|
MIM Notes 197
by MC12
The bourgeois media and the counterrevolutionary
regime rehashed their line on China during the
celebrations of China's 50th anniversary. A review
of articles in the major U.$. newspapers shows
that almost nothing new was said. In contrast, MIM
takes the opportunity to review some of the
unprecedented accomplishments of the revolution
(1949-1976), and the fallout from the capitalist
return to power after 1976.
The basic story, as it
is told by the various mouthpieces for
imperialism, is that the Maoist era in China was
marred by "descents into collective folly" (1),
including especially the Great Leap Forward of the
late 1950s and the Great Proletarian Cultural
Revolution (GPCR) of 1966-1976. The GPCR, which
represented the farthest advance toward communism
ever, is attacked as "a cruel and irrational phase
of Chinese development" (2), with reference to
"the death and terror of the Cultural Revolution"
(3), and "the madness of the Cultural
Revolution."(4)
In Chapter 2 of the imperialist
story, calmer heads prevailed in the late 1970s,
"restoring" capitalist market principles,
"freeing" the peasants from communes and
cooperatives, and leading to unprecedented
economic growth. So the New York Times, for
example, says: "Virtually all the economic
progress of the past half century has occurred
since 1978, when Deng Xiaoping discarded the
precepts of Maoist socialism, opened China's
economy to the world and liberated the
entrepreneurial energies of the Chinese
people."(5) And the Toronto Star concludes: "the
Chinese people today are freer, wealthier and
happier than ever before."(1)
With awesome yet unsurprising disdain for any
standard of evidence, they repeat the conventional
imperialist wisdom: "The country has traveled a
huge distance since [the revolution], a half-
century in which Marxism became the mold of a new
China, one that sought to restore the glories and
power of the old imperial China but stumbled time
and again, unable for decades to find the
politico-economic model that would deliver. It has
begun to find a way now, and in the last two
decades, particularly, China has been delivering a
better life to many of its people. ... Deng
Xiaoping, Mao's successor, succeeded in delivering
pragmatic changes directed toward a life less
onerous for everyday Chinese. Mao put China
through more than 20 years of wrenching political
oppression and crippling economic
experimentation."(6)
There is a footnote of concern to the capitalist
era, which is the lack of democracy under the
capitalist Communist Party of 1976 to the present.
The San Francisco Chronicle put this idea in
racist terms -- "China should evolve from its
authoritarian roots" (7) -- as if shedding
"authoritarianism" is part of some march of
progress from yellow monkey to Amerikkkan Man.
Real Maoist progress
At the time of the Chinese Revolution in 1949, two
out of every ten babies born died in their first
year of life -- or a rate 200 out of every 1,000
live births.(8) By 1976 -- the year that
capitalists came to power again -- the rate was
about 46 per 1,000.(9) So the infant death rate
fell 77% in the Maoist years.
What does this Maoist-era improvement mean for the
critics of socialism in China? It means they don't
care about the deaths of millions of children.
Exact data are hard to come by, and different
people have different estimates, but MIM did a
small simulation to illustrate the effect of
cutting infant mortality so effectively for so
large a country. With an infant mortality rate in
1972 of 60 (9), we estimate 1.2 million infants
died that year, out of almost 20 million births in
a population of 850 million. Now, if the infant
mortality rate would have still been 200, as it
was before 1949, 3.9 million infants would have
died. That's a difference of 2.7 million infants'
lives saved in that year alone.
Still, you might say that even in the non-
socialist countries there were some declines in
infant mortality from 1949 to 1972. So, let's say
China's infant mortality rate was the same as
India's in 1972, which was 139. In that case, 2.7
million infants would have died, which means that
Maoist-led socialism still saved the lives of 1.5
million infants in that year alone.(10)
There are a lot of ways to do this kind of
exercise, but there is no getting around the
simple fact that by slashing infant mortality the
Maoist-led Chinese revolution saved millions and
millions of lives. Further, infant mortality is a
commonly used measure of well-being, because it
also identifies the state of wimmin's well-being,
nutrition, medical care, the state of
infrastructure for the people and education, all
of which greatly affect children's survival.
Those public health specialists who pay attention
have long known of the great advances under Mao.
"In the late 1950s, when China was a very poor
nation, it developed an innovative system of
medical care. Each community or town organized
funds from the government, households, and
communes to finance village health stations and
'barefoot doctors' to deliver preventive and basic
health services to more than 90 percent of the
population."(11) This was a socialist model of
health care, based not on protecting the salaries
of specialized experts at the expense of basic
care for all, but instead on attacking at the
roots the most imminent threats to the people's
health. "Between 1952 and 1982 [with most of the
change happening before 1976 -MC12], China reduced
the rate of infant mortality from 250 to 40 deaths
per 1000 live births, decreased the prevalence of
malaria from 5.5 percent to 0.3 percent of the
population, and increased life expectancy from 35
to 68 years."(11)
Real capitalist reversal
By 1998, the infant death rate was estimated to be
45 per 1,000 by the U.S. Census Bureau (12), no
better than it was when Mao died. The World Bank
estimates it was 42 in 1980, and fell to 32 in
1997.(13) In any event, various sources agree that
the rate of improvement was much slower, or
nonexistent, in the 1980s and 1990s.(11, 9)
Under the Maoist-led socialist system, health
centers were supported by the government, and
patients paid if they could. But starting in the
1980s, government support was cut way back for
health care. Most services now have to be paid for
by patients, and only 25% of the people have
health insurance (11), down from 71% in 1981 (14).
A recent study found that, for 420 million rural
people, a single hospitalization would cost more
than the average annual income. A detailed study
of 30 poor counties in the 1990s found that 30% of
the villages had no doctor at all, 28% of the
people did not get health care even when they were
sick because of the cost, and more than half of
those who were specifically advised to go to a
hospital by a health practitioner did not --
because of the cost.(11) As in the bad old days in
China, a health crisis is all it takes to drop
hundreds of millions of people into complete
poverty.
The privatization of health care -- and the
replacement of the collective farming system with
family-based farming -- drove many former barefoot
doctors out of health care work. They could no
longer afford it, and had to return to farming to
feed their individual families. The number of
health care workers increased in the cities, where
they could be paid more, and decreased in the
countryside. In the 1980s, the number of township
clinics fell 14%, and the number of primary health
workers fell 36%.(14) An absolute drop in the
number of primary health care workers and clinics
is an astounding monument to the disregard for the
people's health of the current regime.
As the cooperative health care system was
destroyed -- the percentage of villages covered by
the system fell from 85 in 1978 to less than 10 in
1993 -- other problems emerged. In particular,
with health care centers forced to pay their own
bills directly, many have taken to over-
prescribing the medicines that are most profitable
for them to sell, often without proper diagnosis
or other treatment.(15)
One of the most important effects of all this has
been the widening of inequalities in the health
system. A study of height-for-age of young
children -- a general indicator of health -- found
that between 1987 and 1992, the average height for
urban children increased much more than it did for
rural children. In 1990, they found that 38% of
rural children had "moderate" stunting of growth,
and 15% had "severe" stunting, compared to 10% and
3% of urban children.(16) In terms of mortality,
rural infants were already 1.7-times more likely
to die than urban children in 1981, but by 1993
they were 2.9-times more likely to die. In the 30
poor counties studied, infant mortality actually
increased -- from about 50 to 72 -- from the late
1970s to the late 1980s.(14)
Stabbing socialism -- and the people -- in the
back
One slogan used for the 50th anniversary was:
"Adhere to the basic economic system with public
ownership dominant and diverse forms of ownership
developing side by side, and 'to each according to
his work' as the main distribution form and with
other forms as well."(4) Those diverse forms of
ownership and other forms of distribution is how
the capitalist regime describes the millions of
Chinese wimmin who work for Gap, Nike, Radio
Shack, IBM, and many others, often 12-hour days,
for 25 cents an hour. Many suffer corporal
punishment, and sometimes "beatings, insults,
arbitrary fines, body searches, forced overtime,
restricted use of bathrooms, few or no holidays,
and embezzlement of their wages."(17)
For the first time President Jiang Zemin, age 71,
displayed a giant poster showing his picture in a
national day parade.(18) Flanked by Premier Zhu
Rongji and former Premier Li Peng, Jiang also made
a point of wearing a gray "Mao suit." Floats in
the parade represented the Mao era (not including
the GPCR), the economic reforms begun under Deng
Xiaoping and now Jiang's leadership, which in
reality is a direct continuation of the Deng-led
counterrevolution. Jiang said: "Let us hold high
the great banner of Marxism, Leninism, 'Mao Tse-
tung Thought' and 'Deng Xiaoping Theory' and march
bravely toward our sublime objectives. China will
surely emerge as a prosperous, strong, democratic
and culturally advanced modern socialist
country."(19) In feigned celebration of Mao, they
issued a new 100-yuan banknote with Mao's
portrait.(20)
The current counterrevolutionary regime in China
pays lip service to Mao the person -- who is of
course still loved by many Chinese -- but not
Maoism the scientific socialist practice that
brought China out from under imperialism and
pushed closer toward communism than ever gone
before, or since. Together with the imperialist
media, they are rewriting the history of China to
claim credit for the advances in basic conditions
that came from Maoism, while undermining and
attacking the revolutionary changes in the
structure of society that were required to bring
those changes about.
The Maoist cat is out of the bag, and
revolutionaries all around the world carry on the
great legacy of the revolution.
Notes:
1. Toronto Star, October 2, 1999, Saturday,
Edition 1. 2. Washington Post editorial, October
3, 1999, p. B6. 3. New York Times, October 3,
1999. Section 4, p. 4. 4. Toronto Star, October 3,
1999, Sunday, Edition 1. 5. The New York Times,
October 1, 1999. p. A24. Editorial Desk. 6. Los
Angeles Times, October 1, 1999. p. B8. Editorial
Writers Desk. 7. San Francisco Chronicle,
September 28, 1999. p. A28; Editorials. 8. Victor
W. Sidel and Ruth Sidel, Serve the people;
observations on medicine in the People's Republic
of China. New York: Josiah Macy, Jr. Foundation,
1973. 9. Mei-Yu Yu and Rosemary Sarri. "Women's
health status and gender inequality in China."
Social Science and Medicine, v. 45, no. 12 (1997).
pp. 1885-1898. 10. To do this simulation, we
estimated the birth rate to be 23 in 1972 (by
interpolation from the 1964 rate and the 1998 as
supplied by the U.S. Census Bureau's International
Programs Center). We applied that birth rate to
the 1972 total population (estimated to be 853
million by interpolation from the 1970 and 1980
population figures supplied by Census). The 1972
India infant mortality rate is from Sidel and
Sidel (op cit., p. 258). 11. William C. L Hsiao
and Liu, Yuanli. "Economic Reform and Health --
Lessons from China." New England Journal of
Medicine (NEJM) 1996; 335: 430-432. August 8,
1996. For more of this information, see Hsiao W.C.
"Transformation of health care in China." NEJM
1984;310:932-6; and Hsiao W.C., "The Chinese
health care system: lessons for other nations,"
Social Science and Medicine 1995;41:1047-55. 12.
U.S. Census Bureau International Programs Center,
http://www.census.gov/ipc/www/. 13. World Bank
World Development Report 2000 at
http://www.worldbank.org/wdr/2000. 14. Yuanli Lio,
William C. Hsiao and Karen Eggleston. "Equity in
health and health care: the Chinese experience."
Social Science and Medicine, vol. 49 (1999), pp.
1349-1356. 15. Gerald Bloom. "Primary health care
meets the market in China and Vietnam." Health
Policy v. 44 (1998). pp. 233-52. 16. Shen, Tiefu;
Habicht, Jean-Pierre; Chang, Ying. "Effect of
Economic Reforms on Child Growth in Urban and
Rural Areas of China." NEJM 1996; 335: 400-406,
August 8, 1996. 17. Medea Benjamin (founding
director of Global Exchange), San Francisco
Chronicle, October 1, 1999. p. A23. 18. Atlanta
Journal and Constitution, October 2, 1999. p. 1B.
19. Los Angeles Times, October 1, 1999. p. A24.
20. Ottawa Citizen, September 30, 1999. p. D1.
|