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.
But what if AI surpasses human skill and now you have need for 0 educated workers. Not good for human citizens...
Just because you have fewer full-body casts than someone who just got in a bad wreck, does not mean you are worse off.
We're no where near experiencing the same political and cultural forces because the US and China are vastly different on many axes both in their structure and culture and importantly we're very very different economically.
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.
Not legally, IIRC China has an internal passport system, and workers who migrate to the city from the countryside typically remain must registered in the countryside (and are therefore denied access to city benefits).