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International Perspectives on Aging 20
Series Editors: Jason L. Powell, Sheying Chen
Tian-kui Jing
Stein Kuhnle
Yi Pan
Sheying Chen Editors
Aging
Welfare and
Social Policy
China and the Nordic Countries in
Comparative Perspective
International Perspectives on Aging
Volume 20
Series Editor:
Jason L. Powell
Department of Social and Political Science, University of Chester, Chester, UK
Sheying Chen
Department of Public Administration, Pace University, New York, NY, USA
The study of aging is continuing to increase rapidly across multiple disciplines. This
wide-ranging series on International Perspectives on Aging provides readers with
much-needed comprehensive texts and critical perspectives on the latest research,
policy, and practical developments. Both aging and globalization have become a
reality of our times, yet a systematic effort of a global magnitude to address aging
is yet to be seen. The series bridges the gaps in the literature and provides cutting-
edge debate on new and traditional areas of comparative aging, all from an
international perspective. More specifically, this book series on International
Perspectives on Aging puts the spotlight on international and comparative studies of
aging.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
The recognition, mutual learning, and comparative study of social welfare between
China and Nordic countries, as well as their welfare development experiences,
provide an excellent point of view that can open up a broad scope of thinking with
great value in both research and academic fields.
First of all, both China and Nordic countries have created an extremely valuable
welfare construction experience. The Nordic welfare model enjoys a widespread
global reputation. It is not only universal but also economically sustainable. These
“double-strength” features have withstood a series of tests ranging from the oil cri-
sis of the 1970s to the financial crisis beginning with the twenty-first century. The
Nordic model basically provides both political and social stability with a high
national happiness index. In particular, its scientifically designed welfare system
and its reliable operational mechanism are worthy of in-depth discussions academi-
cally. China’s welfare practice has gone through a complicated and arduous explo-
ration process. However, with detours and learning experiences, it has also made
remarkable achievements. Especially in the 40 years of reform and opening up,
China has established a comprehensive and complete welfare system covering 1.3
billion people. The Chinese system is not only the largest in terms of scale but also
the greatest in terms of generality. That is to say, in just a few decades, 800 million
Chinese people have come out of poverty. China’s contribution to global poverty
reduction has exceeded 70%; that is, China is also the country with the largest pov-
erty population reduction in the world. In addition, it is the first in the world to fulfill
the United Nations Millennium Development Goals. By 2020, China will histori-
cally eliminate absolute poverty, which will be a great moment in the history of the
Chinese nation. This rich experience of the Chinese system is also self-evident.
Second, the enormous differences between China and Nordic countries highlight
the distinctive characteristics of each welfare system and provide a unique
environment for comparative research. With the high levels of income in Nordic
countries and the relatively low per capita income in China, in terms of the welfare
system design, for example, the payment system, should reflect this difference.
Each Nordic country is a nation-state; although China has 56 ethnic groups, there
are also obvious differences in the unity and diversity of the system. The Nordic
v
vi Preface
countries do not have much difference between urban and rural living situations and
their regional disparities are also more balanced, whereas China has long
implemented a dual urban–rural system. Despite efforts to narrow the gap between
urban and rural areas in recent years, more time is clearly required to resolve this
problem. The regional disparities are caused by a much longer historical process.
All these factors have particularly emphasized the tremendous conflicts between
universalism and specialization in the welfare system. In comparison, these
differences between China and Nordic countries have enabled us to have a much
clearer, richer, and deeper understanding of the nature of welfare and its realization.
Third, and last, the common pursuit for the values of social welfare by both China
and Nordic countries makes it possible for them to reach consensus and consistent
conclusions. The Nordic countries have placed social welfare at the forefront with a
strong sense of government responsibility and a high degree of identification with citi-
zen recognition, forming a matured welfare culture tradition. In contrast, in China a
“Fu” (fortune) culture has existed since ancient times. As early as in the Xia, Yin, and
Zhou Dynasties, old-age benefits were already established. “Governing the Country
by Filial Piety” was further developed in the Han Dynasty. The central government of
the Han Dynasty established an “emperor stick” system for seniors. Since then, for
thousands of years, Chinese people have always maintained the tradition of family
support and mutual support for the elderly. Nowadays, taking the people’s well-being
as the ultimate goal of governance, the Communist Party of China and the Chinese
government have endeavored to improve and implement various welfare systems,
including social services for the elderly. It can be said that although China and Nordic
countries have different national and social environments, as well as public senti-
ments, their goal of pursuing the happiness of the people is the same. The government
and the society share a high degree of consensus. Therefore, mutual learning and
mutual recognition are not only necessary but also conscious actions by both parties.
Based on these foregoing considerations, the Sino-Nordic Welfare Laboratory in
the Chinese Academy of Social Sciences (CASS), under the support and sponsoring
of the Institute of Sociology of CASS and Sino-Nordic Welfare Research Network
(SNoW), has held the first session of a Sino-Nordic welfare forum with the title of
“Ageing Welfare & Social Policy.” This international seminar brought together
scholars from China, Nordic countries, the United States, Australia, and other Asian
countries from related academic and research areas, and they had a full exchange
and discussion on the welfare system, social policy, and especially welfare for aging
people between Sino and Nordic countries. This book, a revision and update of the
conference papers, is divided into two parts. The first part is a general study of the
welfare system of the Nordic welfare states and China. In his article “Welfare States
with Nordic Characteristics,” Stein Kuhnle wrote that the characteristics of the
Nordic welfare states are precisely as follows: emphasize the public awareness of
citizen welfare, the principle of universal population coverage, adherence to social
equality, and the normative basis of specific formal and informal mechanisms for
formulating social policies and achieving political agreement. In Dr. Yi Pan’s paper,
“Building a Welfare System with Chinese Characteristics,” she comprehensively
and systematically analyzed the three transition stages of China’s welfare develop-
Preface vii
ment process and pointed out that the development of China’s social welfare system
is moving toward moderate universalism: First, moderate universalism is designed
to meet all people’s basic needs, reflecting relative fairness and equality, rather than
pursuit of the ultimate average results; second, moderate universalism recognizes
that people have different abilities and provides all individuals with fair develop-
ment opportunities and equal benefits; and third, moderate universalism means that
standards and costs are not high, and the development is sustainable. In Mr.
Chunguang Wang’s article “Evolution and Construction of China’s Social Protection
System: A Discussion from the Perspective of Shared Development,” the main social
policies that constitute China’s social protection system are thoroughly dissected
from the three levels of legal validity, degree of protection, and sustainability. He
also compared the Chinese social protection system with the Japanese and Korean
social protection systems, pointing out that although China has built a fairly com-
plete social protection system, there are still problems such as inadequate coordina-
tion, weak protection capabilities, a low level of protection, and poor sustainability.
The second part is the main body of the book. In this part, numerous articles
discussed many aspects of elderly welfare from different perspectives. Among
these, the article by Sheying Chen and Jason L. Powell, “Aging in Community:
Historical and Comparative Study of Aging Welfare and Social Policy,” makes an
historical comparative study of aging, family, community, and social policy from
several aspects of aging welfare. It reveals the theme of the book with a comprehensive
understanding. Dr. Pan’s article, “Optimizing and Integrating Urban and Rural
Resources and Improving the Comprehensive Community Aged Services System—
Study on the Comprehensive Aged Care Service System in Shanghai, Gansu, and
Yunnan,” offers actual cases and a practical base for understanding the subject of the
book. Other articles introduced and discussed the elderly welfare and care services
in Norway (Rune Ervik), Sweden (Sven E.O. Hort), Finland (e.g., Minna Zechner
and Teppo Kröger), China (e.g., Haijun Cheng, Jitong Liu, Bingqin Li, Lijie Fang,
Jing Wang, and Bo Hu). All the authors are well-known experts in the field. Every
paper in this book is informative, analytical, and instructive.
I am grateful to the scholars from both Nordic countries and China for writing
and publishing this book. These authors contributed their long-term valuable
research results to this book. Dr. Yi Pan, a fellow researcher of the Chinese Academy
of Social Sciences, has studied in Nordic countries and the United Kingdom with a
doctoral degree in social policy. Professor Sheying Chen of China’s Tsinghua
University and also Pace University in the United States has long been engaged in
cross-national comparative studies on social welfare and social policies. They are
all outstanding experts in this field, and have devoted themselves to the writing and
publishing of this book. My special thanks also go to Springer International
Publishing Company for their support for the comparative study of social welfare in
China and Nordic countries!
I sincerely welcome your comments and suggestions in the hope that this book
will further promote the study of social welfare in the world.
ix
x Contents
Part IV China
9 Social Construction, System Defects, and System Quality
of a Welfare Policy and Regulation Framework for the Elderly
of China���������������������������������������������������������������������������������������������������� 141
Jitong Liu and Yu Liu
10 Social Organisations and Old Age Services in Urban
Communities in China: Stabilising Networks? ������������������������������������ 169
Bingqin Li, Lijie Fang, Jing Wang, and Bo Hu
11 Community Based Social Services for the Elderly
in Urban-Rural China: Investigations in Three Provinces������������������ 211
Yi Pan
12 Appendix: China’s Elderly Care Policy and Its Future Trends���������� 233
Haijun Cheng
Index������������������������������������������������������������������������������������������������������������������ 239
Contributors
xi
xii Contributors
Stein Kuhnle
Welfare states come in different sizes, forms and shapes, thus it is not possible to
speak about the welfare state. It is commonly agreed upon that the origins of the
Western welfare state date back to the last quarter of the nineteenth century, and
are closely associated with major social, economic and political transformations at
the time (Castles, Leibfried, Lewis, Obinger, & Pierson, 2010). Great societal trans-
formations of industrialization, rise of capitalism, urbanization and population
growth paved way for a new role of the state as to welfare responsibility for its citi-
zens. Traditional forms of welfare provision offered by families, guilds, voluntary
organizations and charities, churches and local communities came to be seen by
many people in authoritative positions as insufficient welfare providers. The last
two decades of the nineteenth century mark the “take-off of the modern welfare
state” (Flora & Alber, 1981), and inaugurated the emergence and growth of social
insurance-like policies. The great societal transformations were conducive to a
“new thinking” about the social role of the state: Should the state take a more active
social role, and if so, in what way? On entering the twentieth century, social policy
and welfare emerged to become a crucial issue on the political agenda, first and
foremost in Western countries, whether democratic or authoritarian, and already
from the beginning significant variations among Western nations could be observed.
The foundations for a divide between a social insurance model premised on an
application of relatively pure insurance principles (continental Europe) and a social
citizenship model premised on universal tax-based provision (Scandinavia, Britain,
The paper was originally presented at the International Seminar on Ageing Welfare and Social
Policy, 20–21 June 2015, Chinese Academy of Social Sciences, Beijing.
S. Kuhnle (*)
Department of Comparative Politics, University of Bergen, Bergen, Norway
e-mail: stein.kuhnle@uib.no
1
The label can vary. Sometimes the Nordic experience of welfare state development is referred to
as “the Scandinavian welfare model” or “the social-democratic welfare model”, or it is referred to
as nation-specific models, e.g. “the Danish-”, “the Norwegian-” or “the Swedish model”. My first
publication on “the Scandinavian model” was published (in Norwegian) in 1990 (Kuhnle, 1990).
2
Parts of the text in this section build on Alestalo, Hort, and Kuhnle (2009).
1 Welfare States with Nordic Characteristics 5
the Swedish development (Childs, 1936). The “middle way” was one between high
degree of unregulated capitalism on the one side and authoritarian/totalitarian sys-
tems and ideologies on the other (Nazism in Germany; Communism under Stalin in
the Soviet Union). The decade before the outbreak of World War II in Europe is
marked by the social democratic parties ascending to political power in the Nordic
countries, most particularly in the three Scandinavian countries, Denmark, Norway
and Sweden. In the same decade, major agreements between the trade union move-
ments and employers’ associations were made (except in Denmark, where such an
agreement was made already in 1899, as the first country in the world), to define
rules for the process of negotiating work conditions and wages, and the embryonic
development towards the post-war regular contact and cooperation channels
between the organizations in the labour market and governments was initiated. This
was, and has become, a kind of neo-corporatist system of governance complement-
ing the system of governance manifested through general elections of representa-
tives of various political parties to parliaments, and governments being formed on
the basis of parliamentary majorities of general or case-by-case support (in the latter
instance if only minority governments can be formed).
The notion of a distinctive Nordic type of welfare state has (had) normative con-
notations, most often of a positive nature, as an example of a model to follow
towards a “good society”, understood as generally high level of well-being, little
poverty, and egalitarian income distributions, but sometimes also of a negative
nature, as something to be avoided, given presumed undesirable economic effects of
too much emphasis on public responsibility and equality. The recognized British
liberal-conservative weekly magazine The Economist has over a short period of
time displayed an ambiguous attitude: in its special annual issue at the end of 2006,
it spelled out the scenario or “forecast” for political developments in different parts
of the world for the following year. It was said that: “It is widely thought that the
Nordic countries have found some magic way of combining high taxes and lavish
welfare systems with fast growth and low unemployment…Yet, the belief in a spe-
cial Nordic model, or “third way”, will crumble further in 2007” (The Economist,
December 2006). But, in its regular weekly issue of 2 February 2013, after the most
critical years of the financial crisis, a recession and austerity policies in Europe, it
presented a cover page and devoted a special section to “The next supermodel: Why
the world should look at the Nordic countries” (The Economist, 2 February 2013).
So, which perspective is most convincing: that the Nordic model is fading away, or
that it is becoming a “supermodel”? Or is the future somewhere between “no model”
and “supermodel”?
There exist many different conceptions of “the Nordic welfare model”, and some
may even claim that “there is no such thing as a Nordic model” (Ringen, 1991),
meaning that welfare states do not come as types or models, and that the experience
and institutions of each state are unique. Although the conception of models, and a
Nordic welfare model being one, is a construction, a simplification of reality, I find
it analytically useful to distinguish between “types” or “models” of welfare and
relating to various welfare states as proximate empirical examples.
6 S. Kuhnle
Since the 1980s, based on results from a number of comparative studies of welfare
states, the concept of a “Nordic” or “Scandinavian model” or “welfare regime type”
has successfully entered our vocabulary, whether that of international organizations,
that of scholars and that of mass media covering the Nordic countries. As men-
tioned, for the most part the concept has a positive connotation, but not always, this
being dependent upon context, time period and the ideological eyes of the observer.
To put it crudely, neo-liberals and old Western marxists seem to share a sceptical
view, while social democrats and moderate conservatives and liberals more gladly
than most bring out a strongly positive view. In fact, many Nordic social democrats
will claim that it is their model, but in a historical perspective that is much too sim-
plistic.3 Within the Nordic countries the notion is generally positively laden to the
extent that political parties have competed for the “ownership” of the kind of politi-
cal system and welfare state that the concept is seen to denote. The concept is broad,
vague and ambiguous, but it is a helpful reference for observers of varieties of
market-oriented welfare democracies (cf. Leibfried & Mau, 2008). But we can also
observe that European welfare states seem to be on a track of mutual learning, in
particular in the areas of family and labour market policies (Borrås & Jacobsson,
2004), implying that European welfare state models are becoming more intermixed
and less distinct (Cox, 2004; cf. also Abrahamson, 2002).
I use the concepts of “Scandinavian” and “Nordic welfare states”, or
“Scandinavian” and “Nordic welfare model” interchangeably. All of these concepts
are used in the literature. In geographic terms, the “Scandinavian” reference would
include the mountainous peninsula of Norway and Sweden, plus Denmark, while
“Nordic” includes Finland and Iceland as well. For historical, institutional, cultural
and political reasons, since Nordic regional political, institutionalized cooperation
have developed since the 1950s, e.g. creation of a passport union, a free Nordic
labour market and a “social union”, I think the concepts “Scandinavian” and
“Nordic” can be used interchangeably (cf. also Hilson, 2008). In terms of “welfare
states” or “welfare models” the five countries, with some exceptions for Iceland,
also share a number of characteristics. If we accept the notion of a Nordic welfare
model, the analytical findings of a very comprehensive literature can be summa-
rized in three master statements, the Nordic welfare state is about: Stateness;
Universality; and Equality. In addition, I think a further element, which goes
beyond pure characteristics of the welfare system, must be included in order to
understand how the evolution of “the politics of welfare”—how formal and infor-
mal systems of governance—has impacted the welfare state and continuous reform
efforts and decisions.
3
The Swedish Social Democratic Party has, much to the surprise of many Nordic scholars in the
field, in fact in 2014 got “The Nordic Model” accepted as their trademark by the Swedish agency
for patent and trademark registration (“Patent- och registreringsverket”). The Nordic Council of
Ministers has, correctly in my opinion, protested such an attempt at political monopolization of the
concept.
1 Welfare States with Nordic Characteristics 7
1.3 Stateness
The Nordic welfare model is first of all based on an extensive prevalence of the state
and the public sector in the welfare arrangements. The stateness of the Scandinavian
countries has long historical roots and the relationship between the state and the
people can be considered as a close and positive one. The implication is not that the
state sends “… rain and sunshine from above” (Marx, 1852/1979, pp. 187–188), but
rather that the twentieth century state has not been perceived as a coercive apparatus
of oppression in the hands of the ruling classes. It rather has, for most of the time,
developed as a peaceful battleground of different classes assuming an important
function “as an agency through which society can be reformed” (Korpi, 1978,
p. 48). The stateness implies weaker influence of intermediary structures (church,
voluntary organizations, etc.), but it includes “relatively strong elements of social
citizenship and relatively uniform and integrated institutions” (ibid.).The class com-
promise [of the 1930s] was an important element in the making of the Scandinavian
type of welfare state (Flora, 1986, pp. xvii–xx). The role of the state is seen in exten-
sive public services and public employment and in many taxation-based cash ben-
efit schemes. It should be remembered, however, that social services are mostly
organized at the local level by numerous small municipalities that makes the inter-
action between the decision makers and the people rather intimate and intensive.
“The difference between public and private, so crucial in many debates in the
Anglo-American countries, was of minor importance in the Scandinavian coun-
tries” (Allardt, 1986, p. 111). For example, until recently it has been considered
legitimate for the state to collect and publish tax records of individual citizens. It is
probably no accident that Sweden and Finland have the oldest population statistics
in the world.
1.4 Universalism
In the Nordic countries, the principle of universal social rights is extended to the
whole population. Services and cash benefits are to a lesser extent than elsewhere
targeted towards the have-nots as they are universal in character and also cover the
middle- and high-income classes. In short: “All benefit: all are dependent; and all
will presumably feel obliged to pay” (Esping-Andersen, 1990, pp. 27–28). The uni-
versalistic character of the Nordic welfare state has been traced to “both idealistic
and pragmatic ideas promoted and partly implemented” in the making of the early
social legislation in the years before and after the turn of the twentieth century.
Social security programmes were initiated at the time of the political and economic
modernization of the Scandinavian countries and the idea of universalism was at
least a latent element of the “nation-building” project. And, secondly, the similar
life chances of poor farmers and poor workers contributed to the recognition of
similar risks and social rights: Every citizen is potentially exposed to certain risks.
8 S. Kuhnle
Thirdly, especially after the Second World War, there has been a strong tendency to
avoid the exclusion of people with poor means in Scandinavia. And finally, there has
been a very pragmatic tendency to minimize the administrative costs by favouring
universal schemes instead of extensive bureaucratic means-testing (Kildal &
Kuhnle, 2005; Kuhnle & Hort, 2004, pp. 9–12). As of the early 1970s all Nordic
countries had established universal coverage of old age pensions systems, sickness
insurance, medical care, occupational injury insurance, child allowances and paren-
tal leave schemes. The unemployment insurance was (and is) in principle universal
and compulsory in Norway only, while merely trade union members were covered
in the other countries, but all unemployed are entitled to cash benefits within some
programme. The same overall institutional pattern has persisted until this day, but
continuous reform activity has generally, although with variations among the Nordic
countries, led to various modifications in e.g. pension programmes (with a strength-
ening of the insurance principle) and unemployment insurance, and to more co-
payment in the health sector. Current developments indicate a move towards a more
mixed welfare system, where the role of private pension and health insurance will
increase, but more as supplement to public welfare and without jeopardizing the
basic idea of universalism.
1.5 Equality
The historical inheritance of the Nordic countries is that of fairly small class,
income, and gender differences, although the full implementation of gender equal-
ity policies, with concomitant norms and popular expectations, came relatively late,
in the post-World War II period. The Scandinavian route towards the modern class
structure was paved with the strong position of the peasantry, the weakening posi-
tion of the landlords, and with the peaceful and rather easy access of the working
class to the parliamentary system and to labour market negotiations. This inheri-
tance is seen in small income differences and in the almost non-existence of poverty
(Fritzell & Lundberg, 2005, pp. 164–185; Ringen & Uusitalo, 1992, pp. 69–91).
The combination of progressive income tax systems and universal, and relatively
generous, social security and welfare systems has implied redistribution, little pov-
erty (in relative and absolute terms) and egalitarian income distributions. According
to recent OECD statistics, all five Nordic countries are among the 8–10 nations of
the world with the most equal distribution of disposable household income,4 with
Denmark, Norway and Sweden among the top five. Moreover, Scandinavia is
famous for her—comparatively speaking—small gender differences. When the
municipalities share a great part of the responsibilities for childcare and care of the
old and disabled and when the employment rates of women are high, the gender
differences play a lesser role in the Nordic countries than in other parts of the
4
This statement on most equal “in the world” is most likely justified although the OECD statistics
only cover its 34 member countries.
1 Welfare States with Nordic Characteristics 9
advanced world (cf. Lewis, 1992; Sainsbury, 1999). Keeping in mind the relatively
high level of welfare benefits, the extensive public services, and women’s relatively
good position in the labour market it has been, somewhat ironically, pointed out that
Scandinavian men are “emancipated from the tyranny of the labour market and
Scandinavian women are emancipated from the tyranny of the family” (Alestalo &
Flora, 1994, pp. 54–55).
dramatic economic downturn partly caused by the break-down of the Soviet Union
and an abrupt loss of substantial foreign trade. “Consensual democracies” is a term
that generally fits developments since the mid-1930s, and particularly since 1945,
also reflected in several book titles (Elder, Thomas, & Arter, 1988; Rustow, 1955).
Consensus-making has become an important element of Nordic politics partly for
the simple fact that coalition governments are the rule—especially in Denmark and
Finland—, and—in particular for Denmark, Norway and Sweden—the prevalence
of minority coalition governments. Denmark is a world champion when it comes to
scope of minority governments. The Nordic tradition of what can be called “nega-
tive parliamentarism”—that the government does not have to be positively or con-
structively based on a majority in the parliament nor to be installed by a parliamentary
majority—has logically appealed to the art of making political compromises: sus-
tainable political decisions can hardly be made without parties in advance consult-
ing each other, creating mutual trust, and without government parties consulting
opposition parties at any time. The consensual style of Nordic politics and the expe-
rience of long-term multiparty parliamentary and/or governmental responsibilities
is one reason why it makes more sense to use the geographical adjective “Nordic”
rather than – as many of my social science colleagues do – use the narrower,
political-ideological adjective “social democratic” when naming the “model”. A
partial exception to this picture is Sweden, where the Social Democrats throughout
the twentieth century had a more dominant position, and where debates on princi-
ples of social reforms at times appear to have been more polarized (Lindbom &
Rothstein, 2004).
A note must also be made on the development of Nordic cooperation in the field of
social policy—and the consolidation of a Nordic identity—as factors being condu-
cive to the development of the Nordic (welfare) model. The development of formal
inter-Scandinavian cooperation between parliamentarians started already in 1907.
In this field of policy, the first of many regular joint Scandinavian top political-
administrative meetings took place in Copenhagen in 1919. Finland and Iceland
joined these meetings in the 1920s, and according to an overview provided by
Petersen (2006) there were over the years 14 such Nordic meetings of social policy-
makers before the Nordic convention on social security was decided in 1955, after
the establishment of the Nordic Council in 1952, and which Finland was “allowed”
(by the Soviet Union) to join in 1955. These developments inaugurated sustained
Nordic cooperation to this day across many public policy areas. A common, com-
parative and comparable, Nordic social statistics was established in 1946. Not least
the fact that the Nordic countries pioneered transnational regional cooperation after
World War II has been conducive to the maturing of a concept of a “Nordic model”.
And this cooperation developed in spite of different foreign policy orientations—
differences mainly due to the war experience and geopolitical realities during the
1 Welfare States with Nordic Characteristics 11
A last reflection should be added, namely that the particular Nordic combination of
stateness, universalism, equality, forms of governance, and let me also include
cross-national cooperation, taken as a whole, distinguishes the Nordic welfare states
from other Western welfare states. This combination of political organization, poli-
cies, institutions, principles, and social and economic outcomes, has—in compari-
son with other Western countries and types of welfare states—not been a brake on
long-term economic development and growth (as measured by growth of GDP and
GDP per capita), and it has been conducive to high levels of trust in government
institutions, including trust in an efficient and effective public administration, and
high levels of social and political stability. Comprehensive, egalitarian and rela-
tively generous welfare states can go hand-in-hand with efficient and productive
market economies.
The Nordic countries are traditionally open economies and thus not alien to eco-
nomic globalization. Some would say that this is one of the reasons why “strong”
welfare states have developed in this region of Europe (Katzenstein, 1985).
Globalization and internationalization of the economy has increased during the last
25 years, and made national economies in general more vulnerable to what happens
in the international economy, as the recent global financial crisis has shown. The
Nordic countries are of course also more than before exposed to international
12 S. Kuhnle
economic development, but the existence of well-developed welfare states, with the
characteristics referred to, may in fact be a comparative advantage if a crisis looms.
The welfare state can serve as a buffer towards the risk of sudden increases in pov-
erty and income and social inequality, and the political tensions likely to otherwise
follow from such social upheavals.
Other challenges for the Nordic—as other welfare states—are the changing com-
position of the population given an ageing of the population and persistent lower-
than-population-reproduction fertility rates. But demographic changes seem to be
less challenging in the Nordic countries than in many other nations, in Europa and
East Asia. Migration patterns are a bigger “unknown”, and large-scale immigration
can, if it occurs, imply a great challenge for the welfare state as such, and for inte-
gration and social cohesion, but it is a question of what kind of immigration (labour
immigrants; skilled or non-skilled; asylum-seekers; immigration for permanent resi-
dency or for short-term labour?; from where?, etc.) when one shall assess the impact
or significance for the organization, financing and provisions of the welfare state.
Trends towards more privatization of welfare (pensions, health, social care) as
a supplement (or alternative) to public welfare provision can imply a development
towards mixed welfare and a social division of welfare in the future, which may
most likely have implications for both “the politics of welfare” and the format of
state welfare state institutions (less universal? less generous?). On the other hand,
development towards increasing inequality is not popular among the majority of
voters and government and parties may be forced to devise policies to modify
inequalities.
Europeanization of social policy represents another challenge—for better or
worse, also for political decision-making since it may mean less national autonomy
in the field of social policy.
General reform tendencies in Europe over the last two decades are evident in the
field of pensions, health policy and labour market reforms, with more emphasis on
individual responsibility for future pensions; more co-payment in medical or
health care; more targeting of welfare provision and more emphasis on the so-called
“work line”—activation policy with efforts to get unemployed and partially dis-
abled persons back into the labour market. On the other hand, “family policies”
making it possible to reconcile work and family (paid parental leave; kindergartens)
have expanded in most European countries—and beyond Europe. The welfare state
in the Nordic countries and elsewhere has not been substantially de-constructed, but
rather re-constructed with a variety of combinations of benefit cuts (“less of the
same”) and stricter eligibility criteria for receiving benefits (e.g. unemployment
benefits; increase of retirement age).
The Nordic welfare model is not static. It is continuously reforming, adapting to
changing demographic, economic and political challenges, but still retaining the
fundamental characteristics as outlined above. Nordic welfare states have had their
ups and downs during the last four to five decades, but have in a long-term perspec-
tive appeared to be fairly robust and viable. The Nordic countries did not decon-
struct their welfare states, or their public sectors, or their taxation basis in the heyday
of neo-liberalism and the “Washington consensus”. There exists a politically strong
1 Welfare States with Nordic Characteristics 13
normative commitment to the welfare state and a high degree of consensus on its
desirability among main actors. There exists a comparatively speaking high citizen
trust in government institutions which reinforces the legitimacy of the welfare state
construction.
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Chapter 2
Building a Welfare System with Chinese
Characteristics: From a Residual Type
to Moderate Universalism
Yi Pan
2.1 Introduction
In 2017, the 19th National Congress of the Communist Party of China (CPC) stated
that the main contradiction of China’s society has changed as socialism with Chinese
characteristics entered a new era: the contradiction between the growing needs of
the people for a better life and unbalanced and inadequate development. Here, a
better life can be explained as well-being, and resolving the contradictions between
growing needs and inequality and inadequacy can be understood as relying on the
construction of a welfare system. Well-being is the goal of all people’s lives, and the
social welfare system is the condition and design to ensure its realization. Under the
new situation, the Chinese welfare system needs to be repositioned: a residual
welfare system with unbalanced and inadequate development needs to be rebuilt as
a welfare system with the principle of moderate universalism.
The development of China’s welfare system has undergone three stages: creation,
reform (coexistence of destruction and innovation), and re-structuring. Looking
back on the course of the construction of China’s welfare system in the past 70 years,
Y. Pan (*)
Institute of Sociology, Chinese Academy of Social Sciences, Beijing, China
e-mail: panyi@cass.org.cn
its development has undergone several twists and turns. The welfare system has
developed from the time of state-planned economy domination, to a period of the
state emphasizing an economic reform to be market oriented, and then the govern-
ment put forward the construction of the welfare system with moderate universal-
ism. The reform toward a market economy caused changes in the welfare system. A
welfare system under the socialist planned economic system that was created in the
early days of the People’s Republic of China, with the characteristics of low levels
and wide coverage, has been transformed into a social security system with obvious
features of a residual type, with only some of the people possessing it, and partial
protection measures.
After 1949, with the creation of the People’s Republic of China (PRC), the
Chinese socialist welfare system was established, which was based on the principle
of planned economy. In the urban welfare system, the state took the responsibility
of the policy and budget (making regulations and provision of financial support),
and the work units were responsible for the administration of welfare relief and
services (organization and operation). In urban areas, all the welfare benefits
depended on employment. The welfare items included healthcare, medical services,
education, pensions, work-related injuries, housing policies, heating subsidies,
transportation subsidies, and other benefits for women and infants. Because the
work unit provided many benefits, the urban welfare system called the work unit as
a small society. Social assistance in urban areas also included various welfare
institutions to take care of such special groups as “San Wu” (the ‘three no’s:’ people
who have no work ability, no source of livelihood, and no family support), who were
accepted into the social welfare institution.
The rural welfare policy is based on land guarantee, implementing social assis-
tance (including natural disaster relief and poverty assistance), a basic compulsory
education system, a five-guarantee system (that is, providing food, clothing, hous-
ing, healthcare, and funeral services for elderly people who have no family), a coop-
erative medical system, and collective support under a collective economic system.
The rural welfare pattern, called collective welfare, emphasizes mutual help and
other informal support, such as family, relatives, friends, or neighbors.
The welfare system is under a dual social–economic system. By guaranteeing a
relative high living standard for urban residents, by transferring abundant products
from rural areas into city and rural areas with the limitation of formal welfare
provision, the state accomplished its industrial primitive accumulation during the
first decade of the establishment of the PRC, particularly during 1953–1957, to
establish a foundation of industrialism. Although the development of an industry
system leads to inequality between rural and urban areas, the foundation of the
welfare regime in China was built in this period, based on the socialist justice
principle and the guarantee of basic life requirements. This is the first time in the
history of China that the state has established a welfare system for all the people. In
the primary accumulation period, the welfare system is established on the premise
of the priority development of industrial production; although it is based on the dual
structure in urban and rural areas, its purpose is to cover the basic needs of all the
people in all aspects.
2 Building a Welfare System with Chinese Characteristics: From a Residual Type… 17
Since the 1970s, after the beginning of economic reform, the government has
tried to develop a more effective social security system suitable for the market
economy. The social policy of China is beginning to serve economic policy, which
is also deeply influenced by the transition of the western welfare state. During the
1970s, in Europe, the Labour Party had transformed into the New Labour, and
laissez-faire capitalism was dominant. The Western countries were in “transition
from industrial capitalism to financial capitalism (neoliberalism)” (Taylor, 2017).
The international society advocated a reform of welfare privatization, scaling back
the government’s social welfare spending and supply.
During this period, China has advocated welfare individual responsibility and
emphasized the welfare system’s marketization principle and the socialization of
social welfare. The welfare system of the city based on the work unit collapsed, and
the work unit, which used to be called the small society, has become the pure
enterprise production unit. The social security system in the city includes various
insurances such as the pension, medical, industrial injury, unemployment, and other
social insurances. Rural collective welfare has declined with the disintegration of
the people’s commune and the collective economy.
As Anthony Saich, a professor at Harvard University in the United States, has
assessed the reform of the Chinese welfare system at this time: “The responsibility
for the provision of services in the welfare system has shifted from government,
work units or village collectives of rural areas to local governments, families and
religions, even market-oriented organizations” (2012). The result of welfare reform
in Western countries is a rise in social exclusion and poverty, and “increasing
inequality in income, health care and opportunities of life within and between
countries” (Taylor, 2017). In contrast to the trend of neoliberalism, in China the
relevant departments of the state explore the establishment of a rural social security
system, including rural old-age insurance and disaster relief insurance, and have
started a large range of poverty relief and disaster relief measures. By 2017, 800
million Chinese people got out of poverty. The welfare regime in this period is a
social security system with social relief and social insurance characteristics.
Since 2003, China’s welfare system has started to be reconstructed under the
guidance of “people-oriented and building a harmonious society.” In 2003, the third
plenary session of the 16th Central Committee of the CPC of China puts forward the
scientific development idea of “people-oriented and a comprehensive sustainable
development.” The fourth plenary session of the 16th Central Committee of the
CPC puts forward the concept of “building a harmonious socialist society.” in 2007,
the 17th National Congress of the CPC calls for “accelerating social construction
and paying attention to the living standards of the people.” It is clear that the key
issue of “building a harmonious socialist society” is that “all citizens have the rights
to receive education, remuneration, employment, medical care and housing.” Under
this stated guiding ideology, the speed of the construction of a social security sys-
tem in China has quickened, and development of the welfare system under the new
situation is beginning.
Social assistance programs have been expanded and improved. Since 2003,
China’s social assistance system has introduced new items, including housing,
18 Y. Pan
medical, and educational relief policies. In 2016, a total of 14.799 million people in
China received the subsidies of the Minimum Living Security for Urban Residents,
45.765 million people received the subsidies of the Minimum Living Security for
Rural Residents, and 4.969 million rural people received rural special hardship
support.
The coverage of the population by social insurances has expanded. The social
insurance system is composed of “five social insurances and one housing fund,”
which has been established and developed rapidly. In 2016, 378.62 million urban
employees and 508.47 million urban and rural residents participated in the basic old-
age insurance. But in 2002, only 82 million people were covered by basic old-age
insurance. In 2016, 748.39 million people were enrolled in basic medical insurance,
compared with 100 million in 2002. In 2016, 180.89 million people were covered by
unemployment insurance, compared with 4.4 million in 2002. The coverage of work
injury insurance reached 218.87 million people in 2016, compared with 45.75 mil-
lion in 2002. Maternity insurance covered 184.43 million people in 2016, compared
to 35 million in 2002 (National Bureau of Statistics, 2016) (Fig. 2.1).
Public expenditure on social welfare continues to grow. In 2007, expenditure for
education accounted for 2.9% of the gross domestic product (GDP) of the year, and
in 2016 it was 3.77%; public expenditure on medical services was 0.8% in 2007,
and 1.77% in 2016; public expenditure for social security and employment
accounted for 0.2% in 2007, and in 2016 it was 2.9%; housing accounted for 0.8%
of GDP in 2011, and was 0.9% in 2016; public service spending was 2.3% of GDP
in 2011; and urban and rural community construction accounted for 2.5% of GDP
in 2016.
2002 2016
88709
74839
21887
18089 18443
8200 10000
4575 3500
440
Fig. 2.1 Coverage expansion of social insurances in China (unit: 10,000 people)
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contrapuntal music was native to these vaultings. The incorporeal
world of this music was and remained that of the first Gothic, and
even when, much later, polyphonic music rose to such heights as
those of the Matthew Passion, the Eroica, and Tristan and Parsifal, it
became of inward necessity cathedral-like and returned to its home,
the stone language of the Crusade-time. To get rid of every trace of
Classical corporeality, there was brought to bear the full force of a
deeply significant Ornamentation, which defies the delimiting power
of stone with its weirdly impressive transformations of vegetal,
animal and human bodies (St. Pierre in Moissac), which dissolves all
its lines into melodies and variations on a theme, all its façades into
many-voiced fugues, and all the bodiliness of its statuary into a
music of drapery-folds. It is this spirituality that gave their deep
meaning to the gigantic glass-expanses of our cathedral-windows
with their polychrome, translucent and therefore wholly bodiless,
painting—an art that has never and nowhere repeated itself and
forms the completest contrast that can be imagined to the Classical
fresco. It is perhaps in the Sainte-Chapelle at Paris that this
emancipation from bodiliness is most evident. Here the stone
practically vanishes in the gleam of the glass. Whereas the fresco-
painting is co-material with the wall on and with which it has grown
and its colour is effective as material, here we have colours
dependent on no carrying surface but as free in space as organ
notes, and shapes poised in the infinite. Compare with the Faustian
spirit of these churches—almost wall-less, loftily vaulted, irradiated
with many-coloured light, aspiring from nave to choir—the Arabian
(that is, the Early-Christian Byzantine) cupola-church. The
pendentive cupola, that seems to float on high above the basilica or
the octagon, was indeed also a victory over the principle of natural
gravity which the Classical expressed in architrave and column; it,
too, was a defiance of architectural body, of “exterior.” But the very
absence of an exterior emphasizes the more the unbroken
coherence of the wall that shuts in the Cavern and allows no look
and no hope to emerge from it. An ingeniously confusing
interpenetration of spherical and polygonal forms; a load so placed
upon a stone drum that it seems to hover weightless on high, yet
closing the interior without outlet; all structural lines concealed;
vague light admitted, through a small opening in the heart of the
dome but only the more inexorably to emphasize the walling-in—
such are the characters that we see in the masterpieces of this art,
S. Vitale in Ravenna, Hagia Sophia in Constantinople, and the Dome
of the Rock[237] in Jerusalem. Where the Egyptian puts reliefs that
with their flat planes studiously avoid any foreshortening suggestive
of lateral depth, where the Gothic architects put their pictures of
glass to draw in the world of space without, the Magian clothes his
walls with sparkling, predominantly golden, mosaics and arabesques
and so drowns his cavern in that unreal, fairy-tale light which for
Northerners is always so seductive in Moorish art.
VI
The phenomenon of the great style, then, is an emanation from
the essence of the Macrocosm, from the prime-symbol of a great
culture. No one who can appreciate the connotation of the word
sufficiently to see that it designates not a form-aggregate but a form-
history, will try to aline the fragmentary and chaotic art-utterances of
primitive mankind with the comprehensive certainty of a style that
consistently develops over centuries. Only the art of great Cultures,
the art that has ceased to be only art and has begun to be an
effective unit of expression and significance, possesses style.
The organic history of a style comprises a "pre—," a "non—" and a
"post—." The bull tablet of the First Dynasty of Egypt[238] is not yet
“Egyptian.” Not till the Third Dynasty do the works acquire a style—
but then they do so suddenly and very definitely. Similarly the
Carolingian period stands “between-styles.” We see different forms
touched on and explored, but nothing of inwardly necessary
expression. The creator of the Aachen Minster “thinks surely and
builds surely, but does not feel surely.”[239] The Marienkirche in the
Castle of Würzburg (c. 700) has its counterpart in Salonika (St.
George), and the Church of St. Germigny des Près (c. 800) with its
cupolas and horseshoe niches is almost a mosque. For the whole of
West Europe the period 850-950 is almost a blank. And just so to-
day Russian art stands between two styles. The primitive wooden
architecture with its steep eight-sided tent-roof (which extends from
Norway to Manchuria) is impressed with Byzantine motives from
over the Danube and Armenian-Persian from over the Caucasus.
We can certainly feel an “elective affinity” between the Russian and
the Magian souls, but as yet the prime symbol of Russia, the plane
without limit,[240] finds no sure expression either in religion or in
architecture. The church roof emerges, hillock-wise, but little from
the landscape and on it sit the tent-roofs whose points are coifed
with the “kokoshniks” that suppress and would abolish the upward
tendency. They neither tower up like the Gothic belfry nor enclose
like the mosque-cupola, but sit, thereby emphasizing the
horizontality of the building, which is meant to be regarded merely
from the outside. When about 1760 the Synod forbade the tent roofs
and prescribed the orthodox onion-cupolas, the heavy cupolas were
set upon slender cylinders, of which there may be any number[241]
and which sit on the roof-plane.[242] It is not yet a style, only the
promise of a style that will awaken when the real Russian religion
awakens.
In the Faustian West, this awakening happened shortly before A.D.
1000. In one moment, the Romanesque style was there. Instead of
the fluid organization of space on an insecure ground plan, there
was, suddenly, a strict dynamic of space. From the very beginning,
inner and outer construction were placed in a fixed relation, the wall
was penetrated by the form-language and the form worked into the
wall in a way that no other Culture has ever imagined. From the very
beginning the window and the belfry were invested with their
meanings. The form was irrevocably assigned. Only its development
remained to be worked out.
The Egyptian style began with another such creative act, just as
unconscious, just as full of symbolic force. The prime symbol of the
Way came into being suddenly with the beginning of the Fourth
Dynasty (2930 B.C.). The world-creating depth-experience of this soul
gets its substance from the direction-factor itself. Spatial depth as
stiffened Time, distance, death, Destiny itself dominate the
expression, and the merely sensuous dimensions of length and
breadth become an escorting plane which restricts and prescribes
the Way of destiny. The Egyptian flat-relief, which is designed to be
seen at close quarters and arranged serially so as to compel the
beholder to pass along the wall-planes in the prescribed direction,
appears with similar suddenness about the beginning of the Fifth
Dynasty.[243] The still later avenues of sphinxes and statues and the
rock- and terrace-temples constantly intensify that tendency towards
the one distance that the world of Egyptian mankind knows, the
grave. Observe how soon the colonnades of the early period come
to be systems of huge, close-set pillars that screen off all side-view.
This is something that has never reproduced itself in any other
architecture.
The grandeur of this style appears to us as rigid and unchanging.
And certainly it stands beyond the passion which is ever seeking and
fearing and so imparts to subordinate characters a quality of restless
personal movement in the flow of the centuries. But, vice versa, we
cannot doubt that to an Egyptian the Faustian style (which is our
style, from earliest Romanesque to Rococo and Empire) would with
its unresting persistent search for a Something, appear far more
uniform than we can imagine. It follows, we must not forget, from the
conception of style that we are working on here, that Romanesque,
Gothic, Renaissance, Baroque and Rococo are only stages of one
and the same style, in which it is naturally the variable that we and
the constant that men of other eyes remark. In actual fact, the inner
unity of the Northern Renaissance is shown in innumerable
reconstructions of Romanesque work in Baroque and of late Gothic
work in Rococo that are not in the least startling. In peasant art,
Gothic and Baroque have been identical, and the streets of old
towns with their pure harmony of all sorts of gables and façades
(wherein definite attributions to Romanesque or Gothic Renaissance
or Baroque or Rococo are often quite impossible) show that the
family resemblance between the members is far greater than they
themselves realize.
The Egyptian style was purely architectural, and remained so till
the Egyptian soul was extinguished. It is the only one in which
Ornamentation as a decorative supplement to architecture is entirely
absent. It allowed of no divergence into arts of entertainment, no
display-painting, no busts, no secular music. In the Ionic phase, the
centre of gravity of the Classical style shifted from architecture to an
independent plastic art; in that of the Baroque the style of the West
passed into music, whose form-language in its turn ruled the entire
building art of the 18th Century; in the Arabian world, after Justinian
and Chosroes-Nushirvan, Arabesque dissolved all the forms of
architecture, painting and sculpture into style-impressions that
nowadays we should consider as craft-art. But in Egypt the
sovereignty of architecture remained unchallenged; it merely
softened its language a little. In the chambers of the pyramid-temple
of the Fourth Dynasty (Pyramid of Chephren) there are unadorned
angular pillars. In the buildings of the Fifth (Pyramid of Sahu-rê) the
plant-column makes its appearance. Lotus and papyrus branches
turned into stone arise gigantic out of a pavement of transparent
alabaster that represents water, enclosed by purple walls. The
ceiling is adorned with birds and stars. The sacred way from the
gate-buildings to the tomb-chamber, the picture of life, is a stream—it
is the Nile itself become one with the prime-symbol of direction. The
spirit of the mother-landscape unites with the soul that has sprung
from it.
In China, in lieu of the awe-inspiring pylon with its massy wall and
narrow entrance, we have the “Spirit-wall” (yin-pi) that conceals the
way in. The Chinaman slips into life and thereafter follows the Tao of
life’s path; as the Nile valley is to the up-and-down landscape of the
Hwang Ho, so is the stone-enclosed temple-way to the mazy paths
of Chinese garden-architecture. And just so, in some mysterious
fashion, the Euclidean existence is linked with the multitude of little
islands and promontories of the Ægean, and the passionate
Western, roving in the infinite, with the broad plains of Franconia and
Burgundy and Saxony.
VII
VIII
IX