There are strong socio-economic variations in healthcare utilization. “No money” is the main reported reason for a significant proportion of older people for not using inpatient care even if required by a doctor although lack of money is only a partial reason for not seeing a doctor when ill. Self-medication is an option for primary health care when medical costs are high or access to health care services is limited [30]. Health status for older adults of ethnic minorities, or those living in remote rural areas, is mostly unfavourable as their access to health care services is often limited. Conversely, Communist party members, urban residents with formal employment, and highly educated people are relatively advanced.