As a result, the majority of urban residents paid almost all health costs out-of-pocket beginning in the 1990s, and most rural residents simply could not afford to pay for health care in urban hospitalities.
因此，在1990年代大多数城市居民几乎要全额支付医疗费用，大多数农村居民根本负担不起在城市医院的卫生保健。