The People's Health

Health Intervention and Delivery in Mao's China, 1949-1983

By Xun Zhou
Series: States, People, and the History of Social Change
Publisher: McGill-Queen's University Press
Hardcover : 9780228001935, 384 pages, August 2020
Paperback : 9780228001942, 384 pages, August 2020
Ebook (PDF) : 9780228003274, August 2020

A long-overdue historical account of Maoist public health initiatives, detailing the ways they were experienced and their global impact.

Description

In 1949, the Communist Party of China pledged that its approach to health care would differ markedly from that of the former Nationalist government and the 'imperialist' West. For the next thirty years under Mao's leadership, the People's Republic of China made improving the health of the entire population a central pillar of its policy. International health stakeholders came to view it as a statistical outlier in its ability to achieve better health outcomes with limited resources.

The People's Health is the first systematic study of health care and medicine in Maoist China. Drawing on hundreds of files from rarely seen party archives and oral testimonies from experts, local cadres, and villagers across China, Zhou Xun shifts her historian's gaze away from official statistics towards the records of local institutions and personal memories that reflect and give voice to lived experiences. Through the everyday interactions of policy makers, national and local administration, and communities, Zhou illustrates the dynamic relationship between politics and health, and between individual lives and the political system. Presenting case studies of the two internationally acclaimed public health initiatives in the PRC – the anti-schistosomiasis campaign and the Barefoot Doctor program – this book offers the first thorough, politically neutral analysis of their background, execution, and national and international repercussions.

Opening a unique window into the lives – and health care – of individuals living under communism, The People's Health examines the links between local interest, cultural sensibilities, resources, and abilities, exploring the often unforeseeable consequences of political planning and social engineering.

Reviews

"Zhou Xun's impressive study of the Maoist health system lifts the veil of official propaganda to explore the lived experience of the anti-schistosomiasis campaigns and the Barefoot Doctor program. In so doing she also raises important questions about the image and uses of China's policies in the discourse of post-war global health." Martin Gorsky, London School of Hygiene and Tropical Medicine

“Zhou’s richly evidenced work enhances our understanding of the intricate relationship between medicine, society and the state and thereby our understanding of contemporary China. Scholars and readers interested in modern Chinese history and public health in China would find this book particularly helpful.” Europe-Asia Studies

"Zhou Xun is to be commended. The People's Health is a valuable contribution to an understanding of the often-unforeseeable consequences of political planning and social engineering." Paul U. Unschuld, Charité, Medical University Berlin and author of Traditional Chinese Medicine: Heritage and Adaptation