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The Path of Public Health Finance, Implementation, and Reform in China: Lessons From the United States Medicaid System
Author(s) -
Randall David,
Chen Dongjin
Publication year - 2013
Publication title -
world medical and health policy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.326
H-Index - 11
ISSN - 1948-4682
DOI - 10.1002/wmh3.72
Subject(s) - medicaid , beijing , china , public administration , government (linguistics) , health care , health care reform , state (computer science) , health policy , business , economic growth , political science , economics , law , linguistics , philosophy , algorithm , computer science
Since its creation by the U.S. Congress in 1965, the U.S. Medicaid health care system has been a shared federal‐state financing and health care delivery system for the poor. The implementation and financing of the Medicaid system has had differing paths as a result of a range of policy choices behind which are the states charged with administering the program and policymakers in Washington. The policy choices and institutional structures associated with the U.S. Medicaid system have many similarities to China's provincial and local health‐care system of financing and delivery of health‐care services. Past and recent reform efforts by the central government in Beijing have similarities to the policy path of the development of the U.S. Medicaid system. The policy choices made by U.S. state and federal policymakers have numerous lessons that can be learned as a result of the institutional similarities in the Chinese provincial health care system .