On October 16th, 222, the 2th National Congress of China * * * Production Party was held in Beijing, and General Secretary Xi Jinping made a report to the Congress on behalf of the 19th Central Committee. Report to the 2th CPC National Congress mentioned that since the 18th National Congress of the Communist Party of China, China has built the largest social security system in the world, and people's sense of gain, happiness and security has become more substantial, secure and sustainable.
Looking back over the past 1 years, China has made remarkable achievements in the construction of social security system. On August 25th, Jong Li, Vice Minister of Ministry of Human Resources and Social Security, introduced at a series of news conferences on the theme of "This Decade in China" that since the 18th National Congress of the Communist Party of China, the construction of China's social security system has entered the fast lane, and through unremitting efforts, it has built a social security system with distinctive China characteristics, the largest scale and complete functions in the world.
the data shows that the number of people participating in the three social insurances of basic pension, unemployment and work injury in China increased from 79 million, 15 million and 19 million in 212 to 1.4 billion, 23 million and 29 million in June 222, and the number of people participating in the pension insurance alone increased by 25 million in ten years. In addition, the support capacity has been continuously enhanced. The accumulated balance of three social insurance funds is 6.9 trillion yuan, the annual revenue and expenditure scale of social insurance funds exceeds 13 trillion yuan, and the market-oriented investment and operation funds exceed 8 trillion yuan.
when expounding the "sound social security system", Report to the 2th CPC National Congress mentioned: "sound multi-level social security system with comprehensive coverage, overall planning of urban and rural areas, fairness and unity, safety and standardization, and sustainability." In terms of medical insurance, the report specifically pointed out: "Expand the coverage of social insurance, improve the financing and treatment adjustment mechanism of basic old-age insurance and basic medical insurance, and promote the provincial-level co-ordination of basic medical insurance, unemployment insurance and industrial injury insurance. Promote the orderly connection of multi-level medical security, improve the system of serious illness insurance and medical assistance, implement medical settlement in different places, establish a long-term care insurance system, and actively develop commercial medical insurance. "
"getting medical treatment for diseases" is one of the fundamental purposes of health development in China. According to the National Statistical Bulletin on the Development of Medical Security in 221 published by the National Medical Insurance Bureau, by the end of 221, the number of people participating in basic medical insurance in China was 1.363 billion, and the participation rate was stable at over 95%.
in recent years, the state has repeatedly issued relevant policies and regulations to further expand the coverage of medical insurance. In April, 221, the General Office of the State Council issued the Guiding Opinions on Establishing and Perfecting the Medical Insurance System for Employees' Outpatients, proposing that outpatient expenses should be included in the payment scope of the employee's medical insurance pooling fund, so as to improve the utilization efficiency of the medical insurance fund, gradually reduce the medical expenses burden of the insured, and realize a fairer and more sustainable system.
In an interview with Interface News, Tuo Hongwu, deputy director of Tsinghua University Medical Service Research Center, said, "This reform has gradually changed the traditional way of paying outpatient fees to pay by head and by disease group, which has reduced the motivation of medical institutions to increase their income by increasing the amount of services such as prescribing more drugs and doing more tests."
In terms of serious illness insurance and long-term care insurance, Xiao Yuanqi, Vice Chairman of China Banking and Insurance Regulatory Commission, China, introduced at a series of news conferences on "This Decade in China" on June 23, 222 that the serious illness insurance system has covered 1.22 billion urban and rural residents since its establishment in 212, and the long-term care insurance has covered nearly 15 million people.
Under the background of aging population, "a sense of security for the elderly" is also a "big problem" in the construction of social security system. Since the 18th National Congress of the Communist Party of China, China's basic pension benefits have been rising continuously, and the level of security has been continuously improved. From 212 to 221, the monthly basic pension for enterprise retirees increased from 1,686 yuan to 2,987 yuan, and that for urban and rural residents increased from 82 yuan to 179 yuan.
With regard to endowment insurance, Report to the 2th CPC National Congress pointed out that it is necessary to "improve the national overall planning system of basic endowment insurance and develop a multi-level and multi-pillar endowment insurance system."
in June, 218, the State Council issued a notice to establish a central adjustment system for the basic old-age insurance fund for enterprise employees, which took the first step to realize the national overall planning of old-age insurance. From 218 to 221, in the four years since the implementation of the central adjustment system, * * * inter-provincial adjustment funds amounted to more than 6 billion yuan, of which the scale of inter-provincial adjustment reached more than 21 billion yuan in 221, which strongly supported the difficult provinces to ensure the timely and full payment of pensions.
according to the data of the seventh national census, the proportion of elderly people over 65 years old in China is 13.5% of the total population, and the elderly dependency ratio is 19.7%. It is predicted that in 233, China will enter a super-aging society in which the elderly population accounts for more than 2%. In this context, the outline of the "14th Five-Year Plan" is clear, and it is necessary to develop a multi-level and multi-pillar endowment insurance system.
As for the old-age service, Zuo Xuejin, former executive vice president of Shanghai Academy of Social Sciences, mentioned in an interview with Interface News that the old-age service is a combination of government and market resource allocation. Only by establishing and perfecting the market mechanism and rationally allocating social pension resources can the increasingly prominent pension problem be alleviated.
On September 2th, 222, Wang Haidong, Director of the Department of Aging of National Health Commission, introduced at the press conference that since the 18th National Congress, the construction of China's old-age service system has been continuously strengthened, and the construction of health service system for the elderly has been solidly promoted. By the first quarter of this year, there were 36, institutions and facilities for the aged nationwide, with 8.126 million beds. By the end of 221, there were 6,492 medical and nursing institutions with complete two certificates in China, with a total of 1.75 million beds and nearly 79, medical and nursing contracts.
In Report to the 2th CPC National Congress, the expression of "improving the social security system" also involves the gradual delay of the statutory retirement age; Accelerate the improvement of the national unified social insurance public service platform; Improve the maintenance and appreciation of social security funds and the safety supervision system; Improve the social security system and care service system for the disabled, promote the all-round development of the cause of the disabled, and so on.
Zheng Gongcheng, a professor at China Social Security Research Center of China Renmin University and president of China Social Security Society, said in the article "Promoting High-quality Development of Social Security" that at present, China's social security reform has entered the stage of system integration and efficient coordinated development. Facing the "Tenth Five-Year Plan" period, it is necessary to accurately grasp the links between all aspects of social security, social security and other related fields, further strengthen the overall planning and top-level design of the current institutional arrangements, and at the same time enhance its synergy with related systems, which is the inherent requirement of high-quality development and sustainable development.