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Health care reform in Hong Kong

The politics of liberal non-democracy

Bibliographic Data

ID12207183
AuthorsM Ramesh (0000-0002-7376-2300, Education University of Hong Kong, corresponding author)
Year2012
Volume25
Issue4
Pages455-471
Publication date2012-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Pacific Review (JOURNAL)
Journal identifiersISSN: 0951-2748 • E-ISSN: 1470-1332
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/09512748.2012.685095
OpenAlexW2145217030
LanguageEN
Citations received4
References cited14

The government of Hong Kong has been trying to reform the territory's health care financing system since the early 1990s and is finally on the verge of succeeding. The objective of this paper is to assess the reform efforts and explain the causes of repeated failures and eventual success. It will argue that the government's fortunes changed only after it abandoned the core reform goal and decided to pursue peripheral objectives. It will explain the abandonment with reference to the peculiar political system in Hong Kong that makes it difficult for the government to adopt substantial policy reforms in the face of even moderate opposition. The reason for the government's policy incapacity is the existence of liberalism in a non-democratic setting, which allows the government to neither suppress opposition nor mobilize popular support. This has been illustratively evident in its health care reforms when its proposals to improve the system's fiscal sustainability invariably met an early death because they imposed costs on employers, the population or both. The current proposal has fared better not only because it addresses a simpler peripheral problem but also because it offends almost no one and pleases many among the powerful

Democracy · Economics · Government (linguistics · Health care · Opposition (politics · Political economy · Political science · Politics · Population · Sociology · Global Health Care Issues · Healthcare Policy and Management · Law · Public Administration · Social Policy and Reform Studies

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Unique citing works4
Citations per year0,5
Citation span2018 - 2021 (4)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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