Deliberative Democracy Nationwide?—Evaluating Deliberativeness of Healthcare Reform in China

Abstract

To date, China’s deliberative institutions have mainly been seen as small-scale mechanisms for controlling local social unrest. This paper explores how deliberative principles in China work at the national level. The case under scrutiny is China’s new healthcare reform. Drawing on the existing empirical studies, Chinese-language reports and articles, official document analysis, and on several unstructured interviews with Chinese academics, the article attempts to evaluate the extent to which deliberative democratic principles are present in the process of healthcare policy making. To achieve this analytical goal, it develops and applies five criteria of good deliberation. The analysis suggests that the public policy process in China is now more inclusive and pluralistic than it was in the past. This arguably indicates that China’s political system is moving in a new direction.