Handbook of Welfare in China
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Handbook of Welfare in China

Edited by Beatriz Carrillo, Johanna Hood and Paul Kadetz

The Handbook is a timely compilation dedicated to exploring a rare diversity of perspectives and content on the development, successes, reforms and challenges within China’s contemporary welfare system. It showcases an extensive introduction and 20 original chapters by leading and emerging area specialists who explore a century of welfare provision from the Nationalist era, up to and concentrating on economic reform and marketisation (1978 to the present). Organised around five key concerns (social security and welfare; emerging issues and actors; gaps; future challenges) chapters draw on original case-based research from diverse disciplines and perspectives, engage existing literature and further key debates.
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Chapter 2: Leprosy welfare: entrenched stigma and policy formation

Shao-hua Liu


This chapter examines China’s leprosy control during the collective era (1950s–1978) into the 1980s. In this health campaign, China adopted a universal type of welfare that is usually considered to foster stigma reduction. However, leprosy-related stigma seemed to be long-lasting, and even expanded as a counter-effect of the campaign, which requires a reconsideration of the role of stigma in welfare-programme design. This chapter shows how different kinds of stigma, which haunted both leprosy sufferers and the politically disadvantaged doctors who treated the disease – underpinned the design and efficacy of this welfare programme. This case provides a lesson how a stigmatised disease indeed needs support but that, unless the patients’ participation in all aspects of welfare is normalised, a future without the stigma of leprosy will remain an elusive goal.

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