合作医疗与政治合法性--一项卫生政治学的实证研究

当前中国政治合法性建设有两种发展路径:福利政治与权利政治。本文以农村合作医疗为例,指出党和政府倾向于通过建立福利政治、重建社会公共产品供给体制的方式来达到扩大政治合法性来源的目的。虽然这是一种政治文明进步的体现,但是缺乏公民参与权利的福利政治会严重制约福利政治的建立与实施,也会影响政治合法性资源的扩大效果。因此,本文建议应当树立权利政治思维,在社会公共产品供给体制建构过程中赋予公民更多的参与权、知情权、自治权,从而使政治合法性建立在权利保障的福利政策之上,才不失为一种更稳固和有效的选择。

Cooperative Medical-care System And Legitimacy: An Positive Study On Sanitation Politics

This thesis summarizes two types of political development modes in contemporary China's political modernization: welfare politics and right-orientated politics.Taking the cooperative medical-care system as an example,the ruling party and government tend to maintain political stability and broaden legitimacy foundation by means of establishing social welfare system and rebuilding public goods supplying system.Although this transformation reflects political progress in China,single welfare politics pattern without necessary citizen's political participations will not only do harm to social welfare policies' implementation but also weaken authorities' legitimacy foundation.Therefore,this thesis proclaims that the ruling party and government should grant more political rights to farmers and citizens during the rebuilding of social public goods supplying system.This suggestion will be proved a more stable and effective way to strengthen legitimacy for authorities,which is also beneficial to Chinese politics modernization in the long run.