Fang Xiaoping is a Postdoctoral Research Fellow at the China Research Centre, the University of Technology, Sydney (UTS), Australia. He obtained Ph.D. in History from the National University of Singapore (NUS) in 2008. His research interests focus on the history of medicine and health in twentieth century China. He is the author of Barefoot Doctors and Western Medicine in China (New York: University of Rochester Press, 2012).
Abstract: In 1968, at the height of the Cultural Revolution, the Chinese Communist Party endorsed a radical new system of healthcare delivery for the rural masses. Soon every village had at least one barefoot doctor to provide basic medical care, which integrated the villages into a regional network of healthcare services for the very first time. The barefoot doctors attracted the attention of scholars and social commentators from their first appearance.
This seminar argues that the establishment of the rural medical system through barefoot doctors implanted medical institutionalization in Chinese villages through the construction of a hierarchical medical system, the formalization of medical encounters, and the codification of the medical community. It proposes a dumbbell-shaped structure to the evolution of the medical system and the origin of the current crisis in rural medicine, which the system has been undergoing since 1978. It discards the standard interpretation of the roles of barefoot doctors in the three-tier medical system, and dispels the myth that economic liberalization destroyed the provision of rural healthcare.