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China's New Public Health Insurance - Challenges to Health Reforms and the New Rural Co-operative Medical System (Paperback)
Loot Price: R1,328
Discovery Miles 13 280
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China's New Public Health Insurance - Challenges to Health Reforms and the New Rural Co-operative Medical System (Paperback)
Series: China Policy Series
Expected to ship within 12 - 17 working days
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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.
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