Host Dr. Elizabeth Economy interviews Yanzhong Huang, a leading expert on China's public health system, examining how China has evolved from the COVID-19 pandemic and its growing role in global health diplomacy. The two explore China’s dramatic policy pivots—from initial inaction to draconian zero-COVID lockdowns to sudden reopening—and analyze why meaningful domestic reforms and transparency remain elusive despite lessons from the crisis. Huang discusses China's strategic health diplomacy, particularly how its provision of vaccines and medical supplies during COVID earned goodwill in developing countries. The conversation reveals how U.S. withdrawal from global health institutions creates opportunities for China to expand its influence through the Health Silk Road initiative, requiring minimal effort to fill the vacuum left by the American absence. Huang argues that the unresolved controversy over COVID-19's origins and deep mistrust between Washington and Beijing have effectively frozen bilateral health cooperation, making dialogue nearly impossible even in an area traditionally viewed as ripe for collaboration. Recorded on October 1, 2025. ABOUT THE SERIES China Considered with Elizabeth Economy is a Hoover Institution podcast series that features in-depth conversations with leading political figures, scholars, and activists from around the world. The series explores the ideas, events, and forces shaping China’s future and its global relationships, offering high-level expertise, clear-eyed analysis, and valuable insights to demystify China’s evolving dynamics and what they may mean for ordinary citizens and key decision makers across societies, governments, and the private sector.