On November 5, at a press conference on the 2.0 edition of the Health Insurance Wallet held by the National Health Insurance Administration, in response to online public opinion's concern that “the number of people participating in health insurance has dropped seven times in a row and decreased by 83 million,” Zhang Chenguang, deputy director of the National Health Security Administration's Department of Planning, Finance and Regulation, explained that there are many reasons for the decline in the number of people participating in residents' health insurance policies. The first is that the number of people participating in health insurance, such as repeated enrolment, increased by about 25 million people in the country in 2019-2024; second, residents' health insurance switched to employee health insurance. 389 million, a net increase of about 60 million, most of which was transferred from residents' health insurance; third, the resident population declined. After peaking in 2021, the country's population declined for three consecutive years. Zhang Chenguang said that the decline in the number of residents participating in health insurance since 2025 is in line with the changing trend in the total population, and is also in line with the optimization of the insurance enrolment structure.

On November 5, at a press conference on the 2.0 edition of the Health Insurance Wallet held by the National Health Insurance Administration, in response to online public opinion's concern that “the number of people participating in health insurance has dropped seven times in a row and decreased by 83 million,” Zhang Chenguang, deputy director of the National Health Security Administration's Department of Planning, Finance and Regulation, explained that there are many reasons for the decline in the number of people participating in residents' health insurance policies. The first is that the number of people participating in health insurance, such as repeated enrolment, increased by about 25 million people in the country in 2019-2024; second, residents' health insurance switched to employee health insurance. 389 million, a net increase of about 60 million, most of which was transferred from residents' health insurance; third, the resident population declined. After peaking in 2021, the country's population declined for three consecutive years. Zhang Chenguang said that the decline in the number of residents participating in health insurance since 2025 is in line with the changing trend in the total population, and is also in line with the optimization of the insurance enrolment structure.