How Does China Enforce Its One-Baby Policy?

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Most people have heard that in China, you're only allowed to have one kid. But does that apply to everyone? And how is that enforced?

How did this whole thing start?

When Mao Zedong declared the founding of the People's Republic of China in 1949, he envisioned China as a superpower. A great nation would need lots of manpower behind its army and economy, so Mao encouraged the Chinese to multiply. The new communist government condemned birth control and banned imports of contraceptives, and the population almost doubled under Mao's reign.

This growth quickly strained the country's food supply, and in 1955, the government reversed course and launched a campaign promoting birth control.

Over the next two decades, during which China went through the Great Leap Forward and the Cultural Revolution, the government flip-flopped on population control and ran propaganda campaigns promoting or condemning it, depending on their need for a labor force. The population rose and fell accordingly, but by the mid 1970s, it had leveled off, and China had a quarter of the world's people living on just 7 percent of world's arable land. Growth was just around the corner, with the majority of the population under 30-years-old and getting ready to have children. Another Mao-style population boom would have been disastrous, straining resources and threatening standards of living. Birth control propaganda wouldn't cut it, and the government sought a more forceful method of population control. In 1979 they introduced a policy that limiting some families to having only one child.

Does it apply to all 1 billion+ Chinese?

No. The one-child policy (or, translated from the Chinese name, "policy of birth planning") only applies to 40% to 63% of the population, depending on whether you're talking to China's National Population and Family Planning Commission or American academics. Specifically, the policy applies to urban married couples who are part of the nation's Han ethnic majority.

Who gets an exemption?

Wang Feng, a sociologist at UC Irvine who's studied the policy and its effects, says that the system of exemptions is about as complex as the American tax code. Among those who pretty much have blanket immunity to the policy are all non-Han ethnic groups, anyone living in Hong Kong or Macau, and foreigners living in China, .

Since the policy is enforced at the provincial level, other groups can get exceptions in certain areas. In some rural areas, families are allowed a second if the first is a girl or is mentally or physically disabled. Some provinces allow couples to have two children if neither partner has siblings, or if either is a disabled military veteran. After an earthquake devastated the province of Sichuan on 2008, the provincial government extended an exception to parents who had lost children in the disaster.

Some provincial exemptions can get a little bizarre. The New York Times reports that couples in  Zhejiang can have two kids if the wife has one sister and her husband lives with her family to help take care of her parents. The sister doesn't get an exception, though. Beijing makes an exception for couples where the husband’s brother is infertile and does not adopt a child and both husbands have rural residence permits. In Fujian a couple can have a second kid if the provincial population density is less than 50 people per .38 square miles, or one person per 11 acres at the time, or if each spouse farms at least an acre and a half of land.

How is the policy enforced?

Population and Family Planning Commissions exist at the national, provincial and local levels of government to promote the policy, register births, and carry out family inspections. Provincial governments are responsible for enforcing the policy and do so through a mix of rewards and punishments doled out by local officials. In most provinces, having a an extra child gets you a fine, the amount of which varies across provinces. In some places, the fine is a set amount (usually in the thousands of dollars), and in others it's based on a percentage of the violator's annual income. In some provinces, policy violators can also have their property and/or belongings confiscated and lose their jobs.

Couples who delay having a child, or who voluntarily follow the policy even if they're exempt, get some perks for playing along.  Depending on the province where they live, they may receive a "Certificate of Honor for Single-Child Parents," a monthly stipend from the government, special pension benefits, preferential treatment when applying for government jobs, free water, tax breaks, or bonus points on the child's school entrance exams.

Are there any loopholes or workarounds?

Nature always finds a way, and in China, money helps nature along greatly. In many rural areas and even some urban ones, couples can pay a fee to the local government and receive a permit to have a second, third or even fourth child.

Couples can scam the government, too, and hide extra kids by registering the birth under a false name or in a different province. If a province allows second children in the event of the first being disabled, couples might be able to stretch the definition of "disabled" in their favor. In Hunan, for example, some people got exemptions because of first borns with problems as minor as nearsightedness.

Has the policy been effective?

This graph of the country's birth rate certainly suggests so, and Chinese authorities claim the policy has prevented roughly 400 million births between 1979 and 2011. The government says that the population controls have kept air and water pollution down and lessened the amount of carbon dioxide in the atmosphere by some 200 million tones (versus the amount that would have been released with an unchecked population).

When the government introduced the policy in 1979, they were shooting for a target population of 1.2 billion by the year 2000. That year's census recorded just over 1.29 billion people, which is pretty close. But studies both from China and the U.S. have suggested that the official numbers may be an underestimate because of unreported births and other policy violations and manipulation by government officials.

We'll be here answering questions all day.

What’s the Difference Between Prison and Jail?

Many people use the terms jail and prison interchangeably, and while both terms refer to areas where people are held, there's a substantial difference between the two methods of incarceration. Where a person who is accused of a crime is held, and for how long, is a factor in determining the difference between the two—and whether a person is held in a jail or a prison is largely determined by the severity of the crime they have committed.

A jail (or, for our British friends, a gaol) refers to a small, temporary holding facility—run by local governments and supervised by county sheriff departments—that is designed to detain recently arrested people who have committed a minor offense or misdemeanor. A person can also be held in jail for an extended period of time if the sentence for their offense is less than a year. There are currently 3163 local jail facilities in the United States.

A jail is different from the similarly temporary “lockup”—sort of like “pre-jail”—which is located in local police departments and holds offenders unable to post bail, people arrested for public drunkenness who are kept until they are sober, or, most importantly, offenders waiting to be processed into the jail system.

A prison, on the other hand, is usually a large state- or federal-run facility meant to house people convicted of a serious crime or felony, and whose sentences for those crimes surpass 365 days. A prison could also be called a “penitentiary,” among other names.

To be put in a state prison, a person must be convicted of breaking a state law. To be put in a federal prison, a person must be convicted of breaking federal law. Basic amenities in a prison are more extensive than in a jail because, obviously, an inmate is likely to spend more than a year of his or her life confined inside a prison. As of 2012, there were 4575 operating prisons in the U.S.—the most in the world. The country with the second highest number of operating prisons is Russia, which has just 1029 facilities.

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What Do Morticians Do With the Blood They Take Out of Dead Bodies?

Zoe-Anne Barcellos:

The blood goes down the sink drain, into the sewer system.

I am not a mortician, but I work for a medical examiner/coroner. During an autopsy, most blood is drained from the decedent. This is not on purpose, but a result of gravity. Later a mortician may or may not embalm, depending on the wishes of the family.

Autopsies are done on a table that has a drain at one end; this drain is placed over a sink—a regular sink, with a garbage disposal in it. The blood and bodily fluids just drain down the table, into the sink, and down the drain. This goes into the sewer, like every other sink and toilet, and (usually) goes to a water treatment plant.

You may be thinking that this is biohazardous waste and needs to be treated differently. [If] we can’t put oil, or chemicals (like formalin) down the drains due to regulations, why is blood not treated similarly? I would assume because it is effectively handled by the water treatment plants. If it wasn’t, I am sure the regulations would be changed.

Now any items that are soiled with blood—those cannot be thrown away in the regular trash. Most clothing worn by the decedent is either retained for evidence or released with the decedent to the funeral home—even if they were bloody.

But any gauze, medical tubing, papers, etc. that have blood or bodily fluids on them must be thrown away into a biohazardous trash. These are lined with bright red trash liners, and these are placed in a specially marked box and taped closed. These boxes are stacked up in the garage until they are picked up by a specialty garbage company. I am not sure, but I am pretty sure they are incinerated.

Additionally anything sharp or pointy—like needles, scalpels, etc.—must go into a rigid “sharps” container. When they are 2/3 full we just toss these into one of the biotrash containers.

The biotrash is treated differently, as, if it went to a landfill, then the blood (and therefore the bloodborne pathogens like Hepatitis and HIV) could be exposed to people or animals. Rain could wash it into untreated water systems.

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