This paper explores how the Chinese government＇s reluctance/inability to invest in health has influenced the performance of its health system in the context of urban China. It focuses on two related issues. To what e...This paper explores how the Chinese government＇s reluctance/inability to invest in health has influenced the performance of its health system in the context of urban China. It focuses on two related issues. To what extent is the financing of the health care system progressive？ To what extent is the utilization of health care services equitable？ Section I explains why the Chinese government has become less willing and able to bear the burden of health care during the era of economic reform and inspects the impacts of these changes on the structure of overall health expenditure. The following two sections empirically examine the extent to which the shift toward out-of-pocket spending has made health care less accessible and less affordable for the poor and vulnerable. Section IV explores how inequity in health care and health services has put groups of people who are already socially disadvantaged at more disadvantaged positions. The study finds that the market-oriented health reform in urban China has exacerbated the cost problem that it intended to solve, reduced access to health services for the most vulnerable, and increased the instances of illness-induced poverty.展开更多
The article reviews the development of political science in China in the last century, especially in the last 30 years. It shows that the discipline has gone through two stages, namely, uncritical learning and gullibl...The article reviews the development of political science in China in the last century, especially in the last 30 years. It shows that the discipline has gone through two stages, namely, uncritical learning and gullible emulating. It is entering a new stage： conscious indigenization of political science. It argues that indigenization is not an easy task even for indigenous academics. Therefore a project of indigenization requires a conscious and active effort on their part. Without critical introspection, indigenization is impossible.展开更多
文摘This paper explores how the Chinese government＇s reluctance/inability to invest in health has influenced the performance of its health system in the context of urban China. It focuses on two related issues. To what extent is the financing of the health care system progressive？ To what extent is the utilization of health care services equitable？ Section I explains why the Chinese government has become less willing and able to bear the burden of health care during the era of economic reform and inspects the impacts of these changes on the structure of overall health expenditure. The following two sections empirically examine the extent to which the shift toward out-of-pocket spending has made health care less accessible and less affordable for the poor and vulnerable. Section IV explores how inequity in health care and health services has put groups of people who are already socially disadvantaged at more disadvantaged positions. The study finds that the market-oriented health reform in urban China has exacerbated the cost problem that it intended to solve, reduced access to health services for the most vulnerable, and increased the instances of illness-induced poverty.
文摘The article reviews the development of political science in China in the last century, especially in the last 30 years. It shows that the discipline has gone through two stages, namely, uncritical learning and gullible emulating. It is entering a new stage： conscious indigenization of political science. It argues that indigenization is not an easy task even for indigenous academics. Therefore a project of indigenization requires a conscious and active effort on their part. Without critical introspection, indigenization is impossible.
