Abstract
This chapter examines local agency in healthcare reform. The case of healthcare is particularly intriguing because it took the most dramatic turn from the pro-growth model due to the SARS crisis. In other words, healthcare seems to the most difficult case for the local agency as the “return of the state” has been less ambiguous in national reform rhetoric. The 2009 healthcare reform announced ambitious plans for expansion of coverage through the employment- and residence-based health insurance, as well as mandated increase in government spending in Medical Aid. Beyond the progress, nonetheless, there have been persistent variations in levels of stratification and service delivery patterns at the local level driven by growth considerations and political institutional constraints.
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