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© Koninklijke Brill NV, Leiden, DOI: 10.1163/156805809X439895 EJEAS . () – European Journal of East Asian Studies www.brill.nl/ejea Transformative State Capacity in Post-Collective China: The Introduction of the New Rural Cooperative Medical System in Two Counties of Western China, – 1 Sascha Klotzbücher Department of East Asian Studies—Sinology, University of Vienna sascha.klotzbuecher@univie.ac.at Peter Lässig Department of East Asian Studies—Sinology, University of Vienna peter.lassig@chello.at Abstract In , the Chinese leadership announced a turnaround in national welfare policy: Local insurance at county level, called the New Rural Cooperative Medical System (NRCMS), was to cover all counties by . This paper addresses the main characteristics of NRCMS as an example of ‘transformative state capacity’ in decentralised policy fields and its feature ‘responsiveness’ as a market-based means of its introduction. Reviewing the modes of governance and comparing the introduction of local schemes based on two case studies of western China since , this paper argues that the flexibility shown by local administrators in considering structural and procedural adjustments is the result not only of central directives but also of local initiatives. Forms of locally embedded responsiveness to the needs and perceptions of health care recipients are crucial in enhancing the accountability
European Journal of East Asian Studies – Brill
Published: Jan 1, 2009
Keywords: PUBLIC SECTOR REFORM; RURAL COOPERATIVE MEDICAL SYSTEM; CHINA
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