Before discussing about the health reforms in both countries, we should think about the political circumstance in them. In my view, I don't think US can reform successfully due to the undermined economy, instead, China has a warmer circumstance to reform with a big jump.
After skimming the health reform package in Guangdong, I found some similar advanced aspects showed in Taiwan health reform since 1988...
Anyway, health requirement follows the economy leap, and equally important is democratic progress.