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China: Bioethics, Trust, and The Challenge Of The MarketThe Bioethics of Trust

China: Bioethics, Trust, and The Challenge Of The Market: The Bioethics of Trust Julia Tao Health care reform in China is at a crossroads. The moral and policy challenges of improving the equity, quality and sustainability of the country’s health system are pressing. The health of the society is declining and the voice of discontent is rising. Should China develop a market-based health care system with private hospitals and physicians in private practice, and in which health care services must increasingly be paid by those who consume them? Or should China adopt the social democratic model and establish a health care which provides free basic health care as a right for all citizens? There are evidences that market forces have made the health system generally much more receptive to change and innovation in China in the recent years. This has created a wider range and better quality of service, while also bringing about more choice and greater dynamism in the system. But at the same time, the market law of demand and supply is excluding millions of Chinese people from access to basic health care (China Development Review, 2005). The Chinese health care system was ranked 188 out of 191 countries in terms of distributional and financial equity in the 2000 WHO http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

China: Bioethics, Trust, and The Challenge Of The MarketThe Bioethics of Trust

Part of the Philosophy and Medicine Book Series (volume 96)
Editors: Tao, Julia

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Publisher
Springer Netherlands
Copyright
© Springer Science+Business Media B.V. 2008
ISBN
978-1-4020-6756-3
Pages
3 –5
DOI
10.1007/978-1-4020-6757-0_1
Publisher site
See Chapter on Publisher Site

Abstract

Julia Tao Health care reform in China is at a crossroads. The moral and policy challenges of improving the equity, quality and sustainability of the country’s health system are pressing. The health of the society is declining and the voice of discontent is rising. Should China develop a market-based health care system with private hospitals and physicians in private practice, and in which health care services must increasingly be paid by those who consume them? Or should China adopt the social democratic model and establish a health care which provides free basic health care as a right for all citizens? There are evidences that market forces have made the health system generally much more receptive to change and innovation in China in the recent years. This has created a wider range and better quality of service, while also bringing about more choice and greater dynamism in the system. But at the same time, the market law of demand and supply is excluding millions of Chinese people from access to basic health care (China Development Review, 2005). The Chinese health care system was ranked 188 out of 191 countries in terms of distributional and financial equity in the 2000 WHO

Published: Jan 1, 2008

Keywords: Health Care Reform; Basic Health Care; Cost Escalation; Private Health Care Sector; Modern Medical Technology

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