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China's New Public Health Insurance

Challenges to Health Reforms and the New Rural Co-operative Medical System

Armin Muller



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08 January 2019
Especially since the 2003 SARS crisis, China's healthcare system has become a growing source of concern, both for citizens and the Chinese government. China's once praised public health services have deteriorated into a system driven by economic constraints, in which poor people often fail to get access, and middle-income households risk to be dragged into poverty by the rising costs of care. The New Rural Co-operative Medical System (NRCMS) was introduced to counter these tendencies and constitutes the main system of public health insurance in China today. This book outlines the nature of the system, traces the processes of its enactment and implementation, and discusses its strengths and weaknesses. It argues that the contested nature of the fields of health policy and social security has long been overlooked, and reinterprets the NRCMS as a compromise between opposing political interests. Furthermore, it argues that structural institutional misfits facilitate fiscal imbalances and a culture of non-compliance in local health policy, which distort the outcomes of the implementation and limit the effectiveness of insurance. These dynamics also raise fundamental questions regarding the effectiveness of other areas of the comprehensive New Health Reform, which China has initiated to overhaul its healthcare system.
By:   Armin Muller
Imprint:   Routledge
Country of Publication:   United Kingdom
Dimensions:   Height: 234mm,  Width: 156mm, 
Weight:   454g
ISBN:   9780367026806
ISBN 10:   0367026805
Series:   China Policy Series
Pages:   212
Publication Date:   08 January 2019
Audience:   College/higher education ,  Primary
Format:   Paperback
Publisher's Status:   Active
Introduction Systemic Interdependence and Institutional Change in the Health System of Post-Mao China Contested Policy: The Two Attempts to Rebuild the CMS The Enactment and Implementation of the NRCMS System Designing the NRCMS in a Local Context Operating the NRCMS in a Context of Misfit Institutions Health Insurance and the New Health Reform Conclusion

Armin Muller is a Postdoctoral Fellow at Georg-August-University in Goettingen, Germany.

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