It’s an authoritarian state
Re: Where Samoa is in China’s big scheme
If you knew anything about Marxism, China long ago abandoned Marxism.
Even when the Chinese communist state was born in 1949, there were differences in how they carried out their revolution (peasant/rural-led) as opposed to the way Marx wrote it was supposed to be carried out (intellectuals/urban worker-led).
China is an authoritarian state with a capitalist economic model.
Healthcare there is private healthcare, it isn't even free universal public healthcare like it is supposed to be under socialist states (eg: Cuba).