Expansion of Chinese Social Health Insurance: who gets what, when and how?

This article asks ‘who gets what, when and how’ from China's recent social welfare expansion. Little research to date examines the overall landscape of China's social health insurance, which has changed dramatically since 2003, and the distributive consequences and implications thereof. Drawing on p...

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Publicado en:Journal of Contemporary China Vol. 23; no. 89; pp. 923 - 952
Autor principal: Huang, Xian
Formato: Artículo
Publicado: Taylor & Francis Ltd Sep2014
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Expansion of Chinese Social Health Insurance: who gets what, when and how?
      aug:
        au: Huang, Xian
      su:
        China
        Health insurance
        Rural-urban differences
        Health policy
        Public health
        Social stratification
        Social segmentation
        National health services
        Social conditions in China, 2000-
        Chinese politics & government, 2002-
      sug:
        subj:
          Health insurance
          Rural-urban differences
          Health policy
          Public health
          Social stratification
          Social segmentation
          China
          Direct individual life, health and medical insurance carriers
          Direct group life, health and medical insurance carriers
          Administration of Public Health Programs
          Health and Welfare Funds
          National health services
          Social conditions in China, 2000-
          Chinese politics & government, 2002-
      ab: This article asks ‘who gets what, when and how’ from China's recent social welfare expansion. Little research to date examines the overall landscape of China's social health insurance, which has changed dramatically since 2003, and the distributive consequences and implications thereof. Drawing on public survey data and fieldwork for empirical support, this article finds that China's recent social health insurance expansion does significantly expand people's access to social health insurance. However, the expansion, which entails health insurance fragmentation and increasing benefit disparities, not only reinforces existing social cleavages such as the rural–urban divide, but it also generates new divisions within urbanites and workforce. Moreover, multiple social cleavages that cross-cut class differences have been institutionalized into China's social health insurance system. This reflects authoritarian regimes' ‘divide and rule’ tactic in social welfare provision.
      pubtype: Academic Journal
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      src: R
    language: English
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