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Two years ago a client slipped on a wet marble floor at his Beijing hotel. Just a sprained wrist — but his travel insurance didn't cover China. He ended up paying ¥800 at a walk-in clinic and spent the rest of his trip anxious about what would happen if something serious happened. Don't be that guy. I tell every client: check your travel insurance covers China BEFORE you leave. Not all policies do. Here's what to look for: — Medical coverage in China (some policies exclude it) — Minimum $100,000 coverage — Coverage for TCM treatment (acupuncture, tuina — these count as legitimate medical expenses here) — 24-hour English helpline If your insurer says "worldwide excluding USA" — that usually covers China. But call and confirm. Don't rely on the fine print. The good news: China's hospitals are excellent and affordable. An MRI costs ¥480. An emergency room visit for something minor? ¥200-500. Even without insurance, it won't bankrupt you. But with insurance, you travel without that worry in the back of your mind.
A German client asked me worriedly last week: "Will I survive China without speaking Chinese?" I told him about the time I watched a Swedish tourist order dinner at a busy Chengdu restaurant entirely through charades. He pointed at a neighbour's bowl, held up two fingers, and gave a thumbs up. The waiter nodded, came back ten minutes with the exact same dish, and the guy ate it happily. You don't need Chinese to travel China. But you do need three things: 1. Google Translate with Chinese downloaded offline. Point camera at menu, get translation. Not perfect, but good enough. 2. Pleco dictionary for when Translate fails. The handwriting input is a lifesaver for single characters. 3. A willingness to be wrong. You'll point at the wrong menu item, order something unexpected, and discover your new memorable dish. That's not a mistake — that's the experience. The three phrases I make every client learn: 谢谢 (thank you), 多少钱 (how much), and 这个 (this one — accompanied by pointing). With those three, you can handle 90% of daily interactions. My client survived. Thrived, actually. Ate his way through three cities without a single English menu.
A client sent me a photo from a "jade market" in Beijing yesterday. She'd paid ¥2,000 for a bracelet the vendor swore was "real Burmese jade." I zoomed in. It was plastic with green dye. Here's the honest truth about shopping in China: the fake stuff is everywhere, and the prices tourists pay are often 3-10x what locals pay. But real deals exist if you know where to look. Tea is one of the safest bets. Real Longjing tea from Hangzhou? Worth it. Silk from Suzhou? Excellent quality. Pearl milk tea on every corner? ¥10 and life-changing. The places I tell clients to avoid: "silk factories" that bus tourists in, "tea ceremonies" in gift shops near major attractions, and any market where the vendor speaks perfect English and starts at 10% of your offer. Where I send them instead: the local wet market, a proper tea market (like Majiayao in Beijing), or just any street where vendors are selling to locals, not tourists. More on the shopping guide.
I had an Australian couple show up in Shanghai last month with nothing but a Revolut card and a prayer. No cash, no Alipay, no backup. "We heard China is cashless!" they said proudly. They're right. But there's a gap between "cashless" and "your foreign card works everywhere." Most places accept Alipay and WeChat Pay, but your Visa/Mastercard only works at international hotels, big malls, and some chain restaurants. Street stalls, local restaurants, metro tickets? App-only. Here's what I tell every client: bring ¥500-1000 in cash for emergencies, set up Alipay with your international card before you leave, and treat WeChat Pay as your backup. That combo covers 99% of situations. I once had a client try to pay for hotpot with his Amex. The waiter laughed. Not in a mean way — just genuinely amused that someone would try. We paid with Alipay. Everyone moved on.