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This book examines and explains changes in Chinese health care policy during the 1949-1977 period. It is concerned with analyzing the reasons for policy change and deriving a coherent view of the Chinese political process from that analysis.
Early twentieth century China went through a tumultuous period, marked by the end of an ancient monarchy, political instability and profound cultural upheaval. The medical discourse both reflected and contributed to these transformations. Western medicine arrived in China as part of missionary, foreign imperialist and internal modernization efforts. In various ways it interacted with Chinese practices and belief systems. The contributions in this volume explore important episodes of this multi-faceted process, describing key institutions, personalities and their respective motives and interests. Collectively, the chapters reveal a complex web of interlocking dimensions, which evade simple categorizations of Western or Chinese, exploitive or supportive, traditional or modern.
Under the rule of the descendants of Chinggis Khan (1167-1227), China saw the development of a new culture in which medical practice came to be considered a highly respected occupation for elite men. During this period, further major steps were also taken towards the codification of medical knowledge and promotion of physicians’ social status. This book traces the history of the politics, institutions, and culture of medicine of China under Mongol rule, through the eyes of a successful South Chinese official Yuan Jue (1266-1327). As the first comprehensive monograph on history of medicine in China under the Mongols, it argues that this period was a separate moment in Chinese history, when a configuration of power different from that of previous and succeeding periods created its own medical culture. The Politics of Chinese Medicine under Mongol Rule emphasizes the impact of the political and institutional changes caused by the Mongols and their collaborators on the social and cultural history of medicine, which culminated in the medical theory of Zhu Zhenheng (1282–1358), still influential in East Asian medicine. Using a variety of Chinese-language sources including gazetteers, legal texts, biographies, poems, and medical texts, it analyses the roles of the Mongols and West and Central Asians as cultural brokers and also as unifiers of China. Further, it views North and South Chinese elites as agents of historical change rather than as victims of Mongol oppression. Underlining the complexity of the history of China under the Mongols and the significance of time and geography for the study of this history, this book will be of great interest to students and scholars of Chinese medical history, Chinese social and cultural history, and medieval global history.
“Rich insights into how one country has dealt with perhaps the most central issue for any human society: the health and wellbeing of its citizens.” —The Lancet This volume examines important aspects of China’s century-long search to provide appropriate and effective health care for its people. Four subjects—disease and healing, encounters and accommodations, institutions and professions, and people’s health—organize discussions across case studies of schistosomiasis, tuberculosis, mental health, and tobacco and health. Among the book’s significant conclusions are the importance of barefoot doctors in disseminating western medicine; the improvements in medical health and services during the long Sino-Japanese war; and the important role of the Chinese consumer. This is a thought-provoking read for health practitioners, historians, and others interested in the history of medicine and health in China.
Today, medical analysts and officials concerned with the United States and the Third World are searching for alternative means by which to bring needed health services to their people. For a mixture of reasons, including China's visible success, cultural resonance, and historical accident, the Chinese health experience has come to occupy an exalted place among the many possible alternatives. In the process of assessing the applicability of China's medical programs, however, insufficient attention has been directed toward analyzing the concrete results of past policies and the reasons for subsequent policy change. While this volume is specifically concerned with analyzing the reasons for policy change, and deriving a coherent view of the Chinese political process from that analysis, this discussion should provide the background -for informed public policy debate here and abroad. This study has the objective of examining and explaining changes in Chinese health care policy during the 1949-1977 period. The questions which this study seeks to answer are: why have policies changed, why have they moved in the directions they have, and what does all this tell us about the Chinese policy process? Seven important areas of medical policy will be considered: medical education, medical research, the structure of the health care delivery system, service financing, the conditions of physician employment, traditional medicine, and mass campaigns.
The emergence of severe acute respiratory syndrome (SARS) in late 2002 and 2003 challenged the global public health community to confront a novel epidemic that spread rapidly from its origins in southern China until it had reached more than 25 other countries within a matter of months. In addition to the number of patients infected with the SARS virus, the disease had profound economic and political repercussions in many of the affected regions. Recent reports of isolated new SARS cases and a fear that the disease could reemerge and spread have put public health officials on high alert for any indications of possible new outbreaks. This report examines the response to SARS by public health systems in individual countries, the biology of the SARS coronavirus and related coronaviruses in animals, the economic and political fallout of the SARS epidemic, quarantine law and other public health measures that apply to combating infectious diseases, and the role of international organizations and scientific cooperation in halting the spread of SARS. The report provides an illuminating survey of findings from the epidemic, along with an assessment of what might be needed in order to contain any future outbreaks of SARS or other emerging infections.
China's deepening health crisis reveals the fragility of the party-state and undercuts China's ability to project influence internationally.
An innovative, deeply researched history of Chinese medicine in America and the surprising interplay between Eastern and Western medical practice Chinese medicine has a long history in the United States, with written records dating back to the American colonial period. In this intricately crafted history, Tamara Venit Shelton chronicles the dynamic systems of knowledge, therapies, and materia medica crossing between China and the United States from the eighteenth century to the present. Chinese medicine, she argues, has played an important and often unacknowledged role in both facilitating and undermining the consolidation of medical authority among formally trained biomedical scientists in the United States. Practitioners of Chinese medicine, as racial embodiments of “irregular” medicine, became useful foils for Western physicians struggling to assert their superiority of practice. At the same time, Chinese doctors often embraced and successfully employed Orientalist stereotypes to sell their services to non-Chinese patients skeptical of modern biomedicine. What results is a story of racial constructions, immigration politics, cross-cultural medical history, and the lived experiences of Asian Americans in American history.
In the first comprehensive and analytical study of therapeutic concepts and practices in China, Paul Unschuld traced the history of documented health care from its earliest extant records to present developments. This edition is updated with a new preface which details the immense ideological intersections between Chinese and European medicines in the past 25 years.
Only fifty years ago, Tibetan medicine, now seen in China as a vibrant aspect of Tibetan culture, was considered a feudal vestige to be eliminated through government-led social transformation. Medicine and Memory in Tibet examines medical revivalism on the geographic and sociopolitical margins both of China and of Tibet�s medical establishment in Lhasa, exploring the work of medical practitioners, or amchi, and of Medical Houses in the west-central region of Tsang. Due to difficult research access and the power of state institutions in the writing of history, the perspectives of more marginal amchi have been absent from most accounts of Tibetan medicine. Theresia Hofer breaks new ground both theoretically and ethnographically, in ways that would be impossible in today�s more restrictive political climate that severely limits access for researchers. She illuminates how medical practitioners safeguarded their professional heritage through great adversity and personal hardship.