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Mao Zedong criticized the urban bias of medical services and talked about the stress placed on the rural areas.
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The idea of barefoot doctors were to be healthcare providers who underwent basic medical training and worked in rural villages in China. In 1968 this program became integrated into national policy. Which worked to include community participation with the rural area of health services.
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Developing countries and World Health Organization leaders began to consider China's program.
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The government provided less financial support for the program and the emerging free market system began forcing farmers to pay for their health care.