1. Health Reform and the PRC Governments Promotion of Social Harmony Jane Duckett Symposium on The Impact of the Global Economic Crisis on Social Development: Social Policy Responses in Greater China, University of Hong Kong, 12-13 November 2009

2. 2009 Health Reform Plan Health reform rethink from 2005 850 billion yuan Strong statement of public welfare goals Universal access to basic health services

3. Health Reform, 1978-2005 Commercialization of public sector health services Private sector growth

4. Government Spending Decline

5. Rising Insecurity

6. Health and Social Problems Rural-urban inequalities Hospitals seen as pursuing profit SARS exposes weaknesses Rising dissatisfaction in health system

7. Insecurity Reversed?

8. Health and Social Harmony? Universal access to basic health services Weak state capacity and rural CMS Fiscal federalism Vested interests Raised expectations