Under the realistic background of China’s economy entering a high-quality development stage，as the most economical space unit，the healthy development of the city is particularly important. According to the results of China’s healthy city evaluation in 2017，the healthy development of urban areas in the eastern region is generally dominant，the urban health level in the central region has improved significantly，the cities in the western region are in a state of steady improvement，and the gap between the northeast region and the other three regions has expanded significantly. There are gradient differences in urban health levels at different administrative levels，and a hierarchical administrative system has created an unfair competitive environment for urban development. In view of the current problems of the development of China’s urban development，the concept of healthy development is biased，the regional development gap is too large，and the administrative level is biased，This paper suggests that we should comprehensively improve various economic and social environmental factors affecting health unfairness from the aspects of strengthening dynamic assessment，strengthening classification guidance，and district policy，and construct a long-term mechanism to promote urban health and sustainable development.