Title Social protection under authoritarianism : health politics and policy in China / Xian Huang

Published New York, NY : Oxford University Press, [2020]

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Description 1 online resource (xi, 249 pages) : illustrations, maps Contents Introduction -- Theory of stratified expansion of social welfare -- Overview of China's social health insurance -- The center's distributive strategy and fund allocation -- Local motivation and distributive choices -- Understanding subnational variation in Chinese social health insurance -- Who gets what, when and how from Chinese social health insurance expansion? -- Conclusion Summary "Why would authoritarian leaders expand social welfare provision in the absence of democratization? What are the distributive features and implications of social welfare expansion in an authoritarian country? How do authoritarian leaders design and enforce social welfare expansion in a decentralized multilevel governance setting? This book identifies the trade-off authoritarian leaders face in social welfare provision: effectively balancing between elites and masses in order to maximize the regime's survival prospects. Using government documents, filed interviews, survey data, and government statistics about Chinese social health insurance, this book reveals that the Chinese authoritarian leaders attempt to manage the distributive trade-off by a "stratified expansion" strategy, establishing an expansive yet stratified social health insurance system to perpetuate a particularly privileged program for the elites while developing an essentially modest health provision for the masses. In China's decentralized multilevel governance setting, the stratified expansion of social health insurance is implemented by local leaders who confront various fiscal and social constraints in vastly different local circumstances. As a result, there is great regional variation in the expansion of social health insurance, in addition to the benefit stratification across social strata. The dynamics of central-local interaction in enforcing the stratified expansion of social health insurance stands at the core of the politics of health reform in China during the first decade of the 2000s. This book demonstrates that the strategic balance between elites and masses in benefit distribution is delicate in authoritarian and decentralized multilevel governance settings"-- Provided by publisher Bibliography Includes bibliographical references and index Notes Online resource; title from digital title page (viewed on September 01, 2020) Subject Welfare state -- China Medical policy -- China Health insurance -- China Elite (Social sciences) -- China Social stratification -- China Authoritarianism -- China Electronic books. e-books. Authoritarianism Elite (Social sciences) Health insurance Medical policy Social policy Social stratification Welfare state SUBJECT China -- Social policy Subject China Form Electronic book LC no. 2020007998 ISBN 9780190073671 0190073675 9780190073657 0190073659 9780190073664 0190073667

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