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HEALTHUPDATED 24 OCT 2026

"Free" health care - if you can pay

North Korea long boasted of free health care for all. Patients now bring their own medicine, bandages and fuel for heating - while the leader has a dedicated medical team.

The numbers

Health

~74
Life expectancy (years)
World Bank, 2024. It fell to 63.5 during the 1990s famine. Source
65%
Paid for their own medicine
Of defectors surveyed - plus 82% who paid for medical supplies. Source
~5%
Had tuberculosis
Amnesty International estimate, 2010. Source
<20%
Of children stunted
2017 survey, down from 32% in 2009. Source
The system

Care for some

2022
Medicines start costing money
State "standard pharmacies" began charging; by 2025 hospitals listed fees openly. Source
2025
"Health Revolution" year
Kim launched a drive to build modern hospitals across the country. Source
May 2022
First admitted Covid case
After sealing the borders in January 2020. Source
1
Leader with his own doctors
Seoul's spy agency says a dedicated medical team watches Kim, who weighs over 140 kg. More

More inside North Korea

Who runs it, the military, energy, daily life and more.

All topics
Sources

Where this comes from

Figures are public estimates and may be dated - North Korea publishes almost no statistics.