This book examines the introduction and ongoing development of public medical care insurance in contemporary China. Based on extensive field investigations, residents’ surveys and analyses by local policy experts and practitioners it provides a comparative analysis of the marketization of public policy in China in contrast to those in other countries, such as the United Kingdom and Germany. The book highlights system-specific issues of the centrally planned economy (CPE) during economic reform, such as alienation of entitlements from funding and historically rooted obligations in the realm of public policy, and as such fills the gap in research on the Chinese government’s public financial management. Public Policy and Health Care in China will appeal to students, academics and researchers interested in public policy and health care in China, as well as Chinese society and economics more broadly.
Presenting a comprehensive examination of China’s medical care system, this book tackles issues of policymaking, organization, management and financing in the context of the provision of affordable care in China. Making use of extensive field investigations, interviews and a thorough analysis of documents, this book examines the re-structuring of the medical care system, spanning more than three and half decades from 1979 to the present day. Assessing the difficulties of regulatory control in the health care sector, it also explores theoretical alternatives, including post-Weberian constructs of uncertainty and control, as well as franchise and asymmetric information in market transactions. Ultimately, it argues that patient medical care has become less and less affordable amid shrinking government subsidies, breakdowns of public insurances and increases in user charges, especially between the mid-1990s and mid-2000s. Whilst the government took decades to re-organize the public hospital system and rebuild public insurances, it faced a dilemma of enforcing both low-cost medical care and maintaining revenue flow to public hospitals through marketization. Re-engineering Affordable Care Policy in China provides extensive discussion of the policymaking process as well as detailed analysis of policy contents. As such, it will be invaluable to students and scholars of Chinese social policy and public administration, as well as Chinese Studies more generally.
Europe and China have a long intermingled history reaching back to the earliest phases of the shift to the modern world. In the twenty-first century Europe and China are rediscovering their interlinked histories and reestablishing relationships. One aspect of this process involves cutting through received images of China and this book presents a clear, concise, scholarly review of the logic of Chinese politics.
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