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Expansion of public transfers in China: Who are the beneficiaries?

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  • Wang, Feng
  • Shen, Ke
  • Cai, Yong

Abstract

With expanded fiscal capacity and rising concerns over economic inequality, the Chinese government in the last decade and half has vastly rebuilt and expanded its social welfare regime. Using the National Transfer Accounts (NTA) methodology and both micro-level survey data and macro-level government statistics, this paper examines the distribution of public transfers in education, health care and pension across generations and income groups in 2014 and compare it with those in 2010. While per capita public transfers in absolute terms remained in favor of higher income groups and the elderly in 2014, as in 2010, the gap in receiving public transfers between the rich and the poor was reduced notably in this short time period. Public transfers also became more progressive in relative terms, with the bottom income group receiving much higher public transfers relative to their per capita household income than the wealthier groups. Our results reveal that although the unequal distribution of public transfers continues and it in part results from the fragmented program design and the legacies of socialist inequalities, China’s expanded social welfare programs have contributed to narrowing the vast income inequality in this country.

Suggested Citation

  • Wang, Feng & Shen, Ke & Cai, Yong, 2019. "Expansion of public transfers in China: Who are the beneficiaries?," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    • Handle: RePEc:eee:joecag:v:14:y:2019:i:c:s2212828x18300604
    DOI: 10.1016/j.jeoa.2019.100194
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    1. Ronald Lee & Andrew Mason, 2011. "Lifecycles, support systems, and generational flows: patterns and change," Chapters, in: Ronald Lee & Andrew Mason (ed.), Population Aging and the Generational Economy, chapter 4, Edward Elgar Publishing.
    2. Barry Naughton, 2017. "Is China Socialist?," Journal of Economic Perspectives, American Economic Association, vol. 31(1), pages 3-24, Winter.
    3. Wang, Lijian & Béland, Daniel & Zhang, Sifeng, 2014. "Pension fairness in China," China Economic Review, Elsevier, vol. 28(C), pages 25-36.
    4. Yip, Winnie & Hsiao, William C., 2009. "Non-evidence-based policy: How effective is China's new cooperative medical scheme in reducing medical impoverishment?," Social Science & Medicine, Elsevier, vol. 68(2), pages 201-209, January.
    5. Andrew Mason & Ronald Lee, 2011. "Introducing age into national accounts," Chapters, in: Ronald Lee & Andrew Mason (ed.), Population Aging and the Generational Economy, chapter 3, Edward Elgar Publishing.
    6. Cai, Yong & Wang, Feng & Li, Ding & Wu, Xiwei & Shen, Ke, 2014. "China’s age of abundance: When might it run out?," The Journal of the Economics of Ageing, Elsevier, vol. 4(C), pages 90-97.
    7. Liu, Hong & Zhao, Zhong, 2014. "Does health insurance matter? Evidence from China’s urban resident basic medical insurance," Journal of Comparative Economics, Elsevier, vol. 42(4), pages 1007-1020.
    8. Jane Duckett & Guohui Wang, 2017. "Why do Authoritarian Regimes Provide Public Goods? Policy Communities, External Shocks and Ideas in China’s Rural Social Policy Making," Europe-Asia Studies, Taylor & Francis Journals, vol. 69(1), pages 92-109, January.
    9. Wanchuan Lin & Gordon G. Liu & Gang Chen, 2009. "The Urban Resident Basic Medical Insurance: a landmark reform towards universal coverage in China," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages 83-96, July.
    10. West, Loraine A & Wong, Christine P W, 1995. "Fiscal Decentralization and Growing Regional Disparities in Rural China: Some Evidence in the Provision of Social Services," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 11(4), pages 70-84, Winter.
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    Cited by:

    1. Yang, Sui & Zhao, Xiaoman, 2024. "The income redistribution effect of social security in China," China Economic Review, Elsevier, vol. 83(C).
    2. M. R. Narayana, 2021. "Economic inequality by age and its implications for inequity for living generations in India: evidence based on National Transfer Accounts," Asia-Pacific Journal of Regional Science, Springer, vol. 5(2), pages 373-396, June.
    3. Li Yang, 2021. "Towards equity and sustainability? China’s pension system reform moves center stage," World Inequality Lab Working Papers halshs-03215912, HAL.
    4. Li Yang, 2021. "Towards equity and sustainability? China’s pension system reform moves center stage," Working Papers halshs-03215912, HAL.

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