Jane Duckett - The Chinese States Retreat From Health: Policy and the Politics of Retrenchment

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The Chinese States Retreat from Health

Over the post-Mao reform period, the Chinese state has retreated from its role in funding health services and insuring its citizens against the costs of ill health. This book examines how and why this retreat has taken place. Using an analytical framework drawn from studies of state retrenchment in industrialized democracies and in post-communist Eastern Europe, Jane Duckett argues that the states retreat from health in China was not as others have argued a simple consequence of economic policies and market reform. Just as important were the influences of health policies, reform era political institutions, communist party ideology, and bureaucratic stakeholders.

Theoretically, The Chinese States Retreat from Health extends research on retrenchment to a major authoritarian political system. Empirically, it extends understanding of the post-Mao Chinese state through a focused study of its role in the health sector. Through original research on China the worlds most populous nation and now a major global economic power Duckett thus makes a major contribution to understanding of international trends in state transformation.

This book will be of interest to students and scholars of Chinese politics, social policy and the Chinese health care system, as well as to those with a comparative interest in health, welfare states and the politics of retrenchment.

Jane Duckett is Professor of Chinese and Comparative Politics at the University of Glasgow, UK.

Routledge Studies on China in Transition

Series Editor: David S. G. Goodman

1 The Democratisation of China

Baogang He

2 Beyond Beijing

Dali Yang

3 Chinas Enterprise Reform

Changing state/society relations after Mao

You Ji

4 Industrial Change in China

Economic restructuring and conflicting interests

Kate Hannan

5 The Entrepreneurial State in China

Real estate and commerce departments in reform era Tianjin

Jane Duckett

6 Tourism and Modernity in China

Tim Oakes

7 Cities in Post-Mao China

Recipes for economic development in the reform era

Jae Ho Chung

8 Chinas Spatial Economic Development

Regional transformation in the Lower Yangzi Delta

Andrew M. Marton

9 Regional Development in China

States, globalization and inequality

Yehua Dennis Wei

10 Grassroots Charisma

Four local leaders in China

Stephan Feuchtwang and Wang Mingming

11 The Chinese Legal System

Globalization and local legal culture

Pitman B. Potter

12 Transforming Rural China

How local institutions shape property rights in China

Chi-Jou Jay Chen

13 Negotiating Ethnicity in China

Citizenship as a response to the state

Chih-yu Shih

14 Manager Empowerment in China

Political implications of rural industrialisation in the reform era

Ray Yep

15 Cultural Nationalism in Contemporary China

The search for national identity under reform

Yingjie Guo

16 Elite Dualism and Leadership Selection in China

Xiaowei Zang

17 Chinese Intellectuals Between State and Market

Edward Gu and Merle Goldman

18 China, Sex and Prostitution

Elaine Jeffreys

19 The Development of Chinas Stockmarket, 19842002

Equity politics and market institutions

Stephen Green

20 Chinas Rational Entrepreneurs

The development of the new private business sector

Barbara Krug

21 Chinas Scientific Elite

Cong Cao

22 Locating China

Jing Wang

23 State and Laid-Off Workers in Reform China

The silence and collective action of the retrenched

Yongshun Cai

24 Translocal China

Linkages, identities and the reimagining of space

Tim Oakes and Louisa Schein

25 International Aid and Chinas Environment

Taming the yellow dragon

Katherine Morton

26 Sex and Sexuality in China

Edited by Elaine Jeffreys

27 Chinas Reforms and International Political Economy

Edited by David Zweig and Chen Zhimin

28 Ethnicity and Urban Life in China

A comparative study of Hui Muslims and Han Chinese

Xiaowei Zang

29 Chinas Urban Space

Development under market socialism

T. G. McGee, George C. S. Lin, Mark Y. L. Wang, Andrew M. Marton and Jiaping Wu

30 Chinas Embedded Activism

Opportunities and constraints of a social movement

Edited by Richard Louis Edmonds and Peter Ho

31 Marketization and Democracy in China

Jianjun Zhang

32 The Chinese State in Transition

Processes and contests in local China

Edited by Linda Chelan Li

33 Chinas Governmentalities

Governing change, changing government

Edited by Elaine Jeffreys

34 Chinas Cotton Industry

Economic transformation and state capacity

Bjrn Alpermann

35 Serious Crime in China

Policing serious crime in China: from strike hard to kill fewer

Susan Trevaskes

36 The Chinese States Retreat from Health

Policy and the politics of retrenchment

Jane Duckett

The Chinese States Retreat from Health

Policy and the politics of retrenchment

Jane Duckett

First published 2011
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN

Simultaneously published in the USA and Canada
by Routledge
711 Third Avenue, New York, NY 10017

Routledge is an imprint of the Taylor & Francis Group, an informa business

2011 Jane Duckett
Typeset in Times New Roman by Pindar NZ, Auckland, New Zealand

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library

Library of Congress Cataloging-in-Publication Data
Duckett, Jane, 1964
The Chinese states retreat from health: policy and the politics of
retrenchment / Jane Duckett.

p. ; cm. (Routledge studies on China in transition; 36)

Includes bibliographical references.

1. Medical policyChina. I. Title. II. Series: Routledge studies on China
in transition; 36.

[DNLM: 1. Health PolicyeconomicsChina. 2. Health
PolicytrendsChina. 3. Financing, GovernmenttrendsChina.
4. PoliticsChina. WA 540 JC6 D835c 2010]

RA395.C53D83 2010

362.10951dc22

2010018039

ISBN13: 9780415573894 (hbk)
ISBN13: 9780203840726 (ebk)

For
Peter Craig
Lona Duckett (ne Byram)

Contents

Figures

Acknowledgements

This books arguments have been developed mainly from primary research using a combination of both documentary sources and interviews with health officials, scholars, medical professionals and ordinary citizens in China. The documentary materials (mainly in Chinese) include official government reports, decisions and guidelines, ministerial speeches and memoirs, and official statistical publications, as well as national newspapers, academic papers and books. I should like to thank Diarmid Swainson, Xinyi Yak, Wang Guohui and Daniel Hammond for their very valuable assistance in finding, collating and organizing these materials. I am grateful to Xu Ying for her help with research relating to non-governmental health organizations. I am grateful also to Kuan Hsin-Chi, Jean Hung, Wang Shaoguang and staff at the Universities Service Centre for China Studies at The Chinese University of Hong Kong for once again allowing me access to their wonderful resources.

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