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China’s Governmentality and the Economic and Political Differentiation of Public Hospital

  • Asia Review
  • Abbr : SNUACAR
  • 2022, 12(1), pp.217~239
  • Publisher : 아시아연구소
  • Research Area : Social Science > Social Science in general
  • Received : October 5, 2021
  • Accepted : March 30, 2022
  • Published : April 30, 2022

Woojong Moon ORD ID 1

1한양대학교

Accredited

ABSTRACT

In this paper, I explore the economic and political differentiation of China’s public hospitals and argue that this process is closely associated with the Chinese Communist Party’s governmentality. According to Foucault, governmentality is intimately related to power relations and ruling strategy to configure the health, social, and economic lives of individuals and populations in a specific way. Public hospitals have played a main role in China’s healthcare system since the establishment of the People’s Republic of China. Regardless of China’s market-oriented transition and the government’s withdrawal from social welfare provision in the 1980s and 1990s, socialist ideology and practices have been consistently imposed on public hospitals. Nevertheless, hospitals’ financial situation was exacerbated and had to find various informal ways for survival. This resulted in doctors’ over-prescriptions, informal payments from patients to doctors, soaring individual healthcare spending, and increasing medical disputes. In 2009, China’s new healthcare reform began to address these problems. Despite some successes, hospitals have been increasingly differentiated by their grades, medical services, and patients’ socioeconomic status. Higher-grade hospitals pursue their growth on China’s neoliberal and developmental governmentality. On the other hand, lower-grade public hospitals, which depend more on government subsidies, are used as places for increasing medical accessibility and socialist propaganda to strengthen the ideological legitimacy of the Chinese Communist Party.

Citation status

* References for papers published after 2023 are currently being built.

This paper was written with support from the National Research Foundation of Korea.