Except China doesn't actually serve its people. Things are way more cut-throat there, with much less safety net. The Chinese government sees workers as grist for the mill, not something to be cared for.
I think this is universal, but perhaps China indeed may be worse.
I am trying to make no judgement here, just explaining then 'motivational environment'
This math of course is in flux to a degree we haven't seen in maybe 1000+ years though right now.
Just because you have fewer full-body casts than someone who just got in a bad wreck, does not mean you are worse off.
The Chinese rural population still isn't eligible for local equivalent of social security in their old age (that's only for city folks), and IIRC there was a huge unwillingness to provide financial assistance to individuals during COVID.