Job tenure has been significantly shortened with the prevalence of the gig economy around the world. Workers are faced with a new age of frequent employment change. This emerging situation is out of expectation of social health insurance policymakers. As the multi-level social health insurance system in China is closely associated with employment status; urban workers cannot enjoy the urban employee basic medical insurance (UEBMI) during the unemployment period. At this time, unemployed rural-to-urban migrant workers can only rely on the new cooperative medical scheme (NCMS) and unemployed urban residents can only rely on the urban resident basic medical insurance (URBMI). This study provides a preliminary analysis on healthcare utilization change triggered by the unemployment-induced social health insurance transition that has never been investigated. Using the data of a nationwide survey, empirical results show that the unemployment-induced social health insurance transition can significantly deteriorate the healthcare utilization of insurance beneficiaries experiencing the transitions from the UEBMI to the NCMS (or from the UEBMI to the URBMI). Specifically, the outpatient service quality and the conventional physical examination become worse, and the out-of-pocket expenditure increases. Therefore, the multi-level social health insurance system currently in effect can expose workers to a high risk of insufficient health security in the age of frequent employment change.

This study investigates the influence of the household registration system on rural–urban disparity in healthcare access (including healthcare quality, blood pressure check, blood test, vision test, dental examination, and breast exam), using data from a large-scale nationwide life history survey that covered 150 counties across 28 provinces and municipalities in China. In contrast to the findings of many previous studies that emphasize the disparity in the residence place as the cause of rural–urban disparity in healthcare access, this study finds that the residence place just has a very limited influence on healthcare access in China, and what really matters is the household registration type. Our empirical results show that people with a non-rural household registration type generally have better healthcare access than those with a rural one. For rural residents, changing the registration type of their household (from rural to non-rural) can improve their healthcare access, whereas changing the residence place or migrating from rural to urban areas have no effect. Therefore, mere rural-to-urban migration may not be a valid measure to eliminate the rural–urban disparity in healthcare access, unless the institution of healthcare resource allocation is reformed.

Rural tourism has long been recognized as a significant strategy for promoting rural revitalization in China. Excessive development has had a number of negative consequences for rural tourism. As a result, there is a growing need to optimize the developmental framework of rural tourism in order to ensure its sustainable growth. This study focuses on key tourism villages and employs geostatistical analysis and the random forest methodology to elucidate the spatial mechanisms underlying rural tourism and identify potential areas for its development in China. The research findings reveal several important insights: (1) Key tourism villages exhibit a concentrated spatial distribution, characterized by pronounced regional disparities. (2) The intrinsic characteristics of rural areas and the conditions conducive to tourism development play pivotal roles in shaping rural tourism. Notably, cultural resources, tourism resources, rural accessibility, and tourism potential are identified as the primary influential factors. (3) Predictive modeling using random forest analysis indicates that densely populated areas in the eastern region retain the highest level of suitability for rural tourism. In contrast, the development of rural tourism in western and border regions encounters certain constraints. Additionally, the northern region encompasses larger expanses with high suitability, whereas the southern region is generally moderate. This comprehensive nationwide investigation provides valuable insights into the key aspects of rural tourism development and offers practical guidance for achieving sustainable rural tourism practices in China.