Health Reform and the PRC Governments Promotion of Social Harmony Jane Duckett Symposium on The Impact of the Global Economic Crisis on Social Development:

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Presentation transcript:

Health Reform and the PRC Governments Promotion of Social Harmony Jane Duckett Symposium on The Impact of the Global Economic Crisis on Social Development: Social Policy Responses in Greater China, University of Hong Kong, November 2009

2009 Health Reform Plan Health reform rethink from billion yuan Strong statement of public welfare goals Universal access to basic health services

Health Reform, Commercialization of public sector health services Private sector growth

Government Spending Decline

Rising Insecurity

Health and Social Problems Rural-urban inequalities Hospitals seen as pursuing profit SARS exposes weaknesses Rising dissatisfaction in health system

Insecurity Reversed?

Health and Social Harmony? Universal access to basic health services Weak state capacity and rural CMS Fiscal federalism Vested interests Raised expectations