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This paper traces China's move towards a market economy in the mid-1980s, the near triumph of market forces in the 1990s, and the countermovement this engendered as inequalities between the rich and poor increased and social security networks collapsed. It focuses on the country's regional and healthcare policies to illustrate how it has dealt with issues of inequality and insecurity over time. The prevailing view now is that the market is necessary but it must be embedded in society. And the state must play an active role in the market economy to prevent a disembedded and self-regulating market economy from dominating society.