2005, 75% of the rural inhabitants and 45% of the urban inhabitants stated that they could not afford to go to hospital for economic reasons. Urbanization and the abandonment of the countryside mean that 80% of medical resources are located in cities. In 2009, health expenditure represented 4.96% of GDP, or 72.1 euros per capita. Public funding represents 24.7% of total health expenditure. In comparison, public funding in the United States is 50% and it is nearly 80% in Japan and European countries. Since the SARS crisis in 2003, the Chinese authorities have undertaken health system reforms and health insurance revival. In 2006, the objectives of the health reform were defined as: Since 2009, an investment plan of 850 billion yuans (over 92 billion euros) was devoted to this reform. In order to improve public hospitals, several recommendations were published in February 2010: In February 2010, sixteen hospitals in sixteen different cities were designated to test this comprehensive reform. In November 2010, the Council of State Affairs encouraged the development of private institutions to pluralize the offering of care. To this end, it introduced tax and other benefits to encourage compliance with quality standards, laws and regulations. By 2018 one private hospital network had 8,000 hospitals. "American financial firms like Sequoia Capital and Morgan Stanley have invested billions of dollars" in this network. According to the World Health Organization, in 2014, total expenditure on health in China reached 5.5% of GDP, i.e. $731 per capita. India In India, public hospitals (called Government Hospitals) provide health care free at the point of use for any Indian citizen or legal resident. These are usually individual state funded. However, hospitals funded by the central (federal) government also exist. State hospitals are run by the state (local) government and may be dispensaries, peripheral(Public) health centers, rural hospital, district hospitals or medical college hospitals (hospitals with affiliated medical college). In many states (like Tamil Nadu) the hospital bill is entirely funded by the state government with patient not having to pay anything for treatment. However, other hospitals will charge nominal amounts for admission to special rooms and for medical and surgical consumables. The reliability and approachability of doctors and staff in private hospitals have resulted in preference of people from the public to private health centers. However state owned hospitals in India are known for high patient load. According to the World Health Organization, in