Health Care Transformation in Contemporary China
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Description
This multifaceted book examines the free market reform of the Chinese healthcare system in the 1980s and the more collectivist or socialist counter-reforms that have been implemented since 2009 to remedy some of the problems introduced by marketization. The book is based on an ethnographical study in a Chinese county from 2011 to 2012, which investigated local people’s experience of healthcare reforms and the various ways in which they have adapted their own behavior to the constraints and opportunities introduced by these reforms. It provides a vivid depiction of the morality and emotionality of people’s experiences of the Chinese healthcare system and the myriad frustrations and sometimes desperation it induces not only among patients with significant health problems and their families, but also healthcare practitioners caught between their desire to do right by their patients and the penalties they personally incur if they do not adhere to institutionalized cost-saving measures. The people’s experiences within China’s health sector presented reflect many similar experiences in the wider Chinese society. The book is thus a valuable resource for researchers and graduate students interested in China’s healthcare reforms and scholars concerned with issues of contemporary Chinese society. Front Matter ....Pages i-xxii Introduction: The Politics and Morality of Health Care Transformation in China (Jiong Tu)....Pages 1-35 Rescue First or Money First? Commercialised Institutions, Calculating Professionals, and Neoliberal Governance (Jiong Tu)....Pages 37-58 From ‘Care of the Self’ to ‘Entrepreneur of the Self’: Reconfiguration of Health Care Responsibilities, Needs, and Rights (Jiong Tu)....Pages 59-84 Health Insurance Regime as Differentiation and Discipline (Jiong Tu)....Pages 85-109 Gift Practice in the Chinese Health Sector: Inequality, Power and Governance (Jiong Tu)....Pages 111-139 Power Game of Nao: Violent Disputes in the Chinese Medical Sector (Jiong Tu)....Pages 141-167 Practice of the Self: ‘Barefoot Doctors’ in Post-reform China (Jiong Tu)....Pages 169-196 Conclusion: Moral Experience in a Socialist Neoliberal Polity (Jiong Tu)....Pages 197-217 Back Matter ....Pages 219-242
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