Aging population was an important feature of our society at that time, and it was an important factor that we should consider when we drew up the national strategy. General secretary Xi Jinping pointed out clearly in the nineteen major statements of the party that we should implement healthy China's strategy, actively respond to the aging of the population, and build a policy system and social environment for supporting the elderly, filial piety and the elderly, and promote social integration. Since the eighteen Party's Congress, Xi Jinping's general secretary's important arguments on aging and the related theories of nineteen statements complement each other, forming a fundamental strategic thinking of our Communist Party's active response to the aging of the population. It is an organic part of Xi Jinping's new socialist thinking and strategy in the new era. Obviously, its importance is obvious. Therefore, in order to actively respond to the aging of the population and to deal with the war of not preparing for the aged, we need to supplement the service for the aged; Short board;.

Accelerate and improve the endowment guarantee &; Three pillars &; system

Combining with the criterion of the old-age security in China &; Three pillars &; In a systematic way, it is the comprehensive development of the guarantee of government, enterprise and personal medical care. However, for a long time, China has been unbalanced in the development of these three pillars.

First, as the top pillar of the basic pension is stable, now the total cover up of the standards has been basically realized, and is in the direction of the full cover up of the population. Secondly, the enterprise annuity, as the second pillar, is still very slow as a whole. As long as 70000 enterprises have established annuity, compared with the number planning of more than 10 million enterprises in China, it is less than 1%, covering up 23 million people, accounting for only 7% of the total number of employees participating in the basic pension, Most of the employees and retirees have no annuity. In addition, as the third pillar of the individual pension standards, although the State Council has proposed gradually the needs in the document on the reform of the standards for the elderly care of enterprise employees in 1991, the state has not issued relevant guidelines and guidelines so far, and the construction of the third pillar is still lagging behind. Therefore, overall, in the three pillar endowment assurance system in China, the first pillar is the largest, the second pillar is short board, and the third pillar is relatively thin.

Therefore, we should accelerate the improvement of the pension guarantee system and deepen the reform of the pension stability criteria. We will continue to improve the basic pension stability criteria for Township Employees combined with social overall planning and individual accounts. We will further standardize the basic endowment policy for employees and urban and rural residents, and improve the incentive and restraint mechanism of insurance payment. We will promote the overall planning of the pension system throughout the country, accelerate the establishment of the regulation criteria for the basic pension fund center of the enterprise employees, and improve the power of the fund. We will promote the safe operation of the endowment fund and strive to achieve the maintenance and appreciation of the fund. Actively and steadily promote the transfer of some state-owned capital full social security funds, gradually establish a normal adjustment mechanism for treatment, and make overall and orderly progress in the basic pension of retirees and the basic pension standards of urban and rural residents. Accelerate the development of work (enterprise) annuity, encourage the development of personal saving pension and commercial pension.

Add useful supply of elderly care services through multiple channels

“ Home based, community-based, organization based, and medical support combined;, It is suitable for China's national conditions, development stage and traditional pension service form. However, there is a lack of supply of all kinds of pension services, and the service quality also needs to be improved. In terms of community and home-based care, more than 90% of the elderly expect to enjoy care services in the community and at home, especially door-to-door service and nursing service. However, due to the high access threshold, thin profit space, lack of service personnel and other factors, the supply in this area has been slow for a long time. Due to a variety of chaotic reasons, there are still some problems in recent years; NIMBY phenomenon;, Some & lt; Embedded & quot; Small and micro pension organizations are difficult to implement due to resistance from community residents. In terms of organizational pension, although the number of beds per thousand elderly people in China has broken 30, which is close to the average level of prosperous countries, the structure is very uneven and there are some problems; Four more and four less That is to say, there are more public organizations and less private ones, more cities and less villages, more suburbs and less cities, more general residential care organizations and less medical protection organizations, and the overall service quality of pension organizations is low. Therefore, we should vigorously carry out home-based and community-based care services, and speed up the construction of community day care centers, nurseries and other equipment; We should deepen and promote the reform of pension organizations, such as public building, private building and private public assistance. Through lowering the threshold and implementing the policy, we should encourage the society to set up pension service organizations. There are still some misunderstandings in the practice of the combination of medical care and support. In the face of the problems of unconnected medical insurance policies and high access threshold, some local governments still focus on the combination of medical care and support organizations and ignore the combination of medical care and support services. In view of this, we should make more efforts to establish a useful connection mechanism between elderly care services and medical resources, so as to pioneer the medical needs of the elderly; Green channel;. In addition, in terms of long-term care, many elderly people, especially the disabled and semi disabled, have a huge demand for nursing service, but their ability to pay is weak. Because China has not established a special mechanism to raise the cost of long-term care for the disabled elderly, there is a huge potential demand and a lack of useful demand, and there is a long-term phenomenon that supply and demand are not connected. Although China has launched long-term nursing safety pilot projects in some cities, most of them are relying on medical insurance funds to manage long-term nursing expenses, which does not give full play to the effect of commercial safety. Because of this, we need to speed up the exploration of long-term nursing business and secure form after summing up the pilot experience; Two legs & quot; went together.

Attach great importance to dealing with the problem of providing for the aged in rural areas

With the development of economy, the living standard of rural residents is constantly improving, because a large number of young and middle-aged rural labor force go out to work, resulting in a vast rural area; Empty nest old man & quot; With the rapid increase of population, the energy burden and daily burden of the elderly are getting heavier and heavier. Some rural elderly are in a state of relative poverty, and the situation of population aging in rural areas is more and more serious than that in cities. According to the prediction of relevant materials, the aging degree of rural population is always higher than that of villages and towns in the middle and late part of this century. The biggest distance is that by 2033, the aging degree of rural population will be 13.4 percentage points higher than that of villages and towns. By 2050, the aging degree of rural population will be as high as 40%. The median age of rural residents will be over 52 years old, and even three old people correspond to one child. Now, some rural areas are showing & lt; Production is short of labor, disaster resistance is short of manpower, management is short of talent, and villages are hollowed out; This problem may intensify in the future. Except for a few economically prosperous provinces and cities, most of the rural elderly can only receive a pension of about 100 yuan per month, and their pension guarantee and service still mainly depend on their families; Rural & lt; Five guarantees; The old people are lax, the standard of support is low, and most of the rural homes for the aged and welfare homes are poor; The elderly in rural areas are very short of community care, organizational services, energy and cultural services. Therefore, we should accelerate the urban-rural integration, appropriately increase the investment in rural pension services, promote the equalization of basic pension public services, and gradually narrow the distance between urban and rural areas. In particular, combined with the actual situation of the countryside, we should encourage the development of rural happy homes, nursing homes and other forms of cooperative pension, give full play to the effect of Party organizations at the bottom, villagers' committees, elderly associations, and the effect of rural community induction service center, cultural service center, village clinics, rural library and other equipment, so as to provide all kinds of pension services for the elderly. In this regard, some local governments have made favorable exploration, and timely summarize and promote the good experiences of various places.

Comprehensively promote the construction of an aging and livable environment

With the rapid development of population aging, there are more and more problems in living conditions, public services, community environment, rights protection, social participation and so on. The planning and construction of urban and rural public service equipment are not used to the objective requirements of the aging society. For a long time in the past, because there was no sense of aging society in urban construction, many basic equipment and houses were planned and built according to the needs of the adult society. After entering the aging society, there was an urgent need to carry out aging adaptation transformation to provide more convenient travel conditions for the elderly. For example, in the 1970s and 1980s, about 80% of the buildings with six floors or less were not equipped with elevators, which made it very difficult for the elderly to get up and down the stairs and forced them to be & lt; Indoor elderly & quot;; There are no barrier free ramps and handrails at the entrances and exits of many urban roads and public places. Barrier free toilets and bathing equipment for the elderly are far from popular, which makes it difficult for the elderly to travel, use the toilet and take a bath. All these seriously affect the quality of life of the elderly. Therefore, we should further establish and follow the concept of suitable for the elderly and livable, and fully consider the special needs of the elderly and the disabled in all aspects of social life, such as residence, travel, public service and information communication, so as to meet the requirements of suitable for the aging and barrier free. In a word, to build a supportive livable environment for the elderly and to ensure their ability of daily independence and social integration to the maximum extent is not only an important aspect of actively coping with the aging population, but also the connotation requirement of the new normal of the habitual economy.