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Providing Healthcare Security in Rural China

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Abstract

In China, the medical security for farmers is an issue weighed heavily on people’s mind. In ancient times, “doctors were only available in imperial palaces” and the medical security system was only accessible to royal relatives, bureaucrats and officials with a certain rank in military blocs. After entering the modern times, China greatly improved its medical technologies and standards, but the medical system and social security were mainly to serve the powerful and influential class and the rich. All the time, farmers made decisions on seeing a doctor based on their financial situations and had no access to the medical security system. After the founding of the People’s Republic of China, the Chinese government adopted different governance policies in urban and rural areas due to the limited resources. Farmers making up for 90% of the total population were excluded from the welfare system. For quite a long time thereafter, China’s medical welfare and security policies and system were only targeted at state cadres and employees of enterprises and public institutions. As the largest group of people, farmers had always been a forgotten part. As a large agricultural country, it is indeed important for China to provide medical security to farmers as it has a direct bearing on farmers’ physical health and rural economic development and social stability.

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Notes

  1. 1.

    Liu (2006, p. 2).

  2. 2.

    Peng et al. (2007).

  3. 3.

    Wang et al. (2008, 43).

  4. 4.

    Scott (1977, 1).

  5. 5.

    Wang (2001a).

  6. 6.

    Zheng (2001, 260).

  7. 7.

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  8. 8.

    “Research Report on the Implementation of Rural Medical Security in Our City”, www.xzzx.gov.cn, July 16, 2002.

  9. 9.

    Chen (2002).

  10. 10.

    Agricultural investigation team of Henan Province: “Survey and thinking of rural medical security”, www.ha.stats.gov.cn, November 30, 2004.

  11. 11.

    Zheng (2001, p. 260).

  12. 12.

    Research Report on the Implementation of Rural Medical Security in Our City, www.xzzx.gov.cn, July 16, 2002.

  13. 13.

    Reporters reports: “Investigation of the Status Quo of Rural Medical Security”, med.b2cedu.com, January 18, 2009.

  14. 14.

    Wang (2001a).

  15. 15.

    Wang et al. (2002).

  16. 16.

    British scholar Peter Townsend raised the concept of “relative deprivation” in 1979, believing that “individuals, families and groups in the population can be said to be in poverty when they lack the resources to obtain the type of diet, participate in the activities and have the living conditions and the amenities which are customary, or at least widely encouraged or approved in the societies to which they belong.” American scholar Frank R. Scarpitti said that poverty seems to be a simple and specific term, but the limit is so difficult to be determined and many definitions only explain its one or another aspect. Scarpitti also said that it is virtually impossible to define the standards of poverty and the basic meaning of poverty is “insufficiency”. Refer to Scarpitti (1986).

  17. 17.

    According to the data provided by the Statistical Information Center of the Ministry of Health, a large proportion of rural poverty-stricken households fell into poverty because of diseases, recording 21.61 and 33.4% in 1998 and 2003 respectively. In different regions, diseases contributed 20–70% of the poor households (Jiang 2004). Refer to Peng et al. (2007).

  18. 18.

    Fan (2002, p. 44).

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    Li et al. (2007).

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    Gao (2008, p. 44).

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    Jian (2006).

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    Smith (2003).

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    Zhang (2006, p. 30).

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    Zhang et al. (1994).

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    Sun et al. (2009, p. 49).

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    Gao (2008, p. 93).

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    Zhu (2000).

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    Research Report on the Implementation of Rural Medical Security in Our City, www.xzzx.gov.cn, July 16, 2002.

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    Song et al. (2005).

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    Liu (2007).

  35. 35.

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    Zhang (2005).

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  66. 66.

    Tang (2006, p. 38).

  67. 67.

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  68. 68.

    According to press report, “Ministry of Health: the total medical expenditures are very low and the incomes of doctors and nurses are also low in China”. people.com.cn, May 9, 2012.

  69. 69.

    Qiu (2010a, p. 259).

  70. 70.

    Qiu (2010b).

  71. 71.

    Yang (2006a).

  72. 72.

    Zhang and Du (2005).

  73. 73.

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  74. 74.

    Chen et al. (2010b).

  75. 75.

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  76. 76.

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  77. 77.

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  78. 78.

    Zhang (2006, p. 173).

  79. 79.

    Kip et al. (1995).

  80. 80.

    Fang (2000).

  81. 81.

    Bu (2007).

  82. 82.

    Bu (2007).

  83. 83.

    Preker and Langenbrunner (2006, p. 114).

  84. 84.

    Zou (2008b).

  85. 85.

    Preker and Langenbrunner (2006, p. 325).

  86. 86.

    Wang (2006).

  87. 87.

    Yang (2006).

  88. 88.

    Huang et al. (2003).

  89. 89.

    Yu (2012).

  90. 90.

    Chen et al. (2010b).

  91. 91.

    Gu et al. (2006, p. 122).

  92. 92.

    Wang (2001b).

  93. 93.

    Aoki et al. (1999).

  94. 94.

    Yang (2006).

  95. 95.

    Shen (2007).

  96. 96.

    Liu (2010, p. 151).

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  98. 98.

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  99. 99.

    Deng (2011).

  100. 100.

    Zhang and Du (2005).

  101. 101.

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  102. 102.

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  103. 103.

    Focus (2000, p. 183).

  104. 104.

    Deng (2011).

  105. 105.

    Wu et al. (2008).

  106. 106.

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  107. 107.

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  108. 108.

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  120. 120.

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Yu, S. (2019). Providing Healthcare Security in Rural China. In: Li, L., Tian, H., Lv, Y. (eds) Rule of Law in China. Research Series on the Chinese Dream and China’s Development Path. Springer, Singapore. https://doi.org/10.1007/978-981-13-6541-6_5

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