be admitted. If the diagnosis is disputed, a fresh diagnosis may be requested within three days, and after that the person can commission an appraisal themselves.
Cost
No money. Remember the two circumstances so that you can say them when you need them.
Benefit
Article thirty of the Mental Health Law (《精神卫生法》) states 「精神障碍的住院治疗实行自愿原则」, that is, admission for the treatment of a mental disorder follows the principle of voluntariness. Inpatient treatment may be carried out only where the diagnostic conclusion and the assessment of the condition show that the patient has a severe mental disorder and one of the following applies. One: 「已经发生伤害自身的行为,或者有伤害自身的危险的」, that is, the person has already carried out an act of self-harm, or is at risk of self-harm. Two: 「已经发生危害他人安全的行为,或者有危害他人安全的危险的」, that is, the person has already endangered the safety of others, or is at risk of doing so. Article thirty-one: in the first case the medical institution may admit the person only with the guardian's consent, and may not admit them if the guardian does not agree. Article thirty-two: in the second case, where the person or the guardian objects, a fresh diagnosis may be requested; the request must be made within three days of receiving the diagnostic conclusion, and must be made by two practising psychiatrists other than the doctor who made the first diagnosis; where there is still an objection to the fresh diagnosis, the person may commission an appraisal body lawfully qualified to appraise to carry out a medical appraisal of the mental disorder. Article thirty-five: where the fresh diagnosis or the appraisal report shows that the person cannot be established as having a severe mental disorder, or that inpatient treatment is not needed, the medical institution may not carry out inpatient treatment. Article seventy-eight: a person who deliberately has a patient without a mental disorder sent to a medical institution for treatment as though they had one bears liability in accordance with the law (nationwide, in force from 2013-5-1, amended 2018)
Notes
The other way round, not just anybody can be sent in either. Article twenty-eight provides that where a person suspected of having a mental disorder has already carried out an act of self-harm or of endangering another's safety, or is at risk of doing so, their close relatives, their work unit or the local public security organ must immediately take measures to stop it and send them to a medical institution for a diagnosis of mental disorder. A medical institution that receives such a person may not refuse to make a diagnosis. So "sent in for a diagnosis" and "kept in for admission" are two doors: the first is low, the second is high. Article seventy-five lists the medical institution's own liability; carrying out restraint or isolation against the rules, or diagnosing a person without a mental disorder as having one, leads to discipline up to withdrawal of the practising certificate. What to do when somebody near you has an urge to hurt someone: see section 8.
Sources
Mental Health Law of the People's Republic of China(中华人民共和国精神卫生法)(2018 amendment, articles thirty, thirty-one, thirty-two, thirty-five and seventy-eight).
flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7448a066d4The person who cares long-term for a disabled family member needs somebody watching their own health
# Value HighGrade ALifespanNo moneyIn passingSome willpowerDisputed
A carer collapsing is not self-indulgence. A United States study followed more than eight hundred older people for four years. The ones who were caring for a disabled spouse and also reported mental strain had about sixty per cent higher death risk than people who did not care for anyone. Carers who did not feel strained showed no such rise. So what needs watching is not the caring itself, but that long-term tension.
Cost
No money. Hand a share of the caring work to somebody else, and get a check-up yourself.
Benefit
The study was a prospective population cohort, run in four communities in the United States between 1993 and 1998, with an average follow-up of 4.5 years. There were 392 carers and 427 non-carers, aged 66 to 96, all living with a spouse. Within four years 103 people (12.6%) died. After adjusting for socio-demographic factors, existing illness and subclinical cardiovascular disease, people who were caring and reported mental or emotional strain had a death risk 63% higher than the non-caring controls (
RR 1.63,
95% CI 1.00–2.65, credible range). Carers who did not report strain (
RR 1.08,
95% CI 0.61–1.90) and people whose spouse was disabled but who did not do the caring themselves (
RR 1.37,
95% CI 0.73–2.58) showed no rise in adjusted mortality
Notes
Disputed: The lower bound of the credible range in this study sits exactly on 1.00, so the possibility of "no difference" has not been ruled out. The population is older Americans living with a spouse, caring for an older spouse who is disabled; applying it to people caring for a younger disabled relative is an extrapolation. What it can tell you is the direction: the people who find it a strain run higher risk. Hand over as much of the caring as you can; ask the local federation of disabled persons and the civil affairs department about respite and day-care services. The carer should not stop their own chronic illness medication: see item 1 in section 16 (take the medicine as prescribed). The person who benefits from this item is yourself.
Sources
Schulz R, Beach SR (1999). Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA, 282(23):2215-2219.
doi.org/10.1001/jama.282.23.22155If you sit in a wheelchair long-term, switch to a pressure-relief cushion and check your sitting bones and tailbone every day
# Value ModerateGrade BLifespanA little moneyIn passingSome willpower
An ordinary foam cushion presses on the skin long enough to break it, and once broken it heals slowly and easily gets infected. Older people in nursing homes who use pressure-relief cushions have clearly fewer pressure ulcers over the sitting bones, but once the tailbone is counted in there is no difference. The wheelchair itself also has to be fitted to the person's measurements; do not settle for a standard model.
Cost
A pressure-relief cushion runs from a few hundred yuan to over a thousand. One look a day, one minute.
Benefit
This randomised clinical trial was done in 12 nursing homes, recruiting 232 residents between 2004 and 2008 who were over 65, sat in a wheelchair more than 6 hours a day, and scored below 18 on the Braden scale. Everyone was first fitted with a well-fitting wheelchair, then randomised into two groups. One group used a skin-protection cushion (air, viscous fluid with foam, or gel with foam), the other a 7.6 cm thick segmented foam cushion. Follow-up was 6 months, or until a pressure ulcer appeared. Pressure ulcers at the ischial tuberosity: 8 cases (6.7%) in the segmented foam group, 1 case (0.9%) in the skin-protection cushion group, P=0.04. Counting ulcers at the ischium and the sacrococcygeal area together: 21 cases (17.6%) in the segmented foam group, 12 cases (10.6%) in the skin-protection cushion group, P=0.14, which showed no difference
Notes
There are two reasons for the grade B. First, the sample was only 232 people, the P value of 0.04 on the primary endpoint had just crossed the line, and the secondary endpoint showed no difference. Second, the population is very old nursing-home residents, so applying it to young wheelchair users is an extrapolation. In the trial everyone was first fitted with a well-fitting wheelchair, so "fits" and "cushion" work together; do not change only the cushion. For pressure ulcers during long bed rest, an air mattress and turning on a schedule: see item 8 in section 17 (pressure ulcers). How to apply for the subsidy for fitting basic assistive devices: see item 7 in this section (ask everything at the county federation).
Sources
Brienza D, Kelsey S, Karg P, et al. (2010). A randomized clinical trial on preventing pressure ulcers with wheelchair seat cushions. Journal of the American Geriatrics Society, 58(12):2308-2314.
doi.org/10.1111/j.1532-5415.2010.03168.x6Do not buy therapies and devices that "can cure paralysis, blindness or deafness"
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
The Advertising Law has settled the wording. Advertisements for medical treatment, drugs and medical devices may not guarantee the effect, may not state a cure rate or an effective rate, and may not use people giving their own testimony. So "stand up after three courses of treatment" or "how many people have already recovered" is itself an unlawful advertisement, and there is no need to examine the theory it puts forward. Something that is not a medical device may not even mention treating illness.
Cost
No money, it saves money. The hard part is that the family is holding on to hope and cannot be talked out of it.
Benefit
Article sixteen of the Advertising Law (《广告法》) provides that advertisements for medical treatment, drugs and medical devices may not contain the following: 「(一)表示功效、安全性的断言或者保证;(二)说明治愈率或者有效率;(三)与其他药品、医疗器械的功效和安全性或者其他医疗机构比较;(四)利用广告代言人作推荐、证明」, that is, assertions or guarantees of efficacy or safety; statements of a cure rate or an effective rate; comparisons with the efficacy or safety of other drugs or devices, or with other medical institutions; and recommendations or endorsements by advertising spokespeople. Article seventeen provides that, apart from advertisements for medical treatment, drugs and medical devices, 「禁止其他任何广告涉及疾病治疗功能,并不得使用医疗用语或者易使推销的商品与药品、医疗器械相混淆的用语」, that is, no other advertisement may concern the treatment of disease, and none may use medical terms, or terms likely to confuse the goods being promoted with drugs or medical devices. Article four provides that advertisements may not contain false or misleading content, may not deceive or mislead consumers, and the advertiser is responsible for the truth of the content (nationwide, amended 2021)
Notes
There is only one test: see whether it dares to promise everything. The rehabilitation department of a proper hospital will not promise you that you will stand up after a number of courses of treatment. When you meet this kind of advertising, report it to 12315 or to the local market regulator. Health supplements use the same script: see item 10 in section 6 (health supplements). If you have already bought and want your money back, follow the method for online shopping and pre-paid consumption: see item 29 in section 5 (online shopping follows the platform's rules). The people who benefit from this item are yourself and your family.
Sources
Advertising Law of the People's Republic of China(中华人民共和国广告法)(2021 amendment, articles four, sixteen and seventeen).
flk.npc.gov.cn/detail?id=ff8081817ab231eb017abd6bd860052d7Once the disability certificate is issued, go to the county federation and ask what you can apply for, all in one visit
# Value ModerateGrade AMoneyNo moneyA few hoursNo willpower
The disability certificate pays nothing itself; it is a key. What hangs off it is several benefits, each independent of the others, and you have to apply for each one yourself; none of them comes to you. On your first visit to the federation, go through the items on the list one by one and ask about them. That saves you several trips back and forth.
Cost
No money. One trip to the county federation, and one morning of asking. There is more than one department to go to afterwards.
Benefit
At least six benefits hang off the certificate, and each has its own basis. First, the living allowance for disabled people in difficulty and the care allowance for severely disabled people: see item 8 in section 7 (the two subsidies). Second, rehabilitation assistance for disabled children: see item 8 in this section (rehabilitation assistance). Third, the subsidy for basic assistive devices, whose basis is Article twenty-six of the Regulations on Disability Prevention and Rehabilitation of Persons with Disabilities(残疾预防和残疾人康复条例). Fourth, the subsidy for adapting the home to be barrier-free: see item 9 in this section (ramps, handrails and bathroom modifications). Fifth, quota employment and employment services: see item 10 in this section (say up front that you hold the certificate). Sixth, the reduction in individual income tax: see item 11 in this section (individual income tax reduction). Article twenty-six of those Regulations also states that the state provides basic rehabilitation services for disabled people in difficulty in urban and rural areas and for severely disabled people by carrying out key rehabilitation programmes, and 「按照国家有关规定对基本型辅助器具配置给予补贴」. Article twenty provides that the relevant departments of people's governments at county level and above and the federations shall make use of community resources, set up rehabilitation premises or purchase services, and carry out community rehabilitation work such as rehabilitation guidance, training in the activities of daily living, rehabilitation care, fitting of assistive devices, information and referral (nationwide, in force from 2017-7-1)
Notes
The procedure for getting the certificate itself is in item 10 in section 24 (disability certificate). The subsidy standards and the detailed measures are set mostly at provincial level, and the same item can differ severalfold between two provinces. As you ask, write down the name of each item, and at home look up the original document by that name on the local federation's website and on the government's website; do not rely only on what the counter says. Do not expect to get it all in one visit; go back and ask again a year later, because the policies change.
Sources
State Council (国务院) (2017). Regulations on Disability Prevention and Rehabilitation of Persons with Disabilities(残疾预防和残疾人康复条例)(Articles twenty, twenty-six).
www.gov.cn/zhengce/zhengceku/2017-02/27/content_5171308.htm8If the child is under 7 and has a disability or autism, apply to the county federation for rehabilitation assistance
# Value HighGrade AMoneyNo moneyA few hoursNo willpower
The state has built a rehabilitation assistance system for children with disabilities and children with autism aged 0 to 6, covering surgery, assistive devices and rehabilitation training. Families in difficulty are served first; where local finances allow, the age range and the household income conditions may be relaxed. This is the window in which rehabilitation works best — do not wait until it is time for school. Institutions must be chosen from the federation's designated list.
Cost
No money. Submit one application at the county federation, then choose one institution from the designated list.
Benefit
The State Council's Opinions on Establishing a Rehabilitation Assistance System for Children with Disabilities (《国务院关于建立残疾儿童康复救助制度的意见》) states that the beneficiaries are eligible children aged 0–6 with visual, hearing, speech, physical or intellectual disabilities, and children with autism. These include children with disabilities from families on the urban or rural minimum living allowance, from registered poor households, children with disabilities raised in child welfare institutions, disabled orphans, children with disabilities within the scope of support for persons in extreme poverty, and children with disabilities from other financially strained families. The specific criteria for "other financially strained families" are laid down by local people's governments at county level and above. The document also states 「有条件的地区,可扩大残疾儿童康复救助年龄范围,也可放宽对救助对象家庭经济条件的限制」, that is, areas with the means may widen the age range of the assistance and relax the household income conditions for beneficiaries. Funding standards are set by people's governments at county level and above according to local finances, the number of beneficiaries and the category of disability, with a dynamic adjustment mechanism. The higher-level basis is Article twenty-six of the Regulations on Disability Prevention and Rehabilitation of Persons with Disabilities: the state establishes a rehabilitation assistance system for children with disabilities, 「逐步实现0—6岁视力、听力、言语、肢体、智力等残疾儿童和孤独症儿童免费得到手术、辅助器具配置和康复训练等服务」, that is, gradually ensuring that children aged 0–6 with visual, hearing, speech, physical or intellectual disabilities and children with autism receive surgery, assistive-device fitting and rehabilitation training free of charge (nationwide, from 2018)
Notes
The assistance standards are set by each province; first search the local federation's website for 「残疾儿童康复救助实施办法」. The designated-institution list is also in the federation's hands. The document requires the federation, together with the relevant departments, to tighten supervision of entry and exit for designated rehabilitation institutions, establish regular inspection and comprehensive evaluation mechanisms, and set up a blacklist. For an institution not on the list you pay every yuan yourself, and if something goes wrong it is hard to hold anyone to account. The beneficiary of this item is your child, which puts it in the second tier. Institutions that promise to "guarantee a cure" are handled under item 6 in this section (can cure paralysis).
Sources · 2 sources
- State Council (2018). Opinions on Establishing a Rehabilitation Assistance System for Children with Disabilities (《国务院关于建立残疾儿童康复救助制度的意见》) (Guo Fa [2018] No. 20). www.gov.cn/zhengce/zhengceku/2018-07/10/content_5305296.htm
- State Council (2017). Regulations on Disability Prevention and Rehabilitation of Persons with Disabilities (《残疾预防和残疾人康复条例》) (article twenty-six). www.gov.cn/zhengce/zhengceku/2017-02/27/content_5171308.htm
9Ramps, handrails and bathroom modifications at home can be subsidised by a government at county level or above
# Value ModerateGrade BMoneyNo moneyA few hoursNo willpower
The Law on Barrier-free Environment (《无障碍环境建设法》) has a clause: governments at county level and above shall support and guide barrier-free home modifications, and shall give appropriate subsidies to qualifying households with disabled or elderly members. These projects are generally led by the federation and run on annual quotas, so register early. How much is paid and which items are covered is decided locally.
Cost
Applying costs nothing. Most of the work itself is subsidised, but you may still have to cover part of it. You will have to visit the federation and the subdistrict office.
Benefit
Article nineteen of the Law on Barrier-free Environment: 「县级以上人民政府应当支持、指导家庭无障碍设施改造。对符合条件的残疾人、老年人家庭应当给予适当补贴。」, that is, people's governments at county level and above shall support and guide barrier-free home modifications, and shall give appropriate subsidies to qualifying households with disabled or elderly members. Article eighteen provides that, for existing residential buildings, residential areas, public buildings, public places, transport facilities, urban and rural roads and the like that do not meet the barrier-free facility engineering construction standards, people's governments at county level and above shall, in light of actual circumstances, formulate targeted barrier-free facility modification plans and organise their implementation. Article sixty-two provides that any organisation or individual has the right to put opinions and suggestions to the relevant competent departments of the government on strengthening and improving the barrier-free environment, and to complain or report behaviour that violates this Law; a competent department that receives such a complaint or report 「应当及时处理并予以答复」, that is, shall handle it promptly and reply. Article sixty-three provides that where conduct in violation of this Law harms the public interest, the people's procuratorate may raise a procuratorial suggestion or bring public interest litigation (nationwide, in force from 2023-9-1)
Notes
The grade is B because the law only writes 「应当给予适当补贴」 — shall give appropriate subsidies; how much is paid and who counts as qualifying is handed entirely to the localities, with no nationally uniform number. First search the local federation's website for 「困难重度残疾人家庭无障碍改造」. Quotas are mostly allocated by year, so queue early. Adding a lift to a residential building and modifying stairwells is a different process, through the housing and urban-rural development department. Where the barrier-free facilities in a public place fall short, complain to the competent department under Article sixty-two — it has to answer you.
Sources
Barrier-free Environment Construction Law of the People's Republic of China(中华人民共和国无障碍环境建设法)(articles eighteen, nineteen, sixty-two and sixty-three).
flk.npc.gov.cn/detail?id=ff80818188d7430b018901849337094010When job hunting, say up front that you hold the certificate; hiring you offsets a payment for the firm
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
The proportion of disabled employees a work unit arranges may not be lower than 1.5% of its total on-the-job staff, with the exact proportion set by the province. Fall short and the unit has to pay the disability employment security fund on the head-count gap, each head calculated on the unit's average annual staff wage of the previous year. So hiring you is not just a favour — it saves real money. Say clearly in the interview that you hold the certificate, and the other side can do the arithmetic itself.
Cost
No money. One extra sentence in the interview. The hard part is bringing it up.
Benefit
Article eight of the Regulations on Employment of Persons with Disabilities (《残疾人就业条例》): 「用人单位安排残疾人就业的比例不得低于本单位在职职工总数的1.5%。具体比例由省、自治区、直辖市人民政府根据本地区的实际情况规定。」, that is, the proportion of disabled employees a unit arranges may not be lower than 1.5% of its own total on-the-job staff, and the specific proportion is set by the people's government of the province, autonomous region or municipality according to local circumstances. Article nine: a unit that fails to reach the proportion set by the provincial people's government where it is located shall pay the disability employment security fund. Article eight of the Measures for the Collection and Use of the Disability Employment Security Fund (《残疾人就业保障金征收使用管理办法》) gives the formula: 「保障金年缴纳额=(上年用人单位在职职工人数×所在地省、自治区、直辖市人民政府规定的安排残疾人就业比例-上年用人单位实际安排的残疾人就业人数)×上年用人单位在职职工年平均工资」, that is, annual fund payable = (previous year's on-the-job staff × the disabled-employment proportion set by the provincial government − previous year's disabled employees actually hired) × previous year's average annual staff wage. Article sixteen: for a small or micro enterprise within 3 years of business registration that has not reached the required proportion of disabled employment and whose total on-the-job staff is 20 or fewer (20 included), the fund is waived. Article thirty-six of the Law on the Protection of Persons with Disabilities (《残疾人保障法》) provides that the state gives tax preferences in accordance with the law to work units that reach or exceed the required proportion of disabled employment, or that employ disabled people centrally (nationwide, in force from 2007-5-1)
Notes
For a small or micro enterprise registered within the last three years with 20 staff or fewer, this reason does not hold — do not count on it. The fund's reduction and exemption policies have been adjusted year after year; what applies is whatever the Ministry of Finance announces that year. Also, quota hiring requires real employment. Taking a wage for a nominal post, or letting a unit use you to offset the fund, is fraud, and you would be dragged into it too. Recognition as a person having difficulty finding work, and the social insurance allowance: see item 12 in section 7 (persons having difficulty finding work). Vocational training allowance: see item 13 in section 7 (vocational training allowance). The person who benefits from this item is yourself.
Sources · 3 sources
- State Council (2007). Regulations on Employment of Persons with Disabilities (《残疾人就业条例》) (articles eight and nine). www.gov.cn/zhengce/zhengceku/2008-03/28/content_6646.htm
- Ministry of Finance, State Taxation Administration and China Disabled Persons' Federation (2015). Measures for the Collection and Use of the Disability Employment Security Fund (《残疾人就业保障金征收使用管理办法》) (Cai Shui [2015] No. 72, articles six, eight and sixteen). www.gov.cn/zhengce/zhengceku/2015-09/15/content_5650063.htm
- Law of the People's Republic of China on the Protection of Persons with Disabilities(中华人民共和国残疾人保障法)(article thirty-six). flk.npc.gov.cn/detail?id=ff8080816f135f46016f1d134c88132b
11Personal income tax can be reduced for disabled people; phone the provincial tax bureau to find out by how much
# Value ModerateGrade AMoneyNo moneyIn passingNo willpower
The Individual Income Tax Law says the income of disabled people may be taxed at a reduced rate. But how much and for how long is left to provincial governments, so it differs from province to province. Some provinces set an annual reduction cap, others reduce by a percentage. The way to find out is to call 12366 and ask the local tax bureau, or look up the reduction items in the Individual Income Tax app.
Cost
No money. Tick one box when filing, or submit filing materials once.
Benefit
Article five of the Individual Income Tax Law (《个人所得税法》): 「有下列情形之一的,可以减征个人所得税,具体幅度和期限,由省、自治区、直辖市人民政府规定,并报同级人民代表大会常务委员会备案:(一)残疾、孤老人员和烈属的所得;(二)因自然灾害遭受重大损失的。」, that is, individual income tax may be reduced in either of the following cases, the extent and duration set by the people's government of the province, autonomous region or municipality and filed with the standing committee of the people's congress at the same level: first, the income of persons with disabilities, elderly persons living alone and dependants of martyrs; second, major losses suffered through natural disaster. Article thirty-six of the Law on the Protection of Persons with Disabilities separately provides that the state gives tax preferences in accordance with the law to disabled persons engaged in individual business, and waives administrative and institutional fees (nationwide, in force from 2019-1-1)
Notes
The benefit is graded "small" because the law itself gives no number; in most provinces the annual reduction comes to a few hundred to a few thousand yuan. It is not much money, but one filing keeps working for years, so it is worth the trip. How much your own province reduces is decided only by the local tax bureau's announcement; comparison tables passed around online are out of date year-round. If you run a small shop of your own, the administrative and institutional fees are waived under Article thirty-six of the Law on the Protection of Persons with Disabilities — raise it when you apply for the licence.
Sources · 2 sources
- Individual Income Tax Law of the People's Republic of China(中华人民共和国个人所得税法)(2018 amendment, article five). flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf724bd0609
- Law of the People's Republic of China on the Protection of Persons with Disabilities(中华人民共和国残疾人保障法)(article thirty-six). flk.npc.gov.cn/detail?id=ff8080816f135f46016f1d134c88132b
12Guide dogs may be taken into public places and public transport; blind people ride city buses free
# Value ModerateGrade AMoneyNo moneyIn passingSome willpower
The law states that public places and public transport must make things convenient for disabled people who carry guide dogs, hearing-assistance dogs or assistance dogs. Blind people with valid ID ride city buses, the metro and ferries free, and disabled people may carry their necessary assistive devices free. When you are stopped, state these two provisions; if that does not work, complain.
Cost
No money. If you are stopped, you have to open your mouth and quote the statute, and there may be a standoff for a while.
Benefit
Article forty-six of the Law on Barrier-free Environment (《无障碍环境建设法》): 「公共场所经营管理单位、交通运输设施和公共交通运输工具的运营单位应当为残疾人携带导盲犬、导听犬、辅助犬等服务犬提供便利。」, that is, operators of public places, of transport facilities and of public transport vehicles shall provide convenience for disabled people carrying service dogs such as guide dogs, hearing-assistance dogs and assistance dogs. Article thirty-five provides that government service hotlines and emergency call systems — for police, fire, traffic accidents, medical emergencies and the like — shall gradually have barrier-free functions such as voice, large print, Braille and one-touch calling. Article sixty-two provides that any organisation or individual has the right to complain or report behaviour that violates this Law, and the competent department shall handle it promptly and reply. Article fifty of the Law on the Protection of Persons with Disabilities (《残疾人保障法》): 「盲人持有效证件免费乘坐市内公共汽车、电车、地铁、渡船等公共交通工具。盲人读物邮件免费寄递。」, that is, blind people with valid ID ride city buses, trolleybuses, the metro, ferries and other public transport free, and mail containing reading materials for blind people is sent free. The same article also provides that people's governments at county level and above shall give disabled people convenience and preferential terms when they use public transport, and that disabled people may carry their necessary assistive devices free (nationwide, in force from 2023-9-1)
Notes
The law says "provide convenience", with no penalty attached, so in a standoff on the spot the other side may not give way straight away. Keep a screenshot of the statute on your phone — that works better than reciting article numbers. If it cannot be settled on the spot, complain under Article sixty-two; the competent department has to answer you. Railways and civil aviation have their own rules; call customer service before you travel. The "valid ID" accepted for free travel is not recognised identically everywhere — ask the local federation which kind counts.
Sources · 2 sources
- Barrier-free Environment Construction Law of the People's Republic of China(中华人民共和国无障碍环境建设法)(articles thirty-five, forty-six and sixty-two). flk.npc.gov.cn/detail?id=ff80818188d7430b0189018493370940
- Law of the People's Republic of China on the Protection of Persons with Disabilities(中华人民共和国残疾人保障法)(article fifty). flk.npc.gov.cn/detail?id=ff8080816f135f46016f1d134c88132b
13A candidate with a disability sitting the national college entrance examination can apply for reasonable accommodation; Braille papers add half again to the exam time
# Value ModerateGrade ATime and energyNo moneyA few hoursNo willpower
A candidate with a disability sitting the national college entrance examination can apply for a Braille paper, a large-print paper, exemption from the foreign language listening test, a separate exam room, being allowed to bring in a hearing aid or a wheelchair, and extra time. None of it is granted automatically. You have to hand in a written application within the time the province sets, with a disability certificate of the second generation or above attached. If you disagree with the result, you can ask the provincial education department for a review
Cost
No money. You have to hand in one written application within the time the province sets, and then turn up in person for confirmation
Benefit
Article five of the Provisions on the Administration of the National Unified Examination for Admission to Regular Higher Education Institutions by Candidates with Disabilities《残疾人参加普通高等学校招生全国统一考试管理规定》lists twelve forms of reasonable accommodation. They include: giving candidates with a visual disability the current Braille paper, a large-print paper or an ordinary paper; exempting candidates with a hearing disability from the foreign language listening test; letting candidates with a visual disability bring in a Braille pen, a Braille writing slate, a Braille typewriter with no storage function, an electronic video magnifier with no storage function, a white cane, an optical magnifier and other assistive devices; letting candidates with a hearing disability bring in a hearing aid or a cochlear implant; letting candidates with limited mobility use a wheelchair or a walking aid, and bringing their own special desk and chair where they have special needs. The size of the extension is in Article five, item six: 「使用盲文试卷的视力残疾考生的考试时间,在该科目规定考试总时长的基础上延长50%;使用大字号试卷或普通试卷的视力残疾考生、因脑瘫或其他疾病引起的上肢无法正常书写或无上肢考生等书写特别困难考生的考试时间,在该科目规定考试总时长的基础上延长30%」. There is also priority entry to the examination venue and room, a separate standardised examination room, and the provision of guiding assistants and sign language interpreters. Article seven sets out the application procedure: the candidate lodges a formal written application at the time, place and in the manner set by the provincial education examination authority, and provides their own disability certificate of the second generation or above; an expert panel confirms it on the spot and makes an overall assessment, and the provincial education examination authority issues a Notification《告知书》. Article eight says that a candidate who objects to the Notification may apply in writing to the provincial education administrative department for a review. Article nine says that where the foreign language listening test is exempted, the foreign language score is worked out as 「笔试成绩×外语科总分值/笔试部分总分值」. Article eighteen says that candidates with disabilities taking other state education examinations who need reasonable accommodation may apply these provisions by reference (nationwide, issued and in force from 2017-4-7)
Notes
The application dates are set by each province and written into that year's rules for signing up for the examination. Miss the date and there is no second one. So check the provincial education examination authority's website in the first term of the final year of high school. Article eighteen also covers the postgraduate entrance examination, the adult higher education entrance examination and other state education examinations, which may apply by reference. The rule that a school must not refuse admission during the school years is item 14 in this section (schools must not refuse admission). The person who benefits from this entry is you or your child
Sources
Ministry of Education (教育部) and China Disabled Persons' Federation (中国残联) (2017). Provisions on the Administration of the National Unified Examination for Admission to Regular Higher Education Institutions by Candidates with Disabilities (Teaching〔2017〕4, Articles five, seven, eight, nine and eighteen)《残疾人参加普通高等学校招生全国统一考试管理规定(教学〔2017〕4 号,第五条、第七条、第八条、第九条、第十八条)》.
www.gov.cn/zhengce/zhengceku/2017-04/12/content_5650060.htm14A disabled child applying for a school place: the school must not refuse; when the child cannot get to school the education authority arranges teaching at home
# Value ModerateGrade AMoneyNo moneyA few hoursSome willpower
Kindergartens and all kinds of schools must not refuse admission for a disabled child who meets the conditions, and ordinary vocational schools are no different. Where a child needs one-to-one care and cannot get to school, the county education bureau arranges teaching at home or remote teaching, and the child still has a student record. Admission and transfer are decided by the education bureau after an assessment by an expert committee it convenes. The school does not get to decide on its own
Cost
No money. You have to hand in one application and there may be one assessment. When the school makes excuses, you go up to the education authority
Benefit
Article seven of the Regulations on Education for Persons with Disabilities《残疾人教育条例》says: 「学前教育机构、各级各类学校及其他教育机构应当依照本条例以及国家有关法律、法规的规定,实施残疾人教育;对符合法律、法规规定条件的残疾人申请入学,不得拒绝招收。」 Article twenty-nine says: 「普通职业学校不得拒绝招收符合国家规定的录取标准的残疾人入学,普通职业培训机构应当积极招收残疾人入学。」 The regulations also say that where a disabled child or young person of school age needs one-to-one care and cannot attend school, the education administrative department of the county-level people's government makes the arrangements as it sees fit, delivers compulsory education by providing teaching at home or distance education, and keeps the child on the student register. Article twenty says the education administrative department of the county-level people's government shall, together with the health administrative department, the civil affairs department and the disabled persons' federation, set up an expert committee on education for persons with disabilities made up of specialists in education, psychology, rehabilitation and social work. That committee assesses the physical condition, the ability to receive an education and the ability to adapt to school life and study, and puts forward recommendations on admission and transfer. The assessment result is private to the child, and the units and staff involved have a duty of confidentiality. Article twenty-three says that a disabled student taking classes alongside other students in an ordinary school may follow the ordinary compulsory education curriculum, curriculum standards and textbooks, but that the learning requirements may be given some flexibility. Article fifty-two says that candidates with disabilities who need the necessary support and reasonable accommodation for a state education examination may apply (nationwide, in force from 2017-5-1)
Notes
A school saying 「我们这儿没条件」 in conversation does not count. Make it give a written reply, and take that reply to the county education bureau. The assessment is done by an expert committee the education bureau commissions. The words in Article twenty-three, 「学习要求可以有适度弹性」, are useful: you can cite them when a school tries to push a child out on the grounds of results. For keeping evidence of bullying at school and which procedure the school must follow, see item 3 in section 30 (school bullying). For reasonable accommodation in the national college entrance examination see item 13 in this section (reasonable accommodation). The person who benefits from this entry is your child
Sources
State Council (国务院) (2017). Regulations on Education for Persons with Disabilities (Articles seven, twenty, twenty-three, twenty-nine and fifty-two)《残疾人教育条例(第七条、第二十条、第二十三条、第二十九条、第五十二条)》.
www.gov.cn/zhengce/zhengceku/2017-02/23/content_5170264.htm15You can still get a driving licence without the right leg or without both legs; the vehicle category is called C5
# Value ModerateGrade APersonal freedomA fair amount of moneyEvery daySome willpower
Someone who has lost the right leg or both legs, or the use of them, but can sit upright unaided and whose upper limbs meet the conditions, can take the test for the special automatic car licence for disabled drivers, code C5. Someone missing one hand can apply as well. People with vision loss in one eye and people with a hearing loss each have vehicle categories they can take. The medical examination has to be done at a designated hospital recognised by the province.
Cost
The tuition is about the same as for an ordinary licence, a few thousand yuan in most places. The car has to be converted to manual controls. A medical check every three years
Benefit
Annex 1 of the Provisions on the Application for and Use of Motor Vehicle Driving Licences《机动车驾驶证申领和使用规定》sets out the physical conditions in detail. Item 8: 「右下肢、双下肢缺失或者丧失运动功能但能够自主坐立,且上肢符合本项第5目规定的,可以申请残疾人专用小型自动挡载客汽车准驾车型的机动车驾驶证。一只手掌缺失,另一只手拇指健全,其他手指有两指健全,上肢和手指运动功能正常,且下肢符合本项第6目规定的,可以申请残疾人专用小型自动挡载客汽车准驾车型的机动车驾驶证」. Item 6: someone missing the left lower limb alone, or the use of it, but with a normal right lower limb, may apply for the small automatic car category. On vision: 「单眼视力障碍,优眼裸视力或者矫正视力达到对数视力表5.0以上,且水平视野达到150度的」 may apply for the categories small car, small automatic car, low-speed goods vehicle, three-wheeled vehicle, and the special small automatic passenger car for disabled drivers. On hearing: a person with a hearing loss who can tell where a sound is coming from while wearing a hearing device may apply for the categories small car and small automatic car, and must wear the hearing device while driving. Article eighty-five says that the proof of physical condition submitted when a licence for the special small automatic passenger car for disabled drivers is issued must come from a designated medical institution recognised by the provincial health administrative department. A holder of this vehicle category must have a medical examination every three years and submit the proof of physical condition within thirty days after the end of the scoring period. Article seventy-eight says that while driving, the disabled motor vehicle sign must be put on the body of the vehicle as prescribed (nationwide, amended by Ministry of Public Security Order No. 172, effective 1 January 2025)
Notes
A much lower bar is the motorised wheelchair for disabled people. Article one hundred and nineteen of the Road Traffic Safety Law《道路交通安全法》puts it among non-motor vehicles, so no licence is needed. Article fifty-eight says that a motorised wheelchair for disabled people may not exceed fifteen kilometres per hour in a non-motor vehicle lane. A C5 car needs a hand-operated accelerator and brake. Have the conversion done by a qualified manufacturer, and then go to the vehicle administration office to change the registration. If you do not submit the proof of physical condition within one year after three scoring periods end, the licence is cancelled
Sources
Ministry of Public Security Order No. 172 (公安部令第 172 号). Provisions on the Application for and Use of Motor Vehicle Driving Licences (Articles seventy-eight and eighty-five, Annex 1)《机动车驾驶证申领和使用规定(第七十八条、第八十五条、附件 1)》.
www.gov.cn/gongbao/2025/issue_11866/202502/content_7004031.html16Do your rehabilitation in a proper institution that has a rehabilitation medicine department, and let the therapist set the intensity; more is not better
# Value ModerateGrade ALifespanA fair amount of moneyEvery dayA lot of willpowerDisputed
Taking the person home, putting them in bed and waiting for natural recovery is the commonest mistake. After a stroke, organised care by a multidisciplinary team leaves more people alive and living at home a year later. But do not add to it on your own either. Starting earlier, more often and doing more within 24 hours of a stroke gives worse results at three months. How much to practise, and when, is for the rehabilitation department and the therapist to decide
Cost
Inpatient rehabilitation costs several hundred yuan a day, and the part you pay yourself varies from place to place. The time works out in months. You have to practise every day, and it is very dull
Benefit
The Cochrane systematic review included 29 trials and 5902 participants, comparing organised inpatient stroke unit care with other forms of care. At the last follow-up (median 1 year) the odds ratio for an adverse outcome (death, disability or the need for institutional care) was 0.77 (
95% CI 0.69–0.87, credible range), for death it was 0.76 (
95% CI 0.66–0.88), and for death or dependence on others 0.75 (
95% CI 0.66–0.85), with moderate quality of evidence. Turned into absolute numbers, for every 100 people who get stroke unit care there are 2 more who survive, 6 more who live at home and 6 more who manage their own lives. The AVERT trial, on the other hand, randomly allocated 2104 patients across 56 acute stroke units in 5 countries, comparing 「常规照护」 with 「常规照护加超早期高强度活动」. At three months a good outcome (modified Rankin Scale 0 to 2) was seen in 480 people (46%) in the very early group and 525 people (50%) in the usual care group, adjusted odds ratio 0.73 (
95% CI 0.59–0.90, P=0.004). Deaths were 88 against 72, with no difference shown (odds ratio 1.34,
95% CI 0.93–1.93, P=0.113)
Notes
Disputed: both pieces of evidence come from stroke, and applying them to spinal cord injury, amputation, burns and other causes of disability is an extrapolation. What the AVERT result shows is that 「越早越猛」 does not hold, not that early activity is useless. In the trial the great majority of people in both groups were out of bed within 24 hours; what differed was the frequency and the total amount. When you choose an institution, check whether it has a rehabilitation medicine department and full-time rehabilitation therapists and occupational therapists. Do not judge it by the two characters 「康复」 on the sign. For referral between the grassroots level and the top-tier hospital, and how the deductible is worked out, see item 1 in section 24 (referral step by step). For community-based rehabilitation and assistive devices see item 7 in this section (ask at the county federation of disabled persons)
Sources · 3 sources
- Langhorne P, Ramachandra S
- Stroke Unit Trialists' Collaboration (2020). Organised inpatient (stroke unit) care for stroke: network meta-analysis. Cochrane Database of Systematic Reviews, 4:CD000197. doi.org/10.1002/14651858.CD000197.pub4
- AVERT Trial Collaboration group (2015). Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial. Lancet, 386(9988):46-55. doi.org/10.1016/S0140-6736(15)60690-0
17If your hearing is going, get a hearing aid fitted; the reason is to hear, not to prevent dementia
# Value ModerateGrade ALifespanA fair amount of moneyA few hoursSome willpowerDisputed
The claim that 「戴助听器能防痴呆」 does not hold up at the moment. A three-year trial of close to a thousand people showed no difference overall. A difference appeared only among those whose risk of cognitive decline was already higher. So the reason to get a hearing aid is to hear now, to follow conversation and to hear cars when you cross the road, not to protect your brain decades from now.
Cost
A hearing aid runs from several thousand to several tens of thousands of yuan, and most of it is yours to pay. It has to be fitted, and you go back several times for adjustments
Benefit
The ACHIEVE trial was carried out in 4 communities in the United States and included 977 people aged 70 to 84 with untreated hearing loss and no obvious cognitive impairment. They were randomised into two groups, one receiving a hearing intervention (hearing counselling and the fitting of hearing aids) and one receiving health education as a control, with follow-up every 6 months. The primary endpoint was the change in overall cognitive score over 3 years. In the main analysis pooling the two source populations there was no significant difference between the groups: −0.200 (
95% CI −0.256 to −0.144) in the hearing intervention group, −0.202 (
95% CI −0.258 to −0.145) in the control group, a difference of 0.002 (
95% CI −0.077 to 0.081), P=0.96. A pre-specified sensitivity analysis showed that the effect of the intervention differed between the two source populations (interaction P=0.010). The participants who came from that long-term cardiovascular health study were older, had more risk factors for cognitive decline and had lower baseline cognitive scores. The authors' conclusion is that a hearing intervention may reduce the 3-year change in cognition among people at higher risk of decline, and does not among those at lower risk. The trial did not report serious adverse events attributed to the study
Notes
Disputed: the claim you often see online, that hearing aids cut cognitive decline by nearly half, comes from a subgroup inside this trial. It is not the main result, and the main result is that there was no difference between the two groups. 「配助听器」 and 「防痴呆」 have to be judged separately: the first is worth doing, the second should not be used as the reason. A candidate with a hearing disability sitting the national college entrance examination can be exempted from the foreign language listening test; see item 13 in this section (reasonable accommodation). A person with a hearing loss must wear a hearing device while driving; see item 15 in this section (C5)
Sources · 2 sources
- Lin FR, Pike JR, Albert MS, et al.
- ACHIEVE Collaborative Research Group (2023). Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial. Lancet, 402(10404):786-797. doi.org/10.1016/S0140-6736(23)01406-X
18To have an adult declared 「管不了自己的事」 you apply to the court; the family's word does not count
# Value ModerateGrade APersonal freedomA little moneyA few hoursSome willpower
Whether an adult is 「无民事行为能力」 or 「限制民事行为能力」 is for the court alone to determine. The family, the employer and the residents' committee cannot decide it themselves. An interested party or a relevant organisation has to apply to the court. The other way round, if an adult's intelligence or mental health recovers, an application can be made for a determination that he has regained capacity. This procedure is a restriction and a protection at the same time.
Cost
An application to the court carries a court fee, usually tens of yuan up to a hundred yuan. The assessment fee is separate, usually several thousand yuan, and the applicant advances it. The whole thing takes several months.
Benefit
Article twenty-one of the Civil Code《民法典》says: 「不能辨认自己行为的成年人为无民事行为能力人,由其法定代理人代理实施民事法律行为。」 Article twenty-two says: 「不能完全辨认自己行为的成年人为限制民事行为能力人,实施民事法律行为由其法定代理人代理或者经其法定代理人同意、追认;但是,可以独立实施纯获利益的民事法律行为或者与其智力、精神健康状况相适应的民事法律行为。」 Article twenty-four says: 「不能辨认或者不能完全辨认自己行为的成年人,其利害关系人或者有关组织,可以向人民法院申请认定该成年人为无民事行为能力人或者限制民事行为能力人。」 The same article also provides that once a determination has been made, on application by the person himself, by an interested party or by a relevant organisation, the people's court may, according to the state of his recovery in intelligence and mental health, determine that he has regained capacity for civil conduct as a person with limited capacity or as a person with full capacity. Relevant organisations include: residents' committees, villagers' committees, schools, medical institutions, women's federations, disabled persons' federations, lawfully established organisations for the elderly, and the civil affairs departments. Article twenty-three says that the guardian of a person with no capacity for civil conduct or with limited capacity is his legal representative (nationwide, in force from 2021-1-1)
Notes
The application goes through the court's special procedure, which is faster than an ordinary civil case but still takes several months. You have to submit a diagnosis from a hospital, and in most cases the court will also commission a judicial assessment. The assessment fee is usually several thousand yuan, advanced by the applicant. Signing for someone, or disposing of his property, without going through this procedure may later be found invalid, and a flat that has been sold may have to be returned. One more point to keep in mind: limited capacity for civil conduct does not mean nothing can be done. Things that match his intelligence and mental condition, and things that bring him pure benefit, he can do himself. Do not act for him across the board. For how the guardian is determined see item 19 in this section (guardian)
Sources
Civil Code of the People's Republic of China (Articles twenty-one, twenty-two, twenty-three and twenty-four)《中华人民共和国民法典(第二十一条、第二十二条、第二十三条、第二十四条)》.
flk.npc.gov.cn/detail?id=ff808081729d1efe01729d50b5c500bf19A guardian for an adult is determined in the order set by law; if the person under guardianship injures someone else, the guardian pays
# Value ModerateGrade APersonal freedomNo moneyA few hoursSome willpower
When an adult loses capacity for civil conduct, the guardian follows in order: the spouse, parents and children, other close relatives, and last any other person or organisation willing to take the role. Where they dispute it, the residents' committee, the villagers' committee or the civil affairs department designates the guardian, and anyone who objects can go to the court. While the person is still of sound mind he can nominate in writing who his future guardian will be. If the person under guardianship injures someone else, the guardian pays.
Cost
No money. Where there is a dispute you go to the residents' committee, the villagers' committee, the civil affairs department or the court
Benefit
Article twenty-eight of the Civil Code《民法典》says that an adult with no capacity for civil conduct or with limited capacity shall have as guardian, in order, one of the following who has the capacity to be a guardian: 「(一)配偶;(二)父母、子女;(三)其他近亲属;(四)其他愿意担任监护人的个人或者组织,但是须经被监护人住所地的居民委员会、村民委员会或者民政部门同意。」 Article thirty-one says that where there is a dispute over the determination of the guardian, the residents' committee, the villagers' committee or the civil affairs department of the place where the person under guardianship resides designates the guardian, and anyone who objects to the designation may apply to the people's court for a designation, or apply to the court directly. In making the designation it 「应当尊重被监护人的真实意愿,按照最有利于被监护人的原则」. Where the person's rights and interests were left unprotected before the designation, the residents' committee, the villagers' committee, an organisation provided for by law, or the civil affairs department acts as temporary guardian. Article thirty-three says: 「具有完全民事行为能力的成年人,可以与其近亲属、其他愿意担任监护人的个人或者组织事先协商,以书面形式确定自己的监护人」. Article one thousand one hundred and eighty-eight says: 「无民事行为能力人、限制民事行为能力人造成他人损害的,由监护人承担侵权责任。监护人尽到监护职责的,可以减轻其侵权责任。」 Where the person has property, the compensation is paid out of his own property first and the guardian pays what is left. Article one thousand one hundred and eighty-nine says that where a guardian entrusts the duties of guardianship to another person, the guardian still bears tort liability, and the person entrusted bears the corresponding liability where he is at fault (nationwide, in force from 2021-1-1)
Notes
Article thirty-three is voluntary guardianship. Fixing the person in writing while he is still of sound mind saves most of the disputes that follow; for how to write it see item 1 in section 17 (voluntary guardianship). Be careful with the compensation part: handing the person over to a care home or a relative to look after him does not take the responsibility off the guardian, and the person entrusted answers for his own fault only. Guardian liability insurance for the person under guardianship is therefore worth having. Article seventy-eight of the Mental Health Law《精神卫生法》also says that a guardian who abandons a patient, or who fails in his duties and causes harm, bears compensation liability under the law
Sources
Civil Code of the People's Republic of China (Articles twenty-eight, thirty-one, thirty-three, one thousand one hundred and eighty-eight and one thousand one hundred and eighty-nine)《中华人民共和国民法典(第二十八条、第三十一条、第三十三条、第一千一百八十八条、第一千一百八十九条)》.
flk.npc.gov.cn/detail?id=ff808081729d1efe01729d50b5c500bf20Refused a job, kept off the permanent staff or underpaid because of a disability: you can sue, but work out the cost of the process first
# Value ModerateGrade AMoneyA fair amount of moneyEvery dayA lot of willpower
The law forbids discrimination against disabled people in recruitment, confirmation of permanent status, promotion, grading of professional title, pay and social insurance. You can complain to the competent authority, and you can sue in the court. But if you win the case, the other side does not pay your legal fees. So complain first, apply for legal aid at the same time, and only then think about going to court.
Cost
Legal fees run from several thousand to several tens of thousands of yuan, and you pay them yourself. An ordinary procedure at first instance takes 6 months or more, and can be extended. You have to preserve the evidence yourself.
Benefit
Article three of the Law on the Protection of Persons with Disabilities《残疾人保障法》says: 「禁止基于残疾的歧视。禁止侮辱、侵害残疾人。」 Article thirty-eight says: 「在职工的招用、转正、晋级、职称评定、劳动报酬、生活福利、休息休假、社会保险等方面,不得歧视残疾人。」 The same article also provides that the unit where a disabled employee works shall, according to the characteristics of the disabled employee, provide suitable working conditions and labour protection, and shall, as actually necessary, adapt the workplace, the equipment and the living facilities. Article sixty-four says: 「违反本法规定,在职工的招用等方面歧视残疾人的,由有关主管部门责令改正;残疾人劳动者可以依法向人民法院提起诉讼。」 Article four of the Regulations on the Employment of Persons with Disabilities《残疾人就业条例》says: 「禁止在就业中歧视残疾人。」 Article thirteen says that an employer shall not discriminate against disabled employees in promotion, advancement, grading of professional title, pay, social insurance, living benefits and the like. Article forty-two of the Legal Aid Law《法律援助法》says that an applicant who has documents proving that he belongs to a specific group such as 「无固定生活来源的未成年人、老年人、残疾人等特定群体」 is exempted from any check on whether he is financially in difficulty. Article forty-five says that where a legal aid institution provides legal aid services to elderly people or to persons with disabilities, it shall provide accessible facilities, equipment and services as the circumstances require (nationwide)
Notes
The cost of the process has to be worked out first. An ordinary procedure at first instance takes 6 months or more and can be extended; a simplified procedure takes 3 months. Legal fees are not among the litigation costs listed in Article six of the Regulations on the Payment of Litigation Costs《诉讼费用交纳办法》, and the 「败诉方负担」 in Article twenty-nine does not include legal fees. So take the two cheap routes first: complain to the human resources and social security department or to the disabled persons' federation, which must order the discrimination stopped; and apply for legal aid at the same time, because Article forty-two exempts disabled people from the check on financial hardship. Collecting evidence is the hardest part. When you are turned down at an interview the other side seldom leaves a written reason, so keep a recording and keep the messages. Once you are employed, the employment dispute goes to labour arbitration; for keeping evidence and the time limit see item 8 in section 19 (keep the evidence before you leave). The person who benefits from this entry is you yourself
Sources · 3 sources
- Law of the People's Republic of China on the Protection of Persons with Disabilities (Articles three, thirty-eight and sixty-four)《中华人民共和国残疾人保障法(第三条、第三十八条、第六十四条)》. flk.npc.gov.cn/detail?id=ff8080816f135f46016f1d134c88132b
- State Council (国务院) (2007). Regulations on the Employment of Persons with Disabilities (Articles four and thirteen)《残疾人就业条例(第四条、第十三条)》. www.gov.cn/zhengce/zhengceku/2008-03/28/content_6646.htm
- Legal Aid Law of the People's Republic of China (Articles forty-two and forty-five)《中华人民共和国法律援助法(第四十二条、第四十五条)》. flk.npc.gov.cn/detail?id=ff8081817b6472a3017b6577820f0061
34. Do not mishandle the medicines at home
11 / 11Fever reducers, painkillers, cold medicines, stomach medicines and anti-diarrhoeal medicines are mostly things you can buy yourself in a pharmacy. Being able to buy one without a prescription does not mean any way of taking it is safe. This section does not say which medicine to take for which illness. It picks only the items where a single action avoids a serious outcome.
Every item here is measured by mortality, including health outcomes such as liver failure, stomach bleeding and kidney failure in newborns. Most benefits are "one serious accident avoided". Research cannot give a figure for "how much less does doing it make you", so the size of each benefit is judged by how serious the outcome is, and the Notes field of each item says why.
What is written elsewhere is only pointed to here. What to do first after someone swallows a medicine or a cleaning product, see item 20 in section 13 (accidental swallowing). Taking a chronic illness medicine for as long as the doctor told you to, see item 1 in section 16 (take the medicine for as long as prescribed). Prescription medicines bought online have to pass prescription review first, see item 6 in section 28 (get the prescription at a hospital for weight-loss drugs).
In this section the beneficiaries are you and your family, which is the top two grades.
1Before taking two cold medicines or two painkillers together, read the ingredient list: acetaminophen can only count once
# Value ExceptionalGrade BLifespanNo moneyIn passingNo willpower
Many cold medicines contain acetaminophen. Taking two boxes at once means taking double, and too much damages the liver. In the United States, nearly three in ten of the acute liver failure patients it causes die before they get a new liver. The Chinese package insert advises at most 2 grams a day, and no alcohol while you take it.
Cost
No money. Read the ingredient list on each box. It takes a minute or two.
Benefit
22 United States hospitals registered 662 cases of acute liver failure over 6 years in a row. 275 of them (42%) were caused by acetaminophen, and the median dose swallowed was 24 grams. Of these 275 people, 131 (48%) had taken too much by accident, not on purpose. Of the people who took too much by accident, 38% were also taking two or more medicines containing this ingredient. Of these 275 people, 27% died before they got a new liver and 8% had a liver transplant. In 2020 the National Medical Products Administration (国家药监局) required over-the-counter package inserts to state: overuse causes serious liver damage, and the maximum in one day should be no more than 2 grams. The insert must also state that you should avoid combining it with other medicines containing acetaminophen or other antipyretic analgesics. United States rules require the first liver warning on these over-the-counter products to name three situations: taking more than the daily maximum, taking them together with another medicine containing acetaminophen, and drinking more than 3 glasses of alcohol a day while you take them.
Notes
Acetaminophen is also called paracetamol. Compound cold medicines whose generic name carries the two characters for acetaminophen (氨酚), such as those sold as acetaminophen with pseudoephedrine, or as acetaminophen, caffeine and chlorpheniramine, contain this ingredient. If you are not sure, take every box to the pharmacist in the shop and ask. The grade is B because the United States figures come from case registration with no control group, so nobody can work out how many incidents reading the ingredient list would prevent. The benefit is graded "large" by the severity of the outcome: close to three in ten acute liver failure patients die.
Sources · 2 sources
- Larson AM, Polson J, Fontana RJ, et al.
- Acute Liver Failure Study Group (2005). Acetaminophen-induced acute liver failure: results of a United States multicenter, prospective study. Hepatology, 42(6):1364-1372. ;National Medical Products Administration (国家药监局) (2020). Announcement on Revising the Package Inserts for Immediate-Release and Extended-Release Acetaminophen Preparations (2020 No. 15), and Annex 2, Requirements for Revising the Package Insert of Immediate-Release Acetaminophen Over-the-Counter Medicines《对乙酰氨基酚常释制剂非处方药说明书修订要求》, reprinted by the Hunan Provincial Drug Administration (湖南省药品监督管理局). ;21 CFR 201.326(a)(1)(iii)(A) Liver warning. doi.org/10.1002/hep.20948mpa.hunan.gov.cn/mpa/xxgk/tzgg/wjtz/202003/t20200311_11809335.htmlwww.ecfr.gov/current/title-21/chapter-I/subchapter-C/part-201/subpart-G/section-201.326
2Do not give children aspirin, nimesulide or metamizole for a fever, and do not give minors any cold medicine that contains metamizole
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When a child has a fever, do not use any of these three drugs. Aspirin is linked to Reye's syndrome, which damages the brain and the liver; in United States figures about three in ten affected children die, and after the warning was issued cases fell by more than 90%. Nimesulide is banned below 12 years old, and metamizole below 18.
Cost
No money. When you buy a fever reducer, look at the generic name and the ingredient list.
Benefit
Reye's syndrome causes encephalopathy and fatty change in the liver, and it usually appears after influenza or chickenpox. In the United States national surveillance from 1981 to 1997, 1207 cases were reported in people under 18. Salicylate, an ingredient of drugs such as aspirin, was measurable in the blood of 82% of the affected children. The overall fatality rate was 31%. Warnings for salicylate medicines began to be issued in 1980. That year 555 cases were reported, which was the peak; from 1987 there were no more than 36 cases a year. In 2011 the former State Food and Drug Administration (国家食药监局) ruled that oral nimesulide preparations are prohibited for children under 12. In 2020 the National Medical Products Administration ruled that metamizole tablets are prohibited for children and adolescents under 18. Compound products that contain metamizole, namely qinghao metamizole tablets, Zhongganling tablets and Zhongganling capsules, are likewise prohibited below 18.
Notes
Metamizole is not the first choice for adults either. The insert says it may cause agranulocytosis, aplastic anaemia and anaphylactic shock, and it is used for a short time only when the illness is severe and no other effective medicine is available. Zhongganling sounds like an ordinary cold medicine, and it contains metamizole. For which fever reducer a child should take, and how much by body weight, ask a paediatrician or a pharmacist. A child under 3 months old with a fever goes straight to hospital, see item 8 in section 20 (go straight to hospital at 38 ℃). The grade is B because the Reye's syndrome figures come from surveillance reports, and the fall in cases and the issue of the warning stand in sequence rather than in a controlled trial. The benefit is graded "large" because after the warning cases fell from 555 a year to fewer than 36.
Sources
Belay ED, Bresee JS, Holman RC, Khan AS, Shahriari A, Schonberger LB (1999). Reye's syndrome in the United States from 1981 through 1997. New England Journal of Medicine, 340(18):1377-1382. ;Notice on Strengthening the Administration of Oral Nimesulide Preparations (国食药监安〔2011〕209号). ;National Medical Products Administration (国家药监局) (2020). Announcement on Revising the Package Inserts of Metamizole-Related Products (2020 No. 34), with Annexes 1 to 3.
doi.org/10.1056/NEJM199905063401801www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/20110515145101552.htmlwww.nmpa.gov.cn/directory/web/nmpa/xxgk/ggtg/ypggtg/ypshmshxdgg/20200317171201660.html3If you are over 60, have bled from the stomach, or take anticoagulants or steroids, ask a doctor before taking a painkiller such as ibuprofen
# Value ExceptionalGrade ALifespanNo moneyIn passingNo willpower
Painkillers such as ibuprofen, naproxen and aspirin harm the stomach. In trials at high doses, people taking ibuprofen had about 4 times the risk of stomach bleeding or perforation compared with people who did not take it. The risk is higher if you are older, have bled from the stomach, also take anticoagulants or steroids, or drink alcohol every day.
Cost
No money. It takes asking a doctor or a pharmacist once.
Benefit
These drugs are called non-steroidal anti-inflammatory drugs, and the common ones are ibuprofen, naproxen and diclofenac. A meta-analysis pooled 280 randomised trials of these drugs against placebo, 124513 people in total. Compared with placebo, the risk of upper gastrointestinal perforation, obstruction or bleeding: ibuprofen
RR 3.97 (
95% CI 2.22–7.10, about 4 times), naproxen 4.22 (2.71–6.56), diclofenac 1.89 (1.16–3.09). All of these drugs roughly double the risk of heart failure. United States rules require these over-the-counter products to carry a stomach bleeding warning. The warning names six groups at higher risk: those over 60, those who have had a stomach ulcer or bleeding, those taking anticoagulants or steroids, those taking another drug of this kind at the same time, those drinking more than 3 glasses of alcohol a day while they take them, and those who take more than the insert says or for longer than it says.
Notes
The paper's conclusion is about high-dose use. The paper gives no separate figure for occasional use over a day or two at the dose on the insert. Many compound cold medicines also contain this ingredient, so taking them together with a painkiller repeats it; read the ingredient list first. If a doctor has put you on low-dose aspirin for the long term to prevent blood clots, do not stop it yourself, and do not add a second painkiller yourself.
Sources · 2 sources
- Coxib and traditional NSAID Trialists' (CNT) Collaboration
- Bhala N, Emberson J, Merhi A, et al. (2013). Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials. Lancet, 382(9894):769-779. ;21 CFR 201.326(a)(2)(iii)(A) Stomach bleeding warning. doi.org/10.1016/S0140-6736(13)60900-9www.ecfr.gov/current/title-21/chapter-I/subchapter-C/part-201/subpart-G/section-201.326
4Do not give a child under 2 compound cold medicines or cough medicines on your own
# Value HighGrade BLifespanNo moneyIn passingNo willpower
The National Medical Products Administration (国家药监局) requires a warning on 14 compound cold medicines for children: parents are advised not to use them on a child under 2, and to use them under the guidance of a doctor or a pharmacist. In trials carried out on children, cough medicines and anti-allergy medicines did no better than placebo.
Cost
No money, and it also saves the money you would spend on medicines.
Benefit
In 2021 the National Medical Products Administration revised the package inserts of 14 products under Announcement No. 57, among them the paracetamol, chlorpheniramine and dextromethorphan oral solution, paracetamol and chlorpheniramine granules for children, and paracetamol and amantadine granules for children. The new warning reads「不建议家长或监护人自行给2岁以下婴幼儿使用本品,应在医师或药师的指导下使用」, that is, parents or guardians are advised not to give this product to infants and toddlers under 2 on their own, and to use it under the guidance of a doctor or a pharmacist. The precautions add「应严格按照药品说明书用法用量使用,避免用药过量」, that is, use it strictly at the dose and usage on the package insert and avoid overdose. They also add「应避免合并使用含有相同或相似活性成份的抗感冒药」, that is, avoid using it together with other cold medicines that contain the same or a similar active ingredient. A Cochrane systematic review included 29 randomised controlled trials, 10 of them carried out on children. In the children's trials none of these classes of drug did better than placebo: cough medicines, antihistamines (the anti-allergy ingredients), antihistamines plus decongestants (the ingredients that clear the nose), and cough medicines plus bronchodilators. 21 studies reported adverse events, and the preparations containing antihistamines and dextromethorphan produced more of them.
Notes
Many of these 14 products carry the two characters for acetaminophen (氨酚) in their names, and they contain acetaminophen, so taking them together with a fever reducer repeats it; see item 1 in this section (acetaminophen). One trial in that review found honey better than placebo, but honey must not be given below 1 year of age, see item 6 in section 20 (honey). The grade is B because the review holds few trials for each class of drug and the authors could not pool them into a figure. The benefit is graded "medium" as a judgement: no benefit has been shown for children, and the risks are overdose and repeated ingredients.
Sources
National Medical Products Administration (国家药监局) (2021). Announcement on Revising the Package Inserts of 14 Products Including the Paracetamol, Chlorpheniramine and Dextromethorphan Oral Solution (2021 No. 57), with annexes. ;Smith SM, Schroeder K, Fahey T (2014). Over-the-counter (OTC) medications for acute cough in children and adults in community settings. Cochrane Database of Systematic Reviews, (11):CD001831.
www.nmpa.gov.cn/directory/web/nmpa/xxgk/ggtg/ypggtg/ypshmshxdgg/20210423105404141.htmldoi.org/10.1002/14651858.CD001831.pub55After 20 weeks of pregnancy, do not take a painkiller such as ibuprofen on your own
# Value HighGrade BLifespanNo moneyIn passingNo willpower
After 20 weeks of pregnancy, most of the amniotic fluid is made by the fetus's kidneys. Taking ibuprofen or a drug like it then can harm the fetus's kidneys and reduce the amniotic fluid. The United States has received reports in which newborns died. The low-dose aspirin a doctor prescribes is not covered by this.
Cost
No money.
Benefit
The US Food and Drug Administration (FDA) issued a safety warning in 2020-10. Using non-steroidal anti-inflammatory drugs at about 20 weeks of pregnancy or later can cause fetal kidney problems and lead to low amniotic fluid. The warning covers prescription and over-the-counter medicines alike, including aspirin, ibuprofen, naproxen, diclofenac and celecoxib. The FDA examined adverse event reports up to 2017-7 and found 35 cases of low amniotic fluid or newborn renal impairment, all of them severe outcomes. 5 were newborn deaths, all with newborn renal failure. In the literature, most cases of low amniotic fluid resolved between 72 hours and 6 days after the drug was stopped. The FDA advises pregnant women not to use these drugs after 20 weeks unless a doctor says so deliberately. Low-dose aspirin of 81 milligrams, prescribed by a doctor for specific problems in pregnancy, is not covered by this advice. When you need pain relief or a fever reducer, the FDA mentions that other drugs such as acetaminophen can be used; ask a pharmacist or a doctor first.
Notes
The FDA warns that many over-the-counter medicines for colds, flu and insomnia also contain these ingredients, so read the ingredient list. United States over-the-counter labelling used to warn only about the last 3 months of pregnancy; this time the line moved back to about 20 weeks. Low-dose aspirin for the prevention of pre-eclampsia, see item 5 in section 27 (low-dose aspirin). The grade is B because the figures come from adverse event reports, and there is no way to know how many people took the drug without harm. The benefit is graded "medium" as a judgement: the outcome is serious, but it is rare.
Sources
U.S. Food and Drug Administration (2020-10-15). FDA recommends avoiding use of NSAIDs in pregnancy at 20 weeks or later because they can result in low amniotic fluid. Drug Safety Communication.
www.fda.gov/drugs/drug-safety-and-availability/fda-recommends-avoiding-use-nsaids-pregnancy-20-weeks-or-later-because-they-can-result-low-amniotic6Buy omeprazole yourself for acid reflux and heartburn, and take it for at most 7 days; if you have difficulty swallowing, vomit blood or pass black stool, go straight to hospital
# Value HighGrade BLifespanNo moneyIn passingNo willpower
Omeprazole enteric-coated tablets can be bought without a prescription from 2022, but the insert says not to take them yourself for more than 7 days, and not to take them again within two months. Do not take them yourself if you have difficulty or pain when swallowing, vomit blood, or pass blood or black stool; these can be signs of something serious. This medicine can also cover up the symptoms of stomach cancer and delay the diagnosis.
Cost
No money. Take it for the number of days the insert gives.
Benefit
In 2022 the National Medical Products Administration (国家药监局) moved omeprazole enteric-coated tablets from prescription to over-the-counter under Announcement No. 68, and issued a package insert template at the same time. The indications in the template are「胃酸过多引起的烧心和反酸症状的短期缓解」, that is, short-term relief of heartburn and acid reflux caused by excess stomach acid. The precautions state: use must not exceed 7 days, and if the symptoms do not ease, ask a doctor or a pharmacist. Do not take it again within two months, and if the symptoms keep coming back, see a doctor at once. Do not use it if you have difficulty or pain when swallowing, vomit blood, or pass blood or black stool; these can be signs of something serious. If alarm symptoms such as marked weight loss, repeated vomiting, difficulty swallowing, vomiting blood or black stool appear, a malignant tumour has to be ruled out first, because treatment may cover up the symptoms and delay the diagnosis. If you are over 55 and new symptoms appear or the symptoms change, ask a doctor. People taking clopidogrel should avoid taking omeprazole at the same time.
Notes
Clopidogrel is the anti-clotting drug that people who have had a stent put in or have had a heart attack often take. Omeprazole weakens it, so if you take it, ask your doctor first. The grade is B because these are the rules in the package insert, and no study has worked out how many incidents following them would prevent. The benefit is graded "medium" as a judgement: what it prevents is a stomach bleed or stomach cancer being caught late, but most acid reflux and heartburn is not serious.
Sources
National Medical Products Administration (国家药监局) (2022). Announcement on the Conversion of Omeprazole Enteric-Coated Tablets from a Prescription Medicine to an Over-the-Counter Medicine (2022 No. 68), and Annex 2, Over-the-Counter Package Insert Template《非处方药说明书范本》.
www.nmpa.gov.cn/yaopin/ypggtg/20220826171517123.html7Do not ask a doctor for antibiotics for an ordinary cold
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Antibiotics for a cold do not make you recover any faster than not taking them. In adults the risk of side effects is more than twice as high as with no antibiotic. For a runny nose with pus lasting less than 10 days, antibiotics have no established benefit.
Cost
No money, and it also saves the money you would spend on medicines.
Benefit
A Cochrane systematic review pooled 6 randomised trials with 1147 people. Antibiotics for a cold compared with placebo showed no clear difference in the proportion who did not improve or whose symptoms went on (
RR 0.83,
95% CI 0.60–1.14, not significant). The risk of an adverse reaction was 1.8 times that of the placebo group (
95% CI 1.01–3.21). In adults it was 2.62 times (1.32–5.18); in children there was no increase (0.91, 0.51–1.63). For acute purulent rhinitis with a runny nose of less than 10 days, antibiotics had no clear benefit either (
RR 0.73, 0.47–1.13). Adverse reactions were higher instead (
RR 1.46, 1.10–1.94, about 46% higher). The authors conclude that routine use of antibiotics is not recommended in either situation.
Notes
This version was republished in 2025, and the abstract states that the literature search ran up to 2013. Antibiotics are prescription medicines in China, so a pharmacy has to sell them against a prescription; do not take leftover antibiotics from home either. The benefit is graded "medium" as a judgement: what it prevents is adverse reactions, not death.
Sources
Kenealy T, Arroll B (2025). Antibiotics for the common cold and acute purulent rhinitis. Cochrane Database of Systematic Reviews, 11:CD000247.
doi.org/10.1002/14651858.CD000247.pub48When you have diarrhoea, start with oral rehydration salts; do not give anti-diarrhoeal medicines to children under 5
# Value ModerateGrade ALifespanA little moneyIn passingNo willpower
The most important thing in diarrhoea is replacing fluid, not stopping the diarrhoea. Mix oral rehydration salts with water as the insert says. Do not use juice drinks instead; they are too sweet and can leave you even shorter of fluid. Do not give children under 5 anti-diarrhoeal medicines such as loperamide; in severe cases these cause intestinal obstruction, which can be fatal.
Cost
A box of oral rehydration salts costs a few yuan to a dozen-odd yuan. Keep one box at home.
Benefit
The World Health Organization's manual on the treatment of diarrhoea states that "anti-diarrhoeal" medicines and antiemetics are of no real benefit in acute or persistent diarrhoea in children. They cannot prevent dehydration or improve nutrition. Some have dangerous and sometimes fatal side effects and must never be given to children under 5. Medicines that slow the movement of the intestine, such as loperamide, can cause severe paralytic ileus, which can be fatal, and can prolong an infection. The manual also states that drinks with too much sugar draw water out of the body into the intestine and cause hypernatraemic dehydration, for example soft drinks and packaged juice drinks. The WHO manual recommends a hypotonic formulation with a total osmolarity of 245 mOsm/L. Compared with the older formulation, it reduced unplanned intravenous infusions by 33%. A Cochrane review pooling 8 trials found a similar result (
OR 0.59,
95% CI 0.45–0.79, roughly two fifths fewer).
Notes
When you buy it, check the osmolarity on the insert and choose the hypotonic formulation. The manual states that blood in a child's stool is most often bacterial dysentery, which needs a doctor and antibiotics; rehydrating at home alone is not enough. The benefit is graded "medium" as a judgement: the figures compare two rehydration solutions, not drinking against not drinking.
Sources
World Health Organization (2005). The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th revision. ;Hahn S, Kim S, Garner P (2002). Reduced osmolarity oral rehydration solution for treating dehydration caused by acute diarrhoea in children. Cochrane Database of Systematic Reviews, (1):CD002847.
iris.who.int/handle/10665/43209doi.org/10.1002/14651858.CD0028479Do not take painkillers for more than 15 days a month, or compound painkillers for more than 10 days, or the headache may be the medicine
# Value ModerateGrade BLifespanNo moneyIn passingSome willpower
If your headache keeps coming back and you take a painkiller every day, the pain may get worse the more you take. The international headache classification calls this medication-overuse headache. Plain painkillers taken 15 or more days a month, compound painkillers 10 or more days, for more than 3 months in a row, are enough to meet it. Most people improve after they stop the drug they were taking too much of.
Cost
No money. You have to keep count of the days you take medicine, and you have to hold back from taking it whenever you reach for it.
Benefit
The third edition of the International Classification of Headache Disorders of the International Headache Society sets out the diagnostic criteria. A person who already has a primary headache disorder, who has headache on 15 or more days a month, and who has regularly overused headache medicines for more than 3 months. For non-opioid painkillers such as acetaminophen, aspirin and ibuprofen, the threshold for overuse is 15 or more days a month. For compound painkillers the threshold is 10 or more days a month. A compound painkiller is two or more kinds of pain-relieving drug put together, or one with an added helper ingredient such as caffeine, for example acetaminophen with codeine. If you take several non-opioid painkillers in turn, add the days up. The classification states that epidemiological evidence from several countries shows that of the people with headache on 15 or more days a month, more than half have this type of headache. Most patients improve after they stop the drug they have overused, and preventive treatment for headache works better too.
Notes
A painkiller whose name carries the character for coffee (咖) usually has caffeine in it, and the limit for a compound painkiller is 10 days. If the number of days you have a headache in a month keeps rising, see a neurologist instead of only adding medicines. The grade is B because the classification gives a diagnostic threshold, not a controlled trial. The benefit is graded "medium" as a judgement: what it buys back is days without headache, and it has nothing to do with death.
Sources
Headache Classification Committee of the International Headache Society (2018). The International Classification of Headache Disorders, 3rd edition. Cephalalgia, 38(1):1-211. ;ICHD-3 online version 8.2 Medication-overuse headache (including 8.2.3 and 8.2.5).
doi.org/10.1177/0333102417738202ichd-3.org/8-headache-attributed-to-a-substance-or-its-withdrawal/8-2-medication-overuse-headache-moh10Clear out expired medicines and leftovers you will never use on a regular schedule, packaging and all, into the hazardous waste bin; do not leave them at home
# Value ModerateGrade BLifespanNo moneyIn passingNo willpower
Nearly half the medicines young children swallow without their parents knowing are prescription tablets. About 30% of the prescription drugs they swallow are their grandparents'. Clearing out what nobody uses means one less thing a child can find. Put what you clear out into the hazardous waste bin with its packaging, or hand it in at a pharmacy that takes old medicines back.
Cost
No money. Go through the medicine cabinet once a year; it takes a dozen-odd minutes.
Benefit
US emergency department surveillance data estimate that between 2004 and 2013 children under 6 who swallowed a medicine without their parents knowing accounted for about 640,000 emergency department visits (estimated figure 640161). In 2013 alone there were about 59,000 (59092). Between 2010 and 2013 the commonest were oral prescription tablets, at 45.9%. Among prescription drugs the commonest were opioid painkillers (13.8%) and benzodiazepine sleeping pills and sedatives (12.7%). 5 US poison control centres surveyed the parents who called for help in 2017. Where a child had swallowed a prescription drug, 30.7% had swallowed a grandparent's. More than half (51.5%) of the prescription drugs had already been taken out of their original packaging by an adult before the child got hold of them. China's National Hazardous Waste Catalogue (2025 edition)《国家危险废物名录(2025 年版)》lists waste medicines and their packaging produced in everyday household life as hazardous waste in domestic waste. Shanghai's sorting guide puts waste medicines in the hazardous waste category and states that it includes expired medicines, medicine capsules, tablets and medicine packaging, with 「废弃药品宜连带包装一并投放」, that is, waste medicines should be put in with their packaging. Shanghai also provides that waste and expired medicines collected by pharmacies from households are put in temporary transfer points set up by each district's market regulation department. The US FDA says the best way to deal with expired and unwanted medicines is to hand them in at a collection point.
Notes
The sorting lists differ from place to place; go by the list posted at the waste collection point in your housing estate. Shanghai puts the dregs of Chinese herbal medicine in wet waste, which is not hazardous waste. Keep the medicines you are keeping in their original boxes: do not decant them into a pill organiser or another bottle, and put them somewhere a child cannot reach, see item 20 in section 13 (accidental swallowing). Do not take leftover antibiotics from the medicine cabinet yourself, see item 7 in this section (antibiotics). Where there is no collection point in the United States, people are told to mix the medicines into coffee grounds or cat litter, seal the bag and put it in ordinary rubbish; a few very strong painkillers may be flushed down the toilet. That is the American practice; in China, follow the local sorting rules. It is graded B because the US figures are only registration, and no study has worked out how many accidental swallows clearing out the cabinet would prevent. The benefit is graded small: the figures you have are emergency department visits, not deaths, and the effect of the act of clearing out cannot be worked out either.
Sources · 6 sources
- Lovegrove MC, Weidle NJ, Budnitz DS (2015). Trends in Emergency Department Visits for Unsupervised Pediatric Medication Exposures, 2004-2013. Pediatrics, 136(4):e821-e829. doi.org/10.1542/peds.2015-2092
- Agarwal M, Lovegrove MC, Geller RJ, et al. (2020). Circumstances Involved in Unsupervised Solid Dose Medication Exposures among Young Children. Journal of Pediatrics, 219:188-195.e6. doi.org/10.1016/j.jpeds.2019.12.027
- Ministry of Ecology and Environment (生态环境部) and others (2024). National Hazardous Waste Catalogue (2025 Edition)《国家危险废物名录(2025年版)》, annex, List of Hazardous Waste Exempt from Management《危险废物豁免管理清单》, item 1. www.gov.cn/gongbao/2025/issue_11906/202503/content_7011162.html
- Shanghai Municipal Administration of Greening and City Appearance (上海市绿化和市容管理局) (2024). Guide to the Sorting of Domestic Waste in Shanghai (2024 Edition)《上海市生活垃圾分类投放指引(2024版)》(沪绿容〔2024〕278号). www.shanghai.gov.cn/gwk/search/content/40b9feaa-53db-472f-8a6b-2c3cf0465def
- Shanghai Municipal Administration of Greening and City Appearance, Shanghai Environmental Protection Bureau and Shanghai Food and Drug Administration (2018). Notice on Regulating the Whole-Procedure Management of Hazardous Waste in the Sorting of Domestic Waste. www.shanghai.gov.cn/nw12344/20200813/0001-12344_57440.html
- U.S. Food and Drug Administration (2025). Where and How to Dispose of Unused Medicines. www.fda.gov/consumers/consumer-updates/where-and-how-dispose-unused-medicines
11Do not drink alcohol while you are on cephalosporins, metronidazole or similar antibiotics, or in the 7 days after you stop; leave alone medicines that contain alcohol such as Huoxiang Zhengqi water and cough syrup
# Value ModerateGrade BLifespanNo moneyIn passingSome willpower
Some cephalosporins, metronidazole and drugs like them, mixed with alcohol, make your face flush, your heart race, your chest tight and make you vomit; in severe cases your blood pressure drops. It is not only spirits and beer: Huoxiang Zhengqi water, cough syrup and other medicines containing alcohol can set it off too. Keep away from all of them while you are taking the antibiotic and for 7 days after you stop.
Cost
No money. Not drinking for a bit over a week, and looking at the ingredients to see whether a medicine contains ethanol before you take anything else.
Benefit
This is called a disulfiram-like reaction. A 2023 piece on safe medication use from the Fujian Provincial Drug Administration says that drinking alcohol before or after taking some cephalosporin medicines can trigger this reaction, and 「会严重损害健康甚至导致生命危险」, that it can seriously damage health and even endanger life. The symptoms include flushing of the face, sweating and palpitations, and in some cases difficulty breathing, falling blood pressure and anaphylactic shock. The drugs it lists, following the Clinical Drug Use Information of the Pharmacopoeia of the People's Republic of China《中华人民共和国药典临床用药须知》, include cefazolin, ceftriaxone, cefoperazone, metronidazole, tinidazole and furazolidone. It states that 「用药后 7 天内禁止饮酒和食用含酒精的药物、食物等」, that for 7 days after taking the medicine you must not drink alcohol or take medicines, foods and so on that contain alcohol, giving chocolate liqueurs and Huoxiang Zhengqi water as examples. The reason is that the enzyme the drug inhibits commonly takes 4 to 5 days to recover. A hospital in Guangzhou compiled 82 cases over 2 years. 57 were caused by cephalosporins (69.51%) and 10 by nitroimidazoles (metronidazole, tinidazole and the like) (12.20%). In 40 cases the alcohol came from an alcoholic drink (48.78%), and in 31 from a medicine containing ethanol (37.80%). The swallowed medicines included Huoxiang Zhengqi water, cough syrup and Leonurus liquid extract. Of the 82 cases 68 were mild, 9 moderate and 5 severe; all eased within 1 to 3 hours, and none died. The US metronidazole instructions require no alcohol during treatment and for at least 3 days after stopping, and also say not to use products containing propylene glycol.
Notes
Not every cephalosporin does this, but an ordinary person cannot tell which is which, so following this rule whichever one you are on is the simplest course. When a doctor prescribes a cephalosporin or metronidazole, say of your own accord whether you have been drinking in the last few days. That popularisation piece advises not drinking for 3 days before the medicine either, while admitting there is no authoritative view on the length of that interval. The moment your face flushes and your heart races, stop anything containing alcohol. The popularisation piece says mild cases settle on their own and severe ones need a hospital. Do not drink while taking acetaminophen either, see item 1 in this section (acetaminophen). It is graded B because the evidence is a set of case records and package inserts, with nothing to compare against. The benefit is graded small: all 82 cases eased within a few hours, nobody died, and only 5 were severe.
Sources · 3 sources
- Fujian Provincial Drug Administration (福建省药品监督管理局, Fujian Provincial Drug Science Popularisation and Regulatory Data Centre) (2023). Original science popularisation piece for the 2023 National Safe Medication Month — why you cannot drink alcohol when taking cephalosporins. yjj.scjgj.fujian.gov.cn/ztzl/kpzl/qgaqyyy/202312/t20231215_6334595.htm
- 房财富, 涂星, 刘韬, 黄红兵, 邱孟, 梁蔚婷 (2015). Analysis of 82 Cases of Disulfiram-Like Reaction in Our Hospital, 我院双硫仑样反应82例分析. 中国药房, 26(29):4089-4091. doi.org/10.6039/j.issn.1001-0408.2015.29.19
- Pfizer (2026). FLAGYL 375 (metronidazole) capsules, prescribing information: Contraindications, Interaction with Alcohol. DailyMed. dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a2883ca1-5a9a-4259-9d80-46ab67274384