China’s New Public Health Insurance:
Challenges to Health Reforms and the New Rural Co-operative Medical System

Dr. Armin Müller
Published in year 2017
Series: China Policy Series

The New Rural Co-operative Medical System (NRCMS) constitutes the main system of public health insurance in China today. This book outlines the nature of the system, traces the processes of its enactment and implementation, and discusses its strengths and weaknesses. It argues that the contested nature of the fields of health policy and social security has long been overlooked, and reinterprets the NRCMS as a compromise between opposing political interests. Furthermore, it argues that structural institutional misfits facilitate fiscal imbalances and a culture of non-compliance in local health policy, which distort the outcomes of the implementation and limit the effectiveness of insurance.