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| Srl | Item |
| 1 |
ID:
171718
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| Summary/Abstract |
Social insurance in mainland China long catered to populations that were assumed to remain in one place permanently. In recent decades, however, internal and transnational labour migration has been on the rise. Building on existing research about internal migrants' social security, this study asks how different groups of external labour migrants cope with the social risk shifts induced by mobility. It focuses on documented migrants from UN member countries; from Taiwan, Hong Kong, and Macao; and on undocumented migrants. It employs the resource environment approach, which integrates a transnational perspective and acknowledges informal sources of security. Focusing on healthcare, the study argues that informal practices affect the majority of external migrants irrespective of nationality or migration status, protecting expatriates from double coverage, causing low-income migrants to fall through the gaps, but also enabling access to healthcare for undocumented migrants. Despite mandatory participation, effective migrant coverage of the Urban Employees' Social Insurance (UESI) remains low. The system is highly decentralized with incomplete internal and external portability, and cities have considerable leeway over their own migration and welfare regimes. Migrants from more socio-economically developed areas tend to have a greater reliance on public services and security from the sending areas, or on high-end private alternatives. Conversely, as the example of Nigerian traders illustrates, undocumented migrants piece together their protective arrangements from individual networks and community institutions. Religious organizations from the Global South also reach out transnationally and provide informal protections to migrant communities. This study employs a mix of ethnographic fieldwork, document analysis, and descriptive statistics.
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| 2 |
ID:
145127
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| Summary/Abstract |
In late 2002, the Chinese government launched an initiative to extend the coverage of health insurance in rural China with the New Rural Cooperative Medical System (NRCMS). It covered all of rural China by 2008 and is being continuously adapted and developed. This study explores two conflicting goals in the policy design: universal coverage and voluntary enrolment. Local governments often faced the problem that only insufficient numbers of villagers were enrolling voluntarily. They developed different strategies to cope with it: Complementary outpatient reimbursement via medical savings accounts (MSAs) effectively transferred villagers’ premiums back to them, thus making the NRCMS more attractive. Adapting the premium-collection process to the local context or utilising collusive practices allowed them to pay premiums on behalf of the villagers from the insurance funds. These strategies undermine the effectiveness of the NRCMS as a risk-pooling mechanism, facilitate latent coverage gaps and turn it into a tax-funded service.
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