The pay of doctors is low. Patient tipping of doctors to secure attentive treatment is common. Health insurance policies vary as to what is covered and patient co-payments for medical services are typically required particularly for drugs and new technological services. Traditional Chinese medicine continues to be strong throughout China, and there are a number of medical schools that train traditional practitioners. In addition, most hospitals that practice western style medicine also have traditional medicine departments.
Traditional medicine is also part of the curriculum in the western type medical schools.
Traditional medicine includes herbs, acupuncture, and massage. The quality of medical care in China varies. Competent, trained doctors and nurses are available in major metropolitan centers, but many do not speak English. Doctors and hospitals often expect immediate cash payment for health services and may not accept checks or credit cards. U.S. medical insurance is not always valid outside the United States.